
Kōkua kēia alakaʻi holoʻokoʻa iā ʻoe e hoʻomaopopo iā Gleason 8 prostate cancer a loaʻa ke kūpono lapaʻau gleason 8 prostate maʻi kanesa lapaʻau kokoke iaʻu nā koho. Ke ʻimi nei mākou i ka maʻi maʻi, nā koho lapaʻau, a me nā mea koʻikoʻi e noʻonoʻo ai i ke koho ʻana i kahi mea mālama. E aʻo e pili ana i nā lāʻau lapaʻau holomua a me kahi e loaʻa ai nā manaʻo kauka loea.
He 8 ka helu Gleason e hōʻike ana i kahi maʻi maʻi prostate ʻokoʻa. ʻO ia ke ʻano o ka ʻokoʻa o nā pūnaʻi maʻi maʻi mai nā cell maʻamau ma lalo o kahi microscope. Ua manaʻo ʻia kēia helu he koʻikoʻi, pono e noʻonoʻo koke i nā koho lapaʻau. E hilinaʻi ʻia ke ala lapaʻau kikoʻī ma nā kumu he nui, me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. He mea nui e kamaʻilio ākea me kāu urologist a i ʻole oncologist e hana i nā hoʻoholo ʻike.
ʻO ka hoʻoholo i ka maikaʻi lapaʻau gleason 8 prostate maʻi kanesa lapaʻau kokoke iaʻu pilikino a pili i nā kumu like ʻole. Hoʻopili kēia i ka pae o kou maʻi maʻi (i hoʻoholo ʻia e nā hopena biopsy a me nā scan imaging), kou mau makahiki a me kou olakino holoʻokoʻa, kou manaʻolana ola, a me kāu mau makemake e pili ana i nā hopena ʻaoʻao lapaʻau. E noʻonoʻo kāu kauka i kēia mau mea āpau ma mua o ka ʻōlelo ʻana i kahi papa hana. He mea koʻikoʻi ka hana mua no nā hopena maikaʻi aʻe. ʻO kahi hui hui multidisciplinary, e pili ana i nā urologists, oncologists, a me radiation oncologists, hāʻawi pinepine i ka mālama maikaʻi loa.
Loaʻa nā koho lapaʻau no Gleason 8 prostate cancer. ʻO ka koho maikaʻi loa e pili ana i nā kūlana pilikino i kūkākūkā ʻia ma luna. ʻO nā koho maʻamau ka:
ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. Manaʻo pinepine ʻia kēia no ka maʻi prostate kūloko. ʻOkoʻa ka pae holomua o kēia kaʻina hana ma muli o ke akamai o ke kauka lapaʻau a me ka pae o ka maʻi kanesa. Hiki i nā hopena ʻaoʻao ke komo i ka incontinence a me ka erectile dysfunction. Hiki ke hoʻihoʻi ʻia ka manawa mai kekahi mau pule a i nā mahina.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hāʻawi ʻia kēia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). Hāʻawi pinepine ʻia ka lāʻau lapaʻau lāʻau o waho i nā pule he nui, aʻo ka brachytherapy e pili ana i ke kanu ʻana i nā hua radioactive i loko o ka prostate. Hiki i nā hopena ʻaoʻao ke komo i ka luhi, ka ʻili o ka ʻili, a me nā pilikia o ka ʻōpū a i ʻole ka ʻōpū. Hoʻoholo ʻia ka koho ma waena o ka beam waho a me ka brachytherapy ma muli o nā mea maʻi pilikino.
ʻO ka hormone therapy ka manaʻo e hoʻemi i ke kiʻekiʻe o ka testosterone i loko o ke kino, hoʻolohi a hoʻōki paha i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia kēia i ka maʻi prostate kiʻekiʻe a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe. Hiki ke hāʻawi ʻia ka ADT ma o nā injections a i ʻole nā lāʻau lapaʻau waha. Hiki i nā hopena ʻaoʻao ke komo i ka wela wela, ka loaʻa ʻana o ke kaumaha, ka nalowale o ka libido, a me ka osteoporosis.
ʻO ka mākaʻikaʻi ikaika e pili ana i ka nānā pono ʻana i ke kanesa me ka ʻole o ka mālama koke ʻana. Manaʻo pinepine ʻia kēia koho no nā kāne me ka maʻi prostate haʻahaʻa haʻahaʻa, a ʻo ka nānā mau ʻana me nā hoʻokolohua PSA a me nā biopsies e ʻike i nā loli. He kūpono paha ka nānā ʻana no kekahi mau hihia Gleason 8 ma muli o nā kumu ʻē aʻe akā pono e noʻonoʻo pono a nānā pono.
He mea koʻikoʻi ke koho ʻana i ka loea kūpono no ka maikaʻi lapaʻau gleason 8 prostate maʻi kanesa lapaʻau kokoke iaʻu. E ʻimi i nā urologists i hōʻoia ʻia e ka papa a me nā oncologists me ka ʻike nui i ka mālama ʻana i ka maʻi maʻi prostate. E noʻonoʻo e ʻimi i kahi manaʻo ʻelua e hōʻoia i ka loaʻa ʻana o ka mālama maikaʻi loa. Hiki iā ʻoe ke noiʻi i nā haukapila a me nā kikowaena maʻi maʻi i ʻike ʻia no ko lākou akamai i ka mālama ʻana i ka maʻi maʻi prostate. Shandong Baofa Cancer Research Institute He keʻena kaulana ia e hāʻawi ana i nā lāʻau lapaʻau no nā maʻi maʻi like ʻole, me ka maʻi prostate.
E hoʻomanaʻo, ʻo ka ʻike i hāʻawi ʻia ma aneʻi no ka ʻike ākea a ʻaʻole ia e pani i ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. E kūkākūkā mau me kāu kauka e hoʻoholo i ka hana maikaʻi loa no kāu kūlana kikoʻī. ʻO ka ʻike mua ʻana a me ka mālama ʻana he kumu nui ia i ka mālama ʻana i ka maʻi prostate Gleason 8.
| Lapaʻau | Nā hopena ʻaoʻao | Ka pono |
|---|---|---|
| ʻO ka ʻoki ʻana (Radical Prostatectomy) | ʻO ka hoʻomau ʻole, ka erectile dysfunction | He mea maikaʻi loa no ka maʻi kūloko |
| Lapaʻau Radiation | ʻO ka luhi, ka ʻili o ka ʻili, ka pilikia o ka ʻōpū / ʻōpū | Pono no ka localized a me kekahi ma'i holomua |
| Lapaʻau Hormone (ADT) | ʻO ka wela wela, ka piʻi ʻana o ke kaumaha, ka nalowale o ka libido, osteoporosis | Hoʻolohi a hoʻōki paha i ka ulu ʻana o ka maʻi kanesa, hoʻohana pinepine ʻia i nā pae kiʻekiʻe |
| Nānā ʻeleu | ʻO nā hopena ʻaoʻao liʻiliʻi, akā pono ka nānā mau | He kūpono no nā hihia haʻahaʻa haʻahaʻa, pono ke nānā pono |
Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kamaʻilio mau me kahi ʻoihana mālama ola kūpono no ka ʻike a me ka mālama ʻana.