
Lesi sihloko sihlola izinketho zokulawula ukuphefumula (dyspnea) ezigulini ezinomdlavuza wamaphaphu, igxile ekwelashweni okungabizi nezinsiza ezitholakalayo. Sizoxoxa ngezindlela ezihlukahlukene, kusukela ekulawuleni izimpawu ekhaya kuye ekuhloleni ukunakekelwa okusekelwe esibhedlela, sicabangela imithelela yezezimali kulo lonke.
Ukuphelelwa umoya kuwuphawu oluvamile futhi olucindezelayo ezigulini ezinomdlavuza wamaphaphu. Kungase kubangelwa izici ezihlukahlukene, okuhlanganisa ukukhula kwesimila esithinta amaphaphu noma imigudu yomoya, ukunqwabelana koketshezi emaphashini (i-pleural effusion), noma izinkinga ezifana nenyumoniya noma amahlule egazi. Izimpawu zingasukela ekubeni nokuphefumula okuncane kuye kobunzima obukhulu bokuphefumula, kuthinte izinga lempilo kakhulu. Ukuphatha okuphumelelayo kubalulekile ekuthuthukiseni ukunethezeka kanye nokuphila kahle.
Uma wena noma othandekayo enenkinga yokuphefumula ehlobene nomdlavuza wamaphaphu, ukunakwa ngokushesha kubalulekile. Ukuhlolwa okuphelele kwe-oncologist kanye nochwepheshe bokuphefumula kuzonquma imbangela eyisisekelo futhi kuqondise ukuhlelwa kokwelashwa. Ukungenelela kusenesikhathi kungavimbela izinkinga futhi kuthuthukise imiphumela. Ungangabazi ukuxhumana nomhlinzeki wakho wokunakekelwa kwezempilo ngokushesha uma unenkinga yokuphefumula.
Imithi eminingana ingasiza ekulawuleni ukuphefumula, okuhlanganisa ama-bronchodilator (ukuvula imigudu yokuphefumula), i-corticosteroids (ukunciphisa ukuvuvukala), nokwelashwa komoya-mpilo. Izindlela zokwelapha zokuphefumula, njengokuzivivinya ukuphefumula nokuphefumula ngezindebe ezigxiliwe, nazo zinganikeza impumuzo. Izindleko zalokhu kwelashwa ziyahlukahluka kuye ngomshwalense wakho kanye nemithi ethile ebekiwe. Ukuxoxa ngalezi zindleko nomhlinzeki wakho wokunakekelwa kwezempilo kanye nokuhlola izindlela zokonga ezingaba khona kubalulekile. Bangase futhi bakwazi ukuphakamisa izinsiza noma izinhlelo ezingasiza ngokufinyeleleka.
Kwezinye izimo, ukulaliswa esibhedlela kungase kudingeke ukuze uphefumule kanzima. Ukunakekelwa kwesibhedlela kunika amandla ukuqapha okuseduze futhi kuvumela ukungenelela okunolaka, okufana ne-pleural effusion drainage noma ukungena komoya ngemishini. Nakuba ukuhlala esibhedlela kungase kubize, izibhedlela eziningi zinikeza izinhlelo zokusiza ngezezimali noma zisebenze neziguli ukuze zenze izinhlelo zokukhokha ezilawulekayo. Ukuhlola lezi zinketho ngomnyango wezinsizakalo zezezimali zesibhedlela kuyanconywa. I-Shandong Baofa Cancer Research Institute inikeza ukunakekelwa okuphelele komdlavuza, okuhlanganisa nokuphathwa kokuphefumula ezigulini ezinomdlavuza wamaphaphu.
