lapaʻau pi rads 5 prostate maʻi kanesa lapaʻau

Nā Koho Lapaʻau no ka maʻi maʻi prostate me ka PI-RADS 5 Score. Ke ʻimi nei mākou i nā koho ʻokiʻoki, radiation therapy, a me nā lāʻau lapaʻau hou.

ʻO nā koho lapaʻau no ka maʻi maʻi prostate me kahi helu PI-RADS 5

ʻO ka helu Prostate Imaging Reporting and Data System (PI-RADS) o 5 e hōʻike ana i kahi kānalua kiʻekiʻe o ka maʻi prostate. Pono kēia i ka loiloi piha ʻana a me ke kūkākūkā ʻana i nā koho lapaʻau me kāu urologist a i ʻole oncologist. ʻO ka hana maikaʻi loa e pili ana i nā kumu he nui, me ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, ka nui o ka maʻi kanesa, a me nā makemake pilikino. E ʻimi kēia ʻatikala i nā ʻano like ʻole lapaʻau pi rads 5 prostate maʻi kanesa lapaʻau nā koho i loaʻa.

Ka hoomaopopo ana i ka helu PI-RADS

ʻO ka helu PI-RADS kahi ʻōnaehana maʻamau i hoʻohana ʻia e loiloi i ka likelika o ka maʻi prostate ma muli o nā ʻike multiparametric MRI (mpMRI). Hōʻike ka helu 5 i ke kūlana kiʻekiʻe loa o ka maʻi kanesa. ʻOiai ke hōʻike ikaika nei ka helu PI-RADS 5 i ka loaʻa ʻana o ka maʻi kanesa, pono mau ka biopsy e hōʻoia i ka hōʻoia a hoʻoholo i ka pae a me ka pae o ka maʻi. He mea koʻikoʻi kēia no ka hoʻolālā kūpono lapaʻau maʻi maʻi prostate.

Nā koho lapaʻau no PI-RADS 5 Prostate Cancer

Nānā ʻeleu

No kekahi poʻe maʻi, ʻoi aku ka poʻe me nā maʻi maʻi haʻahaʻa, ulu mālie, ʻo ka nānā ʻana paha he koho kūpono. Hoʻopili kēia i ka nānā pono ʻana i ke kanesa ma o nā hoʻokolohua PSA maʻamau a me nā biopsies e ʻike i nā loli a i ʻole ka holomua. Ke pale aku nei ka mākaʻikaʻi ikaika i ka mālama koke ʻana, e hōʻemi ana i nā hopena ʻaoʻao, akā pono ka nānā pono ʻana a ʻaʻole kūpono paha i nā maʻi āpau. Manaʻo pinepine ʻia kēia ala no nā poʻe maʻi me ka maʻi prostate haʻahaʻa e pili ana i nā hopena biopsy.

ʻO ka ʻoki ʻana (Radical Prostatectomy)

ʻO Radical prostatectomy e pili ana i ka wehe ʻana i ka gland prostate. He kaʻina hana nui kēia me nā hopena ʻaoʻao e like me ka incontinence urinary a me ka erectile dysfunction. ʻO ka helu kūleʻa a me ke koʻikoʻi o nā hopena ʻaoʻao e pili ana i nā kumu like ʻole, me ke ʻano hana ʻoki a me ke olakino holoʻokoʻa o ka mea maʻi. ʻO nā holomua i nā ʻano hana ʻokiʻoki, e like me ka robotic-assisted laparoscopic prostatectomy (RALP), ua hoʻomaikaʻi i nā hopena a hōʻemi i nā manawa hoʻōla. No nā maʻi me ka localized maʻi maʻi prostate a me ka helu PI-RADS kiʻekiʻe, hiki i kēia ke koho maikaʻi loa.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Loaʻa nā ʻano o ka radiation therapy no maʻi maʻi prostate, e pili ana i ka lāʻau lapaʻau lāʻau waho (EBRT) a me ka brachytherapy (ka lāʻau lapaʻau kūloko). Hāʻawi ʻo EBRT i ka radiation mai kahi mīkini ma waho o ke kino, ʻoiai ʻo brachytherapy e pili ana i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate gland. Hiki ke ʻoi aku ka maikaʻi o ka lāʻau lapaʻau i ka mālama ʻana i ka maʻi maʻi prostate akā hiki ke hana i nā hopena ʻaoʻao, e like me nā pilikia mimi a me ka ʻōpū. ʻO ka koho ma waena o EBRT a me brachytherapy e pili ana i nā ʻano a me nā makemake o kēlā me kēia maʻi.

Lapaʻau Hormone

ʻO ka hormone therapy (kahi i ʻike ʻia ʻo androgen deprivation therapy a i ʻole ADT) e hoʻemi i nā pae o ka testosterone i loko o ke kino, e hoʻolohi i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ke ʻoki a i ʻole ka radiation therapy, a i ʻole ma ke ʻano he lapaʻau mua no ka maʻi maʻi prostate holomua. Hiki i ka hormone therapy ke hoʻoikaika i ka hoʻomalu ʻana i ka piʻi ʻana o ka maʻi kanesa akā hiki ke hana i nā hopena ʻaoʻao e like me ka wela wela, ka piʻi ʻana o ke kaumaha, a me ka emi ʻana o ka libido. ʻO ka hoʻohana lōʻihi o ka hormone therapy hiki ke lawe i nā pilikia olakino.

Hoʻomaʻamaʻa Focal

Hoʻohana ka Focal therapy i ka wahi maʻi maʻi o ka prostate, e mālama ana i ka ʻiʻo olakino. Hiki i kēia ala liʻiliʻi invasive ke hōʻemi i nā hopena ʻaoʻao i hoʻohālikelike ʻia me nā lāʻau lapaʻau holoʻokoʻa. Eia naʻe, ʻaʻole kūpono ka focal therapy no nā maʻi āpau, ma muli o ka nui a me kahi o ka maʻi kanesa. ʻO nā ʻenehana hou e like me ke kiʻekiʻe-intensity focused ultrasound (HIFU) a me ka cryotherapy he mau laʻana o nā ʻano lapaʻau focal e hoʻohana ʻia nei.

Ke koho ʻana i ka Lapaʻau Pono

Ka olelo hooholo lapaʻau pi rads 5 prostate maʻi kanesa lapaʻau ʻoi aku ka maikaʻi no ka mea maʻi hoʻokahi he paʻakikī. Pono ia e noʻonoʻo pono i nā kumu he nui a me kahi kūkākūkā hohonu me kahi ʻoihana mālama ola. ʻO nā kumu e noʻonoʻo ai e pili ana i ka makahiki o ka mea maʻi, ke olakino holoʻokoʻa, ka pae a me ka pae o ka maʻi kanesa, a me nā makemake pilikino e pili ana i nā hopena ʻaoʻao a me nā pilikia lapaʻau. Na kāu kauka e kōkua iā ʻoe e kaupaona i nā pono kūpono a me nā pilikia o kēlā me kēia koho lapaʻau e hōʻea i ka hoʻolālā kūpono loa no kāu kūlana kikoʻī. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi i nā kūkākūkā piha a me nā koho lapaʻau holomua no ka maʻi maʻi prostate.

Hōʻole: 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 ka ʻike a me ka mālama ʻana i kekahi maʻi olakino.