
Ke ʻimi nei i ka pono lapaʻau maʻi prostate mua hiki ke kaumaha. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e pili ana i ka ʻike ʻana a me ka mālama ʻana i ka maʻi maʻi prostate mua, e kōkua ana iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu mālama. Hoʻopili mākou i nā koho lapaʻau like ʻole, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o ka ʻimi ʻana i kahi loea kokoke iā ʻoe.
'O ka ma'i 'a'ai ma'i prostate mua e pili ana i ka ma'i 'a'ai e pili ana i ka ma'i prostate a 'a'ole i laha i nā wahi 'ē a'e o ke kino. Hoʻomaikaʻi nui ka ʻike mua ʻana i nā hopena lapaʻau. ʻO ka nānā mau ʻana, ʻoi aku ka nui ma hope o ka makahiki 50 (a i ʻole ma mua no ka poʻe me ka mōʻaukala ʻohana), he mea koʻikoʻi no ka ʻike mua. ʻO ka helu Gleason, he ʻōnaehana helu no ka maʻi maʻi prostate, kōkua i ka hoʻoholo ʻana i ka ikaika o ka maʻi kanesa.
Hoʻopili maʻamau ka hōʻike ʻana i kahi hōʻike hoʻāʻo digital rectal (DRE) a me kahi hōʻike koko prostate-specific antigen (PSA). Inā hōʻike kēia mau hoʻāʻo ʻana i ka maʻi kanesa, e hana ʻia kahi biopsy e hōʻoia i ka hōʻoia a hoʻoholo i ke kahua a me ka pae o ka maʻi kanesa. Hiki ke hoʻohana ʻia nā ʻenehana kiʻi kiʻi kiʻekiʻe, e like me MRI.
No kekahi mau kāne me ka lohi lohi, ka maʻi prostate haʻahaʻa haʻahaʻa, ʻo ka nānā ʻana (kahi i ʻike ʻia ʻo ke kali kiaʻi) he koho paha. Hoʻopili kēia i ka nānā mau ʻana i ka maʻi kanesa ma o nā hoʻokolohua PSA a me nā biopsies me ka ʻole o ka mālama koke ʻana. He kūpono kēia ʻano no nā kāne me ka liʻiliʻi o ka maʻi kanesa e holomua wikiwiki ana.
ʻO ka wehe ʻana o ka prostate gland (radical prostatectomy) kahi lapaʻau maʻamau no ka maʻi maʻi prostate mua. Loaʻa nā ʻano hana ʻokiʻoki like ʻole, me ka prostatectomy laparoscopic kōkua robotic, e hopena pinepine i ka hōʻemi ʻana i ka invasive a me ka wikiwiki o ka manawa hoʻōla. Hiki i nā hopena ʻaoʻao ke komo i ka urinary incontinence a me ka erectile dysfunction, ʻoiai he nui nā kāne e hoʻi hou i ka hana maʻamau i ka manawa. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā ʻenehana hoʻomaʻamaʻa holomua.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hoʻopuka ʻia ka lāʻau radiation beam waho (EBRT) mai kahi mīkini ma waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā ʻanoano radioactive i loko o ka gland prostate. Hiki ke ʻokoʻa nā hopena ʻaoʻao ma muli o ke ʻano o ka radiation therapy i hoʻohana ʻia. Hoʻohui pinepine ʻia ka radiation therapy me ka hormone therapy no nā hopena maikaʻi loa.
ʻO ka hormone therapy (kahi i kapa ʻia ʻo androgen deprivation therapy a i ʻole ADT) e hōʻemi i ka hana ʻana o nā hormones kāne (androgens), ka mea e hoʻoulu ai i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki ʻana a i ʻole ka radiation, a i ʻole he lāʻau lapaʻau no ka maʻi maʻi prostate holomua. Hiki i nā hopena ʻaoʻao ke komo i nā uila wela, hoʻemi libido, a me ke kaumaha.
He mea koʻikoʻi ka ʻimi ʻana i kahi urologist mākaukau a ʻike ʻia i ka maʻi maʻi prostate. E hoʻohana i nā ʻenekini huli pūnaewele e like me Google e ʻimi ai lapaʻau lapaʻau maʻi maʻi prostate mua kokoke iaʻu e huli i nā loea ma kou wahi. E nānā i kā lākou hōʻoia, heluhelu i nā loiloi maʻi, a hoʻonohonoho i nā kūkākūkā e kūkākūkā i kāu kūlana kikoʻī a me nā koho lapaʻau makemake. E noʻonoʻo e nīnau e pili ana i ko lākou ʻike me nā ʻano hana lapaʻau like ʻole a me kā lākou ala i ka mālama maʻi.
ʻO ka hoʻoholo e pili ana i ka lapaʻau ʻoi aku ka maikaʻi iā ʻoe e hilinaʻi ʻia ma nā kumu he nui, e like me kou mau makahiki, ke olakino holoʻokoʻa, ka pae a me ka pae o kou maʻi kanesa, a me kāu mau makemake pilikino. Pono e kamaʻilio me kāu kauka, e nīnau i nā nīnau a me ka hōʻike ʻana i kou mau manaʻo. E hoʻomanaʻo, aia nā hui kākoʻo a me nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i kēia huakaʻi paʻakikī.
| Lapaʻau | wehewehe | Nā hopena ʻaoʻao |
|---|---|---|
| Nānā ʻeleu | Ka nānā mau ʻana me ka mālama ʻole ʻana. | ʻO ka liʻiliʻi, mai nā biopsies. |
| ʻO ka ʻoki ʻana (Prostatectomy) | ʻO ka wehe ʻana o ka prostate gland. | ʻAʻole i hoʻopaʻa ʻia ka urinary, erectile dysfunction. |
| Lapaʻau Radiation | Hoʻohana i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. | ʻO ka luhi, ka mimi a me ka pilikia o ka ʻōpū. |
| Lapaʻau Hormone | Hoʻemi i ka hana ʻana o nā hormones kāne. | ʻO nā uila wela, hoʻemi libido, piʻi kaumaha. |
Hoʻokaʻawale: No ka ʻike ākea kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola no ka maʻi ʻana a me ka hoʻolālā ʻana.