
Hāʻawi kēia alakaʻi i kahi ʻike piha o Kina psma prostate maʻi maʻi maʻi nā koho, e ʻimi ana i nā holomua hou a me nā noʻonoʻo no nā maʻi. Hoʻopili ia i nā ala lapaʻau like ʻole, nā ala diagnostic, a me nā mea e hoʻopiʻi i nā koho lapaʻau ma Kina.
ʻO ka hana mua i ka ʻike ʻana i ka maʻi maʻi prostate e komo pinepine i kahi hoʻāʻo koko Prostate-Specific Antigen (PSA). Hiki ke hōʻike ʻia nā pae PSA kiʻekiʻe i ka loaʻa ʻana o ka maʻi kanesa, akā pono ka noiʻi hou ʻana. Hana ʻia kahi biopsy, maʻamau he transrectal ultrasound-guided biopsy, a laila hana ʻia no ka loaʻa ʻana o nā laʻana ʻiʻo no ka nānā ʻana i ka microscopic. Hoʻoholo nā hopena i ka pae a me ka pae o ka maʻi kanesa, e hoʻololi ana i nā hoʻoholo lapaʻau ma hope. ʻOkoʻa ka pololei a me ka loaʻa o kēia mau kaʻina hana ma nā halemai like ʻole ma Kina. He mea koʻikoʻi ke koho i kahi hale kaulana e like me ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) no ka hōʻoia pololei a me ka manawa kūpono.
ʻO nā ʻano hana kiʻi like ʻole, e like me ka magnetic resonance imaging (MRI), computed tomography (CT), a me nā iwi scans, pāʻani i nā kuleana koʻikoʻi i ka hoʻokau ʻana i ka maʻi prostate a me ka ʻike ʻana i ka metastasis. ʻO kēia mau mea kōkua e hoʻoholo i ka nui o ka laha ʻana o ka maʻi kanesa a alakaʻi i ka hoʻolālā lapaʻau. Ke hoʻomaikaʻi mau nei nā holomua i ka ʻenehana kiʻi i ka pololei o ka maʻi maʻi a me ka hoʻolālā lapaʻau ma Kina. Ma nā kikowaena maʻi maʻi alakaʻi, loaʻa pinepine nā ʻenehana kiʻi hou.
ʻO nā koho ʻokiʻoki, me ka prostatectomy radical (ka wehe ʻana i ka ʻili prostate), he mau lapaʻau maʻamau no ka maʻi maʻi prostate kūloko. ʻO ke koho ʻana i ke ʻano hana ʻokiʻoki ma muli o nā kumu like ʻole, me ke olakino holoʻokoʻa o ka mea maʻi a me ka pae o ka maʻi kanesa. Hoʻohana nui ʻia ka prostatectomy laparoscopic kōkua robotic ma Kina ma muli o kona ʻano invasive liʻiliʻi a me nā pono kūpono.
ʻO ka lāʻau lapaʻau, ʻo ka lāʻau lapaʻau lāʻau waho (EBRT) a i ʻole brachytherapy (ka hoʻokomo ʻana i nā hua radioactive), ʻo ia kekahi ʻano hana lapaʻau i hoʻohana nui ʻia. ʻO ka Intensity-modulated radiation therapy (IMRT) a me ka proton therapy nā ʻenehana holomua i hoʻohana ʻia e hōʻemi i ka pōʻino i nā ʻiʻo olakino a puni. Ke hoʻonui nei ka loaʻa ʻana o kēia mau ʻenehana radiation holomua ma Kina, me ka nui o nā kikowaena kūikawā e hāʻawi nei i kēia mau lapaʻau.
Hoʻohana mau ʻia ka lāʻau ʻo Hormone, ʻike ʻia ʻo ka androgen deprivation therapy (ADT), e mālama i ka maʻi maʻi prostate holomua. Ke manaʻo nei e hoʻolohi i ka ulu ʻana o nā maʻi maʻi maʻi ma o ka hoʻemi ʻana i nā pae o ka testosterone. Loaʻa nā ʻano lāʻau lapaʻau hormone like ʻole, a ʻo ke koho e pili ana i nā kumu pilikino.
Mālama ʻia ka Chemotherapy no nā hihia o ka maʻi prostate kiʻekiʻe a i ʻole metastatic i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. Ua hōʻike ʻia kekahi mau lāʻau lapaʻau chemotherapy i ka hoʻonui ʻana i ke ola a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola o kēia mau maʻi.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia, e like me ka PSMA (prostate-specific membrane antigen), ke kū nei ma ke ʻano he koho lapaʻau hoʻohiki no ka maʻi maʻi prostate holomua. Ke loaʻa pū nei ka Immunotherapy, me ka hoʻohana ʻana i ka ʻōnaehana pale ponoʻī o ke kino e hakakā ai i nā maʻi maʻi maʻi. Ke hoʻomaikaʻi mau nei ka loaʻa ʻana o kēia mau lāʻau lapaʻau hou ma Kina.
ʻO ke koho ʻana i ka hoʻolālā lapaʻau maikaʻi loa no ka maʻi maʻi prostate e pono ai ka loiloi piha ʻana i nā kumu he nui, me ka pae a me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO kahi hui multidisciplinary, e pili ana i nā urologists, oncologists, a me radiation oncologists, he mea koʻikoʻi i ka hoʻoholo ʻana i ka ʻike. He mea nui e kūkākūkā i nā koho lapaʻau āpau me nā lawelawe mālama ola a kaupaona i nā pono a me nā pilikia o kēlā me kēia ala.
ʻO PSMA (prostate-specific membrane antigen) he protein i hōʻike nui ʻia ma ka ʻili o nā maʻi maʻi prostate. ʻO kēia ka mea i lilo i mea hoihoi no nā lāʻau lapaʻau hou. ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e PSMA, me ka radionuclide therapy i hoʻopaʻa ʻia e PSMA, ke hōʻike nei i nā hopena hoʻohiki i ka mālama ʻana i ka maʻi maʻi prostate castration-resistant metastatic (mCRPC). Ke hoʻomau nei ka noiʻi ʻana i nā lāʻau lapaʻau e pili ana i ka PSMA, a me kā lākou kuleana i loko Kina PSMA maʻi maʻi maʻi prostate e hoonui ana.
Hāʻawi kekahi mau hui i ke kākoʻo a me nā kumuwaiwai no nā maʻi maʻi maʻi prostate a me ko lākou mau ʻohana ma Kina. Aia kēia mau kumuwaiwai i nā hui kākoʻo maʻi, nā hui kākoʻo, a me nā kaiāulu pūnaewele. Hāʻawi kēia mau hui i ka ʻike koʻikoʻi, kākoʻo noʻonoʻo, a me ke alakaʻi ʻana i ka huakaʻi lapaʻau. Nui nā halemai i hoʻolaʻa i nā lawelawe kākoʻo no nā maʻi.
| ʻAno Lapaʻau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana (Radical Prostatectomy) | He lāʻau lapaʻau no ka maʻi kanesa kūloko | Hiki i nā hopena ʻaoʻao e like me ka incontinence a me ka impotence |
| Lapaʻau Radiation | Hiki ke hoʻohana ʻia no ka maʻi maʻi maʻi kūloko a i ʻole ka holomua | Loaʻa no nā hopena ʻaoʻao e like me nā pilikia o ka ʻōpū a me ka ʻōpū |
| Lapaʻau Hormone | Pono i ka lohi i ka ulu ʻana o ka maʻi maʻi ma nā pae holomua | Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka emi ʻana o ka libido, a me ka osteoporosis |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike 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.