nā lāʻau lapaʻau hou loa

Ke ulu mau nei nā koho lapaʻau maʻi prostate. Hāʻawi kēia alakaʻi i kahi hiʻohiʻona o ka nā lāʻau lapaʻau hou loa, e pili ana i ka ʻoki ʻana, ka lāʻau lapaʻau, ka lāʻau homoni, ka chemotherapy, immunotherapy, a me ka lāʻau lapaʻau. Kūkākūkā pū kekahi i nā lāʻau lapaʻau e kū nei i kēia manawa. He ʻano liʻiliʻi ka prostate i loko o nā kāne e hoʻopuka i ka wai seminal, nāna e hānai a lawe i ka sperm. He mea koʻikoʻi ka hoʻomaopopo ʻana i ka pae a me ka pae o kāu maʻi kanesa i ka hoʻoholo ʻana i ka hoʻolālā lapaʻau kūpono loa. E kūkākūkā me kāu kauka oncologist ma Shandong Baofa Cancer Research Institute a i ʻole kāu kauka mālama mua no ka loiloi piha ʻana. Nui nā ʻano hana ʻokiʻoki: Open Prostatectomy: Hoʻopili kēia i kahi ʻoki kuʻuna ma ka ʻōpū o lalo. Laparoscopic Prostatectomy: Ke hoʻohana nei kēia ala liʻiliʻi invasive i nā ʻoki liʻiliʻi a me nā mea hana kūikawā. Laparoscopic Prostatectomy i kōkua ʻia e Robotic: Hoʻoponopono ke kauka lapaʻau i nā lima robotic e hana i ke kaʻa me ka ʻoi aku ka pololei. ʻO ke koho ʻana o ke ala ʻokiʻoki e pili ana i nā kumu he nui, me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ka ʻike o ke kauka. Wahi a ka American Cancer Society, ke piʻi nui nei ka prostatectomy laparoscopic kōkua robotic ma muli o nā pono kūpono e like me ka emi ʻana o ke koko a me ka noho pōkole o ka haukapila. 1.Radiation TherapyHoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e pepehi i nā maʻi maʻi maʻi. ʻElua ʻano nui: ʻO ka hoʻomaʻamaʻa ʻana i ka lāʻau lapaʻau waho (EBRT): Hāʻawi ʻia ka radiation mai kahi mīkini ma waho o ke kino. ʻO nā ʻenehana e like me ka intensity-modulated radiation therapy (IMRT) a me ka stereotactic body radiation therapy (SBRT) hiki ke kuhikuhi pololei i ka maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. ʻO Brachytherapy (Hoʻomaʻamaʻa Radiation Loko): Hoʻokomo pololei ʻia nā hua radioactive i loko o ka prostate gland. ʻElua mau ʻano: high-dose-rate (HDR) a me low-dose-rate (LDR) brachytherapy. ʻO ka koho ma waena o EBRT a me brachytherapy e pili ana i ke kahua a me ka pae o ka maʻi kanesa, a me nā makemake o ka mea maʻi a me ka mōʻaukala olakino. Hiki i kekahi poʻe maʻi ke loaʻa nā ʻano ʻelua o ka radiation therapy.Hormone Therapy (Androgen Deprivation Therapy - ADT)Hormone therapy ka mea e hoʻohaʻahaʻa i ke kiʻekiʻe o nā hormones kāne (androgens), e like me ka testosterone, hiki ke hoʻoulu i ka ulu ʻana o ka maʻi prostate. Hiki ke lawelawe ʻia ka ADT ma o: LHRH Agonists (Luteinizing Hormone-Releasing Hormone Agonists): Hoʻohaʻahaʻa kēia mau lāʻau i nā pae testosterone. Nā mea kūʻē LHRH: Hoʻohaʻahaʻa koke kēia mau lāʻau i nā pae testosterone me ka ʻole o ka piʻi mua ʻana. Anti-androgens: Hoʻopili kēia mau lāʻau i ka hopena o nā androgens i ke kino. Orchiectomy: ʻO ka wehe ʻana i nā testicles, ʻo ia ke kumu nui o ka testosterone.Hoʻohana pinepine ʻia ka hormone therapy me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy. Hoʻohana ʻia e mālama i ka maʻi maʻi prostate holomua i laha i nā ʻāpana ʻē aʻe o ke kino. Hoʻohana maʻamau ia no ka mālama ʻana i ka maʻi maʻi prostate kiʻekiʻe e kū nei i ka lāʻau hormone. ʻO