pi rads 4 lapaʻau prostate cancer

Ka hoʻomaopopo ʻana i ka Pi-RADs 4 a me ka mālama ʻana i ka maʻi maʻi prostate

Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o ka Prostate Imaging Reporting and Data System (PI-RADs) score 4 a me kona mau hopena no ka mālama ʻana i ka maʻi prostate. E ʻimi mākou i ke ʻano o ka helu PI-RADs 4, ke kaʻina diagnostic, nā koho lapaʻau like ʻole, a me nā mea koʻikoʻi e noʻonoʻo ai i ka wā e hana ai i nā hoʻoholo lapaʻau. E aʻo e pili ana i nā holomua hou a pehea e hoʻokele ai i kēia maʻi paʻakikī.

He aha ka PI-RADs Score?

ʻO ka Prostate Imaging Reporting and Data System (PI-RADs) kahi ʻōnaehana helu maʻamau i hoʻohana ʻia e loiloi i ka likelika o ka maʻi prostate e pili ana i nā ʻike multiparametric magnetic resonance imaging (mpMRI). Hāʻawi ka ʻōnaehana i ka helu mai ka 1 a i ka 5, me ka 1 e hōʻike ana i ka haʻahaʻa haʻahaʻa o ka maʻi kanesa a me 5 ka mea kiʻekiʻe loa. A pi rads 4 lapaʻau prostate cancer Hiki ke kūkākūkā i ka wā e loaʻa ai i ka mea maʻi ka helu PI-RAD o 4.

Ka hoʻomaopopo ʻana i kahi helu PI-RADs 4

Hōʻike ka helu PI-RADs 4 i kahi kūpono waena o ka maʻi prostate. ʻAʻole ia e ʻike maopopo i ka maʻi maʻi maʻi akā hōʻike i kahi manawa nui e pono ai ka hoʻokolokolo hou. Hoʻopili maʻamau kēia i kahi biopsy no ka loaʻa ʻana o nā laʻana kiko no ka hoʻokolokolo microscopic. ʻO ka hoʻoholo e hoʻomau me kahi biopsy i hana ʻia ma ke kūkākūkā ʻana me kahi urologist, e noʻonoʻo ana i nā mea pilikia pilikino a me nā makemake o ka maʻi. A pi rad 4 pono e noʻonoʻo pono ka helu i nā ʻanuʻu aʻe.

Nā Kaʻina Hana diagnostic ma hope o ka helu PI-RADs 4

Ma hope o ka helu PI-RADs 4, ʻōlelo pinepine ʻia kahi biopsy i manaʻo ʻia. Hoʻohana kēia i ka hoʻohana ʻana i nā kiʻi mpMRI e alakaʻi i ka hoʻokomo ʻana i ka nila i ka wā o ke kaʻina biopsy, e hoʻonui i ka manawa o ka ʻike ʻana i ke kanesa inā loaʻa. He mea koʻikoʻi kēia ʻenehana kikoʻī no ka hoʻomaʻamaʻa maikaʻi ʻana a me ka hoʻolālā lapaʻau. ʻO nā hopena o ka biopsy e hoʻoholo i nā ʻanuʻu e hiki mai ana i ka mālama ʻana i ke kūlana o ka mea maʻi. E hōʻike kēia i ka pi rads 4 lapaʻau prostate cancer hoʻolālā e hele ana i mua.

