ʻO nā koho lapaʻau Extracapsular Extension Prostate Cancer Treatment Options Understanding Treatment Options for ʻO ka lāʻau lapaʻau maʻi maʻi prostate extracapsular cheapKe ʻimi nei kēia ʻatikala i nā ala lapaʻau like ʻole no ka maʻi maʻi prostate me ka hoʻonui extracapsular, e noʻonoʻo ana i ka maikaʻi o ke kumukūʻai me ka pono. E noʻonoʻo mākou i nā koho ʻokiʻoki, nā lāʻau lapaʻau, nā lāʻau lapaʻau hormonal, a me nā lāʻau lapaʻau e kū mai ana, e hāʻawi ana i kahi ʻike ākea e kōkua i ka hoʻoholo ʻana. E hoʻomanaʻo, no ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā me kahi oncologist kūpono. ʻO nā hoʻolālā lapaʻau hoʻokahi e hilinaʻi nui i nā ʻano kikoʻī o ke kanesa, ke olakino holoʻokoʻa, a me nā makemake pilikino.
Nā Koho ʻokiʻoki
ʻO Radical Prostatectomy
ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. ʻOiai ʻoi aku ka maikaʻi, he ʻoki nui ia me nā pilikia e hiki mai ana. Hiki ke hoʻololi nui ʻia ke kumukūʻai ma muli o nā uku o ka haukapila a me ke kauka lapaʻau, a me nā pono mālama post-operative. No kekahi poʻe maʻi, ʻo kēia paha ka hopena maikaʻi loa, ka hopena lōʻihi no
ka lapaʻau ʻana i ka maʻi maʻi prostate extracapsular, inā paha e hele mai me ke kumu kūʻai mua. ʻO nā kumukūʻai lōʻihi e pili ana i kēia lapaʻau ʻoi aku ka haʻahaʻa ma mua o ka hoʻomau ʻana i ka hormonal a i ʻole radiation therapy.
ʻO ka ʻauʻau hau
ʻO Cryosurgery, a i ʻole cryotherapy, hoʻokuʻu a hoʻopau i nā cell cancerous. He kaʻina hana liʻiliʻi loa ia ma mua o ka prostatectomy radical, e unuhi pinepine i nā kumukūʻai holoʻokoʻa. Eia nō naʻe, ʻoi aku ka liʻiliʻi o kona hopena i ka hoʻohālikelike ʻana i ke kaʻina i kekahi mau hihia o ka extracapsular extension.
Lapaʻau Radiation
ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau o waho (EBRT)
Hoʻohana ʻo EBRT i nā kukuna hoʻoheheʻe ikaika kiʻekiʻe e hoʻopaʻa a luku i nā maʻi maʻi maʻi. ʻO kahi koho liʻiliʻi liʻiliʻi ke hoʻohālikelike ʻia i ka ʻoki ʻana a hiki ke ʻoi aku ka maikaʻi o ke kumu kūʻai i kekahi mau kūlana. E hilinaʻi ke kumukūʻai i ka helu o nā kau e pono ai a me nā lāʻau lapaʻau ʻē aʻe, e like me brachytherapy. Pono nā koho kumukūʻai pololei e kūkākūkā me kahi oncologist radiation.
Brachytherapy
Hoʻokomo ka Brachytherapy i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. ʻOiai ʻoi aku ka pololei ma mua o ka EBRT, hiki ke kiʻekiʻe ke kumu kūʻai mua, a ʻaʻole kūpono paha ia no nā hihia āpau o ka extracapsular extension. Pono e noʻonoʻo pono ʻia ke kumukūʻai o ka wā lōʻihi me nā koho ʻē aʻe.
