Nā Laʻau Laʻau Lapaʻau Lapaʻau Lūmaʻi: Understanding the CostsUnderstanding the financial implications of lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā he mea koʻikoʻi no nā maʻi a me ko lākou ʻohana. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona piha o nā kumukūʻai e pili ana i nā lāʻau lapaʻau like ʻole, nā kumu e hoʻohuli ai i ke kumukūʻai, a me nā kumuwaiwai i loaʻa no ke kōkua kālā.
Nā ʻano o nā lāʻau maʻi maʻi ʻāʻī a me nā kumukūʻai
ʻO ke kumukūʻai o
lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā 'ano like 'ole ma muli o kekahi mau kumu, e like me ke 'ano o ka ma'i 'a'ai, ka pae o ka ma'i, ka lā'au i ho'ohana 'ia, a me ka 'inikua o ka mea ma'i. Hoʻohana ʻia kekahi mau ʻano lāʻau lapaʻau ma
lāʻau maʻi maʻi ʻāʻī, kēlā me kēia me kona kumu kūʻai ponoʻī.
ʻO ka Lapaʻau Kūlohelohe
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia, e like me nā tyrosine kinase inhibitors (TKIs) e like me osimertinib (Tagrisso) a me afatinib (Gilotrif), i hoʻolālā ʻia e kuhikuhi i nā hoʻololi genetic kikoʻī i loko o nā pūnaʻi maʻi kanesa. Hiki i kēia mau lāʻau lapaʻau ke ʻoi aku ka maikaʻi, akā pinepine ke kumukūʻai. ʻOkoʻa ke kumukūʻai ma muli o ka lāʻau lapaʻau, dosage, a me ka lōʻihi o ka mālama ʻana. Pono ʻoe e nīnau i kāu kauka oncologist a me ka lāʻau lapaʻau no kahi kuhi kumukūʻai pololei no kāu kūlana kikoʻī.
Kemoterapi
Hoʻohana ʻia nā lāʻau lapaʻau Chemotherapy e pepehi i nā maʻi kanesa. Hiki ke ʻokoʻa ke kumukūʻai o ka chemotherapy ma muli o nā lāʻau lapaʻau i hoʻohana ʻia a me ka pinepine a me ka lōʻihi o ka mālama ʻana. ʻO nā lāʻau lapaʻau maʻamau no ka maʻi kanesa ʻo ka cisplatin, carboplatin, paclitaxel, a me docetaxel. ʻOiai ʻoi aku ka liʻiliʻi o ke kumu kūʻai ma mua o nā lāʻau lapaʻau i manaʻo ʻia, hiki ke nui ke kumukūʻai kumulative ma kahi papa o ka mālama ʻana.
Immunotherapy
ʻO nā lāʻau lapaʻau immunotherapy, e like me ka pembrolizumab (Keytruda) a me ka nivolumab (Opdivo), hana ma ka hoʻoikaika ʻana i ka ʻōnaehana pale o ke kino e hakakā ai i nā maʻi maʻi maʻi. Ua hoʻololi kēia mau lāʻau lapaʻau
lāʻau maʻi maʻi ʻāʻī i kekahi mau hihia, akā, he nui ke kumu kūʻai, hoʻohālikelike ʻia i ke kumukūʻai me nā lāʻau lapaʻau i kuhikuhi ʻia.
Nā Laʻau ʻē aʻe
Hiki ke hoʻohana ʻia nā lāʻau lapaʻau hou e mālama i nā hopena ʻaoʻao o
lāʻau maʻi maʻi ʻāʻī, hāʻawi hou aku i ke kumukūʻai holoʻokoʻa. Hiki i kēia mau mea ke komo i nā lāʻau anti-nausea, nā mea hōʻeha ʻeha, a me nā lāʻau e mālama ai i nā pilikia ʻē aʻe.
Nā mea e pili ana i ke kumukūʻai o nā lāʻau lapaʻau lapaʻau maʻi maʻi ʻāʻī
Hoʻopili kekahi mau kumu i ke kumukūʻai hope o
lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā: Ke ʻano o ka lāʻau lapaʻau: E like me ka mea i kūkākūkā ʻia ma luna, ʻokoʻa nā kumu kūʻai o nā lāʻau like ʻole. ʻO ka nui a me ka pinepine: ʻO nā mea kiʻekiʻe a me ka hoʻokele pinepine ʻana e hoʻonui i ke kumukūʻai holoʻokoʻa. Ka lōʻihi o ka lāʻau lapaʻau: Hiki ke mālama ʻia no nā mahina a i ʻole mau makahiki, me ka hopena nui i ke kumukūʻai kumulative. Ka 'inikua: 'O ka ho'olālā 'inikua o ka mea ma'i he hana ko'iko'i i ka ho'oholo 'ana i nā lilo o waho. Hiki i nā hui uku, nā mea unuhi, a me ka ʻinikua hui ke hoʻololi nui i ke kumukūʻai hope. Wahi: Hiki ke ʻokoʻa nā kumukūʻai ma ka ʻāina.
Nā papahana kōkua kālā
Nui nā kumuwaiwai e kōkua i nā poʻe maʻi e mālama i ke kaumaha kālā o
lāʻau maʻi maʻi ʻāʻī. Aia kēia mau mea: Manufacturer Patient Assistance Programs (PAPs): Nui nā hui lāʻau lapaʻau e hāʻawi i nā papahana kōkua kālā no nā poʻe maʻi hiki ʻole ke kūʻai i kā lākou mau lāʻau. E nānā i nā pūnaewele o nā mea hana o kāu mau lāʻau lapaʻau kikoʻī no nā kikoʻī. Foundation Assistance: ʻO kekahi mau hui waiwai ʻole, e like me ka American Cancer Society a me ka Lung Cancer Research Foundation, hāʻawi i ke kōkua kālā no nā poʻe maʻi me ka maʻi kanesa. Hiki i kēia mau papahana ke uhi i nā kumukūʻai lāʻau lapaʻau, nā lilo huakaʻi, a i ʻole nā koina pili ʻē aʻe. Nā Polokalamu Aupuni: Hiki i nā polokalamu aupuni e like me Medicare a me Medicaid ke kōkua i ka uhi ʻana i kekahi a i ʻole nā koina a pau
lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā, ma muli o ke kūpono o ka mea maʻi.
ʻImi Kākoʻo a me nā ʻike hou aku
Ke hoʻokele nei i ka paʻakikī o
lāʻau lapaʻau lapaʻau maʻi ʻaʻai māmā a he mea paʻakikī kā lākou mau koina. He mea koʻikoʻi ka hana pū me kāu hui mālama ola e hoʻomaopopo i kāu mau koho lapaʻau a e ʻimi i nā kumuwaiwai kōkua kālā i loaʻa. Mai hoʻokaʻulua e nīnau i kāu kauka lapaʻau, lāʻau lapaʻau, a i ʻole kekahi kanaka limahana loea i ka oncology no ke alakaʻi. No ka ʻike hou aʻe a me ke kākoʻo, e noʻonoʻo e kelepona i nā hui kākoʻo maʻi e pili ana i ka maʻi kanesa maʻi. Hiki iā ʻoe ke kūkākūkā pū me ke keʻena oncology o nā ʻoihana olakino kaulana e like me ka Shandong Baofa Cancer Research Institute (
https://www.baofahospital.com/) no ka ʻōlelo aʻo pilikino a mālama.