Nthawi zina, dokotala akakufotokozerani za matenda enaake ndikukuuzani za chithandizo chomwe chiyenera kuperekedwa, kodi mumakayikira pang'ono kapena kukayikira? Mafunso monga 'Kodi ichi ndiye chinthu chabwino kwambiri?', 'Kodi palibe njira ina?' amabwera m'maganizo, sichoncho? Ndizachibadwa kumva choncho, ndipo ndi ufulu wanu. Pamenepo ndi pamene 'lingaliro lachiwiri' limakhala lofunika kwambiri kwa ife. Izi zikutanthauza kufunsa dokotala wina woyenerera kuti akupatseni lingaliro lokhudza matenda anu.
Kodi ndi liti pamene lingaliro lachiwiri limafunika?
Mwina mukudzifunsa kuti, 'Kodi ndiyenera kupeza lingaliro lachiwiri pa matenda ang'onoang'ono aliwonse?' Chimfine chofala mwina sichingakhale chofunikira. Komabe, nthawi zina zazikulu, kupeza lingaliro lachiwiri kungakhale kosintha moyo. Tiyeni tiwone zina mwazochitika zimenezo.
| Mwayi | Mwachidule... |
|---|---|
| Matenda aakulu | Ngati dokotala akukuuzani kuti muli ndi matenda oopsa monga khansa kapena matenda a mtima. |
| Chithandizo choopsa | Ngati chithandizo chomwe mwapatsidwa (monga opaleshoni, chemotherapy) chili choopsa kwambiri kapena chingayambitse zotsatirapo zoopsa pa thupi. |
| Ngati matenda sakudziwika bwino | Ngati n'kovuta kudziwa chomwe chimayambitsa zizindikiro zanu, kapena ngati chithandizo chomwe chikuperekedwa chikadali mu gawo lofufuza. |
| Ngati mukutenga nawo mbali mu mayeso atsopano a mankhwala osokoneza bongo | Ngati mwaitanidwa kuti mutenge nawo mbali mu mayeso azachipatala a mankhwala atsopano, ndikofunikira kwambiri kufunsa dokotala wina za izi. |
| Ngati ndi opaleshoni yoyesera | Ngati mukuchitidwa opaleshoni kapena chithandizo china pogwiritsa ntchito zida kapena njira zatsopano zomwe zidakali mu gawo lofufuza. |
Kodi mungapemphe bwanji maganizo a dokotala wina popanda kukwiyira dokotalayo?
Funso lalikulu limene anthu ambiri amakhala nalo ndi ili. Ndikumva mantha ndi nkhawa kwambiri, ndikudabwa kuti, 'Kodi dokotala angakwiye ndikafunsa izi? Kodi angandiganizire molakwika?'
Koma zoona zake n'zakuti: Dokotala wabwino komanso waluso sadzakutsutsani kuti mulandire lingaliro lachiwiri. Amayamikira zimenezo. Chifukwa zimasonyeza momwe mumasamalirira thanzi lanu.
Mungafunse mwaulemu kuti: "Dokotala, ndikufuna kuganizira za chithandizochi pang'ono. Kuti ndithetse kukayikira kwanga, kodi ndingafunse katswiri wina kuti andiuze maganizo awo pankhaniyi?" Mwanjira imeneyi, sipadzakhala mkwiyo.
Kodi ndiyenera kuuza dokotala wanga kuti ndikufuna thandizo lachiwiri?
Inde, ziyeneradi kuchitika. Pali zifukwa ziwiri zazikulu zomwe zimapangitsa izi:
1. Zolemba zanu zachipatala: Kuti dokotala wachiwiri amvetse bwino za matenda anu, adzafunika zolemba zanu zonse zachipatala, zotsatira za mayeso, ndi zithunzi za matenda ngati mwatenga zitsanzo zilizonse za minofu. Mutha kuzipeza mosavuta pongodziwitsa dokotala wanu wapano.
2. Kulankhulana pakati pa madokotala: Mukalankhula momasuka za izi, ngati pakufunika, madokotala awiriwa akhoza kukambirana za vuto lanu ndikukambirana zomwe akugwirizana nazo komanso zomwe sagwirizana nazo. Izi zikupindulitsani. Tangoganizirani, ngati munama kwa dokotala wanu woyamba, dokotala wachiwiri sadzapeza chidziwitso chenicheni cha matenda anu. Zili ngati kufunsa nkhani yonse kumapeto kwake popanda chiyambi.
Kodi ndi bwino kufunsa dokotala wanga kuti andipatse upangiri wa dokotala wabwino kuti andipatsenso upangiri wina?
Mungafunse zimenezo. Koma yesetsani kuonana ndi dokotala amene amagwira ntchito kuchipatala china kapena ku chipatala china .
