ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau

Lapaʻau ʻāʻī ʻāʻī o ka maʻi prostate he wahi paʻakikī e pono ai ka noʻonoʻo pono ʻana i nā koho lapaʻau like ʻole a me nā hopena kūpono. ʻO ke koho ʻana i ke ala kūpono loa e hilinaʻi nui ʻia i ka nui o ka hoʻouka ʻana, ke olakino holoʻokoʻa o ka mea maʻi, a me kā lākou makemake. Ke ʻimi nei kēia ʻatikala i nā ʻano hana lapaʻau like ʻole, e pili ana i nā ʻano hana ʻokiʻoki, radiation therapy, a me nā ʻōnaehana ʻōnaehana, e hāʻawi ana i kahi ʻike piha o ka mālama ʻana i kēia kūlana paʻakikī.Hoʻokomo ʻia ka ʻāʻī o ka ʻōpū hiki ke hana i ka wā e laha ai nā pūnana maʻi maʻi prostate ma waho aʻe o ka gland prostate a komo i loko o ka ʻāʻī o ka ʻōpū, kahi e pili ai ka ʻōpū i ka urethra. ʻO kēia kahi pae kiʻekiʻe o ka maʻi maʻi prostate a loaʻa pinepine i nā pilikia kūikawā i ka hoʻolālā ʻana. ʻO ka hōʻike hōʻike kikohoʻe (DRE): ʻO kahi hoʻokolohua kino e ʻike ai i nā mea ʻino i loko o ka prostate. Hoʻāʻo ʻo Prostate-Specific Antigen (PSA): He ho'āʻo koko e ana i ke kiʻekiʻe o PSA, he pūmua i hana ʻia e ka prostate gland. Hiki i nā pae kiʻekiʻe ke hōʻike i ka maʻi prostate. Transrectal Ultrasound (TRUS) me Biopsy: He kaʻina hana i alakaʻi ʻia e ultrasound no ka loaʻa ʻana o nā laʻana kiko mai ka prostate no ka hoʻokolokolo microscopic. He mea nui kēia no ka hōʻoia ʻana i ka loaʻa ʻana o ka maʻi kanesa a me ka hoʻoholo ʻana i kona pae (agressiveness). MRI Hāʻawi i nā kiʻi kikoʻī o ka prostate a me nā ʻiʻo a puni, e kōkua ana i ka loiloi i ka nui o ka maʻi kanesa a me ka hiki hoʻokomo ʻana i ka ʻāʻī o ka ʻōpū. Cystoscopy: He kaʻina hana e hoʻokomo ʻia ai kahi paipu lahilahi me ka pahupaʻikiʻi i loko o ka urethra e ʻike pono i ka ʻāʻī a me ka ʻāʻī ʻāʻī. Hiki i kēia ke kōkua i ka hōʻoia hoʻokomo ʻana i ka ʻāʻī o ka ʻōpū.Nā Koho Lapaʻau no ka Bladder Neck Invasion Prostate CancerThe main goals of ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau e hoʻomalu i ka maʻi kanesa, hoʻopau i nā hōʻailona, ​​a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi. Hiki ke hoʻokaʻawale nui ʻia nā koho lapaʻau i: ʻO ka ʻoki ʻana Radiation Therapy Systemic Therapies (Hormone Therapy, Chemotherapy)Lapaʻau ʻana ʻO Radical prostatectomy kahi hana ʻokiʻoki e wehe ai i ka gland prostate holoʻokoʻa a me nā ʻiʻo e pili ana, me nā vesicle seminal a me nā node lymph kokoke. I ka manawa hoʻokomo ʻana i ka ʻāʻī o ka ʻōpū aia, pono paha e wehe ke kauka i kekahi ʻāpana o ka ʻāʻī o ka ʻōpū. Hiki i kēia ke alakaʻi i ka mimi ʻole a i ʻole nā pilikia mimi ʻē aʻe. Open Radical Prostatectomy: Hana ʻia ma o kahi ʻoki nui ma ka ʻōpū. Laparoscopic Radical Prostatectomy: Hana ʻia ma o nā ʻoki liʻiliʻi me ka hoʻohana ʻana i ke kāmela a me nā mea hana kūikawā. ʻO Radical Prostatectomy i kōkua ʻia e Robotic: ʻO kahi ʻano hana laparoscopic kahi e hoʻohana ai ke kauka i kahi ʻōnaehana robotic e hoʻomaikaʻi i ka pololei a me ka mana. Nui na kauka lapaau ma Shandong Baofa Cancer Research Institute e hoʻohana i ka ʻōnaehana ʻokiʻoki ʻo Da Vinci. ʻO ka Radiation Therapy Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika kiʻekiʻe a i ʻole nā ​​palapala e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia ma ke ʻano he lāʻau lapaʻau mua no ka maʻi maʻi prostate a i ʻole ma hope o ke ʻoki ʻana e hoʻopau i nā keʻena maʻi maʻi i koe. No ka mea ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau Hiki ke lawelawe