
ʻO nā koho lapaʻau maʻi maʻi maʻi maʻi maʻi ma ka pae He mea koʻikoʻi ka hoʻomaopopo ʻana i ke kaumaha kālā o ka mālama ʻana i ka maʻi kanesa. Ke ʻimi nei kēia ʻatikala i nā koho lapaʻau kūpono i hoʻokaʻawale ʻia e ka pae maʻi maʻi ʻōpū, e hoʻoikaika ana i nā ala e pili ana i nā hōʻike a me nā kumuwaiwai e kōkua i nā poʻe maʻi e hoʻokele i kā lākou huakaʻi. E nānā mākou i nā ʻano hana lapaʻau like ʻole, kā lākou mau koina, a me nā papahana kōkua kālā. Ua manaʻo ʻia kēia alakaʻi e hāʻawi i kahi ʻike kikoʻī, a he mea koʻikoʻi ke kūkākūkā me nā limahana mālama ola no nā ʻōlelo aʻoaʻo pilikino.
ʻO ka maʻi maʻi maʻi maʻi, kahi kumu nui o ka make e pili ana i ka maʻi kanesa ma ka honua holoʻokoʻa, pono ka mālama wikiwiki a me ka maikaʻi. Eia naʻe, hiki i ke kumukūʻai o ka mālama ʻana ke lilo i mea keakea nui no nā maʻi he nui. Ke manaʻo nei kēia ʻatikala e hāʻawi i kahi kiʻi maʻalahi o nā koho lapa'au ma'i 'a'ai māmā ma ke kahua, e nānā ana i nā hoʻolālā kūpono a me nā kumuwaiwai i loaʻa.
ʻO ke kaʻina o ka maʻi maʻi maʻi ʻaʻai nui ka hopena i nā koho lapaʻau a me nā kumukūʻai. ʻO ka hoʻokō ʻana e pili ana i ka loiloi ʻana i ka nui o ka tumo, kahi a me ka laha ʻana i nā ʻōpū lymph kokoke a i ʻole nā ʻāpana mamao. Aia nā pae mai ka Papa I (localized) a i ka Papa IV (metastatic), me kēlā me kēia pae e koi ana i kahi ala ʻokoʻa no ka mālama ʻana.
No ka ma'i 'a'ai mua o ka ma'i 'a'ai (Stages I a me II), 'o ke 'oki 'ana ka hana mua. ʻOiai hiki ke kūʻai nui ʻia ke kaʻina hana, hiki i ka hana mua ke alakaʻi i ke kala lōʻihi a hiki ke hoʻohaʻahaʻa i nā kumukūʻai lapaʻau holoʻokoʻa i ka holo lōʻihi. Ke hoʻomohala mau ʻia nei nā ʻano hana hoʻomaʻamaʻa liʻiliʻi, hiki ke hōʻemi i ka noho ʻana o ka haukapila a me ka manawa hoʻōla, no laila e pili ana i ke kumukūʻai. ʻO nā koho ʻē aʻe e like me ka radiation therapy a i ʻole stereotactic body radiotherapy (SBRT) hiki ke noʻonoʻo ʻia he mea ʻoi aku ka liʻiliʻi o ka invasive a ʻoi aku ke kumukūʻai no ka maʻi maʻi maʻi maʻi mua. E aʻo hou e pili ana i nā koho radiation therapy.
'O ka ma'i 'a'ai ma'i ma'i 'o Stage III ka ma'i 'oi aku ka nui, e koi pinepine ana i ka hui 'ana o nā lā'au lapa'au e like me ke oki (inā hiki), ka chemotherapy, a me ka radiation therapy. ʻOi aku ka nui o ke kumukūʻai o kēia ala multimodal ma mua o nā lāʻau lapaʻau mua. Eia nō naʻe, ʻo ka ʻimi ʻana i nā koho e like me ka lapaʻau i manaʻo ʻia (inā pili) hiki ke hāʻawi aku i ka hoʻokele wā lōʻihi ʻoi aku ka maikaʻi ma mua o ka hoʻomau ʻana, ka nui o ka chemotherapy.
'O ka ma'i 'a'ai ma'i 'a'ai IV he metastatic, 'o ia ho'i, ua laha ka ma'i 'a'ai i nā wahi 'ē a'e o ke kino. Hoʻopili ka lāʻau i ka mālama ʻana i nā hōʻailona, hoʻomaikaʻi i ka maikaʻi o ke ola, a hoʻolōʻihi i ke ola. ʻO nā koho e pili ana i ka chemotherapy, ka lapaʻau i hoʻopaʻa ʻia, ka immunotherapy, a me ka mālama kākoʻo. He mea koʻikoʻi ka mālama palliative i kēia manawa, a he mea nui ka ʻimi ʻana i nā polokalamu kōkua kālā no ka mālama ʻana i nā hōʻailona a me nā kumukūʻai lāʻau.
ʻO ke kumukūʻai o nā koho lapa'au ma'i 'a'ai māmā ma ke kahua no ka Stage IV hiki ke loli nui ma muli o nā lāʻau lapaʻau i hoʻohana ʻia. ʻO ka ʻimi ʻana i nā hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau hiki ke hoʻolōʻihi i ke ola ma ke kumu kūʻai haʻahaʻa ma mua o nā lapaʻau maʻamau.
Hiki i kekahi mau hoʻolālā ke kōkua i ka mālama ʻana i nā kumukūʻai o ka mālama ʻana i ka maʻi maʻi ʻaʻai:
| ʻO ke ʻano lapaʻau | Kaulana Kumukuai Manaʻo (USD) | Nā memo |
|---|---|---|
| ʻO ka ʻoki ʻana (Pau I-II) | $50,000 - $150,000+ | Nui ka loli ma muli o ka haukapila a me ka paʻakikī |
| Kemoterapi (Pau III-IV) | $10,000 - $50,000+ | Ma muli o ka helu o nā pōʻaiapuni a me nā lāʻau lapaʻau kūikawā |
| ʻO ka Lapaʻau i koho ʻia (Pau III-IV) | $10,000 - $100,000+ | 'Oko'a ke kumu kū'ai ma muli o ka lā'au kūikawā |
Hōʻole: ʻO nā kumukūʻai i hāʻawi ʻia he mau koho a hiki ke ʻokoʻa ma muli o ke kūlana o kēlā me kēia kanaka, kahi, a me nā koho lapaʻau. E kūkākūkā me kāu ʻoihana mālama ola a me ka hui ʻinikua no ka ʻike pili kumukūʻai.
No ka ʻike hou aku a me ke alakaʻi pilikino ma nā koho lapa'au ma'i 'a'ai māmā ma ke kahua a me ke kākoʻo kālā pili, e noʻonoʻo e kūkākūkā me Shandong Baofa Cancer Research Institute. Hiki iā lākou ke hāʻawi i nā papahana kūikawā a i ʻole nā ʻike i kūpono i kāu mau pono kikoʻī.
'Ōlelo Aʻo: No ka ʻike maʻamau a me nā kumu ʻike wale nō kēia ʻike, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kekahi ʻoihana mālama ola kūpono no nā nīnau āu e pili ana i kahi maʻi olakino.