{"id":22366,"date":"2022-01-11T20:33:37","date_gmt":"2022-01-11T17:33:37","guid":{"rendered":"https:\/\/zdmaa.com\/who-should-care-for-cancer-patients-after-treatment\/"},"modified":"2022-01-11T23:36:14","modified_gmt":"2022-01-11T20:36:14","slug":"who-should-care-for-cancer-patients-after-treatment","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/who-should-care-for-cancer-patients-after-treatment\/","title":{"rendered":"Tedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131?"},"content":{"rendered":"

Tedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131?<\/span><\/span><\/span><\/span><\/p>\n

\n

Kanser yolculu\u011fu duygusal ve zorlu bir deneyimdir ve bir\u00e7ok hasta kendilerini en zor zamanlar\u0131n\u0131 ya\u015fad\u0131klar\u0131n\u0131 g\u00f6rd\u00fckleri insanlarla, onkologlar\u0131yla derin ba\u011flar kurarken bulur. <\/span>Bu nedenle, tedavi bitti\u011finde ve birinci basamak doktorlar\u0131na geri d\u00f6nme zaman\u0131 geldi\u011finde, baz\u0131 hastalar bak\u0131mlar\u0131n\u0131 ba\u015fka birinin \u00fcstlenmesine izin vermekte zorlan\u0131rlar. <\/span>Philadelphia’daki hastanemizde yeni hasta kabul m\u00fcd\u00fcr\u00fc ve personel ba\u015fkan yard\u0131mc\u0131s\u0131 Anthony Berry, “Hastalar genellikle t\u0131bbi onkologlar\u0131na g\u00fcvenirler ve bir\u00e7o\u011fu ayr\u0131lmaya isteksizdir” diyor. <\/span>“\u015eu anda, \u00e7o\u011fu hasta kanser bak\u0131m\u0131ndan birinci basamak bak\u0131ma yumu\u015fak bir ge\u00e7i\u015ften ho\u015flanm\u0131yor.”<\/span><\/span><\/p>\n

Bir doktor ve Hodgkin lenfomadan kurtulan biri olarak konu\u015fan Dr. Perry, bu ge\u00e7i\u015fin \u00f6nemli oldu\u011funu ekliyor. <\/span>Hastalar d\u00fczenli takip ziyaretleri, idame tedavisi veya kanserle ilgili di\u011fer ihtiya\u00e7lar i\u00e7in onkologlar\u0131n\u0131 g\u00f6rmeye devam etmeliyken, birinci basamak hekimleri di\u011fer sa\u011fl\u0131k ihtiya\u00e7lar\u0131n\u0131n izlenmesinde ve tedavi edilmesinde ba\u015f\u0131 \u00e7ekmelidir. <\/span>Y\u00fcksek kolesterol ve y\u00fcksek tansiyondan ast\u0131m ve obeziteye sahip olabilirler. <\/span>\u0130deal bir d\u00fcnyada, diyor Dr. Perry, onkolog ilk onkoloji randevusundan itibaren hasta i\u00e7in tonu belirler ve birinci basamak hekimini te\u015fhis sonu\u00e7lar\u0131ndan hastan\u0131n tipine ve a\u015famas\u0131na kadar t\u00fcm kanser tedavi s\u00fcreci hakk\u0131nda bilgilendirir. ald\u0131klar\u0131 tedavilere kadar kanser <\/span>Dr. Berry’nin ortak model dedi\u011fi \u015fey budur ve amac\u0131, tedavi s\u0131ras\u0131nda hasta ile birinci basamak hekimi aras\u0131nda ortaya \u00e7\u0131kabilecek kopuklu\u011fu azaltmakt\u0131r.<\/span><\/span><\/p>\n

