lapaʻau maikaʻi loa maʻi maʻi prostate

# Nā Koho Lapaʻau Lapaʻau Prostate maikaʻi loa: He alakaʻi hoʻopiha ʻia kēia ʻatikala i kahi ʻike piha o ka maikaʻi lapaʻau maikaʻi loa maʻi maʻi prostate nā koho i loaʻa i kēia lā, e uhi ana i nā pae like ʻole a me nā ʻaoʻao maʻi. Ke ʻimi nei mākou i nā ʻokiʻoki, radiation, hormonal, a me nā lāʻau lapaʻau i hoʻopaʻa ʻia, e wehewehe ana i ko lākou pono, nā hopena ʻaoʻao, a me ke kūpono no nā poʻe like ʻole. Ke manaʻo nei kēia alakaʻi e hāʻawi iā ʻoe i ka ʻike e hana i nā hoʻoholo me ke kūkākūkā me kāu mea mālama ola.

Ka hoomaopopo ana i ka ma'i ma'i prostate

'O ka ma'i 'a'ai prostate he ma'i 'a'ai ma'amau ia e pili ana i ka ma'i prostate, he kino wōkeke li'ili'i i loko o nā kāne. He mea koʻikoʻi ka ʻike mua ʻana, no ka mea, ʻoi aku ka nui o ka maʻi maʻi prostate mua. Hoʻopili kekahi mau mea i nā koho lapaʻau, e like me ka pae o ka maʻi kanesa, ka pae (ka hoʻomāinoino), kou olakino holoʻokoʻa, a me nā makemake pilikino. ʻO ka ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi maʻi prostate ua hoʻoholo ʻia i kēlā me kēia hihia, e noʻonoʻo pono ana i kēia mau kumu.

ʻO ke kau ʻana a me ka helu ʻana i ka maʻi maʻi prostate

ʻO ke kau ʻana o ka maʻi maʻi prostate e hōʻike ana i ka nui o ka laha ʻana o ka maʻi kanesa. Hoʻohana nā ʻōnaehana hoʻonohonoho, e like me ka ʻōnaehana TNM, i nā pae like ʻole e hoʻokaʻawale i ka maʻi kanesa, mai ka localized (paʻa i ka prostate) a hiki i ka metastatic (laha i nā wahi mamao). ʻO ka helu Gleason kahi ʻōnaehana helu maʻamau e loiloi ana i ka hoʻopaʻapaʻa o nā maʻi maʻi maʻi. He mea nui ka hoʻomaopopo ʻana i ka pae a me ka pae i ka hoʻoholo ʻana i ka mea kūpono lapaʻau maikaʻi loa maʻi maʻi prostate hoʻolālā.

Nā koho lapaʻau no ka maʻi maʻi prostate

Nui ka hopena lapaʻau maikaʻi loa maʻi maʻi prostate Loaʻa nā koho, kēlā me kēia me nā pono a me nā hemahema. Aia ke koho i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me nā makemake pilikino. He mea koʻikoʻi ke kūkākūkā i kēia mau koho me kāu oncologist e hoʻomohala i kahi hoʻolālā lapaʻau pilikino.

ʻO ka ʻoki ʻana (Radical Prostatectomy)

ʻO Radical prostatectomy e pili ana i ka wehe ʻana o ka prostate gland a me nā ʻiʻo a puni. Manaʻo pinepine ʻia no ka maʻi maʻi prostate kūloko a kūpono paha i nā kāne me ke ola o 10 mau makahiki a ʻoi aku paha, ma hope o ka noʻonoʻo ʻana i nā hopena ʻaoʻao. ʻO ka robotic-assisted laparoscopic prostatectomy kahi hana ʻokiʻoki liʻiliʻi loa e hāʻawi ana i nā pono kūpono e like me ka hoʻemi ʻana o ka manawa hoʻōla a me ke kahe koko.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hāʻawi ka lāʻau lapaʻau o waho (EBRT) i ka radiation mai kahi mīkini ma waho o ke kino, aʻo ka brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. Hiki ke hoʻohana wale ʻia ka lāʻau lapaʻau radiation a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ana i nā koho like ʻole e pili ana i nā ʻano o ke kanesa a me nā makemake o ka maʻi.

