Izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji & izinketho zomdlavuza womdlavuza wezindleko ziyahlukahluka ngokuya ngesigaba somdlavuza kanye nempilo yesiguli ephelele. Ukuqonda lezi zinketho nezindleko ezihambisana nakho kubalulekile ngokwenza izinqumo ezinolwazi. Lo mhlahlandlela ophelele uhlinzeka ngesibukezo sezindlela zokwelashwa ngezigaba ezahlukahlukene, ukucatshangelwa kwezindleko, kanye nezinsizakusebenza zosizo olwengeziwe.
Umdlavuza wamaphaphu, imbangela ehamba phambili yokufa okuhlobene nomdlavuza emhlabeni wonke, kudinga indlela eyakhiwe ekwelashweni. Uhlelo olwakhekayo lwe-Treatment Plan luxhomeke kakhulu esigabeni somdlavuza lapho kutholakalesisi, impilo yesiguli, nezinye izinto ngazinye. Lo mhlahlandlela uhlose ukuhlinzeka ngokuqonda okucacile kwezinketho zokwelashwa ezahlukahlukene ezitholakala esigabeni ngasinye, kanye nezindleko ezihambisanayo. Kubalulekile ukukhumbula ukuthi lolu lwazi lungenxa yolwazi olujwayelekile futhi akufanele lwathatha indawo yokubonisana ne-Oncologist efanelekayo.
Ngomdlavuza wamaphaphu okuqala (isigaba i), ukusetha kabusha kwesigaba - ukususwa kwezicubu zamaphaphu ezinomdlavuza - kuvame ukwelashwa okuyinhloko. Lokhu kungasukela ku-lobectomy (ukususwa kwe-lobe yamaphaphu) ku-pneumonectomy (ukususwa kwalo lonke amaphaphu), kuya ngendawo kanye nosayizi wesimila. Izindleko zokuhlinzwa zihluka kakhulu esibhedlela, imali ehlinzayo, kanye nobunzima benqubo. Ungalindela izindleko ezibalulekile ezihambisana nokulaliswa esibhedlela, i-anesthesia, kanye nokunakekelwa kwangemva kokusebenza.
I-SBTT inketho engabonakali emdlavuza wamaphaphu wangasese, ukuletha imithamo ephezulu yemisebe kuya isimila ngendlela eqondile. Imvamisa isetshenziselwa ama-tumors amancane angatholakali ngokuhlinzwa. Ngenkathi ngokuvamile kubiza kakhulu kunokuhlinzwa, i-SBTT isabandakanya izindleko ezibalulekile ezihlobene nama-radiation therapy izikhathi nezimali ezihambisana nezezimali.
Izigaba II ne-IIIA zivame ukubandakanya inhlanganisela yokuhlinzwa, i-chemotherapy, kanye / noma ukwelashwa kwemisebe. Ukuhlinzwa kususa izicubu zomdlavuza, kuyilapho i-chemotherapy kanye / noma imisebe ihlose noma yimaphi amaseli omdlavuza asele. Izindleko zale ndlela ehlanganisiwe ziphakeme kakhulu kunokuhlinzwa zodwa, okuhlanganisa izindleko zokwelashwa okuningi kanye nokuhlala esibhedlela isikhathi eside.
Uma ukuhlinzwa kungeyona inketho ngenxa yobukhulu bomdlavuza noma impilo yesiguli, i-chemotherapy kanye nokwelashwa kwemisebe kungahle kusetshenziswe yedwa noma kuhlanganiswe. I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli, ngenkathi ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukulimaza amaseli omdlavuza. Izindleko zalezi zindlela zokwelapha ziyahlukahluka ngokuya ngemithi ethile esetshenzisiwe, inani lezinhlelo zokwelapha imisebe, kanye nesikhathi sokwelashwa.