Chifukwa, nthawi zina, madokotala m'chipatala chimodzi kapena m'mabungwe omwewo angakhale ndi maganizo ofanana komanso njira yodziwika bwino yothandizira matenda enaake. Si kulakwitsa, ndi chikhalidwe chachipatala cha m'bungwe limenelo. Koma m'chipatala china, mwina m'chipatala china cha mzindawo, mungakumane ndi dokotala amene amaona matenda omwewo mosiyana kwambiri ndikupereka njira yosiyana yochiritsira. Zimenezo zimakupatsani mwayi wophunzira za njira zosiyanasiyana.
Kodi ndikufunika kupeza lingaliro lachiwiri pa lipoti la labu ndi lipoti la matenda?
Inde ndithu! Ichi ndi chinthu chomwe anthu ambiri amapewa, koma n'chofunika kwambiri. Ndikukuuzani nkhani yeniyeni.
Mayi wina anapezeka ndi khansa ya m'mawere. Kuyezetsa kwake kunasonyeza kuti maselo a khansa anali ndi chizindikiro cha majini chotchedwa HER2 . Kupezeka kwa chizindikiro ichi cha HER2 kumatanthauza kuti ndi khansa yamphamvu kwambiri komanso yofalikira mofulumira. Zimatanthauzanso kuti mankhwala atsopano otchedwa Herceptin angagwiritsidwe ntchito pa khansa imeneyi. Koma imafunanso mankhwala amphamvu a chemotherapy, omwe ndi oopsa kwambiri.
Mayiyu atapita kukawonanso kachiwiri, dokotalayo anatumiza chithunzi chakale cha matenda kwa katswiri wa matenda kuchipatala chomwecho kuti akawonenso kachiwiri. Katswiri wa matenda wachiwiri anati, "Sindikuganiza kuti ndi HER2. Mwina panali cholakwika chaukadaulo pakuyika utoto wa minofu mu mayeso oyamba."
Choncho, atabwerezanso kuyezetsa, zinatsimikiziridwa kuti kwenikweni anali HER2 negative , zomwe zikutanthauza kuti analibe chizindikiro chimenecho. Pamapeto pake, anachira kwathunthu ndi mankhwala a mahomoni omwe analibe poizoni. Tangoganizirani, ngati sanalandire chithandizo chachiwiri, akanayenera kulandira chithandizo cha chemotherapy chopanda phindu komanso chakupha kwambiri. Zimenezo zikusonyeza kufunika kwa lingaliro lachiwiri mu lipoti la labu, eti?
Ndani ali ndi chisankho chomaliza?
Kodi mungatani ngati madokotala awiri akutsutsana? Ili ndi funso lina lomwe limabwera m'maganizo mwanu.
Dokotala adzakufotokozerani zomwe akuganiza kuti ndi zoyenera, zomwe zili bwino kutengera zomwe wakumana nazo. Angakulimbikitseninso kuti mufufuze akatswiri ena. Koma kumbukirani, chisankho chomaliza chokhudza thupi lanu, moyo wanu, chili m'manja mwanu.
Mukhoza kuphunzira mosamala maganizo a madokotala onse awiri, kumvetsetsa zabwino ndi zoyipa zake, ndikusankha njira yochiritsira yomwe ikugwirizana ndi mtima wanu komanso yomwe mumakhulupirira kwambiri. Palibe amene angakukakamizeni kuti muchite opaleshoni kapena kukupatsani mankhwala aliwonse. Chifukwa chake, dziwani bwino ndipo pangani chisankho chanzeru.
Uthenga Wopita Nawo Kunyumba
- Ngati mwapezeka ndi matenda aakulu kapena ngati chithandizo chomwe chikuperekedwacho chili choopsa kwambiri, musazengereze kufunsa thandizo la dokotala wina.
- Khalani omasuka ndi dokotala wanu pankhani yofuna thandizo lachiwiri. Dokotala wabwino nthawi zonse amayamikira zimenezo.
- Musanapemphe thandizo lachiwiri, ndikofunikira kudziwitsa dokotala wanu wamakono kuti apeze zolemba zanu zonse zachipatala.
- Ngati n'kotheka, sankhani dokotala kuchokera kuchipatala china kapena ku bungwe lina kuti akuthandizeni. Izi zikupatsani malingaliro osiyana.
- Kungakhale kofunikira kwambiri kupeza lingaliro lachiwiri pa mayeso a magazi, malipoti a X-ray, makamaka pa malipoti a mayeso a minofu (Pathology/Biopsy).
- Kumbukirani kuti muli ndi ufulu wonse komanso udindo wosankha zochita pankhani ya thanzi lanu, mutatha kufunsa maganizo onse azachipatala.











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