Apo iwe unorwara nemukenza wemapapu, unodzidza zvakakurumidza kuti boka reongorori panzvimbo pane chiremba mumwe chete achakutarisira iwe. Kana iwe uine chiremba kuchiremba wemhuri yako, uku kuwedzera kwevanhu vezvechiremba kunogona kuonekwa kuwandisa. Panguva imwecheteyo, unganzwa usina chokwadi pamusoro pekuti ndiani waunofanira kudana kana iwe une mibvunzo, kana pane zvakaitika kune imwe nguva.
Ngatitange nekupfupisa kwevamwe vemitezo eboka rekuchengetedza kenza yemapapu, rinoteverwa nemibvunzo uye mamwe mashoko ekukubatsira kuti uzive kuti unotanga kupi.
Primary Care Physicians
Chiremba wako mukuru wekuchiremba angave chiremba wemhuri, wepachirapa muongorori (internist), kana mukoti mushandi kana mubatsiri wechiremba . Iwe unogona kunge wakamuziva iye kwemakore, uye angave ndiye akazopedzisira awana chirwere chako chemapapu. Asi sezvo vanachiremba vanonyanya kutarisira vanowanzoita chirwere chemapapu emapapu kana kupa chemotherapy, iye angangokutaurira kune chiremba wezvokurapa. Iwe unogonawo kusarudza chiremba wezvokurapa kubva pane mazano kubva kumhuri neshamwari, kana tsvakurudzo yako pacheche munyanzvi dzekenza.
Vanachiremba vekunyanya kunyanya (PMDs) vanobatanidzwa kumadigiri akasiyana-siyana mushure mekuongororwa zvichienderana nechiremba wenyu chaiye; vamwe veMDC ndivo vanoda kushandiswa zvakanyanya mukutarisira kwenyu, asi vamwe vanonyatsosununguka vachitsigira zvisarudzo zvikuru (uye zvisarudzo zviduku) kune boka renyu rekuongorora.
Pasinei nokuti iwe unobatanidzwa sei naPDD yako paunenge uchiita kurapwa kwekushanda, zvakakosha kumuchengetedza zvakanyanya kufambira mberi kwako kuitira kuti akurumidzire iwe paunodzokera kwaari.
Medical Oncologists
Imwe nyanzvi yezvokurapa ndeyechiremba anoziva mukurapa kenza kuburikidza nekushandiswa kwezvinodhaka zvakadai se chemotherapy uye hormonal therapies.
Kazhinji yenguva yako yezvokurapa incologist inoshanda seiri mutungamiri wekutarisira kwako nezvimwe nyanzvi inobatsira kuisa pamwe chirongwa chako chekutanga chekurapa uye kunobatsira kugadzirisa migumisiro yemigumisiro yako. Iye acharamba achikutevera pane dzimwe nguva mushure mekupedzwa kwemishonga yako kuti uongorore chero humwe uchapupu hwekudzoka, uye kupa mazano kune dzimwe nzira dzokurapa kana zvichidiwa pakugadzirisa muviri, kushanda kwehutano hwepfungwa, kana kupiwa kurapa kwekudya. Makanzura mazhinji emukati iye zvino ane anecology vanochengeti vafambisi vezvikepe vanobatsira kurongedza kutarisira kwako munguva iyo yekufunganya mazuva ekutanga mushure mekufungidzirwa.
Vanachiremba
Kana iwe une kenza iyo inonzi inoshanda, iwe ungangodaro uchitumirwa kunechiremba kuti iwe ukurukure zvaungagona kuita. Izvi zvinogona kuva chiremba chiremba , chiremba chiremba , kana chirwere chechiremba , zvichienderana nechepakati pekenza inosarudza kuenda kune.
Radiation Oncologists
Zvinenge hafu yevanhu vane mutsa wemapapu vanowana kurapwa kwemaawa pane imwe nguva munguva yezvirwere zvavo. Radiation therapy inopiwa nechirwere chemasayendisiti chaiye anonzi radiation oncologist anobata kenza nechirwere chemaawa. Iwe unogona kunzwa nezvemashoko akadai se "cyberknife" mishonga kana iwe uchangobva kuongororwa.
Izvi hazvirevi kurapwa, asi chimiro chakakosha chemishonga inonzi radiation. Mishonga inogona kupiwa nenzira inoratidzira, kana kupisa-yakagadzirirwa kubatsira nemiratidzo yekenza yemapapu asi pasina kuedza kuporesa chirwere chacho.
Pulmonologists
Vanhu vazhinji vanorwara nekenza yemapapu vachaonawo pulmonologist , uye hazvisi zvisinganzwisisiki nekenza yemapapu kuti iongororwe nevanyanzvi ava. A pulmonologist mutezi wemapapu anobata zvirwere zvemapapu zvinosanganisira mutsa wemapapu. Sezvo zvirwere zvepapupa zvakadai seCOPD zvinowanzovapo pamwe chete nekenza yemapapu, uye nokuti kurapwa kwekenza yemapapu kunogona kuderedza mapapu ekushanda, nyanzvi yemapapu inowanzobatanidzwa sechikamu cheboka rako rekenza yemapapu.
Pathologists
Iwe haugoni kuona chiremba wako chiso nechiso, asi ava ndivo vanachiremba mubasa iro vachaongorora mishonga inotorwa kubva kumapapu emapapu kana chirwere chemapapu. Mukuwedzera pakuva nemhosva yekutarisa rudzi rwemapapu emapapu iwe unayo, basa rechirwere chezvematachiona riri kuwedzera kukosha mukuzvibata kutungamirirwa kwekenza yemapapu. Chikamu chebasa rechirwere chekurapa ndechekugadzirisa kuchinja kwemasero emukenza wakasiyana newe - uye zvinogonawo, zvinoratidza kuti mishonga inoshanda zvakadini kune kenza yako.
