Ibyerekeye-kanseri / gucunga-kwita / serivisi

Kubona Serivisi zita ku Buzima

Niba warasuzumwe kanseri, gushaka umuganga n’ikigo cyita ku barwayi ba kanseri ni intambwe yingenzi yo kubona imiti myiza ishoboka.

Uzagira ibintu byinshi ugomba gusuzuma muguhitamo umuganga. Ni ngombwa kuri wewe kumva umerewe neza ninzobere wahisemo kuko uzaba ukorana cyane nuwo muntu kugirango ufate ibyemezo bijyanye no kuvura kanseri.

Guhitamo Muganga

Mugihe uhisemo umuganga wokuvura kanseri, birashobora kuba byiza kumenya amwe mumagambo akoreshwa mugusobanura amahugurwa ya muganga nibyangombwa. Abaganga benshi bavura abantu barwaye kanseri ni abaganga (bafite impamyabumenyi ya MD) cyangwa abaganga osteopathique (bafite impamyabumenyi ya DO). Amahugurwa asanzwe akubiyemo imyaka 4 yo kwiga muri kaminuza cyangwa muri kaminuza, imyaka 4 y’ubuvuzi, n’imyaka 3 kugeza kuri 7 y’ubuvuzi bw’icyiciro cya kabiri cya kaminuza binyuze mu kwimenyereza umwuga no gutura. Abaganga bagomba gutsinda ikizamini kugirango bemererwe gukora ubuvuzi muri leta yabo.

Inzobere ni abaganga bakoze amahugurwa yo gutura mubice runaka nkubuvuzi bwimbere. Inama yihariye yigenga yemeza abaganga nyuma yo kuzuza ibisabwa bikenewe, harimo kubahiriza uburezi n’amahugurwa amwe, kwemererwa gukora ubuvuzi, no gutsinda ikizamini cyatanzwe ninama yabo yihariye. Iyo zimaze kuzuza ibyo bisabwa, abaganga ngo "bemejwe ninama."

Inzobere zimwe zivura kanseri ni:

• Medical Oncologue : kabuhariwe mu kuvura kanseri

• Hematologue : yibanda ku ndwara zamaraso hamwe nuduce dufitanye isano, harimo igufwa ryamagufa, ururenda, na lymph node.

• Imirasire ya oncologue : ikoresha x-imirasire nubundi buryo bwimirasire kugirango isuzume kandi ivure indwara

• Umuganga ubaga : akora ibikorwa hafi ya buri gice cyumubiri kandi arashobora kuba inzobere muburyo runaka bwo kubaga

Kubona umuganga winzobere mu kwita kuri kanseri

Kugirango ubone umuganga winzobere mu kwita kuri kanseri, baza umuganga wawe wibanze kugirango agire inama umuntu. Cyangwa urashobora kumenya inzobere ukoresheje uburambe bwinshuti yumuryango. Kandi, ibitaro byiwanyu bigomba gushobora kuguha urutonde rwinzobere zimenyereza aho.

Ubundi buryo bwo gushaka umuganga ni ikigo cya NCI cyegereye ikigo cya kanseri. Ipaji ya Find Centre Centre itanga amakuru yamakuru kugirango afashe abashinzwe ubuzima n’abarwayi ba kanseri boherejwe ku bigo byose bya kanseri byashyizweho na NCI muri Amerika.

Ububiko bwa interineti buvuzwe haruguru burashobora kandi kugufasha kubona inzobere mu kwita kuri kanseri.

• Ikigo cy’Abanyamerika cy’inzobere mu buvuzi (ABMS), gishyiraho kandi kigashyira mu bikorwa ibipimo ngenderwaho byo kwemeza no gusuzuma abaganga, gifite urutonde rw’abaganga bujuje ibyangombwa kandi batsinze ibizamini byihariye. Reba Ubuyobozi bwa Muganga Bwemejwe? Gusohoka

• Ishyirahamwe ry’abaganga bo muri Amerika (AMA) DoctorFinderExit Disclaimer ritanga amakuru kubaganga babifitemo uruhushya muri Amerika.

• Umuryango w’abanyamerika w’ubuvuzi bwa Clinical Oncology (ASCO) ububiko bw’abanyamuryangoExit Disclaimer ifite amazina n’inshuti z’abashakashatsi ba oncologiste bagera ku 30.000 ku isi.

• Ishuri rikuru ry’abaganga bo muri Amerika (ACoS) ryerekana urutonde rw’abaganga babaga mu turere n’inzobere mu gushakisha amakuru yo kubaga. ACoS irashobora kandi gushika kuri 1-800–621–4111.