Ukunakekelwa kwe-Palliative kugxile ekuthuthukiseni izinga lempilo yabantu abanezifo ezimbi kakhulu, kuhlanganise nomdlavuza wamaphaphu. Ibhekana nezidingo ezingokwenyama, ezingokomzwelo nezingokomoya. Amathimba okunakekelwa kwe-Palliative angahlinzeka ngokuphathwa kwezimpawu kochwepheshe, ukusiza ekudambiseni ukuphefumula kanye nezinye izimpawu ezicindezelayo. Ukunakekelwa kwe-Palliative kuvame ukumbozwa umshwalense, okwenza kube insiza efinyelelekayo nebalulekile yokulawula ukuphefumula esimweni somdlavuza wamaphaphu othuthukile.
Buyekeza umshwalense wakho wezempilo ukuze uqonde ukumboza kwakho ukwelashwa komdlavuza wamaphaphu nezindleko ezihambisanayo, okuhlanganisa imithi, ukuhlala esibhedlela, nokwelashwa kokuphefumula. Zijwayeze ngama-deductible akho, okukhokha ngokubambisana, kanye nama-maximum aphuma ephaketheni. Xhumana nomhlinzeki wakho womshwalense ukuze uthole ukucaciseleka mayelana nekhava ethile yokulawula ukuphefumula.
Izibhedlela eziningi nezinhlangano zokunakekelwa kwempilo zinikeza izinhlelo zokusiza ngezezimali ukusiza iziguli ukuthi zithole ukwelashwa. Buza ngalezi zinhlelo esikhungweni sakho sezempilo, futhi uhlole izinketho ngezinhlangano ezisiza umphakathi zikazwelonke nezendawo ezisekela iziguli ezinomdlavuza. Lezi zinhlelo zingase zinikeze izibonelelo, uxhaso, noma izinhlelo zokusiza inkokhelo.
Ukulawula ukuphefumula ekhaya kungabiza kakhulu kunokunakekelwa esibhedlela njalo. Ukwelashwa komoyampilo wasekhaya, uma kunqunyiwe, kungabiza kancane kunokuhlala esibhedlela okuqhubekayo. Abahlengikazi bezempilo yasekhaya nabo banganikeza ukwesekwa, ukufundisa amasu okuphefumula nokuphatha imithi. Amaqembu okusekela kanye nemiphakathi eku-inthanethi nayo inganikeza ukwesekwa okubalulekile okungokomzwelo nokusebenzayo.
| Ukwelashwa | Ibanga Lezindleko Elilinganiselwe (USD) | Amanothi |
|---|---|---|
| Imithi (ama-Bronchodilators) | $50 - $200 ngenyanga | Izindleko ziyahlukahluka kuye ngemithi kanye nokuhlinzekwa komshwalense. |
| I-Oxygen Therapy (Ukusetshenziswa Kwasekhaya) | $50 - $300 ngenyanga | Izindleko zincike ekugxilweni komoyampilo kanye nokuqashwa/ukuthengwa kwemishini. |
| Ukuhlala Esibhedlela (Isilinganiso) | $5,000 - $20,000+ | Ukwehluka okubalulekile kuye ngesibhedlela kanye nobude bokuhlala. |
Qaphela: Lolu lwazi lwezindleko ngelezinjongo zemifanekiso kuphela futhi lungase lungabonisi izindleko zangempela. Izindleko zomuntu ngamunye zizohluka kakhulu kuye ngendawo, ukutholakala komshwalense, kanye nezidingo ezithile zokwelashwa. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo kanye nenkampani yomshwalense ukuze uthole izilinganiso zezindleko ezinembile.
Khumbula, ukufuna usizo lwezokwelapha ngokushesha nokuxoxa ngokukhululekile ngezindleko nethimba lakho lezokunakekelwa kwempilo kuyizinyathelo ezibalulekile ekulawuleni ukwelashwa okushibhile kokuphelelwa umoya ezibhedlela zomdlavuza wamaphaphu ngempumelelo nangemali efinyelelekayo. Ungangabazi ukuhlola zonke izinketho ezitholakalayo ukuze uqinisekise ukuthi uthola ukunakekelwa okungcono kakhulu ngenkathi ukhuluma ngezimali.
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