Ukubhekana Nekhambi Lakho Ukuhlolwa Kwegciwane Lesifo Sengculazi Kungavamile Noma Akucaci
Ingabe uyazibuza ukuthi ucabangani nokuthi ungabhekana kanjani nokuzwa umdlavuza wakho wamaphaphu ukuhlolwa kwe-CT imiphumela engavamile? Amazwi afana nokungaqondakali, okungahleliwe, nabanye angabesabisa, futhi ukuzwa ukuthi "lokhu kwenzeka ngaso sonke isikhathi" akusebenzi okuningi ukuzolalisa ukwesaba kwakho.
Imiphumela yezingulube ze Cancer
Ukuhlolwa kwesifo somdlavuza kunamathuba okugcina izimpilo eziningi.
Eqinisweni, kulinganiselwa ukuthi ukuhlolwa komdlavuza wamaphaphu (kulabo abahlangabezana nemigomo yokuhlola) kunganciphisa ukufa komdlavuza wamaphaphu ngamaphesenti angu-20. Njengoba umdlavuza wamaphaphu yiyona imbangela ehamba phambili yomdlavuza womdlavuza kokubili amadoda nabesifazane e-United States, lokhu kuhumusha inani elikhulu kakhulu labantu abangagcinwa ukuphila kwabo. Kodwa, njengoba kuningi lokuhlola ukuhlolwa komdlavuza, kukhona amathuba okuthola okungavamile okwenzeka kamuva ukuba abe yinto; lokho abantu abaningi abakushoyo ngokuthi "bayesabisa." Lesi sihloko sineziphakamiso zokubhekana nalesi sikhathi "esesabekayo" ongase usibhekane nayo, kungakhathaliseki ukuthi imiphumela yakho ayisho lutho noma isho umdlavuza.
Amathuba Okungamanga Nezizathu Ezingavumelani Ne-Screening Cancer Ukuhlolwa
Izifundo zisitshela ukuthi imiphumela emanga emihle ivela emaphesenti angu-20 kuya kwangu-50 abantu abanomdlavuza we-CT wamaphaphu. Ngokuthakazelisayo, ucwaningo lwamuva luthole ukuthi abantu ababenokutholwa okungavamile ekuhlolweni kwabo kokuhlola abazange babone ukukhathazeka noma ukunciphisa izinga lokuphila uma kuqhathaniswa nabantu abatholakala banomdlavuza.
Noma kunjalo, njengezifundo eziningi, lezi zibalo, futhi abantu abangezibalo. Uma ubhekene nokukhathazeka, ukwesaba, ukuhlukunyezwa, noma ukuhlukaniswa, awuyedwa. Ngithemba ukuthi lezi zeluleko zokubhekana nazo zingakusiza ukuthi ubhekane nalokho okulandelayo. Kodwa okokuqala, yini ongayithola uma isikrini sakho singavamile?
Amanye amagama adidekayo ongawazwayo, noma ufunde umbiko wakho we-radiology, faka:
- I-Indeterminate
- Akucaci
- Ayingcolile
- Equivocal
- Kuyabuza
- Isolisa
- Ngaphandle
- Okungajwayelekile
Ngaphezu kwamazwi angenhla, ungase uzwe ukuthi unesi- "shadow" "nodule" "isisu" noma "mass." Lokhu akusho ukuthi unomdlavuza wamaphaphu njengoba kunezimbangela eziningi zalezi zithole. Ukuhlukana okulodwa kungakusiza njengoba ufunda ngokungajwayelekile kwakho kokuhlola. I-nodule ichazwa ngokuthi "indawo" noma okungavamile okungaphansi kuka-3 cm (1½ amasentimitha ububanzi) ububanzi. Inqwaba yamaphaphu ichazwa njengendawo engaphezu kuka-3 cm ububanzi. I-tumor ingaba yindawo yanoma yisiphi isayizi futhi ingaba yinhle (engeyona umdlavuza) noma iyingozi (umdlavuza.)
