Sarudzo Yenyu Yekurapwa Inogona Kuita Unhu Hwako hweUpenyu neKubereka
Iwe unogona sei kuwana nzvimbo yakanakisisa yekurapa kenza apo iwe une kenza yemapapu? Ungave uchangobva kuongororwa nemukenza wemapapu kana kutsvaga pfungwa yechipiri, iri mubvunzo unokosha.
Kusarudza chirwere chemukenza wemapapu emapapu ndicho chimwe chezvisarudzo zvikuru zvamuchasangana nenguva iyo zvisingatauri nguva yakaoma uye inonetsa. Zvingava zvakanaka kana munhu wose ane nzvimbo yepamusoro yekenza mukati memaminetsi emisha yavo, asi tinoziva kuti handizvo.
Uye sezvo kune huwandu hwehutano pazvinouya kumapurisa uye magweta, kuchengetwa kweutano kunogona kusiyana munyika yose. Ndezvipi zvinhu zvaunofanira kufungisisa, uye mibvunzo ipi yaunofanira kuibvunza, usati wasarudza pane chinzvimbo chekurapa kenza? Izvozvo zvingaita sokuti zvinopisa, asi zvinoita kuti iwe uwane kutarisirwa kwakanakisisa. Heano mamwe matanho anoita kuti kufamba kunenge kuri nyore nyore.
Zvikonzero Zvokufunga nezvazvo
Pane zvikonzero zvakawanda zvekutarisa sezvo iwe uchingopera pasi zvaunogona kuita kune kenza yekurapa. Kutora nguva yekufungisisa zvinhu izvi kunogona kunzwa kunetseka, uye zvinogona kuva kuedza kuda kutanga kutanga kurapwa nekukurumidza. Asi kumira kwenguva yakareba zvakakwana kuti uve nechokwadi chekuti wakaita chisarudzo chakanaka zvakakodzera kukoshesa: tsvakurudzo shomanana inogona kuita kuti iwe usarudze nzira yakasiyana, inoratidzirwa nepfungwa yechipiri. Kune rumwe rutivi, zvinogona kukusiya iwe uchinzwa wakavimbiswa kuti iwe wakaita sarudzo dzakakunakira iwe.
Zvimwe zvikonzero zvokufunga zvinosanganisira:
1. Unhu
Kusarudza kutarisira kwakanaka kunofanirwa kuuya pakutanga pakusarudza nzvimbo yekenza. Kana uri muchengeti wekenza yepamusoro, dzakawanda zvezvimwe zviitiko zvichangoerekana zvawira munzvimbo. Asi kunze kwekunge uchitarisa zvikwata zvekenza zvekurarama, iwe ungatonga sei hutano hwehutano hwakapiwa?
Ndinofara, mabhuku mashoma akawanikwa kuti akubatsire kutanga.
IAmerican College of Surgeons ine databata inosanganisira zvipatara zvinopfuura 1500 zvekenza dzinogamuchirwa neKomisheni yeCancer (Coc) yeAmerican College of Surgeons. Kuti zvibatanidzwe, nzvimbo idzi dzinofanirwa kuita maererano nemimwe mitemo, uye inofanira kunge yakatsaurirwa kupa zvakanakisisa mukenza kuongororwa uye kurapwa. Makumi makumi manomwe kubva muzana evarwere avo vachangobva kuongororwa vanozvitsvaga kune imwe yezvi nzvimbo.
I National Cancer Institute ine urongwa hweanenge makumi manomwe emahofisi akasarudzwa. Zvimwe zvinodikanwa zvinodiwa kuti kenza yekenza iite urongwa, imwe yeyo ndeyekuti nzvimbo yacho inobatanidzwa mukutsvakurudza kuti kuderedze huwandu hwekufa kubva pamukenza.
2. Kuchengeta kwakakwana
Kurapa kenza yakaremara kwakaoma. Mukuwedzera pakuona an oncologist (chiremba anobata kenza mishonga semakemikirini), unogona kushanyira nechiremba wechirachi (rudzi rwechiremba anovhiya anoita chirwere chemapapu), anonzi radiation oncologist (chiremba wekenza uyo anonyanya kushandiswa mumishonga ), a pulmonologist ( mupi wemapapu), nyanzvi dzekuchengetedza hutano (vanachiremba vanoziva mukurapa zviratidzo zvepanyama uye zvepfungwa zvinokonzerwa nekenza - chinyorwa, izvi hazvisi zvakafanana neya hospice), uye vamwe vanachiremba zvichienderana nezvimwe zvirwere zvehutano iwe ' rezve kutarisana.
Mukuwedzera, boka rako rinogona kusanganisira mafiropiti emapfupa, kuporesa therapists, nedzimwe nyanzvi.
Rimwe ruzivo rwekutsvaga kutarisirwa pamukati mutsva rinopararira nderekuti dzakawanda zvebasa iri rinogona kuwanikwa pasi pedenga rimwechete. Pamwe chete nekuswedera pedyo nekuderedza kufamba, izvi zvinowanzoreva kutaurirana kwakanakisisa pakati peboka rako rese rekutarisira utano.
