lapaau locally advanced prostate cancer lapaau Halemai

Lapaʻau ʻana no ka maʻi maʻi prostate kiʻekiʻe o ka ʻāina: ʻo ka ʻimi ʻana i ka halemai kūpono. Kōkua kēia alakaʻi iā ʻoe e hoʻomaopopo i kāu mau koho a loaʻa i ka haukapila kūpono no kāu mau pono.

Ka hoomaopopo ana i ka Locally Advanced Prostate Cancer

'O ka ma'i 'a'ai prostate kūloko 'o ia ka 'a'ai 'a'ai i laha ma waho a'e o ka ma'i prostate akā 'a'ole na'e 'o ka metastasized (laha i nā wahi mamao o ke kino). Pono kēia pae i ka hoʻomaʻamaʻa koʻikoʻi e pale i ka holomua hou. Hiki i nā hōʻailona maʻamau ke komo i nā pilikia mimi, ʻeha iwi, a me ka erectile dysfunction, akā nui nā kāne i ʻike ʻole i nā hōʻailona. He mea koʻikoʻi ka ʻike mua ʻana, no ka mea, pili ia i nā koho lapaʻau a me ka wānana. Ke hilinaʻi nei ka hōʻoia pololei i ka hui pū ʻana o nā ʻano, me ka hoʻāʻo koko kikohoʻe (DRE), ka hoʻāʻo koko prostate-specific antigen (PSA), a me ka biopsy. ʻO ka helu Gleason a me ka ʻōnaehana staging TNM e kōkua i ka hoʻoholo ʻana i ka nui o ka maʻi kanesa.

Nā Koho Lapaʻau no ka maʻi maʻi prostate kūlana kiʻekiʻe

Hoʻokaʻawale ʻia nā hoʻolālā lapaʻau a hilinaʻi ʻia i nā kumu like ʻole me ke olakino holoʻokoʻa o ka mea maʻi, ka makahiki, ka pae o ka maʻi kanesa, a me nā makemake pilikino. Eia kekahi mau hana lapaʻau maʻamau:

Lapaʻau Radiation

ʻO ka lāʻau lapaʻau, me ka lāʻau lapaʻau lāʻau waho waho (EBRT) a me ka brachytherapy (ka radiation kūloko), he pōhaku kihi o ka mālama ʻana i ka maʻi maʻi prostate kūloko. Hoʻohana ʻo EBRT i nā kukui ikaika nui e hoʻopaʻa a luku i nā pūnaewele maʻi maʻi, aʻo ka brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate. Hāʻawi ka nui o nā halemai i nā ʻenehana radiation holomua e like me ka intensity-modulated radiation therapy (IMRT) a me ka proton therapy, ka mea e hāʻawi ai i nā kaila radiation kūpono e hōʻemi i ka pōʻino i nā ʻiʻo olakino a puni. Hoʻopili pinepine ʻia kēia mau ʻenehana holomua me nā hopena lapaʻau maikaʻi. ʻO ka koho ma waena o ka EBRT a me ka brachytherapy, a me ke koho ʻana i nā ʻenehana radiation kikoʻī, e pili ana i nā ʻano o ka maʻi a me nā kūlana pilikino o ka mea maʻi.

ʻO ka ʻoki ʻana

ʻO Radical prostatectomy, ka wehe ʻana i ka ʻili prostate, kahi koho ʻē aʻe no ka mālama ʻana i ka maʻi maʻi prostate kūloko. ʻO ka robotic-assisted laparoscopic prostatectomy (RALP) kahi ala hōʻemi liʻiliʻi e hāʻawi ana i nā pōmaikaʻi e like me ka emi ʻana o ke kahe koko, ka noho ʻana o ka haukapila pōkole, a me ka wikiwiki o ka hoʻihoʻi ʻana i ka hoʻohālikelike ʻana i ke kaʻina wehe kuʻuna. ʻO ke kūpono o ka ʻoki ʻana ma muli o ka nui a me kahi o ka ʻōpū, a me ke olakino ākea o ka mea maʻi. He mea koʻikoʻi ke kūkākūkā ʻana i nā hopena ʻaoʻao e hiki mai ana, me ka urinary incontinence a me ka erectile dysfunction, me kāu kauā ma mua o ka hoʻoholo ʻana i kēia lapaʻau.

