ʻO nā koho lapaʻau maʻi maʻi maʻi maʻi ma mua o ka wā mua ʻO ka ʻimi ʻana i ka lāʻau kūpono a maikaʻi hoʻi no ka maʻi maʻi prostate mua hiki ke paʻakikī. Ke ʻimi nei kēia alakaʻi i nā koho like ʻole, e kōkua ana iā ʻoe e hoʻoholo i ka ʻike e pili ana i kou kūlana pilikino. He mea koʻikoʻi e hoʻomanaʻo ʻo kēia ʻike no ka ʻike ākea a ʻaʻole pono e hoʻololi i ke kūkākūkā ʻana me ke kauka lapaʻau. E kūkākūkā mau i kāu papahana lapaʻau me kāu kauka.
Ka hoʻomaopopo ʻana i ka maʻi maʻi prostate ma mua
ʻO ka maʻi maʻi prostate mua, i ʻike maʻamau ʻia ma Gleason he 6 a i ʻole ka haʻahaʻa, hōʻike pinepine ʻia me nā hōʻailona liʻiliʻi. ʻO nā hoʻoholo lapaʻau e pili ana i nā mea e like me ka makahiki, ke olakino holoʻokoʻa, a me nā ʻano o ke kanesa. Nā ala lapaʻau maʻamau no
lāʻau lapaʻau maʻi maʻi prostate ma mua oʻu komo:
Nānā ʻeleu
ʻO ka mākaʻikaʻi ikaika e pili ana i ka nānā pono ʻana i ke kanesa me ka ʻole o ka mālama koke ʻana. ʻO ka nānā maʻamau, me nā hoʻokolohua PSA a me nā biopsies, e nānā i ka piʻi ʻana o ke kanesa. He kūpono kēia ʻano no nā maʻi maʻi lohi e ulu ana i nā kāne ʻelemakule me nā pilikia olakino ʻē aʻe kahi e hoʻopilikia nui ai ka mālama ʻana. ʻO kahi koho kumukūʻai e pale aku i nā hopena ʻaoʻao o nā lāʻau lapaʻau ʻē aʻe.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hoʻopuka ʻo External beam radiation therapy (EBRT) i ka radiation mai waho o ke kino, aʻo ka brachytherapy ke kau pololei ʻana i nā hua radioactive i loko o ka prostate. ʻOkoʻa ke kumukūʻai o ka radiation therapy ma muli o ke ʻano a me ka lōʻihi o ka mālama ʻana.
ʻO ka ʻoki ʻana (Prostatectomy)
ʻO ka prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. Hoʻohana pinepine kēia kaʻina hana akā lawe i nā pilikia o nā pilikia e like me ka incontinence a me ka erectile dysfunction. Hoʻopili ʻia ke kumukūʻai e nā mea e like me ka haukapila, nā uku o ke kauka lapaʻau, a me ka lōʻihi o ka noho ʻana.
Lapaʻau Hormone
ʻO ka hormone therapy ka manaʻo e hoʻolōʻihi a hoʻōki i ka ulu ʻana o nā maʻi maʻi prostate ma o ka hōʻemi ʻana i nā pae testosterone. Hoʻohana maʻamau kēia lāʻau lapaʻau no nā maʻi maʻi maʻi pae kiʻekiʻe akā hiki ke hoʻohana ʻia i kekahi manawa no nā maʻi maʻi maʻi mua me ka nui o ka hoʻi hou ʻana. ʻOkoʻa ke kumukūʻai ma muli o ke ʻano a me ka lōʻihi o ka therapy hormone.
ʻImi ʻana i nā koho lapaʻau kūpono
ʻO ke kumukūʻai o
lāʻau lapaʻau maʻi maʻi prostate ma mua oʻu Hiki ke ʻano like ʻole e pili ana i ka wahi, ka ʻōnaehana mālama ola, a me ka lāʻau i koho ʻia.
Nā papahana kōkua kālā
Nui nā hui e hāʻawi i nā papahana kōkua kālā e kōkua i nā poʻe e uhi i nā kumukūʻai o ka mālama ʻana i ka maʻi kanesa. Loaʻa nā polokalamu noiʻi ma kou wahi ma o nā halemai, nā hui aloha, a me nā keʻena aupuni.
Kūkākūkā me nā mea mālama ola kino
Mai hoʻokaʻulua e kūkākūkā i nā hoʻolālā uku a me nā koho me kāu mea mālama ola a halemai paha. Hāʻawi nā ʻoihana he nui i nā hoʻolālā uku maʻalahi a i ʻole nā papahana kōkua kālā no nā poʻe maʻi e kū nei i nā pilikia kālā.
E ʻimi ana i nā ʻoihana mālama ola like ʻole
Hiki ke ʻokoʻa nā kumukūʻai ma waena o nā haukapila a me nā keʻena lapaʻau. ʻO ka hoʻohālikelike ʻana i nā kumukūʻai a me nā lawelawe mai nā lawelawe mālama ola like ʻole ma kou wahi hiki ke kōkua iā ʻoe e ʻimi i nā koho kūpono. E hoʻomanaʻo e noʻonoʻo i nā mea ma mua o ke kumukūʻai, e like me ka ʻike a me ke akamai o nā ʻoihana lapaʻau e pili ana.
Hoʻoholo i ka ʻike
ʻO ke koho ʻana i ka lāʻau kūpono he hana koʻikoʻi. Hiki i kāu kauka ke kōkua i ke kaupaona ʻana i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho ma muli o kou kūlana kikoʻī.
| Koho Lapaau | Nā pono | Nā pōʻino |
| Nānā ʻeleu | ʻO ke kumu kūʻai, pale i nā hopena ʻaoʻao o nā lāʻau lapaʻau ʻē aʻe | Pono ka nānā pono ʻana, ʻaʻole kūpono paha i nā maʻi āpau |
| Lapaʻau Radiation | Pono no nā maʻi maʻi maʻi kūloko, ʻoi aku ka liʻiliʻi o ka invasive ma mua o ke ʻoki | Nā hopena ʻaoʻao e like me nā pilikia mimi a me ka ʻōpū |
| ʻO ka ʻoki ʻana (Prostatectomy) | Hiki ke ho'ōla, hiki ke hāʻawi i ka hōʻailona definitive | ʻOi aku ka nui o nā pilikia e like me ka incontinence a me ka erectile dysfunction |
| Lapaʻau Hormone | Hiki ke hoʻolohi a hoʻōki paha i ka ulu ʻana o ka maʻi kanesa | ʻO nā hopena ʻaoʻao e like me ka wela wela, ka piʻi ʻana o ke kaumaha, a me ka emi ʻana o ka libido |
E hoʻomanaʻo e kamaʻilio me kahi kauka mālama ola no ka ʻōlelo aʻo pilikino a me nā koho lapaʻau no kāu kūlana kikoʻī. No ka ʻike hou aku e pili ana i ka noiʻi a me ka mālama ʻana i ka maʻi kanesa, makemake paha ʻoe e ʻimi i nā kumuwaiwai e like me ka National Cancer Institute (https://www.cancer.gov/). Hiki iā ʻoe ke noʻonoʻo e ʻimi i ka ʻike hou aku ma Shandong Baofa Cancer Research Institute no ka mālama kūikawā.
Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike 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.