Kana iwe kana waunoda akaonekwa aine kenza, zvakaoma kutaura manzwiro auri kuita. Asi zvakajairikawo kunzwa kutya uye kuvhiringidzika paunonzwa mazwi matsva nemazita kubva kuna vanachiremba. Pamwe chiremba wako akakuudza kuti, "Tinofanira kukutumira kuna 'Surgical Oncologist'." Kunzwa zita iroro kungangodaro kwakaita kuti uve nemibvunzo yakawanda. "Ndiani iyeye?" "Anoitei?" "Ndichafanira kuvhiyiwa here?" Usazvidya mwoyo. Ngatitaurei nezvese izvi nenzira iri nyore, nhanho nenhanho.
Ndiani chiremba wekenza anovhiya?
Muchidimbu, Surgical Oncologist inyanzvi yekuvhiya yakawana kudzidziswa kwakakosha mukuita maoparesheni evarwere vegomarara. Kuvhiya ndiyo nzira huru uye inonyanya kushandiswa pakurapa gomarara. Saka, basa guru renyanzvi iyi nderekubvisa masero egomarara kana bundu mumuviri kuburikidza nekuvhiya.
Asi haashande ega. Kurapa kenza ibasa rechikwata. Chiremba uyu anoshanda nevamwe vanachiremba, vakaita sechiremba wekenza, nyanzvi mukurapa kenza (senge chemotherapy) , uye chiremba wekenza yemwaranzi , kuti vagadzire hurongwa hwakanakisa hwekurapa iwe.
Chii chaizvo chinoitwa nachiremba uyu ane hunyanzvi?
Basa rechiremba wekenza harisi rekuvhiya chete. Anewe kubva pakutanga kwerwendo rwako rwekenza. Ngatitarisei zvinhu zvikuru zvaanoita.
| Basa riri kuitwa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuongororwa kwe biopsy | Kuti zvionekwe kana bundu risingawanzoitika mumuviri riri regomarara kana kuti kwete, kanyama kadiki kanotorwa kubva mubundu racho koendeswa kurabhoritari kunoongororwa. Maitiro aya anonzi biopsy. Izvi zvinowanzoitwa naSurgical Oncologist. |
| Tsananguro yemishumo yebvunzo | Kana mishumo inobva ku biopsy nedzimwe bvunzo dzasvika, vachatsanangura zvirimo nenzira iri nyore yaunogona kunzwisisa. |
| Kuziva danho regomarara | Danho regomarara rinobva pakuti gomarara rapararira zvakadii uye kukura kwegomarara. Izvi zvakakosha zvikuru pakusarudza kuti ndeapi marapirwo achazoitwa. |
| Kugadzirira chirongwa chekurapa | Pamwe chete nedzimwe nyanzvi, vachagadzira hurongwa hwakanakisa hwekurapa chirwere chako, kusanganisira nguva yekuvhiyiwa uye kana paine mamwe marapirwo anodiwa usati wavhiyiwa kana kuti wapedza. |
| Kutaura nezvesarudzo dzekuvhiya | Tichakutsanangurirai mhando dzekuvhiyiwa kwamungaita, uye zvakanakira nekuipira kweimwe neimwe. |
| Mazano ekugadzirira kuvhiyiwa | Uchapiwa mazano pane zvese zvaunofanira kuita usati wavhiyiwa, zvakaita sekuti ndezvipi zvekudya nezvinwiwa zvaunoda kuti urege kudya kana kutora mishonga. |
| Kutarisa kupora mushure mekuvhiyiwa | Mushure mekuvhiyiwa, uchatariswa panguva yekupora kwako uye ucharapwa chero matambudziko api zvawo anomuka. |
| Kuvhiyiwa Kwekuchengetedzwa Kwepfungwa Dzinonyaradza | Dzimwe nguva, kenza haigone kurapwa zvachose. Muzviitiko zvakadaro, kuvhiyiwa kunoitwawo kuderedza zviratidzo zvakaita sekurwadziwa uye kusagadzikana kunokonzerwa nekenza. |
Sei uchifanira kuona Surgical Oncologist?
