
Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole nā koho lapaʻau no ka maʻi maʻi prostate metastatic, kōkua iā ʻoe e hoʻomaopopo i nā lāʻau lapaʻau i loaʻa a hoʻoholo i nā hoʻoholo. Hoʻopili mākou i nā ala lapaʻau like ʻole, ko lākou pono, nā hopena ʻaoʻao kūpono, a me nā mea e noʻonoʻo ai i ke koho ʻana i kahi hoʻolālā lapaʻau. He mea koʻikoʻi ka ʻimi ʻana i ka mālama kūpono kokoke i ka home, no laila e kamaʻilio pū mākou pehea e ʻimi ai i nā loea a me nā kumuwaiwai kākoʻo kokoke iā ʻoe.
'O ke 'ano o ka ma'i 'a'ai prostate metastatic 'o ia ho'i, ua laha ka ma'i 'a'ai ma waho a'e o ka gland prostate i nā wahi 'ē a'e o ke kino. Pono ka hoʻokele maikaʻi ʻana i kahi ala multidisciplinary, e pili pinepine ana i kahi hui o nā loea me nā urologists, oncologists, a me radiation oncologists. ʻO ka kikoʻī nā koho lapaʻau no ka maʻi maʻi prostate metastatic hilinaʻi ma nā kumu he nui, e like me ka pae o ka maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. He mea koʻikoʻi e kūkākūkā i nā koho āpau me kāu mea mālama ola kino e hoʻoholo ai i ka hana maikaʻi loa no kou kūlana pilikino.
ʻO ka hormone therapy, i ʻike ʻia ʻo androgen deprivation therapy (ADT), he pōhaku kihi o ka mālama ʻana i ka maʻi maʻi prostate metastatic. Hana ia ma ka hoʻemi ʻana i ke kiʻekiʻe o nā hormones kāne (androgens) e hoʻoulu ai i ka ulu ʻana o ka maʻi prostate. Hiki ke hoʻokō ʻia kēia ma o nā ʻano like ʻole, me nā lāʻau lapaʻau e like me GnRH agonists (e laʻa, leuprolide), GnRH antagonists (e laʻa, degarelix), a me nā antiandrogens (eg, bicalutamide). Hiki i ka hormone therapy ke hoʻolōʻihi i ka piʻi ʻana o ka maʻi a hoʻomaikaʻi i nā helu ola. Eia nō naʻe, hiki iā ia ke alakaʻi i nā hopena ʻaoʻao e like me ka wela wela, hoʻemi libido, a me nā loli kaumaha.
Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia i nā hihia inā ʻaʻole maikaʻi ka lāʻau hormone. ʻO nā regimens chemotherapy maʻamau no ka maʻi prostate metastatic me docetaxel, cabazitaxel, a me nā mea ʻē aʻe. ʻOiai hiki i ka chemotherapy ke hōʻemi i nā ʻōpū a hoʻomaikaʻi i ke ola ʻana, lawe pū kekahi i nā hopena koʻikoʻi, e like me ka nausea, luhi, a me ka poho lauoho. Pono e hoʻoholo i ka hana ʻana i ka chemotherapy ma ke kūkākūkā ʻana me kāu oncologist, me ke kaupaona ʻana i nā pono kūpono e pili ana i nā pilikia.
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e hoʻopaʻa a luku i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia e hoʻomaha i ka ʻeha mai nā metastases iwi a i ʻole e hōʻemi i nā ʻōpū ma nā wahi ʻē aʻe o ke kino. Loaʻa nā ʻano lāʻau lapaʻau like ʻole, e like me ka radiation beam waho a me ka brachytherapy (ke kukui kūloko). Hiki ke ʻokoʻa nā hopena ʻaoʻao ma muli o ke ʻano a me ke ʻano o ka radiation, akā hiki ke komo i ka luhi, ka ʻili ʻili, a me nā pilikia o ka ʻōpū.
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau i hoʻolālā ʻia e hoʻopaʻa pono i nā maʻi maʻi maʻi me ka ʻole o ka hōʻino ʻana i nā cell olakino. Ua ʻae ʻia kekahi mau lāʻau lapaʻau i manaʻo ʻia no ka maʻi prostate metastatic, e like me enzalutamide a me abiraterone. Hiki i kēia mau lāʻau ke hoʻolōʻihi i ke ola a hoʻomaikaʻi i ka maikaʻi o ke ola i kekahi mau maʻi. E like me nā lāʻau lapaʻau ʻē aʻe, hiki i nā lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao, pono e kūkākūkā me kāu kauka.
Hoʻohana ka Immunotherapy i ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. ʻOiai he mea hou i ka mālama ʻana i ka maʻi maʻi prostate, ke hōʻike nei ka immunotherapy i kekahi mau hihia. Ke aʻo ʻia nei kekahi mau lāʻau immunotherapy no ka maʻi maʻi prostate metastatic, a e lilo paha kēia mau lāʻau i mea nui i ka wā e hiki mai ana.
Ke ʻimi nei i ka mālama kiʻekiʻe no ka mālama ʻana i ka maʻi maʻi prostate metastatic kokoke iā ʻoe he mea nui. E hoʻomaka ma ke kamaʻilio ʻana i kāu kauka mālama mua, hiki iā ia ke kuhikuhi iā ʻoe i nā loea. Hiki iā ʻoe ke ʻimi ma ka pūnaewele no nā urologists a me oncologists ma kou wahi, e nānā ana i kā lākou ʻike a me ka ʻike me ka maʻi prostate. Nui nā halemai a me nā keʻena maʻi maʻi e hāʻawi i ka laulā nā koho lapaʻau no ka maʻi maʻi prostate metastatic, pinepine me nā lawelawe kākoʻo hoʻolaʻa no nā maʻi a me ko lākou mau ʻohana. E noʻonoʻo e kelepona aku i nā hui e like me ka Prostate Cancer Foundation no nā kumuwaiwai hou aʻe a me ke kākoʻo.
ʻO ke koho o ka mea maikaʻi loa nā koho lapaʻau no ka maʻi maʻi prostate metastatic he kanaka hoʻokahi a pono e hana pū me kāu hui mālama ola. ʻO nā kumu e noʻonoʻo ai:
Mai kānalua e nīnau i kāu kauka i nā nīnau a e ʻimi i nā manaʻo ʻelua inā pono. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu maʻi a me nā koho lapaʻau no ka hoʻoholo ʻana i ka ʻike a me ka hoʻokele ʻana i kēia huakaʻi paʻakikī.
No ka ʻike hou aku a me ke kākoʻo, makemake paha ʻoe e kūkākūkā me Shandong Baofa Cancer Research Institute no ka 'ike kiko'ī e pili ana nā koho lapaʻau metastatic prostate cancer.