
Hāʻawi kēia alakaʻi piha i ka ʻike koʻikoʻi no ka hoʻomaopopo ʻana iā Gleason 6 prostate cancer a me ka hoʻokele ʻana i nā koho lapaʻau i loaʻa ma kahi kokoke iā ʻoe. E ʻimi mākou i ka maʻi maʻi, nā ala lapaʻau, a me nā kumuwaiwai e kōkua iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu mālama. E aʻo e pili ana i nā hoʻolālā lapaʻau like ʻole a loaʻa ke kākoʻo e alakaʻi iā ʻoe i kēia huakaʻi.
ʻO ka helu Gleason kahi ʻōnaehana helu i hoʻohana ʻia e loiloi i ka ʻino o ka maʻi maʻi prostate. Aia ia mai ka 2 a hiki i ka 10, me nā helu kiʻekiʻe e hōʻike ana i ka maʻi maʻi ʻino. ʻO ka helu Gleason o 6 (3+3) i manaʻo ʻia he haʻahaʻa haʻahaʻa, ʻo ia hoʻi, ua like ke ʻano o nā maʻi maʻi maʻi maʻi maʻamau a ʻaʻole hiki ke laha koke. Eia nō naʻe, he mea koʻikoʻi ke kūkākūkā ʻana i nā koho lapaʻau me kāu kauka.
ʻO ka maʻi maʻamau e pili ana i kahi hōʻike hōʻike digital rectal (DRE), kahi hōʻike koko prostate-specific antigen (PSA), a me kahi biopsy prostate. E nānā kāu kauka i nā hopena a hoʻoholo i ka hana maikaʻi loa e pili ana i kou kūlana pilikino. He kī nui ka ʻike mua ʻana, no laila he mea nui ka nānā mau ʻana, ʻoi aku ka nui o kou mau makahiki.
No nā kāne he nui me ka maʻi maʻi prostate Gleason 6, ʻo ka nānā ʻana he koho kūpono. Hoʻopili kēia i ka nānā pono ʻana i ke kanesa ma o nā hoʻokolohua PSA maʻamau, DRE, a me nā biopsies me ka ʻole o ka mālama koke ʻana. He kūpono kēia ala no nā maʻi maʻi e ulu lohi ana a hiki i ka manawa kūpono ke holomua ka maʻi kanesa.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopau i nā maʻi kanesa. Hiki ke hāʻawi ʻia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). ʻO ke koho ʻana o ka radiation therapy e pili ana i ka nui o ke kanesa a me kou olakino holoʻokoʻa.
ʻO ka prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. Manaʻo pinepine ʻia kēia no nā kāne me ka maʻi maʻi prostate Gleason 6 ʻoi aku ka holomua a i ʻole ke kūpono ʻole nā koho lapaʻau ʻē aʻe. ʻO ka ʻoki ʻana i kōkua ʻia i ka robotic kahi ʻenehana invasive liʻiliʻi e alakaʻi pinepine i nā manawa hoʻōla wikiwiki.
He mea koʻikoʻi ka ʻimi ʻana i kahi urologist kūpono a i ʻole oncologist loea i ka maʻi prostate. Hiki iā ʻoe ke hoʻomaka ma ka ʻimi ʻana i nā papa kuhikuhi pūnaewele a i ʻole ka ʻimi ʻana i nā ʻōlelo aʻoaʻo mai kāu kauka mālama mua. Hāʻawi ka nui o nā haukapila a me nā kikowaena maʻi maʻi i nā papahana lapaʻau maʻi prostate kūikawā. E noʻonoʻo i ka ʻike a me ke akamai o ka hui lapaʻau i ka wā e hoʻoholo ai. No ka laʻana, makemake paha ʻoe e noiʻi i nā halemai me nā ʻenehana holomua e like me ke ʻoki robotic, a i ʻole ka poʻe i loaʻa ka ʻike nui i nā papahana nānā ikaika. E hōʻoia mau i ka ʻike a me ka ʻike o kekahi mea mālama ola ma mua o ka hana ʻana i kahi manawa.
Ke ʻike ʻoe i nā mea mālama ola kino, e hoʻonohonoho i nā kūkākūkā e kūkākūkā i kāu maʻi maʻi, nā koho lapaʻau, a me nā hopohopo āu e loaʻa ai. ʻO ka hōʻiliʻili ʻana i nā manaʻo he nui mai nā loea like ʻole hiki ke hāʻawi i kahi ʻike piha loa i kou kūlana a me nā ala lapaʻau hiki ke loaʻa. Shandong Baofa Cancer Research Institute He keʻena alakaʻi i hoʻolako i ka mālama maʻi maʻi holomua a me ke kākoʻo piha no nā maʻi.
ʻO ka loaʻa ʻana o kahi maʻi maʻi maʻi hiki ke paʻakikī. Hiki i ka launa pū ʻana me nā hui kākoʻo, nā mea kākoʻo hoʻomanawanui, a i ʻole nā ʻoihana olakino noʻonoʻo ke hāʻawi i ke kōkua noʻonoʻo a kūpono i kēia manawa paʻakikī. Nui nā hui e hāʻawi i nā kumuwaiwai waiwai a me ke kākoʻo no nā poʻe i loaʻa i ka maʻi maʻi prostate. Mai hoʻokaʻulua e hele a hoʻohana i nā ʻōnaehana kākoʻo i loaʻa.
Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea pono ke kukakuka pu me kekahi oihana ola kino kupono no ka ike ana a me ka lapaau ana i kekahi ano ma'i.