Lapho uthola ukuthi unomdlavuza wamaphaphu, ufunda ngokushesha ukuthi iqembu labachwepheshe kunokuba udokotela oyedwa uzophatha ukunakekelwa kwakho. Uma usetshenziselwa udokotela wakho womndeni, lokhu kuthinta abantu bezokwelapha kungabonakala kunzima kakhulu. Ngesikhathi esifanayo, ungase uzizwe ungaqiniseki ngokuthi ubani okufanele ubize uma unemibuzo, noma uma kwenzeka isimo esiphuthumayo.
Ake siqale ngokubheka kwamanye amalungu eqembu lesikhungo sokunakekelwa komdlavuza wamaphaphu, alandelwe imibuzo kanye nolwazi oluthe xaxa ukukusiza ukwazi ukuthi ungaqala kuphi.
Physicians Care Primary
Udokotela wakho wokunakekela oyinhloko kungaba udokotela womndeni, isazi sezokwelapha yangaphakathi (internist), noma umhlengikazi noma umsizi wezokwelapha . Kungenzeka ukuthi uyamazi iminyaka eminingi, futhi kungenzeka ukuthi nguye otholile umdlavuza wakho wamaphaphu. Kodwa njengoba odokotela bokunakekelwa okuyinhloko bevame ukwenza umsebenzi wokuhlinza umdlavuza wamaphaphu noma ukubeka i-chemotherapy, cishe uyokutshela kudokotela oncologist wezokwelapha. Ungase futhi ukhethe i-oncologist yezokwelapha esekelwe iseluleko esivela emndenini nabangane, noma ucwaningo lwakho siqu ochwepheshe bekhanda.
Odokotela bokunakekelwa okuyinhloko (PMDs) bahileleka emazingeni ahlukene emva kokuxilongwa kuye ngokuthi udokotela wakho othize; amanye ama-PMD akhetha ukubandakanyeka kakhulu ekunakekeleni kwakho, kuyilapho abanye bekhululekile ukubeka izinqumo ezinkulu (nezinqumo ezincane) kwiqembu lakho le-oncology.
Kungakhathaliseki ukuthi uhilelekile kanjani ku-PMD yakho ngesikhathi sokunakekelwa kokwelashwa kwakho okubalulekile, kubalulekile ukuyigcina engalinganisani nentuthuko yakho ngakho-ke iyashesha uma ubuyela ekunakekeleni kwayo.
Oncologists zezokwelapha
I- oncologist yezokwelapha ingudokotela osebenza ngokukhethekile ekwelapheni umdlavuza ngokusebenzisa izidakamizwa ezifana ne- chemotherapy nemithi yokwelapha.
Esikhathini esiningi isikhathi i-oncologist yakho yezokwelapha isebenza njengomxhumanisi wokunakekela kwakho nabanye ochwepheshe kusiza ukuhlanganisa uhlelo lwakho lokuqala lwezokwelapha futhi kusiza ukuphatha imiphumela emibi yezokwelapha zakho. Uzoqhubeka nokukulandela ngezikhathi ezithile ngemuva kokuphothula ukwelashwa kwakho ukuqapha noma yibuphi ubufakazi bokuphindaphinda, nokwenza iziphakamiso zezinye izindlela zokwelashwa uma kunesidingo sokuvuselelwa ngokomzimba, izinsizakalo zezempilo zengqondo, noma ukwelulekwa kokudla okunomsoco. Izikhungo eziningi zomdlavuza manje zinomhlengikazi wezinsana ze-oncology ezisiza ukuqondisa ukunakekelwa kwakho phakathi nalezi zinsuku zokuqala ezikhathazayo ngemuva kokuxilongwa.
Abahlinzayo
Uma unomdlavuza ocatshangelwa ukuthi uyasebenza, cishe uzothunyelwa kudokotela ohlinzayo ukuthi uzoxoxa ngezinketho ezingenzeka. Lokhu kungase kube udokotela ohlinzayo jikelele , udokotela ohlinzayo we- thoracic , noma udokotela ohlinzayo we- cardiothoracic , kuye ngokuthi kunomdlavuza owodwa okhetha ukuya kuwo.
