pae 2 lapaʻau maʻi maʻi prostate

'O ka ma'i 'a'ai prostate pae 2 he ma'i 'a'ai kūloko ia, 'o ia ho'i, 'a'ole ia i laha ma waho o ka prostate gland. Hāʻawi kēia i kahi wānana maikaʻi a me nā koho lapaʻau maikaʻi like ʻole. ʻO ke ala kūpono loa e pili ana i nā mea e like me ka helu Gleason, ka pae PSA, ka makahiki o ka mea maʻi a me ke olakino holoʻokoʻa, a me nā makemake pilikino. Ke ʻimi nei kēia alakaʻi i nā mea maʻamau pae 2 lapaʻau maʻi maʻi prostate, kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻoholo i ka ʻike. Nui paha ia e ʻike ʻia i ka wā o ka hoʻokolohua rectal digital a ʻike ʻia paha ma nā hoʻokolohua kiʻi. ʻO ka helu Gleason, e hōʻike ana i ka ikaika o nā maʻi maʻi maʻi, a me nā pae PSA pū kekahi i ke kuleana i ka hoʻoholo ʻana a me ka mālama ʻana. He mea koʻikoʻi ka hoʻonohonoho kūpono no ka hoʻoholo ʻana i ka mea kūpono loa pae 2 lapaʻau maʻi maʻi prostate.Common Treatment OptionsActive SurveillanceActive surveillance pili i ka nānā pono 'ana i ka ma'i 'a'ai me ka mālama 'ole 'ana. Hoʻomaopopo pinepine ʻia kēia no nā kāne me ka haʻahaʻa haʻahaʻa pae 2 prostate cancer (ka helu haʻahaʻa Gleason, haʻahaʻa PSA) a me ka poʻe i loaʻa ʻole ka pōmaikaʻi mai nā hoʻomaʻamaʻa koʻikoʻi ma muli o ka makahiki a i ʻole nā kūlana olakino ʻē aʻe. Hana ʻia nā hoʻokolohua PSA maʻamau, nā hoʻokolohua rectal digital, a me nā biopsies e nānā i ka holomua o ke kanesa. Hoʻomaka ka lāʻau lapaʻau inā hōʻike ka maʻi kanesa i nā hōʻailona o ka holomua. ʻO ka nānā ʻana he koho i hāʻawi ʻia e Shandong Baofa Cancer Research Institute.Radical Prostatectomy ʻO Radical prostatectomy ka wehe ʻana o ka prostate holoʻokoʻa a me nā ʻiʻo kokoke. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i ke kīʻaha hāmama, ka ʻoki laparoscopic, a i ʻole ke ʻoki ʻana i ka robot-assisted laparoscopic. Hāʻawi ke ʻoki ʻana i ka robot-kōkua i nā pōmaikaʻi e like me nā ʻoki liʻiliʻi, liʻiliʻi ke kahe koko, a me nā manawa hoʻōla wikiwiki. ʻO nā hopena ʻaoʻao e pili ana i ka urinary incontinence a me ka erectile dysfunction. ʻO ka maikaʻi o ka prostatectomy radical e pili ana i nā mea e like me ka ʻike o ke kauā a me ka nui o ka maʻi maʻi maʻi. ʻElua ʻano nui: External Beam Radiation Therapy (EBRT)EBRT hoʻopuka i ka pāhawewe mai kahi mīkini ma waho o ke kino. Hāʻawi ʻia ka lāʻau lapaʻau i kēlā me kēia lā no kekahi mau pule. ʻO nā ʻenehana hou e like me ka intensity-modulated radiation therapy (IMRT) a me ka stereotactic body radiation therapy (SBRT) e ʻae i ka huli pono ʻana i ka maʻi kanesa, e hōʻemi ana i ka pōʻino i nā ʻiʻo a puni. ʻAe kēia i ka hāʻawi ʻia ʻana o ka radiation kiʻekiʻe i ka ʻōpū i ka wā e mālama ai i nā kino kokoke. ʻElua ʻano: brachytherapy low-dose-rate (LDR), kahi e noho mau ai nā hua i loko o ka prostate, a me ka brachytherapy kiʻekiʻe-dose-rate (HDR), kahi e hoʻokomo ʻia ai nā hua no kekahi manawa a wehe ʻia. Shandong Baofa Cancer Research Institute hoʻohana i nā ʻenehana brachytherapy kiʻekiʻe no pae 2 lapaʻau maʻi maʻi prostate.Hormone Therapy (Androgen Deprivation Therapy - ADT)Hormone therapy, also known as androgen deprivation therapy (ADT), no ka hoʻohaʻahaʻa i ke kiʻekiʻe o nā hormones kāne (androgens) i loko o ke kino, e hiki ai ke hoʻoulu i ka uluʻana o nā pūnaewele maʻi maʻi prostate. Hoʻohana pinepine ʻia ʻo ADT i ka hui pū ʻana me