lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau

Nā koho lapaʻau no ka ʻāʻī ʻāʻī o ka maʻi maʻi prostate. E ʻimi mākou i ka maʻi maʻi, ka hoʻonohonoho ʻana, a me ka hoʻokele ʻana o kēia ʻano maʻi maʻi prostate, e kālele ana i nā ala e pili ana i nā hōʻike. ʻO ka ʻike i hāʻawi ʻia ma ʻaneʻi no nā kumu hoʻonaʻauao a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kahi oncologist kūpono no ka hoʻolālā lapaʻau pilikino.

Ka hoʻomaopopo ʻana i ka ʻāʻī ʻāʻī o ka ʻāʻī (BNI) i ka maʻi maʻi prostate

He aha ke ʻano o ka Bladder Neck Invasion?

ʻO ka hoʻouka ʻana i ka ʻāʻī o ka ʻāʻī e pili ana i ka hoʻolaha ʻana o nā sela maʻi maʻi prostate i ka ʻāʻī o ka ʻāʻī, kahi e pili ai ka ʻōpū i ka urethra. Manaʻo ʻia kēia he pae kiʻekiʻe loa o ka maʻi maʻi prostate, e hōʻike ana i ka nui o ka pilikia o ka hoʻi hou ʻana a me ka hopena i nā koho lapaʻau. ʻO ka nui o ka hoʻouka kaua - ka hohonu o ke komo ʻana i ka ʻāʻī o ka ʻāʻī - hoʻololi i nā hoʻolālā lapaʻau. He mea koʻikoʻi ka hoʻonohonoho pololei ʻana ma o ke kiʻi a me ka biopsy no ka maikaʻi lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau.

ʻO ka hoʻonohonoho ʻana a me ka hōʻoia ʻana o ka BNI

ʻO ka maʻi maʻamau o BNI e pili ana i ka hui pū ʻana o nā ʻano hana, me kahi hōʻike hōʻike digital rectal (DRE), hōʻike koko prostate-specific antigen (PSA), biopsy, a me nā haʻawina kiʻi e like me MRI a i ʻole CT scans. Hoʻoholo ka staging i ka nui o ka laha ʻana o ka maʻi kanesa, e like me ka hoʻouka ʻana o ke kanesa i nā hale kokoke e like me ka ʻāʻī o ka ʻāʻī. He mea koʻikoʻi kēia hoʻonohonoho pololei i ke alakaʻi ʻana i ka lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau hoʻolālā.

Nā Koho Lapaʻau no BNI i ka maʻi maʻi prostate

ʻO ka maikaʻi loa lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau pili i nā kumu like ʻole, me ke olakino holoʻokoʻa o ka mea maʻi, ka pae o ka maʻi kanesa, a me nā makemake pilikino.

ʻO Radical Prostatectomy

ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. I nā hihia o BNI, hiki i ke kauka lapaʻau ke wehe i nā ʻiʻo kokoke, me kahi ʻāpana o ka ʻāʻī ʻāʻī, ma muli o ka nui o ka hoʻouka ʻana. ʻOkoʻa ka helu kūleʻa o kēia ʻoki ʻana ma muli o nā kumu he nui a pono e kūkākūkā pono ʻia me ke kauka.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikehu kiʻekiʻe e luku ai i nā maʻi kanesa. No ka BNI, hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau waho (EBRT), i kekahi manawa e hui pū me ka brachytherapy. ʻO ke koho ma waena o kēia a me ka nui o ka dosage e pili ana i kekahi mau mea e kūkākūkā ʻia me ka radiation oncologist.

Kemoterapi

Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hoʻohana pinepine ʻia i ka wā i laha ʻia ai ke kanesa ma waho o ka ʻili prostate a i ʻole ua hoʻi hou ka maʻi maʻi ma hope o ka ʻoki ʻana a i ʻole ka radiation therapy. ʻO nā regimens chemotherapy kikoʻī e pili ana i nā kumu he nui e kūkākūkā ʻia me ka oncologist.

