Nā Koho Lapaʻau no ka Late-Stage Prostate Cancer: He alakaʻi no ka ʻimi ʻana i ka Halemaʻi kūpono. Hāʻawi kēia alakaʻi i ka ʻike koʻikoʻi e pili ana i nā koho lapaʻau a me nā noʻonoʻo no nā poʻe maʻi e ʻimi nei i ka mālama maikaʻi loa. Manaʻo ia e kōkua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻokele i ke kaʻina hana o ka ʻimi ʻana i kahi haukapila kūpono no kāu lapaʻau hope loa prostate maʻi maʻi maʻi lapaʻau pono.
Ka hoʻomaopopo ʻana i ka maʻi maʻi prostate ma hope
Ka wehewehe ʻana i ka maʻi maʻi prostate ma hope
ʻO ka maʻi maʻi prostate hope loa, ka mea maʻamau i helu ʻia ma ke ʻano he pae III a me IV, e pili ana i ka maʻi maʻi i laha ma waho o ka gland prostate. Hōʻike ka pae III i ka laha ʻana o ka maʻi kanesa i nā ʻiʻo kokoke a i ʻole nā lymp nodes, aʻo ka pae IV e hōʻike ana i ka metastasis - ka laha ʻana o ka maʻi kanesa i nā ʻāpana mamao e like me nā iwi, nā māmā, a i ʻole ka ate. ʻO ka papahana lapaʻau kūikawā e pili ana i ke kahua, ka pae, a me ke olakino holoʻokoʻa o kēlā me kēia.
ʻIke a me ke kau ʻana
He mea koʻikoʻi ka ʻike pololei a me ka hoʻonohonoho ʻana no ka maikaʻi
lapaʻau hope loa prostate maʻi maʻi maʻi lapaʻau. Hoʻopili kēia i kahi ʻano o nā hoʻāʻo, me kahi hōʻike hoʻāʻo digital rectal (DRE), hōʻike koko prostate-specific antigen (PSA), biopsy, a me nā haʻawina kiʻi e like me CT scans, MRI scans, a me nā iwi scans. He mea nui ka hoʻomaopopo ʻana i kāu pae no ke kūkākūkā ʻana i nā koho lapaʻau me kāu oncologist.
Nā Koho Lapaʻau no ka maʻi maʻi prostate ma hope
Lapaʻau Hormone
ʻO ka hormone therapy, i ʻike ʻia ʻo ka androgen deprivation therapy (ADT), e hoʻemi i nā pae o nā hormones kāne (androgens) e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hiki ke hoʻokō ʻia kēia ma o nā lāʻau lapaʻau e like me ka luteinizing hormone-releasing hormone (LHRH) agonists a i ʻole antagonists, a i ʻole ma o ka castration ʻoki. ʻOiai ʻoi aku ka maikaʻi o ka hoʻolōʻihi ʻana a i ʻole ka hoʻōki ʻana i ka piʻi ʻana o ka maʻi kanesa, loaʻa paha i ka hormone therapy nā hopena ʻaoʻao e like me ka wela wela, hoʻemi libido, a me ka osteoporosis.
Kemoterapi
Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hoʻohana pinepine ia inā ʻaʻole maikaʻi ka lāʻau hormone a i ʻole no nā maʻi me ka maʻi ʻeha. ʻO nā regimens chemotherapy maʻamau no ka maʻi maʻi prostate ʻo docetaxel, cabazitaxel, a me mitoxantrone. Hiki i nā hopena ʻaoʻao ke koʻikoʻi a loaʻa ka nausea, ka luhi, ka lauoho lauoho, a me ka hoʻopau ʻana i ka ʻōnaehana pale.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopau i nā maʻi kanesa. Hiki ke hoʻohana ʻia no ka mālama ʻana i ka maʻi maʻi prostate hope loa a i ʻole e hōʻoluʻolu i nā hōʻailona o ka maʻi metastatic. Hoʻohana mau ʻia ka lāʻau lapaʻau lāʻau o waho, akā hiki ke koho ʻia ka brachytherapy (ke kukui kūloko) i kekahi mau hihia. Hiki i nā hopena ʻaoʻao ke komo i ka luhi, ka ʻili o ka ʻili, a me nā pilikia mimi a ʻōpū paha.
