Kana iwe uchangobva kuongororwa nekenza yemapapu , pfungwa yako inogona kunge yakazara nemibvunzo. Mukuwedzera, iwe pamwe unoshamisika mibvunzo ipi yaunofanira kunge uchikumbira kuti iwe hauna kumbofunga nezvazvo.
Sei Kurongwa Kwemibvunzo Kwakakosha?
Kuva neruwandu rwemibvunzo yekubvunza yako oncologist pamusoro pekuongororwa kwako, kusarudzwa kwekurapa, uye kufungidzira, kunokosha zvakanyanya pakuwana rubatsiro rwaunofanirwa.
Vakawanda vedu vane dambudziko rokuyeuka mibvunzo miviri kana mitatu isu tinofanira kunge tichikumbira nezvezvinhu zviduku zvinowanikwa muupenyu hwedu. Uchitaurirwa kuti une chimwe chinhu chikuru semukenza wemapapu, wakakwana nemanzwiro ose anoenderana nekufungidzirwa, anogona kuita izvi kunyanya kuoma.
Panguva imwecheteyo, zvakakosha kudarika kare kuva kubvunza mibvunzo. Kanzira kutarisirwa kana uchichinja. Kunyange zvazvo pave pane imwe nzira imwe chete (kare kana kuti hapana), pane iye zvino kazhinji mazano maunogona kuenda neurongwa hwehutano hwako. Tanga tichidzidza kuti avo vanoita sevanomiririra ivo mukuchengetwa kwavo kwekenza vanofunga zviri nani mukugadzirisa uye vangatova nemigumisiro yakanaka. Kunzwisisa kuti chii chauri kutarisana nayo kuburikidza nekubvunza mibvunzo nzvimbo yakanaka yekutanga mukurudzira kutarisira kwakanakisisa.
Nguva Yokubvunza
Iwe unogona kunge uchishamisika paunofanira kuuya nemhando yemibvunzo. Mhinduro yacho pakarepo uye nguva dzose.
Kune mibvunzo yakasiyana (uye mienzaniso iri pasi apa) iwe uchada kubvunza pamatanho akasiyana muurwendo rwako, kutanga usati waonekwa, uye uchienderera mberi mukuchengetedza kuchengetedza kana kusarudza kumira kurapwa.
Isa Shamwari Kubvunza Mibvunzo Zvakanaka
Mhembera yekare "pfungwa mbiri dziri nani kupfuura imwe" ndezvechokwadi kana zvasvika pakubvunza mibvunzo nezvekenza yako.
Vanhu vazhinji vanozviona zvichibatsira kuunza shamwari yakanaka kumisangano iyo inogona kutora zvinyorwa kwauri uye kuve nechokwadi kuti mibvunzo yese yakanyorwa yako yakapindurwa. Shamwari yako inogona kusvika nemibvunzo yekuzvibvunza pachako zvausina kumbofunga nezvazvo, asi izvo zvingakupa kunzwisisa kwakanakisisa kwezvauri kurarama nazvo.
Chengetedza Mubvunzo Wokushingaira Nyaya Kuenda
Kana ukangowana kuongororwa kwemukenza wemapapu zvinogona kubatsira kutenga "bhuku rekuverenga." Iwe unogona kuva nemibvunzo yakawanda inomuka pakati pekushanyira. Dambudziko nderokuti mamwe emibvunzo iyi inogona kunge isina kukwana kukukurudzira kudana chiremba wako, asi panguva yaunenge uchitarirwa mushure iwe unogona kukanganwa mubvunzo. Ramba uchienderera mberi nemubvunzo mutsara mune imwe nyore-kuwana-kuwana nzvimbo uye uise pasi mibvunzo sezvavanomira pakati pekugadza. Unogonawo kufarira kubvunza mibvunzo vamwe vakakubvunza pamusoro pekenza yako pakati pekugadza kwako.
Mibvunzo Yaungada Kubvunza
Muzvikamu zvinotevera, tichakupa mamwe mazano emibvunzo iwe unogona kuva nayo. Iwe unogona kuda kukopa urongwa urwu ndokuisa iyo ibhuku rako remabhuku. Mimwe yemibvunzo iyi haikwanise kufanana nemamiriro ako akasiyana, asi vazhinji vachaita. Ita chokwadi chekuwedzera mibvunzo yako pachayo.
