
Hāʻawi kēia ʻatikala i ka ʻike piha e pili ana i nā koho lapaʻau no ka maʻi maʻi prostate me ka extracapsular extension (ECE), me nā ʻano ʻoki like ʻole, radiation, a me nā ʻōnaehana ʻōnaehana. E ʻimi mākou i nā kumu e hoʻoholo ai i ka mālama ʻana, ke kuleana o ke alakaʻi ʻana i nā haukapila, a me nā noʻonoʻo koʻikoʻi no nā poʻe maʻi e hoʻokele nei i kēia maʻi paʻakikī. E aʻo e pili ana i nā holomua hou a hoʻomaopopo i ka mea e manaʻo ai i kāu huakaʻi lapaʻau.
Extracapsular extension prostate cancer pili i ka laha ʻana o ka maʻi kanesa ma waho aʻe o ka ʻōpū o waho o ka gland prostate. Hōʻike kēia i kahi pae kiʻekiʻe o ka maʻi, e pili ana i nā hoʻolālā lapaʻau a me ka wānana. ʻO ka nui o ka ECE e hoʻololi nui i ke koho ʻana i ka lāʻau lapaʻau. He mea koʻikoʻi ka ʻike mua a me ka hoʻokele kūpono no ka hoʻomaikaʻi ʻana i nā hopena maʻi.
He mea nui ka hoʻonohonoho pololei ʻana no ka hana pono lapaʻau extracapsular extension prostate cancer. Hoʻopili kēia i nā ʻano diagnostic like ʻole e like me biopsies, imaging techniques (MRI, CT scans), a me nā hoʻāʻo koko (pae PSA). ʻO ka pae o ka maʻi kanesa, me ka hiki a me ka nui o ka ECE, e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa. Nui nā halemai alakaʻi, like Shandong Baofa Cancer Research Institute, hoʻohana i nā ʻenehana diagnostic kiʻekiʻe e hōʻoia i ka hoʻonohonoho pololei ʻana.
ʻO Radical prostatectomy, ka wehe ʻana i ka ʻili prostate, he koho no kekahi mau maʻi me ʻO ka maʻi maʻi prostate ECE, ʻoi loa inā ʻike ʻia ka maʻi kanesa a ʻaʻole i laha nui. Eia nō naʻe, ʻo ka hiki ʻana o ke ʻoki ʻana ma muli o kekahi mau kumu, me ke olakino holoʻokoʻa o ka mea maʻi a me ka nui o ka maʻi. Hiki ke noʻonoʻo ʻia nā kaʻina hana ʻokiʻoki ʻē aʻe, e like me nā ʻenehana mālama aʻalolo, e hōʻemi i nā hopena ʻaoʻao.
ʻO ka lāʻau lapaʻau, me ka lāʻau lapaʻau lāʻau o waho (EBRT) a me ka brachytherapy (radiation i loko), he mau lapaʻau kūpono no ka maʻi 'aʻai prostate extracapsular extension. Hāʻawi ʻo EBRT i ka radiation mai waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo ʻana i nā hua radioactive i loko o ka prostate. ʻO ke koho ma waena o kēia mau ʻano e pili ana i nā ʻano maʻi pākahi a me nā hiʻohiʻona kikoʻī o ke kanesa. Hāʻawi ka nui o nā haukapila i nā ʻenehana radiation therapy holomua, e like me ka intensity-modulated radiation therapy (IMRT) a me ka proton beam therapy.
No nā poʻe maʻi i ʻoi aku ka holomua ka mālama ʻana i ka maʻi maʻi prostate me ka hoʻonui extracapsular ua laha ma waho o ka prostate a i ʻole nā wahi mamao, pono pinepine nā lāʻau lapaʻau e like me ka hormone therapy a me ka chemotherapy. Hana ʻia ka hormone therapy ma ke kāohi ʻana i nā hormones e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hiki ke hoʻohana wale ʻia kēia mau lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Ke koho ʻana i kahi haukapila no lapaʻau extracapsular extension prostate cancer pono i ka noonoo akahele. ʻO nā kumu nui ka ʻike o ka haukapila me ka mālama ʻana i ka maʻi maʻi prostate ECE, ke akamai o kāna hui lapaʻau (urologists, oncologists, radiation oncologists), ka loaʻa ʻana o nā ʻenehana holomua a me nā koho lapaʻau, ka nui o ke ola o ka maʻi, a me ka ʻike maʻi holoʻokoʻa. ʻO ka noiʻi ʻana i nā haukapila a me ka heluhelu ʻana i nā loiloi maʻi hiki ke kōkua i kāu hoʻoholo.
Nā kikowaena maʻi maʻi kūikawā, like Shandong Baofa Cancer Research Institute, hāʻawi pinepine i kahi ala multidisciplinary, e hui pū ana i nā loea mai nā kahua like ʻole e hana i nā hoʻolālā lapaʻau pilikino. Loaʻa pinepine kēia mau kikowaena i nā noiʻi hou a me nā hoʻokolohua lapaʻau, hiki ke hāʻawi i nā maʻi i nā lāʻau lapaʻau ʻokiʻoki.
ʻOiai ma hope o ka holomua prostate cancer lapaau extracapsular extension Halemai, he mea nui ka mālama mālama ʻana i ka wā lōʻihi. ʻO ka nānā mau ʻana, me nā hoʻāʻo koko (nā pae PSA) a me nā noiʻi kiʻi, he mea nui ia no ka ʻike ʻana i ka hoʻi hou ʻana o ka maʻi kanesa. ʻO ka mālama ʻana i ke ola olakino, me ka ʻai kaulike a me ka hoʻomaʻamaʻa maʻamau, hiki ke hoʻomaikaʻi i ke olakino holoʻokoʻa a me ka maikaʻi.
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 kāu mea mālama ola no ka hōʻoia a me nā koho lapaʻau.