
Nā hua lapaʻau maʻi prostate, i kapa ʻia ʻo brachytherapy, pili i ka hoʻokomo pono ʻana i nā hua radioactive liʻiliʻi i loko o ka gland prostate. Kuhi ʻia kēia radiation kūloko i nā pūnaewele maʻi maʻi ʻoiai e mālama ana i ka ʻiʻo olakino a puni. He koho liʻiliʻi loa ia e hāʻawi ana i nā helu kūleʻa kiʻekiʻe a me ka hoʻihoʻi wikiwiki ʻana i ka hoʻohālikelike ʻana i ka ʻoki ʻana a i ʻole ka radiation beam o waho. He mea koʻikoʻi ka ʻike mua, loaʻa pinepine ʻia ma o ka hoʻāʻo PSA (prostate-specific antigen) a me nā hoʻokolohua rectal digital. Ke ʻike ʻia, loaʻa nā koho lapaʻau like ʻole, me ka nānā ʻana, ka ʻokiʻoki (prostatectomy), ka lāʻau radiation beam waho (EBRT), a hua lapaʻau maʻi prostate.He aha nā ʻanoʻano Lapaʻau ʻana i ka maʻi maʻi prostate (Brachytherapy)?Nā hua lapaʻau maʻi prostate, a i ʻole brachytherapy, he ʻano o ka lāʻau lapaʻau kūloko. Hoʻokomo pololei ʻia nā ʻanoʻano radioactive liʻiliʻi, e like me ka nui o ka laiki, i loko o ka prostate gland. Hāʻawi kēia mau ʻanoʻano i ka nui o ka radiation i ka maʻi ʻaʻai ʻoiai e hōʻemi ana i ka ʻike ʻana i nā ʻiʻo a puni e like me ka ʻōpū a me ka rectum. ʻO ka Brachytherapy no ka LDR: I loko o ka LDR brachytherapy, hoʻokomo ʻia nā hua paʻa a noho mau i loko o ka prostate gland no ka pau ʻole. Hāʻawi mālie ʻia ka nui o ka radiation i nā pule a i ʻole mau mahina. ʻO Brachytherapy: ʻO ka HDR brachytherapy e pili ana i ka hoʻokomo manawaleʻa o nā nila hollow i loko o ka prostate. Hoʻokomo ʻia ka mea radioactive i loko o nā nila no kahi manawa pōkole (maʻamau he mau minuke) ma mua o ka wehe ʻia ʻana. Hiki ke hana hou ʻia kēia kaʻina hana i kekahi mau kau. hua lapaʻau maʻi prostate ʻO ka maʻi maʻamau: Ka maʻi maʻi prostate mua (T1 a i ʻole T2) He helu Gleason haʻahaʻa a waena paha (he ana o ka huhū maʻi kanesa) Ka nui prostate liʻiliʻi E loiloi kāu kauka i kou kūlana pilikino a me kou olakino holoʻokoʻa e hoʻoholo ai inā ʻo ka brachytherapy ke koho lapaʻau kūpono iā ʻoe. hua lapaʻau maʻi prostate ʻO ka mea maʻamau e pili ana i kēia mau ʻanuʻu: Hoʻolālā: Ma mua o ke kaʻina hana, hoʻohana ʻia nā haʻawina kiʻi (ultrasound a i ʻole CT scan) e hana i kahi palapala kikoʻī o ka prostate gland. Kōkua kēia e hoʻoholo i ka helu pololei a me ke kau ʻana o nā hua. Anesthesia: Hana ʻia ke kaʻina hana ma lalo o ka anesthesia āpau a i ʻole ka spinal. Hoʻokomo i nā hua: Ke hoʻohana nei i kahi ala transperineal (ma o ka ʻili ma waena o ka scrotum a me ka anus), hoʻokomo ʻia nā nila i loko o ka prostate gland. Hoʻokomo pono ʻia nā hua ma o nā nila e like me ka palapala ʻāina i hoʻolālā mua ʻia. Ma hope o ke kaʻina hana: Hiki ke kau ʻia kahi catheter no ke kōkua ʻana i ka mimi. E loaʻa iā ʻoe nā ʻōlelo aʻo e pili ana i ka mālama ʻana i nā hopena ʻaoʻao a me ka mālama ʻana. Hoʻopilikia liʻiliʻi: ʻO nā ʻoki liʻiliʻi a me ka liʻiliʻi o ka trauma i hoʻohālikelike ʻia me