
ʻO ka maʻi maʻi prostate hou e pili ana i ka maʻi maʻi prostate e hoʻi mai ma hope o ka mālama mua ʻana. Nā koho lapaʻau no ka maʻi ʻaʻai prostate hou hilinaʻi ma luna o nā kumu he nui, me ka mālama mua ʻana, kahi o ka hoʻi hou ʻana, a me ke olakino holoʻokoʻa o ka mea maʻi. Hiki i kēia mau koho ke komo i ka hormone therapy, chemotherapy, radiation therapy, surgery, and therapies targeted. ʻO ka hoʻomaopopo ʻana i kēia mau lāʻau lapaʻau a me nā holomua hou e hiki ai ke hoʻoikaika i nā poʻe maʻi e hoʻoholo i ka ʻike e pili ana i kā lākou mālama.Ka maʻi maʻi prostate mau 'o ia ho'i, ua ho'i mai ka ma'i 'a'ai ma hope o ka mālama mua 'ana. Hiki i kēia ke ho'iho'i hou 'ia, 'o ia ho'i, ho'i ma ka moe prostate a kokoke paha, a i 'ole ka ho'i hou 'ana, 'o ia ho'i, ua laha i nā wahi 'ē a'e o ke kino, e like me nā iwi a i 'ole ka lymph nodes. ka maʻi ʻaʻai prostate hou. Aia kēia mau mea: Ka helu mua o Gleason: ʻO nā helu kiʻekiʻe aʻe o Gleason ma ka maʻi maʻi e pili ana me ka nui o ka pilikia o ka hoʻi hou ʻana. Nā pae PSA: Hiki ke hōʻike ʻia nā pae PSA kiʻekiʻe ma hope o ka mālama mua ʻana. Pae o ka ma'i 'a'ai: ʻOi aku ka nui o ka pilikia o ka hoʻi hou ʻana o ka maʻi maʻi maʻi maʻi. Nā ʻāpana ʻokiʻoki: ʻO nā palena ʻokiʻoki maikaʻi (nā maʻi kanesa i loaʻa ma ka lihi o ka ʻiʻo i wehe ʻia) e hoʻonui i ka pilikia o ka hoʻi hou ʻana o ka wahi. ka maʻi ʻaʻai prostate hou e pili ana i kekahi mau kumu, e like me ke ano o ka lapaau mua ana, ka wahi a me ka nui o ka hana hou ana, a me ke ola kino o ka mea ma'i a me na makemake. Hiki ke lawelawe ʻia ka ADT ma o nā lāʻau lapaʻau a i ʻole ka mea maʻamau, ʻokiʻoki e wehe i nā testicles (orchiectomy). ʻO nā koho ADT maʻamau ka: LHRH agonists (e laʻa, Lupron, Zoladex) LHRH antagonists (e laʻa, Firmagon) Anti-androgens (e laʻa, Casodex, Eulexin, Nilandron a hiki i ka maʻi maʻi ʻaʻole hiki ke loaʻa i ka maʻi maʻi prostate. ka maʻi maʻi prostate-resistant (CRPC). Eia nō naʻe, aia nā lāʻau lapaʻau kūpono no CRPC.Radiation TherapyHoʻohana ka lāʻau lapaʻau i nā kukuna ikaika kiʻekiʻe e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia no ka mālama ʻana i ka hoʻi hou ʻana o ka wahi i loko o ka moe prostate ma hope o ka ʻoki ʻana a i ʻole ke kuhikuhi ʻana i nā maʻi kanesa ma nā wahi ʻē aʻe o ke kino. ʻO ka External Beam Radiation Therapy (EBRT) Brachytherapy (nā hua radioactive i hoʻokomo pololei ʻia i loko o ka prostate) Ke hoʻohana nei ka [Shandong Baofa Cancer Research Institute](https://baofahospital.com) i nā ʻano hana hoʻokalakala kiʻekiʻe e hōʻemi i nā hopena ʻaoʻao aʻo ka hoʻonui ʻana i ka pono o ka mālama ʻana. E kūkākūkā me kā mākou poʻe loea no nā hoʻolālā lapaʻau pilikino. He koho paha ʻo SurgerySurgery no ka kūloko ka maʻi ʻaʻai prostate hou ma hope o ka lāʻau lapaʻau. ʻO kēia ka mea maʻamau i ka prostatectomy salvage (ka wehe ʻana i ka gland prostate). Eia nō naʻe, he kaʻina hana paʻakikī ia me nā hopena ʻaoʻao, no laila he mea koʻikoʻi ke kūkākūkā ʻana i nā pilikia a me nā pōmaikaʻi me ke kauka lapaʻau. Hoʻohana pinepine ʻia no ka metastatic ka maʻi ʻaʻai prostate hou, oi loa aku i ka wa e pono ole ai ka homone. Eia kekahi laʻana: Olaparib (Lynparza) a me Rucaparib (Rubraca): Hoʻohana ʻia nā mea hoʻokae PARP no nā maʻi maʻi maʻi me kekahi mau hemahema hoʻoponopono DNA (BRCA1/2 mutations). ʻO