lapaʻau lapaʻau cribriform prostate cancer

Nā Koho Lapaʻau no ka Cribriform Prostate Cancer ʻO ka maʻi maʻi prostate Cribriform he ʻano kikoʻī o ka maʻi maʻi prostate i hōʻike ʻia e kahi hoʻolālā glandular kūʻokoʻa. Hoʻomaopopo i ka loaʻa lapaʻau lapaʻau cribriform prostate cancer He mea koʻikoʻi nā koho no ka hoʻokele maikaʻi ʻana a me ka hoʻomaikaʻi ʻana i nā hopena maʻi. Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o kēia mau koho, e hōʻike ana i kā lākou mau pōmaikaʻi, nā pilikia, a me ke kūpono no nā ʻano pilikino like ʻole.

Ka hoʻomaopopo ʻana i ka Cribriform Prostate Cancer

Hoʻokaʻawale ʻia ka maʻi maʻi prostate cribriform e kona ʻano hoʻolālā, e hōʻike ana i nā ʻōpū cribriform (like-sieve). Hiki i kēia hiʻohiʻona histological ke hoʻololi i ka prognosis a me nā koho lapaʻau. ʻOiai ke hoʻokolokolo ʻia nei nā ʻano hana pololei, ʻike ʻia ka noiʻi ʻana e pili paha kēia ʻano me nā ʻano maʻi maʻi ʻoi aʻe i kekahi mau hihia. ʻO ka hōʻoia pololei ma o ka biopsy a me ka helu Gleason he mea nui i ka hoʻoholo ʻana i ke ala kūpono o ka hana. Hiki ke hoʻohana ʻia nā noiʻi hou aʻe, e like me ka MRI scans, e loiloi i ka nui o ke kanesa.

ʻO ka ʻike a me ka hoʻopaʻa ʻana i ka maʻi maʻi maʻi prostate Cribriform

ʻO kahi hōʻailona hōʻoia o ka maʻi maʻi prostate cribriform e hilinaʻi i kahi biopsy prostate. Nānā ke kanaka pathologist i ka hāpana kiko ma lalo o ka microscope e nānā i ka hoʻolālā glandular, ʻike i nā hiʻohiʻona cribriform, a hoʻoholo i ka helu Gleason. Kōkua ʻo Gleason scoring i ka hoʻopaʻa ʻana i ka huhū o ka maʻi kanesa, ka hoʻololi ʻana i nā hoʻoholo lapaʻau. ʻO ka hana ʻana e pili ana i ka hoʻoholo ʻana i ka nui o ka laha ʻana o ka maʻi kanesa me ka hoʻohana ʻana i nā ʻenehana kiʻi e like me MRI, CT scans, a me nā iwi scans. Hoʻomaopopo ka pae i ka hoʻolālā lapaʻau a me ka wānana.

ʻO nā ala lapaʻau no ka Cribriform Prostate Cancer

ʻO ka lapaʻau lapaʻau cribriform prostate cancer nā koho no ka cribriform prostate cancer mirror nā mea i hoʻohana ʻia no nā maʻi maʻi prostate ʻē aʻe akā ua hana ʻia ma muli o ka helu Gleason, pae, a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā ala lapaʻau mua:

1. Ka nānā 'ana

No nā poʻe maʻi me ka maʻi maʻi prostate cribriform haʻahaʻa (haʻahaʻa Gleason helu a me ka maʻi kūloko), ʻo ka nānā ʻana he koho kūpono. Hoʻopili kēia i ka nānā mau ʻana ma o nā hoʻokolohua PSA, nā hoʻokolohua rectal digital, a me nā biopsies e ʻike i nā loli i ka holomua o ka maʻi kanesa. Ke pale aku nei ka mākaʻikaʻi ikaika i ka mālama koʻikoʻi koke, e hōʻemi ana i nā hopena ʻaoʻao. Eia naʻe, pono ia i ka hahai pono a me ka nānā makaʻala.

2. ʻO ka ʻoki ʻana (Radical Prostatectomy)

ʻO Radical prostatectomy, ka wehe ʻana i ka ʻili prostate, kahi koho lapaʻau maʻamau no ka maʻi maʻi prostate cribriform kūloko. Hiki ke hana ʻia kēia kaʻina hana me ka hoʻohana ʻana i nā ʻenehana ʻokiʻoki like ʻole, e like me ka robotic-assisted laparoscopic prostatectomy (RALP) a i ʻole ka wehe ʻana. ʻO ke koho ʻana o ka ʻenehana ma muli o nā kumu like ʻole, me ka ʻike o ke kauka lapaʻau a me nā ʻano pilikino o ka mea maʻi. ʻO nā hopena ʻaoʻao e pili ana i ka urinary incontinence a me ka erectile dysfunction. ʻOkoʻa ka manawa hoʻihoʻi ma muli o ke ʻano o ke ʻoki i hana ʻia.

