
Hāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o ka extracapsular extension (ECE) i ka maʻi maʻi prostate, e wehewehe ana i kona mau hopena no ka maʻi maʻi, ka hana ʻana, a me nā koho lapaʻau. E ʻimi mākou i nā ala lapaʻau like ʻole a kūkākūkā i nā mea e hoʻoholo ai i nā hoʻoholo lapaʻau. E aʻo e pili ana i nā holomua hou loa i ka mālama ʻana i ka maʻi prostate me ECE.
Extracapsular extension (ECE) pili i ka laha ʻana o ka maʻi ʻaʻai prostate ma waho aʻe o ka capsule waho o ka gland prostate. He ʻike koʻikoʻi kēia i ka hoʻokō ʻana i ka maʻi maʻi prostate, ʻoiai e hōʻike ana i kahi ʻano ʻoi aʻe a ʻoi aku ka paʻakikī o ka maʻi. Hoʻopili ka loaʻa ʻana o ka ECE i nā koho lapaʻau a me ka wānana. He mea koʻikoʻi ka ʻike mua a me ka hoʻokele kūpono no ka hoʻomaikaʻi ʻana i nā hopena maʻi.
ʻIke maʻamau ʻia ʻo ECE ma o ka hui pū ʻana o nā hoʻāʻo diagnostic, e komo pū me kahi hōʻike koko kikohoʻe (DRE), hōʻike koko prostate-specific antigen (PSA), a me ka biopsy. ʻO nā ʻenehana kiʻi e like me ka magnetic resonance imaging (MRI) a me ka computed tomography (CT) scans e kōkua hou i ka hoʻoholo ʻana i ka nui o ka laha ʻana o ke kanesa. He mea koʻikoʻi ka hoʻonohonoho pololei ʻana i ka hoʻoholo ʻana i ka mea kūpono lapaʻau extracapsular extension prostate cancer lapaʻau hoʻolālā.
ʻO ka lapaʻau extracapsular extension prostate cancer lapaʻau ʻokoʻa ka hoʻolālā no ka maʻi maʻi prostate me ECE ma muli o nā kumu he nui, me ke olakino holoʻokoʻa o ka mea maʻi, ka pae o ka maʻi kanesa, a me ka loaʻa ʻana o nā mea pilikia ʻē aʻe. Loaʻa nā koho lapaʻau maʻamau:
ʻO Radical prostatectomy, kahi kaʻina hana e wehe ai i ka prostate gland, noʻonoʻo pinepine ʻia no ka maʻi maʻi prostate kūloko me ECE. Hiki ke ʻokoʻa ka nui o ke kaʻina ma muli o ka wahi a me ka nui o ka ECE. ʻO ka robotic-assisted laparoscopic prostatectomy kahi hana hoʻoweliweli liʻiliʻi i hoʻohana ʻia i nā hihia he nui.
ʻO ka lāʻau lapaʻau lāʻau o waho (EBRT) a me ka brachytherapy (ka lāʻau lapaʻau kūloko) nā koho lapaʻau lapaʻau no ka maʻi maʻi prostate me ECE. Hāʻawi ʻo EBRT i ka radiation mai waho o ke kino, aʻo ka brachytherapy e pili ana i ka waiho ʻana i nā hua radioactive i loko o ka prostate. Hoʻohana pinepine ʻia ka hui pū ʻana o ka EBRT a me ka hormone therapy.
ʻO ka hormone therapy, i kapa ʻia ʻo androgen deprivation therapy (ADT), e hoʻemi i nā pae testosterone, hiki ke hoʻolōʻihi i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe no ka maʻi maʻi prostate kiʻekiʻe me ECE.
He lāʻau lapaʻau ʻo Chemotherapy e hoʻohana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi a puni ke kino. Mālama ʻia ia no nā maʻi o ka maʻi maʻi prostate metastatic (kahi i laha ai ka maʻi kanesa i nā wahi ʻē aʻe o ke kino) a i ʻole nā lāʻau lapaʻau ʻē aʻe. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā lawelawe oncology holoʻokoʻa, e komo pū me nā regimens chemotherapy holomua.
Hoʻopili kekahi mau kumu i ke koho ʻana o lapaʻau extracapsular extension prostate cancer lapaʻau, me:
He ʻokoʻa ka wānana no ka maʻi maʻi prostate me ECE ma muli o ke kūlana o kēlā me kēia kanaka a me ka pono o ka mālama ʻana. ʻO nā koho maʻamau maʻamau, me nā hoʻokolohua PSA a me nā haʻawina kiʻi kiʻi, he mea nui e nānā i ka holomua o ka maʻi kanesa a e ʻike i ka hoʻi hou ʻana. He koho paha ka nānā ʻana no kekahi mau maʻi me ka maʻi haʻahaʻa.
Ke hoʻomau nei ka noiʻi e holomua i nā koho lapaʻau no ka maʻi maʻi prostate me ECE. Ke kūkulu ʻia nei nā lāʻau lapaʻau hou a me nā immunotherapies, e hāʻawi ana i nā pono kūpono no nā poʻe maʻi me nā maʻi holomua. E kūkākūkā me kāu kauka oncologist e kūkākūkā i ka hoʻolālā lapaʻau kūpono loa no kou kūlana pilikino.
ʻO ka noho ʻana i ka ʻike e pili ana i ka noiʻi hou a me nā hoʻokolohua lapaʻau he mea koʻikoʻi ia no nā maʻi a me ko lākou ʻohana. ʻO ka National Cancer Institute (https://www.cancer.gov/) a me nā hui ʻē aʻe e hāʻawi i nā kumuwaiwai waiwai a me ka ʻike e pili ana i ka noiʻi hoʻomau i ka mālama ʻana i ka maʻi maʻi prostate.
| Koho Lapaau | Nā pono | Nā pōʻino |
|---|---|---|
| ʻO Radical Prostatectomy | Hiki ke ho'ōla, hiki ke hoʻomaikaʻi i ke ola lōʻihi. | ʻO ka pilikia o nā pilikia e like me ka incontinence a me ka impotence. |
| Lapaʻau Radiation | ʻO ka liʻiliʻi liʻiliʻi, hiki ke hoʻohana ʻia no ka maʻi kūloko a me ka holomua. | Hiki i nā hopena ʻaoʻao ke komo i nā pilikia o ka ʻōpū a me ka ʻōpū. |
| Lapaʻau Hormone | Hiki ke hoʻolohi i ka ulu ʻana o ka maʻi kanesa, hoʻomaikaʻi i nā hōʻailona. | ʻO nā hopena ʻaoʻao e pili ana i ka wela wela, ka emi ʻana o ka libido, a me ka osteoporosis. |
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 kauka a i ʻole kekahi ʻoihana mālama ola kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.