Uma wena noma othandekayo wakho kutholakala ukuthi unomdlavuza, kunzima ukusho ngamazwi ukuthi uzizwa kanjani. Kodwa futhi kuyinto evamile ukuzizwa wesaba futhi udidekile uma uzwa amagama amasha namagama avela kodokotela. Mhlawumbe udokotela wakho ukutshelile ukuthi, "Sidinga ukukudlulisela ku-'Surgical Oncologist'." Ukuzwa lelo gama mhlawumbe kukwenze waba nemibuzo eminingi. "Ubani lowo?" "Wenzani?" "Ingabe kuzodingeka ngihlinzwe?" Ungakhathazeki. Ake sixoxe ngakho konke lokhu ngendlela elula, isinyathelo ngesinyathelo.
Ubani udokotela wezifo zomdlavuza ohlinzayo?
Kalula nje, i-Surgical Oncologist ingudokotela ohlinzayo othole ukuqeqeshwa okukhethekile ekwenzeni ukuhlinzwa kweziguli ezinomdlavuza. Ukuhlinzwa kuyindlela eyinhloko nesetshenziswa kakhulu yokwelapha umdlavuza. Ngakho-ke, umsebenzi oyinhloko walo dokotela onguchwepheshe ukususa amangqamuzana omdlavuza noma izimila emzimbeni ngokuhlinzwa.
Kodwa akasebenzi yedwa. Ukwelashwa komdlavuza kuwumzamo weqembu. Lo dokotela usebenza nabanye odokotela, njengodokotela wezifo zomdlavuza, uchwepheshe wokwelashwa komdlavuza (njenge-chemotherapy) , kanye nodokotela wezifo zomdlavuza , ukuze baveze uhlelo lokwelashwa olungcono kakhulu kuwe.
Yini ngempela eyenziwa yilo dokotela onguchwepheshe?
Indima kaDokotela Womdlavuza Wokuhlinzwa ayigcini nje ngokwenza ukuhlinzwa. Usenawe kusukela ekuqaleni kohambo lwakho lomdlavuza. Ake sibheke izinto eziyinhloko azenzayo.
| Umsebenzi owenziwayo | Kuchazwe kalula |
|---|---|
| Ukuhlolwa kwe-biopsy | Ukuze kutholakale ukuthi iqhubu elingavamile emzimbeni liwumdlavuza noma cha, kuthathwa ingcezu encane kakhulu yezicubu eqhubu bese ithunyelwa elabhorethri ukuze ihlolwe. Le nqubo ibizwa ngokuthi i-biopsy. Lokhu kuvame ukwenziwa yi-Surgical Oncologist. |
| Incazelo yemibiko yokuhlolwa | Uma imibiko evela ku-biopsy kanye nezinye izivivinyo ifika, bazochaza lokho abakuqukethe ngendlela elula ongayiqonda. |
| Ukunquma isigaba somdlavuza | Isigaba somdlavuza sinqunywa ukuthi umdlavuza ususakazeke kangakanani kanye nobukhulu besimila. Lokhu kubaluleke kakhulu ekunqumeni ukuthi yikuphi ukwelashwa okufanele kwenziwe ngokulandelayo. |
| Ukulungiselela uhlelo lokwelashwa | Bekanye nabanye ochwepheshe, bazokwakha uhlelo lokwelapha olungcono kakhulu lwesimo sakho, okuhlanganisa nokuthi uzohlinzwa nini nokuthi kudingeka yini ezinye izindlela zokwelapha ngaphambi noma ngemva kwalokho. |
| Ukukhuluma ngezinketho zokuhlinzwa | Sizokuchazela ukuthi yiziphi izinhlobo zokuhlinzwa ongazisebenzisa, nokuthi yiziphi izinzuzo kanye nokungalungi kwalokhu ngakunye. |
| Iseluleko sokulungiselela ukuhlinzwa | Uzonikezwa iseluleko ngakho konke okudingeka ukwenze ngaphambi kokuhlinzwa, njengokuthi yikuphi ukudla neziphuzo okudingeka uyeke ukudla noma ukuthatha imithi. |
| Ukuqapha ukululama ngemva kokuhlinzwa | Ngemva kokuhlinzwa, uzoqashwa ngesikhathi sokululama kwakho futhi welashwe nganoma yiziphi izinkinga eziphakamayo. |
| Ukuhlinzwa Kokunakekelwa Kobuhlungu | Ngezinye izikhathi, umdlavuza awukwazi ukwelapheka ngokuphelele. Ezimweni ezinjalo, kwenziwa nokuhlinzwa ukuze kuncishiswe izimpawu ezifana nobuhlungu nokungakhululeki okubangelwa umdlavuza. |
Kungani udinga ukubona i-Oncologist Yokuhlinzwa?
Kungase kube nezizathu eziningana zokuthi kungani ungafuna ukubona uchwepheshe onjengalona.
- Uma kusolwa ukuthi umdlavuza: Uma i-scan, i-mammogram, noma olunye uhlolo olwenzile lubonisa okuthile okungaba umdlavuza, uzothunyelwa ku-Surgical Oncologist ukuze kwenziwe i-biopsy ukuze kuqinisekiswe lokho.
- Uma usengozini enkulu yokuba nomdlavuza: Abanye abantu basengozini enkulu yokuba nezinhlobo ezithile zomdlavuza (isib. umdlavuza webele) ngenxa yezakhi zofuzo. Ezimweni ezinjalo, kunganconywa ukuhlinzwa ukuze kuncishiswe leyo ngozi ngaphambi kokuba umdlavuza uqale. Isibonelo, owesifazane osengozini enkulu kakhulu yokuba nomdlavuza webele angase ahlinzwe ukuze kususwe ibele ngaphambi kokuba kukhule amangqamuzana omdlavuza.
- Ukususa isimila esinomdlavuza: Uma sekuqinisekisiwe ukuthi unesimila esinomdlavuza emzimbeni wakho, kumele sisuswe ngokuhlinzwa. Ngisho noma umdlavuza ususakazekele kwezinye izingxenye zomzimba (umdlavuza osakazekile), lezo zimila ngezinye izikhathi zisuswa ngokuhlinzwa.
- Ukuze unciphise izimpawu: Kungase kudingeke ukuthi uhlinzwe (Palliative Care Surgery) ukuze unciphise izimpawu ezinzima ezibangelwa umdlavuza, njengobuhlungu obukhulu noma ukuvaleka kwamathumbu.
Into ebalulekile ukuthi ukudluliselwa kudokotela wezifo zomdlavuza akusho ukuthi kuzodingeka uhlinzwe. Kusho ukuthi uzothola umbono wochwepheshe ngesimo sakho futhi unqume indlela engcono kakhulu yokwelashwa.
Yiziphi izinhlobo zokuhlinzwa ezenziwa yilaba odokotela?
Ukuhlinzwa komdlavuza kungahlukaniswa kakhulu kube izinhlobo ezimbili.
1. Ukuhlinzwa Okungangeni Kakhulu: Kalula nje, lokhu ukuhlinzwa okwenziwa ngaphandle kokwenza ukusika okukhulu, ngokwenza izimbobo ezimbalwa ezincane emzimbeni, lapho kufakwa khona ikhamera kanye nezinsimbi zokuhlinza ezibucayi kakhulu. Ukuhlinzwa kwe-Laparoscopic kungenye yalezi. Le ndlela ayishiyi isilonda esikhulu, kunobuhlungu obuncane, ukuhlala esibhedlela kufushane, futhi ukululama kuyashesha.
2. Ukuhlinzwa Okuvulekile: Lena yindlela yendabuko. Kulokhu, kwenziwa ukusika okukodwa okukhulu ukuze kufinyelelwe ngqo esimila. Le ndlela ingadingeka uma isimila sikhulu noma sisakazekele ezicutshini ezizungezile.
Ukuhlinzwa kuyindlela yokwelapha ephumelela kakhulu yamathumba aqinile. Ukuhlinzwa kuyindlela yokwelapha eyinhloko, ikakhulukazi ezigabeni zokuqala zezifo ezifana nomdlavuza webele, umdlavuza wamathumbu amakhulu, umdlavuza wamaphaphu ongewona amangqamuzana amancane, kanye nomdlavuza wendlala, lapho umdlavuza ungakasabalali uye kuma-lymph node aseduze.
Yini okufanele uyilindele lapho uhlangana nodokotela wezifo zomdlavuza okokuqala?
Ukuqokwa kokuqala kubaluleke kakhulu. Lapha, udokotela uzama ukuqonda ngokuphelele isimo sakho sezokwelapha. Futhi uthola nethuba lokubuza nokuphendula noma yimiphi imibuzo ongase ube nayo.
Ngokuvamile, izinto ezilandelayo zenzeka phakathi nalo mhlangano:
- Bazobuyekeza ngokucophelela yonke imibiko yakho yokuhlolwa futhi bakuchazele incazelo yayo.
- Ikutshela ngesigaba somdlavuza wakho .
- Bazokutshela ukuthi yiziphi izindlela zokwelapha ezitholakalayo kuwe, kungaba ukuhlinzwa nje noma uma kudingeka nezinye izindlela zokwelapha.