Lapaʻau Hormonal
ʻO ka lāʻau Hormonal e hoʻemi i nā pae testosterone, hiki ke hoʻolōʻihi a hoʻōki paha i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia ia me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation a i ʻole ka ʻoki ʻana, a manaʻo ʻia he ʻoi aku
ka lapaʻau ʻana i ka maʻi maʻi prostate extracapsular koho i kekahi mau hihia, ʻoi aku ka nui inā i hui pū ʻia me ka radiation ʻoi aku ka maikaʻi. E ʻokoʻa nā kumukūʻai lōʻihi ma muli o ka lōʻihi o ka mālama ʻana a me ka lāʻau lapaʻau kikoʻī.
ʻO nā lāʻau lapaʻau e puka mai ana
Ke hoʻomau nei ka noiʻi ʻana i nā ala hou a me nā mea hou i ka mālama ʻana i ka maʻi maʻi prostate. Hiki i kēia mau mea ke hoʻokomo i nā ʻenehana kiʻi kiʻi kiʻi kiʻi no ka huli pono ʻana o ka radiation, nā lāʻau lapaʻau hou e kālele ana i nā hoʻololi genetic kikoʻī, a me nā ala immunotherapy i hoʻolālā ʻia e hoʻoikaika i ka ʻōnaehana pale ponoʻī o ke kino. ʻOiai ke hāʻawi nei kēia mau mea i ka mana nui, pinepine ke kumukūʻai a ʻaʻole i loaʻa ākea.
Noʻonoʻo i ke kumukūʻai a me ka ʻimi ʻana i ka Lapaʻau kūpono
ʻO ke kumukūʻai o
ka lapaʻau ʻana i ka maʻi maʻi prostate extracapsular hiki ke lilo i mea hopohopo nui. Hoʻopili kekahi mau mea i ka huina kālā, me ke ʻano o ka mālama ʻana, ka hale mālama mālama, a me ka nui o ka mālama post-operative e pono ai. ʻO nā koho e like me nā hoʻokolohua lapaʻau a i ʻole ka ʻimi ʻana i ka mālama ma nā kikowaena kūikawā hiki ke hāʻawi i nā papahana kōkua kālā a i ʻole nā kumukūʻai hoʻemi. He mea koʻikoʻi ke kūkākūkā i nā koho kālā me kāu hui mālama ola a e ʻimi i nā kumuwaiwai i loaʻa, e like me nā papahana kōkua maʻi i hāʻawi ʻia e nā hui lāʻau lapaʻau.
Ke koho ʻana i ka Lapaʻau Pono
ʻO ke ala lapaʻau maikaʻi loa no ka maʻi maʻi prostate extracapsular extension e pili ana i nā kumu pilikino, me ke olakino holoʻokoʻa o ka mea maʻi, ka pae a me ka pae o ka maʻi kanesa, a me nā makemake pilikino. ʻO kahi hui multidisciplinary, me ka urologist, radiation oncologist, a me ka lāʻau lapaʻau lapaʻau, pono e komo i ka hana ʻana i kahi hoʻolālā lapaʻau pilikino.
| ʻAno Lapaʻau | Nā Pōmaikaʻi Hiki | Nā pōʻino kūpono |
| ʻO Radical Prostatectomy | Hiki ke ho'ōla | ʻO ka ʻoki nui, nā pilikia e hiki mai ana |
| Lapaʻau Radiation (EBRT & Brachytherapy) | Liʻiliʻi ka invasive ma mua o ka ʻoki ʻana | Hiki i nā hopena ʻaoʻao, ʻaʻole hiki ke hoʻōla i nā hihia āpau |
| Lapaʻau Hormonal | Hiki ke hoʻolohi a hoʻōki paha i ka ulu ʻana o ka maʻi kanesa | Nā hopena ʻaoʻao, ʻaʻole curative |
Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino. Hiki ke ʻokoʻa ke kumukūʻai o ka mālama ʻana ma muli o ka wahi a me nā kumu ʻē aʻe.
E aʻo hou e pili ana i ka mālama maʻi maʻi maʻi ma Shandong Baofa Cancer Research Institute.National Cancer Institute (NCI)