Ndiani chiremba wekenza? Ngatikurukurei nezvazvo!

Dzimwe nguva chiremba wedu anotiendesa kune mumwe nyanzvi, handiti? Patinotumirwa saizvozvo, kunyanya kana tikaudzwa kuti tione "nyanzvi yekenza", zvakajairika kunzwa kutya uye kutya zvishoma. Ungafunga kuti, "Ndine kenza here?" Asi kungoti mumwe munhu anotaura izvozvo, hazvirevi kuti ndine kenza. Nhasi, ngatitaurei nezvekuti chiremba wekenza uyu ndiani (Oncologist), zvaanoita, uye zvinoitika kana ukaenda kunovaona.

Ndiani anonzi Oncologist?

Zvichitaurwa zviri nyore, chiremba wekenza chiremba akadzidziswa zvakanyanya nezvekenza. Vane basa rekuongorora kenza, kuongorora mamiriro ayo (kureva kuti kenza yapararira kusvika papi, yave padanho ripi, nezvimwewo), uye kuirapa. Mukurapa, izvi zvinonzi "Oncology".

Kuona chiremba wekenza mukana wakanaka wekutaura nemumwe munhu anonzwisisa mamiriro ako ezvinhu. Vanogonawo kukubatsira kugadzirisa kushushikana nekutya kunouya nekuziva kuti ungave uine kenza. Vanogara varipo kuti vakubatsire, uye vachave newe nhanho imwe neimwe yenzira.

Chii chinoitwa nenyanzvi yezvirwere zvemudumbu?

Vanachiremba veOncology vanogona:

• Wana bvunzo dzinodiwa kuti uone kenza. Izvi zvinogona kusanganisira kuongororwa kweropa, kuongororwa kwemifananidzo (scans), uye dzimwe nguva biopsy (kutora chidimbu chidiki chenyama kuti chiongororwe).
• Kana wakamboonekwa kuti une kenza, tsvaga mumwe munhu anokubatsira .
• Batsirai kuona kuti ndeapi marapirwo akakunakirai.
• Kurukurai nemi zvakajeka mabhenefiti nemigumisiro yesarudzo yega yega yekurapa .
• Tarisa kufambira mberi kwekurapwa kwegomarara . Izvi zvinoreva kutarisa kana mishonga iri kushanda nemazvo uye kana paine matambudziko aripo.
• Tevedzera mirairo inodiwa uye tevera gwara kuti uzvitarisire mushure mekurapwa .

Kuona chiremba wekenza zvinoreva here kuti une kenza zvechokwadi?

Kwete, izvozvo hazvisi zvechokwadi. Kutumirwa kuna chiremba wekenza hazvirevi kuti une kenza nguva dzose. Vanokutumira kuna nyanzvi chete kana uine zviratidzo zvinoratidza kuti ungangove uine kenza.

Fungidzira, kana uine kukosora kunogara kwenguva refu, kana kudzikira uremu, kana bundu risingawanzoitika mumuviri wako, chiremba wemhuri yako angakukurudzira kuti uone chiremba wekenza. Kureva kuti, kuti uwane chikonzero chaicho chezviratidzo izvozvo.

Saka, kana chiremba wako akakutumira kuna chiremba wegomarara,Zvakanaka kuronga nguva yekuonana nachiremba nekukurumidza pasina kunonoka. Nekuti, kana paine chero rudzi rwekenza, kana ikaonekwa ichiri kutanga, zviri nyore kurapa uye mikana yekupora yakanyanya.

Kune mhando dzakasiyana dzevanachiremba vekenza here?

Ehe, kenza chirwere chakaoma kunzwisisa. Saka, munhu ane kenza angangoda kwete chiremba mumwe chete wekenza, asiwo timu yenyanzvi dzakasiyana-siyana. Nyanzvi idzi dzakasiyana dzinosangana, dzichishandisa ruzivo nehunyanzvi hwemumwe nemumwe kuti dzikupe kurapa kwakanakisisa. Munhu wese anoshanda nechinangwa chimwe chete, achibatsirana, uye nemutsa.