ʻia ka radiation therapy ma nā ʻano ʻelua: ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): Hāʻawi ʻia ka radiation mai kahi mīkini ma waho o ke kino. ʻO Brachytherapy (Hoʻomaʻamaʻa Radiation Loko): Hoʻokomo pololei ʻia nā hua radioactive i loko o ka prostate gland. Wahi a ka American Cancer Society, nā hopena ʻaoʻao maʻamau o ka radiation therapy e pili ana i ka luhi, nā loli ʻili, a me nā pilikia mimi a i ʻole ka ʻōpū. [1].Systemic Therapies Hele nā lāʻau lapaʻau ma ke kahe koko e hōʻea i nā pūnaewele maʻi maʻi a puni ke kino. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau no ka maʻi maʻi prostate kiʻekiʻe i hoʻolaha ʻia ma waho o ka gland prostate. He ʻāpana pinepine lākou ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau. ʻO ka Hormone Therapy (Androgene Deprivation Therapy - ADT): Hoʻemi i ke kiʻekiʻe o nā hormones kāne (androgens), e like me ka testosterone, hiki ke hoʻoulu i ka ulu ʻana o ka maʻi maʻi prostate. Kemoterapi: Hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Mālama ʻia ia no ka maʻi maʻi prostate kiʻekiʻe ʻaʻole e pane hou ana i ka therapy hormone. Immunotherapy: Hoʻoikaika i ka ʻōnaehana pale o ke kino e hakakā i nā maʻi maʻi maʻi. ka ʻāʻī ʻāʻī o ka maʻi prostate pili i kekahi mau kumu, e like me ka nui o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka pane ʻana i ka lāʻau lapaʻau. He mea nui ka hoʻopaʻa ʻana me kāu oncologist e nānā no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao o ka lapaʻau. Hiki i ka hahai ʻana ke komo pū kekahi: PSA testing Digital Rectal Exams (DRE) Imaging study (MRI, CT scans) Research and Clinical Trials Ua kālele ka noiʻi ʻana i ka hoʻomohala ʻana i nā lāʻau lapaʻau hou a hoʻomaikaʻi ʻia no ka maʻi maʻi prostate, me nā hoʻolālā e hoʻoponopono ai. hoʻokomo ʻana i ka ʻāʻī o ka ʻōpū. Hāʻawi nā hoʻokolohua lapaʻau i nā poʻe maʻi i ka manawa e komo ai i ka noiʻi ʻokiʻoki a loaʻa paha ka pōmaikaʻi mai nā lāʻau lapaʻau hou ma mua o ka loaʻa ʻana o lākou. Pono nā poʻe maʻi makemake e aʻo hou e pili ana i nā hoʻokolohua lapaʻau e kūkākūkā i kēia koho me kā lākou kauka. Key Considerations in Treatment SelectionChoosing the right ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau Pono ka hoʻolālā i kahi ala like ma waena o ka mea maʻi a me kā lākou hui mālama ola. ʻO nā kumu e noʻonoʻo ai: ʻO ka nui o ka maʻi kanesa a me kona pae ʻO ka makahiki o ka mea maʻi a me ke olakino holoʻokoʻa Ka makemake a me nā pahuhopu o ka mea maʻi Nā hopena ʻaoʻao kūpono o ka lapaʻau ʻO ke kuleana o kahi hui Multidisciplinary ka hoʻokele maikaʻi ʻana o ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate lapaʻau Hoʻokomo pinepine ʻia kahi hui multidisciplinary o nā loea, ʻo ia hoʻi: Urologists Radiation Oncologists Medical Oncologists Radiologists PathologistsKe hana pū nei kēia hui e hoʻomohala i kahi hoʻolālā lapaʻau pilikino e kamaʻilio ana i nā ʻano āpau o ka mālama ʻana o ka mea maʻi. a me ka ʻeha pelvic. He hōʻailona anei ka hōʻeha ʻana i ka ʻāʻī o ka ʻāʻī o ka maʻi maʻi prostate? akā, hiki ke komo i ka mimi ʻole, ka erectile dysfunction, nā pilikia o ka ʻōpū, a me ka luhi. Ma hea e loaʻa ai iaʻu ka ʻike hou aʻe e pili ana i ka maʻi maʻi prostate a me ka hōʻeha ʻana i ka ʻāʻī ʻāʻī? ʻAmelika Hui Pū ʻIa. (n.d.). ʻO ka lāʻau lapaʻau no ka maʻi maʻi prostate. Kiʻi ʻia mai https://www.cancer.org/cancer/prostate-cancer/treatment/radiation/side-effects.html