About-cancer / manejimendi-kutarisira / masevhisi
Zviri Mukati
Kuwana Hutano Hwevhisi
Kana iwe wakamboonekwa uine kenza, kutsvaga chiremba uye nzvimbo yekurapa yekutarisirwa kwako nekenza inhanho yakakosha yekuwana kurapwa kwakanyanya.
Iwe unenge uine zvinhu zvakawanda zvekufunga nezvekusarudza chiremba. Izvo zvakakosha kuti iwe unzwe kugadzikana neyanyanzvi yaunosarudza nekuti unenge uchinge uchishanda padhuze nemunhu iyeye kuita sarudzo nezve kenza yako yekurapwa.
Kusarudza Chiremba
Paunenge uchisarudza chiremba wecancer yako, zvinogona kubatsira kuziva mamwe mazwi anoshandiswa kurondedzera kudzidziswa kwechiremba uye magwaro. Vazhinji varapi vanorapa vanhu vane gomarara varapi varapi (vane MD degree) kana osteopathic vanachiremba (vane Dhigirii reDO). Kudzidziswa kwakajairwa kunosanganisira makore mana ekudzidza kukoreji kana kuyunivhesiti, makore mana echikoro chekurapa, uye 3 kusvika kumakore manomwe echikoro chekupedza kudzidza kuburikidza nedzidzo uye nzvimbo dzekugara. Vanachiremba vanofanirwa kupasa bvunzo kuti vapihwe rezenisi rekudzidzira mushonga mudunhu ravo.
Nyanzvi ndivo vanachiremba vakaita kudzidzira kwavo kwekugara mune imwe nzvimbo yakadai semushonga wepakati. Kuzvimiririra kwehunyanzvi mabhodhi anozivisa vanachiremba mushure mekuti vasangana nezvinodiwa, kusanganisira kusangana nedzimwe dzidzo nedzidzo, kupihwa rezenisi rekurapa, uye kupasa bvunzo yakapihwa nehunyanzvi bhodhi. Kana vachinge vaita izvi zvinodiwa, vanachiremba vanonzi "vanozivikanwa bhodhi."
Dzimwe nyanzvi dzinorapa cancer ndedze:
- Medical Oncologist : inonyanya kugadzirisa chirwere chegomarara
- Hematologist : inotarisa pazvirwere zveropa uye zvine hukama matishu, kusanganisira iwo mwongo wepfupa, spleen, uye lymph node
- Radiation oncologist : inoshandisa x-rays uye mamwe maitiro e radiation kuti iongorore nekurapa chirwere
- Chiremba anovhiya : anoita mashandiro pane chero nzvimbo yemuviri uye anogona kuita imwe mhando yekuvhiya
Kutsvaga chiremba anonyanya kugadzirisa gomarara
Kuti uwane chiremba anonyanya kugadzirisa kenza, bvunza chiremba wako wekutanga kuti ataure mumwe munhu. Kana iwe unogona kunge uchiziva nezve nyanzvi kuburikidza neruzivo rweimwe shamwari yemhuri. Zvakare, chipatara chako chemunharaunda chinofanirwa kukwanisa kukupa iwe runyorwa rwevanyanzvi vanoita ipapo.
Imwe sarudzo yekutsvaga chiremba yako iri padyo neCNI-yakasarudzwa kenza kenza. Iyo Tsvaga iyo Cancer Center peji inopa ruzivo rwekubata kubatsira varapi vezvehutano uye varwere vegomarara nekutumirwa kune ese NCI-akasarudzika gomarara nzvimbo muUnited States.
Iwo madhairekitori epamhepo akanyorwa pazasi anogona zvakare kukubatsira iwe kuti uwane kenza yekuchengetedza nyanzvi.
- IAmerican Board of Medical Specialists (ABMS), iyo inogadzira uye inoisa zviyero zvekusimbisa uye kuongorora vanachiremba, ine runyorwa rwevanachiremba vakasangana nezvinodiwa chaizvo uye vakapasa hunyanzvi bvunzo. Munoona Wako Chiremba Bhodhi Akasimbiswa?
