Xa wena okanye umntu omthandayo efunyaniswa ukuba unomhlaza, kunzima ukuchaza indlela ovakalelwa ngayo. Kodwa kuqhelekile ukuba uzive usoyika kwaye udidekile xa usiva amagama amatsha kunye namagama koogqirha. Mhlawumbi ugqirha wakho ukuxelele ukuba, "Sifuna ukukuthumela kwi-'Surgical Oncologist'." Ukuva elo gama mhlawumbi kukwenze waba nemibuzo emininzi. "Ngubani lowo?" "Wenza ntoni?" "Ngaba kuya kufuneka ndityandwe?" Ungakhathazeki. Masithethe ngako konke oku ngendlela elula, inyathelo ngenyathelo.
Ngubani ingcali yotyando lwe-oncologist?
Ngamafutshane, i-Surgical Oncologist ngugqirha ofumene uqeqesho olukhethekileyo ekwenzeni utyando kubantu abanomhlaza. Utyando yeyona ndlela iphambili nesetyenziswa kakhulu yokunyanga umhlaza. Ngoko ke, umsebenzi ophambili walo gqirha ungochwephesha kukususa iiseli zomhlaza okanye iithumba emzimbeni ngotyando.
Kodwa akasebenzi yedwa. Unyango lomhlaza luyintsebenziswano. Lo gqirha usebenza nabanye oogqirha, njengogqirha wezonyango, ingcali kunyango lomhlaza (njenge-chemotherapy) , kunye nogqirha we-radiation oncologist , ukuze eze nesicwangciso sonyango esifanelekileyo kuwe.
Yintoni kanye kanye le ngcali yenza lo gqirha?
Indima kaGqirha womhlaza ayipheleli nje ekwenzeni utyando. Ube nawe ukususela ekuqaleni kohambo lwakho lomhlaza. Makhe sijonge izinto eziphambili azenzayo.
| Umsebenzi owenziwayo | Icacisiwe ngokulula |
|---|---|
| Uvavanyo lweBiopsy | Ukuze kuchongwe ukuba iqhuma elingaqhelekanga emzimbeni lingumhlaza okanye akunjalo, kuthathwa iqhekeza elincinci kakhulu lesicubu kwiqhuma lize lithunyelwe kwilebhu ukuze livavanywe. Le nkqubo ibizwa ngokuba yi-biopsy. Oku kudla ngokwenziwa yi-Surgical Oncologist. |
| Inkcazo yeengxelo zovavanyo | Xa kufika iingxelo ezivela kwi-biopsy kunye nezinye iimvavanyo, baza kuchaza oko bakuquletheyo ngendlela elula onokuyiqonda. |
| Ukuchonga inqanaba lomhlaza | Inqanaba lomhlaza limiselwa kukuba umhlaza usasazeke kangakanani kunye nobungakanani bethumba. Oku kubaluleke kakhulu ekugqibeni ukuba loluphi unyango oluza kwenziwa ngokulandelayo. |
| Ukulungiselela isicwangciso sonyango | Kunye nezinye iingcali, baza kuyila isicwangciso sonyango esifanelekileyo kwimeko yakho, kuquka ukuba uza kutyandwa nini na nokuba kufuneka ezinye iindlela zonyango ngaphambi okanye emva koko. |
| Ukuthetha ngeendlela zotyando | Siza kukuchazela ukuba zeziphi iintlobo zotyando onokulwenza, kunye neenzuzo kunye neengxaki zalo naluphi na utyando. |
| Ingcebiso malunga nokulungiselela utyando | Uza kunikwa iingcebiso ngayo yonke into ekufuneka uyenze ngaphambi kotyando, njengokutya neziselo ekufuneka uyeke ukutya okanye ukusebenzisa amayeza. |
| Ukubeka iliso ekubuyiseleni ubomi emva kotyando | Emva kotyando, uza kuhlolwa ngexesha lokuchacha kwakho kwaye unyangwe naziphi na iingxaki ezivelayo. |
| Utyando Lokunyamekela Abantu Abagulayo | Ngamanye amaxesha, umhlaza awunakunyangeka ngokupheleleyo. Kwiimeko ezinjalo, kwenziwa utyando ukunciphisa iimpawu ezifana neentlungu kunye nokungonwabi okubangelwa ngumhlaza. |
Kutheni kufuneka ubone i-Oncologist yotyando?
