Ngezinye izikhathi, lapho udokotela ekuchazela ngesimo sezokwelapha futhi ekutshela ngokwelashwa okufanele kwenziwe ngaso, uzizwa ungabaza noma ungabaza? Imibuzo efana nokuthi 'Ingabe lokhu kuyinto engcono kakhulu?', 'Ayikho enye indlela?' ifika engqondweni, akunjalo? Kuvamile kakhulu ukuzizwa ngaleyo ndlela, futhi kuyilungelo lakho. Yilapho 'umbono wesibili' uba yinto ebaluleke kakhulu kithi. Lokho kusho ukucela omunye udokotela ofanelekayo umbono ngesimo sakho sezokwelapha.
Kunini lapho kudingeka khona umbono wesibili?
Ungase uzibuze, 'Ingabe ngidinga ukuthola umbono wesibili ngazo zonke izifo ezincane?' Umkhuhlane ovamile cishe ngeke udingeke. Kodwa-ke, kwezinye izimo ezingathi sína, ukuthola umbono wesibili kungaguqula impilo. Ake sibheke ezinye zalezo zimo.
| Ithuba | Kalula nje... |
|---|---|
| Ukugula okukhulu | Uma udokotela ekutshela ukuthi unesifo esisongela ukuphila njengomdlavuza noma isifo senhliziyo. |
| Ukwelashwa okuyingozi | Uma ukwelashwa okuhlongozwayo kuwe (isib. ukuhlinzwa, i-chemotherapy) kuyingozi kakhulu noma kungadala imiphumela enobuthi emzimbeni. |
| Uma ukuxilongwa kungacacile | Uma kunzima ukukhomba imbangela eqondile yezimpawu zakho, noma uma ukwelashwa okuhlongozwayo kusesesigabeni sokucwaninga. |
| Uma uhlanganyela esivivinyweni esisha sezidakamizwa | Uma umenyiwe ukuthi uhlanganyele esivivinyweni somtholampilo somuthi omusha, kubaluleke kakhulu ukubuza omunye udokotela ngakho. |
| Uma kungukuhlinzwa kokuhlola | Uma uhlinzwa noma olunye ukwelashwa usebenzisa imishini noma izindlela ezintsha ezisesesigabeni sokucwaninga. |
Ungacela kanjani umbono wesibili ngaphandle kokucasuka ngodokotela?
Lona umbuzo omkhulu kunayo yonke abantu abaningi abanawo. Ngizizwa nginovalo olukhulu nokukhathazeka, ngizibuza, 'Ingabe udokotela uzothukuthela uma ngibuza lokhu? Ingabe uzongicabanga into engalungile?'
Kodwa iqiniso yileli: Udokotela omuhle nochwepheshe akasoze aphikisana nawe ukuthola umbono wesibili. Bayakwazisa lokho. Ngoba kubonisa ukuthi uyikhathalela kangakanani impilo yakho.
Ungabuza ngenhlonipho: "Dokotela, ngingathanda ukucabanga ngalokhu kwelashwa okwengeziwe. Ukuze ngisuse ukungabaza kwami, ngingacela omunye uchwepheshe ukuthi anginike umbono wakhe ngale ndaba?" Ngale ndlela, ngeke kube khona ukucasuka.
Ingabe kufanele ngitshele udokotela wami ukuthi ngifuna omunye umbono?
Yebo, kufanele nakanjani. Kunezizathu ezimbili eziyinhloko zalokho:
1. Amarekhodi akho ezokwelapha: Ukuze udokotela wesibili onolwazi aqonde isimo sakho ngendlela efanele, uzodinga amarekhodi akho aphelele ezokwelapha, imiphumela yokuhlolwa, kanye nama-slide e-pathology uma kuthathwe amasampula ezicubu. Ungazithola kalula ngokumane wazise udokotela wakho wamanje.
2. Ukuxhumana phakathi kodokotela: Uma uvulekile ngalokhu, uma kudingeka, odokotela ababili bangaxoxa ngesimo sakho futhi baxoxe ngalokho abavumelana ngakho nalokho abangavumelani ngakho. Lokhu kuzuzisa wena. Cabanga nje, uma uqamba amanga kudokotela wakho wokuqala, udokotela wesibili ngeke athole ulwazi oluqondile mayelana nokugula kwakho. Kufana nokubuza kuphela ukuphela kwendaba ngaphandle kwesiqalo.
Ingabe kuwumqondo omuhle ukucela udokotela wami ukuthi angincomele udokotela omuhle ukuze ngithole omunye umbono?
Ungabuza lokho. Kodwa zama konke okusemandleni akho ukubona udokotela osebenza kwesinye isibhedlela noma kwesinye isikhungo sezokwelapha .
