ka holomua o ka lapaʻau ʻana i ka maʻi prostate

Ka hoomaopopo ana i ka ka holomua o ka lapaʻau ʻana i ka maʻi prostate he mea koʻikoʻi no nā maʻi a me ko lākou ʻohana. 'Oko'a ka nui o ka holomua ma muli o nā kumu he nui, e like me ka pae o ka ma'i 'a'ai, ke olakino holo'oko'a o ka mea ma'i, a me ke 'ano o ka mālama 'ana. Hāʻawi kēia ʻatikala i kahi kikoʻī kikoʻī o kēia mau kumu, e ʻimi i nā koho lapaʻau like ʻole a me kā lākou helu kūleʻa e pili ana, a hāʻawi i nā ʻike i ka mālama ʻana i nā manaʻolana a me ka hoʻoholo ʻana. Hoʻolaʻa ʻia ʻo Shandong Baofa Cancer Research Institute i ka hāʻawi ʻana i nā mea maʻi me ka ʻike piha a me nā koho lapaʻau holomua. He kumu hoʻomaka kēia alakaʻi no ka hoʻomaopopo ʻana i ka paʻakikī o ka holomua o ka lapaʻau ʻana i ka maʻi prostate.ka hoomaopopo ana i ka ma'i ma'i ma'i prostate a me kona hopena i ka uku lanakilaLaki holomua ka lapaʻau ʻana i ka maʻi prostate ua pili pili loa i ke kahua i ikeia ai ka ma'i kanesa. Kōkua ka staging e hoʻoholo i ka nui o ke kanesa a alakaʻi i nā hoʻoholo lapaʻau. Hoʻohana mau ʻia ka ʻōnaehana TNM (Tumor, Node, Metastasis) no ka hoʻokūkū. He mea koʻikoʻi ka hoʻomaopopo ʻana i kēia hoʻonohonoho ʻana no ka hoʻomaopopo ʻana i ka hopena o ka mālama ʻana. Loaʻa nā koho lapaʻau maʻamau: Nānā ʻeleu: Ke nānā pono nei i ka ulu ʻana o ka maʻi kanesa ma o nā hoʻokolohua PSA maʻamau, nā hoʻokolohua rectal digital, a me nā biopsies. He kūpono no nā maʻi maʻi e ulu mālie. Radical Prostatectomy: ʻO ka wehe ʻana o ka prostate gland. Lapaʻau Radiation: Ke hoʻohana nei i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hāʻawi ʻia kēia ma waho (external beam radiation therapy - EBRT) a i ʻole ma loko (brachytherapy). ʻO ka helu ola 5-makahiki no ka maʻi prostate localized kokoke i 100%. 'O ia ho'i, aneane 'o nā kāne a pau i 'ike 'ia me ka ma'i 'a'ai prostate localized e ola no ka 'elima makahiki ma hope o ka ma'i 'ana. Regionally Advanced Prostate Cancer (Stage III) Regionally advanced prostate cancer has spread beyond the prostate gland to near tissues or lymph nodes. Hiki i nā koho lapaʻau ke komo: ʻO Radical Prostatectomy me Lymph Node Dissection: ʻO ka ʻoki ʻana no ka wehe ʻana i ka prostate a me nā ʻōpū lymph a puni. ʻO ka Radiation Therapy i hui pū me ka Hormone Therapy: ʻO ka hoʻomaʻamaʻa ʻana i ka prostate a me ka hormone therapy e hoʻohaʻahaʻa i nā pae testosterone, hiki ke hoʻoulu i ka ulu ʻana i ka maʻi maʻi. Hoʻopaʻa maʻamau ka mālama ʻana i ka mālama ʻana i ka ulu ʻana o ke kanesa a me ka mālama ʻana i nā hōʻailona. Aia nā koho: Hoʻomaʻamaʻa Hormone: Hoʻohaʻahaʻa i nā pae testosterone e hoʻolōʻihi i ka ulu ʻana o ka maʻi kanesa. Kemoterapi: ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Immunotherapy: Ke hoʻohana nei i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻO ka lāʻau lapaʻau i koho ʻia: Ke hoʻohana nei i nā lāʻau lapaʻau e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Lapaʻau Radiation: No ka hoʻokuʻu ʻana i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe i hoʻokumu ʻia e ka maʻi kanesa i laha i nā wahi kikoʻī. ʻO ka helu ola 5 makahiki no ka maʻi maʻi prostate metastatic he haʻahaʻa loa ia ma mua o nā pae mua, akā ua hoʻomaikaʻi ʻia me ka holomua o ka mālama ʻana. Aia ma kahi o 30-50%, ma muli o nā ʻano kikoʻī o ka maʻi kanesa a me ka pane ʻana i ka lāʻau lapaʻau. ka holomua o ka lapaʻau ʻana i ka maʻi prostate ua hoʻoikaika nui ʻia e ka lāʻau kūikawā i koho ʻia. Eia ka wehewehe ʻana o kekahi mau lapaʻau maʻamau a me nā hopena maʻamau. Hoʻohana nui ʻia ia no ka maʻi maʻi prostate kūloko. He kiʻekiʻe loa ka helu kūleʻa, me ka nui o ke ola maʻi kanesa he 10 mau makahiki ma mua o 90% i nā hihia he nui. Eia naʻe, hiki i nā hopena ʻaoʻao ke komo i ka erectile dysfunction a me ka urinary incontinence. 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. Brachytherapy: Hoʻokomo pololei ʻia nā ʻanoʻano radioactive i loko o ka prostate gland. ʻO ka nui o ke ola maʻi maʻi maʻi 10-makahiki kikoʻī no ka radiation therapy e hoʻohālikelike ʻia me ka prostatectomy radical no ka maʻi maʻi prostate kūloko. Hiki i nā hopena ʻaoʻao ke komo i ka erectile dysfunction, nā pilikia mimi, a me nā pilikia o ka ʻōpū. ʻO ka Hormone Therapy (Androgen Deprivation Therapy - ADT) Hormone therapy ka mea e hoʻohaʻahaʻa i nā pae testosterone, kahi e ulu ai ka maʻi maʻi prostate. Hoʻohana pinepine ʻia no ka maʻi maʻi prostate kiʻekiʻe a i hui pū ʻia me ka radiation therapy. ʻOiai hiki i ka lāʻau lapaʻau hormone ke hoʻomalu pono i ka maʻi kanesa no kekahi manawa, lilo pinepine ka maʻi maʻi prostate i ke kūpaʻa i ka lāʻau hormone i ka manawa (castration-resistant prostate cancer). Loaʻa nā lāʻau lapaʻau hormone hou aʻe i hiki ke hana maikaʻi i ka maʻi castration-resistant.ChemotherapyHoʻohana kemotherapy i nā lāʻau lapaʻau e pepehi ai i nā maʻi kanesa. Hoʻohana maʻamau ia no ka maʻi maʻi prostate metastatic ʻaʻole e pane hou ana i ka therapy hormone. Hiki i ke kemoterapi ke kōkua i ka lohi i ka ulu 'ana o ka ma'i 'a'ai a me ka ho'omaika'i 'ana i nā hō'ailona, ​​akā, loa'a nā hopena 'ao'ao ko'iko'i. Ho'ohana 'o Immunotherapy i ke kino pono'ī o ke kino no ke kaua 'ana i ka ma'i 'a'ai. ʻO Sipuleucel-T (Provenge) kahi immunotherapy i ʻae ʻia no kekahi mau kāne me ka metastatic castration-resistant prostate cancer. ʻAʻole ia he lāʻau lapaʻau, akā hiki iā ia ke hoʻolōʻihi i ke ola.Targeted