Kusenokuba nezizathu ezininzi zokuba kutheni ungafuna ukubona ingcali efana nale.
- Ukuba kukho umhlaza orhanelwayo: Ukuba i-scan, i-mammogram, okanye olunye uvavanyo olwenzileyo lubonisa into enokuba ngumhlaza, uya kuthunyelwa kwi-Surgical Oncologist ukuze kwenziwe i-biopsy ukuqinisekisa oko.
- Ukuba usengozini enkulu yokuba nomhlaza: Abanye abantu basengozini enkulu yokuba neentlobo ezithile zomhlaza (umz. umhlaza webele) ngenxa yezizathu zemfuza. Kwiimeko ezinjalo, utyando lunokucetyiswa ukunciphisa loo mngcipheko ngaphambi kokuba umhlaza uvele. Umzekelo, umfazi osengozini enkulu yokuba nomhlaza webele unokwenziwa i-prophylactic mastectomy ukuze kususwe ibele ngaphambi kokuba iiseli zomhlaza zivele.
- Ukususa ithumba elinomhlaza: Nje ukuba kuqinisekiswe ukuba unethumba elinomhlaza emzimbeni wakho, kufuneka lisuswe ngotyando. Nokuba umhlaza usasazeke kwamanye amalungu omzimba (umhlaza osasazekayo), loo mathumba ngamanye amaxesha asuswa ngotyando.
- Ukuphelisa iimpawu: Kusenokufuneka wenze utyando (Palliative Care Surgery) ukuze unciphise iimpawu ezibuhlungu ezibangelwa ngumhlaza, ezifana neentlungu eziqatha okanye ukuvaleka kwamathumbu.
Into ebalulekileyo kukuba ukuthunyelwa kwi-Surgical Oncologist akuthethi ukuba uza kwenziwa utyando, kodwa kuthetha ukuba uza kufumana uluvo lweengcali malunga nemeko yakho kwaye umisele eyona ndlela ilungileyo yonyango.
Zeziphi iintlobo zotyando ezenziwa ngaba gqirha?
Utyando lomhlaza lunokwahlulwahlulwa lube ziintlobo ezimbini.
1. Utyando Olungenabungozi Kakhulu: Ngamafutshane, olu lutyando olwenziwa ngaphandle kokwenza umngxuma omkhulu, ngokwenza imingxunya embalwa emzimbeni, apho kufakwa khona ikhamera kunye nezixhobo zotyando ezibuthathaka kakhulu. Utyando lwe-Laparoscopic lolunye lwale ndlela. Le ndlela ayishiyi silonda esikhulu, kukho iintlungu ezincinci, ukuhlala esibhedlele kufutshane, kwaye ukuchacha kukhawuleza.
2. Utyando Oluvulekileyo: Le yindlela yendabuko. Kule ndlela, kwenziwa umngxuma omnye omkhulu ukuze kufikelelwe ngqo kwithumba. Le ndlela inokuba yimfuneko ukuba ithumba likhulu okanye lisasazeke kwizicubu ezingqongileyo.
Utyando lunyango olusebenzayo kakhulu kwiithumba eziqinileyo. Utyando lolona nyango luphambili, ingakumbi kwizigaba zokuqala zezifo ezifana nomhlaza webele, umhlaza wamathumbu amakhulu, umhlaza wemiphunga ongengoweeseli ezincinci, kunye nomhlaza weprostate, xa umhlaza ungasasazekanga kwiindawo ze-lymph ezikufutshane.
Yintoni omele uyilindele xa udibana nogqirha we-oncologist otyando okokuqala?
Ukudibana nogqirha okokuqala kubaluleke kakhulu. Apha, ugqirha uzama ukuqonda ngokupheleleyo imeko yakho yempilo. Kwaye ufumana nethuba lokubuza nokuphendula nayiphi na imibuzo onokuba nayo.
Ngokwesiqhelo, ezi zinto zilandelayo zenzeka ngexesha lale ntlanganiso:
- Baza kuhlola ngononophelo zonke iingxelo zovavanyo lwakho baze bakuchazele intsingiselo yazo.
- Ikuxelela ngenqanaba lomhlaza wakho .
- Baza kukuxelela ukuba loluphi unyango olufumanekayo kuwe, nokuba lutyando nje okanye ukuba kukho nezinye iindlela zonyango ezifunekayo.