ʻO ka Lapaʻau Kūlohelohe
Hoʻohana ʻia ka lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā cell olakino. Ua hōʻike ʻia kekahi mau lāʻau lapaʻau i manaʻo ʻia i ka mālama ʻana i ka maʻi maʻi prostate, ʻoi aku ka poʻe me nā hoʻololi genetic kikoʻī. Hoʻohana pinepine ʻia kēia ʻano lapaʻau me nā lāʻau lapaʻau ʻē aʻe.
Immunotherapy
Hoʻohana ka Immunotherapy i ke kino ponoʻī o ke kino e hakakā i ka maʻi kanesa. ʻOiai ka mea hou i ka ʻāina lapaʻau no ka maʻi prostate, nā lāʻau immunotherapy, e like me pembrolizumab a me atezolizumab, ke noiʻi ʻia a hoʻohana ʻia i kekahi mau kūlana no ka maʻi metastatic. ʻOkoʻa nā hopena ʻaoʻao a hiki ke mālama ʻia.
Ke koho ʻana i ka Halemaʻi kūpono no kāu lapaʻau
Ke koho ʻana i ka haukapila kūpono no
lapaʻau hope loa prostate maʻi maʻi maʻi lapaʻau he hoʻoholo koʻikoʻi. E noʻonoʻo i nā mea e like me: ʻO ka ʻike a me ka ʻike: E ʻimi i nā halemai me nā oncologist akamai a me nā papahana lapaʻau maʻi prostate kūikawā. ʻIke Hou: Hiki i nā halemai me ke kiʻi kiʻi kiʻi kiʻi kiʻi, radiation therapy, a me nā ʻenehana ʻē aʻe ke hāʻawi i ka pololei a me nā hopena. Ka mālama piha: E ʻimi i nā haukapila e hāʻawi ana i kahi ala multidisciplinary, e pili ana i nā loea like ʻole e like me ka oncologists, urologists, radiation oncologists, a me nā kauā. Nā lawelawe kākoʻo maʻi: E noʻonoʻo i ka loaʻa ʻana o nā lawelawe kākoʻo e like me ke aʻo ʻana, hoʻoponopono hou, a me ka mālama palliative.
| Kumukumu | Mea nui |
| ʻO ka ʻike oncologists | Kiʻekiʻe |
| ʻenehana kiʻekiʻe | Kiʻekiʻe |
| ʻO keʻano o ka multidisciplinary | Kiʻekiʻe |
| Kākoʻo maʻi | Kauwaena |
Loaʻa i ke kākoʻo a me nā kumuwaiwai
He mea paʻakikī ke alo ʻana i kahi maʻi maʻi maʻi maʻi hope loa. Hiki i ka pilina me nā hui kākoʻo a me nā hui i hoʻolaʻa ʻia no ka maʻi maʻi prostate hiki ke hāʻawi i ka ʻike waiwai, kākoʻo noʻonoʻo, a me ke kōkua kūpono. Hiki i kēia mau kumuwaiwai ke kōkua i ka hoʻokele ʻana i ka huakaʻi paʻakikī o ka mālama ʻana a me ka mālama. E hoʻomanaʻo e kamaʻilio ākea me kāu hui mālama ola e pili ana i kou hopohopo a me kou makemake.
https://www.cancer.gov/. E noʻonoʻo e ʻimi i nā koho i loaʻa ma
Shandong Baofa Cancer Research Institute no ka laulā
lapaʻau hope loa prostate maʻi maʻi maʻi lapaʻau. E hoʻomanaʻo, no ka ʻike maʻamau kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkā kamaʻilio ʻana me kahi ʻoihana mālama olakino kūpono.