Vamwe vanachiremba vekenza vane hunyanzvi hwakasiyana mukurapa kwakasiyana:

• Vanachiremba veOncology: Kana biopsy yako ichiratidza kuti une masero ekenza, vanachiremba ava vachakuvhiya kubvisa chero masero ekenza nenyama yakakomberedza isina kupararira. Vachakubatsira kugadzirira kuvhiyiwa uye kukubatsira kupora mushure mekuvhiyiwa. Semuenzaniso, vanogona kubvisa lumpectomy yekenza yemazamu kana chikamu checolonectomy yekenza yemudumbu.

• Vanachiremba veOncologist: Ava ndivo vanachiremba vanorapa kenza vachishandisa chemotherapy, hormonal therapy, immunotherapy, nedzimwe nzira dzekurapa dzakanangana. Vanhu vazhinji vanofunga kuti chiremba uyu weoncologist ndiye chiremba wavo mukuru wegomarara. Izvi zvinodaro nekuti ndivo vaunowanzoona. Vanachiremba vazhinji veoncologist vane hunyanzvi mu hematology, inova ndiyo kuongorora nekurapa zvirwere zveropa negomarara reropa.

• Vanachiremba veOncology yeRadiation: Vanachiremba ava vanoshandisa radiation therapy kurapa kenza. Radiation therapy inogona kuderedza bundu vasati vavhiyiwa kana kuuraya chero masero ekenza asara mushure mekuvhiyiwa. Radiation therapy dzimwe nguva inopiwa senzira imwe chete yekurapa kana pamwe chete nedzimwe nzira dzekurapa.

Kune vamwe vanachiremba vekenza vane hunyanzvi mukuongorora nekurapa mamwe marudzi ekenza:

• Vanachiremba vezvirwere zvemazamu: Vanorapa kenza dzemadzimai mumadzimai, dzakadai sekenza yemumuromo wechibereko, kenza yemudumbu, uye kenza yemazamu.
• Vanachiremba veOncology: Vanachiremba ava vanorapa mhando dzegomarara dzinowanikwa zvakanyanya muvana kupfuura vakuru.Mienzaniso inosanganisira chirwere chemudumbu chinonzi childhood acute lymphoblastic leukemia, Ewing sarcoma, uye bundu remuuropi revana.
• Vanachiremba veNeurological Oncologists: Nyanzvi idzi dzinorapa vanhu vane bundu remuuropi negomarara rinokanganisa tsinga .

Chii chaunotarisira kana ukaona chiremba wekenza kekutanga?

Zvakajairika kunzwa kusava nechokwadi uye kutya paunotanga kuona chiremba wekenza. "Ndine kenza zvechokwadi here?", "Ndava nenguva yakareba sei ndiine izvi?", "Hupenyu hwangu huchava hwakaita sei iye zvino?" Ungave uine mibvunzo yakawanda iri mupfungwa dzako. Hausi wega, vanhu vazhinji vanonzwa seizvi. Chiremba wako aripo kuti akubatsire nemanzwiro aya.

Pakusangana kwako kwekutanga, chiremba wekenza acha:

• Bvunza nezvezviratidzo zvako zvakadzama (semuenzaniso kuti zvagara kwenguva yakareba sei, kuti zvinonzwa sei, uye kana paine zvimwe zvakachinja).
• Uchaongororwa muviri wako.
• Zvinyorwa zvako zvekare zvehutano, nhoroondo yezveutano hwemhuri, nezvimwe zvirwere zviripo zvichaongororwa.
• Kana vachida kuziva zvakawanda nezvezviratidzo zvako , vanogona kukumbira kuti zviongororwe zvakare (sekuongororwa kwemifananidzo kana kuongororwa ropa).
• Ivo vachasarudza kana uchida biopsy, kuongororwa kwetishu, kana kwete.

Mushure mekuunganidza ruzivo rwakakosha nenzira iyi, chiremba:

• Vachataura newe nezvemhedzisiro yemishumo yako yebvunzo.
• Achazivisawo chiremba akakutumirai zvaakawana.
• Ichakuudza kana une kenza kana kuti kwete, uye kana zvakadaro, rudzii rwekenza yacho.
• Vachataura newe nezvenzira dzakasiyana dzekurapa dziripo kwauri.
• Anoteerera zvinokunetsa uye zvaunotya.
• Inopa ruzivo nezvezvimwe zvinhu uye mapoka ekutsigira anogona kukubatsira .