I-Radiation Oncologists
Cishe isigamu sabantu abanomdlavuza wamaphaphu bathola ukwelapha imishanguzo ngesikhathi esithile sezifo zabo. Ukwelashwa kwezidakamizwa kunikezwa i-radiologist ekhethekile ebizwa ngokuthi i- oncologist yama-radiation ephethe umdlavuza nge-radiation therapy. Ungase uzwe ngemigomo efana ne-"cyberknife" yokwelashwa uma usanda kutholakala.
Lezi empeleni akuzona izindlela zokwelashwa, kodwa uhlobo oluthile lwe-radiation therapy. I-radiation inganikezwa ngendlela yokwelashwa, noma i-palliative - eyenzelwe ukusiza ngezimpawu zomdlavuza wamaphaphu kodwa ngaphandle kwemizamo yokuphulukisa lesi sifo.
Amapulmonologists
Abantu abaningi ababhekene nomdlavuza wamaphaphu bazophinde babone i- pulmonologist , futhi akuyona into engavamile ngomdlavuza wamaphaphu ukuthi kutholakale lalabachwepheshe. I-pulmonologist ngumchwepheshe wepulazi ophatha izifo zamaphaphu kuhlanganise nomdlavuza wamaphaphu. Njengoba izifo zamaphaphu ezinjengeCOPD zihlala zikhona kanye nomdlavuza wamaphaphu, futhi ngenxa yokuthi ukuhlinzwa komdlavuza wamaphaphu kunganciphisa umsebenzi wamaphaphu, isazi sephaphu sivame ukufakwa njengengxenye yeqembu lakho lomdlavuza wamaphaphu.
I-pathologists
Ungase ungaboni ubuso bakho ubuso nobuso, kepha laba bangodokotela ebhodini abazohlola izicubu ezithathwe emaphashini we- lungs noma umdlavuza wamaphaphu. Ngaphezu kokuba nomthwalo wemfanelo wokunquma uhlobo lomdlavuza wamaphaphu onayo, indima yodokotela wezempilo isuke ibaluleke kakhulu ekuziphatheni ukuphathwa komdlavuza wamaphaphu. Ingxenye yendima ye-pathologist inquma ukuguqulwa kwamagciwane emangqamuzaneni omdlavuza ongehlukile kuwe - futhi, futhi, angase akhombise ukuthi imiphi imithi izosebenza kangcono ngomdlavuza wakho othize.
Abahlengikazi bokunakekelwa kwe-Palliative
Abanye abantu bayashaqeka lapho bethelwa ukuthi ukubonisana nodokotela wokunakekelwa kokunakekelwa kunconywa. Kubalulekile ukuthi uqaphele ukuthi ukunakekelwa kokunakekelwa okufanayo akufani nendawo yokubeletha. Ukunakekelwa kwe-palliative wuhlobo lokunakekelwa olunikezwa kubantu abanomuthi wokwelapha ngomdlavuza wabo, hhayi nje labo abanamdlavuza angelapheki. Ukutholakala kwamuva nje ukuthi abantu abanomdlavuza wamaphaphu abathola ukubonisana ngokunakekelwa kokunakekelwa kwezinkinga hhayi nje kuphela ukuthola izinzuzo zalolu hlobo lwezokwelapha kodwa basinda isikhathi eside kunelabo abangenakho ukufinyelela kwethimba lokunakekelwa kwezinkinga.
Kulabo abangajwayele ukunakekelwa ngokucophelela, le ndlela ngokuvamile iqhutshwa yithimba kunokuba udokotela oyedwa. Umgomo ukuphatha izimpawu zomdlavuza, imiphumela emibi yokwelashwa, kanye nezici ezingokomzwelo nezingokomoya zokuxilongwa komdlavuza. Ngalokhu ithimba livame ukuhlanganisa inhlanganisela yamagciwane, abahlengikazi, abasebenzi bezenhlalakahle kanye nabanye ochwepheshe abangakwazi ukwandisa inhlalakahle yakho ngesikhathi nangemva kokwelashwa komdlavuza.
Ochwepheshe bokuvuselelwa
Kungase kuzwakale kunzima kakhulu ukufaka ochwepheshe abaningi kulolu hlu olude kakade, kodwa kubalulekile ukuphakamisa indima yongcweti engase iphakanyiswe ngenkathi ukwelashwa kwakho, futhi kaningi emva kokuba ukwelashwa kwakho komdlavuza kuqala.