• Ishyirahamwe ry’abanyamerika Osteopathic (AOA) Shakisha DataExit Disclaimer base itanga urutonde kumurongo wabaganga bakora imyitozo ya osteopathique bagize abanyamuryango ba AOA. AOA irashobora kandi gushika kuri 1-800–621–1773.

Amashyirahamwe yubuvuzi yaho arashobora kandi kubika urutonde rwabaganga muri buri kintu cyihariye kugirango ugenzure. Amasomero rusange nubuvuzi arashobora kuba afite ububiko bwamazina yabaganga yanditse kurutonde rwihariye.

Ukurikije gahunda yubwishingizi bwubuzima bwawe, amahitamo yawe arashobora kugarukira kubaganga bitabira gahunda yawe. Isosiyete yawe yubwishingizi irashobora kuguha urutonde rwabaganga bitabira gahunda yawe. Ni ngombwa kuvugana n'ibiro bya muganga utekereza kugirango umenye neza ko yakira abarwayi bashya binyuze muri gahunda yawe. Ni ngombwa kandi kubikora niba ukoresha gahunda yubwishingizi bwubuzima bwa leta cyangwa leta nka Medicare cyangwa Medicaid.

Niba ushobora guhindura gahunda yubwishingizi bwubuzima, urashobora guhitamo umuganga wifuza gukoresha mbere hanyuma ugahitamo gahunda irimo umuganga wahisemo. Ufite kandi uburyo bwo kubonana na muganga hanze ya gahunda yawe no kwishyura amafaranga menshi wenyine.

Kugira ngo ufashe gufata umwanzuro mugihe urimo gusuzuma umuganga wahitamo, tekereza niba muganga:

• Afite uburere n'amahugurwa bikenewe kugirango uhuze ibyo ukeneye

• Ufite umuntu ubapfukirana niba ataboneka kandi wagera kubitabo byubuvuzi

• Ifite abakozi bunganira

• Asobanura ibintu neza, aragutega amatwi, kandi akubaha

• Igutera inkunga yo kubaza ibibazo

• Ifite amasaha y'akazi yujuje ibyo ukeneye

• Nibyoroshye kubona gahunda hamwe

Niba uhisemo kubaga, uzashaka kubaza:

• Ese bafite ibyemezo?

• Ni kangahe bakora ubwoko bwo kubaga ukeneye?

• Ni bangahe muri ubwo buryo bakoze?

• Ni ibihe bitaro (b) bakora imyitozo?

Ni ngombwa kuri wewe kumva umerewe neza kwa muganga wahisemo. Uzakorana cyane nuyu muntu mugihe ufata ibyemezo byo kuvura kanseri.

Kubona Igitekerezo cya kabiri

Nyuma yo kuvugana na muganga kubyerekeye gahunda yo gusuzuma no kuvura kanseri yawe, urashobora gushaka ikindi gitekerezo cya muganga mbere yuko utangira kwivuza. Ibi bizwi nko kubona igitekerezo cya kabiri. Urashobora kubikora usaba undi muhanga gusubiramo ibikoresho byose bijyanye nurubanza rwawe. Muganga utanga igitekerezo cya kabiri arashobora kwemeranya na gahunda yo kuvura yatanzwe na muganga wawe wa mbere, cyangwa barashobora gutanga impinduka cyangwa ubundi buryo. Inzira zose, kubona igitekerezo cya kabiri birashobora:

• Tanga amakuru menshi

• Subiza ibibazo byose ushobora kuba ufite

• Tanga uburyo bunini bwo kugenzura

• Gufasha kumva ufite ikizere, uzi ko wasuzumye amahitamo yawe yose

Kubona igitekerezo cya kabiri birasanzwe cyane. Nyamara abarwayi bamwe bahangayikishijwe nuko umuganga wabo azababazwa nibabaza igitekerezo cya kabiri. Mubisanzwe ibinyuranye nukuri. Abaganga benshi bishimiye igitekerezo cya kabiri. Kandi amasosiyete menshi yubwishingizi bwubuzima yishyura igitekerezo cya kabiri cyangwa akanagisaba, cyane cyane mugihe umuganga agusabye kubagwa.

Mugihe uganiriye na muganga wawe kubijyanye no kubona igitekerezo cya kabiri, birashobora kuba byiza kwerekana ko unyuzwe nubuvuzi bwawe ariko ushaka kumenya neza ko umenyeshejwe bishoboka kubijyanye nuburyo bwo kwivuza. Nibyiza kwinjiza umuganga wawe mugikorwa cyo kubona igitekerezo cya kabiri, kuko azakenera gukora inyandiko zawe z'ubuvuzi (nk'ibizamini byawe na x-ray) kwa muganga atanga igitekerezo cya kabiri. Urashobora kwifuza kuzana umwe mubagize umuryango kugirango bagufashe mugihe ubajije igitekerezo cya kabiri.

