ʻO nā koho lapaʻau maʻi maʻi prostate ma kahi kokoke iā ʻoe ʻO ka ʻimi ʻana i ka mālama ʻana i ka maʻi maʻi prostate kūpono hiki ke paʻakikī. Ke ʻimi nei kēia alakaʻi holoʻokoʻa i nā koho lapaʻau like ʻole no ka maʻi prostate a kōkua iā ʻoe e hoʻoholo i ka ʻike e pili ana i kāu kūlana kikoʻī. E uhi mākou i nā holomua hou loa a hāʻawi i nā kumuwaiwai e ʻimi i ka mālama kokoke iā ʻoe.
Ka hoʻomaopopo ʻana i kāu ʻike maʻi maʻi prostate
Ma mua o ka ʻimi ʻana i nā koho lapaʻau maʻi prostate kokoke iaʻu, he mea koʻikoʻi ia e hoʻomaopopo i kāu ʻike. Hoʻopili kēia i kou pae maʻi 'aʻai, ka pae (pehea ka ʻino o nā pūnaʻi kanesa), a me ke olakino holoʻokoʻa. Na kāu kauka e hana i kekahi mau ho'āʻo, e like me ka hōʻike kikohoʻe rectal, nā ho'āʻo koko (nā pae PSA), biopsy, a me nā kiʻi kiʻi (MRI, CT, iwi scan) e hoʻoholo ai i ka hana maikaʻi loa. Pono nā pae like ʻole a me nā māka i nā ala like ʻole no ka mālama ʻana.
ʻO ke kau ʻana a me ka helu ʻana
Hoʻonohonoho ʻia ka maʻi ʻaʻai prostate me ka hoʻohana ʻana i kahi ʻōnaehana (e laʻa, TNM staging) e noʻonoʻo ana i ka nui o ka ʻōpū, hoʻolaha ʻia i nā puna lymph kokoke, a me ka loaʻa ʻana o nā metastases mamao. Hōʻike ka papa i ka wikiwiki o ka ulu a laha ʻana o nā maʻi kanesa. He mea koʻikoʻi ka hoʻomaopopo ʻana i kēia ʻike i ka hoʻoholo ʻana e pili ana i kāu huakaʻi lapaʻau maʻi prostate.
Nā Koho Lapaʻau Lapaʻau Prostate
Aia kekahi mau koho lapaʻau maʻi prostate, kēlā me kēia me kona pono ponoʻī, nā pilikia, a me nā hopena ʻaoʻao. Aia ke koho i nā kumu like ʻole, me kou mau makahiki, ke olakino holoʻokoʻa, ka pae maʻi maʻi, a me nā makemake pilikino. He mea nui ke kūkākūkā me kahi kanaka oncologist loea i nā maʻi maʻi urological.
Nānā ʻeleu
No kekahi mau kāne me ka maʻi maʻi prostate haʻahaʻa, ʻo ka nānā ʻana paha he koho kūpono. Hoʻopili kēia i ka nānā mau ʻana ma o nā hoʻokolohua PSA a me nā biopsies e ʻike i nā loli i ka ulu ʻana o ke kanesa. Hoʻomaka ka mālama ʻana inā a i ka wā e holomua ai ka maʻi kanesa.
ʻO ka ʻoki ʻana
Loaʻa nā koho ʻokiʻoki i ka prostatectomy radical (ka wehe ʻana i ka gland prostate), a me nā ʻano hana hoʻoweliweli liʻiliʻi e like me ka robotic-assisted laparoscopic prostatectomy. ʻO ke koho e pili ana i ke kūlana o kēlā me kēia kanaka a me ka ʻike loea.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi kanesa. Hiki ke hāʻawi ʻia kēia ma waho (external beam radiation therapy) a i loko paha (brachytherapy, kahi i hoʻokomo ʻia ai nā hua radioactive i loko o ka prostate). Hiki ke hoʻohui ʻia ka lāʻau lapaʻau lāʻau o waho me ka lāʻau hormone (e kūkākūkā ʻia ka lāʻau hormone ma hope).
