Ngubani udokotela wezifo zomdlavuza? Ake sixoxe ngalokhu!

Ngezinye izikhathi udokotela wethu usithumela komunye uchwepheshe, akunjalo? Uma sithunyelwa kanjalo, ikakhulukazi uma sitshelwa ukuthi sibone "uchwepheshe womdlavuza", kuyinto evamile ukuzizwa wesaba futhi wethukile. Ungase ucabange, "O, ingabe nginomdlavuza?" Kodwa ngoba nje othile esho lokho, akusho ukuthi nginomdlavuza. Namuhla, ake sixoxe ngokuthi ungubani lo chwepheshe womdlavuza (udokotela womdlavuza), wenzani, nokuthi kwenzekani uma uya kuye.

Ngubani i-Oncologist?

Kalula nje, udokotela wezifo zomdlavuza udokotela othole ukuqeqeshwa okukhethekile ngomdlavuza. Banesibopho sokuxilonga umdlavuza, ukuhlola isimo sawo (okungukuthi, ukuthi umdlavuza ususakazeke kangakanani, ukuthi ukusiphi isigaba, njll.), kanye nokuwelapha. Kwezokwelapha, lokhu kubizwa ngokuthi "i-Oncology".

Ukubona udokotela wezifo zomdlavuza kuyithuba elihle lokukhuluma nomuntu oqonda isimo sakho. Bangakusiza futhi ukubhekana nokucindezeleka nokwesaba okuhambisana nokwazi ukuthi ungaba nomdlavuza. Bahlala bekhona ukukusiza, futhi bazoba nawe kuzo zonke izinyathelo zendlela.

Yini eyenziwa yi-oncologist?

Odokotela be-oncologist bangenza lokhu okulandelayo:

• Thola izivivinyo ezidingekayo ukuze uxilonge umdlavuza. Lokhu kungafaka ukuhlolwa kwegazi, ukuhlolwa kwezithombe (ukuskena), futhi ngezinye izikhathi i-biopsy (ukuthatha ingxenye encane yezicubu ukuze ihlolwe).
• Uma uke watholakala unomdlavuza ngaphambilini, thola umbono wesibili .
• Siza ekutholeni ukuthi yiziphi izindlela zokwelapha ezifanele wena.
• Xoxani nawe ngezinzuzo nemiphumela emibi yendlela ngayinye yokwelashwa ngokucacile .
• Qapha inqubekela phambili yokwelashwa komdlavuza wakho . Lokhu kusho ukuhlola ukuthi ukwelashwa kusebenza kahle yini nokuthi unezinkinga ngakho.
• Landela imiyalelo edingekayo kanye nokulandelela ukuze uzinakekele ngemva kokwelashwa .

Ingabe ukubona udokotela womdlavuza kusho ukuthi unomdlavuza ngempela?

Cha, lokho akulona iqiniso. Ukudluliselwa kudokotela wezifo zomdlavuza akusho ukuthi unomdlavuza ngaso sonke isikhathi. Bakudlulisela kuchwepheshe kuphela uma unezimpawu ezibonisa ukuthi ungase ube nomdlavuza.

Cabanga nje, uma ukhwehlela njalo, noma wehlisa isisindo, noma unesimila esingavamile endaweni ethile emzimbeni wakho, udokotela womndeni wakho angase akuncome ukuthi ubonane nodokotela wezifo zomdlavuza. Okusho ukuthi, ukuthola imbangela eqondile yalezo zimpawu.

Ngakho-ke, uma udokotela wakho ekuthumelela kuchwepheshe womdlavuza,Kungcono ukwenza i-aphoyintimenti ngokushesha okukhulu ngaphandle kokulibala. Ngoba, uma kukhona uhlobo lomdlavuza, uma lutholakala kusenesikhathi, kulula kakhulu ukwelapha futhi amathuba okululama aphezulu.

Ingabe kunezinhlobo ezahlukene zodokotela be-oncologists?

Yebo, umdlavuza uyisifo esiyinkimbinkimbi kakhulu. Ngakho-ke, umuntu onomdlavuza angase adinge udokotela oyedwa kuphela womdlavuza, kodwa nethimba elinolwazi oluhlukahlukene. Laba ochwepheshe abahlukene bayahlangana, basebenzisa ulwazi kanye nobuchwepheshe bomunye nomunye ukuze bakunikeze ukwelashwa okungcono kakhulu. Wonke umuntu usebenza ngenhloso efanayo, ngokubambisana, nangomusa.