Niba umuganga wawe adashobora gutanga undi muhanga kubitekerezo bya kabiri, ibintu byinshi byavuzwe haruguru kugirango ubone umuganga birashobora kugufasha kubona inzobere kubitekerezo bya kabiri. Urashobora kandi guhamagara Centre ya NCI kuri 1-800-4-KANSERI (1-800-422-6237) kugirango ikuyobore.

Guhitamo Ikigo Cyokuvura

Nko guhitamo umuganga, guhitamo ibikoresho birashobora kugarukira kubagize uruhare muri gahunda yubwishingizi bwubuzima. Niba umaze kubona umuganga wokuvura kanseri, ushobora gukenera guhitamo ikigo cyokuvura ukurikije aho umuganga wawe akorera. Cyangwa umuganga wawe arashobora kuguha inama yikigo gitanga ubuvuzi bwiza kugirango ubone ibyo ukeneye.

Ibibazo bimwe ugomba kwibaza mugihe usuzumye ikigo cyita kubuvuzi ni:

• Ifite uburambe nubutsinzi mukuvura indwara yanjye?

• Yaba yarahawe amanota na leta, abaguzi, cyangwa andi matsinda kubera ubuvuzi bwayo bwiza?

• Nigute igenzura kandi igakora kugirango ireme ubuvuzi bwayo?

• Yemejwe n’urwego rwemewe mu rwego rw’igihugu, nka komisiyo ya ACS ishinzwe kanseri na / cyangwa komisiyo ihuriweho?

• Irasobanura uburenganzira bw'abarwayi n'inshingano zabo? Amakopi yaya makuru arashobora kuboneka kubarwayi?

• Itanga serivisi zingoboka, nkabakozi bashinzwe imibereho myiza nubutunzi, kugirango umfashe kubona ubufasha bwamafaranga niba mbikeneye?

• Iherereye neza?

Niba uri muri gahunda yubwishingizi bwubuzima, baza isosiyete yawe yubwishingizi niba ikigo uhitamo cyemewe na gahunda yawe. Niba uhisemo kwishyura amafaranga yo kwivuza wenyine kuko uhisemo kujya hanze y'urusobe rwawe cyangwa udafite ubwishingizi, banza usuzume ikiguzi gishoboka na muganga wawe mbere. Uzashaka kuvugana nishami rishinzwe kwishyuza ibitaro. Abaforomo n'abakozi bashinzwe imibereho myiza y'abaturage barashobora kandi kuguha amakuru menshi yerekeye ubwishingizi, ibyangombwa, nibibazo byubwishingizi.

Ibikoresho bikurikira birashobora kugufasha kubona ibitaro cyangwa ikigo cyita kubuvuzi bwawe:

• Urupapuro rwa NCI Shakisha Kanseri rutanga amakuru yerekeye ibigo bya kanseri byashyizweho na NCI biherereye mu gihugu hose.

• Komisiyo y'Abanyamerika ishinzwe kubaga (ACoS) ishinzwe kanseri (CoC). Urubuga rwa ACoS rufite ububiko bwashakishijwe Gusohoka Disclaimerof gahunda yo kwita kuri kanseri bemeye. Barashobora kandi kuboneka kuri 1-312-202-5085 cyangwa kuri e-mail kuri CoC@facs.org.

• Komisiyo ihuriweho n'abasohoka isohoka kandi iremera imiryango yita ku buzima na gahunda muri Amerika. Itanga kandi ubuyobozi bujyanye no guhitamo ikigo cyita ku buvuzi, ikanatanga serivisi nziza kuri interineti®Exit Disclaimer service abarwayi bashobora gukoresha kugirango barebe niba ikigo runaka cyemewe na komisiyo ihuriweho hamwe no kureba raporo yacyo. Barashobora kandi kuboneka kuri 1-630-792-5000.

Ukeneye ibisobanuro birambuye cyangwa ubufasha bujyanye no kubona ikigo cyita ku barwayi, hamagara ikigo cya NCI kuri 1-800-4-KANSERI (1-800-422-6237).

Kwivuriza muri Amerika niba utari umunyamerika

Abantu bamwe baba hanze y’Amerika barashobora kwifuza kubona icya kabiri cyangwa kwivuza kanseri muri iki gihugu. Ibigo byinshi muri Amerika bitanga izi serivisi kubarwayi ba kanseri mpuzamahanga. Bashobora kandi gutanga serivisi zingoboka, nko gusobanura ururimi cyangwa gufasha mu ngendo no kubona icumbi hafi yubuvuzi.

