
Ke ʻimi nei i ka nā kikowaena mālama maʻi prostate maikaʻi loa pili i ka noʻonoʻo pono ʻana i nā mea e like me ka ʻenehana holomua, nā loea loea, a me nā lawelawe kākoʻo hoʻomanawanui. Ke ʻimi nei kēia alakaʻi i nā kikowaena alakaʻi i ʻike ʻia no kā lākou ʻano hana hou a me ka hoʻokō ʻana i ka hoʻomaikaʻi ʻana i nā hopena o ka maʻi. Understanding Prostate Cancer and Treatment OptionsWhat is Prostate Cancer?Prostate cancer is a maʻi e ulu ana i loko o ka prostate gland, he ʻano wōkeke liʻiliʻi i loko o nā kāne e hoʻohua ai i ka wai seminal. ʻOiai e ulu mālie ana kekahi mau ʻano a koi ʻia ka mālama liʻiliʻi, hiki i nā mea ʻē aʻe ke huhū a pālahalaha koke. He mea koʻikoʻi ka ʻike mua ʻana ma o ka nānā ʻana no ka hoʻokele pono. Nānā ʻeleu: E nānā pono i ka maʻi kanesa me ka nānā mau a me nā hoʻāʻo. ʻO ka ʻoki ʻana (Prostatectomy): Ka wehe ʻana i ka ʻili prostate. ʻO nā ʻano hana ʻoki ʻokoʻa e komo pū me ka robotic-assisted, laparoscopic, a me ka wehe ʻana. Lapaʻau Radiation: Ke hoʻohana nei i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻO nā ʻano he lāʻau lapaʻau lāʻau waho (EBRT) a me ka brachytherapy (ka hoʻoheheʻe kūloko). Hoʻomaʻamaʻa Hormone: E ho'ēmi i ka pae o nā hormones kāne (androgens) e hoʻolohi i ka ulu ʻana o ka maʻi kanesa. Kemoterapi: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi, hoʻohana pinepine ʻia no ka maʻi maʻi ʻoi loa. ʻO ka lāʻau lapaʻau i koho ʻia: Ke hoʻohana nei i nā lāʻau lapaʻau e hoʻopaʻa i nā pūnaeʻa maʻi maʻi me ka ʻole e hōʻino i nā cell maʻamau. Immunotherapy: Ka hoʻohana ʻana i ka ʻōnaehana pale ponoʻī o ke kino no ka hakakā ʻana i ka maʻi maʻi. Eia kekahi o nā kikowaena alakaʻi i ʻike ʻia no ko lākou ʻike, nā lāʻau lapaʻau hou, a me ka mālama ʻana i ka maʻi maʻi: Memorial Sloan Kettering Cancer Center (New York, NY)Memorial Sloan Kettering i hoʻopaʻa mau ʻia ma waena o nā halemai maʻi maʻi kiʻekiʻe o ka lāhui. Hāʻawi lākou i kahi ākea o nā koho lapaʻau a he mau paionia i ka noiʻi maʻi maʻi prostate. ʻO kā lākou hui multidisciplinary e pili ana i nā kauka lapaʻau, radiation oncologists, medical oncologists, a me nā loea mālama kākoʻo.Nā mea nui: ʻO ka papahana hoʻomaʻamaʻa robotic kiʻekiʻe Nā ʻenehana lapaʻau lāʻau ʻokiʻoki i nā hoʻokolohua lapaʻau nui Nā lawelawe mālama kākoʻo piha.Pūnaewele: www.mskcc.orgKaulana ʻo Mayo Clinic (Rochester, MN) ʻO Mayo Clinic no kāna hana hoʻohui, multidisciplinary i ka mālama maʻi kanesa. Hāʻawi kā lākou papahana maʻi maʻi prostate i kahi kikoʻī o nā lawelawe, mai ka maʻi maʻi a hiki i ka mālama ʻana a me ka mālama ʻana. Hoʻoikaika lākou i nā hoʻolālā lapaʻau pilikino i kūpono i nā pono kikoʻī o kēlā me kēia maʻi.Nā mea nui: ʻO nā kiʻi kiʻi hou a me nā mea hana diagnostic Nā kauka lapaʻau akamai a me ka radiation oncologists Koʻikoʻi i ka noiʻi lapaʻau Ke kumu hoʻohālike mālama maʻi.Pūnaewele: www.mayoclinic.orgʻO ke Kulanui o Texas MD Anderson Cancer Center (Houston, TX) ʻO MD Anderson kekahi o nā kikowaena maʻi maʻi nui loa ma ka honua, i hoʻolaʻa wale ʻia no ka mālama maʻi maʻi. ʻO kā lākou lapaʻau maʻi maʻi prostate He laulā ka papahana, e hāʻawi ana i nā ʻenehana ʻokiʻoki kiʻekiʻe, radiation therapy, a me nā hoʻokolohua lapaʻau. Ua kūpaʻa lākou i ka hāʻawi ʻana i nā maʻi i nā lāʻau lapaʻau hou loa a maikaʻi loa i loaʻa.Nā mea nui: Nā loea maʻi maʻi prostate kaulana i ka honua Nā papahana noiʻi nui Nā koho lapaʻau hou Nā papahana ola holoʻokoʻa.Pūnaewele: www.mdanderson.orgʻO ka Halemai ʻo Johns Hopkins (Baltimore, MD) ʻO