Umdlavuza wendunu awuvamile ukwenzeka, kodwa ubucayi, futhi udinga usizo lwezokwelapha ngokushesha. I-India ithuthuka usuku nosuku njengelinye lamazwe asiza kakhulu ngokwezempilo emhlabeni. Inhlanganisela yodokotela abahlinzayo abanolwazi olunzulu nezibhedlela zesimanje ezithuthukile zomdlavuza ikwenza kube indawo ephezulu yokukhetha ukuhlinzwa. Izibhedlela zaseNdiya ziheha iziguli zakwamanye amazwe kanye nezasekhaya. Ukuqonda izindleko zokwelashwa komdlavuza wezindundu eNdiya kubaluleke kakhulu, njengoba umuntu engakwazi ukuhlela uhambo lwakhe ngokwezimali nangokwengqondo. Le bhulogi izokunikeza imininingwane enemininingwane mayelana nezinketho zokwelapha, ukwehliswa kwezindleko, ukufana nomdlavuza wamathumbu, izici ezithinta izindleko zokwelashwa, kanye nokuhlinzekwa komshwalense.
Kuyini Ukwelapha Umdlavuza Wamandunu?
Ukwelashwa komdlavuza wendunu kuyindlela yokwelapha enezinhlobo eziningi lapho kudingeka khona inhlanganisela yezindlela zokwelapha kwezinye izimo. Inhlanganisela ye-chemotherapy kanye nokwelashwa ngemisebe iyadingeka isikhathi esiningi.
- I-Chemoradiation ibonise izinga eliphezulu lempumelelo yalokhu kwelashwa uma kutholwa kusenesikhathi.
- Ngokuya ngeminyaka yesiguli, isigaba somdlavuza, kanye nezakhiwo zesimila, ukwelashwa kwenziwa ngendlela oyifisayo ngokwezidingo zesiguli.
- Ezinye izimo ezithuthuke kakhulu zingadinga ukungenelela kokuhlinzwa okubizwa ngokuthi i-abdominoperineal resection.
- Ukuphathwa ngendlela efanele kwemithi, ukunakekelwa ngemva kwesikhathi, kanye nokulandelela nodokotela kuyadingeka kakhulu.
Yiziphi Izinketho Zokwelapha Umdlavuza Wezimbobo?
Kunezindlela ezintathu zokwelapha ezinkulu ezisetshenziswa ukwelapha lo mdlavuza kanje:
I-Chemoradiation Therapy
Lokhu kuyinhlanganisela yokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe, kanye nokwelashwa okujwayelekile cishe kuzo zonke izindlela zokwelapha umdlavuza ohlobene nendunu.
- Ukwelashwa ngamakhemikhali: Izidakamizwa ezifana ne-Mitomycin C kanye ne-5-fluorouracil zinikezwa ukubulala amangqamuzana anomdlavuza. Kungakubiza cishe ku-30,500 kuya ku-79,600 INR ngomjikelezo owodwa.
- Ukwelashwa kwamafutha: Ukukhanya okuphezulu kwemisebe kubulala amangqamuzana anomdlavuza kulokhu kwelashwa. Kungaba ukwelapha kwangaphakathi ngemisebe, njenge-brachytherapy noma ukwelashwa ngemisebe yangaphandle. Kungakubiza cishe u-2,35,000 kuya ku-3,90,000 INR ukuze uthole ukwelashwa okuphelele.
immunotherapy
Umsebenzi oyinhloko we- immunotherapy ukuguqula amasosha omzimba wethu ukuze akwazi ukubona nokuhlasela amangqamuzana anomdlavuza. Ezimweni lapho amangqamuzana anomdlavuza esakazekela kwezinye izitho zomzimba, lokhu kwelashwa kusetshenziswa kabanzi.
Ukuhlinzwa
Ngokwesiko, ukuhlinzwa kwakuwukuphela kwendlela yokwelapha umdlavuza. Kodwa manje uma ukwelapha okuhlukahlukene kwehluleka ukwelapha umdlavuza, ukuhlinzwa kuyindlela yokugcina. Enye yezinqubo ezinkulu zokuhlinza i-abdominoperineal resection, kodwa edingekayo ezimweni ezimbalwa kuphela.
Ukwehlukaniswa Kwezindleko Zokwelashwa Komdlavuza Wezimbobo eNdiya
Ukuhlukaniswa kwezindleko zomdlavuza we-anal kuhlukaniswe ikakhulukazi izigaba ezintathu ezingaphansi:
Ukubonisana Kokuqala Nokuxilongwa
- Ukuhlolwa kokuxilonga kungakubiza cishe u-21,500 kuya ku-81,400 INR.
- Ukuhlola okuthile okudingekayo nokuhlolwa kwegazi kungabiza enye i-INR engu-5,300 kuya ku-15,200.
- Izimali ze oncologists cishe ku-1150 kuya ku-2950 INR. Kodwa kuya ngezinga lesibhedlela kanye nolwazi lukadokotela.
- Izindleko eziphelele zokuxilonga, okuhlanganisa nayo yonke into, zingaba cishe ku-31,200 kuya ku-1,14,500 INR.
Izindleko Eziyinhloko Zokwelashwa
- Ukuze uthole isifundo esiphelele, ukwelashwa ngemisebe kukodwa kungakubiza cishe u-1,60,000 kuya ku-4,20,000 INR.
- Isamba sezindleko zokwelapha ngekhemoradiation kubiza cishe u-2,60,000 kuya ku-6,30,000 INR.
