Isimo somsebenzi sibalulekile ekukhetheni ukwelashwa komdlavuza
Kuyini isimo sokusebenza futhi kungani kubalulekile kubantu abanomdlavuza? Izilingo eziningi zokwelapha zidinga isimo esithile sokusebenza ngaphambi kokunquma ukuthi abantu bayakufanelekela yini. Kungani lokhu kwenziwa?
Incazelo: Isimo sokusebenza
Isimo sokusebenza siyisilinganiso sokuthi umuntu uyakwazi kanjani ukwenza imisebenzi ejwayelekile yansuku zonke ngenkathi ephila nomdlavuza.
Ukuqonda ukuthi umuntu uzokwenza kanjani ngendlela yokwelashwa kuxhomeke kunhlobo lomdlavuza, isiteleka somdlavuza, kanye nempilo yomuntu jikelele kanye nokukwazi ukuphatha ukunakekelwa kwazo.
Kubaluleka kokulinganisa isimo sokusebenza
Ungase uzibuze ukuthi kungani i-oncologist yakho noma umphenyi wecwaningo lwezokwelapha ebuza yonke leyo mibuzo mayelana nokuphila kwakho kwansuku zonke. Le mibuzo ibuzwa njengendlela yokuthola ukuthi wenza kahle kangakanani ngemisebenzi yakho yokuphila kwansuku zonke , noma "i-ADLs". Ngokuhlola lemisebenzi udokotela wakho angakwazi ukuthola "isimo sakho sokusebenza" futhi lesi simo sokusebenza singasiza ngezindlela eziningi:
- Ukunquma ukuthi ngabe umuntu unempilo enengqondo yini yokubekezelela ukwelashwa okunjengokhemotherapy, ukuhlinzwa , noma ukwelashwa kwemisebe . Ngayo yonke imithi yokwelashwa, kubalulekile ukulinganisa izingozi ezihambisana nezinzuzo zokwelashwa. Isibonelo, kungase kube nezikhathi lapho i-chemotherapy inganciphisa khona kunokunyusa isikhathi sokuphila.
- Njengendlela yokukhetha yokuhlolwa kwemitholampilo . Izilingo eziningi zokwelashwa zidinga iziguli ukuba zibe nesimo esihle sokusebenza ngaphambi kokuzama ukwelashwa kokuhlola.
- Ukuhlola impendulo yomuntu ekwelapheni.
- Ukuze ubone ukuthi ngabe / kanjani umdlavuza uyaqhubeka.
- Ukulinganisa ukubikezela .
Izilinganiso zokusebenza
Izilinganiso ezimbili zokusebenza ezisemqoka zisetshenziselwa ukukala isimo sokusebenza kulabo abaphila nomdlavuza: Uhlelo lwe-Eastern Co-operative Oncology Group (ECOG) / WHO, kanye nesilinganiso sokusebenza sikaKhanofsky.
Okuqala kwalokhu kufana nesimo sokusebenza esikalini sika-0 kuya ku-5, kanti sesibili esikalini se-0 kuya ku-100. Phawula ukuthi lezi zikala ziyahluka uma inombolo ephansi noma inombolo ephakeme isho isimo esingcono sokusebenza. Njengoba isimo se-ECOG / WHO sisebenza, amaphuzu amahle kakhulu, kanti isimo se-Karnofsky sisebenza kahle inombolo engu-100.
I-ECOG / WHO Status Status
- 0: Ukusebenza ngokugcwele, akukho nemingcele emisebenzini. Isimo sokusebenza se-0 asisho imingcele ngomqondo wokuthi umuntu uyakwazi ukwenza konke abakwazi ukukwenza ngaphambi kokuba baxilongwe.
- 1: Awukwazi ukwenza imisebenzi eqinile, kodwa akwazi ukwenza imisebenzi ejwayelekile yomsebenzi nemisebenzi yokuhlala. Lesi simo sisho ukuthi awukwazi ukwenza umsebenzi onzima kodwa ungenza noma yini enye.
- 2: Ukwazi ukuhamba nokuphatha ukuzinakekela, kepha awukwazi ukusebenza. Ukulala embhedeni ngaphezu kwama-50% wokuvuka kwamahora. Kulesi sigaba, abantu ngokuvamile abakwazi ukuqhuba noma yimiphi imisebenzi yomsebenzi, kufaka phakathi umsebenzi wokukhanya ehhovisi.
- 3: Uhlala embhedeni noma isihlalo ngaphezu kwamaphesenti angu-50 wokuvuka.Ukukwazi ukuzinakekela okulinganiselwe.
- 4: Ukukhubazeka ngokugcwele.Kungakhathaliseki ukuthi uvalelwe embhedeni noma usihlalo. Ayikwazi ukwenza noma yikuphi ukuzinakekela.