Lapaʻau Hormone

ʻO ka hormone therapy, i kapa ʻia ʻo androgen deprivation therapy (ADT), e hoʻemi i nā pae o ka testosterone i loko o ke kino, kahi e pono ai ke ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia kēia ʻano lapaʻau me nā lāʻau lapaʻau ʻē aʻe e like me ka radiation therapy a i ʻole ke ʻoki ʻana, ʻoi aku ka nui o nā maʻi kūloko kūloko. Hiki i ka ADT ke hoʻolōʻihi i ka ulu ʻana o ka maʻi prostate a hoʻomaikaʻi i nā helu ola. Eia naʻe, hiki i ka ADT lōʻihi ke alakaʻi i nā hopena ʻaoʻao e like me ka wela wela, ka loaʻa ʻana o ke kaumaha, osteoporosis, a me ka emi ʻana o ka libido. Pono ka nānā pono ʻana i ka wā a ma hope o ka mālama ʻana iā ADT.

Kemoterapi

Mālama ʻia ka Chemotherapy no nā hihia i holomua ai ka maʻi kanesa a ʻaʻole i pane pono i nā lāʻau lapaʻau ʻē aʻe. Ma ka pōʻaiapili o ka mālama ʻana i ka maʻi maʻi prostate kūloko, hiki ke noʻonoʻo ʻia ka chemotherapy ma nā kūlana kikoʻī, e like me ke kiʻekiʻe o ka maʻi kanesa a i ʻole ka ulu wikiwiki ʻana. Loaʻa kekahi mau lāʻau lapaʻau chemotherapy, kēlā me kēia me kāna pūʻulu ponoʻī o nā hopena ʻaoʻao. ʻO ka hoʻoholo ʻana e hoʻohana i ka chemotherapy e hilinaʻi ʻia i ke olakino holoʻokoʻa o ka mea maʻi a me ka pae o ka maʻi.

Ke koho ʻana i ka Halemaʻi kūpono no kāu lapaʻau

Ke koho ʻana i kahi haukapila no ka mālama ʻana i ka maʻi maʻi prostate kūloko he hoʻoholo koʻikoʻi. E noʻonoʻo i nā mea e like me ka ʻike o ka haukapila i ka mālama ʻana i ka maʻi maʻi prostate, ka loaʻa ʻana o nā ʻenehana holomua a me nā koho lapaʻau, a me ke akamai o ka hui lapaʻau. E ʻimi i nā halemai me nā kikowaena maʻi maʻi prostate i hoʻolaʻa ʻia a me nā hui multidisciplinary e pili ana i nā urologists, radiation oncologists, medical oncologists, a me nā loea ʻē aʻe. Hiki i nā loiloi maʻi a me ke kūlana accreditation ke hāʻawi i nā ʻike waiwai. ʻO kahi kūkākūkā pilikino me kahi loea e lilo i mea kōkua i ka hana ʻana i kahi koho ʻike.

Loaʻa i ke kākoʻo a me nā kumuwaiwai

He mea paʻakikī ka hōʻailona o ka maʻi maʻi prostate kūloko, ma ke kino a me ka naʻau. ʻO ka ʻimi ʻana i ke kākoʻo mai ka ʻohana, nā hoaaloha, a me nā hui kākoʻo he mea nui ia i ka huakaʻi lapaʻau. Hāʻawi nā hui e like me ka American Cancer Society a me ka Prostate Cancer Foundation i nā kumuwaiwai waiwai, me ka ʻike e pili ana i nā koho lapaʻau, kōkua kālā, a me ke kākoʻo noʻonoʻo. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi.

Papa: Hoʻohālikelike i nā koho lapaʻau

E hoʻomanaʻo e kūkākūkā me kāu kauka e hoʻoholo i ka mea maikaʻi loa lapaʻau no ka maʻi ʻaʻai prostate kūloko ma muli o kāu kūlana kiko'ī. No ka 'ike hou aku, e kipa i ka Shandong Baofa Cancer Research Institute pūnaewele puni honua. National Cancer Institute hāʻawi pū i ka ʻike piha e pili ana i ka maʻi prostate.