
Ke ʻimi nei kēia alakaʻi piha lapaʻau maʻi maʻi prostate nā koho, e kālele ana brachytherapy a me ke kōkua ʻana iā ʻoe e ʻimi i nā loea kūpono kokoke i kou wahi. E uhi mākou i ke kaʻina hana, kona mau pōmaikaʻi a me nā pilikia, a alakaʻi iā ʻoe i ke kaʻina hana o ka loaʻa ʻana o ka mālama pono.
ʻO ka maʻi ʻaʻai prostate kekahi ʻano o ka maʻi kanesa e hoʻomaka ana i loko o ka prostate gland, he ʻano wōkeke liʻiliʻi ma lalo o ka ʻōpū o nā kāne. He maʻi maʻi maʻamau, me nā ʻano ʻano like ʻole e pili ana i ka huhū. He mea koʻikoʻi ka ʻike mua ʻana a me ka mālama ʻana i nā hopena maikaʻi.
Nui nā koho lapaʻau no ka maʻi maʻi prostate, ʻo kēlā me kēia me kona mau pono a me nā hemahema. ʻO kēia mau mea e pili ana i ka ʻokiʻoki (prostatectomy), ka lāʻau lapaʻau (ka lāʻau lapaʻau lāʻau o waho a me ka brachytherapy), ka lāʻau hormone, ka chemotherapy, a me ka nānā ʻana. ʻO ka hoʻolālā lapaʻau maikaʻi loa e pili ana i nā mea e like me ka pae maʻi kanesa, kou olakino holoʻokoʻa, a me nā makemake pilikino. He mea nui e kūkākūkā pono i kēia mau koho me kāu urologist a oncologist paha.
Brachytherapy, ʻike ʻia hoʻi ʻo ka hoʻokomo ʻana i nā hua, he ʻano o ka radiation therapy kahi e hoʻokomo pololei ʻia ai nā ʻanoano radioactive liʻiliʻi i loko o ka prostate gland. Hāʻawi kēia i kahi kiʻekiʻe o ka radiation i ka ʻōpū ʻoiai e hōʻemi ana i ka ʻike ʻana i ka radiation i nā ʻiʻo olakino a puni. Hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Aia nā ʻano like ʻole o brachytherapy, me ka helu haʻahaʻa haʻahaʻa (LDR) a me ke kiʻekiʻe-dose-rate (HDR). Hoʻokomo ʻia ka LDR i nā ʻanoʻano e hoʻokuʻu mālie ana i ka radiation i kekahi mau mahina. Hoʻokomo ʻia ka HDR i ka hoʻokomo ʻana i nā catheters no ka manawa lōʻihi, e hāʻawi ana i nā kiʻekiʻe o ka radiation ma kahi manawa pōkole. Na kāu kauka e hoʻoholo i ke ala kūpono loa e pili ana i kou kūlana kūikawā.
Brachytherapy hāʻawi i kekahi mau mea maikaʻi, e like me ka liʻiliʻi o ka pōʻino i nā ʻiʻo a puni ke hoʻohālikelike ʻia me ka radiation beam o waho, nā manawa mālama pōkole (ʻoi aku me HDR), a me nā hopena ʻaoʻao liʻiliʻi paha. Eia nō naʻe, hiki i nā hopena ʻaoʻao ke komo i nā pilikia urinary, erectile dysfunction, a me nā pilikia ʻōpū. ʻOkoʻa kēia mau hopena ʻaoʻao i ka paʻakikī a hoʻomaikaʻi pinepine i ka manawa. Pono e kūkākūkā i kēia mau pilikia me kāu kauka.
Ke ʻimi nei i kahi mākaukau a ʻike brachytherapy He mea koʻikoʻi ka loea no nā hopena lapaʻau maikaʻi loa. Hiki iā ʻoe ke hoʻomaka ma ke noi ʻana i kāu kauka mālama mua no nā kuhikuhi. Hiki iā ʻoe ke ʻimi pūnaewele no nā urologists a me radiation oncologists kūikawā i ka mālama ʻana i ka maʻi maʻi prostate a brachytherapy. E ʻimi i nā kauka me nā palapala hōʻoia o ka papa, ka ʻike nui, a me nā loiloi maʻi maikaʻi. E noʻonoʻo e nānā i nā pūnaewele o nā kikowaena lapaʻau nui a me nā halemai ma kou wahi. Nui nā ʻoihana kaulana i papa inoa i kā lākou poʻe loea a me kā lākou mau wahi o ka ʻike.
Ma mua o ka hoʻoholo ʻana, e nīnau i kāu kauka e pili ana i kā lākou ʻike brachytherapy, ko lakou heluna holomua, a me ko lakou hele ana i ka malama ma'i. E nīnau e pili ana i nā ʻano o brachytherapy hāʻawi lākou, nā pilikia a me nā hopena ʻaoʻao, a me ka hoʻolālā mālama ma hope o ka mālama ʻana. Mai hoʻokaʻulua e nīnau i nā nīnau āu e hōʻoia ai i kou ʻoluʻolu a hilinaʻi i kāu koho ʻana i ka lāʻau lapaʻau.
No ka ʻike hou aku e pili ana i ka maʻi maʻi prostate a me kāna mālama ʻana, hiki iā ʻoe ke kipa i nā pūnaewele o nā hui kaulana e like me ka American Cancer Society (https://www.cancer.org/) a me ka National Cancer Institute (https://www.cancer.gov/). E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama ʻana i ka manawa kūpono e hoʻomaikaʻi nui i ka manawa o nā hopena kūleʻa.
Ma ka Shandong Baofa Cancer Research Institute, Hoʻolaʻa mākou i ka hoʻolako ʻana i ka mālama holomua a me ke aloha no nā maʻi maʻi maʻi. Hoʻohana kā mākou hui loea i nā ʻenehana ʻokiʻoki, me brachytherapy, e hāʻawi i nā lapaʻau pilikino a maikaʻi.