
Ke ʻimi nei i ka pono lapaʻau gleason 7 prostate maʻi maʻi lapaʻau kokoke iaʻu hiki ke kaumaha. Hāʻawi kēia alakaʻi piha i ka ʻike e pili ana i nā ala lapaʻau like ʻole no ka maʻi prostate Gleason 7, e kōkua ana iā ʻoe e hoʻoholo i ka ʻike e pili ana i kou kūlana pilikino. E ʻimi mākou i nā koho like ʻole, e kūkākūkā i nā hopena ʻaoʻao, a alakaʻi iā ʻoe i ka ʻimi ʻana i nā mea mālama olakino kaulana ma kou wahi. E hoʻomanaʻo, no ka hoʻonaʻauao kēia ʻike a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu kauka e hoʻoholo i ka hana maikaʻi loa no kāu hihia kikoʻī.
ʻO ka helu Gleason kahi ʻōnaehana helu i hoʻohana ʻia e loiloi i ka ʻino o ka maʻi maʻi prostate. He 7 ka helu Gleason e hōʻike ana i ka maʻi maʻi prostate i waena o ka pilikia, ʻo ia hoʻi, ʻoi aku ka huhū ma mua o ka haʻahaʻa haʻahaʻa akā ʻuʻuku ka huhū ma mua o ka helu kiʻekiʻe. ʻO ka subtype pololei o Gleason 7 (no ka laʻana, 3+4 a i ʻole 4+3) pili nui i nā ʻōlelo aʻoaʻo lapaʻau. Na kāu kauka e wehewehe i kāu helu Gleason kiko'ī a me kona mau hopena.
ʻO ka maikaʻi loa lapaʻau gleason 7 prostate maʻi maʻi lapaʻau kokoke iaʻu pili i kekahi mau kumu, e like me kou mau makahiki, ke olakino holoʻokoʻa, ka pae o ka maʻi kanesa, a me nā makemake pilikino. E noʻonoʻo ana kāu kauka oncologist i kēia mau mea i ka wā e kūkulu ai i kahi hoʻolālā lapaʻau pilikino. Hiki i kēia mau mea ke komo i ka loaʻa ʻana o nā kūlana olakino ʻē aʻe, ka hoʻomanawanui ʻana i nā hopena ʻaoʻao, a me ka manaʻolana o ke ola.
No kekahi mau kāne me ka maʻi maʻi prostate Gleason 7, he koho kūpono ke nānā ʻana. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa ma o ka nānā mau ʻana a me nā hoʻāʻo ʻole me ka mālama koke ʻana. He kūpono kēia ala no nā poʻe me nā maʻi maʻi e ulu mālie a lōʻihi ke ola. ʻO ka hoʻāʻo maʻamau PSA a me nā biopsies nā mea nui o ka nānā ʻana.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hāʻawi ʻia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). Hoʻohana pinepine ʻia ka lāʻau lapaʻau lāʻau o waho i nā kau he nui i kekahi mau pule. Hoʻokomo ka Brachytherapy i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. ʻO ka koho ma waena o ka lāʻau o waho a me ka brachytherapy e pili ana i nā kumu he nui, me ka nui a me kahi o ka tumo. Hiki i nā hopena ʻaoʻao ke komo i nā pilikia mimi a me ka ʻōpū.
ʻO ka prostatectomy kahi hana ʻokiʻoki e wehe ai i ka gland prostate. ʻO Radical prostatectomy ka manaʻo e wehe i ka prostate gland holoʻokoʻa, ʻoiai ke hoʻāʻo nei ka prostatectomy nerve-sparing e mālama i ka hana nerve e hōʻemi i ka hiki ʻole o ka erectile dysfunction. He kaʻina hana nui kēia me nā hopena ʻaoʻao e like me ka urinary incontinence a me ka erectile dysfunction, ʻoiai he manawa pōkole kēia.
ʻO ka hormone therapy, ʻike ʻia hoʻi ʻo ka androgen deprivation therapy (ADT), e hoʻemi a pale i ka hana ʻana o ka testosterone, ka mea e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hiki ke hoʻohana wale ʻia kēia lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ka radiation therapy a i ʻole ke ʻoki ʻana. Hoʻopili pinepine ia i nā lāʻau lapaʻau a i ʻole nā inikini e hoʻohaʻahaʻa i nā pae testosterone. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka luhi, ka emi ʻana o ka libido, a me ke kaumaha.
He mea koʻikoʻi ka ʻimi ʻana i kahi oncologist kūpono i ka mālama ʻana i ka maʻi maʻi prostate. Hiki i nā ʻenekini huli pūnaewele ke kōkua iā ʻoe e ʻimi i nā loea ma kou wahi. Makemake paha ʻoe e ʻimi i nā ʻōlelo aʻoaʻo mai kāu kauka mālama mua a i ʻole nā ʻoihana mālama ola kino ʻē aʻe. E noʻonoʻo i nā mea e like me ka ʻike, nā loiloi maʻi, a me nā mea hana a me ka ʻenehana o ka haukapila i ke koho ʻana i kahi mea hoʻolako.
No ka mālama ʻana i ka maʻi kanesa a me nā koho lapaʻau holomua, e noʻonoʻo e hoʻopili i ka Shandong Baofa Cancer Research Institute. Hāʻawi lākou i nā lawelawe e kākoʻo i nā maʻi i ko lākou huakaʻi maʻi maʻi.
No ka ʻike maʻamau wale nō kēia ʻike a ʻaʻole ia e pani i ka ʻōlelo aʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu kauka e kūkākūkā i kou kūlana pilikino a hoʻomohala i kahi hoʻolālā lapaʻau kūpono. He mea nui e hoʻomaopopo i nā pilikia a me nā pono o kēlā me kēia koho lapaʻau ma mua o ka hoʻoholo ʻana. He mea nui ke kamaʻilio wehe ʻana me kāu hui mālama ola.
(E hoʻomanaʻo: E hoʻokomo ʻia kēia ʻāpana i nā loulou i nā nūpepa olakino pili, nā hui e like me ka American Cancer Society, a me nā kumu kaulana ʻē aʻe e kākoʻo i ka ʻike i hōʻike ʻia ma ka ʻatikala.)