
ʻIke ʻia kēia alakaʻi piha i nā kumu like ʻole e hoʻopiʻi ana i ke kumukūʻai o lapaʻau ʻana i ka maʻi maʻi ʻāʻī. E hoʻopau mākou i nā lilo e pili ana i ka maʻi maʻi, ʻokiʻoki, chemotherapy, radiation therapy, targeted therapy, a me ka mālama kākoʻo, e hāʻawi iā ʻoe i kahi kiʻi maʻalahi o ka mea e manaʻo ai. E hoʻomanaʻo, ʻokoʻa nā kumukūʻai o kēlā me kēia kanaka ma muli o nā kumu e like me nā koho lapaʻau, wahi, a me ka uhi ʻinikua. He mea koʻikoʻi ke kūkākūkā me kāu mea mālama ola kino a me ke kākāʻōlelo kālā no ka hoʻolālā kālā pilikino.
ʻO ke kumukūʻai mua o ka hōʻoia ʻana maʻi maʻi ʻāʻī Aia nā hoʻokolohua kiʻi e like me CT scans, PET scans, a me bronchoscopy. Pono pū nā biopsies e hōʻoia i ka maʻi a me ka hoʻoholo ʻana i ka pae o ka maʻi kanesa. ʻOkoʻa ke kumukūʻai o kēia mau kaʻina hana ma muli o ka hale hana a me kāu ʻinikua. Hiki i ka ʻike mua ke hoʻopōʻino nui i ke kumukūʻai lapaʻau holoʻokoʻa ma o ka ʻae ʻana i nā koho lapaʻau liʻiliʻi a emi ʻole ke kumu kūʻai.
Nā koho ʻokiʻoki no maʻi maʻi ʻāʻī mai nā kaʻina hana hōʻemi liʻiliʻi e like me VATS (Video-Assisted Thoracic Surgery) i nā ʻokiʻoki ʻoi aku ka nui e like me ka lobectomy a i ʻole pneumonectomy. Hoʻololi nui ʻia ke kumukūʻai ma muli o ka paʻakikī o ke ʻoki, noho i ka haukapila, a me ka pono o ka mālama post-operative. ʻO ka paʻakikī o ke kaʻina hana pili pinepine i ka pae o ka maʻi maʻi i ka maʻi maʻi.
He lāʻau lapaʻau maʻamau ka Chemotherapy no maʻi maʻi ʻāʻī, hoʻohana ʻia ma mua o ka ʻoki ʻana (neoadjuvant) a i ʻole ma hope o ke ʻoki ʻana (adjuvant) e pepehi i nā maʻi kanesa a pale i ka hoʻi hou ʻana. ʻO ke kumu kūʻai o ka chemotherapy e pili ana i nā lāʻau lapaʻau i hoʻohana ʻia, ka helu o nā pōʻai, a me ke ʻano hoʻokele. Hiki i nā lāʻau lapaʻau ke ʻano like ʻole i ke kumukūʻai a me ka maikaʻi ma muli o ke kanaka maʻi a me ke ʻano kikoʻī maʻi maʻi ʻāʻī.
Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e hoʻopaʻa a luku i nā maʻi maʻi maʻi. ʻOkoʻa ke kumukūʻai o ka lāʻau lapaʻau e pili ana i ke ʻano o ka radiation i hoʻohana ʻia (ka radiation beam waho a i ʻole brachytherapy), ka helu o nā lāʻau lapaʻau, a me ka paʻakikī o ka hoʻolālā lapaʻau. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau hoʻokahi a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau hou e kuhikuhi pono ana i nā maʻi maʻi maʻi me ka ʻole e hōʻino i nā cell olakino. Hiki ke kiʻekiʻe ke kumukūʻai o kēia mau lāʻau lapaʻau, ma muli o ka lāʻau kūikawā a me ka lōʻihi o ka mālama ʻana. Hoʻohana pinepine ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia inā ʻaʻole i kūleʻa nā lāʻau ʻē aʻe a i hui pū ʻia me ka chemotherapy a i ʻole immunotherapy.
ʻO ka mālama kākoʻo e pili ana i ka mālama ʻana i ka ʻeha, ka ʻōlelo aʻoaʻo meaʻai, a me ka hoʻoponopono hou ʻana. Hiki ke hoʻonui nui ʻia kēia mau kumukūʻai i ka wā o ka mālama ʻana. ʻOkoʻa ka pono o ka mālama kākoʻo ma muli o ke kanaka a me kā lākou pane ʻana i ka mālama ʻana.
Ka huina lilo o lapaʻau ʻana i ka maʻi maʻi ʻāʻī hiki ke loaʻa mai nā ʻumi tausani a i nā haneli haneli kālā, ʻoiai me ka ʻinikua. ʻO ke kumukūʻai kiko'ī e pili ana i nā kumu i haʻi muaʻia. He mea nui ka hoʻomaopopo ʻana i kāu ʻinikua. Nui nā hoʻolālā ʻinikua olakino e uhi i kahi ʻāpana nui o ka mālama ʻana i ka maʻi maʻi, akā hiki ke hoʻonui ʻia nā lilo o waho e like me nā deductibles, co-pays, a me coinsurance. He mea koʻikoʻi ke kūkākūkā i kāu ʻinikua me kāu mea mālama ola a e ʻimi i nā koho e like me nā polokalamu kōkua kālā e kōkua i ka mālama ʻana i ke kaumaha kālā.
Ke alo nei i kahi hōʻailona o maʻi maʻi ʻāʻī hiki ke paʻakikī, ma ka manaʻo a me ke kālā. Hāʻawi kekahi mau hui i ke kākoʻo koʻikoʻi a me nā kumuwaiwai i nā maʻi a me ko lākou ʻohana. Hāʻawi pinepine kēia mau hui i ka ʻike e pili ana i nā papahana kōkua kālā, nā hoʻokolohua lapaʻau, a me nā hui kākoʻo noʻonoʻo. ʻO ka American Cancer Society a ʻO ke Aliʻi maʻi maʻi ʻāʻī he mau kumuwaiwai maikaʻi loa e makaʻala.
| ʻAno Lapaʻau | Kona Kumukuai Manao |
|---|---|
| ʻIke a me ka hoʻonohonoho ʻana | $5,000 - $15,000 |
| ʻO ka ʻoki ʻana | $20,000 - $100,000+ |
| Kemoterapi | $10,000 - $50,000+ |
| Lapaʻau Radiation | $10,000 - $40,000 |
| ʻO ka Lapaʻau Kūlohelohe | $10,000 - $100,000+ i kēlā me kēia makahiki |
| Mālama Kākoʻo | Nui nā ʻokoʻa |
Hōʻole: ʻO nā pae kumukūʻai i hāʻawi ʻia he mau koho a hiki ke ʻokoʻa nui ma muli o ke kūlana o kēlā me kēia. ʻAʻole manaʻo ʻia kēia mau helu ma ke ʻano he pani no ka ʻoihana lapaʻau a i ʻole ka ʻōlelo aʻoaʻo kālā.
No ka ʻike hou aku e pili ana i nā koho lapaʻau lapaʻau a me nā kumuwaiwai, e kipa Shandong Baofa Cancer Research Institute.