Ngoba, ngezinye izikhathi, odokotela esibhedlela noma esikhungweni esifanayo bangase babe nombono ofanayo kanye nendlela yokwelapha evamile yesifo esithile. Lokho akulona iphutha, yisiko lezokwelapha laleso sikhungo. Kodwa kwesinye isibhedlela, mhlawumbe esibhedlela esikwelinye icala ledolobha, ungase uhlangane nodokotela obheka isifo esifanayo ngombono ohlukile ngokuphelele futhi asikisele indlela yokwelapha ehlukile. Lokho kukunika ithuba lokufunda ngezinketho ezahlukene.
Ingabe ngidinga ukuthola umbono wesibili ngombiko webhubhu kanye nombiko wezifo?
Yebo impela! Lokhu kuyinto abantu abaningi abayigwemayo, kodwa kubaluleke kakhulu. Ngizonixoxela indaba eyiqiniso.
Owesifazane watholakala enomdlavuza webele. I-biopsy yakhe ibonise ukuthi amangqamuzana omdlavuza ayenophawu lwezakhi zofuzo olubizwa ngokuthi i-HER2 . Ukuba khona kwalolu phawu lwe-HER2 kusho ukuthi luhlobo lomdlavuza olunamandla kakhulu nolusakazeka ngokushesha. Kusho nokuthi umuthi omusha obizwa ngokuthi i-Herceptin ungasetshenziswa kuwo. Kodwa futhi udinga i-chemotherapy enamandla, enobuthi obukhulu.
Lapho lona wesifazane eyofuna umbono wesibili, udokotela wathumela islayidi esidala se-pathology kudokotela wezifo esibhedlela esifanayo ukuze ayothola umbono wesibili. Udokotela wezifo wesibili wathi, "Angicabangi ukuthi yi-HER2. Mhlawumbe kube nephutha lobuchwepheshe ekudayisweni kwezicubu ekuhlolweni kokuqala."
Ngakho-ke, lapho bephinda behlola, kwaqinisekiswa ukuthi empeleni yayine -HER2 negative , okusho ukuthi yayingenalo lelo phawu. Ekugcineni, welapheka ngokuphelele ngokwelashwa ngama-hormone okwakungenabo ubuthi. Cabanga nje, ukube wayengakatholi umbono wesibili, ngabe kwadingeka athole ukwelashwa ngamakhemikhali okungenamsebenzi, okunobuthi obukhulu. Lokho kubonisa ukuthi umbono wesibili ubaluleke kangakanani embikweni webhubhu, akunjalo?
Ubani onesinqumo sokugcina?
Yini oyenzayo uma odokotela ababili bengavumelani? Lona omunye umbuzo ofika engqondweni.
Udokotela uzokuchazela ukuthi yini acabanga ukuthi ilungile, ukuthi yini engcono kakhulu ngokusekelwe kokuhlangenwe nakho kwakhe. Angase asikisele nokuthi ufune abanye ochwepheshe. Kodwa khumbula, isinqumo sokugcina ngomzimba wakho, impilo yakho, sisezandleni zakho.
Ungafunda ngokucophelela imibono yabo bobabili odokotela, uqonde izinzuzo nezingozi, bese ukhetha indlela yokwelapha evumelana nenhliziyo yakho futhi okholelwa kakhulu kuyo. Akekho ongakuphoqa ukuthi uhlinzwe noma akunike noma yimuphi umuthi. Ngakho-ke, thola ulwazi futhi wenze isinqumo esihlakaniphile.
Umlayezo Wokuya Nawe Ekhaya
- Uma kutholakale ukuthi unesifo esingathi sína noma uma ukwelashwa okuhlongozwayo kuyingozi kakhulu, ungalokothi unqikaze ukuthola umbono wesibili.
- Vula kudokotela wakho mayelana nokufuna umbono wesibili. Udokotela omuhle uyohlala ekwazisa lokho.
- Ngaphambi kokufuna umbono wesibili, kubalulekile ukwazisa udokotela wakho wamanje ukuze athole wonke amarekhodi akho ezokwelapha.
- Uma kungenzeka, khetha udokotela ovela kwesinye isibhedlela noma isikhungo ukuze uthole umbono wesibili. Lokhu kuzokunikeza umbono ohlukile.
- Kungaba kubaluleke kakhulu ukuthola umbono wesibili ngokuhlolwa kwegazi, imibiko ye-X-ray, futhi ikakhulukazi emibikweni yokuhlolwa kwezicubu (i-Pathology/Biopsy).
- Khumbula ukuthi unelungelo eliphelele kanye nomthwalo wemfanelo wokugcina wenza izinqumo mayelana nempilo yakho, ngemva kokubonisana nayo yonke imibono yezokwelapha.
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