Enzalutamide (Xtandi) a me Apalutamide (Erleada): ʻOi aku ka ikaika o nā anti-androgens i hoʻohana ʻia no ka maʻi maʻi prostate kūpaʻa castrate. ʻO Radium-223 (Xofigo): Ke hoʻopaʻa nei i nā metastases iwi. ʻO ka lāʻau lapaʻau pilikino, me ka hoʻāʻo genomic, ke lilo nei i mea nui i ka ʻike ʻana i nā poʻe maʻi e pōmaikaʻi paha i nā lāʻau lapaʻau i hoʻopaʻa ʻia. ʻO Sipuleucel-T (Provenge) kahi immunotherapy i ʻae ʻia no ka maʻi maʻi prostate castrate-resistant.Monitoring a Follow-upAfter treatment ka maʻi ʻaʻai prostate hou, He mea nui ka nānā 'ana i ka ma'i e nānā i ka pane o ka ma'i a 'ike i ka holomua hou. 'O kēia ka mea ma'amau. ka maʻi ʻaʻai prostate hou. 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. Hiki i nā maʻi ke ʻimi i nā koho hoʻokolohua lapaʻau ma o kā lākou oncologist a i ʻole nā kumuwaiwai e like me ka pūnaewele o ka National Cancer Institute (cancer.gov). ka maʻi ʻaʻai prostate hou. Aia kēia mau mea: ʻAi maikaʻi: E hoʻoikaika i nā huaʻai, nā mea kanu, nā kīʻaha piha, a me nā protein lean. Hoʻoikaika mau: E noʻonoʻo no ka liʻiliʻi he 150 mau minuke o ka hoʻomaʻamaʻa haʻahaʻa i kēlā me kēia pule. Hoʻoponopono koʻikoʻi: E hoʻomaʻamaʻa i nā ʻenehana hoʻomaha e like me ka noʻonoʻo ʻana a i ʻole yoga. Ka mālama ʻana i ke kaumaha olakino: Hiki i ka momona ke ho'omāhuahua i nā hopena no ka ma'i 'a'ai prostate. Ka ho'opa'a 'ana me ka ma'i 'a'ai ma'i prostate ka maʻi ʻaʻai prostate hou hiki ke paʻakikī i ka naʻau. He mea nui e ʻimi i ke kākoʻo mai ka ʻohana, nā hoaaloha, nā hui kākoʻo, a i ʻole nā ʻoihana olakino noʻonoʻo. He mea koʻikoʻi nō hoʻi ke kamaʻilio wehe ʻana me kāu hui mālama ola no ka mālama ʻana i nā ʻano kino a me ka naʻau o ka maʻi. ʻO ke kuleana o Shandong Baofa Cancer Research InstituteAt [Shandong Baofa Cancer Research Institute](https://baofahospital.com), ua kūpaʻa mākou i ka hoʻolako ʻana i ka mālama piha a holomua no nā maʻi me ka maʻi ʻaʻai prostate hou. ʻO kā mākou hui multidisciplinary o nā oncologists, nā kauā, nā radiation oncologists, a me nā loea ʻē aʻe e hana pū ana e hoʻomohala i nā hoʻolālā lapaʻau pilikino i kūpono i nā pono kūʻokoʻa o kēlā me kēia maʻi. Hāʻawi mākou i kahi ʻano o nā lāʻau lapaʻau ʻokiʻoki, e pili ana i ka hormone therapy, chemotherapy, radiation therapy, nā mea lapaʻau i manaʻo ʻia, a me ke komo ʻana i nā hoʻokolohua lapaʻau. Hāʻawi pū mākou i nā lawelawe mālama kākoʻo e kōkua i nā poʻe maʻi e hoʻokele i nā pilikia kino a me ka naʻau o ka mālama ʻana i ka maʻi kanesa. E hoʻokaʻaʻike mai iā mākou i kēia lā e aʻo hou e pili ana i kā mākou lawelawe a pehea mākou e kōkua ai iā ʻoe e hoʻokele i kāu huakaʻi me ka maʻi ʻaʻai prostate hou.Kuku Lapa'au Lapa'au Prostate Ka uku no ka lapa'au ka maʻi ʻaʻai prostate hou hiki ke ʻano like ʻole ma muli o nā lāʻau lapaʻau i hoʻohana ʻia, kahi o ka mālama ʻana, a me ka uhi ʻinikua. Pono nā poʻe maʻi e kūkākūkā i nā kumukūʻai kūpono me kā lākou mau lawelawe mālama olakino a me nā hui ʻinikua e hoʻomaopopo i kā lākou kuleana kālā. $500 - $1,500 Ongoing Radiation Therapy $10,000 - $30,000 (total course) One course Targeted Therapy (e.g., Olaparib) $10,000 - $15,000 Ongoing Disclaimer: E kūkākūkā mau me kāu mea mālama ola no ka ʻōlelo aʻo kino pilikino.Kuhikuhi:National Cancer Institute. www.cancer.govʻAmelika Hui Pū ʻIa. www.cancer.org