
Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi no ka poʻe e ʻimi nei ʻO ka lāʻau lapaʻau extracapsular extension maʻi prostate ma kahi kokoke iaʻu. Ke ʻimi nei mākou i nā koho lapaʻau like ʻole, ka noʻonoʻo ʻana i ke kumukūʻai, a me nā mea e hoʻopili ai i ke kumukūʻai o ka mālama. ʻO ka hoʻomaopopo ʻana i kēia mau ʻāpana e hāʻawi iā ʻoe i nā hoʻoholo hoʻoholo e pili ana i kāu huakaʻi mālama olakino.
Extracapsular extension (ECE) i ka ma'i 'a'ai prostate 'o ia ho'i, ua ulu ka ma'i 'a'ai ma waho a'e o ka capsule waho o ka prostate gland. Hōʻike kēia i kahi pae holomua, e pili ana i nā koho lapaʻau a me ka wānana. Loaʻa nā koho lapaʻau mai ka hōʻoki ʻana a me ka radiation therapy a hiki i ka hormone therapy a me ka chemotherapy, kēlā me kēia me nā kumukūʻai like ʻole a me ka pono e pili ana i nā kūlana o kēlā me kēia. ʻO ka loaʻa ʻana o ka mālama kūpono e pono e noʻonoʻo pono i nā kumuwaiwai āpau i loaʻa.
ʻO ka wehe ʻana i ka prostate (radical prostatectomy) kahi lapaʻau maʻamau no ka maʻi maʻi prostate ECE. Hoʻololi ʻia ke kumukūʻai ma muli o nā uku o ke kaukō, nā uku o ka haukapila, a me nā lawelawe ancillary. ʻOi aku ke kumukūʻai o ke kāʻei kōkua robotic akā hiki ke hāʻawi i nā pono kūpono i ka pololei a me ka manawa hoʻihoʻi. He mea koʻikoʻi nā kūkākūkā me kāu urologist e hoʻoholo inā kūpono kēia koho i kou kūlana a me kāu kālā.
He mau koho ʻē aʻe no ka mālama ʻana i ka maʻi maʻi prostate ECE. Aia ke kumukūʻai i ka helu o nā lapaʻau e pono ai a me ka ʻenehana kikoʻī i hoʻohana ʻia. Intensity-modulated radiation therapy (IMRT) a me ka proton therapy, ʻoiai ʻoi aku ka pololei, hele pinepine mai me nā hōʻailona kumukūʻai kiʻekiʻe. He mea nui e kūkākūkā i ka maikaʻi o ke kumu kūʻai o nā lāʻau lapaʻau like ʻole me kāu oncologist.
ʻO ka hormone therapy ka manaʻo e lohi a hoʻōki i ka ulu ʻana o ke kanesa ma o ka hoʻemi ʻana i nā pae testosterone. Hoʻohana pinepine ʻia ia me nā lāʻau lapaʻau ʻē aʻe a i ʻole hiki ke ʻoki ʻia a i ʻole ka radiation. Hoʻololi ke kumukūʻai ma muli o nā lāʻau lapaʻau kūikawā i hoʻohana ʻia a me ko lākou lōʻihi o ka lawelawe ʻana. Na kāu kauka oncologist e alakaʻi iā ʻoe i ka regimen therapy hormone kūpono loa.
Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hoʻohana maʻamau ia inā hāʻule nā lāʻau lapaʻau ʻē aʻe a i ʻole no nā hihia kiʻekiʻe. Hiki ke kūʻai nui ʻia ka Chemotherapy, me nā kumukūʻai e like me ke ʻano o ka lāʻau lapaʻau a me ka lōʻihi o ka mālama ʻana. E ʻimi i nā polokalamu kōkua kālā e kōkua i ka mālama ʻana i ke kaumaha kālā.
ʻO ke kumukūʻai holoʻokoʻa o ʻO ka lāʻau lapaʻau extracapsular extension maʻi prostate ma kahi kokoke iaʻu pili ʻia e nā kumu he nui:
| Kumukumu | Ka hopena ma ke Kumukuai |
|---|---|
| ʻAno Lapaʻau | ʻOi aku ke kumukūʻai o nā kaʻina hana ma mua o ka lāʻau lapaʻau hormone. |
| Halemai a Halemai paha | He ʻokoʻa nā kumukūʻai ma waena o nā hale hana. |
| Uku Inikua | ʻOkoʻa nā hoʻolālā ʻinikua i kā lākou uhi ʻana i nā lāʻau lapaʻau. |
| Wahi | Hiki ke ʻokoʻa koʻikoʻi nā kumukūʻai lapaʻau e ka wahi ʻāina. |
Hiki i kekahi mau kumuwaiwai ke kōkua iā ʻoe e loaʻa ʻO ka lāʻau lapaʻau extracapsular extension maʻi prostate ma kahi kokoke iaʻu. E noiʻi i nā polokalamu kōkua kālā i hāʻawi ʻia e nā haukapila, nā hui aloha, a me nā hui lāʻau lapaʻau. E kūkākūkā me nā mea kākoʻo maʻi no ke alakaʻi ʻana i ka hoʻokele ʻana i ka ʻōnaehana mālama ola a me ke komo ʻana i ka mālama kūpono. E hoʻomanaʻo, hiki i kāu mea mālama ola ke alakaʻi iā ʻoe i ka ʻimi ʻana i nā kumuwaiwai āpau.
No ka ʻike maʻamau kēia ʻike a ʻaʻole pono e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu kauka no ka hōʻoia ʻana a me nā hoʻolālā lapaʻau. ʻAʻole kēia ʻatikala he ʻōlelo aʻoaʻo olakino. Hiki i nā ʻike pilikino a me nā kumukūʻai lapaʻau ke ʻokoʻa loa.
No ka ʻike hou aku a me ke kākoʻo, e noʻonoʻo e kipa Shandong Baofa Cancer Research Institute.