Mibvunzo Yekubvunza Paunenge Uchitsvaga (Kana Kuziva Kwako Kusingazivi)
Mibvunzo yako inogona kutanga kunyange usati waonekwa:
- Ndeapi miedzo yaunoda kuti uve nechokwadi (kana kusabvisa) kuongorora? (Heano mamwe emimwe miedzo inoshandiswa kuongororwa nemukenza wemapapu .)
- Ndezvipi zvinokonzerwa nezviedzo zvinoitwa kuti zviongorore uye kugadzirisa danga rekenza yemapapu?
- Iwe uchaona chero kushungurudzika kwakabatana neizviedzo here? Kana zvakadaro, ichagadziriswa sei?
- Ndeipi nguva yako ichawanikwa?
- Iwe uchawana sei mhinduro dzako? Ko chiremba wako achakushevedza iwe kana iwe unoda here kuita sarudzo yakasiyana kuti uwane mhinduro dzako?
Mibvunzo Yekubvunza Kana Iwe Unowana Kuziva Kwemapapiro Emumhanzi
Apo iwe unotanga kuongororwa nemukenza wemapapu unogona kunge uine mibvunzo yakawanda. Tsunga mwoyo kana iwe usingakwanisi kuwana zvose izvi zvinopindurwa paunoshanya kwako kokutanga. Pane mimwe mibvunzo inonyanya kukoshesa panguva ino uye imwe iyo iyo yakakodzera kumirira kwenguva shoma kuti inzwisise.
- Ndeupi rudzi rwemapapu emapapu une iwe?
- Ndeipi danho remapapu emapapu enyu ?
- Iko kufungidzirwa kwema molecular (geni kuongororwa) kwakaitwa pamarara ako here? (Izvi zvinofanira kuitirwa munhu wose ane kenza kaduku kadiki yemapapu asi pane dzimwe nguva, zvisingaiti, zvisati zvaitwa.) Kana zvakadaro, une "maitiro anogadzirisa maitiro here?" Kuchinja kunogona kuchinja kunoreva kuchinja kwemajini mumarara ako anogona kupindura kune imwe yemishonga inotarisa maitiro ehutachiona anoshandiswa mukenza masero. Mienzaniso inosanganisira kuchinja kwe EGFR , reArK rearrangements , ROS1 rearrangements , nezvimwe.
- Ndezvipi zvakajeka chiremba wako wekuongororwa kwako uye chikwata? Pane kune dzimwe mimwe miedzo inofanira kuitwa, yakadai sePET scan kana mediastinoscopy?
Mibvunzo Nekupi Kwatinofanira Kuchengetedzwa
Kusarudza pamusoro pekupi kwaunogamuchira kenza yako kutarisirwa chisarudzo chakakosha, nezvine zvikonzero zvekufunga. Mibvunzo inogona kusanganisira:
- Ungada here kugamuchira kutarisira kwako pedyo nemhuri kana shamwari?
- Unofunga kuti unofamba uchienda kunogamuchira kutarisirwa kwako, kana kuenda kuchipatara chekenza chinowedzera nemukenza wemapapu kana kuti kuve mune chikamu chetachipatara here?
- Zvingave zvichibvira here kugamuchira kutarisirwa kwako pane imwe nguva sangano panguva imwe chete? Semuenzaniso, iwe unogona here kuve neoncologist pane kenza huru yemuguta kunze kweguta, asi ane an oncologist munharaunda yako anopa chemotherapy?
Heano mamwe mazano ekuti ungasarudza sei mukana wepamusoro wemapiritsi emapapu emapapu .
Mibvunzo Nezvokurapa Options
Sezvatambotaurwa, pane zvimwe zvakawanda zvekugadzirisa chirwere chemapapu kupfuura pane zvakaitika kare. Vanhu vazhinji, mukuwedzera, vanogamuchira mhando imwechete yekuchengetedza. Radiation therapy uye chirwere chinonzi "nzvimbo dzomunharaunda." Vanobata kenza munzvimbo iyo inotanga asi asiri kukonzera kenza yemasera ayo angave akapararira. Kusiyana neizvi, chemotherapy, zvinotarisirwa kurapwa, uye immunotherapy zvirongwa zvehutachiona. Vanobata kenza masero pose paanoitika mumuviri.