Kanser tedavisinden sonra kim g\u00f6r\u00fcr?<\/span><\/span><\/h2>\n

Kanserden kurtulan bir\u00e7ok ki\u015finin kanser tedavisi tamamland\u0131ktan sonra sa\u011fl\u0131k bak\u0131m ihtiya\u00e7lar\u0131n\u0131 onkolo\u011funun y\u00f6netmesini istedi\u011fini ortaya koyan yak\u0131n tarihli bir ara\u015ft\u0131rmaya g\u00f6re, bu ayr\u0131l\u0131k hala canl\u0131 ve iyi durumda. <\/span>Dr. Berry, \u00e7o\u011fu onkologun, birinci basamak sa\u011fl\u0131k hizmetlerindeki meslekta\u015flar\u0131 gibi koruyucu sa\u011fl\u0131k hizmetlerini ele alacak donan\u0131ma sahip olmad\u0131\u011f\u0131n\u0131 s\u00f6yl\u00fcyor. <\/span>“Kanser d\u0131\u015f\u0131nda bir doktora g\u00f6r\u00fcnmenin en yayg\u0131n nedenleri kardiyovask\u00fcler hastal\u0131k, diyabet ve y\u00fcksek tansiyon gibi sorunlard\u0131r – \u00e7o\u011fu onkologun te\u015fhis ve tedavi etme deneyimi olmayan sorunlard\u0131r” diyor.<\/span><\/span><\/p>\n

12 Temmuz’da <\/span><\/span>Journal of Clinical Oncology’de yay\u0131nlanan<\/span><\/span><\/em> hayatta kalma \u00e7al\u0131\u015fmas\u0131 <\/span>, Dr. Perry’nin belirtti\u011fi ba\u015fka bir sorunu da vurgulamaktad\u0131r: \u00c7o\u011fu onkolog, hastalar\u0131n\u0131, takip bak\u0131m\u0131 i\u00e7in birinci basamak hekimlerini g\u00f6rme ihtiyac\u0131 hakk\u0131nda e\u011fitmek veya s\u00fcrece dahil etmek i\u00e7in yeterli \u00e7abay\u0131 g\u00f6stermezler. ge\u00e7i\u015f plan\u0131nda hastalar ve birinci basamak hekimleri. . <\/span>“Benim deneyimim, \u00e7o\u011fu birinci basamak hekiminin kanserden kurtulanlar\u0131 h\u0131zla bir onkolo\u011fa sevk etmesiydi, ancak t\u0131bbi onkologlar\u0131n sorumlulu\u011funun bir k\u0131sm\u0131, tedavi tamamland\u0131ktan sonra deneyimlerini birinci basamak hekimleriyle payla\u015fabilmeleri ve ge\u00e7i\u015fi yapabilmeleri i\u00e7in bir plan sunmakt\u0131r. daha yumu\u015fak” diyor.<\/span><\/span><\/p>\n

Daha yayg\u0131n olarak hayatta kalanlar\u0131n bak\u0131m plan\u0131 olarak bilinen bu plan, hastan\u0131n hastal\u0131\u011f\u0131, doktorlar, tedaviler, kanser takip randevular\u0131, testler ve tedaviyle ili\u015fkili yan etkiler hakk\u0131nda bilgileri i\u00e7ermelidir. <\/span>T\u00fcm kanser hastalar\u0131, tedavileri sona erdikten sonra hayatta kalmak i\u00e7in bir bak\u0131m plan\u0131 almazlar, ancak Dr. Perry, \u00e7o\u011fu hastan\u0131n b\u00f6yle yapmas\u0131 gerekti\u011fine inanmaktad\u0131r. <\/span>\u00d6rnek olarak, ila\u00e7 kemoterapisinin tamoksifen (Nolvadex <\/span>\u00ae)<\/span><\/sup> oldu\u011funa dikkat \u00e7ekti.<\/span><\/span>Genellikle menopoz \u00f6ncesi kad\u0131nlar ve \u00f6strojen resept\u00f6r\u00fc pozitif meme kanseri tedavisi g\u00f6renler taraf\u0131ndan kanserin tekrarlamas\u0131n\u0131 \u00f6nlemek i\u00e7in al\u0131nan ila\u00e7lar, tamoksifenin etkisini azaltabilecekleri ve hatta kanserin tekrarlama riskini art\u0131rabilecekleri i\u00e7in baz\u0131 antidepresanlarla birlikte al\u0131nmamal\u0131d\u0131r. <\/span>Dr. Perry, “Bu, birinci basamak hekimlerinin bilmesi gereken \u00f6nemli bir bilgidir, ancak \u00e7o\u011fu bunu bilmiyor” diyor. <\/span>“Bu hastalar i\u00e7in bir hayatta kalma bak\u0131m plan\u0131 olu\u015fturdu\u011fumda, ka\u00e7\u0131n\u0131lmas\u0131 gereken bir antidepresan listesi ve tamoksifen ile etkile\u015fime girme olas\u0131l\u0131\u011f\u0131 en d\u00fc\u015f\u00fck olan antidepresanlar\u0131n bir listesini ekliyorum.”<\/span><\/span><\/p>\n