Therapy ʻO nā lāʻau lapaʻau i manaʻo ʻia e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. No ka laʻana, hoʻohana ʻia ka PARP inhibitors i nā kāne me ka metastatic castration-resistant prostate cancer i loaʻa kekahi mau ʻano hoʻololi DNA hoʻoponopono. ka holomua o ka lapaʻau ʻana i ka maʻi prostate: Helu Gleason: ʻO ke ana o ke ʻano koʻikoʻi o ka nānā ʻana o nā maʻi kanesa ma lalo o kahi microscope. Hōʻike nā helu kiʻekiʻe o Gleason i ka maʻi maʻi ʻino. Papa PSA: ʻO ka Prostate-Specific Antigen (PSA) kahi pūmua i hana ʻia e ka prostate gland. Hiki ke hōʻike ʻia nā pae kiʻekiʻe o PSA i ke kanesa. Makahiki o ka ma'i a me ke ola holookoa: ʻOi aku ka maikaʻi o nā poʻe maʻi ʻōpio a olakino maikaʻi i ka mālama ʻana a loaʻa nā hopena maikaʻi aʻe. Nā mea pili: ʻO ka loaʻa ʻana o nā maʻi olakino ʻē aʻe, e like me ka maʻi puʻuwai a i ʻole ka maʻi diabetes, hiki ke hoʻopili i nā koho lapaʻau a me nā hopena. Genetics: Hiki i kekahi mau ho'ololi genetic ke ho'onui i ka pilikia o ka ma'i 'a'ai prostate a ho'ololi i ka pane lapa'au. Managing Expectations and Making Informed Decisions ka holomua o ka lapaʻau ʻana i ka maʻi prostate pono ka loiloi maoli i ke kūlana o kēlā me kēia maʻi. He mea nui e kamaʻilio pololei me kāu kauka e pili ana i kāu mau koho lapaʻau, nā hopena ʻaoʻao kūpono, a me nā hopena i manaʻo ʻia. E noʻonoʻo e ʻimi i ka manaʻo ʻelua mai kahi loea ʻē aʻe e hōʻoia i loaʻa iā ʻoe ka ʻike āpau e pono ai ʻoe e hoʻoholo i ka ʻike. He poʻe loea ka hui ma Shandong Baofa Cancer Research Institute a hiki iā lākou ke hāʻawi i nā ʻike waiwai a me ke alakaʻi. E kelepona iā lākou ma o https://baofahospital.com e aʻo hou aʻe. Eia ka papaʻaina e hōʻuluʻulu ana i nā helu ola ola 5 makahiki ma muli o ke kahua: ʻO ka pae ma kahi o 5-makahiki Survival Rate Localized (I & II) Nearly 100% Regionally Advanced (III) >95% Metastatic (IV) 30-50% The Future of Prostate Cancer TreatmentResearch into lapaʻau maʻi maʻi prostate ke ulu mau nei. ʻO nā lāʻau lapaʻau hou, e like me nā ʻenehana radiation ʻoi aku ka pololei, nā lāʻau lapaʻau hormone hou, a me nā lāʻau lapaʻau i manaʻo ʻia, ke kūkulu ʻia a hoʻāʻo ʻia. Ke hoʻomaʻemaʻe ʻia nei nā ala ʻike mua, e like me ka hoʻomaikaʻi ʻana i nā hoʻokolohua PSA a me nā ʻenehana kiʻi. Hāʻawi kēia mau holomua i ka manaolana no ka hoʻomaikaʻi ʻana i nā hopena a me ka maikaʻi o ke ola no nā kāne me ka maʻi prostate.Hōʻole: Hāʻawi kēia ʻatikala i ka ʻike ākea a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka e kūkākūkā i kāu kūlana kūikawā a me nā koho lapaʻau.Kuhikuhi: American Cancer Society: https://www.cancer.org/cancer/prostate-cancer.html National Cancer Institute: https://www.cancer.gov/types/prostate