Niba utuye hanze y’Amerika kandi ukaba wifuza kwivuza kanseri muri iki gihugu, ugomba guhamagara ibigo bivura kanseri kugira ngo umenye niba bafite ibiro mpuzamahanga by’abarwayi. Ikigo cya NCI cyagenwe na Kanseri Shakisha urupapuro rwa Kanseri rutanga amakuru yerekeye ibigo bya kanseri byashyizweho na NCI muri Amerika yose.

Abaturage bo mu bindi bihugu bateganya kujya muri Amerika kwivuza kanseri bagomba kubanza kubona viza itari iy'abimukira kugira ngo bavurwe na Ambasade ya Amerika cyangwa Ambasade mu gihugu cyabo. Abasaba viza bagomba kwerekana ko:

• Ushaka kuza muri Amerika kwivuza

• Teganya kuguma mugihe runaka, kigarukira

• Gira amafaranga yo kwishyura muri Amerika

• Gira aho uba hamwe n’imibanire n’ubukungu hanze y’Amerika

• Umugambi wo gusubira mu gihugu cyabo

Kugira ngo umenye amafaranga n'ibyangombwa bikenewe kuri viza itari iy'abimukira no kumenya byinshi ku bijyanye no gusaba, hamagara Ambasade y'Abanyamerika cyangwa Ambasade mu gihugu cyawe. Urutonde rwihuza kurubuga rwa Ambasade n’Amerika muri Amerika ku isi murashobora kubisanga ku rubuga rwa Minisiteri y’ububanyi n’amahanga ya Amerika.

Andi makuru yerekeye serivisi za viza zitimuka ziraboneka kurupapuro rwa viza y’abashyitsi bo muri Amerika. Niba uteganya gutembera muri Amerika, menya neza niba ugenzura page kubishobora kuvugururwa cyangwa guhinduka.

Kubona ikigo cyo kuvura hanze y’Amerika

Serivisi zamakuru ya kanseri ziraboneka mubihugu byinshi kugirango zitange amakuru kandi zisubize ibibazo bijyanye na kanseri. Bashobora kandi kugufasha kubona ikigo cyita kuri kanseri hafi y’aho utuye.

Itsinda mpuzamahanga rishinzwe amakuru ya kanseri (ICISG), urusobe rw’isi yose rw’imiryango irenga 70 itanga amakuru ya kanseri, ifite urutondeExit Disclaimer of serivisi zamakuru ya kanseri kurubuga rwabo. Cyangwa urashobora kohereza imeri Gusohoka DisclaimerICISG kubibazo cyangwa ibitekerezo.

Ihuriro mpuzamahanga rishinzwe kurwanya kanseri (UICC) Gusohoka Disclaimeris undi mutungo kubantu baba hanze y’Amerika bashaka kubona ikigo cyita kuri kanseri. UICC igizwe n’imiryango mpuzamahanga ifitanye isano na kanseri iharanira kurwanya kanseri ku isi hose. Iyi miryango ikora nkibikoresho byabaturage kandi irashobora kugira amakuru yingirakamaro kubyerekeye kanseri nubuvuzi. Kugirango ubone ibikoresho mu gihugu cyawe cyangwa hafi yacyo, urashobora kohereza UICC imeriExit Disclaimer cyangwa ubaze kuri:

Ubumwe bwo kurwanya kanseri mpuzamahanga (UICC) 62 inzira de Frontenex 1207 Geneve Ubusuwisi + 41 22 809 1811

Kubona Ubwishingizi bw'Ubuzima

Itegeko ryita ku barwayi rihindura uburyo ubwishingizi bw'ubuzima bukora muri Amerika, hamwe n'ingaruka zo gukumira, gusuzuma, no kuvura kanseri. Muri iri tegeko ryita ku buzima, Abanyamerika benshi basabwa kugira ubwishingizi bw’ubuzima.

Niba udafite ubwishingizi bw'ubuzima cyangwa ushaka kureba uburyo bushya, Isoko ry'Ubwishingizi bw'Ubuzima ku rubuga rwa interineti rigufasha kugereranya gahunda muri leta yawe ukurikije igiciro, inyungu, ubuziranenge, n'ibindi ukeneye ushobora kuba ufite. Kugira ngo umenye ibijyanye n’isoko ry’ubwishingizi bw’ubuzima hamwe nuburyo bushya bwo gukwirakwiza, nyamuneka jya kuri Healthcare.gov cyangwa CuidadoDeSalud.gov cyangwa uhamagare kuri telefoni itishyurwa kuri 1-800-318-2596 (TTY: 1-855-889-4325).

