Lapaʻau ʻana i ka maʻi maʻi ʻāʻī ma ka pae: He alakaʻi kumu kūʻai holoʻokoʻa He paʻakikī ka mālama ʻana i ka maʻi maʻi maʻi ʻaʻai a ʻano like ʻole ma muli o ke ʻano o ka maʻi. Hāʻawi kēia alakaʻi i kahi ʻike kikoʻī o ka lapaʻau ʻana i ka maʻi maʻi maʻi maʻi ma ke kahua a me ke kumukūʻai, kōkua iā ʻoe e hoʻomaopopo i nā hopena kālā o kēlā me kēia koho lapaʻau. No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu kauka oncologist no ka hoʻolālā ʻana i ka lāʻau lapaʻau pilikino a me nā koho kumukūʻai.
Ka hoʻomaopopo ʻana i nā pae maʻi maʻi ʻāʻī
He mea koʻikoʻi ka mālama ʻana i ka maʻi maʻi maʻi i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono a me ka wānana wānana. ʻO ke kaʻina hana e pili ana i nā hoʻokolohua kiʻi (e like me CT scans a me PET scans), biopsies, a i kekahi manawa bronchoscopy. Aia nā pae mai I (localized) a i IV (metastatic), me kēlā me kēia pae e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa.
Papa I ka ma'i ma'i 'a'ai
I ka Papa I, ua pa'a ka ma'i 'a'ai ma ke akemāmā. ʻO nā koho lapaʻau maʻamau e pili ana i ka ʻoki ʻana (lobectomy a i ʻole pneumonectomy) a i ʻole stereotactic body radiotherapy (SBRT). ʻO ka
ke kumu kūʻai o ka mālama ʻana i ka maʻi kanesa i kēia manawa e hilinaʻi nui ʻia i ke ʻano o ke ʻoki ʻana, kahi o ka haukapila, a me ka uhi ʻinikua.
Papa II Ka ma'i 'a'ai
ʻO ka pae II e pili ana i kahi maʻi nui a i ʻole e laha i nā ʻōpū lymph kokoke. ʻO nā koho lapaʻau e pili ana i ka ʻokiʻoki, i hui pinepine ʻia me ka chemotherapy a i ʻole radiation therapy. ʻO ka
ke kumu kūʻai o ka mālama ʻana i ka maʻi kanesa ʻOi aku ka kiʻekiʻe o ka Papa II ma mua o ka Papa I ma muli o ka paʻakikī o ka mālama ʻana.
ʻĀpana III Ka maʻi maʻi ʻāʻī
Hoʻokaʻawale ʻia ka maʻi maʻi maʻi maʻi maʻi III i IIIA, IIIB, a me IIIC, e hōʻike ana i nā pae like ʻole o ka hoʻolaha ʻana i nā node lymph a me nā hale kokoke. Hiki i nā koho lapaʻau ke komo i ka ʻoki (inā hiki), ka chemotherapy, radiation therapy, a me ka lāʻau lapaʻau. ʻO kēia kaʻina hana maʻamau e pili ana i nā lāʻau lapaʻau ʻoi aku ka nui a me ke kumukūʻai, e hoʻopilikia nui i ka holoʻokoʻa
ke kumu kūʻai o ka mālama ʻana i ka maʻi kanesa.
ʻĀpana IV Ka maʻi maʻi ʻāʻī
'O ka ma'i 'a'ai ma'i ma'i IV 'o ia ka metastasis—ka laha 'ana o ka ma'i 'a'ai ma nā wahi mamao o ke kino. Hoʻopili ka lāʻau i ka mālama ʻana i nā hōʻailona a hoʻonui i ke ola. ʻO nā koho e pili ana i ka chemotherapy, ka lāʻau i hoʻopaʻa ʻia, ka immunotherapy, a me ka radiation therapy i nā wahi kikoʻī. Ma muli o ke ʻano o ka mālama ʻana, ʻo ka
ke kumu kūʻai o ka mālama ʻana i ka maʻi kanesa i kēia pae hiki ke nui.