ka radiation therapy no ka ʻoi aʻe o ka hakakā pae 2 prostate cancer. Hiki ke lawelawe ʻia ma o nā injections a i ʻole nā ​​lāʻau lapaʻau waha. ʻO nā hopena ʻaoʻao maʻamau, ʻo ia ka wela wela, ka emi ʻana o ka libido, ka erectile dysfunction, a me ka nalowale o ka iwi.Focal Therapy Hiki i kēia ke hōʻemi i ka hopena o nā hopena ʻaoʻao e pili ana i nā lāʻau lapaʻau holoʻokoʻa. ʻO nā koho lapaʻau focal like ʻole me ka cryotherapy (ka hoʻoheheʻe ʻana), ke ʻano kiʻekiʻe o ka nānā ʻana i ka ultrasound (HIFU), a me ka irreversible electroporation (IRE). Hiki ke kūpono i ka focal therapy no nā kāne me ka localized pae 2 prostate cancer a hiki paha ke mālama i ka hana moe kolohe, no laila, mālama i ka maikaʻi o ke ola. pae 2 prostate cancer pili i nā kumu pākahi. Eia ka hoʻohālikelike maʻalahi o nā koho maʻamau: Lapaʻau Pros Cons Suitability Active Surveillance Hōʻalo i nā hopena ʻaoʻao lapaʻau koke. Pono ka nānā pinepine ʻana. Loaʻa no ka piʻi ʻana o ka maʻi kanesa. ʻO ka maʻi maʻi haʻahaʻa haʻahaʻa, nā kāne ʻelemakule, a i ʻole nā ​​​​mea me nā pilikia olakino ʻē aʻe. ʻO Radical Prostatectomy Wehe i ka prostate gland holoʻokoʻa. Hiki ke ho'ōla. Pilikia o ka mimi a me ka erectile dysfunction. ʻO nā kāne olakino maʻamau me ka maʻi kanesa kūloko. ʻO ka lāʻau lapaʻau ʻaʻole koho ʻokiʻoki. Hiki ke ho'ōla. Hiki i nā hopena ʻaoʻao: nā pilikia o ka ʻōpū a me ka ʻōpū, ka erectile dysfunction. ʻO nā kāne ʻaʻole maikaʻi nā moho no ka ʻokiʻoki ʻana a makemake paha i ka lāʻau lapaʻau ʻole. Hiki i ka Hormone Therapy ke hōʻemi i nā maʻi koko a hoʻolohi i ka ulu ʻana. Nā hopena ʻaoʻao: nā wela wela, emi libido, nalowale iwi. Hoʻohana pinepine ʻia i ka hui pū ʻana me ka radiation no nā maʻi maʻi maʻi koʻikoʻi. Hoʻolālā ka Focal Therapy i nā wahi maʻi maʻi wale nō. He liʻiliʻi paha nā hopena ʻaoʻao. ʻAʻole loaʻa ākea. Ke aʻo ʻia nei nā hopena lōʻihi. Ka maʻi 'aʻai kūloko me ka maʻi maʻi i wehewehe ʻia. Hoʻoholo i ka ʻike e koho ana i ka pono pae 2 lapaʻau maʻi maʻi prostate he hoʻoholo pilikino. E kūkākūkā i nā pono a me nā pilikia o kēlā me kēia koho me kāu kauka. E noʻonoʻo i nā mea e like me kou mau makahiki, ke olakino holoʻokoʻa, ka huhū maʻi kanesa, a me nā makemake pilikino. Hiki ke kōkua ka loaʻa ʻana o ka manaʻo ʻelua. Nā kumuwaiwai e like me ka ʻAmelika Hui Pū ʻIa a me ka National Cancer Institute hāʻawi i ka ʻike waiwai e pili ana i ka maʻi maʻi prostate a me kāna mau lapaʻau. ʻO ke koʻikoʻi o ka mālama hahai ʻAʻole manaʻo o ka lāʻau i koho ʻia, pono ka mālama maʻamau. Hoʻopili kēia i nā hoʻokolohua PSA, nā hoʻokolohua rectal digital, a me nā hoʻokolohua kiʻi e like me ka mea e pono ai. Kōkua ka mālama ʻana i ka ʻike ʻana i ka hoʻi hou ʻana o ka maʻi kanesa a mālama i nā hopena ʻaoʻao lōʻihi o ka mālama ʻana. Ma ka Shandong Baofa Cancer Research Institute, Hoʻoikaika mākou i ka mālama ʻana i ka mālama ʻana i nā maʻi āpau. He mea nui ka loaʻa ʻana o kahi ʻōnaehana kākoʻo ikaika, me ka ʻohana, nā hoaaloha, a me nā hui kākoʻo. ʻO ka mālama ʻana i kahi nohona olakino, me ka ʻai kaulike a me ka hoʻomaʻamaʻa maʻamau, hiki ke kōkua i ka hoʻomaikaʻi ʻana i kou maikaʻi o ke ola. Hiki i kā mākou keʻena noiʻi maʻi maʻi hoʻolaʻa ke kōkua i ka mālama ʻana i ke ola olakino a hāʻawi i ke kākoʻo āu e pono ai. Mākaukau mau kā mākou hui e kōkua iā ʻoe i kāu huakaʻi.