3. ʻO ka lāʻau lapaʻau

ʻO ka lāʻau lapaʻau, ʻo ka lāʻau lapaʻau lāʻau o waho (EBRT) a i ʻole brachytherapy (ka radiation kūloko), hiki ke hoʻopaʻa pono a luku i nā maʻi maʻi. Hāʻawi ʻo EBRT i ka radiation mai kahi kumu waho, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate gland. ʻO ka koho ma waena o ka EBRT a me ka brachytherapy e pili ana i nā mea e like me ka wahi tumo, ka nui, a me ke olakino holoʻokoʻa. Hiki i nā hopena ʻaoʻao o ka radiation therapy ke komo i nā pilikia mimi a me ka ʻōpū, ka luhi, a me ka ʻili ʻili.

4. ʻO ka Hormone Therapy (Androgen Deprivation Therapy)

Hoʻohana ʻia ʻo Hormone therapy, i ʻike ʻia ʻo androgen deprivation therapy (ADT), e hōʻemi i nā pae testosterone, hoʻolohi a hoʻōki paha i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia kēia lāʻau lapaʻau no ka maʻi prostate cribriform kiʻekiʻe a i ʻole metastatic. Hoʻohui pinepine ʻia ʻo ADT me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy a i ʻole ka chemotherapy. Hiki i nā hopena ʻaoʻao o ka ADT ke komo i nā uila wela, ka emi ʻana o ka libido, ka loaʻa kaumaha, a me ka osteoporosis.

5. Kemoterapi

He lāʻau lapaʻau ʻo Chemotherapy e hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Hoʻohana maʻamau ia no ka metastatic cribriform prostate cancer i holomua ʻoiai nā lāʻau lapaʻau ʻē aʻe. Loaʻa nā ʻano hana chemotherapy like ʻole, a ʻo ke koho e pili ana i ke ʻano o ka mea maʻi a me ka pae maʻi. Hiki i nā hopena ʻaoʻao ke komo i ka nausea, ka luaʻi ʻana, ka lauoho lauoho, ka luhi, a me ka emi ʻana o ka helu o ke koko.

Ke koho ʻana i ka Lapaʻau Pono

ʻO ke koho o ka mea maikaʻi loa lapaʻau lapaʻau cribriform prostate cancer pili i nā kumu he nui. ʻO kēia ka helu Gleason, ka pae o ka maʻi kanesa, ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, a me nā makemake pilikino. ʻO kahi ala hui multidisciplinary, e pili ana i nā urologists, oncologists, radioologists, a me nā loea ʻē aʻe, he mea nui ia no ka hoʻolālā lapaʻau pilikino. He mea koʻikoʻi ka kamaʻilio wehe ʻana me ka hui mālama ola e hōʻoia i ka hoʻomaopopo piha ʻana o ka mea maʻi a komo i ka hana hoʻoholo. No ka ʻike hou aku a me ke kākoʻo, hiki iā ʻoe ke kelepona i ka Shandong Baofa Cancer Research Institute.

Papa Hoʻohālikelike o nā koho lapaʻau

Koho Lapaau	Kupono	Nā pono	Nā pōʻino
Nānā ʻeleu	ʻO ka maʻi liʻiliʻi, ka maʻi kūloko	Hōʻalo i ka mālama koʻikoʻi koke, hōʻemi i nā hopena ʻaoʻao	Pono ka nānā pono ʻana, hiki ke hoʻopaneʻe ʻia
ʻO Radical Prostatectomy	ʻO ka maʻi kūloko	Hiki ke ho'ōla	Loaʻa no ka mimi ʻole a me ka erectile dysfunction
Lapaʻau Radiation	ʻO ka maʻi kūloko a kūloko paha	Pono i ka hoʻomalu ʻana i ka ulu ʻana o ka maʻi kanesa	Hiki i nā pilikia mimi a me ka ʻōpū, ka luhi
Lapaʻau Hormone	ʻO ka maʻi kiʻekiʻe a i ʻole metastatic	Hoʻolohi a hoʻōki paha i ka ulu ʻana o ka maʻi kanesa	Loaʻa no ka wela wela, emi libido, osteoporosis
Kemoterapi	ʻO ka maʻi metastatic	ʻO ka lāʻau maʻamau e pepehi i nā maʻi kanesa	Hiki i ka nausea, ka luaʻi, ka lauoho lauoho, ka luhi

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no ka ʻike a me ka mālama ʻana i kekahi maʻi olakino. ʻO ka ʻike i hōʻike ʻia ma ʻaneʻi e pili ana i ka noiʻi i loaʻa i kēia manawa a hiki ke loli. ʻO nā manaʻo lapaʻau kikoʻī e pili ana i nā mea maʻi pākahi a pono e hoʻoholo ʻia e kahi ʻoihana mālama ola kino.Nā ʻōlelo: (E loaʻa i kēia ʻāpana nā huaʻōlelo i nā nūpepa olakino pili a me nā hui e kākoʻo ana i ka ʻike i hāʻawi ʻia ma ka ʻatikala.)