- IAmerican Medical Association (AMA) DoctorFinderExit Disiki inopa ruzivo kune vanachiremba vane marezinesi muUnited States.
- IAmerican Society yeClinical Oncology (ASCO) yenhengo yedhatabhuruExit Disclaimer ine mazita nekubatana kweanoda kusvika makumi matatu ezviuru oncologists pasirese.
- IAmerican College of Surgeons (ACoS) inonyora nhengo dzinovhiya nenharaunda uye hunyanzvi mune yavo Tsvaga SurgeonExit Disclaimer dhatabhesi. ACoS inogona zvakare kusvikwa pa1-800-621-4111.
- IAmerican Osteopathic Association (AOA) Tsvaga DhetiExit Disclaimer dhatabhesi inopa online online runyorwa rwevanodzidzira osteopathic varapi vari nhengo dzeAOA. Iyo AOA inogona zvakare kusvikwa pa 1-86-621–1773.
Masangano emunharaunda ekurapa anogona zvakare kuchengetedza zvinyorwa zvevanachiremba mune yega yega hunyanzvi kuti iwe utarise. Veruzhinji uye ekurapa maraibhurari anogona kunge aine anodhinda madhairekitori emazita echiremba akanyorwa munzvimbo nenzvimbo nehunyanzvi.
Zvichienderana nehurongwa hweinishuwarenzi yehutano, sarudzo yako inogona kugumira kune vanachiremba vanotora chikamu muchirongwa chako. Yako inishuwarenzi kambani inogona kukupa iwe runyorwa rwevanachiremba vanotora chikamu muchirongwa chako. Izvo zvakakosha kuti ubate hofisi yechiremba iwe wauri kufunga kuve nechokwadi chekuti iye kana iye ari kugamuchira varwere vatsva kuburikidza nechirongwa chako. Izvo zvakakoshawo kuti uite izvi kana iwe uri kushandisa iyo federal kana nyika hutano inishuwarenzi chirongwa senge Medicare kana Medicaid.
Kana iwe uchikwanisa kushandura marongero ehutano inishuwarenzi, iwe ungangoda kusarudza kuti ndeupi chiremba waungade kushandisa pakutanga uye wozosarudza chirongwa chinosanganisira wako wakasarudzwa chiremba. Iwe zvakare une sarudzo yekuona chiremba kunze kwechirongwa chako uye uchibhadhara yakawanda yemitengo iwe pachako.
Kubatsira kuita yako sarudzo kana iwe uchifunga nezvekuti chiremba achasarudza chii, funga nezve kana chiremba:
- Iine dzidzo uye kudzidziswa kunodiwa kuzadzisa zvaunoda
- Ane mumwe munhu anozvifukidza kana zvisingawanikwe uye angave anokwanisa kuwana ako marekodhi ekurapa
- Ane anobatsira anotsigira vashandi
- Anotsanangura zvinhu zvakajeka, anokuteerera, uye anokuremekedza
- Inokurudzira iwe kubvunza mibvunzo
- Ine maawa ehofisi anosangana nezvido zvako
- Zviri nyore kuwana musangano ne
Kana iwe uri kusarudza chiremba anovhiya, iwe uchazoda kubvunza:
- Ivo board vanozivikanwa?
- Vanowanzoita kangani mhando yekuvhiya yaunoda?
- Vangani vemaitiro aya avakaita?
- Vanoshanda kuchipatara chipi?
Zvakakosha kuti iwe unzwe zvakanaka nezvechiremba waunosarudza. Iwe unenge uchishanda nemurume uyu padhuze iwe paunenge uchiita sarudzo nezve yako kenza kurapwa.
