lapaʻau maʻi prostate mua

ʻO ka Lapaʻau ʻana i ka maʻi maʻi prostate mua: He alakaʻi piha ʻO ka ʻike mua a me ka mālama wikiwiki ʻana he mea koʻikoʻi no ka holomua lapaʻau maʻi prostate mua. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o nā ʻano diagnostic, nā koho lapaʻau, a me nā mea e noʻonoʻo ai i ka wā e hoʻoholo ai i ka lāʻau lapaʻau. E ʻimi mākou i nā ala like ʻole, me ka nānā ʻana, ka ʻoki ʻana, ka radiation therapy, a me ka hormonal therapy, e kālele ana i nā holomua hou loa a me ko lākou kūpono no nā pae like ʻole o ka maʻi. ʻO ka hoʻomaopopo ʻana i kēia mau koho e hāʻawi iā ʻoe e hana i nā koho ʻike me kāu hui mālama ola.

Ka hoʻomaopopo ʻana i ka maʻi maʻi prostate mua

ʻIke o ka maʻi maʻi prostate mua

ʻO ka hana mua i loko lapaʻau maʻi prostate mua he hōʻoia pololei. Hoʻopili maʻamau kēia i kahi hōʻike digital rectal (DRE) i hana ʻia e ke kauka no ka ʻike ʻana i nā mea ʻino i ka gland prostate. ʻO ka hoʻāʻo koko prostate-specific antigen (PSA) e ana i ke kiʻekiʻe o PSA, he protein i hana ʻia e ka prostate. Hiki i nā pae kiʻekiʻe PSA ke hōʻike i ka maʻi maʻi prostate, akā pono pinepine ka noiʻi hou. He mea koʻikoʻi ka biopsy, e pili ana i ka wehe ʻana i kahi ʻiʻo liʻiliʻi mai ka prostate, no ka hōʻoia ʻana i kahi maʻi a me ka hoʻoholo ʻana i ka pae a me ka pae o ka maʻi kanesa. Hiki ke hoʻohana ʻia nā ʻenehana kiʻi kiʻi kiʻekiʻe, e like me MRI scans, no ka ʻike maikaʻi ʻana i ka prostate a me nā ʻiʻo a puni. ʻO ka ʻike mua ke kī i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau.

Hoʻomaka ʻana o ka maʻi maʻi prostate mua

Ke ʻike ʻia ka maʻi maʻi prostate, he mea koʻikoʻi e hoʻoholo i kona pae, kahi e hōʻike ai i ka nui o ka laha ʻana o ke kanesa. ʻO ka hana ʻana he loiloi i ka nui a me ka wahi o ka maʻi maʻi i loko o ka prostate gland, inā paha ua laha i nā ʻōpū lymph kokoke, a inā ua metastasized (palaha) i nā ʻōpū mamao. ʻO ka ʻōnaehana staging i hoʻohana ʻia ʻo ia ka ʻōnaehana TNM (Tumor, Node, Metastasis). He mea nui ka hoʻomaopopo ʻana i ke kahua no ke alakaʻi ʻana i nā hoʻoholo lapaʻau a me ka wānana wānana. Na kāu kauka e wehewehe i kāu kūlana kiko'ī a me kona mau hopena.

Nā koho lapaʻau no ka maʻi maʻi prostate mua

Aia kekahi mau koho lapaʻau no ka maʻi maʻi prostate mua, a ʻo ke ala maikaʻi loa e pili ana i nā kumu like ʻole, me ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, ke kahua a me ka pae o ka maʻi kanesa, a me nā makemake pilikino. He mea koʻikoʻi ke kamaʻilio ʻana me kāu oncologist e hoʻoholo ai i ke ʻano kūpono o ka hana.

Nānā ʻeleu

No kekahi mau kāne me ka maʻi prostate haʻahaʻa, ulu lohi, ka nānā ʻana (ʻike ʻia ʻo ka kali kiaʻi) he koho kūpono. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa ma o nā hoʻokolohua PSA maʻamau, DRE, a me nā biopsies. Hoʻomaka wale ka lāʻau lapaʻau inā holomua ka maʻi kanesa. Ke pale nei kēia ala i nā hopena ʻaoʻao o ka mālama koke ʻana. He kūpono ka nānā 'ana no nā hihia kiko'ī wale nō a pono e launa pū me kāu hui mālama ola.

