
ʻO ka Lapaʻau ʻana i ka maʻi maʻi prostate mua: He alakaʻi piha ka ʻike mua a me ka wikiwiki lapaʻau lapaʻau maʻi maʻi prostate mua hoʻomaikaʻi nui i nā hopena no nā kāne i loaʻa i ka maʻi prostate. Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o nā koho lapaʻau, e kālele ana i ka maʻi mua. Ke ʻimi nei mākou i nā ala like ʻole, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o ka mālama pilikino, e hāʻawi ana iā ʻoe e hana i nā hoʻoholo ʻike me kāu mea mālama ola. E hoʻomanaʻo, no ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu kauka ma mua o ka hoʻoholo ʻana e pili ana i kou olakino.
ʻO ka maʻi maʻi prostate, ka lua o ka maʻi maʻi maʻamau i nā kāne, ʻike pinepine ʻia ma o ka hoʻāʻo ʻana e like me ka hoʻāʻo koko PSA (prostate-specific antigen) a me ka hōʻike ʻana i ka digital rectal (DRE). ʻO ka maʻi maʻi prostate mua, i kapa pinepine ʻia ʻo ka maʻi maʻi prostate kūloko, ʻo ia hoʻi, paʻa ka maʻi maʻi i ka ʻili prostate a ʻaʻole i laha i nā wahi ʻē aʻe o ke kino. Hāʻawi kēia pae i ka manawa kūpono no ka holomua lapaʻau lapaʻau maʻi maʻi prostate mua.
ʻO ke koho o lapaʻau lapaʻau maʻi maʻi prostate mua pili i kekahi mau kumu, e like me:
E noʻonoʻo pono kāu kauka i kēia mau kumu no ka ʻōlelo ʻana i ka hana kūpono loa.
No nā maʻi maʻi e ulu lohi ana i nā kāne ʻelemakule me ka liʻiliʻi o ka manaʻolana o ke ola, hiki ke ʻōlelo ʻia ka nānā ʻana. Hoʻopili kēia i ka nānā mau ʻana ma o nā hoʻokolohua PSA a me nā biopsies e ʻike i nā loli o ka maʻi kanesa. Hōʻalo ia i ka mālama koke ʻana ke ʻole ka holomua o ke kanesa.
ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. He koho maʻamau kēia no ka pae mua lapaʻau lapaʻau maʻi maʻi prostate mua a manaʻo pinepine ʻia no nā kāne me ka wānana maikaʻi. ʻO nā hopena ʻaoʻao hiki ke loaʻa i ka incontinence a me ka erectile dysfunction, ʻoiai ʻo ka holomua ʻana i nā ʻenehana hana i hōʻemi i kēia mau pilikia.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hāʻawi ka lāʻau lapaʻau o waho i ka radiation mai waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. He kūpono nā ʻano ʻelua lapaʻau lapaʻau maʻi maʻi prostate mua nā koho no ka maʻi mua. Hiki ke ʻokoʻa nā hopena ʻaoʻao akā hiki ke komo i nā pilikia mimi a me ka ʻōpū.
ʻO ka hormone therapy (ʻike pū ʻia ʻo androgen deprivation therapy) e hoʻemi i nā pae o nā hormones kāne (androgens) e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hoʻohana pinepine ʻia i ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka radiation a i ʻole no ka maʻi pae kiʻekiʻe. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka emi ʻana o ka libido, a me ka osteoporosis.
Hoʻopaʻa ʻia ka focal therapy i ka wahi maʻi maʻi i loko o ka prostate, e mālama ana i ke kino olakino. Nui nā ʻano hana, ʻo ia hoʻi ʻo HIFU (kiʻekiʻe-intensity focused ultrasound) a me ka cryotherapy (ka hau hau). Hoʻemi ʻia kēia ala i nā hopena ʻaoʻao i hoʻohālikelike ʻia me nā lāʻau lapaʻau holoʻokoʻa, akā ʻaʻole kūpono ia no nā maʻi āpau.
Ke koho ʻana i ka maikaʻi lapaʻau lapaʻau maʻi maʻi prostate mua Pono e noʻonoʻo pono i nā kūlana o kēlā me kēia kanaka a me ke kūkākūkā piha ʻana me kāu urologist a i ʻole oncologist. E wehewehe lākou i nā pilikia a me nā pōmaikaʻi o kēlā me kēia koho, e kōkua ana iā ʻoe e hana i kahi hoʻoholo hoʻomaopopo e kūlike me kāu mau pahuhopu a me kāu makemake. Hiki i kēia ke komo i ka hoʻāʻo genetic a me ke kiʻi kiʻi kiʻi e hoʻomaopopo maikaʻi i kāu kūlana kikoʻī.
Ma hope o ka hoʻomaʻamaʻa ʻana, he mea koʻikoʻi nā koho maʻamau e nānā no ka hoʻi hou ʻana a mālama i nā hopena ʻaoʻao. Hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua PSA, biopsies, a me nā haʻawina kiʻi ʻē aʻe e nānā i kāu holomua. Hoʻokomo pinepine ʻia kahi ʻano multidisciplinary i ka hui pū ʻana me nā loea ʻē aʻe e like me ka urologists, oncologists, a me ka radiation therapists e hōʻoia i ka mālama piha. No nā kumuwaiwai hou aʻe a me ke kākoʻo, e noʻonoʻo e kelepona i nā hui e like me ka Prostate Cancer Foundation.
E hoʻomanaʻo, ʻo ka ʻike mua ke kī no ka holomua lapaʻau lapaʻau maʻi maʻi prostate mua. He mea nui ka nānā mau ʻana a me ka nānā ʻana i nā kāne i ka nui o ka pilikia. Mai kānalua e nīnau i kāu kauka i nā nīnau āu e pili ana i kāu hōʻailona a me nā koho lapaʻau. ʻO ka hana mua e alakaʻi i nā hopena maikaʻi aʻe a hoʻomaikaʻi nui i ka maikaʻi o ke ola.
No ka ʻike hou aku e pili ana i ka maʻi maʻi prostate a me ka mālama ʻana, e kipa Shandong Baofa Cancer Research Institute.