Ukuze uthole umdlavuza wamaphaphu athuthukile (IIB noV), izindlela zokwelapha ezihlelekile zivame ukwelashwa okuyinhloko. Lokhu kufaka phakathi i-chemotherapy, ukwelashwa okuhlosiwe (izidakamizwa ezibhekise kumaseli womdlavuza othile), kanye nama-immunotherapy (izidakamizwa ezikhuthaza amasosha omzimba ukuze alwe nomdlavuza). Lezi zindlela zokwelapha zingabiza kakhulu, ngezindleko ezibalulekile eziqhubekayo zemithi kanye nokuvakasha kukadokotela. Izindleko ngqo zingahluka kakhulu ngokuya ngemithi ethile esetshenzisiwe kanye nokuphendula kwesiguli ekwelashweni.
Ukunakekelwa kwe-Palliative, okugxile ekuthuthukiseni ikhwalithi yempilo yeziguli ezinomdlavuza we-Adfnt Centr, nakho kuyinto ebalulekile yokwelashwa ngezigaba zakamuva. Lokhu kungafaka ukuphathwa kobuhlungu, ukulawulwa kwezimpawu, nokusekelwa okungokomzwelo. Izindleko ezihambisana nokunakekelwa kwe-palliative zingahluka ngokuya ngezinsizakalo ezidingekayo.
Izindleko ze Ukwelashwa komdlavuza wamaphaphu Ingahluka kakhulu ngokuya ngezinto eziningana, kufaka phakathi isigaba somdlavuza, uhlobo lokwelashwa olutholiwe, isikhathi sokwelashwa, umhlinzeki wezokunakekelwa kwempilo, kanye nomshuwalense. Kubalulekile ukudingida izilinganiso zezindleko ngethimba lakho lezokunakekelwa kwempilo kanye nomhlinzeki womshuwalense kusenesikhathi kwinqubo yokwelashwa.
Izinhlelo zosizo lwezezimali zingatholakala ukusiza ukulungisa izindleko eziphakeme zokwelashwa komdlavuza. Izibhedlela eziningi kanye nezikhungo zomdlavuza zinabeluleki bezezimali abangasiza iziguli ukuba bazulazule lezi zinketho. Le khasi I-American Cancer Society Futhi inikeza izinsizakusebenza zeziguli ezilwela umthwalo wezezimali wezokwelapha umdlavuza.
Lolu lwazi lungenxa yolwazi olujwayelekile kuphela futhi akufanele luthathe indawo yeseluleko eqondene nomuntu uqobo kusuka kuchwepheshe wezokwelapha. Xhumana nodokotela wakho we-oncologist ukuthola uhlelo lokwelashwa olungcono kakhulu lwesimo sakho esithile. Ukutholwa kusenesikhathi nokuphathwa okusheshayo kubalulekile ekuthuthukiseni imiphumela emdlavuza wamaphaphu.
Isiteji | Izinketho zokwelashwa | Ibanga elilinganiswayo lezezimali (i-USD) |
---|---|---|
I | Ukuhlinzwa, i-SBRT | $ 50,000 - $ 150,000 |
II-IIIA | Ukuhlinzwa + chemo / imisebe, chemo / imisebe | $ 100,000 - $ 300,000 + |
IIB-IV | I-Systemic Therapy (Chemo, Therapy okuhlosiwe, imfundisotherapapy) + ukunakekelwa okusekelwayo | $ 150,000 + |
QAPHELA: Amabanga wezindleko alinganiselwa futhi angahluka ngokuya ngezimo ngazinye. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole izilinganiso ezifanele zezindleko.
Ngeminye imininingwane noma ukuxoxa kwakho Izinketho zokwelashwa komdlavuza wamaphaphu, ungafisa ukubonisana nochwepheshe e I-Shandong Baafa Cancer Research Institute.
Ukuzikhulula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Kubalulekile ukuthintana nochwepheshe wezempilo ofanelekayo nganoma yiziphi izinkathazo zezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma yokwelashwa.
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