- Kwezinye izimo, ukuhlinzwa kuyadingeka, okungakubiza kufikela ku-2,10,000 kuya ku-5,20,000 INR.
- Kuye ngemithi, ukwelashwa ngamakhemikhali kungakubiza cishe ku-60,000 kuya ku-2,10,000 INR.
- Inkokhelo yokuhlala noma yegumbi ingashintsha ikhwalithi yesibhedlela futhi ingasukela ku-5,500 kuya ku-26,500 INR ngosuku.
Sekukonke Utshalomali Lokwelapha
- Amadolobha eSigaba 2 ngokuvamile ayathengeka kunamadolobha eSigaba 1, ngenxa yezindleko zawo zokuphila eziphakeme.
- Ingqikithi yezindleko zokwelashwa komdlavuza wamandundu e-India cishe i-3,20,000 kuya ku-10,50,000 INR.
- Izindleko zokuhlala nezokuhamba zingangezelelwa ezigulini zaphesheya kwezilwandle.
- Ukunakekelwa kwezempilo komphakathi ukonga kakhulu kunezikhungo ezizimele. Kwesinye isikhathi cishe u-50% kuya ku-60% olungele isabelomali kunezangasese.
Ukuxhumana Phakathi Kwekholoni kanye Nomdlavuza Womlomo
Abantu bavame ukudida umdlavuza wendunu nomdlavuza wamathumbu amakhulu . Kunezinto eziningi ezifanayo phakathi kwazo, kodwa zihluke ngokuphelele.
- Izindlela zokuxilonga zazo zombili ziyefana.
- Umsele we-anal, kanye nekholoni, kokubili kudinga izifundo ze-imaging kanye colonoscopy ukuze uthole imiphumela yokuxilongwa enembile.
- Ukwelashwa komdlavuza wekoloni kuhlanganisa nokwelashwa ngemisebe, i-chemotherapy, nokuhlinzwa.
- Ukwelashwa komdlavuza wekoloni kungabiza kufikela ku-4,00,000 kuya ku-15,50,000 INR, nakuba kuncike ebukhulwini bomdlavuza.
- Ukutholwa kusenesikhathi komdlavuza wekoloni kunciphisa izindleko futhi kunikeza imiphumela engcono.
Izimpawu ze-Colon Cancer
Izimpawu ezintathu ezinkulu zokuqala zomdlavuza wamathumbu amakhulu yilezi:
- Inkinga ehlobene nokugaya ukudla: Isifo sohudo nokungahambi kahle kwamathumbu isikhathi esingaphezu kwamasonto amabili.
- Ukopha ngeRectum: Indle equkethe igazi noma indle emnyama ebomvu.
- Ukungakhululeki Esiswini: Ukuncipha kwesisindo okungafunwa, ngaphandle kokushintsha noma yini ekudleni. Ubuhlungu besisu kanye negesi.
Izinto Ezithinta Izindleko Zokwelapha Umdlavuza Wamandunu
Ziningi izici ezithinta izindleko zokwelashwa komdlavuza wendunu:
- Isiteji Somdlavuza: Umdlavuza usaqala ubiza kancane kunalowo osesigabeni sokugcina noma sekwephuzile.
- Uhlobo Lwesibhedlela: Izibhedlela zikahulumeni zixhaswa futhi ngokuvamile zishibhile kunezibhedlela ezizimele.
- Uhlobo lokwelapha: Ukwelapha okukodwa kubiza ngaphansi kokwelapha okuhlangene.
- Hlala esibhedlela: Izindleko ziyenyuka uma isiguli sihlala esibhedlela isikhathi eside.
- Indawo: Amadolobha eSigaba 1 ayabiza kunamadolobha eSigaba 2 ngenxa yezindleko zawo zokuphila eziphakeme.
- Umshwalanse we mpilo: Uma unomshwalense wezempilo ofanele, khona-ke uzokusiza ukuphatha ezinye izindleko kalula.
Umshwalense Nosizo Lwezezimali
Kunezinto ezimbalwa okufanele uzicabangele ngenkathi ufuna usizo lwezempilo:
- Izinqubomgomo zikahulumeni e-India, njengo-Ayushman Bharat, zihlinzeka ngokwelashwa okufika ku-INR 5Lakh emindenini efanelekela imibandela ethile.
- Izibhedlela eziningi ze-premium zinikeza izinketho ze-EMI kanye nezinhlelo ezithile zokwelashwa komdlavuza ngesabelomali esikhulu.
- Ama-NGO kanye nezinhlangano ezisiza abantulayo zinikeza usizo emindenini engaqinile ngokwezimali.
- Ezinye izibhedlela zezinkampani nazo zihlinzeka ngezikimu zezenhlalakahle yesiguli kulabo abaswele ngempela.
Isiphetho
Izindleko zokwelashwa komdlavuza wamandundu e-India zisukela ku-3,10,000 kuya ku-10,15,000 INR. Lokhu kuhlinzwa lapha eNdiya kuyinhlanganisela engcono kakhulu yezinga lomhlaba, izindawo ezidumile, ezithuthukile, nodokotela abahlinzayo abanolwazi. I-India ihlale ihlinzeka ngezinketho zokwelapha ezivumelana nesabelomali uma kuqhathaniswa namazwe aseNtshonalanga. Ukuhlola izimpawu zokuqala nezimpawu kungakongela isikhathi nemali, kanye nokutholakala kusenesikhathi kunikeza imiphumela engcono. Ukugcina konke ukucatshangelwa kanye nezici ezibalulekile ngenkathi ukhetha isibhedlela esifanele kungenye yezinto ezibaluleke kakhulu.