About-khansa / kusamalira-chisamaliro / ntchito

Kupeza Ntchito Zothandizira Zaumoyo

Ngati mwapezeka kuti muli ndi khansa, kupeza dokotala ndi chithandizo chamankhwala anu a khansa ndichinthu chofunikira kwambiri kuti mupeze chithandizo chabwino kwambiri.

Mudzakhala ndi zinthu zambiri zofunika kuziganizira mukasankha dokotala. Ndikofunika kuti mukhale omasuka ndi katswiri amene mwasankha chifukwa mudzakhala mukugwira ntchito limodzi ndi munthuyo kuti mupange chisankho chokhudza khansa yanu.

Kusankha Dotolo

Mukamasankha dokotala kuti muzisamalira khansa, kungakhale kothandiza kudziwa zina mwazomwe zimagwiritsidwa ntchito pofotokoza zamankhwala ndi zidziwitso za dokotala. Madokotala ambiri omwe amachiza anthu omwe ali ndi khansa ndi azachipatala (ali ndi digiri ya MD) kapena madotolo a osteopathic (ali ndi digiri ya DO). Maphunziro wamba amaphatikizapo zaka 4 zophunzira ku koleji kapena kuyunivesite, zaka 4 zamasukulu azachipatala, ndi zaka 3 mpaka 7 zamaphunziro omaliza maphunziro azachipatala kudzera muma internship komanso malo okhala. Madokotala ayenera kupitiliza mayeso kuti akhale ndi chilolezo chogwiritsa ntchito zamankhwala mdziko lawo.

Akatswiri ndi madotolo omwe adachita maphunziro awo okhala pantchito zina monga zamankhwala amkati. Mabungwe odziyimira pawokha amatsimikizira madokotala atakwaniritsa zofunikira, kuphatikizapo kukwaniritsa maphunziro ndi maphunziro, kupatsidwa chilolezo chochita zamankhwala, ndikudutsa mayeso omwe aperekedwa ndi board yawo yapadera. Akakwaniritsa zofunikirazi, madokotala amatchedwa "board Certified".

Akatswiri ena omwe amachiza khansa ndi awa:

• Medical Oncologist : amakhazikika pochiza khansa

• Hematologist : amayang'ana kwambiri matenda am'magazi ndi ziwalo zina, kuphatikiza mafupa, ndulu, ndi ma lymph node

• Radiation oncologist : amagwiritsa ma x-ray ndi mitundu ina ya radiation kuti azindikire ndikuchiza matenda

• Dokotalayo : amachita maopareshoni pafupifupi gawo lililonse la thupi ndipo amatha kuchita opaleshoni yamtundu wina

Kupeza dokotala wodziwa bwino za khansa

Kuti mupeze dokotala wodziwa bwino za khansa, funsani adotolo oyambira kuti auze wina. Kapenanso mungadziwe za katswiri kudzera pazomwe zimachitikira bwenzi la abale anu. Komanso, kuchipatala kwanuko kuyenera kukupatsani mndandanda wa akatswiri omwe amachita kumeneko.

Njira ina yopezera dokotala ndi malo omwe ali pafupi ndi khansa ya NCI. Tsamba la Pezani Center la Khansa limapereka chidziwitso chothandizira opereka chithandizo chamankhwala ndi odwala khansa kuti atumizidwe m'malo onse osankhidwa ndi khansa ya NCI ku United States.

Zolemba pa intaneti zomwe zili pansipa zingakuthandizeninso kupeza katswiri wazamankhwala.

• American Board of Medical Specialists (ABMS), yomwe imakhazikitsa ndikugwiritsa ntchito miyezo yotsimikizira ndikuwunika madotolo, ili ndi mndandanda wa madotolo omwe akwaniritsa zofunikira zina ndikupambana mayeso apadera. Onani Kodi Dokotala Wanu Ndi Wotsimikizika?

• American Medical Association (AMA) DoctorFinderExit Disclaimer imapereka chidziwitso kwa madokotala omwe ali ndi zilolezo ku United States.

• American Society of Clinical Oncology (ASCO) membala wachinsinsiExit Disclaimer ali ndi mayina ndi mayanjano a pafupifupi 30,000 oncologists padziko lonse lapansi.

• American College of Surgeons (ACoS) imalemba mindandanda ya madokotala ochita opaleshoni mwa madera ndi zapadera mu awo Pezani database ya Opaleshoni ya Opaleshoni ya Disk. Ma ACoS amathanso kufikiridwa pa 1-86-621–4111.

