
Ka hoʻomaopopo ʻana i ke kumukūʻai o ka mālama ʻana i ka maʻi maʻi umauma: He ICD-10 Perspective Hāʻawi kēia ʻatikala i kahi ʻike piha o nā kumukūʻai e pili ana i ka mālama ʻana i ka maʻi maʻi umauma, i hoʻokaʻawale ʻia e nā code ICD-10. E ʻimi mākou i nā kumu e hoʻololi ai i nā ʻano kumu kūʻai a me nā kumuwaiwai i loaʻa no ke kōkua kālā. No nā kumu hoʻonaʻauao ka ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau.
He hana kālā koʻikoʻi ka mālama ʻana i ka maʻi maʻi umauma, me nā kumukūʻai e ʻokoʻa nui ma muli o kekahi mau kumu. ʻO ka hoʻomaopopo ʻana i kēia mau mea a me nā code ICD-10 pili i hiki ke kōkua i nā maʻi a me ko lākou ʻohana e hoʻokele i nā paʻakikī o ka hoʻolālā ʻana a me ka hoʻomākaukau kālā. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā kumukūʻai e pili ana, nā mea hoʻoikaika, a me nā kumuwaiwai i loaʻa e hōʻemi i ke kaumaha kālā. E hoʻomanaʻo, no ka hoʻonaʻauao ka ʻike ma aneʻi a ʻaʻole ia he pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu mea mālama ola no ke alakaʻi pilikino e pili ana i kāu hoʻolālā lapaʻau a me nā koina pili.
Hāʻawi ka International Classification of Diseases, Tenth Revision (ICD-10) i kahi ʻōnaehana maʻamau no ka hoʻokaʻawale ʻana i nā maʻi a me nā kūlana olakino. ʻO nā code ICD-10 like ʻole e pili ana i nā pae like ʻole a me nā ʻano o ka maʻi kanesa o ka umauma, e pili pono ana i nā koho lapaʻau a no laila, ke kumukūʻai holoʻokoʻa. No ka laʻana, lapaʻau ICD 10 umauma maʻi 'aʻai koina 'oko'a loa ma waena o ka ma'i 'a'ai umauma mua (i mālama 'ia me nā lā'au lapa'au li'ili'i) a me ka ma'i 'a'ai ma'i metastatic (e koi pinepine ana i nā lā'au lapa'au nui a lō'ihi). ʻO nā code kikoʻī, e like me nā mea e pili ana i nā kaʻina hana ʻokiʻoki kikoʻī (e laʻa, mastectomy, lumpectomy), nā hoʻoponopono chemotherapy, radiation therapy, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia, nā mea a pau e pili ana i ke kumukūʻai hope. ʻO ka wehewehe kikoʻī o nā kumukūʻai e pili ana i nā code ICD-10 kikoʻī e koi pinepine i ke kūkākūkā me nā keʻena pili kālā ma nā keʻena olakino.
ʻO ka pae o ka maʻi kanesa o ka umauma ma ka maʻi maʻi he mea koʻikoʻi e pili ana i ke kumukūʻai o ka mālama ʻana. Hiki ke komo i ka ma'i 'a'ai ma'i ma'i mua o ka ma'i 'a'ai ma'i a me ka li'ili'i o nā lā'au lapa'au adjuvant, e alaka'i ana i ka ho'oha'aha'a 'ana i nā kumukū'ai holo'oko'a ke ho'ohālikelike i nā ma'i ma'i ma'i hope e koi ana i nā lā'au 'oi aku ka ikaika a me ka lō'ihi. ʻO nā kūlana kūikawā o ka mea maʻi e kuhikuhi i nā kaʻina hana pono a me ke kumukūʻai holoʻokoʻa no lākou lapaʻau ICD 10 umauma maʻi 'aʻai koina.
ʻO ka papahana lapaʻau i kohoʻia e hoʻololi nui i ka huina kālā. ʻO nā kaʻina hana (lumpectomy, mastectomy, a me ka lymph node dissection), ka chemotherapy, radiation therapy, hormone therapy, targeted therapy, a me immunotherapy he ʻokoʻa nā kumukūʻai. ʻO ka hui pū ʻana o nā lāʻau lapaʻau i hoʻohana ʻia e hoʻonui i nā lilo holoʻokoʻa. No ka laʻana, ʻo ka hoʻohui ʻana i ka chemotherapy adjuvant i ke kaʻina e hoʻonui i ka nui lapaʻau ICD 10 umauma maʻi 'aʻai koina hoʻohālikelike ʻia me ka ʻoki wale ʻana.