- Ukuba kwenziwa utyando, kuyachazwa iingenelo, iingxaki kunye neengozi ezinokubakho .
- Baza kuthetha nawe baze bagqibe ukuba zeziphi izinto ekufuneka bazenze ngokulandelayo.
Khumbula, ungathandabuzi ukuthetha nalo gqirha ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Ulapha ukukunceda. Buza imibuzo efana nale, "Ngaba ndiza kukwazi ukusebenza ngokuqhelekileyo emva kolu tyando?" "Iphumelele kangakanani le nto?"
Ugqirha uza kukubuza athi, "Unjani?" Uyazi ukuba umhlaza yinto etshintsha ubomi bakho kwaye utyando lunokoyikisa. Ngoko ke uya kuba nexhala ngemeko yakho yengqondo.
Yeyiphi imibuzo ebalulekileyo omele uyibuze ugqirha wakho?
Kungcono ukubhala phantsi eminye yemibuzo yakho ngaphambi kokuba uye kwi-aphoyintimenti. Ngale ndlela, awuyi kuyilibala nantoni na. Nazi ezinye zemizekelo:
- Zeziphi ezinye iindlela zonyango endiza kuzidinga ukongeza kolu tyando? (umz., i-chemotherapy, unyango lwe-radiation)
- Yintoni injongo ephambili yolu tyando? (Ukunyanga umhlaza okanye ukunciphisa iimpawu?)
- Ingakanani izinga lempumelelo yolu tyando?
- Ngaba kuya kufuneka ndenze utyando olungaphezu kolunye?
- Ngaba kukho naluphi na unyango olunokwenziwa ngaphandle kotyando?
- Ndiza kuhlala ixesha elingakanani esibhedlele emva kotyando?
- Kuza kundithatha ixesha elingakanani ukubuyela kubomi obuqhelekileyo?
Yintoni umahluko phakathi kwe-Medical Oncologist kunye ne-Surgical Oncologist?
La magama mabini adla ngokubhideka. Le theyibhile iza kukunceda uqonde umahluko ophambili phakathi kwala magama mabini.
| Ugqirha oyingcali | Indlela ephambili yonyango |
|---|---|
| Ugqirha wotyando (Ugqirha womhlaza) | Ukususwa ngokwasemzimbeni kweethumba kunye neeseli ezinomhlaza emzimbeni ngotyando . |
| Ugqirha we-Oncologist (Ugqirha wezifo zomhlaza) | Iindlela ezingezizo ezotyando, oko kukuthi, ukusebenzisa amayeza ukunyanga umhlaza. Imizekelo: I-Chemotherapy, IiHormonal Therapies, kunye ne-Immunotherapy. |
Rhoqo, kuya kufuneka ubone zombini ezi ngcali, njengoko uninzi lwemihlaza lufuna utyando kunye nonyango ngamayeza.
Ukulwa nomhlaza luhambo olunzima. Kodwa awuwedwa. Kukho iqela loogqirha abanezakhono nabazinikeleyo ukukunceda nokukunika unyango olungcono. Ingcali yotyando lomhlaza lilungu elibaluleke kakhulu kwelo qela. Ngoku uyaqonda kakuhle kwaye uyayiqonda into ayenzayo. Ngoko ke jongana nolu hambo ngaphandle koloyiko nangenkalipho. Thetha nogqirha wakho ngayo yonke into ngokukhululekileyo.
Umyalezo Wokuya Ekhaya
- Ingcali yotyando lwe-Oncologist ngugqirha ofumene uqeqesho olukhethekileyo ekwenzeni utyando lomhlaza.
- Umsebenzi wakhe awupheleli nje ekwenzeni utyando. Ukunceda ukusuka kwi-biopsy ukuya kwixesha lokuchacha emva kotyando.
- Unyango lomhlaza luyinzame yeqela . Ingcali yotyando, ingcali yomhlaza, kunye nengcali yomhlaza wemisebe bonke basebenzisana ukufumanisa unyango olulungele wena.
- Xa udibana nogqirha wakho, ungathandabuzi ukuthetha ngokukhululekileyo ngayo nayiphi na imibuzo okanye uloyiko onalo.
- Utyando lunyango olusebenzayo kakhulu lomhlaza. Endaweni yokuwoyika, kubalulekile ukuba nolwazi olufanelekileyo ngawo.
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