
Ke ʻimi nei i ka lapaʻau kūpono no ka maʻi 'aʻai prostate extracapsular extension hiki ke kaumaha. Kōkua kēia alakaʻi piha iā ʻoe e hoʻomaopopo i kāu mau koho, e ʻimi i nā loea kokoke iā ʻoe, a hoʻokele i nā paʻakikī o kēia maʻi. E uhi mākou i nā ala lapaʻau, nā noʻonoʻo no ke koho ʻana i kahi mea mālama mālama, a me nā kumuwaiwai e kākoʻo i kāu huakaʻi.
Extracapsular extension (ECE) prostate cancer 'o ia ho'i, ua ulu ka ma'i 'a'ai ma mua o ka capsule pale o ka prostate gland a i loko o nā kino a puni. Hoʻopili kēia i nā koho lapaʻau a me ka wānana. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama koke ʻana.
ʻO ka maʻi maʻi e pili ana i ka hui pū ʻana o nā hoʻāʻo e pili ana i ka hoʻāʻo koko kikohoʻe rectal (DRE), hōʻike koko prostate-specific antigen (PSA), a me ka biopsy. ʻO nā ʻenehana kiʻi e like me MRI a me CT scans e kōkua i ka hoʻoholo ʻana i ka nui o ka laha o ka maʻi kanesa, me ka loaʻa ʻana o ECE. Pono ka hoʻonohonoho pololei ʻana no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau maikaʻi loa no ka maʻi 'aʻai prostate extracapsular extension.
Nā koho ʻokiʻoki no ka maʻi 'aʻai prostate extracapsular extension hiki ke komo i ka prostatectomy radical, kahi kaʻina hana e wehe ai i ka gland prostate. ʻO ka hiki a me ka holomua o ka ʻoki ʻana ma muli o ka nui o ka laha ʻana o ka maʻi kanesa. E kūkākūkā kāu kauka i nā pilikia a me nā pōmaikaʻi e pili ana i kou kūlana pilikino. ʻO Laparoscopic a i ʻole prostatectomy kōkua robotic paha nā koho.
ʻO ka lāʻau lapaʻau, me ka lāʻau lapaʻau lāʻau o waho (EBRT) a me ka brachytherapy (radiation i loko), he mau lapaʻau kūpono no ka maʻi 'aʻai prostate extracapsular extension. Hāʻawi ka lāʻau lapaʻau o waho i ka radiation mai waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. ʻO ka koho ma waena o kēia mau ʻano e pili ana i nā kumu like ʻole me kou olakino a me ka wahi a me ka nui o ka ʻōpū.
ʻO ka hormone therapy, ka mea i kapa ʻia ʻo ka androgen deprivation therapy (ADT), ka manaʻo e hōʻemi i nā pae testosterone, hoʻolohi a hoʻōki paha i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka radiation no ka maʻi 'aʻai prostate extracapsular extension, a i ʻole ma ke ʻano he lāʻau lapaʻau mua i nā hihia holomua. He ʻokoʻa nā hopena ʻaoʻao a pono e kūkākūkā me kāu kauka.
Mālama ʻia ka chemotherapy no nā pae kiʻekiʻe o ka maʻi maʻi prostate inā ʻaʻole pono nā lāʻau lapaʻau ʻē aʻe. Hoʻohana ia i nā lāʻau ikaika e pepehi i nā maʻi maʻi maʻi, akā hiki ke loaʻa nā hopena ʻaoʻao nui. ʻO ka hoʻoholo e hoʻohana i ka chemotherapy e hana ʻia ma ke kūkākūkā me kāu oncologist, e noʻonoʻo ana i kou olakino holoʻokoʻa a me nā ʻano kikoʻī o kāu ka maʻi 'aʻai prostate extracapsular extension.
He mea koʻikoʻi ka ʻimi ʻana i kahi loea kūpono no ka maikaʻi ka maʻi 'aʻai prostate extracapsular extension lapaʻau. E ʻimi i nā urologists, oncologists, a me radiation oncologists i ʻike i ka mālama ʻana i ka maʻi prostate. Hiki iā ʻoe ke hoʻomaka i kāu ʻimi ma ka pūnaewele me ka hoʻohana ʻana i nā huaʻōlelo e like me ke kauka maʻi maʻi prostate kokoke iaʻu a i ʻole urologist kokoke iaʻu me ka huaʻōlelo ka maʻi 'aʻai prostate extracapsular extension. E noʻonoʻo e nānā i nā pūnaewele haukapila a me nā papa kuhikuhi kauka pūnaewele. Shandong Baofa Cancer Research Institute he hale kaulana paha āu e makemake ai e noʻonoʻo.
E kūkākūkā i nā koho lapa'au a pau me kāu kauka e ho'oholo i ke ala maika'i loa e pili ana i kou olakino pono'ī, ke kahua o kou ma'i 'a'ai, a me kāu mau makemake. E noʻonoʻo i nā manaʻo ʻelua e hōʻoiaʻiʻo e hoʻoholo ana ʻoe e pili ana i kāu ka maʻi 'aʻai prostate extracapsular extension lapaʻau.
He mea paʻakikī ka hoʻoponopono ʻana i ka maʻi maʻi maʻi. E hui pū me nā hui kākoʻo a me nā kumuwaiwai i hoʻolālā ʻia e hāʻawi i ke kōkua noʻonoʻo, kūpono, a me ka ʻike. Hiki i kēia mau hui ke hāʻawi i kahi manaʻo o ke kaiāulu a kōkua iā ʻoe e hoʻokō i nā pilikia o ka mālama ʻana. Nui nā hui aupuni a kūloko i hoʻolaʻa ʻia e hāʻawi i ke kākoʻo no ka poʻe i loaʻa i ka maʻi maʻi prostate.
| Koho Lapaau | wehewehe | Hiki i nā hopena ʻaoʻao |
|---|---|---|
| ʻO ka ʻoki ʻana (Radical Prostatectomy) | ʻO ka wehe ʻana o ka prostate gland. | ʻO ka hoʻopaʻa ʻole, impotence. |
| Ka Lapaʻau Radiation (EBRT/Brachytherapy) | Hoʻohana i ka radiation e pepehi i nā maʻi kanesa. | ʻO ka luhi, nā pilikia mimi, nā pilikia o ka ʻōpū. |
| Lapaʻau Hormone (ADT) | Hoʻemi i nā pae testosterone e hoʻolōʻihi i ka ulu ʻana o ka maʻi kanesa. | ʻO nā uila wela, hoʻemi libido, piʻi kaumaha. |
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.