- Ama-Nodules Amangqamuzana - Izimpawu, Izimbangela, Nokuxilongwa
- Mass Mass - Izizathu Ezingenzeka Nalokho Okumele Ukulindele
- Umehluko Phakathi kweBenign ne-Tumign Tumors
Kunezimbangela eziningi zokungajwayelekile ezingxenyeni zamaphaphu CT - ikakhulukazi kubantu ababhemayo, bevezwe izinto ezibangelwa umdlavuza emvelweni ezifana ne-radon noma i-asbestos, noma banomlando wesifo sofuba, okwenza ukuhumusha kwe-lung CT kuhlola inselelo ama-radiologists.
Izindlela Zokubhekana Nesifo Lapho Ukuhlolwa Kwamanye Amagciwane Empilo Yakho Kungavamile
Kuyini ukukhathazeka okufezayo?
Akukho lutho. Kodwa ukusho ukuthi "ungakhathazeki" kulula kakhulu kunokushiwo. Yini ongayenza ukuze unciphise ukucindezeleka nokukhathazeka lapho uzwa ukuhlolwa kwakho kungavamile?
Zama ukuphazamiseka - Cabanga ngezinto ozenzayo ezifuna ukuxilongwa kwakho okugcwele. Ungacabanga ngemisebenzi ozigcobayo bese ukhohlwa ngesikhathi? Ingabe idlala ipiyano? Ukudweba? Ukugeza amawindi? Ukusesha iWebhu? Ukudlala i-monopoly noma umdlalo wevidiyo? Thatha imizuzu embalwa ukucabangela mayelana nezintshisekelo zakho nezithakazelo zakho.
Khumbuza ukuthi ulwazi ngamandla - Zijwayele ukuhlolwa komdlavuza wamaphaphu kanye nezingozi kanye nezimbangela zamathuba amanga nezinkinga.
Ukwazi ukuthi imiphumela engavamile ijwayele kakhulu - amaphesenti angu-20 kuya kwangu-50 - nokuthi iningi lokugcina lilungile ukuqala. Izindawo eziningi ze-radiology zihle kakhulu ekufundiseni abantu ngakho bayazi ukuthi lokhu kuyingozi. Khumbula ukuthi abantu abaningi bazodinga ukuhlolwa okungeziwe ukuze bahlole imiphumela yokuskena kwabo, futhi ngisho nalokhu kuhlolwa okungeziwe, imiphumela yakho ingahle ibe yinto engalungile yomdlavuza.
Buza imibuzo eminingi - Buza udokotela wakho ukuthi achaze ukuthi kusho ukuthini ngempela okungavamile. Iyiphi isinyathelo esilandelayo ayincoma? Ukubuza mayelana "nohlelo B" kungakusiza futhi uzizwe ukhululekile ekulawuleni. Isibonelo, ngokususelwa ekuhlolweni okulandelwayo, uyakunjani isinyathelo esilandelayo uma uvivinyo luhle, lungalungile noma lungavumelani? Ngezinye izikhathi kunendlela engaphezu kweyodwa yokulandela umphumela ongajwayelekile futhi ungase uzizwe udidekile njengendlela yokuqhubeka. Abanye abantu bakuthola kuwusizo ukubuza udokotela wabo noma i-radiologist ukuthi yini abazoyenza uma benesimo esifanayo.
Bhala encwadini - Uma uzizwa ukhathazekile, ukubhala phansi ukwesaba kwakho kanye nokukhathazeka kungakusiza ukuba uhlele kahle ukuthi kukukhathazani. Uma ukhathazekile ukuthi ukungajwayelekile kwakho ngumdlavuza ungase ucabange ngokucabangisisa ukuthi uzosithinta kanjani impilo yakho, umndeni wakho, izimali zakho, amaphupho akho ngekusasa. Ukubhala phansi imicabango yakho akugcini nje ukucacisa imicabango yakho kodwa kungase kusebenze ukwenza izinkathazo zakho zibe nenjongo kunokuba uzibeke phansi.