Panogona kunge paine zvikonzero zvakasiyana-siyana nei ungade kuona nyanzvi yakaita seiyi.
- Kana paine fungidziro yekuti kenza: Kana scan, mammogram, kana imwe ongororo yawakaita ikaratidza kuti pane chinogona kukonzera kenza, uchatumirwa kuna Surgical Oncologist kuti uongororwe biopsy kuti isimbiswe.
- Kana uine njodzi yakakura yekubatwa nekenza: Vamwe vanhu vane njodzi huru yekubatwa nekenza yemhando dzakasiyana (semuenzaniso kenza yemazamu) nekuda kwezvinhu zvakaita semajini. Muzviitiko zvakadaro, kuvhiyiwa kunogona kukurudzirwa kuderedza njodzi iyoyo kenza isati yatanga. Semuenzaniso, mukadzi ane njodzi huru yekubatwa nekenza yemazamu anogona kuvhiyiwa kuti abvise zamu masero ekenza asati akura.
- Kubvisa bundu rekenza: Kana zvangoonekwa kuti une bundu rekenza mumuviri wako, rinofanira kubviswa nekuvhiyiwa. Kunyangwe kana kenza yapararira kune dzimwe nhengo dzemuviri (kenza inopararira), bundu idzodzo dzimwe nguva dzinobviswa nekuvhiyiwa.
- Kuderedza zviratidzo: Ungangoda kuvhiyiwa (Palliative Care Surgery) kuti uderedze zviratidzo zvakakomba zvinokonzerwa negomarara, zvakaita sekurwadziwa kwakanyanya kana kuvharika kwemudumbu.
Chinhu chakakosha ndechekuti kuendeswa kuna Surgical Oncologist hazvirevi kuti unofanira kuvhiyiwa chete, asi zvinoreva kuti uchapiwa mazano enyanzvi nezvechirwere chako uye uchasarudza nzira yakanakisisa yekurapa.
Vanachiremba ava vanoita maoparesheni erudzii?
Kuvhiyiwa kwegomarara kunogona kupatsanurwa kuita mhando mbiri.
1. Kuvhiyiwa Kusingakuvadzi Zvishoma: Muchidimbu, uku kuvhiyiwa kunoitwa pasina kuchekwa kukuru, nekuita maburi madiki mashoma mumuviri, ayo kamera nemidziyo yekuvhiyiwa yakapfava zvinoiswa. Kuvhiyiwa kweLaparoscopic ndeimwe yeiyi. Nzira iyi haisiye vanga guru, marwadzo mashoma, kugara muchipatara kupfupika, uye kupora kunokurumidza.
2. Kuvhiyiwa Kwakavhurika: Iyi ndiyo nzira yechinyakare. Mukuita izvi, gomo guru rinochekwa kuti risvike zvakananga pabundu. Nzira iyi inogona kudiwa kana bundu racho rakakura kana kuti rapararira kunyama dzakapoteredza.
Kuvhiya mushonga unoshanda zvikuru wemabundu akaoma. Kuvhiya ndiwo mushonga mukuru, kunyanya pakutanga kwezvirwere zvakaita sekenza yemazamu, kenza yemuura, kenza yemapapu isiri diki, uye kenza yeprostate, kana kenza yacho isati yapararira kune ma lymph nodes ari pedyo.
Chii chaunofanira kutarisira paunosangana nachiremba wekenza kekutanga?
Kusangana kwekutanga kwakakosha zvikuru. Pano, chiremba anoedza kunzwisisa zvizere mamiriro ako ehutano. Uye unowanawo mukana wekubvunza nekupindura mibvunzo yako yese.
Kazhinji, zvinhu zvinotevera zvinoitika panguva yemusangano uyu:
- Vachanyatsoongorora mishumo yenyu yese yebvunzo uye vachakutsanangurirai zvazvinoreva.
- Inokuudza nezvedanho regomarara rako .
- Vachakuudza nzira dzekurapa dziripo, kungava kuvhiyiwa chete kana kuti mamwe marapirwo anodiwawo.
