
Hāʻawi kēia ʻatikala i kahi ʻike piha o nā kumukūʻai e pili ana i nā mea hou nā lāʻau maʻi maʻi ʻaʻai maʻi ʻaʻai liʻiliʻi liʻiliʻi hou. Ke ʻimi nei mākou i nā koho lapaʻau like ʻole, nā mea e hoʻopiʻi ana i ke kumukūʻai, a me nā kumuwaiwai i loaʻa e kōkua i nā poʻe maʻi e hoʻokele i nā pilikia kālā.
ʻO nā lāʻau lapaʻau i manaʻo ʻia, e like me EGFR inhibitors (e like me Gefitinib a me Erlotinib) a me ALK inhibitors (e like me Crizotinib a me Alectinib), e nānā i nā hoʻololi genetic kikoʻī e alakaʻi ana i ka ulu ʻana o ke kanesa. Hoʻololi nui ʻia ke kumukūʻai ma muli o ka lāʻau lapaʻau kikoʻī, dosage, a me ka lōʻihi o ka mālama ʻana. Hiki i kēia mau lāʻau lapaʻau ke hana maikaʻi loa, akā ʻo ko lākou kumukūʻai kiʻekiʻe hiki ke lilo i mea pale nui no nā maʻi he nui. E kūkākūkā mau i ka hopena o ke kumukūʻai me kāu oncologist a e ʻimi i nā papahana kōkua kālā.
ʻO nā lāʻau lapaʻau Immunotherapy, e like me nā mea hoʻopaneʻe mākaʻikaʻi (e laʻa, Pembrolizumab, Nivolumab), hoʻohana i ka ʻōnaehana pale ponoʻī o ke kino e hakakā i ka maʻi kanesa. Ua hoʻololi kēia mau lāʻau lapaʻau i ka mālama ʻana i ka maʻi maʻi ʻāʻī, akā pinepine lākou i ke kumu kūʻai, me nā kumukūʻai like a ʻoi aku paha i nā lāʻau lapaʻau i manaʻo ʻia. ʻO nā kumu e like me ka lāʻau lapaʻau kikoʻī, dosage, a me ka pane ʻana i ka lāʻau lapaʻau e pili ana i ke kumukūʻai holoʻokoʻa. Hiki i kāu hui mālama ola ke kūkākūkā i nā kumukūʻai kūpono a me nā polokalamu kōkua i loaʻa me ʻoe.
ʻO ka Chemotherapy kahi pōhaku kihi o nā lāʻau maʻi maʻi ʻaʻai maʻi ʻaʻai liʻiliʻi liʻiliʻi hou, ʻoiai ua hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻOkoʻa nā kumukūʻai ma muli o nā mea hoʻohana chemotherapeutic kikoʻī i hoʻohana ʻia, ka regimen dosage, a me ka lōʻihi o ka mālama ʻana. ʻOiai ʻoi aku ka liʻiliʻi o ke kumukūʻai ma mua o nā lāʻau lapaʻau i kuhikuhi ʻia a i ʻole immunotherapy i kēlā me kēia lāʻau lapaʻau, hiki ke nui ke kumukūʻai kumulative ma ke ʻano o ka mālama ʻana.
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Aia ke kumukūʻai i ke ʻano o ka radiation therapy i hoʻohana ʻia (external beam radiation, brachytherapy, etc.), ka helu o nā kau lapaʻau, a me ka paʻakikī o ka hoʻolālā lapaʻau. Hiki ke hoʻohana ʻia kēia ʻano hoʻokahi a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
ʻO ka wehe ʻana i ka ʻōpū he koho lapaʻau no kekahi mau maʻi me nā lāʻau maʻi maʻi ʻaʻai maʻi ʻaʻai liʻiliʻi liʻiliʻi hou. Aia ke kumukūʻai i ka nui o ke kaʻina hana (e like me ka lobectomy, pneumonectomy), ka paʻakikī o ke kaʻina hana, a me nā uku o ka haukapila. ʻO ka mālama ma hope o ka hana a me nā pilikia hiki ke hoʻopili i ka huina kālā.
ʻO ke kumukūʻai o nā lāʻau maʻi maʻi ʻaʻai maʻi ʻaʻai liʻiliʻi liʻiliʻi hou pili ʻia e kekahi mau kumu:
ʻO ke kumukūʻai kiʻekiʻe o ka mālama ʻana i ka maʻi maʻi hiki ke paʻakikī. ʻO ka mea pōmaikaʻi, loaʻa nā kumuwaiwai like ʻole e kōkua i nā maʻi e mālama i kēia mau lilo:
E hoʻomanaʻo e kūkākūkā me kāu hui mālama ola kino. Hiki iā lākou ke hāʻawi i ke alakaʻi i nā koho lapaʻau, nā papahana kōkua kālā, a me nā kumuwaiwai e kōkua i ka hoʻokele ʻana i nā pilikia kālā o ka mālama maʻi maʻi. No ka mālama ʻana i ka maʻi kanesa, e noʻonoʻo e kūkākūkā Shandong Baofa Cancer Research Institute.
| ʻAno Lapaʻau | Kokoke koina makahiki (USD)1 |
|---|---|
| ʻO ka lāʻau lapaʻau i hoʻopaʻa ʻia (e.g., EGFR inhibitor) | $150,000 - $250,000 |
| Immunotherapy (e laʻa, Checkpoint Inhibitor) | $180,000 - $300,000 |
| Chemotherapy (hoʻoponopono maʻamau) | $50,000 - $100,000 |
1'Ōlelo Aʻo: He mau laʻana hoʻohālike wale nō kēia a ʻokoʻa paha nā kumukūʻai maoli ma muli o nā kūlana a me nā kumu i ʻōlelo ʻia ma luna. E kūkākūkā me kāu ʻoihana mālama ola kino a me ka hui ʻinikua no nā koho kumukūʻai pololei.
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.