ʻO ka ʻāina ʻāina o ka mālama ʻana e pili nui ana i ke kumukūʻai. He ʻokoʻa nā kumukūʻai mālama ola ma nā ʻāina a me nā ʻāina like ʻole. ʻO nā mea e like me ka loaʻa ʻana o nā hale hana kūikawā, ke kumukūʻai o ke ola, a me ka hoʻopiʻi ʻinikua e pili ana i ka hoʻoholo ʻana i ke kumukūʻai hope.
ʻO ka loaʻa ʻana o kahi maʻi maʻi maʻi maʻi umauma hiki ke paʻakikī, ma ka lāʻau lapaʻau a me ke kālā. ʻO ka mea pōmaikaʻi, hiki i kekahi mau kumuwaiwai ke kōkua i ka hoʻēmi ʻana i ke kaumaha kālā:
He kuleana koʻikoʻi ka ʻinikua olakino i ka mālama ʻana i nā kumukūʻai o ka mālama ʻana i ka maʻi maʻi umauma. He mea nui ka hoʻomaopopo ʻana i ka uhi ʻana o kāu kulekele no ka mālama ʻana i ka maʻi maʻi, me nā deductibles, co-pays, a me nā palena kiʻekiʻe o waho. E nānā pono i kāu kulekele a i ʻole e kelepona i kāu mea hoʻolako inikua no ka wehewehe ʻana. Shandong Baofa Cancer Research Institute hiki ke kōkua iā ʻoe e hoʻomaopopo i kāu ʻinikua e pili ana i kāu lapaʻau ICD 10 umauma maʻi 'aʻai koina.
Nui nā hui e hāʻawi i nā papahana kōkua kālā no nā maʻi maʻi maʻi e hakakā nei me nā kumukūʻai lapaʻau. Hiki i kēia mau papahana ke hāʻawi i nā haʻawina, nā haʻawina, a i ʻole nā kōkua uku. ʻO ka noiʻi ʻana a me ka noi ʻana i kēia mau papahana hiki ke hōʻemi nui i ke kaumaha kālā. E kelepona i nā hui kākoʻo maʻi a me nā kikowaena maʻi maʻi kūloko no ka ʻike e pili ana i nā kumuwaiwai i loaʻa.
ʻOiai nā kuhi kumukūʻai kikoʻī no lapaʻau ICD 10 umauma maʻi 'aʻai koina paʻakikī ke hāʻawi me ka ʻole o nā kikoʻī lapaʻau pilikino, hāʻawi kekahi mau pūnaewele i nā mea hana e hāʻawi i nā kiʻi ballpark e pili ana i ke ʻano lapaʻau a me kahi. Eia naʻe, pono e hoʻohana ʻia kēia mau mea ma ke ʻano he kuhi wale nō.
ʻO ke kumukūʻai o ka mālama ʻana i ka maʻi kanesa o ka umauma he pilikia paʻakikī i hoʻopili ʻia e nā kumu like ʻole. ʻOiai paʻakikī ka wānana kumukūʻai pololei, ʻo ka hoʻomaopopo ʻana i kēia mau kumu a me ka ʻimi ʻana i nā kumuwaiwai kālā e hiki ke hoʻomākaukau maikaʻi i nā maʻi a me ko lākou ʻohana no nā hopena kālā o ka mālama ʻana. E hoʻomanaʻo e kūkākūkā me kāu hui mālama ola a e ʻimi i nā kumuwaiwai i loaʻa e mālama pono i ke kumukūʻai.
| Kumukumu | Ka hopena ma ke Kumukuai |
|---|---|
| Pae o ka ma'i ma'i | ʻOi aku ke kumu kūʻai ma mua o nā pae mua. |
| Nā ʻano hana lapaʻau | ʻO ka ʻoki ʻana, ka chemotherapy, radiation, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia he ʻokoʻa nā kumukūʻai. |
| Kahi ʻāina | He ʻokoʻa loa nā kumukūʻai ma nā ʻāina a me nā ʻāina like ʻole. |
Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka hoʻolālā lāʻau.