Izinzuzo Zokudlulisela Ukuphathwa Kokucindezeleka
Khuluma nabanye "ababekhona" - Ukukhuluma nabanye abantu abaye bahlangabezana nokuhlolwa okwengeziwe ngenxa yokuhlolwa okungavamile komhlaza wokuhlola umdlavuza kungasiza uma uzizwa wedwa nemiphumela yakho. Umtholampilo wakho ungakwazi ukuncoma iqembu lokusekela lendawo. Uma kungenjalo, kunamaqembu amaningi okusekela inthanethi namakamelo okuxoxa emphakathini womdlavuza wamaphaphu, lapho ungaxhuma nabanye obhekene nokukhathazeka okufanayo. Uma ungatholi ukuthola umuntu obhekene nokuhlolwa okungavamile kokuhlola ukuphuza amaphaphu - ngemva kwakho konke, ukuhlolwa komdlavuza wamaphaphu kuyilingo elisha - cabanga ukukhuluma nomuntu oye wahlolwa ukuhlolwa kokuhlolwa kwe-prostate noma i-prostate.
Thatha isifundo "EMpumalanga" - I-Mind-body therapies iyaziwa ngokwengeziwe ngendima yabo ekunciphiseni ukucindezeleka. Izibonelo zihlanganisa ukuzindla, ukuzivocavoca, nokufanekisa isithombe / ukuboniswa.
Phuma ngaphandle - Kungakhathaliseki ukuthi ukuhamba, ukulima, noma ukuhlala ogwini, ukuphuma ngaphandle nokuxoxisana nemvelo akuyona nje ukuphazamisa, kodwa abantu abaningi bathola le miisebenzi iyancipha izingqondo zabo futhi ivuselele amandla.
Ukuzivocavoca - Abanye abantu, kodwa hhayi bonke, bathola ukuthi ukuzivocavoca umzimba okunamandla kuyisimo sokucindezeleka okukhulu.
Phinda ucabangele imicabango yakho - Kukhona indlela engaphezulu kweyodwa yokubheka isimo. Ukumisa kabusha akuhlosiwe ukuhlaselwa phansi noma ukuphazamisa ukwesaba kwakho. Uma une-CT engavamile ukukwesaba ukwesaba kwakho kungokoqobo. Kunalokho, kuyindlela yokubuka okwesikhashana isimo sakho ngokukhanya okuhlukile. Isibonelo engasisebenzisayo ngesikhatsi ngine-bald kusuka chemotherapy. Ngosuku olushisayo ehlobo, ngesikhathi abangane bami bezamazama, ngisusa izinwele zami (i-wig) ukuze ngiphole phansi.
Cabanga ukuthi ukukhathazeka akusibi ngaso sonke isikhathi - Uma uzizwa ukhathazekile, khumbula ukuthi ukukhathazeka okuthile kuyasiza. Ukuba nesimo esithile sokukhathazeka kusishukumisela ukuba sithathe izinyathelo zokulondoloza noma ukuthuthukisa impilo yethu.
Engeza umthamo wokuhlekisa - ngenkathi ulinda imiphumela, amahlaya anganciphisa umthwalo wakho. Cabanga ukuqasha amabhayisikobho amahle. Uma abangane bebuza ukuthi bangenzani, bavumele bathumele ama-imeyili ahlekisayo. Ngokuqinisekile, kunesikhathi sokungathi sína uma utshele ukuthi ukuskena kwakho akuvamile, kodwa amahlaya amancane angase abe yimithi emihle ngenkathi ulinda.
Thola ukulala ngokwanele - Abantu abacindezelekile bavame ukulala kancane, futhi ukulala okuncane kubangela ukukhathazeka kuphela. Hlola lawa mathiphu ekutholeni ukulala kwezinga uma ucindezelekile.