• American Osteopathic Association (AOA) Pezani database ya DoctorExit Disclaimer imapereka mndandanda wama intaneti wa madotolo a osteopathic omwe ali mamembala a AOA. AOA ikhozanso kufikiridwa pa 1-86-621–1773.

Mabungwe azachipatala am'deralo amathanso kusungitsa mndandanda wa madokotala pazapadera zilizonse kuti muwone. Malaibulale aboma ndi azachipatala atha kukhala ndi zolemba za mayina azachipatala zomwe zidalembedwa mwapadera.

Kutengera ndi inshuwaransi yazaumoyo wanu, kusankha kwanu kumangokhala kwa madotolo omwe amatenga nawo gawo pazokambirana zanu. Kampani yanu ya inshuwaransi imatha kukupatsirani mndandanda wa madokotala omwe amatenga nawo gawo pamakonzedwe anu. Ndikofunika kulumikizana ndi ofesi ya dokotala yemwe mukuganiza kuti akutsimikiza kuti akulandira odwala atsopano kudzera mu pulani yanu. Ndikofunikanso kuchita izi ngati mukugwiritsa ntchito pulogalamu ya inshuwaransi ya boma kapena boma monga Medicare kapena Medicaid.

Ngati mungasinthe mapulani a inshuwaransi yazaumoyo, mungafune kusankha dokotala yemwe mukufuna kugwiritsa ntchito poyamba ndikusankha pulani yomwe ikuphatikizira dokotala amene mwasankha. Muli ndi mwayi wokawona dokotala kunja kwa mapulani anu ndikulipira zochulukirapo nokha.

Pofuna kuthandizira kupanga chisankho mukamaganizira dokotala yemwe musankhe, ganizirani ngati dokotala:

• Kodi maphunziro ndi maphunziro amafunikira kuti akwaniritse zosowa zanu

• Ali ndi winawake amene amawaphimba ngati sakupezeka ndipo angapeze zolemba zanu zachipatala

• Ali ndi othandizira othandizira

• Akufotokozera zinthu momveka bwino, amakumverani, komanso amakupatsani ulemu

• Imakulimbikitsani kufunsa mafunso

• Ali ndi maola ogwira ntchito omwe amakwaniritsa zosowa zanu

• Ndikosavuta kupeza nthawi yokumana ndi

Ngati mukusankha dotolo, muyenera kufunsa:

• Kodi ali ndi mbiri yotsimikizika?

• Kodi amachita kangati opaleshoni?

• Ndi njira zingati zomwe achita?

• Amagwira zipatala ziti?

Ndikofunika kuti mumve bwino za dokotala amene mwasankha. Mukugwira ntchito ndi munthuyu pafupi mukamapanga chisankho chokhudza khansa yanu.

Kupeza Maganizo Achiwiri

Mutatha kukambirana ndi dokotala za matenda anu a khansa, mungafune kupeza malingaliro a dokotala wina musanayambe mankhwala. Izi zimadziwika kuti ndikutenga lingaliro lachiwiri. Mutha kuchita izi pofunsa katswiri wina kuti awunikenso zonse zokhudzana ndi inu. Dokotala amene akupereka lingaliro lachiwiri angavomereze dongosolo la mankhwala lomwe dokotala wanu woyamba angakupatseni, kapena atha kusintha malingaliro kapena njira ina. Mwanjira iliyonse, kupeza lingaliro lachiwiri kutero:

• Kukupatsani zambiri

• Yankhani mafunso aliwonse omwe mungakhale nawo

• Kukupatsani mphamvu zowonjezera

• Kukuthandizani kuti mukhale olimba mtima, podziwa kuti mwafufuza zonse zomwe mungasankhe

Kupeza lingaliro lachiwiri ndizofala kwambiri. Komabe odwala ena amakhala ndi nkhawa kuti dokotala wawo angakhumudwe akafunsanso lingaliro lina. Kawirikawiri zosiyana ndizoona. Madokotala ambiri amalandiranso lingaliro lina. Ndipo makampani ambiri a inshuwaransi yazaumoyo amalipiranso kapena amawafunikiranso, makamaka ngati dokotala akuti akuchitireni opaleshoni.