Nhanho yekutanga mukurapwa ndeyokutarisa kana iwe uchifanira kuva neropa rekugara, systemic therapy, kana kuti zvose kuraramisa musha wako wemapapu. Kwemapapiro emapapu epakutanga, kuvhiyiwa (kana rudzi rwemishonga inonzi radiation) kunogona kuva zvose izvo zvinodiwa. Kana kenza yako yakave nemukenza wemapapu (chikwata chepiri II kana chirongwa che IV) chirwere hachiwanzoitwa sezvo chisingaiti kubvisa masero emukenza akapararira kune nzvimbo dziri kure. Nekenza yemapapu yakakurumbira, zvirongwa zvehutano ndezvekurapa kwesarudzo. Kune vanhu vazhinji, kusanganiswa kwemahara uye maitiro ekurapa anodiwa. Kurapa kwemunharaunda kubvisa chiremera, uye chirongwa chetachirongwa chekurapa chero masero emukenza angangopararira (asi haasati aonekwa pane zvidzidzo zvekufungidzira.) Chirwere chechirongwa chinonzi chemotherapy chinogona kuitwawo kuti kuderedze ukuru kwechirwere kuitira kuti kuvhiyiwa kunogona kuitwa ipapo.
Imwe pfungwa yakakosha ndiyo nhanho inotevera yaungada kutora. Ndeipi danho rinotevera kana kurapa kupi zvako kwaunosarudza kusingabatsiri? Unofanirwa kushanda panguva yekurapa kwako here?
Mibvunzo Nezvekuvhiya
- Unogona here kuvhiyiwa yemukenza wemapapu?
- Iwe unoda mamwe mishonga mushure mekuvhiyiwa kwekenza yemapapu, yakadai sekemotherapy kana kuti radiation therapy
- Kana iwe usingakwanisi kuvhiyiwa, zvingangogoneka here mushure mekuderedza chiremera chako ne chemotherapy kana remishonga inonzi radiation?
- Ndeipi nzira yekukurudzirwa inokurudzirwa? Somuenzaniso, wedge resection , lobectomy , kana pneumonectomy ?
- Zvinokwanisika kuva nekuvhiyiwa kuduku kusingasviki, zvakadai seVATS (chirwere chinobatsira mavhidhiyo chinonzi thoracoscopic)? VATS zvinokonzera kupora zvakakurumidza zvakanyanya asi hazvibviri nevose kanzira. Mukuwedzera, havasi vashandi vanovhiya vane hutano kuita ichi chirwere.
- Iwe unofanirwa kuva nemafungiro echipiri nechiremba anovhiya anoita nhamba yakawanda yepamapirisa emapapu emapapu here kana ndeimwe yezvitsva zvishoma zvisingasviki maitiro? (Mugumisiro wekuvhiya kwemapapu emapapu uri nani pane zvipatara zvinokonzerwa nekenza yemapapu.)
- Uchagara kwenguva yakareba sei muchipatara?
- Ungagadzirira sei kurapwa kwekenza yemapapu?
- Chiremba wako anokurudzira kugadziriswa kwemapurmoni here mushure mekunge kana mushure mekuvhiyiwa?
Ndezvipi zvinetso zvingaitika? Ndiri here ini ndinogona kurwadziwa mushure mekuvhiyiwa (zvakadai sekurwadziwa kwepaspneumonectomy kana post-thoracotomy pain syndrome, uye izvi zvinogadziriswa sei?
Mibvunzo Nezve Chemotherapy, Targeted Therapies, uye Immunotherapy
- Iwe unowanzogamuchira sei kurapwa kwako (kana kutora mapiritsi munyaya yekurapa kunorapwa)?
- Uchave wakagamuchira kurapwa kwenguva yakareba sei?
- Ko kenza yako inofanira kuongororwa sei, uye kangani, panguva yekurapa?
- Ndezvipi zvinowanzova nemigumisiro yemishonga iyi?
- Unofanira kudana chiremba wako rini?