Nā kumu kūʻai i ka mālama ʻana i ka maʻi maʻi ʻāʻī
ʻO ka
ke kumu kūʻai o ka mālama ʻana i ka maʻi kanesa ʻokoʻa nui ma muli o kekahi mau kumu: ʻO ka pae o ka maʻi kanesa: E like me ka mea i wehewehe ʻia ma luna nei, ʻoi aku ka nui o nā pae kiʻekiʻe e koi i nā lāʻau lapaʻau nui aʻe. Ke ʻano o ka lāʻau lapaʻau: ʻO ka ʻoki ʻana, radiation therapy, chemotherapy, immunotherapy, a me ka lāʻau lapaʻau i manaʻo ʻia he mau kumu kūʻai like ʻole. Ka lōʻihi o ka lāʻau lapaʻau: Hoʻololi nui ka lōʻihi o ka mālama ʻana i ka uku holoʻokoʻa. Kahi o ka halemai a me nā uku kauka: ʻokoʻa ke kumukūʻai o ka mālama ma muli o ka ʻāina a me ka ʻike o ke kauka. Ka 'inikua: Hoʻopili nui nā hoʻolālā inikua i nā lilo o waho. ʻO nā lilo hou: ʻO kēia nā hoʻokolohua diagnostics, nā lāʻau lapaʻau, ka noho ʻana i ka haukapila, hoʻoponopono hou, a me nā koina huakaʻi.
Kōkua kālā a me nā kumuwaiwai
ʻO ka loaʻa ʻana o kahi maʻi maʻi maʻi hiki ke paʻakikī i ka naʻau a me ke kālā. Hiki i kekahi mau kumuwaiwai ke kōkua i ka hoʻēmi ʻana i ke kaumaha kālā o
lāʻau maʻi maʻi ʻāʻī: Hoʻopiʻi 'inikua: E hoʻomaopopo i kāu kulekele ʻinikua olakino a me kāna uhi no ka mālama ʻana i ka maʻi kanesa. Nā papahana kōkua maʻi: Nui nā hui lāʻau lapaʻau e hāʻawi i nā papahana kōkua e kōkua i nā poʻe maʻi e loaʻa i kā lākou mau lāʻau. Nā hui aloha: Nui nā hui e hāʻawi i ke kākoʻo kālā i nā maʻi maʻi maʻi. E noiʻi i nā hui kūloko a me ka ʻāina no ke kōkua kūpono. Nā polokalamu aupuni: E ʻimi i nā polokalamu aupuni a me nā hana e hāʻawi i ke kōkua kālā.
Nā Koho Lapaʻau a me kā lākou mau kumukūʻai (Nā Hoʻohālike Hoʻohālikelike)
Hāʻawi ka papa ma lalo i nā hiʻohiʻona hiʻohiʻona o nā kumukūʻai kūpono. He mau kuhi kēia a hiki ke ʻano like ʻole ma muli o ka wahi a me nā kūlana kikoʻī. Pono e hōʻoia ʻia nā kumukūʻai maoli me kāu ʻoihana mālama ola kino a me ka hui ʻinikua.
| ʻAno Lapaʻau | Kaulana Kumukuai Manaʻo (USD) |
| ʻO ka ʻoki ʻana (Lobectomy) | $50,000 - $150,000 |
| Chemotherapy (no kēlā me kēia pōʻai) | $5,000 - $10,000 |
| Lapaʻau Radiation (no kēlā me kēia kau) | $1,000 - $3,000 |
| Immunotherapy (i kēlā me kēia makahiki) | $100,000 - $200,000 |
| ʻO ka Lapaʻau Kūlohelohe (i kēlā me kēia makahiki) | $50,000 - $150,000 |
Hoʻokaʻawale: ʻO nā kumukūʻai i hāʻawi ʻia he mau manaʻo a ʻaʻole paha e hōʻike i nā kumukūʻai maoli āu e loaʻa ai. E ʻoluʻolu e kamaʻilio me kāu ʻoihana mālama ola a me ka hui ʻinikua no ka ʻike kumu kūʻai pololei.
https://www.cancer.gov/. E noʻonoʻo e kūkākūkā me nā loea ma
Shandong Baofa Cancer Research Institute no nā ʻōlelo aʻo pilikino a me nā koho lapaʻau. E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama kūpono e hoʻopilikia nui i ka hopena a me ke kumukūʻai o
lāʻau maʻi maʻi ʻāʻī.