
Ke ʻimi nei i ka lapaʻau kūpono no ka maʻi maʻi prostate mua hiki ke manaʻo nui. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i nā hoʻoholo. Hoʻopili mākou i ka maʻi maʻi, nā ala lapaʻau, a me nā noʻonoʻo koʻikoʻi no ka loaʻa ʻana o ka mālama kokoke iā ʻoe. E aʻo e pili ana i kāu mau koho a me nā kumuwaiwai e hoʻokele i kēia huakaʻi.
Ka maʻi maʻi prostate mua ʻike ʻia ke hoʻopaʻa ʻia ka maʻi maʻi ma ka prostate gland a ʻaʻole i laha i nā ʻiʻo a i ʻole nā ʻāpana kokoke. Hoʻomaikaʻi nui ka ʻike mua ʻana i nā hopena lapaʻau a me nā helu ola. ʻO nā ʻōnaehana hoʻonohonoho ʻokoʻa (e like me Gleason score a me TNM staging) kōkua e hoʻoholo i ka nui o ka maʻi kanesa.
Hoʻopili maʻamau ka hōʻike ʻana i kahi hōʻike hoʻāʻo digital rectal (DRE) a me kahi hōʻike koko prostate-specific antigen (PSA). Hiki i nā noiʻi hou ke komo i kahi biopsy prostate e hōʻoia i ka hōʻoia a hoʻoholo i ka pae a me ka pae o ka maʻi kanesa. He mea koʻikoʻi e kūkākūkā koke i nā pilikia me kāu kauka.
No kekahi mau kāne me ka haʻahaʻa haʻahaʻa ka maʻi maʻi prostate mua, he koho ka nānā 'ana. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa ma o ka nānā mau ʻana a me nā hoʻāʻo ʻole me ka mālama koke ʻana. He kūpono kēia ʻano no nā maʻi maʻi e ulu mālie.
ʻO ka wehe ʻana o ka prostate gland (prostatectomy) kahi lapaʻau maʻamau no ka maʻi maʻi prostate mua. Loaʻa nā ʻano hana ʻokoʻa like ʻole, e like me ka robotic-assisted laparoscopic prostatectomy a me open prostatectomy. E ʻōlelo aku kāu kauka lapaʻau i ke ala maikaʻi loa e pili ana i kou kūlana pilikino.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. He mau koho maʻamau ka lāʻau lapaʻau lāʻau o waho (EBRT) a me ka brachytherapy ka maʻi maʻi prostate mua. ʻO ke koho e pili ana i nā mea e like me ke kahua a me kahi o ka maʻi kanesa.
Hoʻemi ka lāʻau hormone i ke kiʻekiʻe o nā hormones kāne (androgens) e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe a i ʻole no nā pae kiʻekiʻe, akā hiki ke hana i kahi kuleana i ka mālama ʻana i kekahi mau hihia o ka maʻi maʻi prostate mua.
Hiki i kekahi mau kumuwaiwai pūnaewele ke kōkua iā ʻoe e ʻimi i nā mea loea a me nā lako hana lapaʻau maʻi prostate mua ma kou wahi. Nā pūnaewele e like me ka ʻAmelika Hui Pū ʻIa a me ka Halemai Mayo hāʻawi i ka ʻike piha a me nā kumuwaiwai e alakaʻi i kāu ʻimi.
Hiki i kāu kauka mālama mua ke kuhikuhi iā ʻoe i nā urologists a i ʻole oncologists kūikawā i ka mālama ʻana i ka maʻi maʻi prostate. Hiki iā lākou ke kōkua iā ʻoe e hoʻokele i ka ʻōnaehana mālama olakino a hoʻomaopopo i kāu ʻinikua.
E noiʻi i nā halemai a me nā keʻena lapaʻau i ʻike ʻia no kā lākou keʻena oncology. E ʻimi i nā keʻena me nā loea loea a me nā ʻenehana holomua no ka mālama ʻana i ka maʻi maʻi prostate. E noʻonoʻo i nā loiloi a me nā loiloi e loaʻa ai ka ʻike i ka maikaʻi o ka mālama i hāʻawi ʻia.
ʻO ke koho ʻana i ka lāʻau lapaʻau kūpono e pili ana i ka noʻonoʻo ʻana i nā kumu he nui: kou olakino holoʻokoʻa, ke kahua a me ka pae o kou maʻi kanesa, kou makemake pilikino, a me nā hopena ʻaoʻao. He mea koʻikoʻi e kūkākūkā pono i nā koho āpau me kāu hui mālama ola e hoʻoholo i kahi hoʻoholo. E hoʻomanaʻo, ʻae ʻia ka ʻimi ʻana i ka manaʻo ʻelua.
No nā poʻe maʻi e kū nei i nā pae kiʻekiʻe o ka maʻi prostate a i ʻole ka poʻe e ʻimi nei i nā koho lapaʻau holomua, ka Shandong Baofa Cancer Research Institute hāʻawi i nā mea hana hou a me nā loea. Hāʻawi lākou i ka mālama holoʻokoʻa, e pili ana i nā ʻenehana ʻokiʻoki kiʻekiʻe, nā lāʻau lapaʻau hou, a me nā lawelawe mālama kākoʻo e hoʻomaikaʻi i ka maikaʻi o ke ola o nā maʻi.
| Koho Lapaau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO ka ʻoki ʻana (Prostatectomy) | Hiki ke ho'ōla, wehe i ke kanesa | Hiki i nā hopena ʻaoʻao e like me ka incontinence a me ka impotence |
| Lapaʻau Radiation | ʻOi aku ka liʻiliʻi o ka invasive ma mua o ka ʻoki ʻana, loaʻa nā ʻano like ʻole | Hiki ke hana i nā hopena ʻaoʻao e like me nā pilikia o ka ʻōpū a me ka ʻōpū |
| Nānā ʻeleu | Hōʻalo i ka mālama pono ʻole no nā maʻi maʻi lohi e ulu ana | Pono ka nānā pono a me ka hiki ke piʻi i ka maʻi kanesa |
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia 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.