ʻO ka mālama ʻana i ka maʻi kanesa prostate cribriform ma kahi kokoke iaʻu

ʻO nā koho lapaʻau maʻi maʻi maʻi maʻi Cribriform ma kahi kokoke iā ʻoe ʻO ka loaʻa ʻana o ka lāʻau kūpono a maikaʻi hoʻi no ka maʻi maʻi prostate cribriform hiki ke paʻakikī. Hāʻawi kēia ʻatikala i ka ʻike e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻokele i ke kaʻina o ka ʻimi cribriform prostate ma'i ma'i ma'i ma'i kokoke ia'u. He mea koʻikoʻi e hoʻomanaʻo e hana mau nā hoʻoholo lāʻau me ke kūkākūkā me kāu kauka.

Ka hoʻomaopopo ʻana i ka Cribriform Prostate Cancer

ʻO ka maʻi maʻi prostate Cribriform kahi ʻano maʻi maʻi prostate i hōʻike ʻia e kahi ʻano glandular kikoʻī. ʻOiai ua manaʻo ʻia ʻo ia he maʻi maʻi maʻi kiʻekiʻe, ʻokoʻa kona huhū. ʻO nā koho lapaʻau e pili ana i nā kumu he nui e pili ana i ka pae o ke kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. ʻO ka ʻike mua ke kī i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau. He mea koʻikoʻi ka nānā mau ʻana me kāu urologist, ʻoiai inā loaʻa iā ʻoe nā mea pilikia no ka maʻi prostate.

ʻIke a me ke kau ʻana

ʻO ka maʻi maʻamau e pili ana i kahi hōʻike koko kikohoʻe (DRE), hōʻike koko prostate-specific antigen (PSA), a me kahi biopsy. Hoʻoholo ka pae ʻana i ka nui o ka laha ʻana o ke kanesa. Pono kēia ʻike no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa. E kūkākūkā ana kāu kauka i nā ʻōnaehana hoʻonohonoho ʻokoʻa a me ke ʻano o ia mea no kou kūlana. Hoʻohana ʻia kekahi mau ʻenehana kiʻi maʻalahi no ka hoʻonohonoho pono ʻana.

Nā Koho Lapaʻau no ka Cribriform Prostate Cancer

Loaʻa nā koho lapaʻau mai ka mākaʻikaʻi ikaika a hiki i ke ʻokiʻoki, radiation therapy, a me ka lāʻau hormonal. ʻO ka lāʻau lapaʻau kūpono loa e hilinaʻi ʻia i kēlā me kēia hihia a pono e hoʻoholo ʻia me ke kūkākūkā me kāu oncologist.

Nānā ʻeleu

No kekahi poʻe maʻi me ka maʻi maʻi prostate cribriform haʻahaʻa, hiki ke ʻōlelo ʻia ka mākaʻikaʻi ikaika (ʻike ʻia ʻo ka kali kiaʻi). Hoʻopili kēia i ka nānā pono ʻana i ka piʻi ʻana o ka maʻi kanesa me ka ʻole o ka hana koke ʻana. Hoʻohana ʻia nā hoʻokolohua PSA maʻamau, biopsies, a me nā haʻawina kiʻi kiʻi e nānā i ka maʻi kanesa. He kūpono kēia koho no nā poʻe maʻi i ʻike ʻole i nā hōʻailona a i ʻole ka ulu wikiwiki ʻana o ka maʻi kanesa.

ʻO ka ʻoki ʻana (Prostatectomy)

ʻO ka wehe ʻana o ka prostate gland (prostatectomy) kahi koho lapaʻau maʻamau no ka maʻi maʻi prostate kūloko. Aia nā ʻano like ʻole o ka prostatectomy, me ka prostatectomy radical, kahi e manaʻo ai e wehe i ka ʻili prostate holoʻokoʻa me nā ʻiʻo a puni. ʻO ka robotic-assisted laparoscopic prostatectomy kahi hana hoʻoweliweli liʻiliʻi e hopena pinepine i nā manawa hoʻōla wikiwiki. ʻO ke koho ʻana i ke ʻano o ke kaʻina hana e pili ana i nā kumu pilikino.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hāʻawi ʻia kēia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). Hiki ke hāʻawi ʻia ka lāʻau lapaʻau kukuna o waho i kekahi mau kau i kekahi mau pule. Hoʻokomo ʻia ka Brachytherapy i nā ʻanoano radioactive liʻiliʻi i loko o ka prostate gland. Loaʻa i kēlā me kēia ala kona pono ponoʻī a me nā hopena ʻaoʻao.

Lapaʻau Hormone

ʻO ka hormone therapy, ka mea i kapa ʻia ʻo androgen deprivation therapy (ADT), hana ma ka hoʻemi ʻana i nā kiʻekiʻe o nā hormones kāne (androgens) i loko o ke kino, hiki ke hoʻolōʻihi i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia ia me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki ʻana a i ʻole ka radiation therapy, a i ʻole no nā pae kiʻekiʻe o ka maʻi maʻi prostate. Hoʻonohonoho pinepine ʻia ʻo ADT me ka ʻaoʻao a i ʻole ka hahai ʻana i nā lāʻau lapaʻau ʻē aʻe e kōkua i ka hōʻemi ʻana i ka hoʻi hou ʻana o ka maʻi kanesa.