Mukamalankhula ndi dokotala kuti mupeze lingaliro lachiwiri, zingakhale zothandiza kufotokoza kuti ndinu okhutira ndi chisamaliro chanu koma mukufuna kukhala otsimikiza kuti mukudziwa momwe mungathere posankha chithandizo. Ndibwino kuti muphatikize dokotala wanu kuti mupeze lingaliro lachiwiri, chifukwa adzafunika kuti azitenga zolemba zanu zamankhwala (monga zotsatira zanu zoyesa ndi ma x-ray) kwa dokotala wopereka lingaliro lachiwiri. Mungafune kubweretsa wachibale kuti adzagwirizane nanu mukamafunsa lingaliro lina.

Ngati dokotala wanu sangathe kuuza katswiri wina kuti amve kachiwiri, zambiri mwazinthu zomwe tazitchula pamwambapa kuti mupeze dokotala zingakuthandizeni kupeza katswiri kuti amve kachiwiri. Muthanso kuyimbira Contact Center ya NCI ku 1-800-4-CANCER (1-800-422-6237) kuti akuwongolereni.

Kusankha Chithandizo Chithandizo

Monga posankha dokotala, malo omwe mungasankhe atha kukhala ochepa okhawo omwe amatenga nawo gawo pa inshuwaransi yazaumoyo wanu. Ngati mwapeza kale dokotala wothandizidwa ndi khansa, mungafunike kusankha malo azithandizo malinga ndi komwe dokotala wanu amachita. Kapenanso dokotala wanu atha kulangiza malo omwe amapereka chisamaliro chabwino kukwaniritsa zosowa zanu.

Mafunso ena omwe mungafunse mukaganiza zakuchipatala ndi awa:

• Kodi ili ndi chidziwitso komanso kupambana pochiza matenda anga?

• Kodi idavoteledwa ndi boma, ogula, kapena magulu ena chifukwa chazisamaliro zake?

• Kodi imayang'anitsitsa ndikugwira ntchito bwanji kuti ipititse patsogolo chisamaliro chake?

• Kodi idavomerezedwa ndi bungwe lovomerezeka mdziko lonse, monga ACS Commission on Cancer ndi / kapena The Joint Commission?

• Kodi ikufotokoza za ufulu ndi udindo wa odwala? Kodi zidziwitso izi zitha kupezeka kwa odwala?

• Kodi imapereka zithandizo, monga ogwira nawo ntchito ndi zothandizira, kuti zindithandizire kupeza thandizo la ndalama ngati ndikulifuna?

• Kodi amapezeka mosavuta?

Ngati muli ndi inshuwaransi yazaumoyo, funsani kampani yanu ya inshuwaransi ngati malo omwe mukusankha akuvomerezedwa ndi pulani yanu. Ngati mungaganize zolipirira nokha chithandizo chamankhwala chifukwa mwasankha kupita kunja kwa netiweki yanu kapena mulibe inshuwaransi, kambiranani ndi dokotala ndalama zomwe zingachitike. Mudzafunanso kuti mulankhule ku dipatimenti yolipiritsa anthu kuchipatala. Anamwino ndi ogwira nawo ntchito atha kukupatsaninso zambiri zakufalitsa, kuyenerera, ndi zovuta za inshuwaransi.

Zida zotsatirazi zingakuthandizeni kupeza chipatala kapena malo azachipatala kuti muzisamalira:

• Tsamba la NCI's Find a Cancer Center limapereka zidziwitso zamalo ophunzirira khansa omwe amadziwika ndi NCI m'dziko lonselo.

• Bungwe la American College of Surgeon's (ACoS's Commission on Cancer (CoC). Tsamba la ACoS lili ndi nkhokwe zosaka za Exit Disclaimerof za chisamaliro cha khansa zomwe avomereza. Amathanso kufikiridwa pa 1-312-202-5085 kapena imelo ku CoC@facs.org.

• Joint Commission Exit Disclaimere imawunika ndikuvomereza mabungwe azachipatala ku United States. Imaperekanso chitsogozo posankha chithandizo chamankhwala, komanso imapereka ntchito yapaintaneti ya Quality Check®Exit Disclaimer yomwe odwala angagwiritse ntchito kuwunika ngati malo ena avomerezedwa ndi Joint Commission ndikuwona malipoti ake. Amathanso kufikiridwa pa 1-630-792-5000.

Kuti mumve zambiri kapena kuthandizidwa kuti mupeze chithandizo chamankhwala, imbani foni kwa NCI ku 1-800-4-CANCER (1-800-422-6237).