Abanye odokotela bezifo zomdlavuza banokuqeqeshwa okukhethekile kwezokwelapha ezithile:

• Odokotela Bomdlavuza Abahlinzayo: Uma i-biopsy yakho ikhombisa ukuthi unamaseli omdlavuza, laba odokotela bazokwenza ukuhlinzwa ukuze basuse noma yimaphi amaseli omdlavuza nezicubu ezizungezile ezingakasabalali. Bazokusiza ukulungiselela ukuhlinzwa futhi bakusize ululame ngemva kokuhlinzwa. Isibonelo, bangase benze i-lumpectomy yomdlavuza webele noma i-colonectomy engaphelele yomdlavuza wamathumbu amakhulu.

• Odokotela Bezifo Zomdlavuza: Laba odokotela abaphatha umdlavuza besebenzisa i-chemotherapy, ukwelashwa ngama-hormone, i-immunotherapy, kanye nezinye izindlela zokwelapha eziqondiwe. Abantu abaningi bacabanga ngalo dokotela wezifo zomdlavuza njengodokotela wabo oyinhloko womdlavuza. Lokhu kungenxa yokuthi yibo obabona njalo. Odokotela abaningi bezifo zomdlavuza bagxile kwi -hematology, okuwukuxilongwa nokwelashwa kwezifo zegazi kanye nomdlavuza wegazi.

• Odokotela Bomdlavuza Wemisebe: Laba odokotela basebenzisa ukwelashwa ngemisebe ukwelapha umdlavuza. Ukwelashwa ngemisebe kunganciphisa izimila ngaphambi kokuhlinzwa noma kubulale noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa. Ukwelashwa ngemisebe ngezinye izikhathi kunikezwa njengokwelashwa okukodwa noma kuhlanganiswe nezinye izindlela zokwelapha.

Kukhona abanye odokotela be-oncologist abangochwepheshe ekuxilongeni nasekwelapheni izinhlobo ezithile zomdlavuza:

• Odokotela Bezifo Zomdlavuza Wezinsikazi: Belapha umdlavuza wezifo zabesifazane kwabesifazane, njengomdlavuza wesibeletho, umdlavuza wesibeletho, kanye nomdlavuza wesibeletho.
• Odokotela Bezifo Zomdlavuza Zezingane: Laba odokotela belapha izinhlobo zomdlavuza ezivame kakhulu ezinganeni kunabantu abadala.Izibonelo zifaka phakathi i-childhood acute lymphoblastic leukemia, i-Ewing sarcoma, kanye nezimila zobuchopho zezingane.
• Odokotela Bezifo Zomdlavuza Wezinzwa: Laba ochwepheshe belapha abantu abanezimila zobuchopho kanye nomdlavuza othinta uhlelo lwezinzwa .

Yini ongayilindela uma ubona udokotela wezifo zomdlavuza okokuqala?

Kuvamile ukuzizwa ungaqiniseki nokwesaba okukhulu lapho uqala ukubona udokotela womdlavuza. "Ingabe nginomdlavuza ngempela?", "Sekuyisikhathi esingakanani nginalokhu?", "Impilo yami izobe injani manje?", njll. Awuwedwa, abantu abaningi bazizwa ngale ndlela. Udokotela wakho ulapha ukuzokusiza ngale mizwa.

Ekuhlolweni kwakho kokuqala, udokotela we-oncologist uzokwenza okulandelayo:

• Buza ngemininingwane ngezimpawu zakho (isib. ukuthi sezinesikhathi esingakanani zikhona, ukuthi zizizwa kanjani, nokuthi ngabe kube khona ezinye izinguquko).
• Uzohlolwa ngokomzimba.
• Amarekhodi akho ezokwelapha angaphambilini, umlando wezokwelapha womndeni, kanye nezinye izimo zempilo zamanje zizobuyekezwa.
• Uma bedinga ukwazi okwengeziwe ngezimpawu zakho , bangase bacele ukuhlolwa okwengeziwe (njengokuhlolwa kwezithombe noma ukuhlolwa kwegazi).
• Bazonquma ukuthi udinga i-biopsy, ukuhlolwa kwezicubu, noma cha.

Ngemva kokuqoqa ulwazi oludingekayo ngale ndlela, udokotela:

• Bazokhuluma nawe ngemiphumela yemibiko yakho yokuhlolwa.
• Uzokwazisa nodokotela okuthumelele ulwazi ngalokho akutholile.
• Kuzokutshela ukuthi unomdlavuza noma cha, futhi uma kunjalo, uhlobo luni lomdlavuza.
• Bazokhuluma nawe ngezinketho ezahlukene zokwelapha ezitholakalayo kuwe.
• Uyalalela ukukhathazeka kwakho nokwesaba kwakho.
• Inikeza ulwazi mayelana nezinye izinsiza kanye namaqembu okusekela angakusiza .

I-aphoyintimenti yakho yokuqala nodokotela womdlavuza ingathatha amahora amathathu. Ngaphezu kokukhuluma nodokotela wakho, ungahlangana nabeluleki, izisebenzi zezenhlalakahle, noma abanye odokotela bomdlavuza.

