lapaʻau pi rads 4 prostate maʻi kanesa lapaʻau

Lapaʻau ʻana i ka maʻi maʻi prostate me PI-RADS 4

Hāʻawi kēia ʻatikala i ka ʻike piha e pili ana i nā koho lapaʻau maʻi prostate ke ʻike ʻia kahi helu Prostate Imaging Reporting and Data System (PI-RADS) o 4. E ʻimi mākou i nā ala lapaʻau like ʻole, e noʻonoʻo ana i nā mea e hoʻoikaika ai i ka hoʻoholo ʻana, a kūkākūkā i ke koʻikoʻi o ka mālama pilikino. He mea koʻikoʻi ka hoʻomaopopo ʻana i kāu mau koho no ka hoʻoholo ʻana e pili ana i kou olakino.

Ka hoʻomaopopo ʻana i ka helu PI-RADS 4

Hōʻike ka helu PI-RADS o 4 i kahi kānalua haʻahaʻa o ka maʻi maʻi prostate koʻikoʻi. He mea nui e hoʻomaopopo i ka helu PI-RADS wale nō ʻaʻole ia he hōʻailona paʻa. ʻO ka noiʻi hou aʻe, e like me ka biopsy, pono e hōʻoia i ka hiki ʻana a me ka nui o ka maʻi kanesa. ʻAʻole hoʻohālikelike ka helu kiʻekiʻe me ka hoʻomaʻamaʻa hoʻomāinoino. ʻO nā hoʻoholo lapaʻau e pili ana i nā kumu like ʻole, e like me kou olakino holoʻokoʻa, ka ikaika o ka maʻi kanesa (inā loaʻa), a me kāu mau makemake pilikino. Hiki ke loaʻa nā ʻike hou aʻe mai kāu kauka a me nā keʻena noiʻi alakaʻi e like me ka Shandong Baofa Cancer Research Institute.

Nā Koho Lapaʻau no PI-RADS 4

Nā koho lapaʻau no lapaʻau pi rads 4 prostate maʻi kanesa lapaʻau ʻokoʻa ma muli o kekahi mau kumu. ʻO kēia mau mea e pili ana i ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, ka loaʻa ʻana o nā kūlana olakino ʻē aʻe, a me nā ʻano kikoʻī o ka maʻi i manaʻo ʻia (inā hōʻoia ʻia). Eia kekahi mau ala maʻamau:

Nānā ʻeleu

No ka ma'i 'a'ai prostate ha'aha'a a i 'ole ma nā hihia i mana'o 'ia e ulu lohi ana ka ma'i 'a'ai, 'o ka nānā 'ana paha he koho. Hoʻopili kēia i ka nānā mau ʻana ma o nā hoʻokolohua PSA, nā hoʻokolohua rectal digital, a me nā biopsies paha e ʻike i nā loli i ka holomua o ka maʻi kanesa. Hōʻalo ia i ka lāʻau lapaʻau koke, hoʻopaneʻe i ka hana a hiki i ka pono.

ʻO Radical Prostatectomy

ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. He ʻoki koʻikoʻi kēia me nā hopena ʻaoʻao e like me ka incontinence urinary a me ka erectile dysfunction. ʻO ka nui o ka holomua a me ke kūpono o kēia kaʻina hana e hilinaʻi nui ʻia i nā kūlana pākahi. He mea nui ke kūkākūkā me kāu urologist e hoʻomaopopo i nā pilikia a me nā pono.

Lapaʻau Radiation

ʻO ka lāʻau lapaʻau, me ka lāʻau lapaʻau lāʻau o waho (EBRT) a me ka brachytherapy (radiation i loko), hāʻawi i ka radiation e hoʻopau i nā maʻi maʻi. Hoʻokomo ʻia ka EBRT i nā kukuna o waho o ka radiation, aʻo ka brachytherapy e pili ana i ka hoʻokomo ʻana i nā hua radioactive a i ʻole nā ​​​​implants pololei i loko o ka prostate. Loaʻa i nā ala ʻelua nā hopena ʻaoʻao, a ʻo ka koho maikaʻi loa e pili ana i nā kumu pilikino. No ka ʻike kikoʻī hou aku e pili ana i nā koho radiation therapy no lapaʻau maʻi maʻi prostate, e nīnau i ke kauka oncologist.

Lapaʻau Hormone

ʻO ka hormone therapy, i kapa ʻia ʻo androgen deprivation therapy (ADT), hoʻemi i nā pae o ka testosterone i ke kino, e hoʻolōʻihi i ka ulu ʻana o nā maʻi maʻi prostate e hilinaʻi nei i ka testosterone no ka ulu. Hoʻohana pinepine ʻia kēia lāʻau lapaʻau i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, ʻoi loa i nā pae kiʻekiʻe o ka maʻi a i ʻole no nā hihia me nā hiʻohiʻona kiʻekiʻe. ʻAʻole ia he lāʻau lapaʻau akā hiki ke mālama pono i ka maʻi.

Ke koho ʻana i ka Papahana Lapaʻau Pono

ʻO ka hoʻoholo e pili ana i ka maikaʻi lapaʻau pi rads 4 prostate maʻi kanesa lapaʻau he mea pilikino. He mea koʻikoʻi ka loaʻa ʻana o nā kūkākūkā ākea a me ka ʻoiaʻiʻo me kāu hui mālama ola, me kāu urologist, radiation oncologist (inā pili), a me ke kauka oncologist, e kaupaona i nā pono a me nā pilikia o kēlā me kēia koho. E noʻonoʻo i nā mea e like me kou mau makahiki, ke olakino holoʻokoʻa, nā makemake o ka nohona, a me nā ʻano kikoʻī o kāu hihia (inā hōʻoia ʻia ka maʻi kanesa). Hoʻohana pinepine ʻia kahi ala multidisciplinary, e hōʻoia ana i kahi loiloi loiloi a me ka hoʻolālā lapaʻau.

Nā Manaʻo Nui

E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama wikiwiki ʻana he mea nui ia no nā hopena maikaʻi loa i ka maʻi prostate. Inā he hopohopo kāu e pili ana i ka maʻi prostate, e nīnau i kahi urologist no ka loiloi a me ke alakaʻi.

No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.