Nthawi zina dokotala wathu amatitumiza kwa katswiri wina, sichoncho? Tikatumizidwa motere, makamaka tikauzidwa kuti tikaone "katswiri wa khansa", ndi zachilendo kumva mantha pang'ono komanso mantha. Mungaganize kuti, "Kodi ndili ndi khansa?" Koma kungoti winawake wanena zimenezo, sizikutanthauza kuti ndili ndi khansa. Lero, tiyeni tikambirane za katswiri wa khansa uyu (Oncologist) ndani, zomwe amachita, komanso zomwe zimachitika mukapita kukamuona.
Kodi katswiri wa oncologist ndi ndani?
Mwachidule, katswiri wa khansa ndi dokotala amene waphunzitsidwa bwino za khansa. Ali ndi udindo wozindikira khansa, kuwunika momwe ilili (monga momwe khansa yafalikira, momwe ilili, ndi zina zotero), ndikuichiza. Mu zamankhwala, izi zimatchedwa "Oncology".
Kukaonana ndi dokotala wa khansa ndi mwayi wabwino wolankhula ndi munthu amene akumvetsa vuto lanu. Angakuthandizeninso kuthana ndi nkhawa ndi mantha omwe amabwera chifukwa chodziwa kuti muli ndi khansa. Iwo nthawi zonse amakhalapo kuti akuthandizeni, ndipo adzakhala nanu nthawi zonse.
Kodi katswiri wa oncologist amachita chiyani?
Madokotala a oncologist akhoza:
- Pezani mayeso ofunikira kuti mupeze khansa. Izi zingaphatikizepo mayeso a magazi, mayeso ojambulira (scans), ndipo nthawi zina biopsy (kutenga chidutswa chaching'ono cha minofu kuti chikayesedwe).
- Ngati mwapezekapo kale ndi khansa, funsani thandizo la dokotala wina .
- Thandizani kuzindikira njira zochiritsira zomwe zili zoyenera kwa inu.
- Kambiranani nanu momveka bwino za ubwino ndi zotsatirapo za njira iliyonse yothandizira .
- Yang'anirani momwe chithandizo chanu cha khansa chikuyendera . Izi zikutanthauza kuti muwone ngati chithandizocho chikugwira ntchito bwino komanso ngati muli ndi vuto lililonse nacho.
- Tsatirani malangizo ofunikira ndikutsatira malangizo kuti mudzisamalire mukatha kulandira chithandizo .
Kodi kupita kwa dokotala wa khansa kumatanthauza kuti muli ndi khansa?
Ayi, si zoona. Kutumizidwa kwa dokotala wa khansa sikutanthauza kuti nthawi zonse muli ndi khansa. Amakutumizani kwa katswiri pokhapokha ngati muli ndi zizindikiro zosonyeza kuti muli ndi khansa.
Tangoganizirani, ngati muli ndi chifuwa chosatha, kapena kuchepa thupi, kapena chotupa chachilendo kwinakwake m'thupi lanu, dokotala wa banja lanu angakulangizeni kuti mukawone dokotala wa khansa. Ndiye kuti, kuti mudziwe chomwe chimayambitsa zizindikiro zimenezo.
Kotero, ngati dokotala wanu akutumizani kwa katswiri wa khansa,Ndi bwino kupanga nthawi yokumana ndi dokotala mwamsanga popanda kuchedwa. Chifukwa, ngati pali khansa yamtundu uliwonse, ngati yapezeka msanga, imakhala yosavuta kuchiza ndipo mwayi wochira ndi wokwera.
Kodi pali mitundu yosiyanasiyana ya madokotala a oncologist?
Inde, khansa ndi matenda ovuta kwambiri. Chifukwa chake, munthu amene ali ndi khansa angafunike katswiri wa khansa m'modzi yekha, komanso gulu la akatswiri osiyanasiyana. Akatswiri osiyanasiyanawa amasonkhana pamodzi, pogwiritsa ntchito chidziwitso ndi luso la wina ndi mnzake kuti akupatseni chithandizo chabwino kwambiri. Aliyense amagwira ntchito ndi cholinga chimodzi, mogwirizana, komanso mokoma mtima.
Madokotala ena a khansa ali ndi maphunziro apadera pa mankhwala ena:
- Madokotala a Opaleshoni: Ngati biopsy yanu ikuwonetsa kuti muli ndi maselo a khansa, madokotala awa adzachita opaleshoni kuti achotse maselo aliwonse a khansa ndi minofu yozungulira yomwe sinafalikire. Adzakuthandizani kukonzekera opaleshoni ndikukuthandizani kuchira mukatha opaleshoni. Mwachitsanzo, angachite opaleshoni ya khansa ya m'mawere kapena opaleshoni ya m'matumbo.
