
Hāʻawi kēia ʻatikala i kahi ʻike piha o nā kumukūʻai e pili ana i ka mālama ʻana i ka maʻi prostate Gleason 6. Ke ʻimi nei mākou i nā koho lapaʻau like ʻole, nā mea e hoʻopiʻi ana i ke kumukūʻai, a me nā kumuwaiwai i loaʻa e kōkua i ka mālama ʻana i nā lilo. ʻO ka hoʻomaopopo ʻana i kēia mau mea hiki ke hoʻoikaika iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu mālama olakino.
Manaʻo ʻia ʻo Gleason 6 ka maʻi maʻi prostate haʻahaʻa. Hōʻike ʻia ia e ka helu Gleason o 6, e hōʻike ana i ka ulu mālie a me ka liʻiliʻi o ka laha ʻana i hoʻohālikelike ʻia i nā maʻi maʻi kiʻekiʻe. Eia nō naʻe, ʻokoʻa ka pane ʻana o kēlā me kēia kanaka i ka mālama ʻana a me ka piʻi ʻana o ka maʻi, i mea koʻikoʻi ka mālama pilikino. ʻO ke kumu kūʻai o ka lāʻau lapaʻau e hilinaʻi nui ʻia ma ka papahana lapaʻau i koho ʻia a me nā kūlana o kēlā me kēia kanaka.
Hiki ke mālama ʻia no ka maʻi maʻi prostate Gleason 6 mai ka mākaʻikaʻi ikaika (kakali kiaʻi) i nā ala ʻoi aku ka ikaika e like me ke ʻoki a i ʻole ka lāʻau lapaʻau. ʻO ka koho maikaʻi loa e hoʻoholo ʻia e nā kumu e like me kou mau makahiki, ke olakino holoʻokoʻa, a me nā ʻano kikoʻī o kāu maʻi kanesa. Hāpai kēlā me kēia koho i nā koina likeʻole.
ʻO ka mākaʻikaʻi ikaika e pili ana i ka nānā mau ʻana i ke kanesa ma o nā hoʻokolohua PSA a me nā biopsies. ʻO kēia ka mea i makemake pinepine ʻia no nā hihia haʻahaʻa Gleason 6 a ʻo ia ka mea nui loa kumu kūʻai lapaʻau ʻo gleason 6 prostate koho kūpono i ka wā pōkole. Eia naʻe, e hoʻonui mau ana nā kumukūʻai o ka nānā ʻana.
ʻO Radical prostatectomy kahi hana ʻokiʻoki e wehe ai i ka gland prostate. Hiki ke ʻokoʻa ke kumukūʻai o kēia kaʻina hana ma muli o nā uku o ke kaukō, nā uku o ka haukapila, a me ka lōʻihi o ka noho ʻana. ʻO ka mālama post-operative, me ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana, hoʻohui pū i ka uku holoʻokoʻa.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e luku ai i nā maʻi kanesa. Aia nā ʻano lāʻau lapaʻau like ʻole, ʻo ia hoʻi ka lāʻau lapaʻau lāʻau waho (EBRT) a me ka brachytherapy (ka radiation kūloko). Hoʻopili ʻia ke kumukūʻai o ka radiation therapy e ke ʻano o ka lāʻau lapaʻau i hoʻohana ʻia, ka helu o nā kau e pono ai, a me ke keʻena e hāʻawi ana i ka lāʻau lapaʻau.
Hiki ke hoʻohana ʻia ka hormone therapy e hoʻolōʻihi i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻopili maʻamau kēia lāʻau lapaʻau i ka lāʻau, hoʻohui i ka nui kumu kūʻai lapaʻau ʻo gleason 6 prostate. ʻOkoʻa ke kumukūʻai o ka hormone therapy ma muli o ka lāʻau lapaʻau kikoʻī i kuhikuhi ʻia a me ka lōʻihi o ka mālama ʻana.
Hiki i kekahi mau kumu ke hoʻololi i ka holoʻokoʻa kumu kūʻai lapaʻau ʻo gleason 6 prostate:
He mea paʻakikī ka hoʻokele ʻana i nā ʻano kālā o ka mālama ʻana i ka maʻi kanesa. Hiki i kekahi mau kumuwaiwai ke kōkua i ka mālama ʻana i ka kumu kūʻai lapaʻau ʻo gleason 6 prostate:
| Koho Lapaau | Kaulana Kumukuai Manaʻo (USD) |
|---|---|
| Nānā ʻeleu | $1,000 - $5,000 (makahiki) |
| ʻO Radical Prostatectomy | $15,000 - $50,000 |
| ʻO ka lāʻau lapaʻau (EBRT) | $10,000 - $40,000 |
| Brachytherapy | $20,000 - $60,000 |
| Hormone Therapy (makahiki) | $5,000 - $20,000 |
'Ōlelo Aʻo: He mau manaʻo kuhi kēia a hiki ke loli nui ma muli o nā kumu pākahi. E kūkākūkā mau me kāu mea mālama ola no ka ʻike pili kālā.
E hoʻomanaʻo e kamaʻilio me kāu kauka a me kāu hui mālama ola e hoʻoholo i ka hoʻolālā lapaʻau kūpono a maikaʻi loa no kou kūlana kikoʻī. Hiki iā lākou ke hāʻawi i ke alakaʻi pilikino a kōkua iā ʻoe e hoʻokele i nā pilikia kālā o kāu mālama.
No ka ʻike hou aku a me ke kākoʻo hiki, makemake paha ʻoe e kelepona Shandong Baofa Cancer Research Institute no nā kikoʻī hou aku e pili ana i nā koho lapaʻau maʻi prostate.
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka hōʻoia ʻana a me nā manaʻo lapaʻau.