lapaʻau metastatic prostate maʻi 'aʻai koho

Nā Koho Lapaʻau no ka Metastatic Prostate Cancer

Ke ʻimi nei kēia alakaʻi piha i nā ʻano like ʻole nā koho lapaʻau no ka maʻi maʻi prostate metastatic, hāʻawi i nā ʻike i nā holomua hou loa a kōkua iā ʻoe e hoʻomaopopo i ke kaʻina hana hoʻoholo e pili ana i ka mālama ʻana i kēia maʻi paʻakikī. Hoʻopili mākou i nā ala lapaʻau like ʻole, ko lākou pono, nā hopena ʻaoʻao kūpono, a me ke koʻikoʻi o nā hoʻolālā mālama pilikino i hoʻomohala ʻia me ke kūkākūkā me kahi oncologist kūpono. E aʻo e pili ana i nā lāʻau lapaʻau hormonal, ka chemotherapy, nā lāʻau lapaʻau i hoʻopaʻa ʻia, immunotherapy, a me nā lāʻau lapaʻau - ko lākou mau kuleana, a i ka wā e kūpono ai.

Ka hoʻomaopopo ʻana i ka Metastatic Prostate Cancer

He aha ka Metastatic Prostate Cancer?

ʻO ka maʻi maʻi prostate metastatic e pili ana i ka maʻi maʻi prostate i hoʻolaha ʻia ma waho o ka gland prostate i nā wahi ʻē aʻe o ke kino. ʻO kēia laha, a i ʻole ka metastasis, ke hana maʻamau ma ke kahe koko a i ʻole ka lymphatic system. ʻO nā wahi maʻamau no ka metastasis ʻo ia nā iwi, nā lymph nodes, a me nā māmā. ʻIke mua a me ka wikiwiki lapaʻau no ka maʻi maʻi prostate metastatic he mea koʻikoʻi no ka mālama ʻana i ka maʻi a me ka hoʻomaikaʻi ʻana i nā hopena maʻi.

ʻO ke kau ʻana a me ka hōʻoia ʻana

Pono ka hoʻonohonoho pololei ʻana no ka hoʻoholo ʻana i ke ala maikaʻi loa lapaʻau no ka maʻi maʻi prostate metastatic. Hoʻopili kēia i ka hui pū ʻana o nā hoʻokolohua, me kahi hōʻike digital rectal exam (DRE), prostate-specific antigen (PSA) test, biopsy, imaging study (e like me CT scans, iwi scans, a me MRI), a i kekahi manawa he biopsy iwi iwi. ʻO ka pae o ka maʻi kanesa ke kuhikuhi i ka hoʻolālā lapaʻau.

Nā Koho Lapaʻau no ka Metastatic Prostate Cancer

Lapaʻau Hormone

ʻO ka hormone therapy, i kapa ʻia ʻo androgen deprivation therapy (ADT), ʻo ia ka lālani mua o ka mālama ʻana no ka maʻi maʻi prostate metastatic. Hana ia ma ka hoʻemi ʻana i nā pae o androgens, nā hormones e hoʻoulu ai i ka ulu ʻana o ka maʻi maʻi prostate. Loaʻa kekahi mau ʻano o ka hormone therapy, me nā lāʻau lapaʻau e like me ka leuprolide acetate a me ka bicalutamide. ʻOiai maikaʻi i nā hihia he nui, hiki i ka hormone therapy ke loaʻa nā hopena ʻaoʻao, e like me ka wela wela, hoʻemi libido, a me nā loli kaumaha. E aʻo hou e pili ana i nā koho hormone therapy.

Kemoterapi

Hoʻohana ka Chemotherapy i nā lāʻau ikaika e pepehi i nā maʻi kanesa. Hoʻohana pinepine ʻia i ka wā e pau ai ka hana ʻana o ka hormone therapy a i ʻole nā ​​​​maʻi ʻeha. ʻO nā lāʻau lapaʻau maʻamau i hoʻohana ʻia no ka maʻi prostate metastatic me docetaxel a me cabazitaxel. Hiki i nā hopena ʻaoʻao ke komo i ka nausea, ka luhi, a me ka nalowale o ka lauoho, akā hiki ke mālama pinepine ʻia kēia mau mea. E ʻimi kikoʻī i nā koho chemotherapy.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau i hoʻolālā ʻia e hoʻouka i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Hiki ke ʻoi aku ka maikaʻi o kēia mau lāʻau lapaʻau ma mua o ka chemotherapy kahiko me ka liʻiliʻi o nā hopena ʻaoʻao. ʻO nā laʻana he abiraterone acetate a me enzalutamide. Ke hana nei kēia mau lāʻau lapaʻau ma ke kāohi ʻana i ka hana o nā hormones a i ʻole nā ​​protein e hoʻoulu i ka ulu ʻana o ka maʻi maʻi prostate.

Immunotherapy

Hoʻohana ka Immunotherapy i ka mana o ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Ke ʻimi ʻia nei kekahi mau ala immunotherapy no ka maʻi maʻi prostate metastatic. Ke ulu wikiwiki nei kēia wahi noiʻi, a ke kūkulu mau ʻia nei nā lāʻau lapaʻau hou. E kūkākūkā me kāu kauka e pili ana i nā koho immunotherapy.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hoʻohana ʻia e mālama i nā metastases o ka iwi, e hōʻemi i ka ʻeha a hoʻomaikaʻi i ka maikaʻi o ke ola. Loaʻa nā ʻano lāʻau lapaʻau like ʻole, me ka hoʻoheheʻe ʻana o waho a me ka brachytherapy (ka radiation kūloko).

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka maikaʻi loa nā koho lapaʻau no ka maʻi maʻi prostate metastatic hilinaʻi i nā kumu he nui, e like me ka pae o ke kanesa, kou olakino holoʻokoʻa, nā makemake pilikino, a me nā hopena ʻaoʻao. He mea koʻikoʻi ka hana pū ʻana me kahi hui o nā limahana mālama olakino, me kahi oncologist, urologist, a me nā loea ʻē aʻe, e hoʻomohala i kahi hoʻolālā lapaʻau pilikino i kūpono i kāu mau pono kikoʻī. Hiki iā lākou ke kōkua iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho lapaʻau a hana i kahi hoʻoholo ʻike. Pono ka nānā mau ʻana no ka loiloi ʻana i ka pono o ka lāʻau lapaʻau a hoʻoponopono ʻia e like me ka mea e pono ai.

Mālama Kākoʻo

Ka mālama ʻana i nā hopena ʻaoʻao o lapaʻau no ka maʻi maʻi prostate metastatic he mea koʻikoʻi no ka mālama ʻana i ka maikaʻi o ke ola. Hiki i ka mālama kākoʻo ke hoʻokomo i ka lāʻau lapaʻau e mālama ai i ka ʻeha, nausea, a me ka luhi, a me ka ʻōlelo aʻoaʻo a me nā lawelawe kākoʻo ʻē aʻe. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i ka mālama piha e kālele ana i ka mālama ʻana a me ka maikaʻi o ka maʻi.

Hoʻolele

Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kāu mea mālama ola no ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.