ʻO ka ʻoki ʻana (Prostatectomy)

ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. Hiki ke hana ʻia kēia kaʻina hana ma o ka ʻoki wehe ʻana, ka ʻoki laparoscopic, a i ʻole ke ʻoki ʻana i ka robotic-assisted laparoscopic. ʻO ke koho ʻana i ke ala ʻokiʻoki e pili ana i nā kumu he nui, me ka ʻike o ke kauka lapaʻau a me nā kūlana kikoʻī o ka mea maʻi. ʻO nā hopena ʻaoʻao kūpono o ke ʻoki ʻana, ʻo ia ka urinary incontinence a me ka erectile dysfunction, ʻoiai hiki ke ʻokoʻa kēia mau mea i waena o kēlā me kēia kanaka.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hāʻawi ka lāʻau lapaʻau lāʻau o waho i ka radiation mai kahi mīkini ma waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate gland. Hiki ke hoʻohana ʻia ka lāʻau lapaʻau hoʻokahi a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Loaʻa nā hopena ʻaoʻao o ka radiation therapy i nā pilikia mimi a me ka ʻōpū, a me ka luhi.

Lapaʻau Hormonal

ʻO ka lāʻau Hormonal, ʻike ʻia hoʻi ʻo androgen deprivation therapy (ADT), e hoʻemi i nā pae o nā hormones (ma mua o ka testosterone) e hoʻoulu i ka ulu ʻana o nā maʻi maʻi prostate. Hiki ke hoʻokō ʻia kēia ma o nā lāʻau lapaʻau e ālai i ka hana ʻana o ka hormone a i ʻole e pale iā lākou mai ka hiki ʻana aku i nā maʻi maʻi maʻi. Hoʻohana pinepine ʻia ka lāʻau Hormonal i ka maʻi maʻi prostate kiʻekiʻe akā hiki ke hana i kahi hana i ka mālama ʻana i kekahi mau hihia mua. Hiki i nā hopena ʻaoʻao o ka hoʻomaʻamaʻa hormonal ke komo i nā uila wela, emi libido, a me nā loli kaumaha.

Ke koho ʻana i ka Lapaʻau Pono

Ka olelo hooholo e pili ana lapaʻau maʻi prostate mua pono e hana pū me kāu mea mālama ola. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i ka ʻoluʻolu o kāu hoʻolālā lapaʻau. ʻO nā kumu e noʻonoʻo ai e pili ana i ka pae a me ka pae o kou maʻi kanesa, kou mau makahiki, ke olakino ākea, a me nā makemake pilikino e pili ana i nā hopena ʻaoʻao lapaʻau a me ka maikaʻi o ke ola lōʻihi. E kōkua kāu hui mālama ola iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho lapaʻau e ʻimi i ke ala maikaʻi loa i mua. E hoʻomanaʻo i ka hoʻokele holomua ʻana o nā kāne he nui lapaʻau maʻi prostate mua a ola lōʻihi a olakino.

Koho Lapaau	wehewehe	Hiki i nā hopena ʻaoʻao
Nānā ʻeleu	E nānā pono i ka maʻi kanesa; lapaʻau wale nō inā holomua.	liʻiliʻi; pili mua i nā kaʻina hana nānā.
ʻO ka ʻoki ʻana (Prostatectomy)	ʻO ka wehe ʻana o ka prostate gland.	ʻAʻole i hoʻopaʻa ʻia ka urinary, erectile dysfunction.
Lapaʻau Radiation	Hoʻohana i ka pāhawewe ikehu kiʻekiʻe e pepehi i nā maʻi kanesa.	ʻO nā pilikia o ka mimi a me ka ʻōpū, ka luhi.
Lapaʻau Hormonal	Hoʻemi i nā pae hormone e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate.	ʻO ka wela wela, hoʻemi libido, hoʻololi ke kaumaha.

No ka ʻike hou aku e pili ana i ka mālama ʻana a me ke kākoʻo ʻana i ka maʻi prostate, e kipa i ka ʻAmelika Hui Pū ʻIa a i ʻole e kamaʻilio pū me kekahi ʻoihana mālama ola. Ma ka Shandong Baofa Cancer Research Institute, Hoʻolaʻa mākou i ka hoʻolako ʻana i ka mālama holomua a me ke aloha no nā maʻi maʻi maʻi.