Lapaʻau Hormone

ʻO ka hormone therapy, a i ʻole androgen deprivation therapy (ADT), e hoʻemi i nā pae o nā hormones kāne (androgens) e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hoʻohana pinepine ʻia kēia i nā pae kiʻekiʻe o ka maʻi maʻi prostate a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. ʻO ke ʻano kikoʻī a me ka lōʻihi o ka hormone therapy e hoʻoholo ʻia e kahi oncologist.

Nā ʻano hana i hui ʻia

ʻO ka manawa pinepine, ʻo ka hui pū ʻana o kēia mau lāʻau lapaʻau, e like me ke ʻoki ʻana i ukali ʻia e ka radiation therapy a i ʻole ka hormone therapy, i manaʻo ʻia e hoʻomaikaʻi i ka maikaʻi o lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau. Hoʻokumu ʻia kēia ʻano hana i hoʻohālikelike ʻia i nā hiʻohiʻona kūʻokoʻa o kēlā me kēia maʻi maʻi maʻi.

Ke koho ʻana i ka Papahana Lapaʻau Pono

Ke koho ʻana i ka hoʻolālā lapaʻau kūpono no lapaʻau ʻāʻī ʻāʻī invasion prostate cancer lapaʻau pono e noʻonoʻo pono i nā kumu pākahi. He mea koʻikoʻi ke kūkākūkā me kahi hui multidisciplinary o nā loea e pili ana i ka urologists, radiation oncologists, medical oncologists, a me nā mea ʻē aʻe paha, e hoʻomohala i kahi hoʻolālā pilikino. Mālama kēia ʻano hui i ka noʻonoʻo ʻana i nā koho āpau a koho ʻia ka lāʻau kūpono loa. ʻO ke kamaʻilio wehe ʻana me kāu mea mālama ola ke kī i ka hana holoʻokoʻa. E noʻonoʻo e ʻimi i ka manaʻo ʻelua e hōʻoia i ka ʻike piha.

Hoʻokele a me ka hahai ʻana i ka wā lōʻihi

Ma hope o ka hoʻopau ʻana i ka hoʻomaʻamaʻa mua ʻana, he mea koʻikoʻi ka hoʻopaʻa ʻana maʻamau e nānā no ka hoʻi hou ʻana a i ʻole nā pilikia. Hiki i kēia mau koho ke komo i nā hoʻokolohua PSA, nā haʻawina kiʻi kiʻi, a me nā hoʻokolohua kino. Hiki i ka hoʻokele wā lōʻihi ke komo i ka hoʻomaʻamaʻa hormone hoʻomau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe inā pono.

Koho Lapaau	Nā pono	Nā pōʻino
ʻO Radical Prostatectomy	Hiki ke ho'ōla, hiki ke hāʻawi i ke ola me ka ʻole o ka maʻi lōʻihi.	ʻO nā pilikia o ke kaʻina hana, nā hopena ʻaoʻao e like me ka incontinence a i ʻole erectile dysfunction.
Lapaʻau Radiation	Hiki ke hoʻohui ʻia me nā lāʻau lapaʻau ʻē aʻe.	ʻO nā hopena ʻaoʻao e like me nā pilikia o ka ʻōpū a i ʻole ka ʻōpū, hiki ke hoʻopilikia i ka wā lōʻihi.
Kemoterapi	Maikaʻi no ka maʻi holomua, hiki ke hōʻemi i nā maʻi maʻi.	ʻO nā hopena koʻikoʻi, e like me ka nausea, ka luhi, a me ka lauoho lauoho.
Lapaʻau Hormone	Hiki ke hoʻolohi i ka ulu ʻana o ka maʻi kanesa, hoʻomaikaʻi i nā hōʻailona.	ʻO nā hopena ʻaoʻao lōʻihi, e like me ka wela wela, ka nalo ʻana o ka iwi iwi, a me ka moe kolohe.

E hoʻomanaʻo, no ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.

No ka ʻike hou aku e pili ana i ka mālama ʻana i ka maʻi maʻi prostate, e kipa i ka Shandong Baofa Cancer Research Institute pūnaewele puni honua. Hāʻawi lākou i ka mālama maʻi maʻi āpau a me nā koho lapaʻau holomua.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō 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.