Hayatta Kalma Bak\u0131m Planlar\u0131<\/span><\/span><\/h2>\n

Hayatta kalma planlar\u0131 o kadar \u00f6nemlidir ki, Amerikan Cerrahlar Koleji’nin Amerika Birle\u015fik Devletleri’ndeki kanser programlar\u0131n\u0131 akredite eden program\u0131 olan Kanser Komitesi, 2018’in sonuna kadar onkologlar\u0131n hayatta kalma bak\u0131m planlar\u0131 sa\u011flamas\u0131n\u0131 tavsiye etti. <\/span>hastalar\u0131n en az y\u00fczde 75’ine. <\/span>Hastalar uygun g\u00f6r\u00fcld\u00fc ve tedavi tamamland\u0131.<\/span><\/span><\/p>\n

Dr. Beach, giderek daha fazla kanser hastas\u0131n\u0131n hastal\u0131ktan kurtulmas\u0131yla birlikte, hem onkologlar\u0131n hem de birinci basamak hekimlerinin kanser t\u0131bbi bak\u0131m\u0131n\u0131 k\u0131sa vadeli de\u011fil, uzun vadeli bir gereklilik olarak ele almalar\u0131 gerekti\u011fini s\u00f6yl\u00fcyor. <\/span>Bu, sava\u015f\u0131n art\u0131k sadece kansere kar\u015f\u0131 olmad\u0131\u011f\u0131 anlam\u0131na geliyor. <\/span>“Sa\u011fl\u0131kl\u0131 bir diyet yemek, yeterince uyku ve egzersiz yapmak gibi ba\u015fka \u015feyler de yapmazsan\u0131z, 60 ya da 70 oldu\u011funuzda, di\u011fer kanser t\u00fcrlerinin yan\u0131 s\u0131ra di\u011fer kanser t\u00fcrlerine de yakalanma olas\u0131l\u0131\u011f\u0131n\u0131z daha y\u00fcksek olabilir. kalp hastal\u0131\u011f\u0131 ve fel\u00e7.”<\/span><\/span><\/p>\n

Kanser tedavisinden sonra bir hayatta kalma bak\u0131m plan\u0131 geli\u015ftirme hakk\u0131nda daha fazla bilgi edinin.<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Tedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131? Kanser yolculu\u011fu duygusal ve zorlu bir deneyimdir ve bir\u00e7ok hasta kendilerini en zor zamanlar\u0131n\u0131 ya\u015fad\u0131klar\u0131n\u0131 g\u00f6rd\u00fckleri insanlarla, onkologlar\u0131yla derin ba\u011flar kurarken bulur. Bu nedenle, tedavi bitti\u011finde ve birinci basamak doktorlar\u0131na geri d\u00f6nme zaman\u0131 geldi\u011finde, baz\u0131 hastalar bak\u0131mlar\u0131n\u0131 ba\u015fka birinin \u00fcstlenmesine izin vermekte zorlan\u0131rlar. Philadelphia’daki hastanemizde yeni hasta kabul m\u00fcd\u00fcr\u00fc …<\/p>\n","protected":false},"author":1,"featured_media":22027,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-22366","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nTedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131? - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/who-should-care-for-cancer-patients-after-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131? - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Tedaviden sonra kanser hastalar\u0131na kimler bakmal\u0131? 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