Palliative Care Physicians
Vamwe vanhu vanovhiringidzika pavanoudzwa kubvunzurudza chiremba wekunakidza zvinokurudzirwa. Zvakakosha kuziva kuti kutarisira kwekunonoka hakusi kwakafanana neya hospice. Kuchengetedza kwepfungwa ndeye rudzi rwekuchengetedzwa kunoitirwa vanhu vane chirwere chekurapa chekenza yavo, kwete avo avo vane kanzira dzisingagoni kupora. Kuwanikwa kwakangoerekana kwave kuripo kuti vanhu vane kenza yemapapu vanowana rubatsiro rwekuchengetedza kwekutarisira kwete kungogamuchira mararamiro emhando iyi yekurapa asi vakapona kwenguva yakareba kudarika avo vasingakwanisi kutora boka rekuchengetedza.
Kune avo vasina kujairika nekutarisira kurapa, nzira iyi inowanzoitwa neboka asi pane chiremba mumwe chete. Chinangwa ndechekubata zviratidzo zvekenza, nemigumisiro yechirwere, pamwe chete nemanzwiro uye mune zvemweya zvekenza kuongororwa. Sezvo zvakadaro boka rinowanzobatanidza kusanganiswa kwechiremba, vanamukoti, vashandi vehutano, nevamwe vanyori vanogona kukurisa hupenyu hwako munguva uye pashure pekurapa kenza.
Nyanzvi dzekuvandudza
Zvinogona kuve zvakanyanya kuwedzera kukura kune vamwe vanyori pane izvi kare kare, asi zvakakosha kuunza basa revanyanzvi vanogona kukurudzirwa panguva yekurapa kwako, uye kazhinji mushure mekunge marapirwo ako epakutanga apera.
Sezvo vanhu vanowanzodikanwa mabasa ekugadzirisa mushure mekurwa kwepfungwa, kurohwa, kana kugadziriswa nemabvi, tiri kudzidza zvakanyanya uye kuti zvimwe zvezvibatsiro izvi zvinogona kubatsira vanopukunyuka kenza vanodzokera kune zvakanakisisa zvehupenyu huchaita mushure mekurapa. Mapurogiramu ekudzivirira kuputika angangobvunzwa kuti aite mapurmonary rehabilitation kana wakarasa mapapu kana chikamu chemapapu kubva pakuvhiyiwa. Imwe rudzi rwechiremba anonzi mushonga wepanyama uye kugadziriswa kwechiremba (physiatrist) inogona kushanda kuti ikubatsire kuwana marapa kuti akunde kukundikana kwemuviri kwakauya nekuda kwekurapa kwekenza yako.
Mental Health Professionals
Vanhu vane mutsa wemapapu vanowanzotarisana nekuzvidya mwoyo uye kuora mwoyo . Your oncologist inogona kukurudzira kuti uone chiremba wepfungwa kana chiremba wepfungwa unobatsira kuti utsungirire kutarisa kwako uye manzwiro anoenda pamwe nemishonga yekenza.
Vanamukoti
Vanachiremba veuncolose wamunosangana navo vachaita basa rinokosha mukutarisira kwenyu uye mukurapa kwenyu kwekenza. Bvunza mibvunzo uye regai vateereri vane tsitsi vakubatsire. Iko kazhinji vanamukoti vanonzwa nezvemibvunzo vamwe vakakanganwa kubvunza, uye zvinetso zvinowanzoonekwa kune avo vatsva vaongororwa. Shandisa zvakanaka ruzivo rwavo rwakanaka.
Mibvunzo Yekubvunza Pamusoro Pokurapa Kwako Kushanda
- Ndiani wandinofanira kudana pakutanga kana ndine zvimwe zvinonetsa?
- Ndiani wandinofanira kudana kana iri shure kwemaawa kana pakupera kwevhiki?
- Ndiani achange achirapa mishonga yangu (kunze kwechemotherapy), yakadai semishonga yekufema nemishonga inorwadza?
- Ndeipi basa rangu rekuchengetedza chiremba rangu richaita mune kurapa kwangu? Iwe unogona kuda kutaura ne PMD yako mushure mekunge uine chirongwa chako chekutanga chekurapa uye kubvunza kuti zviyero zvakadini zvichange zvakanyatsogadzikana kupa.
- Ko chiremba wangu mukuru wekuchengetedza anofanira kuchengetwa sei nekuvandudzwa kwangu?
A Few Tips Tips
Kanza yemaperembudzi inodhura. Ndinofara kuti vamwe vanhu vane rupo vakashanda pamwechete kuti vabatsire kusunungura tad yekusagadzikana mumazuva ekutanga nemwedzi yekurapa. Hazvina mhosva kuti iwe unogara kupi, mazamu akadai sekuchengetedza musha pasina chemo panguva ye chemo, wigs uye zvitsvuku, miviri yepamusoro apo iwe unoda kukweta mushure mekuvhiyiwa, uye kunyange kudzokera kuti ugove wakasununguka hauna kubvunzwa.
Sources:
American Cancer Society. Vashandi Vehutano Vanosangana neCancer Care. Updated 11/11/15. http://www.cancer.org/treatment/findingandpayingfortreatment/choosingyourtreatmentteam/health-professionals-sociated-with-cancer-care
National Cancer Institute. Nzira Yokuwana Nachiremba kana Chirongwa Chero Kana Uine Kansa. Updated 01/07/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet