Ubani udokotela womdlavuza ohlinzayo? Ake sixoxe ngalokhu!

Uma sizwa igama elithi umdlavuza, sonke siyasaba kancane, akunjalo? Kodwa kunodokotela abaningi abangasisiza futhi basinikeze ukwelashwa esikudingayo kulolu hlobo lokugula. Uchwepheshe olapha iziguli zomdlavuza ngokuhlinzwa nguye esizokhuluma ngaye namuhla, "udokotela womdlavuza ohlinzayo" . Ake sibone ukuthi ungumuntu onjani nokuthi wenzani?

Uyini 'udokotela womdlavuza wokuhlinzwa'?

Kalula nje, "uSolwazi Womdlavuza Wokuhlinza" ungudokotela ohlinzayo ogxile ekuxilongeni nasekwelapheni umdlavuza ngokuhlinzwa. Ubuwazi ukuthi ukuhlinzwa kuyindlela yokwelapha umdlavuza evame kakhulu futhi esetshenziswa kakhulu? Laba odokotela abasebenza bodwa. Basebenzisana nabanye ochwepheshe bomdlavuza, njengo "oSolwazi Bomdlavuza Wezokwelapha" abaphatha umdlavuza ngemithi, kanye no "oSolwazi Bomdlavuza Wemisebe" abahlinzeka ngokwelashwa ngemisebe, ukuze baveze uhlelo lokwelapha olungcono kakhulu kuwe. Kufana nethimba, wonke umuntu esebenzisana nawe.

Ngakho-ke, yini ngempela eyenziwa udokotela ohlinzayo womdlavuza?

Kulungile, manje ake sibone ukuthi laba ochwepheshe bangasisiza kanjani, nokuthi iyini indima yabo. Bangakwenza lokhu:

• I-biopsy iyisivivinyo sokunquma ukuthi iqhubu noma ukukhula okungajwayelekile emzimbeni wakho kungumdlavuza yini. Lokhu kuhilela ukuthatha ingxenye encane yezicubu endaweni esolisayo bese uyihlola. Lesi yisinyathelo esibaluleke kakhulu ekuqinisekiseni ukuxilongwa.
• Chaza kuwe ngamazwi alula ukuthi imiphumela yokuhlolwa kwe-biopsy yayiyini nokuthi isho ukuthini. Ngezinye izikhathi imibiko yezokwelapha kunzima ukuyiqonda, ngakho-ke kungumthwalo wabo ukuyichaza ngokucacile.
• Nquma isigaba somdlavuza wakho. Lokhu kubaluleke kakhulu ekuhleleni ukwelashwa. Izindlela zokwelapha zinqunywa ngokusekelwe esigabeni somdlavuza.
• Sebenzisana nabanye odokotela abaphatha umdlavuza ukuze bakusize udale uhlelo lokwelapha olungcono kakhulu .
• Ngizoxoxa nawe ngokuhlinzwa ongakwenza, kanye nemininingwane yako . Unelungelo lokwazi yonke imininingwane.
• Chaza izinzuzo kanye nokungalungi kokuhlinzwa ngakunye okuhlongozwayo ukuze ukwazi ukwenza isinqumo esinolwazi.
• Ngikunikeza iseluleko sendlela yokulungiselela ukuhlinzwa, okuhlanganisa ukudla okudlayo kanye nemithi okudingeka uyeke.
• Khuluma ngalokho ongakulindela ngemva kokuhlinzwa. Isibonelo, ubuhlungu, isikhathi sokululama, lokho ongakwenza nalokho ongenakukwenza.
• Ziqaphele ngokucophelela phakathi nokululama kwakho ngemva kokuhlinzwa.
• Yelapha izinkinga ezingase zenzeke ngezinye izikhathi ngemva kokuhlinzwa.
• Ukuhlinzwa Kokunakekelwa Kwezinhlungu Zobuhlungu uhlobo lokuhlinzwa olwenziwa ukunciphisa izimpawu zomdlavuza, njengobuhlungu nokungakhululeki. Lokhu kusho ukuthi noma umdlavuza ungelapheki, ungakusiza ukuthi uphile impilo yakho yonke ngaphandle kobuhlungu futhi kalula.

Kungani ngidinga ukubona udokotela ohlinzayo womdlavuza?

Ungase uzibuze, 'Kungani ngingafuna ukubona udokotela onje?' Nazi ezinye izimo lapho kungadingeka ubonane nodokotela we-`(udokotela womdlavuza wokuhlinzwa)`:

• Uma unesilingo sokuhlolwa komdlavuza noma olunye uvivinyo lwezokwelapha olubonisa izimpawu zomdlavuza, khona-ke lo dokotela uzokwenza isivivinyo se-biopsy engikhulume ngaso ekuqaleni bese ethatha isampula yezicubu ezisolisayo ukuqinisekisa ukuthi umdlavuza.
• Uma unengozi enkulu yokuba nomdlavuza. Isibonelo, uma othile emndenini wakho eke waba nomdlavuza, noma uma unengozi enkulu yokuba nomdlavuza webele ngenxa yezizathu zofuzo, udokotela wakho angase enze i-prophylactic mastectomy njengendlela yokuvimbela.
• Uma udinga ukususa isimila esinomdlavuza ngokuhlinzwa, lokhu kungafaka phakathi umdlavuza osakazeke kakhulu. Ngezinye izikhathi, isimila sidinga ukususwa hhayi nje kuphela lapho umdlavuza waqala khona, kodwa nalapho ususakazeke khona.
• Uma kudingeka ukuhlinzwa kokunakekelwa kokunciphisa ubuhlungu ukuze kuncishiswe izimpawu zomdlavuza, okungukuthi, ukunciphisa ubuhlungu.

Hlobo luni lokuhlinzwa okwenziwa yilaba odokotela bomdlavuza?

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa komdlavuza: ukuhlinzwa okungangenisi kakhulu kanye nokuhlinzwa okuvulekile .

Cabanga ngakho ngale ndlela,

• Ukuhlinzwa Okungangeni Kakhulu: Kule nqubo, udokotela wenza izimbobo ezimbalwa ezincane emzimbeni wakho futhi usebenzisa amathuluzi akhethekile ukususa umdlavuza. Le nqubo ayishiyi isilonda esikhulu, ungase ululame ngokushesha, futhi kungadingeka uhlale esibhedlela isikhathi esincane. Ngezinye izikhathi, kufakwa ikhamera (njenge-laparoscope) endaweni yokuhlinzwa ukuze udokotela abone ngaphakathi kahle.
• Ukuhlinzwa Okuvulekile: Kulokhu, kwenziwa ukusika okukodwa okukhulu ukuze kususwe isimila somdlavuza. Kwezinye izimo eziyinkimbinkimbi, le ndlela ingadingeka uma isimila sikhulu noma uma sithinte izicubu ezizungezile.

Ukuhlinzwa kuvame ukuba yindlela yokwelapha ephumelelayo yamathumba aqinile. Isibonelo, kuyindlela yokwelapha eyinhloko yezifo ezifana nomdlavuza webele. Futhi, uma umdlavuza usesigabeni sawo sokuqala, okusho ukuthi awukasabalali kwezinye izindawo, ikakhulukazi ama-lymph node aseduze, ukuhlinzwa kuyindlela yokwelapha eyinhloko.

Nazi ezinye izibonelo:

• Umdlavuza Wamathumbu Amancane: Ngenxa yalokhu, udokotela wezifo zomdlavuza angenza i-Polypectomy (ukususa amaqhubu amancane kumathumbu amakhulu) noma i-Partial Colectomy (ukususa ingxenye yekoloni enomdlavuza).
• Umdlavuza wamaphaphu ongewona owamangqamuzana amancane: Lolu hlobo lomdlavuza wamaphaphu lungelashwa nge-lobectomy (ukususwa okuphelele kwe-lobe ethintekile yamaphaphu) noma ngokususwa kwamaphaphu (ukususwa kwengxenye encane yamaphaphu equkethe umdlavuza).
• Umdlavuza Wendlala Yesitho Sabesilisa: Ukuhlinzwa okwenziwa ukwelapha lo mdlavuza kwabesilisa kubizwa ngokuthi i-prostatectomy . Kuhilela ukususa yonke noma ingxenye yendlala yesitho sabesilisa.

Yini okufanele uyilindele uma uvakashela udokotela ohlinza umdlavuza okokuqala?

Uma uqala ukubona "udokotela womdlavuza wokuhlinzwa", uzokwenza izinto ezifana nalezi:

• Bazokuchazela ukuthi imibiko yakho yokuhlolwa ithini .
• Ikhuluma "ngeSigaba Somdlavuza" somdlavuza wakho .
• Uzokutshela ukuthi yiziphi izinketho zakho zokwelapha kanye nokuthi yiziphi izinzuzo nezingozi . Isibonelo, angase asikisele ukuthi wenze "Ukuhlinzwa Okuncane Okungangeni Kakhulu" okukhulunywe ngakho ngenhla, noma angase athi "Ukuhlinzwa Okuvulekile" kuyindlela engcono kakhulu kuwe.
• Bakhuluma ngezinyathelo ezilandelayo, njengokwenza isinqumo mayelana nokwelashwa nokubeka usuku lokuqala ukwelashwa .

Akukhona lokho kuphela, udokotela uzokubuza ngokuqinisekile ukuthi, "Unjani?" Bayazi ukuthi impilo ishintsha kanjani nokuthi kungaba nzima kangakanani uma uthola ukuxilongwa komdlavuza. Bayaqonda nokuthi kuyinto evamile ukuzizwa wesaba uma utshelwa ngokuhlinzwa. Bazozama ukukwazi futhi bakusize unciphise ukwesaba nokucindezeleka kwakho. Unganqikazi ukukhuluma nabo ngemizwa yakho nokwesaba kwakho.

Yimiphi imibuzo ongayibuza udokotela ohlinzayo womdlavuza?

Ngokuqinisekile uzoba nemibuzo eminingi nokungabaza engqondweni yakho. Ukuhlangana nodokotela ``udokotela womdlavuza ohlinzayo`` okokuqala ngqa yisikhathi esihle kakhulu sokuzwa nokuqonda konke lokhu. Nansi eminye imibuzo ongayibuza:

• Yikuphi okunye ukunakekelwa engikudingayo ngaphezu kwalokhu kuhlinzwa? (isib., i-chemotherapy, ukwelashwa ngemisebe)
• LokhuIyini inhloso eyinhloko yokuhlinzwa? (Ukwelapha umdlavuza ngokuphelele, ukuwuvimba ukuthi ungasabalali, noma ukunciphisa izimpawu?)
• Lingakanani izinga lempumelelo yalokhu kuhlinzwa?
• Ingabe kuzodingeka ngihlinzwe ngaphezu kokukodwa ?
• Ingabe kukhona izindlela zokwelapha ngaphandle kokuhlinzwa zalokhu?
• Kuzodingeka ngihlale isikhathi esingakanani esibhedlela ngemva kokuhlinzwa?
• Kuzothatha isikhathi esingakanani ukubuyela empilweni evamile ngemva kokuhlinzwa?
• Yimiphi imiphumela emibi noma izinkinga ezingaba khona ngenxa yalokhu kuhlinzwa? Zingahlala isikhathi esingakanani?

Into ebaluleke kakhulu ukuthi, ungesabi ukubuza noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Udokotela ukhona ukuzokusiza. Uma wazi konke ngokucacile, uzozizwa ukhululekile kakhulu.

Uyini umehluko phakathi 'kodokotela wezifo zomdlavuza wezokwelapha' kanye 'nodokotela wezifo zomdlavuza ohlinzayo'?

Lona futhi umbuzo abantu abaningi abanawo. Ake sibone ukuthi umehluko uyini phakathi kwalezi ezimbili.

• Udokotela Wezifo Zomdlavuza udokotela osebenzisa izindlela ezingezona ezokuhlinzwa ukwelapha umdlavuza. Isibonelo, belapha umdlavuza ngezinto ezifana nokuthi `(Chemotherapy)` (lokhu sikubiza ngokuthi i-chemotherapy, izinhlobo zemithi enikezwa ukubulala amangqamuzana omdlavuza), `(Hormonal Therapies)` (eminye imidlavuza ixhomeke kuma-hormone, futhi kunikezwa ukwelashwa ukuze iwaphathe), kanye `(Immunotherapies)` (lokhu kwenziwa ngokuvuselela amasosha omzimba ethu ukuze alwe nomdlavuza).
• Udokotela womdlavuza ohlinzayo , njengoba ngishilo ekuqaleni, welapha umdlavuza ngokuhlinzwa . Lokho kusho ukususa ngokuhlinzwa isimila somdlavuza noma izingxenye ezithintekile.

Uma unomdlavuza, ngezinye izikhathi zombili izinhlobo zokwelapha (zokuhlinzwa kanye nezingahlinzwa) zingasetshenziswa ndawonye. Isibonelo, ungase unikezwe i-chemotherapy ngaphambi kokuhlinzwa ukuze unciphise isimila, noma ungase unikezwe i-chemotherapy ngemva kokuhlinzwa ukuze kubulawe noma yimaphi amangqamuzana omdlavuza asele. Lokhu kuncike ezintweni eziningi, okuhlanganisa uhlobo lomdlavuza kanye nesigaba somdlavuza.

Umyalezo Wokugcina Wokuya Nasekhaya

Cishe uke wezwa ukuthi ukuhlinzwa kuyindlela ephumelela kakhulu "yokufaka umdlavuza ekuphumuleni." Kodwa-ke, kuvamile ukuzizwa ukhathazekile kakhulu futhi wesaba uma uzwa ukuthi "ukuhlinzwa kuyinto engcono kakhulu kuwe."

Udokotela wakho womdlavuza ohlinzayo unolwazi olukhulu ngalokhu. Uzoqonda imizwa yakho. Uzothatha isikhathi sokuphendula noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana nokuhlinzwa. Lokhu kuzokunikeza ukuqonda okucacile kwalokho okuzokwenzeka ngaphambi nangemva kokuhlinzwa.Lokhu kuqonda kuzosiza ekunciphiseni kakhulu ukwesaba kwakho.

Khumbula, awuwedwa kulolu hambo. Uneqembu lodokotela abanekhono abazokusiza futhi bakunakekele. Ukukhuluma nabo ngokukhululekile, ukubuza imibuzo yakho, nokwabelana ngemizwa yakho kuyinto ebaluleke kakhulu. Ukucabanga ngendlela enhle nokulandela iseluleko esinikezwa odokotela bakho kubaluleke kakhulu ukuze ululame ngokushesha.

Udokotela ohlinzayo womdlavuza , Udokotela ohlinzayo we-Oncologist, ukuhlinzwa komdlavuza, isifo somdlavuza, i-biopsy, amacala omdlavuza, ukuhlinzwa, ukwelashwa komdlavuza, uchwepheshe womdlavuza