ka lapaʻau extracapsular extension prostate cancer

ʻO ka mālama ʻana i ka maʻi maʻi prostate extracapsular extension e pili ana i ka mālama ʻana i ka maʻi maʻi prostate i laha ma waho o ka ʻili prostate akā ʻaʻole i hiki i nā kino mamao. Hoʻokomo pinepine ʻia nā hoʻolālā lapaʻau i ka hui ʻana o ke ʻoki, radiation therapy, hormone therapy, a i kekahi mau hihia, chemotherapy, i hoʻohālikelike ʻia i ke kūlana kūikawā a me nā mea pilikia. ʻO ka pahuhopu ka hoʻopau ʻana i ka maʻi kanesa, hoʻomalu i kona ulu ʻana, a hoʻomaikaʻi i ka maikaʻi o ke ola o ka mea maʻi. Understanding Extracapsular Extension (ECE) Ke ʻike ʻia ka maʻi prostate, loiloi nā kauka i kona pae e hoʻoholo ai i ka nui o ka maʻi. Hoʻonui extracapsular, a i ʻole ECE, ʻo ia hoʻi, ua ulu ka maʻi maʻi ma mua o ka capsule (papa waho) o ka gland prostate. ʻAʻole kēia manaʻo ua laha ka maʻi kanesa i nā wahi mamao o ke kino (metastasis), akā hōʻike ia i kahi ʻano ʻoi aku ka ʻino o ka maʻi a hoʻopilikia i ka hoʻolālā lapaʻau. Pehea e ʻike ʻia ai ka ECE? ʻO ka hōʻike hōʻike kikohoʻe (DRE): ʻO kahi hoʻokolohua kino kahi e ʻike ai ke kauka i ka prostate gland no nā mea ʻino. Hoʻāʻo ʻo Prostate-Specific Antigen (PSA): He ho'āʻo koko e ana i ke kiʻekiʻe o ka PSA, he pūmua i hana ʻia e ka prostate gland. Hiki i nā pae PSA kiʻekiʻe ke hōʻike i ka maʻi maʻi prostate, akā me nā kūlana ʻē aʻe. Multiparametric MRI: Hāʻawi kēia ʻenehana kiʻi holomua i nā kiʻi kikoʻī o ka prostate gland a me nā ʻiʻo a puni, e kōkua ana e ʻike i ka ECE. Hāʻawi ka American Cancer Society i nā kikoʻī hou aku e pili ana i ke kuleana o MRI i ka ʻike ʻana i ka maʻi maʻi prostate maanei. Biopsy prostate: Lawe ʻia kahi laʻana kikoo mai ka prostate gland a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka loaʻa ʻana o ka maʻi kanesa a hoʻoholo i kona pae (aggressiveness). ka lapaʻau extracapsular extension prostate cancer. ʻO ke ala maikaʻi loa e pili ana i nā mea e like me ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, ka pae PSA, ka helu Gleason (kahi ana o ka huhū maʻi kanesa), a me ka nui o ka ECE. ʻO nā lāʻau lapaʻau maʻamau: ʻO ka ʻokiʻoki ʻana (Radical Prostatectomy) ʻO ka prostatectomy Radical ka wehe ʻana i ka ʻili prostate holoʻokoʻa, me nā vesicle seminal a i kekahi manawa nā lymph nodes kokoke. Hiki ke hana ʻia kēia ma o ka ʻoki ākea, laparoscopically, a i ʻole robotically. ʻOiai hiki ke mālama ʻia, lawe ka prostatectomy radical i nā pilikia e like me ka incontinence urinary a me ka erectile dysfunction. Hāʻawi ka Prostate Cancer Foundation i ka ʻike piha e pili ana i ka prostatectomy radical maanei.Radiation TherapyHoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e pepehi i nā maʻi maʻi maʻi. ʻElua ʻano nui o ka radiation therapy no ka maʻi maʻi prostate: ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): Hāʻawi ʻia ka radiation mai kahi mīkini ma waho o ke kino. ʻO Brachytherapy (Hoʻomaʻamaʻa Radiation Loko): Hoʻokomo pololei ʻia nā hua radioactive i loko o ka prostate gland.No hoʻonui extracapsular, Ua makemake pinepine ʻia ʻo EBRT, a hiki ke hui pū ʻia me ka hormone therapy. Hiki i nā hopena ʻaoʻao ke komo i nā pilikia mimi, nā pilikia o ka ʻōpū, a me ka erectile dysfunction.Hormone Therapy (Androgen Deprivation Therapy - ADT)Hormone therapy ka manaʻo e hoʻohaʻahaʻa i ke kiʻekiʻe o ka testosterone i loko o ke kino, ʻoiai ʻo ka testosterone e hoʻoulu i ka ulu ʻana o nā maʻi maʻi prostate. Hiki ke loaʻa ka ADT ma o nā lāʻau lapaʻau a i ʻole ka ʻoki ʻana (orchiectomy). ʻOiai ʻaʻole ia he lāʻau lapaʻau, hiki i ka hormone therapy ke hoʻolōʻihi i ka ulu ʻana o ka maʻi kanesa a hoʻomaikaʻi i nā hōʻailona, ​​ʻoi aku ka nui o ka hui ʻana me ka radiation therapy no ECE. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka nalo ʻana o ka libido, ka luhi, a me ka nalowale o ka iwi. Ke hoʻohana ʻia ʻo ChemotherapyChemotherapy i nā lāʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hoʻohana maʻamau ia no ka maʻi maʻi prostate kiʻekiʻe i laha i nā wahi mamao, akā i kekahi manawa e noʻonoʻo ʻia no nā hihia koʻikoʻi o ka ECE i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Hoʻokomo ʻia nā ʻenehana i ka cryotherapy (ka hoʻoheheʻe ʻana), HIFU (ke ʻano ultrasound kiʻekiʻe), a me ka electroporation hiki ʻole ke hoʻololi ʻia (IRE). ʻOiai ʻo ka hoʻohiki ʻana, ke hoʻokolokolo ʻia nei ka lāʻau focal therapy a ʻaʻole kūpono paha no nā hihia āpau o ECE.Combining TreatmentsFor ka lapaʻau extracapsular extension prostate cancer,'ōlelo pinepine nā kauka i ka hui pūʻana o nā lāʻau lapaʻau e loaʻa ai ka hopena maikaʻi loa. ʻO nā hui maʻamau he: Radical prostatectomy a ukali ʻia e ka radiation therapy inā loaʻa nā pūnaʻi maʻi maʻi ma nā ʻaoʻao o ka ʻiʻo i wehe ʻia (mau ʻaoʻao ʻokiʻoki maikaʻi). Hoʻohui ʻia ka lāʻau lapaʻau me ka lāʻau hormone. ʻO ka ʻoki ʻana i ukali ʻia e ka hormone therapy. ʻO nā hopena ʻaoʻao a me ka hoʻokele ʻana ʻO nā lāʻau lapaʻau prostate āpau hiki ke hoʻoulu i nā hopena ʻaoʻao. He mea nui e kūkākūkā i nā hopena ʻaoʻao me kāu kauka a hoʻomohala i kahi hoʻolālā e mālama iā lākou. ʻO nā hopena ʻaoʻao maʻamau a me nā hoʻolālā hoʻokele e like me: Side Effect Management Strategies Urinary Incontinence Nā hoʻomaʻamaʻa papahele Pelvic (Hoʻomaʻamaʻa Kegel), nā lāʻau lapaʻau, ʻokiʻoki (ma nā hihia koʻikoʻi) ʻO nā lāʻau erectile Dysfunction (Viagra, Cialis), nā mea hoʻoheheʻe ʻana, nā penile implants Nā pilikia o ka ʻōpū (Diarrhea, Rectal Pain) Hoʻololi i ka meaʻai, nā lāʻau lapaʻau, Hoʻololi ʻana i ka meaʻai, nā lāʻau lapaʻau. (ʻalo i nā mea hoʻoulu) luhi ʻO ka hoʻomaʻamaʻa maʻamau, lawa ka hiamoe, hoʻokele koʻikoʻi. ka lapaʻau extracapsular extension prostate cancer. ʻO nā hoʻokolohua lapaʻau he mau noiʻi noiʻi e loiloi i ka palekana a me ka pono o nā lāʻau lapaʻau hou. Hiki iā ʻoe ke ʻike i ka ʻike e pili ana i nā hoʻokolohua lapaʻau maʻi prostate ma ka National Cancer Institute maanei.Ke koʻikoʻi o ka ʻike mua ʻia ka maʻi maʻi prostate ma mua, ʻoi aku ka maikaʻi o ka maikaʻi o ka mālama ʻana. ʻO nā kānana maʻamau, me nā hoʻokolohua PSA a me nā DRE, he mea koʻikoʻi no ka ʻike mua. E kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia a me ka papa hana hoʻomaʻamaʻa kūpono iā ʻoe. Ke ʻimi nei i kahi manaʻo ʻelua. Hiki i kēia ke kōkua iā ʻoe e hōʻoia i ka loaʻa ʻana o ka mālama maikaʻi loa a ua noʻonoʻo ʻia kāu mau koho āpau. ʻO Shandong Baofa Cancer Research Institute, me kā mākou kūpaʻa i ka noiʻi ʻokiʻoki a me ka mālama hoʻomanawanui, paipai i nā poʻe maʻi e ʻimi i nā manaʻo he nui e hoʻoikaika iā lākou i kā lākou huakaʻi mālama ola. Hiki i kā mākou hui o nā loea ke hāʻawi i nā manaʻo loea a me nā hoʻolālā lapaʻau pilikino i hoʻohālikelike ʻia i kāu mau pono kikoʻī. Hiki i nā hui kākoʻo, nā ʻōlelo aʻo, a me nā kaiāulu pūnaewele ke hāʻawi i ke kākoʻo noʻonoʻo a me nā ʻōlelo aʻo kūpono. E hoʻomanaʻo ʻaʻole ʻoe wale nō, a aia kekahi poʻe e mālama iā ʻoe a makemake e kōkua.