Lapaʻau Hormone

ʻO ka hormone therapy, i kapa ʻia ʻo 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. ʻO kēia no ka hilinaʻi pinepine ʻana o nā maʻi maʻi prostate i ka testosterone no ka ulu ʻana. Hiki ke hoʻohana wale ʻia ka ADT a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki a i ʻole ka radiation. Hiki i ka hoʻohana lōʻihi ʻana o ADT ke alakaʻi i nā hopena ʻaoʻao nui, e like me ka osteoporosis a me ka maʻi cardiovascular.

ʻO ka Lapaʻau Kūlohelohe

Hoʻolālā ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻouka i nā molekole kikoʻī i pili i ka ulu ʻana a me ka laha ʻana o ka maʻi kanesa. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau i ka maʻi maʻi prostate holomua kahi i hāʻule ʻole ai nā lāʻau lapaʻau ʻē aʻe. Ke kū mau nei nā holomua hou i nā lāʻau lapaʻau i manaʻo ʻia, e hāʻawi ana i ka manaʻolana no nā lāʻau lapaʻau ʻoi aku ka maikaʻi.

Nānā ʻeleu

No nā maʻi maʻi prostate haʻahaʻa, ʻo ka mākaʻikaʻi ikaika e pili ana i ka nānā pono ʻana i ka piʻi ʻana o ka maʻi kanesa me ka ʻole o ka mālama koke ʻana. Hana ʻia nā nānā a me nā hoʻāʻo mau e nānā i ka ulu ʻana o ke kanesa a hoʻoholo i ka wā e pono ai ka mālama ʻana.

Ke koho ʻana i ka Lapaʻau ʻoi loa no ʻoe

ʻO ke koho ʻana o ka ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi maʻi prostate he kaʻina hana hoʻokahi. He mea koʻikoʻi ka loaʻa ʻana o nā kūkākūkā ākea a me ka ʻoiaʻiʻo me kāu hui mālama ola, me kāu urologist a oncologist paha, e hoʻomaopopo i kou kūlana kikoʻī, e kaupaona i nā pōmaikaʻi a me nā pilikia o nā koho lapaʻau like ʻole, a e hoʻoholo i ke ala maikaʻi loa no kou olakino a maikaʻi. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i ka ʻike piha ʻana i kāu mau koho lapaʻau. Ma ka Shandong Baofa Cancer Research Institute, ua hoʻolaʻa mākou i ka hāʻawi ʻana i ka ʻike piha loa a me nā manawa hou e pili ana i ka mālama ʻana i ka maʻi kanesa.

Ka mālama a me ke kākoʻo ma hope o ka mālama ʻana

Ma hope o ka pau ʻana o ka maʻi prostate lapaʻau maikaʻi loa maʻi maʻi prostate, he mea koʻikoʻi ka mālama mau ʻana. ʻO nā koho maʻamau me kāu hui mālama ola e kōkua i ka nānā ʻana no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao lōʻihi. Hiki i nā hui kākoʻo a me nā lawelawe aʻoaʻo ke hāʻawi i ke kākoʻo noʻonoʻo a me ke alakaʻi i kēia wā paʻakikī.

Ka hopena

ʻO ka ʻoi aku ka maikaʻi o ka mālama ʻana i ka maʻi maʻi prostate ua hoʻohālikelike ʻia i nā kūlana kūikawā o kēlā me kēia kanaka. Hāʻawi kēia alakaʻi piha i kahi ʻike o nā koho lapaʻau like ʻole. E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka hui pū ʻana me kāu mea mālama ola kino ka mea nui i ka mālama pono ʻana i ka maʻi maʻi prostate. E kūkākūkā me kekahi kauka lapaʻau no ka ʻōlelo aʻo pilikino a me ka hoʻolālā lapaʻau. Hiki ke loaʻa nā ʻike a me nā kumuwaiwai hou aʻe ma ka pūnaewele National Cancer Institute a me nā hui maʻi maʻi kaulana ʻē aʻe.

ʻAno Lapaʻau	Nā pono	Nā pōʻino
ʻO ka ʻoki ʻana (Radical Prostatectomy)	He lāʻau lapaʻau no ka maʻi kanesa kūloko.	Ka pilikia o ka incontinence a me ka nawaliwali.
Lapaʻau Radiation	Liʻiliʻi ka invasive ma mua o ka ʻoki ʻana.	Hiki i nā hopena ʻaoʻao e like me ka pilikia o ka ʻōpū a me ka ʻōpū.
Lapaʻau Hormone	Hiki ke hoʻolohi i ka ulu ʻana o ka maʻi kanesa.	Nā hopena ʻaoʻao lōʻihi nui.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.