Zibuze, "yini into embi kakhulu engenzeka?" - Ngakhula, lapho ngizizwa ngikhathazekile, umama wayehlale engitshela ukuba ngicabange ngento engaba yinto engaba yindlela yokuxazulula ukucindezeleka. Ngokuqinisekile, ngokuhlola, kukhona ukwesaba kwangempela ukuthi unomdlavuza. Kodwa ngezinye izikhathi ngisho nokucabangela ukuxilongwa komdlavuza kulula kunokuphila ngokungaqiniseki. Uma usuhlolwe ungacwaninga futhi udale uhlelo lokusebenza. Lokhu akulona lapho unesifo "sokungabonakali" sokuxilongwa.
Khumbuza izinzuzo zokuhlola - Kungasiza ukucabanga ngezinzuzo eziphilayo zokuhlola. U-Ella A. Kazerooni, MD, usihlalo weKomidi laseMelika le-Radiology Lung Screening Committee wathi lokhu kahle, "Kuyacaca ukuthi izinzuzo eziphilayo zalezi zivivinyo ezigulini ezinobungozi obukhulu kakhulu zidlula noma yikuphi ukuphazamiseka." Ukubeka umhlomulo wokuhlola umdlavuza wamaphaphu ngokubhekwa phambili, kubhekwa njengendleko ephumelelayo njengokuhlola ukuhlolwa kwekhanda lekhanda nebelebele, futhi izindleko ezingaphezu kokusebenzisa amabhande esikhwameni nokuba khona kwama-airbags ezimotweni!
Qaphela ukuthi kukhona ibhonasi uma ubhema - Sivame ukukhuluma ngezingozi nezingozi ezingamanga, kodwa abantu ababhema lapho bangase bazuze ukuhlolwa ngaphandle kokutholakala kokuqala komdlavuza. Abantu ababhema abahlolwa umdlavuza wamaphaphu banamathuba amaningi okukhahlela lo mkhuba kunelabo ababhema futhi abanakho ukuhlolwa komdlavuza wamaphaphu.
Ikusasa Lokuhlolwa Kwengculaza Lungwane
Ama-Radiologists ahlolisisa ngezindlela zokunciphisa izivivinyo zokuhlolwa komdlavuza wamanga wamaphaphu, futhi njengoba abantu abaningi behlola ngokuvumelana nezincomo ezintsha, kulindeleke ukuthi izimo zamaphutha amanga ziyokwehla. Odokotela bama-Radiologist kanye nodokotela ababhekiselayo nabo bathatha indima ekhuthele kakhulu ekufundiseni abantu ngaphambi kokuhlolwa.
> Imithombo
> I-American College of Radiology. Isitatimende se-ACR ngesifundo se-Cancer mayelana nokukhathazeka ngesineke kusuka ku-CT Lung Cancer Screening. 97/25/14. http://www.acr.org/about-us/Media-center/press-releases/2014-press-releases/20140725-acr-statement-on-cancer-study-regarding-patient-anxiety-from-ct- ukuhlolwa kwesifo somdlavuza
> Gareen, I., et al. Umthelela womphumela wokuhlola umdlavuza wamaphaphu imiphumela yezinga elihambisana nempilo yokuphila kanye nesimo sokukhathazeka ku-National Lung Screening Trial. I-Cancer . Julayi 25, 2014. I-Epub ngaphambi kokuphrinta.
> National Cancer Institute. Ukuhlolwa kwesifo somdlavuza. 11/12/12. https://www.cancer.gov/cancertopics/pdq/screening/lung/Patient/khalenda3
> I-US Preventive Task Force. Ukuhlolwa kwesifo somdlavuza. Isitatimende Senkomfa. Kufinyelelwe ngo-07/30/14. https://www.uspreventiveservicestaskforce.org/3rduspstf/lungcancer/lungcanrs.htm">http://www.uspreventiveservicestaskforce.org/3rduspstf/lungcancer/lungcanrs.htm
> van den Bergh, K. et al. Imiphumela yesikhathi eside yomdlavuza wamaphaphu ihlolwe ukuhlolwa kwe-tomography ngekhwalithi yokuphila ephathelene nempilo. Journal European Respiratory Journal . 2011. 38 (1): 154-61.