Kuwana Pfungwa Yechipiri
Mushure mekunge iwe utaure nachiremba nezve chirongwa chekuziva uye chekurapa chegomarara rako, ungangoda kuwana rimwe zano reumwe chiremba usati watanga kurapwa. Izvi zvinozivikanwa sekuwana rwechipiri pfungwa. Iwe unogona kuita izvi nekukumbira imwe nyanzvi kuti iongorore zvese zvishandiso zvine chekuita nenyaya yako. Chiremba uyo anopa pfungwa yechipiri anogona kubvumirana nehurongwa hwekurapa hwakataurwa nachiremba wako wekutanga, kana vangangodaro vachinja kana imwe nzira. Chero nzira, kuwana rwechipiri pfungwa kunogona:
- Kukupa rumwe ruzivo
- Pindura chero mibvunzo yaungave unayo
- Kukupa iwe yakakura pfungwa yekudzora
- Kubatsira iwe kuti uwedzere kuva nechivimbo, uchiziva kuti waongorora zvese zvaunogona kuita
Kuwana wechipiri maonero kwakajairika. Asi vamwe varwere vanonetseka kuti chiremba wavo achagumburwa kana vakakumbira rwechipiri pfungwa. Kazhinji zvinopesana ndezvechokwadi. Vazhinji vanachiremba vanogamuchira rwechipiri pfungwa. Uye makambani mazhinji einishuwarenzi ehutano anobhadharira rwechipiri pfungwa kana kutovada, kunyanya kana chiremba achikurudzira kuvhiyiwa.
Paunenge uchitaura nachiremba wako nezvekutora rwechipiri pfungwa, zvinogona kubatsira kuratidza kuti unogutsikana nekutarisira kwako asi uchida kuve nechokwadi kuti iwe unoziviswa sezvinobvira nezvesarudzo dzako dzekurapa. Zvakanakisa kubatanidza chiremba wako muchiitiko chekutora rwechipiri pfungwa, nekuti iye achazoda kuti agadzire marekodhi ako ekurapa (senge mhedzisiro yako bvunzo uye ma-ray) awanikwe nachiremba achipa rwechipiri pfungwa. Iwe unogona kuda kuunza nhengo yemhuri pamwe nerutsigiro kana uchikumbira rwechipiri pfungwa.
Kana chiremba wako asingakwanise kuratidza imwe nyanzvi kune yechipiri pfungwa, zhinji zviwanikwa zvakanyorwa pamusoro pekutsvaga chiremba zvinogona kukubatsira iwe kuwana nyanzvi kune yechipiri pfungwa. Iwe unogona zvakare kufonera NCI's Contact Center pa1-800-4-CANCER (1-800-422-6237) kuti utungamirirwe.
Kusarudza Chipatara Chekurapa
Sezvo nekusarudza chiremba, sarudzo yako yezvivakwa inogona kungogumira kune avo vanotora chikamu mune yako yehutano inishuwarenzi chirongwa. Kana iwe watowana chiremba wako wekenza kurapwa, ungangoda kusarudza nzvimbo yekurapa zvichibva nezvinoitwa nachiremba wako. Kana chiremba wako anogona kukwanisa kukurudzira nzvimbo inopa hutano hwakanaka kuti uwane zvaunoda.
Mimwe mibvunzo yekubvunza kana uchifunga nezvekurapa nzvimbo ndeiyi:
- Iine ruzivo uye kubudirira pakurapa mamiriro angu?
- Yakave yakarongwa nehurumende, mutengi, kana mamwe mapoka ehunhu hwayo hwekuchengeta?
- Inoongorora sei uye inoshanda kuvandudza mhando yayo yekutarisirwa?
- Yakatenderwa here neboka rekubvumidzwa nenyika, senge ACS Commission yeCancer uye / kana Iyo Joint Commission?
- Inotsanangura kodzero dzevarwere nemabasa avo here? Makopi eruzivo urwu anowanikwa kuvarwere here?
- Inopa rubatsiro rwekutsigira, senge vashandi vezvemagariro uye zviwanikwa, kundibatsira kuwana rubatsiro rwemari kana ndichirida?