- Madokotala a Khansa: Awa ndi madokotala omwe amachiritsa khansa pogwiritsa ntchito mankhwala a chemotherapy, mankhwala a mahomoni, chithandizo cha immunotherapy, ndi mankhwala ena ofunikira. Anthu ambiri amaganiza kuti dokotala wa khansa uyu ndiye dokotala wawo wamkulu wa khansa. Izi zili choncho chifukwa ndi omwe mumawaona nthawi zambiri. Madokotala ambiri a khansa amakhalanso akatswiri mu hematology, yomwe ndi matenda ndi kuchiza matenda a magazi ndi khansa ya magazi.
- Madokotala a khansa ya radiation: Madokotala awa amagwiritsa ntchito chithandizo cha radiation pochiza khansa. Chithandizo cha radiation chingachepetse zotupa musanachite opaleshoni kapena kupha maselo ena a khansa pambuyo pa opaleshoni. Chithandizo cha radiation nthawi zina chimaperekedwa ngati chithandizo chimodzi kapena kuphatikiza ndi mankhwala ena.
Palinso madokotala ena a khansa omwe amagwira ntchito yozindikira ndi kuchiza mitundu ina ya khansa:
- Madokotala a Khansa ya M'mimba: Amachiritsa khansa ya m'mimba mwa akazi, monga khansa ya pachibelekero, khansa ya m'chiberekero, ndi khansa ya m'chiberekero.
- Madokotala a khansa ya ana: Madokotala awa amachiritsa mitundu ya khansa yomwe imapezeka kwambiri mwa ana kuposa akuluakulu.Zitsanzo zikuphatikizapo matenda a khansa ya m'magazi ya ana, Ewing sarcoma, ndi zotupa za mu ubongo za ana.
- Akatswiri a Matenda a Mitsempha: Akatswiriwa amachiritsa anthu omwe ali ndi zotupa muubongo ndi khansa zomwe zimakhudza dongosolo lamanjenje .
Kodi mungayembekezere chiyani mukapita kwa dokotala wa oncologist koyamba?
Ndizachilendo kumva kusatsimikizika ndi mantha ambiri mukapita kwa dokotala wa khansa koyamba. "Kodi ndili ndi khansadi?", "Ndakhala ndi izi kwa nthawi yayitali bwanji?", "Kodi moyo wanga udzakhala bwanji tsopano?" Mutha kukhala ndi mafunso ambiri omwe akukuzungulirani. Simuli nokha, anthu ambiri amamva motere. Dokotala wanu ali pano kuti akuthandizeni ndi malingaliro awa.
Pa nthawi yanu yoyamba yokumana, dokotala wa oncologist adza:
- Funsani mwatsatanetsatane za zizindikiro zanu (monga nthawi yomwe zakhalapo, momwe zimamvera, komanso ngati pakhala kusintha kwina kulikonse).
- Mudzayesedwa thupi.
- Zolemba zanu zakale zachipatala, mbiri yachipatala ya banja lanu, ndi matenda ena omwe alipo pano adzawunikidwanso.
- Ngati akufuna kudziwa zambiri za zizindikiro zanu , angakufunseni kuti muyesedwenso zina (monga kuyezetsa zithunzi kapena kuyezetsa magazi).
- Iwo adzasankha ngati mukufuna biopsy, kuyezetsa minofu, kapena ayi.
Dokotala atasonkhanitsa mfundo zofunika motere:
- Adzakambirana nanu za zotsatira za malipoti anu a mayeso.
- Adzadziwitsanso dokotala amene anakutumizirani zomwe wapeza.
- Idzakuuzani ngati muli ndi khansa kapena ayi, ndipo ngati ndi choncho, ndi khansa yamtundu wanji.
- Adzakambirana nanu za njira zosiyanasiyana zochiritsira zomwe zilipo kwa inu.
- Amamvetsera nkhawa zanu ndi mantha anu.
- Amapereka chidziwitso chokhudza zinthu zina ndi magulu othandizira omwe angakuthandizeni .
Kukumana kwanu koyamba ndi dokotala wa khansa kungatenge maola atatu. Kuwonjezera pa kulankhula ndi dokotala wanu, mungakumanenso ndi alangizi, ogwira ntchito zachitukuko, kapena madokotala ena a khansa.
