Uma usanda kuthiwa unomdlavuza wamaphaphu , kungenzeka ukuthi ingqondo yakho igcwele izimpendulo. Ngaphezu kwalokho, cishe uyazibuza ukuthi yiziphi imibuzo okufanele uzibuze ukuthi awuzange uzicabange ngisho.
Kungani Uhlu Lwemibuzo Kubaluleke Kangako?
Ukuba nohlu lwemibuzo yokubuza i- oncologist yakho mayelana nokuxilongwa kwakho, ukhetho lwezokwelapha, nokubikezela, kubaluleke kakhulu ekutholeni ukunakekelwa okufanele.
Abaningi bethu banenkinga yokukhumbula imibuzo engaphezu kwemibili noma emithathu okufanele siyibuze mayelana nezinto ezincane ezenzeka ekuphileni kwethu. Ukutshelwa ukuthi unezinto ezinjengomdlavuza omkhulu wamaphaphu, ophelele nazo zonke izimo ezihambisana nokuxilongwa, kungenza lokhu kube nzima nakakhulu.
Ngesikhathi esifanayo, kubaluleke kunanini ngaphambili ukubuza imibuzo. Ukunakekela umdlavuza uma ushintsha. Nakuba kungenzeka ukuthi kube nokukhethwa okukodwa esikhathini esidlule (noma akukho), manje sekukhona izinkombandlela eziningi ongahamba ngazo ngecebo lakho lokwelapha. Siye safunda ukuthi labo abasebenza njengabameli babo ekunakekelweni komdlavuza wabo bazizwa bephethe futhi bangase babe nemiphumela engcono. Ukuqonda ukuthi yikuphi okubhekana nakho ngokubuza imibuzo yindawo enhle yokuqala ekukhuthazeni ukunakekelwa okungcono kakhulu.
Nini Ukubuza
Ungase uzibuze ukuthi kufanele ufike yini ohlwini lwemibuzo. Impendulo ikhona ngokushesha futhi njalo.
Kukhona imibuzo ehlukene (nezibonelo ezingezansi) uzodinga ukubuza ngezigaba ezahlukene ohambweni lwakho, kuqala ngaphambi kokuba utholakale, futhi uqhubeke nokunakekela ukunakekelwa noma ukhetha ukumisa ukwelashwa.
Letha umngani ukuthi abuze imibuzo
I-adage yakudala "izingqondo ezimbili zingcono kunomunye" kuyiqiniso uma kuziwa ekubuzeni imibuzo ngomdlavuza wakho.
Abantu abaningi bakuthola kuwusizo ukuletha umngane omuhle ekuqeshweni abangakwazi ukuthatha amanothi ngawe futhi uqinisekise ukuthi yonke imibuzo ohlwini lwakho iphenduliwe. Umngane wakho angase eze nemibuto yokuzibuza ukuthi ungakaze ucabangani, kodwa okungakunika ukuqonda kangcono lokho okuyikho okukubhekana nakho.
Gcina Uhlu Lombuzo Osebenzayo Ukuya
Uma uthola ukuxilongwa komdlavuza wamaphaphu kungasiza ukuthenga "ibhuku lemibuzo." Kungenzeka ukuthi unemibuzo eminingi ephakama phakathi kokuvakashelwa. Inkinga ukuthi enye yale mibuzo ingase inganele ukuba ikubize udokotela wakho, kodwa ngenkathi unesikhundla sakho esilandelayo kungenzeka ukuthi ukhohliwe umbuzo. Gcina uhlu lwakho lombuzo oluqhubekayo endaweni elula ukuthola futhi uphendule imibuzo lapho iphakama phakathi kwama-aphoyintimenti. Ungaphinda ufise ukubuza imibuzo abanye abacele yona ngomdlavuza wakho phakathi kwama-aphoyintimenti akho.
Imibuzo Ongathanda Ukuyibuza
Ezingxenyeni ezilandelayo, sizokunikeza imibono yemibuzo ongayithola. Ungase ufise ukukopisha lolu hlu bese ulubeka umbuzo wakho wombuzo. Eminye yale mibuzo ngeke ifanelane nezimo zakho ezihlukile, kodwa eziningi zizokwenza. Qinisekisa ukwengeza imibuzo yakho kulolu hlu.