ka ʻokiʻoki. Pākuʻi ʻia: Hāʻawi i kahi kiʻekiʻe kiʻekiʻe o ka radiation pololei i ka ʻōpū i ka wā e mālama ai i nā ʻiʻo a puni. ʻOi aku ka pōkole o ka manawa hoʻihoʻi: ʻOi aku ka wikiwiki o ka hoʻōla ʻana o nā maʻi ma mua o ka hana ʻana a i ʻole EBRT. Lapaʻau maikaʻi: Kiʻekiʻe ka lanakila no ka maʻi maʻi prostate mua. hua lapaʻau maʻi prostate hiki ke hana i kekahi mau hopena, e like me: Nā pilikia mimi: ʻO ka mimi pinepine, ka wikiwiki, ka ʻeha, a i ʻole ka paʻakikī i ka mimi ʻana. Hoʻonui pinepine kēia mau hōʻailona i ka manawa. Nā pilikia o ka ʻōpū: ʻO ka hoʻonāukiuki ʻana, ka maʻi maʻi, a i ʻole ka wikiwiki. ʻAʻole erectile: Hiki paha i kekahi mau maʻi. Huli Hua: Kakaʻikahi, hiki i nā hua ke neʻe i nā wahi ʻē aʻe o ke kino. E kūkākūkā kāu kauka i kēia mau hopena ʻaoʻao me ʻoe me ka kikoʻī a hāʻawi i nā hoʻolālā no ka mālama ʻana iā lākou. Eia ka hoʻohālikelike maʻalahi o nā lapaʻau maʻamau: Lapaʻau Pros Cons Radical Prostatectomy Wehe i ka prostate holoʻokoʻa, hiki ke hoʻōla. ʻOi aku ka pilikia o nā hopena ʻaoʻao (incontinence, ED), hoʻōla lōʻihi. External Beam Radiation Therapy (EBRT) Non-invasive, kūpono no nā pae like ʻole. ʻO nā lāʻau lapaʻau i kēlā me kēia lā no kekahi mau pule, hiki ke loaʻa nā hopena ʻaoʻao lōʻihi. Na Hua Lapaau Ma'i Ma'i Prostate (Brachytherapy) Hoʻopilikia liʻiliʻi, hoʻoheheʻe ʻia, hoʻōla pōkole. ʻAʻole kūpono paha i nā maʻi āpau, hiki i nā pilikia mimi a me ka ʻōpū. ʻAʻole ʻo Active Surveillance i ka mālama koke ʻana a me nā hopena ʻaoʻao. Pono ka nānā pono ʻana, hiki ke hoʻopaneʻe i ka mālama pono. Ke ʻimi nei i kahi Kauka Lapaʻau Prostate inā ʻoe e noʻonoʻo nei hua lapaʻau maʻi prostate a i ʻole nā lāʻau lapaʻau ʻē aʻe o ka maʻi maʻi prostate, pono e kūkākūkā me kahi urologist kūpono a i ʻole radiation oncologist. E ʻimi i kahi loea me ka ʻike i ka brachytherapy a me kahi moʻolelo ikaika o nā hopena kūleʻa. Hāʻawi ka Shandong Baofa Cancer Research Institute i nā lawelawe mālama maʻi maʻi āpau, me ka holomua hua lapaʻau maʻi prostate implantation. Hiki iā ʻoe ke kipa https://baofahospital.com e aʻo hou aʻe e pili ana i kā lākou ʻike a me nā koho lapaʻau. ʻO ka mea e manaʻo ai ma hope o ka hoʻokomo ʻana i nā hua ProstateMa hope o ke kaʻina hana, e loaʻa iā ʻoe nā koho ukali e nānā i kāu holomua a mālama i nā hopena ʻaoʻao. Pono paha ʻoe e hahai i kahi meaʻai kikoʻī a lawe i nā lāʻau lapaʻau e kōkua ai i nā pilikia mimi a i ʻole ka ʻōpū. E hana ʻia nā hoʻokolohua PSA maʻamau e nānā i ka pono o ka mālama ʻana. He mea koʻikoʻi ka hahai pono ʻana i nā ʻōlelo a kāu kauka a hele i nā manawa i hoʻonohonoho ʻia. Me ka mālama pono a me ka nānā ʻana, hua lapaʻau maʻi prostate hiki ke lilo i koho lapaʻau maikaʻi loa no ka maʻi prostate mua.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. Hiki ke ʻokoʻa nā koho lapaʻau a me nā hopena ma muli o ke kūlana o kēlā me kēia kanaka.