Kukumana ndi dokotala wa oncologist nthawi yotsatira
Muyenera kuonana ndi dokotala wanu wa khansa nthawi zonse mukalandira chithandizo cha khansa. Kangati komwe muyenera kuwonana ndi dokotala wanu wa khansa kumadalira mtundu wa khansa yomwe muli nayo komanso chithandizo chomwe mukulandira. Dokotala wanu adzakuuzani izi pa nthawi yanu yoyamba yokumana ndi dokotala.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga wa oncologist?
Nazi mafunso ena omwe mungafunse dokotala wanu wa oncologist:
- Kodi khansa yanga ili kuti?
- Kodi ndi yaikulu bwanji?
- Kodi ndili ndi khansa ya gawo liti?
- Kodi anthu omwe ali ndi matenda angawa amapulumuka bwanji?
- Kodi chithandizo changa chidzatenga nthawi yayitali bwanji?
- Kodi ndidzatha kupita kuntchito panthawi ya chithandizo?
- Kodi chithandizochi chidzakhudza mphamvu yanga yobereka ana (kubereka ana)?
- Kodi ndikufunika kuchita mayeso ena?
- Kodi ndiyenera kubwera kangati kudzakumana ndi dokotala wotsatira?
- Kodi ndiyenera kudzisamalira bwanji panthawi ya chithandizo?
- Kodi pali magulu othandizira komwe ndingapeze thandizo?
- Kodi ndingauze bwanji banja langa za matenda anga?
Ndikofunikira kufunsa mafunso awa chifukwa muli ndi ufulu wodziwa chilichonse momveka bwino. Zimathandizanso kuthetsa mantha kapena kukayikira kulikonse komwe mungakhale nako.
Kodi ndiyenera kulankhula ndi dokotala wanga wa oncologist liti?
Ngati dokotala wa khansa akulandira chithandizo kale, muyenera kuyimbira dokotala wanu nthawi yomweyo ngati zinthu zina zachitika. Imbani dokotala wanu wa khansa nthawi yomweyo ngati mwakumana ndi zotsatirazi:
- Ngati muli ndi malungo opitirira madigiri 38 Celsius (madigiri 100.4 Fahrenheit) .
- Ngati zizindikiro zatsopano zikuwonekera.
- Ngati pali kusintha kwakukulu mwadzidzidzi kwa zizindikiro zanu zomwe muli nazo panopa .
- Ngati muli ndi ululu umenewo sumatha ngakhale mutamwa mankhwala.
- Ngati mukumva zizindikiro za sitiroko (kufooka mwadzidzidzi mbali imodzi ya nkhope, kusokonezeka, chizungulire, mutu waukulu, ndi mavuto a masomphenya).
- Ngati mukumva zizindikiro za matenda a mtima (kupweteka pachifuwa, nseru, kupuma movutikira, ndi/kapena kupweteka paphewa).
Ndikofunikira kwambiri kuuza dokotala nthawi yomweyo pa nthawi ngati izi .
Ndi maphunziro otani omwe amafunikira kuti munthu akhale katswiri wa oncologist?
Kukhala katswiri wa khansa si ulendo wophweka. Kumafuna kudzipereka kwambiri komanso nthawi yayitali yophunzira. Choyamba, muyenera kupeza digiri ya bachelor, kenako digiri ya udokotala. Kenako, muyenera kumaliza maphunziro a residencies ndi maphunziro a fellowship kuti mupeze ukatswiri m'magawo monga medical oncology, surgery oncology, radiation oncology, kapena hematology oncology. Zonse pamodzi, nthawi zambiri zimatenga pakati pa zaka 14 ndi 16 kuti mukhale katswiri wa khansa.
Mwachidule: chinthu choti muganizire.
Mukapita kukaonana ndi dokotala wa khansa, mungamve mantha, "Sindikudziwa ngati ndili ndi khansa." Kapena, ngati mwapezeka ndi khansa, mungamve nkhawa, "Chidzachitike ndi chiyani pambuyo pake?" Nthawi zina mungamve kukhumudwa, chifukwa palibe mayankho osavuta komanso osavuta a mafunso onse omwe muli nawo. Maganizo onsewa ndi achibadwa. Dokotala wanu wa khansa amamvetsetsa malingaliro awa, ndipo ali okonzeka kukuthandizani mwanjira iliyonse yomwe angathe. Kumbukirani kuti simuli nokha.
'Khansa, katswiri wa khansa, katswiri wa khansa, chithandizo cha khansa, chemotherapy, chithandizo cha radiation, zizindikiro za khansa











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