lapaau pi rads 4 prostate cancer lapaau kokoke ia'u

Nā koho lapaʻau no ka maʻi maʻi prostate: ka hoʻomaopopo ʻana i ka PI-RADS 4 a me ka ʻimi ʻana i ka mālama kokoke iā ʻoe

Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau maʻi prostate, e nānā pono ana i nā hopena o kahi helu PI-RADS 4 a kōkua iā ʻoe e loaʻa ka mālama maikaʻi loa ma kahi kokoke iā ʻoe. E kūkākūkā mākou i nā ala lapaʻau like ʻole, nā pōmaikaʻi a me nā pilikia, a hāʻawi i nā kumuwaiwai e kōkua i kāu kaʻina hana hoʻoholo. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu maʻi maʻi a me nā lāʻau lapaʻau i loaʻa no ka hoʻokele ʻike a me ka maikaʻi o ka maʻi maʻi prostate.

Ka hoʻomaopopo ʻana i ka PI-RADS 4

Hoʻohana ʻia kahi helu Prostate Imaging Reporting and Data System (PI-RADS) e hoʻokaʻawale i ka likelika o ka maʻi prostate ma muli o nā ʻike MRI. Hōʻike ka helu PI-RADS 4 i kahi kānalua haʻahaʻa a kiʻekiʻe no ka maʻi maʻi prostate koʻikoʻi. ʻAʻole kēia manaʻo e loaʻa iā ʻoe ka maʻi kanesa, akā pono ia e hoʻokolokolo hou. E kūkākūkā ana kāu kauka i nā ʻanuʻu aʻe, ʻo ia hoʻi ka biopsy e hōʻoia i ka maʻi maʻi a hoʻoholo i ka pae a me ka pae o ka maʻi kanesa. Pono ke kūkākūkā me kāu urologist a oncologist paha no ka wehewehe pono ʻana i kēia hopena i loko o ka pōʻaiapili o kou olakino.

Nā Koho Lapaʻau Lapaʻau Prostate

Nānā ʻeleu

No kekahi mau kāne me ka maʻi maʻi prostate haʻahaʻa i hōʻike ʻia e ka helu PI-RADS 4 a hōʻoia ʻia e ka biopsy, ʻo ka nānā ʻana paha he koho. Hoʻopili kēia i ka nānā pono ʻana i ka maʻi kanesa ma o ka nānā mau ʻana a me nā hoʻāʻo ʻole me ka mālama koke ʻana. He kūpono ka nānā 'ana no nā po'e ma'i kūikawā a pono e kūkākūkā pono 'ia me kāu mea mālama ola. He koho kūpono ia no ka poʻe i manaʻo ʻia e ulu lohi ana ka maʻi kanesa a hiki ʻole ke hoʻoulu i nā pilikia koʻikoʻi i ko lākou ola ʻana.

ʻO ka ʻoki ʻana (Radical Prostatectomy)

ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. Manaʻo pinepine ʻia kēia no ka maʻi prostate kūloko. Hiki ke hana ʻia ke kaʻina hana ma o ka ʻoki wehe ʻana, ka ʻoki laparoscopic, a i ʻole ka ʻoki ʻana i ka robotic-assisted laparoscopic. ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻano o ke kaʻina hana a me nā mea maʻi pilikino. ʻO nā hopena ʻaoʻao e pili ana i ka urinary incontinence a me ka erectile dysfunction, a pono e kūkākūkā ākea kēia mau pilikia me kāu kauā.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. No ka maʻi maʻi prostate, hiki ke hāʻawi ʻia ma waho (external beam radiation therapy) a i loko paha (brachytherapy). Hiki ke hui pū ʻia ka lāʻau lapaʻau lāʻau o waho me ka lāʻau hormone e hoʻomaikaʻi i nā hopena. ʻO ka koho ma waena o ka radiation radiation o waho a me ka brachytherapy e pili ana i nā kumu he nui, e like me ka wahi o ka tumor, ke olakino holoʻokoʻa, a me nā makemake pilikino. Hiki i kāu radiation oncologist ke kōkua i ka hoʻoholo ʻana i ke ala maikaʻi loa no kāu kūlana kikoʻī.

Lapaʻau Hormone

Hana ʻia ka hormone therapy ma ka hoʻemi ʻana i nā pae o nā hormones e hoʻoulu ai i ka ulu ʻana o ka maʻi maʻi prostate. Hoʻohana pinepine ʻia e mālama i ka maʻi maʻi prostate kiʻekiʻe a hiki ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e like me ka radiation therapy a i ʻole ke ʻoki ʻana. Hiki i ka hormone therapy ke hana i nā hopena ʻaoʻao, e like me ka wela wela, ka emi ʻana o ka libido, a me ka loaʻa ʻana o ke kaumaha. Pono e noʻonoʻo pono ʻia nā pōmaikaʻi a me nā pilikia o ka hormone therapy me kāu oncologist.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau lapaʻau hou e kuhikuhi pono ana i nā maʻi maʻi maʻi ʻoiai e mālama ana i nā cell olakino. Hoʻopaʻa pinepine ʻia kēia mau lāʻau lapaʻau no ka maʻi maʻi prostate kiʻekiʻe i laha a hoʻōki paha i ka pane ʻana i nā lāʻau lapaʻau ʻē aʻe. ʻO ka loaʻa ʻana o nā lāʻau lapaʻau i hoʻopaʻa ʻia a me ko lākou kūpono no kāu hihia e pili ana i kāu kūlana kikoʻī a pono paha e kuhikuhi i kahi loea.

Ke 'imi 'ana i ka ma'i ma'i prostate ma kahi kokoke ia oe

Ke ʻimi nei i ka mālama kūpono no kāu lapaʻau pi rads 4 prostate maʻi kanesa lapaʻau koʻikoʻi. E noʻonoʻo e ʻimi i nā manaʻo mai nā loea he nui e hōʻoia i ka loaʻa ʻana o kahi hoʻolālā loiloi a me ka hoʻolālā lapaʻau. Nui nā halemai a me nā kikowaena maʻi maʻi e hāʻawi i nā papahana kūikawā no ka maʻi maʻi prostate. Hiki iā ʻoe ke hoʻohana i nā ʻenekini hulina pūnaewele a i ʻole e nīnau i kāu kauka mālama mua no nā kuhikuhi i nā urologists a me nā oncologists i ʻike i ka mālama ʻana i ka maʻi prostate. E hoʻomanaʻo e noʻonoʻo i nā mea e like me ke kokoke, ka inoa, a me ka ʻike loea i ka wā e hoʻoholo ai.

No ka poʻe e ʻimi nei i ka mālama maʻi maʻi maʻi ma ka moku ʻo Shandong, e noʻonoʻo e hoʻopili i ka Shandong Baofa Cancer Research Institute. Hāʻawi lākou i kahi ʻano lawelawe i hoʻolaʻa ʻia no ka ʻike a me ka mālama ʻana i nā maʻi maʻi like ʻole, me ka maʻi prostate.

Hoʻomaopopo nui

ʻO ka ʻike i hāʻawi ʻia ma kēia ʻatikala no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino. ʻAʻole kēia ʻike i pani no ka ʻōlelo aʻoaʻo lapaʻau ʻoihana. ʻO nā hoʻoholo e pili ana i kāu lapaʻau e hana mau ʻia me ke kūkākūkā me kāu kauka.

Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā me kāu kauka no nā pilikia olakino.