
Lapaʻau maʻi prostate waena ʻokoʻa nā koho ma muli o nā mea like me ka helu Gleason, ka pae PSA, ke kahua, a me ke olakino a me nā makemake o ka mea maʻi. ʻO ka mākaʻikaʻi ikaika, radiation therapy, a me ke ʻoki ʻana he ala maʻamau, hui pinepine ʻia me ka hormone therapy i kekahi mau hihia. He mea koʻikoʻi ka loiloi akahele a me ke kūkākūkā ʻana me kahi hui lapaʻau no ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono. ʻO ka maʻi prostate waena e pili ana i ka ma'i 'a'ai 'oi a'e ma mua o ka ma'i 'a'ai prostate ha'aha'a akā 'a'ole like me ka ma'i 'a'ai prostate ki'eki'e. He mea nui ka hoʻomaopopo ʻana i nā ʻano o kāu maʻi maʻi maʻi no ka hoʻoholo ʻana i ka mālama ʻana. Hōʻike ka helu Gleason i ka ikaika o nā keʻena maʻi maʻi ma lalo o kahi microscope. ʻO ka helu Gleason kiʻekiʻe aʻe e hōʻike ana i kahi maʻi maʻi ʻoi aʻe. Hoʻomaʻamaʻa hou nā Pūʻulu Papa i ka ʻike helu Gleason. Hiki ke loa'a ka 'ike no ka Gleason Score and Grade Groups ma ka Paena pūnaewele ʻo American Cancer Society.Nā koho lapa'au no ka ma'i ma'i ma'i prostate waena maʻi prostate waena, kēlā me kēia me kona pono pono'ī a me kona mau hemahema. ʻO ka koho maikaʻi loa iā ʻoe e hilinaʻi ʻia ma kou kūlana a me kou makemake. Hoʻomaka ʻia ka mālama ʻana inā hōʻike ka maʻi kanesa i nā hōʻailona o ka holomua. He kūpono paha kēia ala no nā kāne me ka helu Gleason haʻahaʻa i loko o ka pae waena a hopohopo e pili ana i nā hopena ʻaoʻao o ka lāʻau lapaʻau. Hoʻomaopopo ʻo Shandong Baofa Cancer Research Institute i ka nānā ʻana ma ke ʻano he koho kūpono no kekahi poʻe. ʻElua ʻano nui o ka lāʻau lapaʻau no ka maʻi maʻi prostate: External Beam Radiation Therapy (EBRT) EBRT hoʻopuka i ka radiation mai kahi mīkini ma waho o ke kino. Hāʻawi ʻia nā kau lapaʻau i kēlā me kēia lā no kekahi mau pule. ʻO nā ʻenehana hou e like me ka intensity-modulated radiation therapy (IMRT) a me ka stereotactic body radiation therapy (SBRT) hiki ke kuhikuhi pono i ka maʻi maʻi me ka hōʻemi ʻana i ka pōʻino o nā ʻiʻo a puni. ʻElua mau ʻano nui o ka brachytherapy: low-dose-rate (LDR) a me high-dose-rate (HDR). Hoʻokomo ʻia ka LDR brachytherapy i nā ʻanoʻano e hoʻokuʻu mālie i ka radiation i ka manawa. Hoʻokomo ka HDR brachytherapy i ka waiho ʻana i nā hua i loko o ka prostate no kahi manawa pōkole. ʻO ka Hāʻawi ka American Cancer Society i ka ʻike hou aku e pili ana i ka Radiation TherapyʻO ka ʻokiʻoki ʻana (Radical Prostatectomy) ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate holoʻokoʻa. Hiki ke hana ʻia kēia ma o ka ʻoki wehe ʻana a i ʻole me nā ʻano hana invasive liʻiliʻi e like me ka laparoscopic a i ʻole ka ʻoki robotic. ʻO ka ʻoki ʻana i ka robotic, i hana pinepine ʻia me ka da Vinci Surgical System, hiki ke ʻoi aku ka pololei a me ka hoʻomalu, hiki ke alakaʻi i ka emi ʻana o ke koko, ʻeha, a me nā manawa hoʻōla pōkole. Lapaʻau maʻi prostate waena hiki ke hoʻokomo i nā hana ʻokiʻoki no nā moho kūpono. ʻO ka Hormone Therapy (Androgen Deprivation Therapy - ADT) ʻO ka hormone therapy ka mea e hoʻemi ai i nā pae o nā hormones kāne (androgens) i loko o ke kino, hiki ke hoʻolōʻihi i ka ulu ʻana o nā sela maʻi prostate. Hiki ke hoʻohana pū ʻia ka ADT me ka radiation therapy a i ʻole ka ʻoki ʻana, ʻoi aku hoʻi no nā kāne me ka nui o ka pilikia maʻi prostate waena. Hiki i nā hopena ʻaoʻao o ka ADT ke komo i nā uila wela, ka erectile dysfunction, a me ka poho iwi. ʻO ka noiʻi mai nā hui e like me Shandong Baofa Cancer Research Institute e hōʻike ana i ka hana o ka hormone therapy i kekahi mau hoʻolālā lapaʻau. lapaʻau maʻi prostate waena ʻO ka hoʻolālā he kaʻina hana paʻakikī e pono e noʻonoʻo pono i kou kūlana a me kou makemake. He mea nui e kūkākūkā i nā koho lapa'au a pau me kāu kauka a ho'omaopopo i nā pono kūpono a me nā pilikia o kēlā me kēia ala. A multidisciplinary team approach, involving urologists, radiation oncologists, and medical oncologists, can provide comprehensive full care and support.Factors to ConsiderYour age and overall healthThe Gleason score and Grade Group of your cancerThe stage of your cancerYour risk of side effectsYour personal preferencesNīnau e nīnau i kāu KaukaHe aha nā koho lapaʻau no koʻu maʻi 'aʻai? koho?Pehea e hoʻopili ai ka lāʻau lapaʻau i koʻu maikaʻi o koʻu ola?He aha ka manaʻo lōʻihi no koʻu maʻi 'aʻai? Side Effects and ManagementAll lapaʻau maʻi prostate waena hiki i nā koho ke loaʻa nā hopena ʻaoʻao. He mea nui e kūkākūkā i nā hopena ʻaoʻao me kāu kauka a hoʻomohala i kahi hoʻolālā e hoʻokele iā lākou. ʻO nā hopena ʻaoʻao maʻamau, ʻo ia hoʻi: Erectile dysfunctionUrinary incontinence Nā pilikia o ka ʻōpū Ka luhi Nā hopena pili i ka Hormone (me ADT) Aia nā ʻano lapaʻau like ʻole a me nā hoʻolālā i loaʻa e mālama i kēia mau hopena ʻaoʻao a hoʻomaikaʻi i kou maikaʻi o ke ola. Hiki i nā polokalamu hoʻoponopono ke kōkua i ka hoʻomau ʻole ʻana o ka mimi a me ka erectile dysfunction. Hiki i nā lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā pilikia o ka ʻōpū a me ka luhi. Hoʻokumu ʻo Shandong Baofa Cancer Research Institute i ka mea nui i ka mālama ʻana i nā mea maʻi, me ka mālama ʻana i ka hopena ʻaoʻao. Hoʻokomo maʻamau ka mālama ʻana i ka hahai ʻana: Nā ho'āʻo PSANā hoʻāʻo kiʻi kiʻi kiʻi (inā pono) He mea nui e hōʻike koke i nā hōʻailona hou i kāu kauka. ʻO ka ʻike mua ʻana o ka hoʻi hou ʻana e hiki ai ke mālama i ka manawa. Hoʻohālikelike i nā koho lapaʻau no ka maʻi maʻi maʻi prostate Intermediate. erectile dysfunction, urinary incontinence Hormone Therapy (ADT) Hoʻolōʻihi i ka ulu ʻana o ka maʻi kanesa, hiki ke hoʻohana pū ʻia me nā lāʻau lapaʻau ʻē aʻe Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka erectile dysfunction, iwi poho. Hōʻole: Kuhi ʻia kēia ʻike no ka ʻike ākea a me ka ʻike ʻike wale nō, ʻaʻole ia he ʻōlelo aʻoaʻo olakino. He mea nui e kūkākūkā me kekahi kauka lapaʻau koʻikoʻi no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.