pi rads 5 prostate cancer lapaau kokoke ia'u

ʻImi ʻana i ka Pono ʻO Pi Rads 5 ka mālama ʻana i ka maʻi maʻi prostate kokoke iaʻuHāʻawi kēia ʻatikala i ka ʻike koʻikoʻi no ka poʻe e ʻimi nei i nā koho lapaʻau no ka maʻi maʻi prostate, e nānā pono ana i ka hoʻomaopopo ʻana a me ka hoʻokele ʻana i nā paʻakikī o ka radiation therapy, me ka hana o ka helu Pi Rads 5. E ʻimi mākou i nā ala lapaʻau like ʻole, nā noʻonoʻo no ke koho ʻana i kahi kahu mālama, a me nā kumuwaiwai e kōkua iā ʻoe e hoʻoholo i ka ʻike.

Ka hoʻomaopopo ʻana i ka maʻi maʻi prostate a me ka helu Pi-RADS

ʻO ka maʻi ʻaʻai prostate ka maʻi maʻi maʻamau e pili ana i nā kāne. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana no ka hoʻomaikaʻi ʻana i nā hopena. ʻO ka Prostate Imaging Reporting and Data System (PI-RADS) kahi ʻōnaehana helu maʻamau i hoʻohana ʻia e hoʻokaʻawale i ka likelika o ka maʻi prostate ma muli o nā kiʻi MRI. Hōʻike ka helu Pi-RADS o 5 i kahi kānalua kiʻekiʻe o ka maʻi prostate koʻikoʻi. Ke alakaʻi nei kēia helu i nā hoʻoholo lapaʻau, akā pono e hoʻomanaʻo he hoʻokahi wale nō mea i manaʻo ʻia e kāu kauka.

He aha ke ʻano o ka Pi-RADS 5?

Hōʻike ka helu Pi-RADS 5 i kahi kiʻekiʻe o ka maʻi kanesa. Akā naʻe, ʻaʻole ia e hōʻoia i ka maʻi kanesa. ʻO ka hoʻāʻo hou ʻana, e like me ka biopsy, pono e hōʻoia i ka ʻike a hoʻoholo i ka nui o ka maʻi kanesa. Kōkua ka helu i ka hoʻonohonoho mua ʻana i nā wahi no ka biopsy a alakaʻi i nā hoʻolālā lapaʻau ma hope.

ʻO nā koho lapaʻau no ka maʻi maʻi prostate me kahi helu Pi-RADS 5

Aia kekahi mau koho lapa'au no ka ma'i 'a'ai prostate, ma muli o nā kumu like 'ole e like me ke olakino holo'oko'a o ka mea ma'i, ka pae a me ka pae o ka ma'i 'a'ai, a me nā makemake pilikino. ʻO kekahi mau lāʻau lapaʻau maʻamau.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopau i nā maʻi kanesa. Loaʻa nā ʻano lāʻau lapaʻau like ʻole, e like me ka lāʻau lapaʻau kukuna waho (EBRT) a me ka brachytherapy (ka lāʻau lapaʻau kūloko). ʻO ke koho e pili ana i ke kūlana kikoʻī a hiki ke hana ʻia ma muli o ka helu Pi-RADS. Hiki ke lawelawe ʻia ʻo EBRT ma nā ʻano like ʻole, me ka intensity-modulated radiation therapy (IMRT) a me ka proton therapy, e manaʻo ana i ka pahuhopu pololei e hōʻemi i ka pōʻino i nā ʻiʻo olakino a puni.

ʻO ka ʻoki ʻana

ʻO nā koho ʻokiʻoki e pili ana i ka prostatectomy radical, kahi e wehe loa ʻia ai ka ʻili prostate. Manaʻo maʻamau kēia no ka maʻi maʻi prostate kūloko.

Nānā ʻeleu

No kekahi mau kāne me ka maʻi maʻi prostate haʻahaʻa haʻahaʻa, he koho kūpono paha ka nānā ʻana. Hoʻopili kēia i ka nānā pono ʻana i ka piʻi ʻana o ka maʻi kanesa me ka ʻole o ka mālama ʻana i ka maʻi maʻi ʻaʻole e mālama koke ʻia, e hoʻopili wale ʻia inā ulu a laha paha ke kanesa.

Lapaʻau Hormone

ʻO ka hormone therapy, a i ʻole androgen deprivation therapy (ADT), hoʻemi i nā pae o ka testosterone i loko o ke kino, e hoʻolōʻihi i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia i ka hui pū ʻana me nā lāʻau ʻē aʻe.

Ke koho ʻana i kahi kikowaena mālama maʻi prostate ma kahi kokoke iā ʻoe

ʻO ka ʻimi ʻana i ke kikowaena lapaʻau kūpono kahi hana koʻikoʻi i kāu huakaʻi mālama. E ʻimi i nā keʻena me nā loea loea i ka maʻi prostate, ʻenehana holomua, a me kahi moʻolelo ikaika o ka kūleʻa. E noʻonoʻo i kēia mau mea i ka wā e hoʻoholo ai:

Kumukumu	Noonoo
Ka ʻike a me ka ʻike	E ʻimi i nā kikowaena me nā poʻe loea i ʻike i ka mālama ʻana i ka maʻi maʻi prostate, ʻoi aku ka poʻe akamai i ka mālama ʻana i nā hihia me kahi helu Pi-RADS 5.
ʻenehana a me nā lako	E nānā inā hoʻohana ke kikowaena i nā ʻenehana holomua e like me IMRT a i ʻole proton therapy, e hiki ai ke hāʻawi pololei i ka radiation.
Nā Manaʻo a nā maʻi	Hiki i nā loiloi pūnaewele a me nā hōʻike hoʻomanawanui ke hāʻawi i nā ʻike i ka maikaʻi o ka mālama a me ka ʻike hoʻomanawanui.
Nā lawelawe kākoʻo	E noʻonoʻo i nā kikowaena e hāʻawi ana i nā lawelawe kākoʻo piha, me ka ʻōlelo aʻo, ka hoʻonaʻauao maʻi, a me nā hui kākoʻo.

Ke ʻimi nei i kahi kikowaena kokoke iā ʻoe

E hoʻohana i nā ʻenekini hulina pūnaewele e ʻimi i nā loea maʻi maʻi prostate a me nā kikowaena lapaʻau kokoke i kou wahi. Nui nā pūnaewele haukapila i ʻike kikoʻī e pili ana i kā lākou keʻena oncology a me nā lawelawe a lākou e hāʻawi ai. Hiki iā ʻoe ke kūkākūkā me kāu kauka mālama mua no nā ʻōlelo aʻoaʻo. No nā koho lapaʻau kiʻekiʻe a me ka noiʻi, e noʻonoʻo i nā hale hana e like me ka Shandong Baofa Cancer Research Institute.

Nā ʻanuʻu a me nā kumuwaiwai aʻe

Ma hope o ka hoʻomaopopo ʻana i kāu helu Pi-RADS 5 a me nā koho lapaʻau i loaʻa, e kūkākūkā i kāu kūlana me kāu kauka e hana i kahi hoʻolālā lapaʻau pilikino. E noʻonoʻo lākou i kou kūlana kūikawā a alakaʻi iā ʻoe i ke kaʻina hana. E hoʻomanaʻo e nīnau i nā nīnau a kākoʻo iā ʻoe iho i kāu huakaʻi. Hāʻawi kekahi mau kumuwaiwai pūnaewele i ka ʻike hou aʻe e pili ana i ka maʻi prostate a me nā koho lapaʻau. 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.