lapaʻau gleason 7 prostate maʻi kanesa lapaʻau

Lapaʻau no Gleason 7 Prostate Cancer

ʻO ka maʻi maʻi prostate ʻo Gleason 7 he ʻano maʻi ʻino o ka maʻi, pono e noʻonoʻo pono i nā koho lapaʻau. Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole lapaʻau gleason 7 prostate maʻi kanesa lapaʻau e kōkua iā ʻoe e hoʻomaopopo i nā koho i loaʻa a hoʻoholo i nā hoʻoholo me ke kūkākūkā me kāu mea mālama ola. E uhi mākou i nā ʻano lāʻau lapaʻau like ʻole, ko lākou pono, nā hopena ʻaoʻao kūpono, a me nā mea e pili ana i ke koho ʻana i ka lāʻau. E hoʻomanaʻo, no ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana.

Ka hoʻomaopopo ʻana iā Gleason 7 Prostate Cancer

He aha ka Gleason Score?

ʻO ka helu Gleason kahi ʻōnaehana helu i hoʻohana ʻia no ka hoʻoholo ʻana i ka ikaika o ka maʻi maʻi prostate. Hoʻokumu ʻia ia ma ke ʻano microscopic o nā cell tumor. ʻO ka helu Gleason he 7 e hōʻike ana i kahi maʻi maʻi prostate hiki ke pilikia. 'O ia ho'i, 'oi aku ka 'ino ma mua o ka helu Gleason ha'aha'a, akā, 'a'ole ka 'ino ma mua o ka helu ki'eki'e. Hoʻokaʻawale hou ʻia kahi Gleason 7 i 3+4 a me 4+3 maʻamau, me 3+4 i manaʻo ʻia he ʻuʻuku liʻiliʻi.

Nā mea e pili ana i nā hoʻoholo lapaʻau

Hoʻopili kekahi mau kumu i ke koho ʻana o lapaʻau gleason 7 prostate maʻi kanesa lapaʻau, me kou mau makahiki, ke olakino holoʻokoʻa, ka pae o ka maʻi kanesa, a me kāu mau makemake pilikino. E noʻonoʻo kāu kauka i kēia mau mea, me ka helu Gleason, e hoʻomohala i kahi hoʻolālā lapaʻau pilikino. Hiki i nā mea noʻonoʻo ʻē aʻe ke komo i nā kūlana olakino ʻē aʻe a me ka mōʻaukala ʻohana. ʻO ka Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) hāʻawi i nā kūkākūkā piha e alakaʻi iā ʻoe ma kēia kaʻina hana.

Nā Koho Lapaʻau no Gleason 7 Prostate Cancer

Nānā ʻeleu

No kekahi mau kāne me ka ma'i 'a'ai prostate Gleason 7, 'o ka nānā 'ana (i kapa 'ia ke kali kia'i) he koho kūpono paha. Hoʻopili kēia i ka nānā mau ʻana i ke kanesa ma o nā hoʻokolohua PSA a me nā biopsies e ʻike i nā loli a i ʻole ka holomua. Manaʻo pinepine ʻia ka nānā ʻana no nā kāne me ka maʻi haʻahaʻa haʻahaʻa, a hiki iā ia ke hoʻopanee a pale aku i nā lāʻau ʻoi aku ka ikaika a hiki i ka wā e pono ai.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. No ka mea lapaʻau gleason 7 prostate maʻi kanesa lapaʻau, hiki ke hāʻawi ʻia ma waho (external beam radiation therapy) a i ʻole ma loko (brachytherapy). Hāʻawi pinepine ʻia ka lāʻau radiation beam waho i nā manawa he nui i nā pule he nui, aʻo ka brachytherapy e pili ana i ke kanu ʻana i nā hua radioactive i loko o ka prostate gland. Hiki i nā hopena ʻaoʻao ke komo i ka luhi, nā pilikia mimi, a me nā pilikia o ka ʻōpū.

ʻO ka ʻoki ʻana (Prostatectomy)

ʻO ka prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. ʻO kēia kaʻina hana he koho maʻamau no ka mālama ʻana i ka maʻi maʻi prostate, me Gleason 7. ʻO ke ʻano o ka prostatectomy i hana ʻia ma muli o ka nui o ka maʻi kanesa a me nā mea ʻē aʻe. ʻO ka robotic-assisted laparoscopic prostatectomy kahi hana ʻokiʻoki liʻiliʻi loa, e alakaʻi pinepine ana i ka manawa hoʻōla wikiwiki a me ka liʻiliʻi o nā pilikia. Hiki i nā hopena ʻaoʻao ke loaʻa ka urinary incontinence a me ka erectile dysfunction.

Lapaʻau Hormone

ʻO ka hormone therapy, i kapa ʻia ʻo androgen deprivation therapy, e hoʻemi i ka hana ʻana o ka testosterone, kahi hormone e hoʻoulu ai i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ka radiation therapy a i ʻole ke ʻoki ʻana, a i ʻole he koho lapaʻau no ka maʻi maʻi prostate holomua. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka emi ʻana o ka libido, ke kaumaha, a me ka osteoporosis.

Ke koho ʻana i ka Lapaʻau Pono

Ke koho ʻana i ka maikaʻi lapaʻau gleason 7 prostate maʻi kanesa lapaʻau he kaʻina hana pilikino. He mea koʻikoʻi ka loaʻa ʻana o nā kūkākūkā ākea a me ka ʻoiaʻiʻo me kāu urologist a i ʻole oncologist e hoʻomaopopo piha i kāu mau koho a me kā lākou mau pono a me nā pilikia. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoiaʻiʻo e hana ana ʻoe i ka hoʻoholo ʻike loa e pili ana i kou kūlana kūʻokoʻa. Na kāu hui mālama ola e kōkua iā ʻoe e hoʻokele i kēia kaʻina hana hoʻoholo paʻakikī.

ʻO ka hahai ʻana a me ka hoʻokele wā lōʻihi

Ma waho aʻe o ka lāʻau lapaʻau i koho ʻia, he mea nui ka hoʻopaʻa ʻana maʻamau no ka nānā ʻana i kou olakino a ʻike i ka hoʻi hou ʻana o ke kanesa. Hoʻopili kēia i nā hoʻokolohua PSA a me nā haʻawina kiʻi ʻē aʻe. Hiki i ka hoʻokele wā lōʻihi ke hoʻokomo i ka hormone therapy a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe inā pono.

Hōʻole:

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.