Imibuzo Okumele Uyibuze Ngesikhathi Uhlola Ngayo (Uma Ukuzibona Kwakho Okungaqiniseki)
Imibuzo yakho kungenzeka iqale ngisho nangaphambi kokuthi utholakale:
- Yiziphi izivivinyo ozodinga ukuthi uqinisekise (noma ungafaki) ukuxilongwa? (Nazi ezinye zezivivinyo ezisetshenziselwa ukuhlonza umdlavuza wamaphaphu .)
- Yiziphi izingozi zokuhlolwa okwenziwe ukuxilonga nokunquma isigaba somdlavuza wamaphaphu?
- Ingabe uzothola noma yikuphi ukungahambi okuhlobene nalezi zivivinyo? Uma kunjalo, lizophathwa kanjani?
- Imiphumela yakho izotholakala nini?
- Uzothola kanjani imiphumela yakho? Ingabe udokotela wakho uzokubiza noma udinga ukwenza ukuqokwa okuhlukile ukuze uthole imiphumela yakho?
Imibuzo Okumele Uyicele Uma Uthola Ukuxilongwa Kwe-Cancer Cancer
Uma uthola ukuthi unomdlavuza wamaphaphu cishe uzoba nemibuzo eminingi. Qaphela uma ungazitholi zonke lezi ziphenduliwe ngesikhathi sokuvakasha kwakho kokuqala. Kuneminye imibuzo ethatha kuqala kulezi zinsuku kanye nokunye okulungile ukulinda isikhashana ukuqonda.
- Unjani uhlobo lomdlavuza wamaphaphu ?
- Iyini isiteji somdlavuza wakho wamaphaphu ?
- Ingabe ukuprofethwa kwamangqamuzana (ukuhlolwa kofuzo) kwenziwa kwesikhumba sakho? (Lokhu kufanele kwenziwe kuwo wonke umuntu onomdlavuza wamaphaphu ongewona omncane kodwa ngezinye izikhathi, ngeshwa, awukwenziwanga.) Uma kunjalo, unayo "ishintsho sezakhi ezithintekayo?" Izinguquko ezithintekayo zibhekisela ekuguqulweni kwezakhi zofuzo emzimbeni wakho ongaphendula kwenye yemithi eqondisa izinguquko ezithile zofuzo kumaseli omdlavuza. Izibonelo zihlanganisa ukuguqulwa kwe-EGFR , ukulungiswa kwe-AlK , ukulungiswa kabusha kwe-ROS1 , nokuningi.
- Uqinisekile kanjani udokotela wakho we-diagnosis kanye nesigaba? Zikhona yini ezinye izivivinyo okufanele zenziwe, njenge- PET scan noma i-mediastinoscopy?
Imibuzo Mayelana Nendawo Yokuthola Ukunakekelwa
Ukunquma ukuthi uyothola kuphi ukunakekelwa komdlavuza kuyisinqumo esibalulekile, ngezici eziningi okufanele uzicabangele. Imibuzo ingafaka:
- Ungathanda ukuthola ukunakekelwa kwakho eduze komndeni noma abangane?
- Ungacabangela ukuhamba ukuze uthole ukunakekelwa kwakho, noma uya esikhungweni somdlavuza owenza okungaphezulu ngomdlavuza wamaphaphu noma ukuhileleka ekuhlolweni komtholampilo?
- Kungabe kungenzeka ukuthi uthole ukunakekela kwakho esikhungweni esingaphezu kweyodwa ngesikhathi esifanayo? Isibonelo, ungabe unayo i-oncologist esikhungweni esikhulu somdlavuza ngaphandle kwedolobha, kodwa une-oncologist emphakathini wakho ophethe i-chemotherapy?
Nazi ezinye iziphakamiso zokuthi ungakhetha kanjani isikhungo sezokwelashwa somdlavuza wamaphaphu best .
Imibuzo Mayelana Nezinketho Zokwelapha
Njengoba kuphawuliwe ekuqaleni, kunezinye izinketho eziningi zokwelapha umdlavuza wamaphaphu kunasekuqaleni. Abantu abaningi, ngaphezu kwalokho, bathola ukunakekelwa okungaphezu kweyodwa. Ukwelashwa kwezidakamizwa nokuhlinza kubhekwa "izindlela zokwelashwa zendawo." Baphatha umdlavuza endaweni okuvela ngayo kodwa angabhekisi namaseli omdlavuza okungenzeka asakaze. Ngokuphambene, i-chemotherapy, izifo ezithintekayo, kanye nama- immunotherapy yizokwelapha . Baphatha amangqamuzana omdlavuza nomaphi lapho kwenzeka khona emzimbeni.