3. Bhuku
Kanzera inonyanya kukonzera nhamba yakawanda yevarwere inogona kuva nezvimwe zvinobatsira. Izvino uye chikuru pane teknolojia-yakadai sekufungidzira uye remishonga yehutachiona -inouya pamutengo. Uye kenza yekenza iyo inobata varwere vakawanda inogona kunge iri mune zviri nani mari yepamusoro yekuisa mari mumutambo mutsva.
Zvidzidzo zvakare zvinoratidza kuti vanhu vane chirwere chemapapu emapapu pazvipatara zvakanyanya zvinotambura zvinetso zvishoma uye zviri nani zviri nani . Panewo humwe huwandu hwekuti nzvimbo yepamusoro yepamusoro ichava nemapoka ekutsigira akagadzirirwa vanhu vane kenza yemapapu.
4. Kurapa Options
Mimwe mishonga yemukenza yemapapu iwe unofarira kuva nayo ingangowanikwa pane dzimwe nzvimbo dzekenza. Semuenzaniso, mamwe makiriniki emuedzo wemukenza wemapapu anongowanikwa kune dzimwe nzvimbo, uye dzimwe nzira dzokuvhiya idzva, dzakadai seVATS, dzingasawanika mune zvipatara zvose.
Kunze kwekuchengetedzwa kwechigarire, vamwe vanhu vanofarirawo kuwanikwa kwemishonga inobatanidza / dzimwe nzira dzakadai sokugadziriswa uye kuporesa . Kunyange zvazvo vazhinji vemakirini makuru emukenza vari kupa mishonga iyi, mamwe mahofisi ari kunyanya kufunga nezvekurapa kune vamwe.
5. Nzvimbo
Kune vamwe vanhu, kugamuchira kutarisirwa pedo nemusha, kana pedyo nemhuri, kunokosha zvikuru, asi vamwe vangave vachida kuendesa kurapwa. Kana ukasarudza kufamba, bvunza nezvehumba kana iwe ukasarudza. Dzimwe kenza nzvimbo dzinogamuchira dzimba dziri pedo dzinopa dzimba pasina mari panguva yekurapa kenza. Nzvimbo inogonawo kukwanisa kupa zvikwereti pane hotera dzemo. Kufamba kurapa , kana nemotokari kana ndege, kunogona kudhura. Ramba uchifunga kuti kutakura uye pokugara kwezvikonzero zvezvechiremba zvinodhura mari yezvemari .
6. Inishuwarenzi Inopesana
Zvakakosha kutarisana neinishuwarenzi yako kuti uone kana yakavhara kurapwa pamakirini emukenza uri kufunga. Zvakakoshawo kubvunza kana nzvimbo yacho iri "in-network" kana "kunze-kwe-network." Izvo-zve-network providers uye nzvimbo dzinowanzovharwa, asi nepamusoro-soro kubhadhara kana kubhadhara. Kusarudza chirwere chekenza pasi peinishuwarenzi yako chirongwa chichabatsira zvakanyanya nemari, asi iwe hauna kukwana (kunze kwekubhadhara mari) muchisarudzo chako. Mune mamwe mazwi, kana kurapwa kusina kuvharwa pasi pe inshuwarisi yako chirongwa, iwe unogona kunge uine-iwe unongodiwa chete kuribhadharira iyo kunze kwehomwe. Izvi ndezvokwadi kune dzakawanda zvehutano hwekubatanidza kwekenza, zvakadai sekudzikisa hutachiona uye kugadziriswa.
Kuwana Pfungwa Yechipiri
Vamwe vanhu vanozeza kukumbira mutsara wechipiri: vanotya kuti vachagumbura chiremba wavo, kana vangatya kutora nguva yakafanira yekuongorora imwe pfungwa. Zvakakosha kuchengeta mupfungwa kuti kuwana mhinduro yechipiri kana une kenza haisi isiri; zvirokwazvo, yava kuda kutarisirwa. Sezvo iwe waizotarisa zvinopfuura imwechete yekutengesa kana uchitenga motokari itsva, kutarisa kune imwe nzvimbo yekurapwa kunokosha zvikuru. Kune rumwe rutivi, unogona kuwana nzira yakanakisisa inosangana nezvido zvako, asi kune rumwe rutivi-kana maonero akafanana-iwe uchanzwa wakasununguka kuti uri munzira yakarurama.
Hungu, zvinotora nguva yekugadzira mutsara wechipiri, asi kazhinji kenza inenge ichikura kwenguva yakareba vasati vasangana. Dzimwe nguva kurapwa kunokurumidza kunoda, asi kazhinji pane nguva yekutsvaga mamwe maonero asati atanga kurapwa. Ndinoziva zviri nyore kutaura pane kuzviita-murwendo rwangu nekenza, ndanga ndichida kutanga kutanga nokukurumidza. Asi ndakaona kuti gare gare, ndaifara kuti ndakanga ndatora nguva yekufema zvakadzika uye kuwana mhinduro yechipiri ndisati ndaita chisarudzo changu chokupedzisira.
