ka mālama ʻana i ka maʻi maʻi prostate kūloko

ʻO ka mālama ʻana i ka maʻi maʻi prostate kūloko Hoʻopili ʻia kahi ʻano multi-faceted, hoʻohui pinepine i ke ʻoki, radiation therapy, a me ka hormone therapy. Hoʻopili ʻia ka hoʻolālā lapaʻau kūikawā i kēlā me kēia kanaka, e noʻonoʻo ana i nā mea e like me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. Ke ʻimi nei kēia alakaʻi i nā koho lapaʻau like ʻole, ko lākou mau pōmaikaʻi, a me nā hopena ʻaoʻao e hiki mai ana, e hāʻawi ana iā ʻoe e hana i nā hoʻoholo ʻike e pili ana i kāu mālama. ka mālama ʻana i ka maʻi maʻi prostate kūloko i ka wā i laha aku ai ma waho o ka prostate gland akā ʻaʻole i hiki i nā ʻōpū mamao e like me nā iwi a i ʻole nā lymph nodes mamao loa mai ka prostate. Hoʻokomo maʻamau kēia pae i nā maʻi maʻi prostate T3 a me T4, a ʻo kekahi mau maʻi maʻi maʻi T2 me nā helu Gleason kiʻekiʻe. Aia ke kaʻina hana: ʻO ka hōʻike hōʻike kikohoʻe (DRE): ʻO kahi hoʻokolohua kino e ʻike ai i nā mea ʻino i loko o ka prostate. Hoʻāʻo ʻo Prostate-Specific Antigen (PSA): He ho'āʻo koko e ana i nā pae PSA, hiki ke hoʻokiʻekiʻe ʻia i ka maʻi maʻi prostate. Biopsy: Lawe ʻia kahi laʻana kiko mai ka prostate a nānā ʻia ma lalo o kahi microscope e hōʻoia i ka loaʻa ʻana o ka maʻi kanesa a hoʻoholo i kāna helu Gleason. Nā hoʻāʻo kiʻi: Hiki ke hoʻohana ʻia ka MRI, CT scan, a i ʻole ka iwi iwi no ka hoʻoholo ʻana i ka nui o ka laha ʻana o ke kanesa. Nā Koho Lapaʻau no Locally Advanced Prostate Cancer. ka mālama ʻana i ka maʻi maʻi prostate kūloko. ʻO ka manawa pinepine, hoʻohanaʻia ka hui pūʻana o nā lāʻau lapaʻau no ka loaʻaʻana o ka hopena maikaʻi. He koho kūpono kēia no nā poʻe maʻi me ka maʻi kanesa i paʻa i ka wahi prostate. Shandong Baofa Cancer Research Institute hāʻawi nā ʻenehana ʻokiʻoki kiʻekiʻe i hana ʻia e nā kauka lapaʻau ʻike. Hiki ke hana ia me ka hoʻohana ʻana i nā ʻano like ʻole: Open Radical Prostatectomy: ʻO kahi hana kuʻuna maʻamau e pili ana i kahi ʻoki nui. Laparoscopic Radical Prostatectomy: ʻO kahi ala liʻiliʻi invasive me ka hoʻohana ʻana i nā ʻoki liʻiliʻi a me nā mea hana kūikawā. ʻO Radical Prostatectomy i kōkua ʻia e Robotic: ʻO kahi ʻano o ka ʻoki laparoscopic i hana ʻia me ke kōkua o kahi ʻōnaehana robotic, e hāʻawi ana i ka pololei a me ka mana i hoʻonui ʻia.Nā hopena ʻaoʻao: ʻO nā hopena ʻaoʻao hiki ke loaʻa i ka urinary incontinence a me ka erectile dysfunction.Radiation TherapyRadiation therapy hoʻohana i nā kukuna ikehu kiʻekiʻe e pepehi i nā maʻi kanesa. He mea maʻamau a maikaʻi ka mālama ʻana i ka maʻi maʻi prostate kūloko. 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 image-guided radiation therapy (IGRT) e ʻae i ka huli pono ʻana o ka maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino o nā ʻiʻo a puni. ʻO Brachytherapy (Hoʻomaʻamaʻa Radiation Loko): Hoʻokomo pololei ʻia nā hua radioactive i loko o ka prostate gland. Hāʻawi kēia i kahi nui o ka radiation e hāʻawi ʻia i ka maʻi kanesa ʻoiai e mālama ana i nā ʻiʻo olakino.Nā hopena ʻaoʻao: ʻO nā hopena ʻaoʻao hiki ke loaʻa i ka luhi, ka ʻōpū a me nā pilikia o ka ʻōpū, a me ka erectile dysfunction. ʻO ka Hormone Therapy (Androgen Deprivation Therapy - ADT) Hormone therapy ka manaʻo e hoʻohaʻahaʻa i ke kiʻekiʻe o nā hormones kāne (androgens) i loko o ke kino, ʻoiai kēia mau hormones e hoʻoulu i ka ulu ʻana o ka prostate cancer. Hoʻohana pinepine ʻia ʻo ADT me ka radiation therapy no ka mālama ʻana i ka maʻi maʻi prostate kūloko. Hiki ke hāʻawi ʻia ka ADT ma nā ʻano like ʻole: LHRH Agonists a i ʻole Antagonists: ʻO nā lāʻau e hōʻemi i ka hana testosterone e nā testicles. Orchiectomy: ʻO ka wehe ʻana i nā testicles. Nā lāʻau antiandrogens: ʻO nā lāʻau lapaʻau e pale ai i nā hopena o nā androgens i nā maʻi maʻi prostate.Nā hopena ʻaoʻao: ʻO nā hopena ʻaoʻao hiki ke loaʻa ka wela wela, ka luhi, ka nalo ʻana o ka libido, ka erectile dysfunction, a me ka nalowale o ka iwi.ChemotherapyChemotherapy hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. ʻOiai ʻaʻole ia he lapaʻau mua no nā pae mua, hiki ke noʻonoʻo ʻia no ka mālama ʻana i ka maʻi maʻi prostate kūloko inā ua laha ka maʻi kanesa a ʻaʻole e pane ana i nā lāʻau lapaʻau ʻē aʻe.Nā hopena ʻaoʻao: Hiki i ke kemoterapi ke ho'oulu i nā hopena 'ao'ao, e like me ka nausea, ka lua'i, ka luhi, ka poho o ka lauoho, a me ka pi'i 'ana o ka ma'i.Nā Ho'opa'a I kekahi mau hihia, inā lohi ka ulu 'ana o ka ma'i 'a'ohe hō'ailona, 'o ka nānā 'ana paha he koho. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa me nā hoʻokolohua PSA maʻamau, DRE, a me nā biopsies, a me ka hoʻomaka ʻana i ka mālama ʻana inā hōʻike ke kanesa i nā hōʻailona o ka holomua. Hiki i kēia ke hoʻopaneʻe i ka pono o ka mālama ʻana. ka mālama ʻana i ka maʻi maʻi prostate kūloko pili i ka hui pū ʻana o nā lāʻau lapaʻau. No ka laʻana: Lapaʻau Radiation + Lapaʻau Hormone: Hoʻohana pinepine ʻia kēia hui ʻana no nā kāne me ka maʻi maʻi prostate kiʻekiʻe. ʻO ka ʻoki ʻana + ka lāʻau lapaʻau: Hiki ke hāʻawi ʻia ka lāʻau lapaʻau ma hope o ke kaʻe ʻana e pepehi i nā maʻi kanesa i koe. ka mālama ʻana i ka maʻi maʻi prostate kūloko he hoʻoholo pilikino pono e kūkākūkā me kāu kauka. E noʻonoʻo i kēia mau kumu: Ka Papa a me ka Papa o ka Ma'i 'a'ai: ʻO ka nui a me ka ikaika o ka maʻi kanesa. Ola holookoa: ʻO kou olakino maʻamau a me nā kūlana olakino ʻē aʻe āu e loaʻa ai. Nā Koho Pilikino: ʻO kāu mau waiwai, nā mea nui, a me ka hoʻomanawanui no nā hopena ʻaoʻao. ʻO ke komo ʻana i kahi hoʻokolohua lapaʻau hiki ke hāʻawi i ke komo i nā lāʻau lapaʻau ʻokiʻoki a kōkua i ka holomua ʻana i ka ʻike a me ka mālama ʻana i ka maʻi maʻi prostate.Living with Locally Advanced Prostate CancerLiving with ka mālama ʻana i ka maʻi maʻi prostate kūloko hiki ke hōʻike i nā pilikia, ma ke kino a me ka naʻau. Hiki i nā hui kākoʻo, ka ʻōlelo aʻo, a me nā hoʻololi ʻana i ke ʻano o ke ola (e like me ka ʻai a me ka hoʻoikaika kino) ke kōkua iā ʻoe e hoʻokō i ka maʻi maʻi, mālama i nā hopena ʻaoʻao, a mālama i kou maikaʻi o ke ola. ka mālama ʻana i ka maʻi maʻi prostate kūloko aia ma kahi o 90% ke mālama ʻia me ka hui pū ʻana o nā lāʻau lapaʻau. [Kumu: American Cancer Society]Nā hopena ʻaoʻao a me ka hoʻokele ʻana e hele mai kēlā me kēia koho lapaʻau me nā hopena ʻaoʻao. ʻO ka hoʻomaopopo ʻana i kēia mau hopena ʻaoʻao a pehea e mālama ai iā lākou he mea nui ia no kou olakino holoʻokoʻa. Lapaʻau Hiki i nā hopena ʻaoʻao Manaʻo Radical Prostatectomy ʻAi ʻole ʻana i ka urinary, erectile dysfunction ʻO ka hoʻomaʻamaʻa papahele Pelvic, nā lāʻau lapaʻau, nā penile implants Radiation Therapy Ka luhi, ka ʻōpū a me nā pilikia o ka ʻōpū, erectile dysfunction Hoʻomaha, hoʻololi i nā meaʻai, nā lāʻau Hormone Therapy Nā wela wela, ka luhi, ka nalowale o ka libido, ka iwi erectile, ka hoʻoikaika kino, ka nalo ʻana o ka iwi, hoʻomaʻamaʻa kino, hoʻoikaika kino Nalo ka iwi. ka luaʻi, ka luhi, ka lauoho lauoho, ka nui o ka pilikia o ka maʻi ʻO nā lāʻau lapaʻau, antiemetics, kākoʻo meaʻai ʻO ke koʻikoʻi o ka hahai mau ma hope o ka mālama ʻana no ka mālama ʻana i ka maʻi maʻi prostate kūloko, He mea nui ka hoʻopaʻa 'ana i ka hahai maʻamau no ka nānāʻana no ka hoʻi houʻana a me ka mālamaʻana i nā hopena lōʻihiʻO ka mālama ʻana i ka maʻi maʻi prostate kūloko pono i kahi hoʻolālā ākea a pilikino. Ma ka hoʻomaopopo ʻana i kāu mau koho lapaʻau, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o ka mālama ʻana, hiki iā ʻoe ke komo ikaika i kāu huakaʻi mālama olakino a hoʻomaikaʻi i kou kūlana o ka hopena kūleʻa. E kūkākūkā me kāu kauka ma Shandong Baofa Cancer Research Institute e hoʻomohala i kahi hoʻolālā lapaʻau i kūpono iā ʻoe.