nā lāʻau lapaʻau lapaʻau maʻamau i hoʻohana ʻia no ka mālama ʻana i ka maʻi maʻi prostate ʻo docetaxel a me cabazitaxel. ʻO kekahi ʻano immunotherapy i ʻae ʻia no ka maʻi maʻi prostate ʻo sipuleucel-T (Provenge), he kano e hoʻoulu ai i ka ʻōnaehana pale e hoʻouka i nā pūnaewele maʻi prostate. Ke noiʻi ʻia nei nā ala immunotherapy ʻē aʻe, e like me ka checkpoint inhibitors, i nā hoʻokolohua lapaʻau. Eia kekahi laʻana: Nā mea pale PARP: Hoʻopaʻa kēia mau lāʻau lapaʻau i nā enzymes PARP, e kōkua i ka hoʻoponopono ʻana i ka DNA i hōʻino ʻia i loko o nā keʻena maʻi maʻi. Hoʻohana ʻia lākou e mālama i ka maʻi prostate me kekahi mau hoʻololi genetic, e like me BRCA1 a i ʻole BRCA2. Radiopharmaceuticals: ʻO Radium-223 dichloride (Xofigo) kahi radiopharmaceutical e hoʻopaʻa i nā metastases iwi i ka maʻi prostate. Hiki i nā poʻe maʻi ke noʻonoʻo e komo i nā hoʻokolohua lapaʻau no ke komo ʻana i nā lāʻau lapaʻau ʻokiʻoki ʻaʻole i loaʻa ākea. E kamaʻilio me kāu kauka e ʻike inā kūpono kahi hoʻokolohua lapaʻau iā ʻoe, a i ʻole e kelepona i ke keʻena noiʻi ʻo Shandong Baofa Cancer Research Institute. Koho Lapaʻau a me nā hopena ʻaoʻao ʻO ka hoʻolālā lapaʻau maikaʻi loa no ka maʻi maʻi prostate e pili ana i nā kumu he nui, me ka pae a me ka pae o ka maʻi kanesa, ka makahiki o ka mea maʻi a me ke olakino holoʻokoʻa, a me kā lākou 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. Loaʻa i kēlā me kēia lapaʻau ka hiki ke loaʻa nā hopena ʻaoʻao, a pono e kūkākūkā maikaʻi ʻia kēia me kāu hui mālama ma Shandong Baofa Cancer Research Institute. ʻO ka ʻoki ʻana: ʻAʻole i hoʻopaʻa ʻia ka urinary, erectile dysfunction Lapaʻau Radiation: ʻO ka luhi, ka pilikia o ka ʻōpū, ka pilikia mimi, ka erectile dysfunction Hoʻomaʻamaʻa Hormone: ʻO ka wela wela, ka luhi, ka nalowale o ka libido, ka erectile dysfunction, ka poho iwi Kemoterapi: Nausea, luaʻi, luhi, lauoho lauoho, ʻeha waha Immunotherapy: Ka luhi, ke kuni, ke anu, ka nausea ʻO ka lāʻau lapaʻau i koho ʻia: ʻOkoʻa ma muli o ka lāʻau lapaʻau kūikawāProstate Cancer Treatment ComparisonKe hōʻuluʻulu nei kēia papa ʻaina i nā mea nui o nā ʻano like ʻole nā lāʻau lapaʻau hou loa: Mechanism Lapaʻau Nā hopena ʻaoʻao maʻamau Ka hoʻohana ʻana i ka ʻoki ʻana (Radical Prostatectomy) Ka wehe kino ʻana o ka gland prostate ʻAʻole i hoʻomau ʻia ka urinary incontinence, erectile dysfunction Localized prostate cancer Radiation Therapy Hoʻohana i nā kukui ikaika nui e pepehi i nā maʻi maʻi ʻaʻai Ka luhi, nā pilikia o ka ʻōpū, nā pilikia mimi, erectile dysfunction ʻO ka maʻi maʻi o ka maʻi kāne Hormone. (androgens) Wela wela, luhi, pau ka libido, erectile dysfunction, poho iwi. ʻano) ʻO ka Lapaʻau Kūlohelohe Kūʻē i nā moleke kikoʻī i loko o nā pūnaeʻa maʻi maʻi ʻokoʻa ma muli o ka lāʻau lapaʻau kūikawā ʻo ka maʻi prostate me nā hoʻololi genetic kikoʻī a i ʻole nā metastases iwi. Hoʻokaʻawale: No ka ʻike wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha. No ka 'ike hou aku e kipa Shandong Baofa Cancer Research Institute.1 ʻAhahui maʻi maʻi ʻAmelika. (n.d.). Pehea e mālama ʻia ai ka maʻi maʻi prostate?. Kiʻi ʻia mai https://www.cancer.org/cancer/prostate-cancer/treatment.html