- Inowanikwa zviri nyore here?
Kana iwe uri wehurongwa hweinishuwarenzi yehutano, bvunza yako inishuwarenzi kambani kana nzvimbo yauri kusarudza ichibvumidzwa nechirongwa chako. Kana iwe ukasarudza kubhadhara kurapwa iwe pachako nekuti iwe unosarudza kuenda kunze kwenetiweki yako kana usina inishuwarenzi, kurukura nezve zvinogona kuita mutengo nachiremba wako zvisati zvaitika. Iwe uchazoda kutaura nedhipatimendi rekubhadhara kuchipatara futi. Vanamukoti uye vashandi vezvemagariro vanogona zvakare kukupa iwe rumwe ruzivo nezve kufukidza, kukodzera, uye inishuwarenzi nyaya.
Izvi zvinotevera zviwanikwa zvinogona kukubatsira iwe kuwana chipatara kana nzvimbo yekurapa yekutarisira kwako:
- NCI's Tsvaga iyo Cancer Center peji inopa ruzivo rwekuonana kweNCI-yakatarwa kenza nzvimbo dzinowanikwa munyika yese.
- IAmerican College yeSurgeon's (ACoS's) Commission yeCancer (CoC). Iyo ACoS webhusaiti ine inotsvaga dhatabhesi Buda Disclaimerof cancer zvirongwa zvekuchengeta ivo vaakabvumidza. Vanogona zvakare kusvikwa pa 1-312-202-5085 kana neemail paCoC@facs.org.
- Iyo Joint Commission Inobuda Disclaimere inoongorora uye kubvumidza masangano ekuchengetedza hutano nezvirongwa muUnited States. Inopa zvakare nhungamiro pamusoro pekusarudza nzvimbo yekurapa, uye inopa yepamhepo Quality Check®Exit Disclaimer sevhisi iyo varwere vangashandisa kutarisa kana chimwe chinhu chakabvumidzwa neJoint Commission uye kuona ayo mashandiro ekuita. Izvo zvakare zvinogona kusvikwa pa 1-630-792-5000.
Kuti uwane rumwe ruzivo kana rubatsiro rwekutsvaga nzvimbo yekurapa, fonera NCI's Contact Center ku1-800-4-CANCER (1-800-422-6237).
Kuwana Kurapa muUnited States kana Usiri Mugari weUS
Vamwe vanhu vanogara kunze kweUnited States vangangoda kuwana rwechipiri pfungwa kana kurapwa kwavo gomarara munyika ino. Nzvimbo zhinji muUnited States dzinopa mabasa aya kuvarwere vegomarara repasi rese. Vanogona zvakare kupa rubatsiro rwekutsigira, senge kududzira mutauro kana kubatsira nekufamba uye kutsvaga pekugara padyo nenzvimbo yekurapa.
Kana iwe uchigara kunze kweUnited States uye uchida kurapwa gomarara munyika ino, unofanirwa kubata nzvimbo dzekurapa gomarara zvakananga kuti uone kana vaine hofisi yevarwere yepasi rose. Iyo NCI-Yakasarudzika Cancer Nzvimbo Tsvaga iyo Cancer Center peji inopa ruzivo rwekuonana kune NCI-yakasarudzika cancer nzvimbo munzvimbo dzese muUnited States.
Zvizvarwa zvedzimwe nyika zviri kuronga kuenda kuUnited States kunorapwa gomarara vanofanira kutanga vawana vhiza isiri yekune imwe nyika yekurapwa kubva kuUmbassy yeUS kana Consulate munyika yavo. Visa vanyoreri vanofanirwa kuratidza kuti ivo:
- Unoda kuuya kuUnited States kunorapwa
- Ronga kugara kwenguva yakatarwa, shoma
- Iva nemari yekubhadhara mari muUnited States
- Iva nehugaro hwekugara uye hwemagariro pamwe nehupfumi kunze kweUnited States
- Vanofunga kudzokera kunyika yokumusha kwavo
Kuti uwane mari uye magwaro anodiwa kune asiri mugambi vhiza uye kuti udzidze zvakawanda nezve maitiro ekunyorera, bata Embassy yeUS kana Consulate munyika yako yekumba. Rondedzero yehukama kumawebhusaiti eAmerican Embasses uye ma Consulates pasirese anogona kuwanikwa paUS department reHurumende webhusaiti.