Kupeza Chithandizo ku United States Ngati Simuli Nzika zaku US

Anthu ena omwe amakhala kunja kwa United States atha kufunanso kupeza lingaliro lina kapena kulandira chithandizo cha khansa mdziko muno. Malo ambiri ku United States amapereka chithandizo kwa odwala khansa yapadziko lonse. Akhozanso kukupatsani chithandizo, monga kutanthauzira chilankhulo kapena kuthandizira poyenda ndikupeza malo ogona pafupi ndi chipatala.

Ngati mumakhala kunja kwa United States ndipo mukufuna kulandira chithandizo cha khansa mdziko muno, muyenera kulumikizana ndi malo omwe amathandizira khansa kuti mudziwe ngati ali ndi ofesi yapadziko lonse lapansi. Malo Opangira Cancer Opangidwa ndi NCI Pezani tsamba la Cancer Center limapereka zidziwitso zamalo ophunzirira khansa omwe amasankhidwa ndi NCI ku United States.

Nzika zakumayiko ena zomwe zikukonzekera kupita ku United States kukalandira chithandizo cha khansa ayenera kupeza visa yoyamba kuti akapite kuchipatala kuchokera ku ofesi ya kazembe wa US kudziko lakwawo. Ofunsira ku Visa akuyenera kuwonetsa kuti:

• Mukufuna kubwera ku United States kukalandira chithandizo chamankhwala

• Konzani zokhala kwakanthawi kochepa

• Khalani ndi ndalama zolipira ndalama ku United States

• Khalani ndi malo okhala komanso ogwirizana ndi azachuma kunja kwa United States

• Akufuna kubwerera kudziko lakwawo

Kuti mudziwe chindapusa ndi zikalata zofunika ku visa yopanda kudziko lina komanso kuti mudziwe zambiri pazomwe mukufunsira, funsani ofesi ya kazembe wa US kapena kazembe wakunyumba kwanu. Mndandanda wazolumikizira mawebusayiti a Kazembe aku US ndi ma Consulates padziko lonse lapansi ungapezeke patsamba la US Department of State.

Zambiri pazokhudza ma visa osasamukira kudziko lililonse zimapezeka patsamba la Visa State. Ngati mukukonzekera kupita ku United States, onetsetsani kuti mwawona tsambalo ngati pali zosintha kapena kusintha kulikonse.

Kupeza malo othandizira kunja kwa United States

Ntchito zidziwitso za khansa zikupezeka m'maiko ambiri kuti mupereke zidziwitso komanso kuyankha mafunso okhudzana ndi khansa. Akhozanso kukuthandizani kupeza malo othandizira khansa pafupi ndi komwe mumakhala.

International Cancer Information Service Group (ICISG), gulu lapadziko lonse lapansi la mabungwe opitilira 70 omwe amapereka zidziwitso za khansa, ali ndi mndandandaExit Disclaimer of services information cancer on their website. Kapena mutha kutumiza imelo ku Exit DisclaimerICISG pamafunso kapena ndemanga.

Union for International Cancer Control (UICC) Exit Disclaimer ndi chida china kwa anthu okhala kunja kwa United States omwe akufuna kupeza chithandizo chamankhwala a khansa. UICC ili ndi mabungwe apadziko lonse okhudzana ndi khansa omwe amadzipereka pantchito yapadziko lonse yolimbana ndi khansa. Mabungwewa ndi zida zothandiza anthu ndipo atha kukhala ndi chidziwitso chothandiza chokhudza khansa ndi malo othandizira. Kuti mupeze zothandizira m'dziko lanu kapena pafupi ndi dziko lanu, mutha kutumiza UICC imeloExit Disclaimer kapena kulumikizana nawo ku:

Union for International Cancer Control (UICC) 62 njira de Frontenex 1207 Geneva Switzerland + 41 22 809 1811

Kupeza Inshuwaransi Yathanzi

The Affordable Care Act imasintha momwe inshuwaransi yazaumoyo imagwirira ntchito ku United States, zomwe zimakhudza kupewa, kuwunika, komanso kuchiza khansa. Pansi pa lamuloli, anthu ambiri aku America amafunika kukhala ndi inshuwaransi yazaumoyo.