Isinyathelo sokuqala ekwelapheni sinquma ukuthi kufanele yini ube nokwelashwa kwendawo, ukwelapha okuhlelekile, noma kokubili ukuphatha umdlavuza wakho wamaphaphu. Ukuze uthole umdlavuza wamapayipi amancane kakhulu, ukuhlinza (noma uhlobo lwe-radiation therapy) kungase kube yilokho okudingekile. Uma umdlavuza wakho umdlavuza wamapapu ophuthumayo (isigaba IIIB noma isigaba IV) ukuhlinzwa akuvame ukwenza njengoba kungenakukwazi ukususa amangqamuzana omdlavuza osakaze ezindaweni ezikude. Ngomdlavuza wamaphaphu ethuthukile, ukwelashwa okuhlelekile kuyindlela yokwelapha. Kubantu abaningi, ukuhlanganiswa kwezinqubo zokwelapha zendawo nezesimiso kuyadingeka. Ukwelashwa kwendawo ukukhipha isisu, kanye nokwelashwa kwesistimu ukuphatha noma yimaphi amangqamuzana omdlavuza angase asakaze (kodwa angakabonakali okwamanje emibonweni yokucabanga). Ukwelashwa kwesistimu njengokhemotherapy kungenziwa futhi ukunciphisa ubukhulu besisu ukuze ukuhlinzwa kungenziwa ngaleso sikhathi.
Omunye umqondo obaluleke kakhulu yizinyathelo ezilandelayo ongazodinga ukuthatha. Iyiphi isinyathelo esilandelayo uma ngabe ukwelashwa okukhethayo akusebenzi? Ingabe kufanele usebenze ngenkathi ukwelashwa ?
Imibuzo Ngokuphathelene Nokuhlinzwa
- Ungaba yini ukuhlinzwa ngomdlavuza wakho wamaphaphu?
- Ingabe uzodinga ezinye zokwelapha ngemuva kokuhlinzekwa komdlavuza wamaphaphu, njenge-chemotherapy noma ukwelashwa kwe-radiation
- Uma ungeke ukwazi ukuhlinzwa, kungenzeka yini emva kokunciphisa isisu sakho nge-chemotherapy noma ukwelashwa kwama-radiation?
- Iyiphi inqubo enconywayo? Isibonelo, ukuthengiswa kwemigqa , lobectomy , noma i- pneumonectomy ?
- Kungenzeka yini ukuthi ube nokuhlinzekwa okuncane okungavamile, okufana ne-VATS (ukuhlinzwa kwe-thoracoscopic eyekelwa ngevidiyo)? I-VATS imiphumela ekutholeni okusheshayo okukhulu kodwa akunakwenzeka ngawo wonke amagciwane. Ngaphezu kwalokho, akuwona wonke odokotela abahlinzayo abakhululekile okwenza lokhu kuhlinzwa.
- Ingabe kufanele ube nombono wesibili nodokotela ohlinzayo owenza inqwaba yezinhlinzeko zomdlavuza wamaphaphu noma ingabe enye yezinqubo ezintsha ezingenasiphelo? (Umphumela wokuhlinzekwa komdlavuza wamaphaphu kungcono ezingxenyeni zomdlavuza ezenza ukuhlinzwa okukhulu kwemdlavuza wamaphaphu.)
- Uzohlala isikhathi esingakanani esibhedlela?
- Ungalungiselela kanjani ukuhlinzwa komdlavuza wamaphaphu?
- Ingabe udokotela wakho uncoma ukuvuselelwa kwe-pulmonary ngaphambi noma emva kokuhlinzwa?
Iziphi izinkinga ezingase zenzeke? Ingabe ngingaba nobuhlungu ngemva kokuhlinzwa (njengobuhlungu be-postpneumonectomy noma i-post-thoracotomy pain syndrome, futhi lezi zilawulwa kanjani?
Imibuzo Ngokuphathelene Ne-Chemotherapy, Imithi Ebhekisweyo, kanye ne-Immunotherapy
- Uzothola kaningi kangakanani ukwelashwa kwakho (noma uthathe iphilisi uma kwenzeka kunokwelashwa okuhlosiwe)?
- Kuyoze kube nini uzothola ukwelashwa?
- Umdlavuza wakho uzoqapha kanjani, futhi kaningi kangakanani, ngenkathi ukwelashwa?
- Ziyini imiphumela emibi yilezi zokwelapha?
- Kufanele ubize nini udokotela wakho nini?