Rumwe ruzivo nezvevasingasviki vhiza masevhisi anowanikwa pane US State department Mushanyi Visa peji. Kana iwe uri kuronga kuenda kuUnited States, ita shuwa yekutarisa iyo peji kune chero zvingangodaro zvigadziriso kana shanduko.
Kutsvaga kwekurapwa nzvimbo kunze kweUnited States
Cancer ruzivo ruzivo rwuripo munyika dzakawanda kupa ruzivo uye kupindura mibvunzo nezve gomarara. Ivo vanogona zvakare kuve vanokwanisa kukubatsira iwe kuti uwane kenza yekurapa nzvimbo padyo nekwaunogara.
IInternational Cancer Information Service Group (ICISG), inetiweki yepasirese yemasangano anopfuura makumi manomwe anounza ruzivo rwegomarara, ane rondedzeroExit Disclaimer yecancer information services pawebhusaiti yavo. Kana iwe unogona kutumira email Buda DisclaimerICISG yemibvunzo kana makomendi.
Sangano reUnited for International Cancer Control (UICC) Regedza Disclaimer ndechimwe chinhu kune vanhu vanogara kunze kweUnited States vanoda kutsvaga kenza yekurapa kenza. IUICC ine masangano epasi rose ane chekuita nekenza yakazvipira kurwisa gomarara repasirese. Aya masangano anoshanda sezviwanikwa zveruzhinji uye anogona kuve neruzivo runobatsira nezve kenza nenzvimbo dzekurapa. Kuti uwane zviwanikwa mukati kana padyo nenyika yako, unogona kutumira iyo UICC emailExit Disiki kana kuonana navo pa:
Union for International Cancer Control (UICC) 62 nzira de Frontenex 1207 Geneva Switzerland + 41 22 809 1811
Kutsvaga Hutano Inishuwarenzi
Iyo Affordable Care Act inoshandura mashandiro einishuwarenzi ehutano muUnited States, zvine chekuita nekudzivirira, kuongorora, uye kurapwa kwekenza. Pasi pemutemo uyu wehutano, vazhinji vekuAmerica vanofanirwa kuve neinishuwarenzi yehutano.
Kana iwe usina hutano inishuwarenzi kana uchida kutarisa pane dzimwe sarudzo, iyo yepamhepo Hutano Inishuwarenzi Musika inoita kuti iwe uenzanise zvirongwa mudunhu rako zvichibva pamutengo, mabhenefiti, mhando, uye zvimwe zvaungave uine. Kuti udzidze nezve Hutano Inishuwarenzi Musika uye yako nyowani yekuvhara nzira, ndapota enda ku Healthcare.gov kana CuidadoDeSalud.gov kana kufonera isingabhadharwe pa1-800-318-2596 (TTY: 1-855-889-4325).
Kuchengeta Kwemumba
Dzimwe nguva varwere vanoda kuchengetwa pamba kuitira kuti vagone kuve munzvimbo dzinozivikanwa nemhuri uye neshamwari. Mabasa ekuchengetedza kumba anogona kubatsira varwere kugara pamba nekushandisa nzira yetimu navanachiremba, manesi, vashandi vezvemagariro, varapi vemuviri, nevamwe.