Mibvunzo Yokubvunza
- Ndezvipi zvirwere zvinokurudzira kuti ndive nekenza yangu chaiye?
- Kana mafungiro akasiyana pamusoro pemishonga, ndezvipi zvikonzero zvezvirevo zvavo?
- Ndiani achange ari "enda" kumunhu-munhu anochengeta kutarisira kwangu kubva kune vese vadzidzisi vandiri kuona? Ndichange ndine kambani yemhosva here?
- Zvakaoma sei kuti uwane musangano?
- Ndiani wandingataurirana manheru kana vhiki dzevhiki kana ndiine mibvunzo?
- Kana ini ndichida kupinda muchipatara, ndingabvumirwe kupi?
- Ndinokwanisa here kutarisira zvose zvangu mune kliniki iyi kana chipatara, kana ndingada kuenda kune nzvimbo dzakasiyana, somuenzaniso, chemotherapy uye remishonga inonzi radiation?
- Pane here varwere vamakabata kuti ini ndinogona kutaura pamusoro pezvavanowana?
Mibvunzo Yekufunga
- Ko boka rezvoutano rakandipa ruremekedzo here? Vakanyatsoteerera here?
- Ko mibvunzo yangu yakapindurwa here? Vakapindurwa nenzira yaunoda kuti vapindure-zvakakwana mukudzika kuita chisarudzo chakanaka, asi pasina chinangwa chekurapa iwe haugoni kunzwisisa?
- Chii "chirwere changu" kundiudza pamusoro pepakati? Ndeipi ini, uye mhuri yangu yaizonzwa yakanyatsonaka?
Mienzaniso Yezvirapa Zvokurapa
Vamwe vanhu vanonakidzwa vachitarisa mawebhusayithi ekenza kurapwa nzvimbo kuti vawane pfungwa pamusoro pemabasa anopiwa. Pasi pane runyorwa ruduku runoshandiswa semuenzaniso, uye kwete sekurudziro kune imwe nzvimbo. Kazhinji kenza nzvimbo uye hurongwa hwechipatara dzine mawebsite anowanika anogona kukwanisa kupindura mamwe emibvunzo yako.
- H. Lee Moffitt Cancer Center uye Research Institute (Tampa, Florida)
- University of Texas MD Anderson Cancer Center (Houston, Texas)
- Memorial Sloan-Kettering Cancer Center (New York, New York)
- Seattle Cancer Care Alliance (Seattle, Washington)
- Vanderbilt-Ingram Cancer Center (Nashville, Tennessee)
- Mayo Clinic Cancer Center (Rochester, Minnesota)
- Stanford Cancer Institute (Palo Alto, California
- Dana-Farber / Harvard Medical Center (Boston, Massachusetts)
- University of Colorado Cancer Center (Aurora, Colorado)
Pfungwa dzakawanda
Sezvaunoita zvisarudzo pamusoro pekusarudza kwako kurapa, zvinokosha kuyeuka kuti iwe uri kutarisira iwe pachako. Vanachiremba vachakupa zvisarudzo zvakawanda, asi pakupedzisira kune iwe kuita zvisarudzo. Vamwe vanhu vanoda kuve nehasha sezvinobvira nevanosarudza, asi vamwe vachasarudza kusatevera kurapwa kwekenza yavo zvachose. Vanhu vazhinji vachatsvaga imwe pfungwa yakawedzerwa yekuvabatsira kuti vaite sarudzo iyo yakakodzera kwavari, ine ruzivo rwakawanda sezvinogona. Uye kudzidza kudziva iwe mumurevereri wako mukuchengetedzwa kwekenza kunoratidzika kuti haisi kungovandudza hutano hwekutarisira kwako asi kunogona kuvandudza migumisiro zvakare.
Semashoko ekupedzisira, kuitira kuti uve nhengo inoshingaira yeboka rako rekurapa, kudzidza zvakawanda sezvinobvira pamusoro pemukenza wako wemapapu kunobatsira zvikuru. Tarisa mazano aya ekuti ungatsvakurudza sei uye uwane ruzivo rwakanakisisa rwekenza paIndaneti .
Sources:
National Cancer Institute. Chokwadi Sheet. Nzira Yokuwana Nachiremba kana Utano Kana ukave neKenza. Updated 06/05/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet
National Cancer Institute. NCI-Yakarongwa Kanzerano Zvikamu. Yakasvika 06/10/16. https://www.cancer.gov/research/nci-role/cancer-centers
Park, H. et al. Impact of Hospital Hospital Volume of Thoracoscopic Lobectomy Pamitambo Yakakosha yeMaratani. Annals of Thoracic Surgery . 2012. 93: 372-379.