gleason 7 lapaʻau maʻi maʻi prostate

ʻO ka maʻi maʻi prostate ʻo Gleason 7 he maʻi maʻi ma waena o ka pilikia, e koi ana i kahi ala lapaʻau kūpono. Nānā kēia ʻatikala i nā ʻano like ʻole ʻO Gleason 7 ka mālama ʻana i ka maʻi maʻi prostate nā koho, e like me ka oki, radiation therapy, active surveillance, and hormone therapy, e hoʻoikaika ana iā ʻoe me ka ʻike e hana i nā hoʻoholo ʻike ma ke kūkākūkā me kāu kauka. Hōʻike ka helu Gleason o 7 i kahi pilikia waena. He mea koʻikoʻi ka hoʻomaopopo ʻana i ke ʻano o kēia helu no kāu wānana a me nā koho lapaʻau. He aha ke ʻano o Gleason 7?A ʻO ka maʻi maʻi prostate ʻo Gleason 7 Hāʻawi ʻia ka helu i ka wā ʻo 3 a i ʻole 4 ke kumu Gleason. ʻO ia ke ʻano o ka hōʻike ʻana o nā maʻi kanesa i kekahi, akā ʻaʻole nā ​​mea āpau, nā hiʻohiʻona o ka maʻi maʻi ʻino. ʻElua mau ʻano nui o Gleason 7: 3+4: 'O ka ma'i 'a'ai ka nui o ka papa 3, me kekahi mau hi'ohi'ona papa 4. Manaʻo pinepine ʻia kēia ʻoi aku ka liʻiliʻi ma mua o 4+3. 4+3: 'O ka ma'i 'a'ai ka nui o ka papa 4, me kekahi mau hi'ohi'ona papa 3. Manaʻo ʻia kēia ʻoi aku ka ikaika ma mua o 3+4. ʻO ke ʻano kikoʻī Gleason (3+4 a i ʻole 4+3), me nā mea ʻē aʻe e like me ka pae PSA a me ka nui o ka maʻi kanesa, e hoʻololi i kāu hoʻolālā lapaʻau. Ma ka Shandong Baofa Cancer Research Institute, noʻonoʻo kā mākou hui i kēia mau mea no kēlā me kēia maʻi.ʻO Gleason 7 Lapaʻau ʻana i ka maʻi maʻi prostate OptionsSeveral ʻO Gleason 7 ka mālama ʻana i ka maʻi maʻi prostate loaʻa nā koho. ʻO ka koho maikaʻi loa e pili ana i kēlā me kēia mea e like me ka haʻihaʻi helu Gleason (3+4 a i ʻole 4+3), pae PSA, pae maʻi kanesa, makahiki, olakino holoʻokoʻa, a me nā makemake pilikino. ʻO nā koho i loaʻa: ʻO ka nānā ʻana ʻO ka nānā ʻana e pili ana i ka nānā pono ʻana i ka maʻi kanesa ma o nā hoʻokolohua PSA maʻamau, nā hoʻokolohua rectal digital, a me nā biopsies. Hoʻomaka ʻia ka mālama ʻana inā hōʻike ka maʻi kanesa i nā hōʻailona o ka holomua. Ua kūpono kēia ala no nā kāne me ka liʻiliʻi liʻiliʻi Gleason 7 (3+4) maʻi kanesa, haʻahaʻa PSA pae, a ʻaʻohe hōʻike o ka hoʻolaha ʻana ma waho o ka prostate. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i ke kīʻaha hāmama, ka ʻoki laparoscopic, a i ʻole ke ʻoki ʻana i ka robotic-assisted laparoscopic. ʻO nā hopena ʻaoʻao e pili ana i ka erectile dysfunction a me ka mimi ʻole. Ua hōʻike nā haʻawina i nā helu kūleʻa kiʻekiʻe i ka mālama ʻana i ka maʻi maʻi prostate kūloko me ke ʻoki. No ka ʻike hou aku e pili ana i nā koho ʻokiʻoki, e kipa i kahi kumu kaulana e like me ka ʻAmelika Hui Pū ʻIa.Radiation TherapyHoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe a i ʻole nā mea ʻāpana e pepehi i nā maʻi kanesa. 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. ʻO nā hopena ʻaoʻao o ka lāʻau lapaʻau hiki ke komo i ka luhi, nā pilikia mimi, nā pilikia o ka ʻōpū, a me ka erectile dysfunction. E noʻonoʻo e aʻo hou mai ka National Cancer Institute.Hormone Therapy (Androgen Deprivation Therapy - ADT)Hormone therapy ka mea e hoʻohaʻahaʻa i ke kiʻekiʻe o nā hormones kāne (androgens) i loko o ke kino, hiki ke hoʻolohi i ka uluʻana o nā pūnaewele maʻi prostate. Hoʻohana pinepine ʻia kēia me ka radiation therapy no nā kāne me ka maʻi maʻi ʻoi aku ka nui o Gleason 7 a i ʻole ka maʻi maʻi i hoʻolaha ʻia ma waho o ka gland prostate. ʻO nā hopena ʻaoʻao maʻamau e pili ana i ka wela wela, ka nalowale o ka libido, erectile dysfunction, a me ka nalo iwi. I kekahi mau hihia