Uma unomdlavuza webele wesifo se-metastatic-umdlavuza wesibindi esesakaze ngesikhathi sokuxilongwa- ukuhlanganisa ndawonye iqembu lokunakekela umdlavuza kuyoba okusha kuwe. Kodwa noma ngabe umdlavuza wakho webele we-metastatic uphindaphindiwe, ungase ubheke ithimba elisha lokunakekelwa kwezempilo.
Ake sikhulume ngongcweti abazokuphatha, lapho ungase ufise ukuthola umbono wesibili, nokuthi ungagcina kanjani imigqa yokuxhumana evulekile neqembu lakho lokunakekela impilo.
Ithimba Lakho
Ngokungafani nezinsuku ezidlule lapho othile onomdlavuza enomsebenzi ojwayelekile ephethwe ukunakekelwa kwawo, kungenzeka ukuthi uzoba neqembu lonke labahlinzeki bezempilo ukuze baphathe isifo sakho.
Nakuba lokhu kunikeza ukwelashwa okukhethekile futhi kubonisa ukuthuthuka okukhulu komdlavuza kungase kudideke uma uthola ukuthi ukhona. Ubani ekugcineni ophethe ukunakekelwa kwakho? Ubani okufanele ubize uma unemiphumela emibi? Kufanele uhambe kuphi uma unenkinga ngezimpelasonto noma emva kwamahora? Futhi ungaqiniseka kanjani ukuthi bonke laba bantu baxhumana?
Amalungu eqembu lakho lokunakekelwa kwezempilo angabandakanya:
- I-oncologist yezokwelapha - I- oncologist yakho yezokwelapha ivame ukuba ngudokotela oqondisa ukunakekelwa okuthola kwabanye odokotela kanye nochwepheshe. Kanti futhi uyena ozobiza uma kukhona ukukhathazeka.
- Udokotela oyinhloko yokunakekelwa - Abanye abantu, kunalokho, banomdokotela oyinhloko wokunakekelwa njengodokotela wezifundo noma umndeni oqondisa ukunakekelwa kwabo. Odokotela bokunakekelwa okuyisisekelo bahluka ngokukhululekile ezindabeni zabo zokududuza uma kuziwa ekusebenzeni nabantu abanomdlavuza we-metastatic futhi kubalulekile ukucacisa lokhu ekuqaleni kokwelashwa kwakho.
- Umgqugquzeli wesineke noma umkhumbi wesifo somdlavuza - Izikhungo eziningi zomdlavuza manje zineziguli ezihamba ngesiguli ezidlala indima enkulu ekuxhumaniseni ochwepheshe abaphatha ukunakekelwa kwakho.
- I-radiation oncologist - Uma uzodinga imisebe, isibonelo, uma unamathambo noma ubuchopho be-metastase cishe uzoba ne-oncologist yemisebe. Laba odokotela baphatha ukulinganisa nokuhlela imisebe, kanye neminye imiphumela emibi ehlobene.
- Umhlengikazi we- oncology - Umhlengikazi wakho oncology angaba yingcebo yolwazi futhi ngokuvamile ungumuntu omuhle wokuqala ukubiza ngokukhathazeka okuncane.
- Isazi sokunakekelwa nge-Palliative - Uma unamathimba wokunakekelwa okulula, laba bantu bangaphatha izimpawu eziningi zomdlavuza kanye nokwelashwa komdlavuza njengokulawulwa kobuhlungu nokulahlekelwa isisindo.
Imibono Yesibili
Abantu abaningi abanomdlavuza wesifuba we-metastatic bafuna ukuthola okungenani umqondo owodwa wesibili. Lokhu kuyiqiniso ngisho noma bethemba udokotela ababonayo futhi bakhululekile ngehlelo lokulashwa elifakiwe.
Umbono wesibili awusho ukuthi awuthembi isinqumo sodokotela wakho. Esikhundleni salokho, kubonisa ukuthi uyaqaphela ukuthi insimu ye-oncology inkulu, abanye odokotela banokuhlangenwe nakho okuningi ngezinye kansela kunezinye, futhi labo oncologists bangase babe nezindlela ezahlukene ngokusekelwe nakho kwabo.
Abanye abantu besaba ukuthi odokotela bazo bangathukuthela uma beveza umbono wesibili. Lokhu akulona iqiniso. Empeleni, kuvame ukuthi kulindeleke ukuthi abantu abanomdlavuza we-metastatic bazothola okungenani umqondo owodwa wesibili futhi abaningi oncologists bazokwenza ngokwabo uma bebhekene nomdlavuza.
Iphuzu elibalulekile lokukhumbula engqondweni lapho ucabangela umbono wesibili ukuthi ukuthi unombono wesibili, ungase uzizwe ukhululekile esikhathini esizayo uma ukwelashwa kwakho kungenzi ngendlela ongathanda ngayo.