Johns Hopkins kahi kikowaena lapaʻau hoʻonaʻauao koʻikoʻi me ka inoa ikaika i ka noiʻi maʻi maʻi a me ka mālama ʻana. ʻO kā lākou maʻi maʻi prostate Hāʻawi ka papahana i kahi ala multidisciplinary, me ka poʻe loea i ka ʻokiʻoki, radiation oncology, a me ka oncology lapaʻau e hana pū ana e hoʻomohala i nā hoʻolālā lapaʻau pilikino.Nā mea nui: Nā alakaʻi i ka robotic prostatectomy Nā ʻenehana radiation therapy kiʻekiʻe Ke komo ikaika i nā hoʻokolohua lapaʻau Ka hoʻonaʻauao maʻi piha a me ke kākoʻo.Pūnaewele: www.hopkinsmedicine.orgShandong Baofa Cancer Research Institute (baofahospital.com) Ua hoʻolaʻa ʻia ka Shandong Baofa Cancer Research Institute no ka noiʻi ʻana a me ka mālama ʻana i ka maʻi kanesa. Me ka nānā ʻana i nā lāʻau lapaʻau kiʻekiʻe a me ka mālama pilikino, hāʻawi ke institute i nā hopena hou no nā poʻe maʻi ma ka honua holoʻokoʻa. Hāʻawi ʻo Shandong Baofa Cancer Research Institute i nā lapaʻau holomua a me ka mālama piha ʻana i nā maʻi maʻi like ʻole. Nā mea nui: Hoʻopaʻa i ka noiʻi maʻi maʻi hou Nā hoʻolālā lapaʻau pilikino Ka mālama ʻana i ka maʻi maʻi āpau Nā mea e noʻonoʻo ai i ke koho ʻana i kahi kikowaena mālama Koho i ka ʻoi aku ka maikaʻi o ka prostate cancer center no ka mea, he kaʻina hana paʻakikī kāu mau pono pilikino. E noʻonoʻo i kēia mau mea: ʻIke a me ka ʻike e ʻimi i nā kikowaena me nā kauka lapaʻau akamai, radiation oncologists, a me nā lāʻau lapaʻau oncologists loea i ka. maʻi maʻi prostate. E nānā i kā lākou hōʻoia, hoʻomaʻamaʻa, a me nā makahiki o ka ʻike. Nā koho HoʻomaʻamaʻaEnsure ke hāʻawi nei ke kikowaena i kahi ākea o nā koho lapaʻau, e like me ke ʻoki, radiation therapy, hormone therapy, chemotherapy, targeted therapy, and immunotherapy. Hiki i kēia ke hāʻawi i ke komo ʻana i nā lāʻau lapaʻau hou loa a me nā ala hou. E noʻonoʻo i nā kumukūʻai e pili ana i ka huakaʻi, ka noho ʻana, a me nā lilo ʻē aʻe. Nā Nīnau e nīnau ai i nā Center Lapaʻau Hiki Ma mua o ka hoʻoholo ʻana, e nīnau i nā kikowaena lapaʻau i kēia mau nīnau: He aha kāu ʻike i ka mālama ʻana maʻi maʻi prostate? He aha nā koho lapaʻau āu e hāʻawi ai? He aha nā hopena ʻaoʻao o kēlā me kēia lapaʻau? He aha kāu helu kūleʻa me kēlā me kēia lapaʻau? Ke komo nei ʻoe i nā hoʻokolohua lapaʻau? He aha nā lawelawe kākoʻo āu e hāʻawi ai? He aha nā kumukūʻai e pili ana i ka lāʻau lapaʻau? Hoʻohālikelike i nā koho Lapaʻau: He Summary Treatment Option Description Pros Cons Active Surveillance Nānā i ka ulu ʻana o ka maʻi kanesa me ka ʻole o ka mālama koke ʻana. Hōʻalo i nā hopena ʻaoʻao koke o ka lāʻau. Pono ka nānā pinepine ʻana; hiki ke hoʻopaneʻe i ka mālama pono. ʻO ka ʻoki ʻana (Prostatectomy) Ka wehe ʻana i ka ʻili prostate. Hiki ke ho'ōla i ka maʻi kanesa kūloko. Pilikia o ka mimi a me ka erectile dysfunction. Lapaʻau Radiation Ka hoʻohana ʻana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Non-invasive; hiki ke hoʻopaʻa i nā wahi kikoʻī. Loaʻa i nā hopena ʻaoʻao lōʻihi e like me nā pilikia ʻōpū. Hormone Therapy E hoemi ana i ka nui o na hormones kane. Pono no ka hoʻolohi i ka ulu ʻana o ka maʻi kanesa. ʻO nā hopena ʻaoʻao e like me ka wela wela a me ka nalowale o ka libido. Manaʻo Ke koho ʻana i ka nā kikowaena mālama maʻi prostate maikaʻi loa pono e noʻonoʻo pono i kāu mau pono a me kou makemake. E noiʻi i nā kikowaena like ʻole, e kūkākūkā me kāu kauka, a nīnau i nā nīnau no ka hoʻoholo ʻana. ʻO ka ʻike mua ʻana a me ka mālama kūpono hiki ke hoʻomaikaʻi nui i nā hopena no nā kāne me maʻi maʻi prostate.