Ukulandelela ama-aphoyintimenti nodokotela we-oncologist

Kuzodingeka ubone udokotela wakho womdlavuza njalo ngesikhathi sokwelashwa komdlavuza. Ukuthi udinga ukubona kangaki udokotela wakho womdlavuza kuzoncika ohlotsheni lomdlavuza onalo kanye nokwelashwa okutholayo. Udokotela wakho uzokutshela ngalokhu ngesikhathi sakho sokuqala sokubonana nodokotela.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami we-oncologist?

Nazi ezinye imibuzo ongayibuza i-oncologist yakho:

• Ukuphi umdlavuza wami?
• Ingakanani?
• Nginasiphi isigaba somdlavuza?
• Iyini isilinganiso sokusinda kwabantu abanesifo sami?
• Ukwelashwa kwami ​​kuzothatha isikhathi esingakanani?
• Ngizokwazi yini ukuya emsebenzini ngesikhathi sokwelashwa?
• Ingabe ukwelashwa kuzothinta ukuzala kwami ​​(ikhono lami lokuba nabantwana)?
• Ingabe ngidinga ukwenza izivivinyo ezengeziwe?
• Kukangaki lapho kuzodingeka ngize khona ukuze ngithole ama-aphoyintimenti okulandelela?
• Kufanele ngizinakekele kanjani ngesikhathi sokwelashwa?
• Ingabe kukhona amaqembu okusekelana lapho ngingathola khona usizo?
• Ngingabatshela kanjani umndeni wami ngokuxilongwa kwami?

Kubalulekile ukubuza le mibuzo ngoba unelungelo lokwazi konke ngokucacile. Kuphinde kusize ekususeni noma yikuphi ukwesaba noma ukungabaza ongase ube nakho.

Kufanele ngikhulume nini nodokotela wami wezifo zomdlavuza?

Uma usuvele welashwa ngudokotela wezifo zomdlavuza, kufanele ushayele udokotela wakho ucingo ngokushesha uma kwenzeka izinto ezithile. Shayela udokotela wakho wezifo zomdlavuza ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma unomkhuhlane ongaphezu kwama-degree Celsius angu-38 (100.4 degrees Fahrenheit) .
• Uma kuvela izimpawu ezintsha .
• Uma kukhona ushintsho olukhulu oluzumayo ezimpawini zakho zamanje .
• Uma ubuhlungu bungapheli ngisho nangemva kokuthatha umuthi.
• Uma uzwa izimpawu zesifo sohlangothi (ubuthakathaka obungazelelwe kolunye uhlangothi lobuso, ukudideka, isiyezi, ikhanda elibuhlungu kakhulu, kanye nezinkinga zokubona).
• Uma uzwa izimpawu zokuhlaselwa yinhliziyo (ubuhlungu besifuba, isicanucanu, ukuphelelwa umoya, kanye/noma ubuhlungu behlombe).

Kubaluleke kakhulu ukutshela udokotela ngokushesha ngezikhathi ezinjengalezi .

Hlobo luni lwemfundo oludingekayo ukuze ube ngudokotela wezifo zomdlavuza?

Ukuba ngudokotela wezifo zomdlavuza akulula. Kudinga ukuzinikela okukhulu kanye nesikhathi eside semfundo. Okokuqala, udinga ukuthola iziqu ze-bachelor, bese kuba yiziqu zobudokotela. Ngemuva kwalokho, udinga ukuqedela izinhlelo zokuhlala kanye nezinhlelo zobudlelwano ukuze uthole ulwazi ezindaweni ezifana ne-medical oncology, i-surgical oncology, i-radiation oncology, noma i-hematology oncology. Sekukonke, ngokuvamile kuthatha iminyaka ephakathi kwengu-14 nengu-16 ukuba ngudokotela wezifo zomdlavuza.

Ngamafuphi: into okufanele uyicabangele.

Uma uya kudokotela wezifo zomdlavuza, ungase uzizwe wesaba, "Angazi ukuthi nginomdlavuza yini." Noma, uma kutholakala ukuthi unomdlavuza, ungase uzizwe ukhathazekile, "Kuzokwenzekani ngokulandelayo?" Ngezinye izikhathi ungase uzizwe ukhungathekile, ngoba azikho izimpendulo ezilula neziqondile kuyo yonke imibuzo onayo. Yonke le mizwa ivamile kakhulu. Udokotela wakho wezifo zomdlavuza uyayiqonda le mizwa, futhi ukulungele ukukusiza nganoma iyiphi indlela angayenza. Khumbula ukuthi awuwedwa.

'Umdlavuza, udokotela wezifo zomdlavuza, uchwepheshe womdlavuza, ukwelashwa komdlavuza, i-chemotherapy, ukwelashwa ngemisebe, izimpawu zomdlavuza