
Ke ʻimi nei kēia alakaʻi piha lapaau pi rads 4 prostate cancer lapaau Halemai, e kālele ana i nā koho lapa'au like 'ole i loa'a no nā po'e ma'i ma'i 'a'ai prostate me ka helu PI-RADS o 4. E no'ono'o mākou i nā hopena o kēia helu, e kūkākūkā i nā ala lapa'au like 'ole e like me ka radiation therapy, ka 'oki 'ana, a me ka ho'oikaika 'ana i ka nānā 'ana, a me nā mea nui e no'ono'o ai i ke koho 'ana i ka papa hana maika'i loa. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho a me ka hoʻoholo ʻana i nā hoʻoholo no ka mālama ʻana i ka maʻi kanesa.
ʻO ka Prostate Imaging Reporting and Data System (PI-RADS) kahi ʻōnaehana helu maʻamau i hoʻohana ʻia e loiloi i ka likelika o ka maʻi prostate ma muli o nā scan MRI. ʻO ka helu PI-RADS o 4 e hōʻike ana i kahi kūpono waena o ka maʻi kanesa. ʻAʻole kēia manaʻo he maʻi maʻi ʻoe, akā pono ia e noiʻi hou a kūkākūkā pū me kāu urologist a oncologist paha e hoʻoholo ai i ke ala maikaʻi loa o ka mālama ʻana.
ʻO ka hoʻoholo e pili ana i ka maikaʻi lapaʻau pi rads 4 prostate maʻi kanesa lapaʻau e hoʻopili ʻia e kekahi mau mea ma mua o ka helu PI-RADS, me kou mau makahiki, ke olakino holoʻokoʻa, ka loaʻa ʻana o nā kūlana olakino ʻē aʻe, a me nā makemake pilikino. Hoʻomaʻamaʻa pinepine ʻia kahi hoʻokolokolo piha a me ka biopsy e hōʻoia i ka maʻi a me ka loiloi i ka nui o ka maʻi kanesa.
ʻO ka lāʻau lapaʻau he koho lapaʻau maʻamau no ka maʻi maʻi prostate, ʻoi aku hoʻi i nā hihia me ka helu PI-RADS o 4. Hoʻopili ia i ka hoʻohana ʻana i ka radiation ikaika kiʻekiʻe e pepehi i nā maʻi kanesa. Aia nā ʻano lāʻau lapaʻau like ʻole, me ka lāʻau lapaʻau kukuna waho (EBRT) a me ka brachytherapy (internal radiation therapy). Aia ke koho i nā kumu he nui, me ka wahi a me ka nui o ka ʻōpū, a me kou olakino holoʻokoʻa. Hāʻawi pinepine ʻia ʻo EBRT i nā manawa he nui i nā pule he nui. Hoʻokomo ka Brachytherapy i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate.
ʻO ka wehe ʻana o ka prostate gland (prostatectomy) kekahi koho lapaʻau kūpono no ka maʻi maʻi prostate PI-RADS 4. Manaʻo pinepine ʻia kēia no nā maʻi maʻi maʻi kūloko a he hana ʻoki nui me nā hopena ʻaoʻao e like me ka incontinence urinary a me ka erectile dysfunction. E hoʻoholo ʻia ke ʻano o ka ʻoki (radical prostatectomy, nerve-sparing prostatectomy) ma muli o kou kūlana.
No kekahi mau kāne me ka helu PI-RADS 4 a me ka maʻi maʻi haʻahaʻa haʻahaʻa, he koho kūpono paha ka nānā ʻana. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa ma o ka nānā mau ʻana a me nā hoʻokolohua kiʻi me ka mālama ʻole ʻana. He kūpono kēia ʻano no nā maʻi maʻi e ulu lohi ʻaʻole hiki ke pālahalaha koke. Eia nō naʻe, pono ia i ka nānā pono ʻana a me ke ʻano hui pū me kāu hui mālama ola.
Ke koho ʻana i ka mea kūpono loa lapaau ma'i ma'i prostate Halemai a me ka papahana lapaʻau e pili ana i ka noʻonoʻo pono ʻana i nā kumu like ʻole. He mea koʻikoʻi ka loaʻa ʻana o kahi kūkākūkā ākea a pololei me kāu urologist a me ka oncologist e hoʻomaopopo i nā pono, nā pilikia, a me nā hopena ʻaoʻao o kēlā me kēia koho. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu kūlana kikoʻī a me nā makemake. ʻO ka hui ma Shandong Baofa Cancer Research Institute ua hoʻolaʻa ʻia i ka hāʻawi ʻana i ka mālama ākea a pilikino no nā maʻi maʻi maʻi prostate.
| Koho Lapaau | Nā pōmaikaʻi | ʻO nā pilikia / hopena ʻaoʻao |
|---|---|---|
| Ka Lapaʻau Radiation (EBRT/Brachytherapy) | ʻOi aku ka invasive ma mua o ka ʻoki ʻana; hiki ke hana maikaʻi loa | ʻO nā pilikia o ka urinary a me ka ʻōpū, ka luhi, ka ʻili ʻili |
| ʻO ka ʻoki ʻana (Prostatectomy) | Loaʻa no ka wehe piha ʻana i ka maʻi kanesa | ʻO ka hoʻomau ʻole ʻana o ka urinary, erectile dysfunction, maʻi |
| Nānā ʻeleu | Hōʻalo i ka mālama koke ʻana i nā hopena ʻaoʻao; kūpono no nā maʻi kanesa haʻahaʻa | Pono ka nānā pono; hiki ke piʻi i ka maʻi kanesa |
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 hōʻoia ʻana a me nā ʻōlelo aʻoaʻo lapaʻau.