Serivisi zo Kwita murugo

Rimwe na rimwe, abarwayi bifuza kwitabwaho mu rugo kugira ngo bashobore kuba hafi y'umuryango n'inshuti. Serivise zo murugo zirashobora gufasha abarwayi kuguma murugo bakoresheje uburyo bwitsinda hamwe nabaganga, abaforomo, abashinzwe imibereho myiza yabaturage, abavura umubiri, nabandi.

Niba umurwayi yujuje ibisabwa muri serivisi zita ku rugo, serivisi nk'izo zirashobora:

• Gucunga ibimenyetso no gukurikirana ubuvuzi

• Gutanga imiti

• Ubuvuzi bwumubiri

• Kwita ku marangamutima no mu mwuka

• Fasha mugutegura amafunguro nisuku yumuntu

• Gutanga ibikoresho byubuvuzi

Ku barwayi benshi nimiryango, kwita murugo birashobora kuba ingororano kandi bisaba. Irashobora guhindura umubano kandi igasaba imiryango guhangana nuburyo bwose bwo kwita kubarwayi. Ibibazo bishya birashobora kandi kuvuka imiryango ikeneye gukemura nkibikoresho byo kugira abashinzwe kwita kumurugo binjira murugo mugihe gito. Kugira ngo witegure kuri izo mpinduka, abarwayi n’abarezi bagomba kubaza ibibazo no kubona amakuru menshi ashoboka mu itsinda ryita ku rugo cyangwa umuryango. Umuganga, umuforomo, cyangwa umukozi ushinzwe imibereho myiza y'abaturage arashobora gutanga amakuru ajyanye nibyo umurwayi akeneye, serivisi zihari, hamwe n’ibigo byita ku ngo.

Kubona Imfashanyo Yamafaranga yo Kurera Urugo

Ubufasha bwo kurihira serivisi zita kumurugo burashobora kuboneka kubutegetsi bwa leta cyangwa bwigenga. Ubwishingizi bw'ubuzima bwigenga bushobora gukwirakwiza serivisi zimwe na zimwe zo mu rugo, ariko inyungu ziratandukanye bitewe na gahunda.

Bimwe mubikoresho rusange bifasha kurihira murugo ni:

• Ibigo bishinzwe ubuvuzi & Medicaid (CMS): Ikigo cya leta gishinzwe imiyoborere ya gahunda zingenzi zita ku buzima bwa leta. Babiri muri bo

• Medicare: Gahunda yubwishingizi bwubuzima bwa leta kubasaza cyangwa abamugaye. Ukeneye ibisobanuro, sura urubuga rwabo cyangwa uhamagare 1-800-MEDICARE (1-800-633-4227).

• Medicaid: Gahunda ihuriweho na leta hamwe na leta yubwishingizi bwubuzima kubakeneye ubufasha bwamafaranga yo kwivuza. Igipfukisho kiratandukanye bitewe na leta.

Medicare na Medicaid byombi birashobora gukorera serivisi zita kubarwayi babishoboye, ariko amategeko amwe arakurikizwa. Vugana n'umukozi ushinzwe imibereho myiza hamwe nabandi bagize itsinda ryita ku buzima kugirango umenye byinshi kubashinzwe kwita ku ngo n’ibigo. Ukeneye ibisobanuro byinshi hamagara CMS kumurongo cyangwa uhamagare 1-877-267-2323.

• Umwanya wa Eldercare: Ukoreshwa nubuyobozi bwa Amerika mubusaza, butanga amakuru ajyanye n'inzego z'ibanze zerekeye gusaza nubundi bufasha kubantu bakuze. Izi nzego zirashobora gutanga amafaranga yo kwita murugo. Umwanya wa Eldercare urashobora kuboneka kuri 1-800-677-1116 kugirango ubone ibisobanuro byinshi.

• Ishami rishinzwe ibibazo by’abasirikare (VA) Abahoze mu ngabo bafite ubumuga biturutse ku mirimo ya gisirikare barashobora guhabwa serivisi zita ku rugo baturutse muri Minisiteri ishinzwe ibibazo by’abasirikare muri Amerika (VA). Ariko, serivisi zita kumurugo zitangwa nibitaro bya VA zishobora gukoreshwa. Andi makuru yerekeye izo nyungu urashobora kuyasanga kurubuga rwabo cyangwa ugahamagara kuri 1-877–222–8387 (1–877–222 - VETS).

Kubindi bikoresho byo kwita murugo, hamagara NCI Centre kuri 1-800-4-KANSERI (1-800-422-6237) cyangwa usure kanseri.gov.