Ngokuphambene, uma unombono ongaphezu kweyodwa ukhuthaza ukwelashwa okufanayo, ungase uzizwe ukhululekile kakhulu ukuthi ukhethe izinketho ezifanele zokuphatha umdlavuza wakho. Ngeke uzithole ukuqagela kwesibili futhi ufisa kamuva ukuthi uthole umbono wesibili.
Uma ukuthola umbono kubalulekile ukuthola udokotela emtholampilo ohlukile. Ngamanye amazwi, awufuni ngempela ukubona omunye udokotela oyingxenye yomkhuba ofanayo oncology. Abantu abaningi bakhetha ukuthola umbono wesibili kwelinye leNational Cancer Institute-izikhungo zomdlavuza ezikhethiwe. Ngaphezu kwalokho, ezinye zalezi zikhungo ezinkulu zingase zihileleke ekwenzeni izivivinyo zemitholampilo ukutadisha izindlela zokwelapha ezintsha.
Ukuxhumana okuphumelelayo
Siyazi ukuthi ukuxhumana okuvulekile phakathi kwabantu abanomdlavuza kanye neqembu labo lokunakekelwa kwezempilo kungenza umehluko omkhulu kokubili izinga lempilo kanye nomqondo wokunika amandla phezu kokunakekelwa okutholiwe. Siphinde sazi ukuthi, njengalabo ubudlelwane phakathi kwabantu ababili, ukuxhumana phakathi kwabantu abanomdlavuza kanye nodokotela babo kungaphansi kokungaboni kahle.
Nazi amathiphu ambalwa okugcina imigqa yokukhulumisana evulekile futhi unciphise ithuba lokungaqondani phakathi kwakho nethimba lakho lokunakekelwa kwezempilo.
- Buza imibuzo. Imibuzo eminingi. Ungesabi ukubuza umbuzo futhi uma ungaqondi impendulo.
- Thatha amanothi.
- Cela lokho okudingayo. Abanye abantu bathola ukuthi abafuni "ukukhathaza" udokotela wabo ngezinye zezikhathazo zabo. Kungcono ngaso sonke isikhathi ukubuza umbuzo ngokushesha uma unayo kunokuba uyibeke kosuku oluthile.
- Khuluma uma uzizwa kungase kube nokungaqondi kahle. Ukungaqondi kahle okuningi kulula ukuxazulula ngokushesha. Uma uthola kunzima ukukhuluma, cela umngane ukuthi akhulume ngawe. Ungavumeli ukuxhumana okungahambisani kahle futhi kube yinkinga enkulu nakakhulu.
- Yilinde ngesineke. Njalo ulethe okuthile okukuthatha egumbini lokulinda ukuze ugijime isikhathi kalula futhi unciphise ukucasula kwakho. Iningi odokotela abathandi ukusa ngemuva futhi abathandi ukuvumela iziguli zilinde. Uma udokotela wakho egijima ngemuva, cishe kungenzeka ukuthi unesimo esiphuthumayo noma ukuthi isiguli sangaphambili sidinga isikhathi esiningi kunalokho okuhleliwe. Khumbula ukuthi esikhathini esilandelayo kungenzeka ukuthi nguwe odinga okungaphezu kwesikhathi sakho esibekiwe. Uma ufuna udokotela okhona kuwe uma uyidinga futhi uthatha isikhathi ukuphendula yonke imibuzo yakho, lowo dokotela ofanayo uzokwazi ukusekelwa ngezikhathi ezithile.
Imibuzo Yokubuza
Ngaphandle kwemibuzo ongase ufise ukuyibuza mayelana nokwelapha, kubalulekile ukwazi ukuthi ubani ophethe ukuxhumanisa ukunakekelwa kwakho noma ukuthi ubani omele ucingo oluphuthumayo. Ngethemba, ngeke udinga ukwazi izimpendulo zale mibuzo, kodwa ukulungiselela kusengaphambili kunganciphisa ukukhathazeka okuningi nokukhathazeka uma kudingeka isidingo.
- Ngubani ophethe ukuxhumanisa ukunakekelwa kwakho?
- Uma ubamba iqhaza esilingo somtholampilo, kufanele ubize nini umphenyi wecala lomtholampilo futhi kufanele ushayele nini elinye ilungu lethimba lakho lezempilo?
- Ubani okufanele ubize uma unezimpawu ngezimpelasonto noma emva kwamahora?
- Uma udinga ukunakekelwa okuphuthumayo, i-ambulensi kufanele ikuthathe kuphi?
- Yiziphi izimpawu ezingase ziphakamise ukuphuthumayo? Lo ngumbuzo omuhle kakhulu wokubuza i-oncologist yakho njengoba izimpendulo zixhomeke esimweni sakho esithile kanye nemithi oyitholayo. Ezinye zezimpawu ezibonisa isimo esiphuthumayo kungenzeka zingabonakali kuwe.
- Yiziphi izinhlobo zezimo eziphuthumayo ezingase zenzeke nomdlavuza onjengawe?