Kemoterapi

He lāʻau lapaʻau ʻo Chemotherapy e hoʻohana i nā lāʻau ikaika e pepehi i nā maʻi maʻi maʻi a puni ke kino. Mālama ʻia ia no nā pae kiʻekiʻe o ka maʻi maʻi prostate ke hāʻule nā ​​​​lāʻau ʻē aʻe.

ʻImi ʻana i ka Lapaʻau kūpono ʻole: Noʻonoʻo ʻana i ke kumukūʻai a me nā kumuwaiwai

ʻO ke kumukūʻai o lapaʻau maʻi maʻi prostate cribriform ʻokoʻa nui ma muli o ke ʻano o ka lapaʻau ʻana, ka hale i hoʻolako ʻia ai, a me kāu ʻinikua. He mea koʻikoʻi ka ʻimi ʻana i nā koho āpau i loaʻa a hoʻomaopopo i nā kumukūʻai kūpono ma mua o ka hoʻoholo ʻana.

Uku Inikua

He mea nui ka hoʻomaopopo ʻana i kāu kulekele ʻinikua a me kāna mea e uhi ai. E kelepona i kāu mea hoʻolako inikua no ka wehewehe ʻana i nā lāʻau lapaʻau i uhi ʻia a me nā lilo o waho o ka ʻeke. Pono e kūkākūkā mua ʻia kēia no ka hoʻomākaukau ʻana i ke kālā no nā kumu kūʻai.

Nā papahana kōkua kālā

Hāʻawi kekahi mau hui i nā papahana kōkua kālā e kōkua i ka poʻe e loaʻa i ka mālama maʻi maʻi. Hiki i kēia mau papahana ke kōkua i ka uhi ʻana i nā kumukūʻai e like me ka lāʻau lapaʻau, ka noho halemai, a me nā lilo huakaʻi. ʻO ka noiʻi ʻana a me ka noi ʻana i kēia mau papahana hiki ke hōʻoluʻolu i ke kaumaha kālā.

Kūkākūkā kālā

Mai hoʻokaʻulua e kūkākūkā i nā kumukūʻai me kāu mea mālama ola. Hiki paha iā lākou ke hana pū me ʻoe e hana i kahi hoʻolālā uku a hāʻawi i nā koho kōkua kālā ʻē aʻe. He mea koʻikoʻi ka ʻike a me ka kamaʻilio ākea i ka hoʻokele ʻana i nā ʻāpana kālā o ka mālama ʻana i ka maʻi kanesa.

Ke koho ʻana i ke kikowaena mālama pono

He mea koʻikoʻi ke koho ʻana i kahi kikowaena mālama olakino kaulana. E noʻonoʻo i nā mea e like me ka ʻike o ke kikowaena me ka mālama ʻana i ka maʻi maʻi prostate, kona helu kūleʻa, loiloi maʻi, a me kona kaulana holoʻokoʻa. Pono mau ka ʻimi ʻana i nā manaʻo ʻelua mai nā loea like ʻole e hōʻoia i ka hoʻoholo ʻana i ka ʻike.

Koho Lapaau	Nā Pōmaikaʻi Hiki	Hiki i nā hopena ʻaoʻao
Nānā ʻeleu	Hōʻalo i ka mālama pono ʻole, mālama i ka maikaʻi o ke ola	Pono ka nānā mau ʻana, hiki ke piʻi i ka maʻi kanesa
ʻO ka ʻoki ʻana	He lāʻau lapaʻau no ka maʻi kanesa kūloko	ʻO ka incontinence, impotence, nā pilikia ʻokoʻa ʻē aʻe
Lapaʻau Radiation	He kūpono no ka maʻi 'aʻai kūloko, ʻoi aku ka liʻiliʻi ma mua o ke ʻoki ʻana	ʻO ka luhi, ka pilikia o ka ʻōpū/ka ʻōpū, ka ʻili ʻili
Lapaʻau Hormone	Hoʻolohi i ka ulu ʻana o ka maʻi kanesa, hiki ke hoʻohana ʻia i nā pae kiʻekiʻe	ʻO ka wela wela, ka piʻi ʻana o ke kaumaha, ka emi ʻana o ka libido, ka osteoporosis
Kemoterapi	Pono no ka ma'i 'a'ai 'oi loa	Nausea, luaʻi, lauoho lauoho, luhi, hoʻonui i ka pilikia o ka maʻi

E hoʻomanaʻo e kūkākūkā me kāu kauka e hoʻoholo i ka hana maikaʻi loa no kāu kūlana kikoʻī. He mea nui ka ʻike mua ʻana a me ka hoʻokele kūpono i ka hoʻomaikaʻi ʻana i nā hopena. No ka ʻike hou aku, hiki iā ʻoe ke ʻimi i nā kumuwaiwai i loaʻa ma ka pūnaewele a mai nā hui mālama olakino kaulana. No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.

Hoʻokaʻawale: Ua manaʻo ʻia kēia ʻike no ka ʻike ākea a me nā kumu ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha. ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi ʻaʻole ia he pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana, ka maʻi maʻi, a i ʻole ka lāʻau lapaʻau.