Kana murwere achikodzera kupihwa mabasa ekuchengeta pamba, mabasa akadaro anogona kusanganisira:
- Kugadzirisa zviratidzo uye kuongorora kwekutarisira
- Kununurwa kwemishonga
- Kurapa kwepanyama
- Kuchengetedzwa mupfungwa uye mumweya
- Batsira nekugadzira chikafu uye hutsanana hwemunhu
- Kupa zvekushandisa pakurapa
Kune vazhinji varwere nemhuri, kuchengetwa kwemusha kunogona kuve kunopa mubayiro uye kunoda. Inogona kuchinja hukama uye inoda mhuri kuti dzibate neese mativi ekuchengetwa kwevarwere. Nyaya nyowani dzinogona zvakare kumuka idzo mhuri dzinofanirwa kugadzirisa dzakadai seyekugadziriswa kwekuve nevachengeti vekumba vanouya mumba nguva nenguva. Kugadzirira shanduko idzi, varwere nevachengeti vanofanirwa kubvunza mibvunzo uye kuwana ruzivo rwakawanda sezvinobvira kubva kuchikwata chekuchengeta dzimba kana sangano. Chiremba, mukoti, kana mushandi wezvemagariro anogona kupa ruzivo nezve izvo zvinodiwa nemurwere, kuwanikwa kwemasevhisi, uye nemasangano epamba ekuchengetedza imba.
Kuwana Rubatsiro Rwezvemari Kuchengetwa Kwemba
Rubatsiro nekubhadhara mabasa ekuchengetedza pamba anogona kuwanikwa kubva kuruzhinji kana kwakavanzika masosi. Yakavanzika hutano inishuwarenzi inogona kuvhara mamwe epamba ekuchengetedza masevhisi, asi mabhenefiti anosiyana kubva pakuronga kuronga.
Zvimwe zviwanikwa zveruzhinji zvekubatsira kubhadhara kuchengetwa kwemusha ndeizvi:
- Nzvimbo dzeMedare & Medicaid Services (CMS): Sangano rehurumende rinotarisira manejimendi ezvirongwa zvakati wandei zvehutano zvehutano. Vaviri veizvi vari
- Medicare: Hurumende inishuwarenzi yehutano chirongwa chevakuru kana vakaremara. Kuti uwane ruzivo, shanyira webhusaiti yavo kana kufonera 1-800-MEDICARE (1-800-633-4227).
- Medicaid: Mubatanidzwa wehurumende nehurumende chirongwa cheinishuwarenzi chevaya vanoda rubatsiro nemari yekurapa. Kuvhara kunosiyana nenyika.
- Ose ari maviri Medicare neMedicaid anogona kuvhara mabasa epamba ekuchengetedza varwere vanokodzera, asi mimwe mitemo inoshanda Taura nemushandi wezvemagariro uye nedzimwe nhengo dzeboka rezvehutano kuti uwane zvimwe nezvevanopa rubatsiro kumba uye vamiririri. Kuti uwane rumwe ruzivo bata CMS online kana kufona 1-877-267-2323.
- Eldercare Locator: Mhanya neU.S. Administration pane Kukwegura, inopa ruzivo nezve nharaunda dzeMunharaunda maAgency pamusoro peKuchembera uye rumwe rubatsiro kune vanhu vakura. Aya masangano anogona kupa mari yekuchengetwa kwemusha. Eldercare Locator inogona kusvika pa1-800-677-1116 kuti uwane rumwe ruzivo.
- Dhipatimendi reVeterans Affairs (VA) Veterans vakaremara nekuda kwebasa remauto vanogona kupihwa rubatsiro rwekuchengetwa kumba kubva kuUS department reVeteran's Affairs (VA). Nekudaro, chete mabasa ekuchengeta epamba anopiwa nezvipatara zveVA anogona kushandiswa. Rumwe ruzivo nezve mabhenefiti aya runogona kuwanikwa pawebhusaiti yavo kana kufonera 1–877–222–8387 (1–877–222 – VETS).
Kune zvimwe zviwanikwa zvekuchengetwa kwemusha, fonera iyo NCI Yekubata Center pa1-800-4-CANCER (1-800-422-6237) kana kushanyira cancer.gov.