Kukho oogqirha abaninzi abahlukeneyo kunye nabaqeqeshi bezempilo abenza iqela eliya kujonga isigulane se-lymphoma. Ezi ngcali ngamanye amaxesha ziphuma kwizibhedlele ezingaphezu kwesinye. Iqela le-multidisciplinary team (MDT) liya kwahluka ngokuxhomekeke ekubeni isigulane sinyangwa phi kodwa i-Haematologist inoxanduva olupheleleyo lokhathalelo lwabo.
Kweli phepha:
Iingcali zezempilo ezinokuthi zenze iqela lezinto ezininzi zinokubandakanya:
Oogqirha kunye nabasebenzi bezonyango
- UGqirha weHaematologist/Oncologist: ugqirha ojongene nokuphazamiseka kwegazi kunye neeseli zegazi, kuquka i-lymphoma kunye ne-leukemia
- Umbhalisi we-Hematology: ngugqirha ophezulu onokuba noxanduva lwezigulane ewadini. Umbhalisi wongamela abahlali kunye nabaqeqeshwayo. Irejistra iyaqhagamshelwa kwisiza ngelixa i-hematologist ihamba kwimijikelo yewadi nakwiintlanganiso ngamaxesha athile. Ababhalisi basenokubakho ngamaxesha athile eklinikhi. Umbhalisi uya kuqhagamshelana ne-Haematologist ukuze abagcine benolwazi malunga nokhathalelo lwezigulane kunye/okanye inkqubela.
- Ugqirha wabahlali: umhlali ngugqirha osekelwe kwiwadi yezigulana. Abahlali baya kuhlala besebenza ngokusondeleyo nabongikazi ukunceda kukhathalelo lwemihla ngemihla lwesigulana.
- Isazi ngezifo: lo ngugqirha oya kujonga i-biopsy kunye nolunye uvavanyo elabhoratri
- I-radiologist: ugqirha ojongene nokutolika izikena ezifana ne-PET scans, i-CT scans kunye ne-ultrasounds. I-radiologists ngamanye amaxesha inokuthatha i-biopsies ukuxilonga i-lymphoma.
- I-oncologist ngemitha: ugqirha ojongene nokunyanga abantu abanomhlaza ngeradiotherapy.
Abahlengikazi
Xa isigulana singeniswa esibhedlele abongikazi balawula uninzi lokhathalelo lwemihla ngemihla. Njengabasebenzi bezonyango, kukho iindima ezahlukeneyo zokonga. Ezinye zidweliswe ngezantsi:
- UMphathi weYunithi yoMongikazi (NUM): losisi uphethe iward nama nurse asebenza khona.
- Iingcali zeenesi: aba ngabongikazi abanobuchule obuphezulu bomhlaza abanoqeqesho olongezelelweyo okanye amava kwiinkalo ezithile zokonga umhlaza kunye ne-hematology.
- Umongikazi oyingcali kwezonyango (CNS): banamava kwindawo abasebenza kuyo
- Abacebisi boMongikazi weKlinikhi (CNC): ngokubanzi, banemfundo eyongezelelweyo noqeqesho
- UMongikazi (NP): ube nemfundo eyongezelelweyo noqeqesho ukuze ube yiNP
- Ulingo lwezonyango okanye abongikazi bophando: lawula amalingo onyango kwaye uya kujonga izigulane ezibhaliswe kulingo
- Abongikazi ababhalisiweyo (RN): Bavavanya, bacwangcise, babonelele kwaye bavavanye ukhathalelo lothintelo, lokunyanga nokubuyisela kwisimo sesiqhelo kwizigulane, kunye neentsapho zabo kwimeko yomhlaza.
Iqela lezempilo elimanyeneyo
- Unontlalontle: Inokunceda izigulana, iintsapho zabo, kunye nabongi abaneemfuno ezingezizo ezonyango. Oku kunokuquka ucelomngeni lobuqu nolusebenzayo oluvelayo xa isigulana okanye ilungu lentsapho ligula. Umzekelo, ukunceda ngenkxaso yemali.
- Ingcali yegazi: Ingcali yezokutya inokunika iingcebiso ngesondlo. Banokunika isigulane imfundo nenkxaso ukuba kufuneka ukutya okukhethekileyo.
- Ingcali yezengqondo: Inokukunceda ngeemvakalelo kunye nefuthe leemvakalelo zoxilongo kunye nonyango
I-Physiotherapist: Ngaba yingcali yezempilo enokunceda ngomsebenzi womzimba, iingxaki kunye neentlungu. Basenokusebenzisa ubuchule obufana nemithambo kunye ne-massage. - Ukuzivocavoca umzimba: Ingcali egxile kwizibonelelo zokuzilolonga ukunceda izigulana ukuba ziphile kakuhle kuzo zonke iindawo ezijikeleze impilo entle, okanye ukunyanga izigulana ezinemeko yezonyango ngokwenza umthambo. Banokumisela iindlela zokuzilolonga.
- Ingcaphephe emsebenzini: ukunyanga izigulane ezonzakeleyo, ezigulayo, okanye ezikhubazekileyo ngokusebenzisa unyango lwemisebenzi yemihla ngemihla. Banceda aba baguli baphuhlise, bahlaziye, baphucule, kunye nokugcina izakhono ezifunekayo kubomi bemihla ngemihla kunye nokusebenza.
- Iqela lokhathalelo lwePalliative: Le nkonzo inokubonelelwa kunye nonyango lonyango kwaye ayixhomekeke kwi-prognosis. Iqela lokubonisana nokhathalelo lokuthomalalisa liqela lezinto ezininzi ezinokubandakanya oogqirha, abongikazi, kunye nempilo ehlangeneyo. Basebenza nomguli, intsapho kunye nabanye oogqirha besigulana ukuze banikele inkxaso yezonyango, yezentlalo, yeemvakalelo neluncedo.