Ngati mulibe inshuwaransi yazaumoyo kapena mukufuna kuwona zosankha zatsopano, malo a Msika wa Inshuwaransi Yathanzi pa intaneti amakupatsani mwayi wofananiza mapulani m'boma lanu kutengera mtengo, maubwino, mtundu, ndi zosowa zina zomwe mungakhale nazo. Kuti mudziwe za Msika wa Inshuwaransi ya Zaumoyo ndi zomwe mungasankhe posankha, chonde pitani ku Healthcare.gov kapena CuidadoDeSalud.gov kapena pitani kwaulere kwa 1-800-318-2596 (TTY: 1-855-889-4325).

Ntchito Zosamalira Kunyumba

Nthawi zina odwala amafuna kusamaliridwa kunyumba kuti athe kukhala kumalo ozolowereka ndi achibale komanso anzawo. Ntchito zosamalira kunyumba zitha kuthandiza odwala kukhala pakhomo pogwiritsa ntchito njira yolumikizirana ndi madotolo, manesi, ogwira nawo ntchito, othandizira olimbitsa thupi, ndi ena.

Ngati wodwalayo akuyenerera kulandira chithandizo chamankhwala kunyumba, izi zingaphatikizepo:

• Kusamalira zizindikiro ndikuwunika chisamaliro

• Kutumiza mankhwala

• Thandizo lakuthupi

• Chisamaliro cham'mtima komanso chauzimu

• Thandizani kukonzekera chakudya ndi ukhondo

• Kupereka zida zamankhwala

Kwa odwala komanso mabanja ambiri, chisamaliro chapanyumba chitha kukhala chopindulitsa komanso chovuta. Itha kusintha maubale ndikufunira mabanja kuthana ndi zovuta zonse pakusamalira odwala. Nkhani zatsopano zitha kuonekanso zomwe mabanja akuyenera kuthana ndi mavuto monga kukhala ndi othandizira kunyumba omwe amabwera panyumba pafupipafupi. Pokonzekera zosinthazi, odwala ndi omwe akuwasamalira ayenera kufunsa mafunso ndikupeza zidziwitso zambiri kuchokera ku gulu kapena gulu lakusamalira mabanja. Dokotala, namwino, kapena wogwira ntchito zachitukuko amatha kupereka chidziwitso chokhudza zosowa za wodwala, kupezeka kwa ntchito, ndi mabungwe othandizira kunyumba.

Kupeza Thandizo Lachuma Kusamalira Kwanyumba

Thandizo pakulipirira ntchito zanyumba zitha kupezeka pagulu kapena pagulu. Inshuwalansi yaumwini yaumwini imatha kugwira ntchito zanyumba, koma maubwino amasiyana pakukonzekera.

Zina mwazinthu zothandiza kubweza kusamalira kunyumba ndi izi:

• Centers for Medicare & Medicaid Services (CMS): Bungwe la boma lomwe limayang'anira ntchito zantchito zingapo zaumoyo. Awiri mwa awa ndi awa

• Medicare: Ndondomeko yaboma ya inshuwaransi ya okalamba kapena olumala. Kuti mudziwe zambiri, pitani patsamba lawo kapena itanani 1-800-MEDICARE (1-800-633-4227).

• Medicaid: Ndondomeko ya inshuwalansi ya boma ndi boma kwa iwo omwe akusowa thandizo pa ndalama zothandizira. Zolemba zimasiyana malinga ndi boma.

Both Medicare and Medicaid may cover home care services for patients who qualify, but some rules apply. Talk to a social worker and other members of the health care team to find out more about home care providers and agencies. For more information contact the CMS online or call 1-877-267-2323.

• Eldercare Locator: Run by the U.S. Administration on Aging, it provides information about local Area Agencies on Aging and other assistance for older people. These agencies may provide funds for home care. Eldercare Locator can be reached at 1-800-677-1116 for more information.

• A Veterans Affairs (VA) Veterans omwe ali olumala chifukwa chogwiritsa ntchito yankhondo atha kulandira chithandizo chanyumba kuchokera ku US department of Veteran's Affairs (VA). Komabe, ntchito zokhazokha zanyumba zoperekedwa ndi zipatala za VA ndi zomwe zingagwiritsidwe ntchito. Zambiri pazabwinozi zitha kupezeka patsamba lawo lawebusayiti kapena kuyimbira 1-877–222–8387 (1–877–222 – VETS).

Kuti mumve zina zothandizira kunyumba, itanani NCI Contact Center ku 1-800-4-CANCER (1-800-422-6237) kapena pitani ku cancer.gov.