a ma lalo o ke alakaʻi pololei a nā kauka ma nā ʻoihana e like me Shandong Baofa Cancer Research Institute, hiki i ka hormone therapy ke hana maika'i. Hiki i kēia ke hōʻemi i ka hopena o nā hopena ʻaoʻao i hoʻohālikelike ʻia me nā lāʻau lapaʻau holoʻokoʻa e like me ke ʻoki a i ʻole ka radiation therapy. Loaʻa kekahi mau koho lapaʻau focal, me ka cryotherapy, high-intensity focused ultrasound (HIFU), a me ka irreversible electroporation (IRE). Ke ulu nei kēia ala a ʻaʻole kūpono paha i nā kāne āpau ʻO ka maʻi maʻi prostate ʻo Gleason 7.Na mea e hooikaika ana ʻO Gleason 7 Lapaʻau ʻana i ka maʻi maʻi prostate Nā Hoʻoholo Ke koho ʻana i ka pono ʻO Gleason 7 ka mālama ʻana i ka maʻi maʻi prostate pono e noʻonoʻo pono i nā kumu he nui: Nā kikoʻī helu Gleason: ʻO 3+4 a i ʻole 4+3? Papa PSA: Hiki ke hōʻike i nā pae kiʻekiʻe o PSA i ka maʻi maʻi ʻino. ʻĀpana maʻi maʻi: Ua laha anei ka maʻi kanesa ma waho o ka gland prostate? Makahiki a me ke olakino holoʻokoʻa: ʻOi aku paha nā kāne ʻōpio a olakino maikaʻi i nā moho no nā lāʻau lapaʻau ʻoi aku ka ikaika. Nā Koho Pilikino: He mea nui e kūkākūkā i kāu mau pahuhopu lapaʻau a me kāu mau hopohopo me kāu kauka. Hoʻohālikelike i nā koho Lapaʻau: A Quick Overview Treatment Option Pros Cons Active Surveillance Avoids lāʻau koke nā hopena ʻaoʻao; hoʻopaneʻe ka mālama ʻana inā holomua ka maʻi kanesa. Pono ka nānā pinepine ʻana; hopohopo e pili ana i ka maʻi kanesa ʻole i mālama ʻia. Radical Prostatectomy Kiʻekiʻe ka lāʻau lapaʻau no ka maʻi kanesa kūloko; wehe i ka prostate holoʻokoʻa. Ka pilikia o ka erectile dysfunction a me ka urinary incontinence; pilikia o ke kino. ʻO ka lāʻau lapaʻau ʻaʻole ʻokiʻoki; hiki ke hana maikaʻi no ka maʻi kanesa kūloko. Hiki i nā hopena ʻaoʻao ke komo i ka luhi, nā pilikia mimi, a me nā pilikia o ka ʻōpū; pilikia o nā pilikia lōʻihi. Hormone Therapy Hoʻolohi i ka ulu ʻana o ka maʻi kanesa; hoʻohana pinepine ʻia me ka radiation. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka nalowale o ka libido, a me ka nalowale o ka iwi; ʻaʻole he lāʻau lapaʻau iā ia iho. Hoʻolālā ka Focal Therapy i nā wahi maʻi maʻi wale nō; liʻiliʻi paha nā hopena ʻaoʻao. ʻO ke ala hou; ʻaʻole i paʻa pono nā hopena lōʻihi; ʻAʻole paha kūpono i nā kāne a pau. ʻO ke koʻikoʻi o ka manaʻo ʻelua ʻO ka loaʻa ʻana o kahi manaʻo ʻelua mai kahi kauka ʻē aʻe hiki ke hāʻawi i nā ʻike waiwai a kōkua iā ʻoe e hilinaʻi hou i kāu hoʻoholo lapaʻau. Hiki i ka manaʻo ʻelua ke hōʻoia i ka hōʻailona mua, hāʻawi i nā koho lapaʻau ʻē aʻe, a hāʻawi i kahi manaʻo ʻē aʻe i kāu hihia. Nā hui e like me Shandong Baofa Cancer Research Institute paipai i nā maʻi e ʻimi i nā manaʻo ʻelua e hōʻoiaʻiʻo e hana lākou i ka hoʻoholo ʻike ʻO Gleason 7 Ka maʻi maʻi prostateA ʻO ka maʻi maʻi prostate ʻo Gleason 7 hiki ke paʻakikī ka ʻike. He mea nui ka nānā ʻana i kou olakino a maikaʻi i ka wā a ma hope o ka mālama ʻana. Hoʻopili kēia i ka mālama ʻana i ka meaʻai olakino, hoʻoikaika mau, mālama i ke kaumaha, a me ka ʻimi ʻana i ke kākoʻo mai ka ʻohana, nā hoaaloha, a i ʻole nā hui kākoʻo. ʻO Gleason 7 ka mālama ʻana i ka maʻi maʻi prostate He mea koʻikoʻi nā koho no ka hoʻoholo ʻana e pili ana i kāu mālama. E kūkākūkā i kāu kūlana pilikino me kāu kauka e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa no ʻoe. E hoʻomanaʻo e noʻonoʻo i nā mea āpau, me kāu helu Gleason, ka pae PSA, ka pae maʻi kanesa, ka makahiki, ke olakino holoʻokoʻa, a me nā makemake pilikino.