Njengoba nje abantu bevame ukudinga usizo lokuvuselela emva kokuhlaselwa yinhliziyo, ukushaywa umoya, noma ukuguqulwa kwamadolo, sifunda kabanzi futhi ukuthi ezinye zalezi zinsizakalo zingasiza abasindile bomdlavuza babuyele ezingeni eliphezulu kakhulu lokuphila ngemuva kokwelashwa. Abahlinzeki bokuphefumula bangabonisana ukwenza ukuvuselelwa kwephalenda uma ulahlekelwe ipulaphu noma ingxenye yamaphaphu kusuka ekuhlinzekeni. Olunye uhlobo lwesidakamizwa esibizwa ngokuthi umuthi wezokwelapha kanye nolwazi lokuvuselela (physiatrist) lungase lusebenze ukukusiza ukuthola abahlengikazi ukuba banqobe ukulinganiselwa ngokomzimba okwenzeka ngenxa yezokwelapha zakho.
Ochwepheshe bezeMpilo yengqondo
Abantu abanomdlavuza wamaphaphu bavame ukubhekana nokukhathazeka nokucindezeleka kokubili. I-oncologist yakho ingancoma ukuthi ubone umqondo wezifo zengqondo noma isazi sengqondo kusiza ukuba ubhekane nokuxilongwa kwakho kanye nemizwelo ehambisana nemithi yokwelapha.
Abahlengikazi
Abahlengikazi abazohlangana nabo bayodlala indima ebalulekile ekunakekeleni kwakho nakuyo yonke imithi yokwelashwa kwakho. Buza imibuzo futhi vumela laba abanakekeli abanesihawu bakusize. Ngokuvamile abahlengikazi abazwa ngemibuzo abanye bakhohliwe ukubuza, nokukhathazeka okuvamile phakathi kwalabo abasanda kutholakala. Sebenzisa ngokunenzuzo ulwazi lwabo oluhle kakhulu.
Imibuzo Yokubuza Ngayo Ithimba Lohlu Lokunakekelwa Kwezokwelapha
- Ubani okufanele ngibize kuqala uma nginendaba ethile?
- Ubani okufanele ngikubize uma sekusele amahora noma ngezimpelasonto?
- Ubani ozophatha imithi yami (ngaphandle kwe-chemotherapy), njengemithi yokwelapha nokuphuza imithi?
- Udokotela wami oyinhloko yokunakekelwa uzoba namuphi umsebenzi empilweni yami? Ungase ufise ukukhuluma ne-PMD yakho ngemuva kokuthola uhlelo lwakho lokuqala lwezokwelapha bese ubuza ukuthi yikuphi ukunakekelwa okuzokwenza kube lula ukunikeza.
- Udokotela wami wokunakekela oyinhloko uzogcinwa kanjani olusha ngokunakekelwa kwami?
Amathiphu ambalwa okugcina
Umdlavuza wegciwane uyabiza. Siyabonga ukuthi abanye abantu abanikezelayo basebenze ndawonye ukuze basize ukunciphisa i-tad yezinkinga phakathi kwalezo zinsuku zokuqala nezinyanga zokwelapha. Kungakhathaliseki ukuthi uhlalaphi, izinsizakalo ezinjengokugcina indlu mahhala phakathi ne-chemo, ama-wigs kanye nezinhlayiya, imilenze yesikhathi lapho udinga ukukhwehlela ngemuva kokuhlinzwa, futhi ngisho nokuphindaphindiwe ukuze uhanjiswe mahhala ukucela.
Imithombo:
I-American Cancer Society. Ochwepheshe bezeMpilo abaHlangene Nokunakekelwa Kwemdlavuza. Kubuyekezwe 11/11/15. http://www.cancer.org/treatment/findingandpayingfortreatment/choosingyourtreatmentteam/health-professionals-associated-with-cancer-care
I-National Cancer Institute. Indlela Yokuthola Udokotela Noma Isikhungo Sokwelashwa Uma Unomdlavuza. Kubuyekezwe 01/07/13. https://www.cancer.gov/about-cancer/managing-care/services/doctor-facility-fact-sheet