Amayeza oNyango loMhlaza wemiphunga: Ukuqonda iindlekoUkuqonda iimpembelelo zemali amayeza onyango lomhlaza wemiphunga ibalulekile kwizigulana neentsapho zazo. Esi sikhokelo sinika amagqabantshintshi abanzi eendleko ezinxulumene nonyango olwahlukeneyo, izinto ezinefuthe kwixabiso, kunye nezibonelelo ezikhoyo zoncedo lwemali.
Iintlobo zamayeza omhlaza wemiphunga kunye neendleko zawo
Iindleko ze
amayeza onyango lomhlaza wemiphunga iyahluka kakhulu ngokuxhomekeke kwizinto eziliqela, kuquka uhlobo lomhlaza, inqanaba lesifo, iyeza elithile elisetyenzisiweyo, kunye ne-inshorensi yomguli. Iindidi ezininzi zamachiza zisetyenziswa kwi
unyango lomhlaza wemiphunga, nganye ineprofayili yeendleko zayo.
Unyango ekujoliswe kulo
Unyango ekujoliswe kulo, njenge-tyrosine kinase inhibitors (TKIs) njenge-osimertinib (i-Tagrisso) kunye ne-afatinib (i-Gilotrif), yenzelwe ukujolisa kwiinguqu ezithile zofuzo kwiiseli zomhlaza wemiphunga. La mayeza anokusebenza kakhulu, kodwa ahlala ebiza kakhulu. Ixabiso elichanekileyo liyahluka ngokuxhomekeke kwiyeza, umthamo, kunye nobude bonyango. Kuya kufuneka udibane ne-oncologist yakho kunye nosokhemesti malunga noqikelelo lweendleko ezichanekileyo kwimeko yakho ethile.
Unyango ngamachiza
Amachiza onyango lwekhemotherapy asetyenziselwa ukubulala iiseli zomhlaza. Iindleko ze-chemotherapy zinokwahluka ngokubanzi ngokuxhomekeke kumachiza athile asetyenzisiweyo kunye nobuninzi kunye nobude bonyango. Iiarhente zechemotherapy eziqhelekileyo zomhlaza wemiphunga ziquka i-cisplatin, i-carboplatin, i-paclitaxel, kunye ne-docetaxel. Ngelixa jikelele ingabizi kakhulu ngedosi nganye kunonyango olujoliswe kuyo, iindleko ezongezelekayo ngexesha lonyango zisengaba nkulu.
Immunotherapy
Iziyobisi ze-Immunotherapy, ezifana ne-pembrolizumab (Keytruda) kunye ne-nivolumab (Opdivo), zisebenza ngokunyusa amajoni omzimba ukulwa iiseli zomhlaza. La mayeza atshintshile
unyango lomhlaza wemiphunga kwezinye iimeko, kodwa nazo zidla ngokubiza, zithelekiseka kwiindleko zonyango ekujoliswe kuzo.
Amanye Amayeza
Amayeza awongezelelweyo angasetyenziselwa ukulawula iziphumo ebezingalindelekanga ze
unyango lomhlaza wemiphunga, inegalelo elingakumbi kwiindleko zizonke. Oku kunokubandakanya amayeza achasene nesicaphucaphu, izithomalalisi zeentlungu, kunye namayeza okulawula ezinye iingxaki.
Imiba echaphazela ixabiso lamayeza oNyango lomhlaza wemiphunga
Izinto ezininzi zinempembelelo kwiindleko zokugqibela ze
amayeza onyango lomhlaza wemiphunga: Uhlobo lwamayeza: Njengoko kuxoxwe ngasentla, amayeza ahlukeneyo anamaxabiso ahlukeneyo. Idosi kunye nokuphindaphindwa: Idosi ephezulu kunye nolawulo oluthe gqolo lonyusa ixabiso lilonke. Ubude bexesha lonyango: Unyango lunokuhlala iinyanga okanye iminyaka, luchaphazele kakhulu iindleko ezongezelekayo. Ukhuseleko lwe-inshorensi: Isicwangciso se-inshorensi yesigulana sidlala indima ebalulekileyo ekumiseleni iindleko eziphuma epokothweni. I-co-pays, i-deductibles, kunye ne-inshurensi edibeneyo inokuchaphazela kakhulu iindleko zokugqibela. Indawo: Iindleko zinokwahluka ngokwejografi.
IiNkqubo zoNcedo lweMali
Izibonelelo ezininzi zikhona ukunceda izigulane ukulawula umthwalo wemali we
unyango lomhlaza wemiphunga. Ezi ziquka: IiNkqubo zoNcedo lweZigulana zabavelisi (PAPs): Iinkampani ezininzi zamayeza zibonelela ngeenkqubo zoncedo lwemali kwizigulane ezingakwaziyo ukuhlawula amayeza azo. Jonga iiwebhusayithi zabavelisi bamayeza akho athile ngeenkcukacha. Uncedo lweSiseko: Imibutho emininzi engenzi nzuzo, efana neAmerican Cancer Society kunye neLung Cancer Research Foundation, ibonelela ngoncedo lwemali kwizigulana ezinomhlaza wemiphunga. Ezi nkqubo zinokuhlawula iindleko zamayeza, iindleko zokuhamba, okanye ezinye iindleko ezinxulumene noko. Iinkqubo zikaRhulumente: Iinkqubo zikaRhulumente ezifana neMedicare kunye neMedicaid zinokunceda ekuhlawuleni ezinye okanye zonke iindleko ze
amayeza onyango lomhlaza wemiphunga, kuxhomekeke ekumfanelekeni komguli.
Ukufuna iNkxaso kunye nolunye ulwazi
Ukukhangela iingxaki ze
amayeza onyango lomhlaza wemiphunga kwaye iindleko zabo zinokuba lucelomngeni. Kubalulekile ukusebenza ngokusondeleyo neqela lakho lezempilo ukuze uqonde iindlela zonyango onokukhetha kuzo kwaye ujonge izibonelelo zoncedo lwemali ezikhoyo. Ungathandabuzi ukubuza i-oncologist yakho, usokhemesti, okanye unontlalontle ogxile kwi-oncology ukuba akuncede. Ukufumana ulwazi oluthe vetshe kunye nenkxaso, cinga ngokuqhagamshelana namaqela abhengeze izigulane ezijongene nomhlaza wemiphunga. Unokubonisana nesebe le-oncology lamaziko onyango ahloniphekileyo afana neShandong Baofa Cancer Research Institute (
https://www.baofahospital.com/) ngeengcebiso kunye nokhathalelo lomntu.