- 5: Ukufa
Isimo sokusebenza se-Karnofsky
- 100: Okuvamile, akukho izimpawu, noma ubufakazi besifo
- 90: Izimpawu ezincane, kepha zikwazi ukwenza imisebenzi evamile
- 80: Ezinye izimpawu, umsebenzi ovamile udinga umzamo
- 70: Ayikwazi ukwenza imisebenzi evamile, kodwa ikwazi ukuzinakekela
- 60: Ukunakekelwa njalo ngezidingo eziningi, usizo oluthile olwenziwe ngezikhathi ezithile ngokuzinakekela
- 50: Udinga usizo oluningi lokuzinakekela, ukunakekelwa kwezempilo njalo
- 40: Khutshaziwe; udinga ukunakekelwa okukhethekile nosizo
- 30: Khutshazeka kakhulu; esibhedlela
- 20: Ugula kakhulu; kunakekelwa okubalulekile okusekelayo
- 10: Ukufa
- 0: Ukufa
Isimo Sokusebenza Emvivinyweni Yomtholampilo
Abantu abaningi bakhungathekile ngezidingo zesimo sokusebenza ekuvivinyweni kwemitholampilo.
Kungani lezi zidingeka kangaka? Awukubandakanyi abantu abangazuza?
Kunezizathu ezimbalwa abacwaningi abasebenzisa indlela yokusebenza yokunquma ukufaneleka kokungena kwecala lomtholampilo.
Enye ingukuthi imiphumela yabo "yenziwe kabusha." Ngamanye amazwi, uma omunye umcwaningi enza isilingo esifanayo, kubalulekile ukuqala nabantu esimweni esifanayo sempilo jikelele.
Enye isizathu, noma kunjalo, kubalulekile kuwe. Ngokurekhoda isimo sokusebenza, odokotela bayakwazi ukuqapha izindlela zokwelapha ezintsha ukuze babone ukuthi banezimpikiswano ezingalungile esimweni sokusebenza. Isibonelo, uma abantu besabela kumuthi kodwa baqala ngesimo sokusebenza se-0, esiye safika ku-2, odokotela bazobe sebedinga ukucubungula ukuthi ngabe imiphumela emibi yophiko noma yimuphi umphumela wamuphi umphumela wokuthola umdlavuza.
Ukuqonda Okunye Ngezivivinyo Zomtholampilo
Kunezinkolelo eziningi mayelana nokuhlolwa kwemitholampilo . Ukuphawula okuthandwayo mayelana "nokuba yingulube" kuvame ukushiwo ngokuhlekisa, kodwa abantu abaningi abaqondi kahle ukuthi yiziphi izilingo zokwelapha ezibandakanya noma ukubaluleka kokucwaninga komdlavuza. Kungasiza ekuqapheliseni ukuthi yonke imithi yokwelapha ikhona-zonke izidakamizwa nezinqubo zonke-yayisetshenziswe kuphela ekuvivinyweni komtholampilo, futhi ngaleso sikhathi, abantu abodwa ababengama ukuzuza kulokhu kuvivinywa yibo abahlanganyele ekuvivinyweni.
Ucwaningo lwe-Cancer luyashintsha. Kwaphela iminyaka eminingi kubonakala sengathi ucwaningo oluningi lwalugxile ekuhlolweni kwesigaba III . Lezi zivivinyo zibalulekile njengoba ziphendula umbuzo othi, "Ingabe lesi sidakamizwa sisebenza kangcono kunezinye izidakamizwa," kodwa ngesikhathi esifanayo, eziningi zokuthuthukiswa ezibonwe zimbalwa. Isidakamizwa esisha singakhuphula ukusinda ngamaphesenti ayishumi. Ukuhlolwa okuningi okwenziwe manje yizilingo zesigaba I. Lezi zivivinyo ngomqondo othile zithatha ingozi enkulu njengoba zibeka ukuphendula umbuzo othi, "Ingabe le mithi iphephile," kodwa ngesikhathi esifanayo bahlola izidakamizwa ezinganikeza ukuthuthukiswa okunamandla ekusindeni ngokusebenzisa izindlela zokwelapha umdlavuza omusha. Izidakamizwa ezifana nezidakamizwa ze-immunotherapy nezidakamizwa ezithintekayo zivame ukungena kulolu hlobo.
Ngezansi Ngesimo Sokusebenza
Abantu abaningi bakhungathekile ngesimo sokusebenza njengoba isimo sokusebenza esiphansi singenza umkhawulo ukuthi ngubani ongabandakanyeka esilingo somtholampilo. Ngesikhathi esifanayo, lokhu kuyisilinganiso esiwusizo kakhulu kubantu abaphila nomdlavuza. Phela, lokho okuvame ukubaluleke kakhulu kubantu ukubhekana nanoma yisiphi isifo sezokwelapha ukuthi isimo sithinta kanjani ikhono labo lokuphila, ukusebenza, nokujabulela ukuphila.
> Imithombo:
> West, H., noJin Jin. Isimo sokusebenza kweziguli ezinegciwane lesifo. I-JAMA Oncology . 2015. 1 (7): 998.