- Uma kwenziwa ukuhlinzwa, izinzuzo, ukungalungi, kanye nezingozi ezingaba khona ziyachazwa.
- Bazokhuluma nawe futhi banqume ukuthi yiziphi izinyathelo okufanele bazithathe ngokulandelayo.
Khumbula, ungangabazi ukukhuluma nalo dokotela nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Ulapha ukuzokusiza. Buza imibuzo efana nokuthi, "Ingabe ngizokwazi ukusebenza kahle ngemva kwalokhu kuhlinzwa?" "Kuphumelele kangakanani lokhu?"
Udokotela uzophinde akubuze, "Unjani?" Uyazi ukuthi umdlavuza uyinto eshintsha impilo nokuthi ukuhlinzwa kungaba yinto eyesabekayo. Ngakho-ke uzokhathazeka nangesimo sakho sengqondo.
Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?
Kungumqondo omuhle ukubhala phansi eminye yemibuzo yakho ngaphambi kokuya e-aphoyintimenti. Ngaleyo ndlela, ngeke ukhohlwe lutho. Nazi ezinye izibonelo:
- Yiziphi ezinye izindlela zokwelapha engizozidinga ngaphezu kwalokhu kuhlinzwa? (isib., i-chemotherapy, ukwelashwa ngemisebe)
- Iyini inhloso eyinhloko yalokhu kuhlinzwa? (Ukwelapha umdlavuza noma ukunciphisa izimpawu?)
- Lingakanani izinga lempumelelo yalokhu kuhlinzwa?
- Ingabe kuzodingeka ngihlinzwe ngaphezu kokukodwa?
- Ingabe kukhona ezinye izindlela zokwelapha ezingenziwa ngaphandle kokuhlinzwa?
- Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokuhlinzwa?
- Kuzongithatha isikhathi esingakanani ukubuyela empilweni ejwayelekile?
Uyini umehluko phakathi kwe-Medical Oncologist kanye ne-Surgical Oncologist?
La magama amabili avame ukudidaniswa. Leli thebula lizokusiza uqonde umehluko omkhulu phakathi kwala magama amabili.
| Udokotela ochwepheshe | Indlela yokwelapha eyinhloko |
|---|---|
| Udokotela Wezifo Zomdlavuza Ohlinzayo (Udokotela ohlinzayo womdlavuza) | Ukususwa ngokomzimba kwezimila kanye namaseli anomdlavuza emzimbeni ngokuhlinzwa . |
| Udokotela Wezifo Zomdlavuza Wezokwelapha (Udokotela Wezifo Zomdlavuza) | Izindlela ezingezona ezokuhlinzwa, okungukuthi, ukusebenzisa imithi ukwelapha umdlavuza. Izibonelo: Ukwelashwa ngamakhemikhali, Ukwelashwa ngama-hormone, kanye nokwelashwa ngama-immunotherapies. |
Ngokuvamile, kuzodingeka ubonane nochwepheshe bobabili, njengoba imidlavuza eminingi idinga kokubili ukuhlinzwa kanye nokwelashwa ngemithi.
Ukulwa nomdlavuza uhambo olunzima. Kodwa awuwedwa. Kunethimba lodokotela abanekhono nabazinikele ukukusiza futhi bakunikeze ukwelashwa okungcono kakhulu. Udokotela Womdlavuza Wokuhlinza uyilungu elibaluleke kakhulu lalelo qembu. Manje usumqonda kahle nokuthi wenzani. Ngakho-ke bhekana nalolu hambo ngaphandle kokwesaba nangesibindi. Khuluma nodokotela wakho ngakho konke obala.
Umlayezo Wokuya Nawe Ekhaya
- Udokotela Wokuhlinzwa Udokotela ohlinzayo othole ukuqeqeshwa okukhethekile ekwenzeni ukuhlinzwa komdlavuza.
- Umsebenzi wakhe awugcini nje ngokwenza ukuhlinzwa. Ukusiza kusukela ekuhlolweni kwezicubu kuya esikhathini sokululama ngemva kokuhlinzwa.
- Ukwelashwa komdlavuza kuwumzamo weqembu . Udokotela Womdlavuza Ohlinzayo, Udokotela Womdlavuza Wezokwelapha, kanye nodokotela Womdlavuza Wemisebe bonke basebenzisana ukuze banqume ukwelashwa okungcono kakhulu kuwe.
- Uma uhlangana nodokotela wakho, ungangabazi ukukhuluma ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho.
- Ukuhlinzwa kuyindlela yokwelapha ephumelela kakhulu yomdlavuza. Esikhundleni sokuwesaba, kubalulekile ukuba nolwazi olufanele ngawo.
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