Kusangana kwako kwekutanga nachiremba wekenza kunogona kutora kusvika maawa matatu. Pamusoro pekutaura nachiremba wako, unogona zvakare kusangana nevapi vemazano, vashandi vemagariro evanhu, kana vamwe vanachiremba vekenza.

Kusangana nachiremba wekenza mushure mekutevera

Uchafanira kuona chiremba wako wekenza nguva nenguva panguva yekurapwa kwako kenza. Kuti unofanira kuona chiremba wako wekenza kangani zvinoenderana nerudzi rwekenza yauri kuwana uye kurapwa kwauri kuwana. Chiremba wako achakuudza izvi pamusangano wako wekutanga.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu wekenza?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako we oncologist:

• Kenza yangu iri kupi?
• Yakakura sei?
• Ndine nhanho ipi yekenza?
• Avhareji yehuwandu hwevanhu vane chirwere changu chepfungwa inorarama sei?
• Kurapwa kwangu kuchatora nguva yakareba sei?
• Ndichakwanisa kuenda kubasa panguva yekurapwa here?
• Kurapwa uku kuchakanganisa here kubereka kwangu (kukwanisa kwangu kuva nevana)?
• Ndinofanira kuita mimwe miedzo here?
• Kangani kandinofanira kuuya kuzosangana nevamwe?
• Ndinofanira kuzvitarisira sei panguva yekurapwa?
• Pane mapoka ekutsigirana kwandingawana rubatsiro here?
• Ndingaudza sei mhuri yangu nezvechirwere changu?

Zvakakosha kubvunza mibvunzo iyi nekuti une kodzero yekuziva zvese zvakajeka. Zvinobatsirawo kubvisa kutya kana kusava nechokwadi kwaungave nako.

Ndirini pandinofanira kutaura nechiremba wangu wekenza?

Kana uri kutorapwa nachiremba wekenza, unofanira kufonera chiremba wako nekukasika kana zvimwe zvinhu zvikaitika. Fonera chiremba wako wekenza nekukasika kana ukasangana nechimwe chezvinotevera:

• Kana uine fivha inodarika 38 degrees Celsius (100.4 degrees Fahrenheit) .
• Kana paine zviratidzo zvitsva zvinoonekwa.
• Kana paine shanduko huru yakangoerekana yaitika pazviratidzo zvako zvemazuva ano .
• Kana uine marwadzo asingapere kunyangwe mushure mekutora mushonga.
• Kana ukaona zviratidzo zvestroke (kushaya simba kamwe kamwe kune rumwe rutivi rwechiso, kuvhiringidzika, dzungu, musoro wakanyanya, uye matambudziko ekuona).
• Kana ukaona zviratidzo zvechirwere chemwoyo (kurwadziwa pachipfuva, kuda kurutsa, kushaya mweya, uye/kana kurwadziwa pamafudzi).

Zvakakosha kuudza chiremba nekukurumidza panguva dzakadai .

Rudzii rwedzidzo runodiwa kuti uve chiremba wekenza?

Kuva chiremba wekenza hakusi nyore. Zvinoda kuzvipira kukuru uye nguva yakareba yedzidzo. Kutanga, unofanirwa kuwana dhigirii reBachelor, wozowana dhigirii rezvekurapa. Wobva wapedzisa mapurogiramu ekugara uye ekudyidzana kuti uwane ruzivo munzvimbo dzakadai seMedical Oncology, Surgical Oncology, Radiation Oncology, kana hematology Oncology. Zvese izvi, zvinowanzo tora makore ari pakati pe14 ne16 kuti uve chiremba wekenza.

Muchidimbu: chimwe chinhu chaunofanira kufunga nezvacho.

Paunoenda kunoona chiremba wekenza, unganzwa kutya, "Handizivi kana ndine kenza." Kana, kana ukaonekwa uine kenza, unganzwa kunetseka, "Chii chichaitika?" Dzimwe nguva unganzwa kusuruvara, nekuti hapana mhinduro dziri nyore uye dzakananga kumibvunzo yese yaunayo. Manzwiro aya ese akajairika. Chiremba wako wekenza anonzwisisa manzwiro aya, uye akagadzirira kukubatsira chero nenzira yaanogona. Yeuka kuti hausi wega.

'Kenza, chiremba wekenza, nyanzvi yekenza, kurapwa kwekenza, chemotherapy, kurapwa nemwaranzi, zviratidzo zvekenza