Umbiko ka-Kershena Liao wase-Baylor College of Medicine e-United States futhi uqonda ngokugcwele inqubo yama-oncologists ekhanda nentamo ecabangela ukushintshela ekunakekelweni kwe-palliative, okungasiza ekuthuthukiseni le nqubo eyinkimbinkimbi futhi kuthuthukise inqubo yokwelashwa kweziguli, izinga lokuphila kanye umphumela. Odokotela bavame ukulinganisa umthelela omubi wezimpawu ngekhwalithi yokuphila yeziguli ezinomdlavuza wekhanda nentamo ngenxa yokucabangela inkambo yomtholampilo yeziguli. Ngaphambi kokuba kube nezinkinga zokuxhumana, kuyatuswa ukuthi kuxoxwe ngezinga lempilo yeziguli ngokushesha okukhulu. (Otolaryngol Head Neck Surg. 2016, doi: 10.1177/0194599816667712)
Izici eziningi ziye zathinta isinqumo sodokotela abahlinzayo bomdlavuza wekhanda nentamo ukuze banakekele iziguli ezinezifo ezitholakala endaweni, futhi lezi zici azikaqondwa ngokugcwele. Kodokotela abahlinzayo, ngenxa yokuntuleka kwesiqondiso mayelana nokunakekelwa kwe-palliative, izinsizakalo zokunakekelwa kwe-palliative azikwazi ukwenziwa ngokuqhubekayo nangempumelelo, okuzoletha ukudideka nolwazi olubuhlungu ezigulini nasemindenini yazo.
Lolu cwaningo luhlaziye ngokuphindaphindiwe ukuthi odokotela abahlinzayo bomdlavuza wekhanda nentamo balinganisa kanjani izici ezilandelayo ngesikhathi sokusebenza komtholampilo othize, okuhlanganisa: izici zomtholampilo, izici zomuntu siqu zangaphakathi nangaphandle, izici zezomnotho, nezinhlelo zokunakekelwa kwezempilo. Khetha izincwadi ezihlobene ne-hospice kanye nezinqumo zokunakekelwa kwe-palliative ezenziwe ngama-oncologists ekhanda nentamo ukuze ubuyekeze futhi uhlaziye okukhethekile.
Imiphumela ibonisa ukuthi ekucabangeni ukushintshela ekunakekelweni kwe-palliative, akukacaci ukuthi ama-oncologists ekhanda nentamo athintwa kanjani ukuzimela kwesiguli kanye nezinhlelo zokusekela umphakathi. Izinga lokuzimela kwesiguli kanye nendima yokuthatha izinqumo yamalungu omndeni nabanakekeli kudingeka kuxoxwe ngokucacile. Isimo sezimali sesiguli kanye nomshwalense sizoba nomthelela esinqumweni sokunakekelwa kwabagulela ukufa. Ucwaningo olwengeziwe mayelana nezici zomtholampilo nezokuziphatha zalezi zici ezinethonya liyadingeka.
Iminyaka emincane yesifo, ukuqeqeshwa okukhethekile kokuhlinzwa (uma kuqhathaniswa nokunakekelwa okujulile) kanye nesizinda sokusebenza samanyuvesi kanye/noma izikhungo zezokwelapha zemfundo ephakeme konke kuhlotshaniswa nokuzimisela okwengeziwe ukuhoxa ekusekeleni impilo. Ucwaningo olwengeziwe luyadingeka ukuze kutholwe ukuthi ngabe ama-oncologists ekhanda nentamo nawo ayawalandela yini la mathrendi.
Ngaphezu kwezici zenkolelo engokwenkolo neyokuziphatha, imizwelo kadokotela (njengosizi, ukuzisola), ubuhlobo nesiguli, nokungafuni ukuphuca isiguli izifiso zaso konke kuphazamisa ukuxhumana okuhlobene nokunakekelwa kwesiguli. Odokotela abahlinza umdlavuza wekhanda nentamo kufanele bacabangele ukuthi lezi zici ezingokomzwelo zinethonya kanjani ezinqumweni zabo zomtholampilo kanye nendlela yokulawula lokhu kuchema okungaba khona ngokuzibophezela.