Lapaʻau Hormone
ʻO ka hormone therapy (androgen deprivation therapy) e hoʻemi i ke kiʻekiʻe o ka testosterone i loko o ke kino, hoʻolohi a hoʻōki paha i ka ulu ʻana o nā maʻi maʻi prostate. Hoʻohana pinepine ʻia i ka maʻi maʻi prostate kiʻekiʻe a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
Kemoterapi
Hoʻohana ʻo Chemotherapy i nā lāʻau lapaʻau e pepehi i nā maʻi kanesa. Mālama ʻia ia no ka maʻi maʻi prostate kiʻekiʻe i laha i nā wahi ʻē aʻe o ke kino.
ʻO ka Lapaʻau Kūlohelohe
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia e hoʻopaʻa i nā molekole kikoʻī e pili ana i ka ulu ʻana o ka maʻi kanesa. Ke hoʻomohala ʻia nei kēia mau lāʻau lapaʻau, akā ua hōʻike i ka ʻōlelo hoʻohiki i ka mālama ʻana i kekahi ʻano o ka maʻi maʻi prostate holomua.
Cryotherapy
Hoʻopili ka Cryotherapy i ka hoʻoheheʻe ʻana i nā maʻi maʻi maʻi e hoʻopau iā lākou. He kaʻina hana liʻiliʻi liʻiliʻi i kūpono i nā maʻi i koho ʻia.
Ke koho ʻana i ka Lapaʻau Pono no ʻoe
ʻO ka hoʻoholo e pili ana i ka mālama ʻana i ka maʻi maʻi prostate maikaʻi loa. Pono e noʻonoʻo ʻia nā kumu i lalo:
| Kumukumu | Noonoo |
| Ka Papa a me ka Papa | Hiki ke pane maikaʻi ka maʻi maʻi maʻi mua i nā lāʻau lapaʻau liʻiliʻi, ʻoiai ʻo ka maʻi maʻi maʻi maʻi e koi aku i nā ala koʻikoʻi. |
| makahiki a me ke ola kino holookoa | Hiki i nā poʻe maʻi ʻelemakule a i ʻole nā pilikia olakino ʻē aʻe ke maʻalahi i nā hopena ʻaoʻao lapaʻau. |
| Nā Koho Pilikino | Pono ka poʻe maʻi e komo ikaika i ka hoʻoholo ʻana, e noʻonoʻo ana i kā lākou mau waiwai a me nā makemake. |
| Nā hopena ʻaoʻao lapaʻau | Lawe ʻia kēlā me kēia lapaʻau i nā hopena ʻaoʻao; koʻikoʻi ka hoʻomaopopo ʻana i kēia mau mea. |
ʻO ka loaʻa ʻana o kahi oncologist kūpono ka mea nui. Nui nā halemai maikaʻi a me nā kikowaena maʻi maʻi e hāʻawi i nā koho lapaʻau maʻi prostate piha. Ma ka
Shandong Baofa Cancer Research Institute, hoʻolaʻa mākou i ka hoʻolako ʻana i ka mālama holomua a pilikino. ʻO ka noiʻi ʻana i nā ʻoihana a me nā loea ma kou wahi e hōʻoia i ka loaʻa ʻana o nā holomua hou loa i nā koho lapaʻau maʻi prostate kokoke iaʻu. E hoʻomanaʻo e kūkākūkā pono i nā koho āpau me kāu hui mālama ola e hana i ka koho maikaʻi loa no kāu kūlana kūʻokoʻa.
Nā Punawai Hou
No ka ʻike hou aku, e ʻimi i nā kumuwaiwai kaulana: American Cancer Society: [https://www.cancer.org/](https://www.cancer.org/)
National Cancer Institute: [https://www.cancer.gov/](https://www.cancer.gov/)
No ka ʻike maʻamau kēia ʻike a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E nīnau mau i kāu mea mālama ola no ka hōʻoia a me ka mālama ʻana.