Mibvunzo Nezvechipatara Miedzo
I National Cancer Institute inokurudzira kuti vanhu vane chirwere chemapapu vanofanira kufunga nezvekutora chikamu mumuedzo wokurapa. Kune mishonga yakawanda yemakiriniki munzvimbo inodzidza mishonga mitsva yemukenza wemapapu, uye mune dzimwe nguva, kurapwa chete kwemashoko anokonzerwa nemararamiro mumakumbo kune chirwere chekliniki.
- Pane here kliniki miedzo iyo chiremba wako anoziva iyo inogona kufanana nehuwandu hwechirwere chenyu? Zvakaoma kune chiremba chero upi zvake kuti arambe achikwanisa kusangana nematambudziko ose emakiriniki anoenderera pasi pose. Nenzira yakanaka, masangano emakenza emapapu mazhinji akaenda pamwechete kuti aite keriniki yekutengesa pasina kubhadhara basa umo mukoti anofambisa nzira inogona kukubatsira kuziva kana kune chiremba chechipatara chingafanirwa newe chero kupi zvako munyika.
Mibvunzo Pamusoro peChiratidzo Chekuita
- Ndiani waunofanira kudana kana iwe uine zviratidzo kana mibvunzo pamusoro pekurapa kwako? Ndiani achange achikutarisira?
- Ndezvipi zvinogona kuitwa pamusoro pezviratidzo zvakasiyana, zvakadai sokukanganiswa, kupererwa kwemhepo, kana kurwadziwa?
- Pane here marapirwo akasiyana-siyana (mamwe maitiro ekurapwa) anogona kubatsira mukugadzirisa zviratidzo zvako? Ramba uchiyeuka kuti mamwe mavitamini uye zvigadziriswa zvinogadzirisa zvinogona kupindira marapirwo uye kuti iwe unofanira kugara uchitaura nachiremba wako pamusoro peyese-in-counter kana kuti nutritional supplement / herbs iwe unoda kutora.
- Ndezvipi zviratidzo zvinonzi zvinoitika nekenza yemapapu?
Mibvunzo Kana Kanjini Yenyu Inobudirira Kana Yakapararira
- Ndezvipi matanho anotevera (uye matanho anopfuura ayo) ayo anowanikwa mukurapa kenza yako?
- Iwe unofanirwa here kuva nekudzokororazve kwechirwere chako (kana pane zvakaitika kuEGFR mutations, mvura yakasvibirira ) kuti uone kuti chiremara chako chachinja sei?
- Ndezvipi zvinokanganisa uye chii chaunogona kutarisira nemishonga iyi?
- Ndeipi paunofanira kumisa kenza mishonga? (Pane mimwe mibvunzo yakawanda yekufunga kana iwe uri kufunga kugumisa kurapwa .)
Mubvunzo Nezvekutevera Pashure Pokurapa
Kana uchinge wataridzirwa, iwe ucharamba uchiteverwa nenguva nenguva neoncologist yako kunyange mushure mekunge kurapwa kwekenza kwaitwa. Pane mimwe mimwe mibvunzo yaungada kubvunza pamusoro pekutevera- kutarisira mushure memukenza wemapapu .
Shoko Rinobva
Inogona kukuvadza kutarisana nehuwandu hwezvinhu zvakakandwa pamberi pako neminiti iwe unorwara nekenza. Zvinenge zvakaoma kukwanisa kutora mashoko aya matsva kunyange pasina manzwiro ekuzivikanwa kwekenza.
Konda kune shamwari neshamwari. Dzidza kugamuchira rubatsiro. Pane chirongwa chekusimudzira kenza yemapapu chinoshanda zvikuru icho chinogona kuva chitubu chakasimba chekutsigirwa, chinokubatsira iwe kuderedza maronda emashoko ari mberi kwako, uye kukubatsira iwe kudzidza nezvemishonga matsva.
Chinhu chakanaka ndechokuti pane nguva nguva yekudzidzira nezvekuongorora uye kuita zvisarudzo zvakaoma.
Kana iri mudiwa wako uyo achangobva kuongororwa, tarisa pfungwa idzi " apo mudiwa wako ane kenza yemapapu .
Sources:
American Cancer Society. Apo Mumwe Waunoziva Ane Kanzera. Updated 04/29/16.