Imibuzo Mayelana Nezilingo Zemitholampilo
I-National Cancer Institute incoma ukuthi abantu abanomdlavuza wamaphaphu kufanele bacabange ukuthi bahlanganyele ekuvivinyweni komtholampilo. Kunezilingo eziningi zokwelashwa endaweni lapho zifunda ukwelapha okusha komdlavuza wamaphaphu, futhi kwezinye izimo, ukwelashwa okuphela kokwenza ushintsho oluthile lwezakhi zofuzo kungukuhlolwa kwesitholampilo.
- Zikhona yini izivivinyo zemitholampilo udokotela wakho owaziyo ukuthi zingahambisana nobani bakho bomdlavuza? Kunzima kunoma yimuphi udokotela ukuhlala usesikhathini kuzo zonke izilingo zomtholampilo eziqhubekayo emhlabeni jikelele. Ngenhlanhla, eziningi zezinhlangano zomdlavuza wamapayipi ziye ndawonye ukuze zenze isevisi yamahhala yokuhlolwa kwecala lomtholampilo lapho umhambi wezinesi ongakusiza angakusiza ukuba ubone ukuthi kunesilingo somtholampilo esingakufanelekela noma ngabe kuphi emhlabeni.
Imibuzo Mayelana Nokuphathwa Kwempawu
- Ubani okufanele ubize uma unezimpawu noma imibuzo mayelana nokwelashwa kwakho? Ubani ozophatha ukunakekelwa kwakho?
- Yini engenziwa ngezimpawu ezithile, njengokukhwehlela, ukuphefumula, noma ubuhlungu?
- Zikhona yini ukwelapha okudidiyelwe (okunye ukwelashwa kwemithi) okungasiza ekulawuleni izimpawu zakho? Khumbula ukuthi amanye amalungiselelo e-vithamini namaminerali angaphazamisa ukwelapha nokuthi kufanele ukhulume nodokotela wakho nganoma yikuphi okungekho ngaphezulu kwe-counter noma okunezondlo / izithako ofuna ukuzithatha.
- Iziphi izimpawu ezibhekwa njengesimo esiphuthumayo somdlavuza wamaphaphu?
Imibuzo Uma Umdlavuza Wakho Uqhubekela phambili Noma Usakazeka
- Yiziphi izinyathelo ezilandelayo (nezinyathelo ezingaphezu kwalokho) ezitholakalayo zokwelapha umdlavuza wakho?
- Ingabe kufanele ube ne-biopsy ephindaphinda ye-tumor yakho (noma esimweni sezinguquko ze-EGFR, i- biopsy yamanzi ) ukubona ukuthi isisu sakho sishintshile kanjani?
- Yimiphi imiphumela emibi futhi yini ongayilindela ngalezi zokwelapha?
- Kufanele ninike ukuyeka ukwelashwa komdlavuza? (Kukhona imibuzo eminingana okufanele ucabangele uma ucabanga ukuyeka ukwelashwa .)
Umbuzo Ngokuphathelene Nokulandelwa Ngemuva Kwokwelashwa
Uma usuhloliwe, uzobe ulandelwa ngezikhathi ezithile nge-oncologist yakho ngisho nangemva kokuba ukwelashwa kwakho komdlavuza kwenziwe. Kunemibuzo eminye ongayifisa ukuyibuza mayelana nokunakekelwa kokulandelwa ngemuva komdlavuza wamaphaphu .
Izwi elivela
Kungaba nzima ukubhekana nesamba sempahla ephonswe phambi kwakho umzuzu otholakala unomdlavuza. Kungaba nzima ukuphatha lolu lwazi olusha ngaphandle kwemizwa yokuxilongwa komdlavuza.
Thembela kubangane nabathandekayo. Funda ukwamukela usizo. Kunomphakathi wokusekela umdlavuza wamaphaphu osebenza kakhulu ongaba umthombo oqinile wokusekela, ukukusiza ukugaya izigundana zolwazi phambi kwakho, futhi kukusize ufunde ngezinqubo ezintsha zokwelashwa.
Iphuzu elihle ukuthi ngokuvamile sekuyisikhathi sokuba bobabili bafunde ngokuxilongwa kwakho futhi wenze izinqumo ezinzima.
Uma ngabe othandekayo wakho osanda kutholakala, hlola lezi zinkinga " uma othandekayo wakho enomdlavuza wamaphaphu .
Imithombo:
I-American Cancer Society. Lapho Umuntu Owaziyo Unomdlavuza. Kubuyekezwa 04/29/16.