ʻO nā koho lapaʻau no ka maʻi maʻi prostate i ʻike ʻia ma hope o ka helu PI-RADs 4

ʻO nā koho lapaʻau no ka maʻi maʻi prostate i ʻike ʻia ma hope o ka helu PI-RADs 4 ʻokoʻa ma muli o nā kumu he nui, me nā hopena biopsy (helu Gleason, pae, a me ka pae o ka maʻi kanesa), ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. ʻO nā ala lapaʻau maʻamau ka:

Nānā ʻeleu

No nā maʻi maʻi prostate haʻahaʻa haʻahaʻa, ʻo ka mākaʻikaʻi ikaika (ʻike ʻia ʻo ka kali kiaʻi) he koho paha. Hoʻopili kēia i ka nānā pono ʻana i ka piʻi ʻana o ka maʻi kanesa me ka ʻole o ka hana koke ʻana. ʻO ka nānā mau ʻana a me nā hoʻāʻo PSA e kōkua i ka nānā ʻana i ka ulu ʻana o ke kanesa. Manaʻo pinepine ʻia ka nānā ʻana pi rad 4 nā hihia me nā hiʻohiʻona haʻahaʻa haʻahaʻa i hoʻoholo ʻia e nā hopena biopsy.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka hoʻoheheʻe ʻana i ka ikehu kiʻekiʻe e luku ai i nā maʻi maʻi. Hiki ke hāʻawi ʻia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). He kūpono paha ka lāʻau lapaʻau no ka maʻi maʻi prostate kūloko ma hope o a pi rad 4 ka loaʻa ʻana ma ka mpMRI a me ka hōʻoia ʻana e ka biopsy.

ʻO ka ʻoki ʻana (Prostatectomy)

ʻO ka wehe ʻana i ka prostate gland (radical prostatectomy) kahi koho ʻē aʻe, ʻoi loa no nā maʻi maʻi prostate kūloko. Hana ʻia kēia kaʻina hana i nā hihia o ka maʻi kanesa koʻikoʻi i hōʻoia ʻia ma hope o kahi PI-RADs 4 a me ka biopsy ma hope. He hana ʻoki nui kēia me nā hopena ʻaoʻao e kūkākūkā pono ʻia me nā maʻi e noʻonoʻo ana a pi rads 4 lapaʻau prostate cancer hoʻolālā e pili ana i ka ʻokiʻoki.

Lapaʻau Hormone

ʻO ka hormone therapy, ka mea i ʻike ʻia ʻo ka androgen deprivation therapy, ke manaʻo nei e hōʻemi i nā pae o nā hormones kāne e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hoʻohana pinepine ʻia i nā hihia maʻi prostate holomua a i ʻole i hui pū me nā lāʻau lapaʻau ʻē aʻe. He ʻāpana paha kēia lāʻau lapaʻau i ka a pi rads 4 lapaʻau prostate cancer e hoʻolālā i nā maʻi maʻi maʻi ʻinoʻino a ʻoi aku paha.

Nā mea e noʻonoʻo ai i ke koho ʻana i kahi hoʻolālā lapaʻau

ʻO ke koho o ka mālama ʻana no ka maʻi maʻi prostate i ʻike ʻia ma hope o ka helu PI-RADs 4 he hoʻoholo pilikino. Hoʻopili ʻia kekahi mau kumu, ʻo ia hoʻi:

Ke hoʻokele nei i kāu hōʻailona

ʻO ka loaʻa ʻana o kahi helu PI-RADs 4 hiki ke pili. He mea koʻikoʻi ke kūkākūkā ʻana i kāu mau koho me kahi urologist kūpono i ʻike i ka maʻi maʻi prostate a me ka mālama ʻana. ʻO kahi hui hui multidisciplinary, me nā urologists, radiologists, a me oncologists, hāʻawi pinepine i ka mālama maikaʻi loa. E hoʻomanaʻo e nīnau i nā nīnau, e hōʻike i kou hopohopo, a e komo ikaika i nā hoʻoholo e pili ana i kou olakino. No ka ʻike hou aku a me ke kākoʻo, e noʻonoʻo e ʻimi i nā kumuwaiwai i loaʻa ma nā hui kaulana e like me ka American Cancer Society a me ka National Cancer Institute.

No ka holomua a me ka loea lapaʻau maʻi maʻi prostate, noʻonoʻo e hoʻopili Shandong Baofa Cancer Research Institute.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me ka mālama ʻana.