- Kana kuvhiyiwa kuri kuitwa, zvakanakira, zvazvakaipira, uye njodzi dzingangoitika zvinotsanangurwa.
- Vachataura newe vosarudza matanho ekutevera.
Rangarira, usazeza kutaura nachiremba uyu nezvemibvunzo kana zvinokunetsa. Aripo kuti akubatsire. Bvunza mibvunzo yakaita sekuti, "Ndichakwanisa kushanda zvakanaka here mushure mekuvhiyiwa uku?" "Izvi zvabudirira sei?"
Chiremba achakubvunzawo kuti, "Makadini?" Anoziva kuti kenza chiitiko chinochinja hupenyu uye kuti kuvhiyiwa kunogona kutyisa. Saka achavewo nehanya nepfungwa dzako.
Ndeipi mibvunzo inokosha yekubvunza chiremba wako?
Zvakanaka kunyora mimwe yemibvunzo yako usati waenda kumusangano. Nenzira iyi, hauzokanganwi chero chinhu. Heano mimwe mienzaniso:
- Ndedzipi dzimwe nzira dzandichada pamusoro pekuvhiyiwa uku? (semuenzaniso, chemotherapy, radiation therapy)
- Chinangwa chikuru chekuvhiyiwa uku ndechei? (Kurapa kenza kana kuderedza zviratidzo?)
- Kuvhiyiwa uku kwakabudirira zvakadii?
- Ndichafanira kuvhiyiwa kanopfuura kamwe chete here?
- Pane mamwe marapirwo anogona kuitwa pasina kuvhiyiwa here?
- Ndichagara muchipatara kwenguva yakareba sei mushure mekuvhiyiwa?
- Zvichanditorera nguva yakareba sei kuti ndidzokere kuhupenyu hwangu hwemazuva ese?
Ndeupi musiyano uripo pakati peMedical Oncologist neSurgical Oncologist?
Mazita maviri aya anowanzo vhiringidzwa. Tafura iyi ichakubatsira kunzwisisa musiyano mukuru uripo pakati pemaviri aya.
| Chiremba ane hunyanzvi | Nzira huru yekurapa |
|---|---|
| Chiremba weOncologist wekuvhiya (Chiremba wegomarara) | Kubviswa kwemasero ane kenza mumuviri kuburikidza nekuvhiyiwa . |
| Chiremba weOncologist (Chiremba wezvirwere zveganda) | Nzira dzisiri dzekuvhiya, kureva kushandisa mishonga kurapa gomarara. Mienzaniso: Kurapa nemakemikari, Kurapa neMahormone, uye Kurapa neMadziviriro emuviri. |
Kazhinji, uchafanira kuona nyanzvi idzi dzese, sezvo kenza zhinji dzichida kuvhiyiwa uye kurapwa nemishonga.
Kurwisa kenza rwendo rwakaoma. Asi hausi wega. Kune chikwata chevanachiremba vane hunyanzvi uye vakazvipira kuti vakubatsire uye vakupe kurapwa kwakanakisa. Chiremba weOncologist nhengo inokosha kwazvo yechikwata ichocho. Iye zvino wava kunzwisisa zvakanaka nezvake uye zvaanoita. Saka tarisana nerwendo urwu usingatyi uye neushingi. Taura nachiremba wako nezvezvinhu zvese pachena.
Mharidzo Yekuenda Nayo Kumba
- Chiremba weOncologist wekuvhiya akadzidza zvakanyanya pakuvhiya kenza.
- Basa rake harisi rekuvhiya chete. Anokubatsira kubva pakuongororwa kweropa kusvika panguva yekupora mushure mekuvhiyiwa.
- Kurapa kenza ibasa rechikwata . Chiremba weOncologist, Chiremba weOncologist, uye Chiremba weRadiation Oncologist vese vanoshanda pamwe chete kuti vasarudze mushonga wakanakira iwe.
- Paunosangana nachiremba wako, usazeza kutaura pachena nezvemibvunzo kana kutya kwaunenge uine.
- Kuvhiyiwa inzira inoshanda zvikuru yekurapa kenza. Pane kuitya, zvakakosha kuti uzive zvakawanda nezvayo.
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