
Ke ʻimi nei kēia alakaʻi piha kahua lapaʻau T1c prostate cancer, ka wehewehe ʻana i nā koho lapaʻau like ʻole i loaʻa a kōkua iā ʻoe e hoʻomaopopo i nā kumu e noʻonoʻo ai i ka wā e hana ai i nā hoʻoholo koʻikoʻi e pili ana i kāu mālama. Hoʻopili mākou i nā kikoʻī o kēia pae, wehewehe i nā hopena a kōkua iā ʻoe e hoʻokele i nā paʻakikī o ka maʻi a me ka hoʻolālā ʻana. No ka hoʻonaʻauao kēia ʻike a ʻaʻole pono e hoʻololi i ke kūkākūkā me kāu mea mālama ola.
He hōʻailona o kahua lapaʻau T1c prostate cancer e hōʻike ana i ka paʻa ʻana o ka maʻi ʻaʻai ma ka prostate gland a ʻike wale ʻia ma o ka biopsy, ʻaʻole ma ka nānā kino. Hōʻike kēia i kahi pae mua o ka maʻi, e hāʻawi ana i nā prognoses maikaʻi aʻe i hoʻohālikelike ʻia me nā pae kiʻekiʻe. ʻO ka hoʻokaʻawale ʻana o ka T1c, ʻo ia ka mea e ʻike ʻia ai ka maʻi kanesa ma o ka biopsy needle, a ʻoi aku ka liʻiliʻi ma mua o 50% o ka nui o hoʻokahi lobe o ka prostate. ʻO ka nui o ke koko he kumu nui ia e hoʻoholo ai i ka hana maikaʻi loa.
Nā koho lapaʻau no kahua lapaʻau T1c prostate cancer hoʻopilikino ʻia a hilinaʻi ʻia ma nā kumu he nui. Aia kēia mau mea:
No kekahi mau kāne me kahua lapaʻau T1c prostate cancer, He koho kūpono paha ka nānā ʻana. Hoʻopili kēia i ka nānā pono ʻana i ka piʻi ʻana o ka maʻi kanesa ma o nā hoʻokolohua PSA maʻamau, nā hoʻokolohua rectal digital, a me nā biopsies. Hoʻomaka wale ʻia ka lāʻau lapaʻau inā hōʻike ka maʻi kanesa i nā hōʻailona o ka ulu ʻana a i ʻole e lilo i mea ʻino. Hoʻohana pinepine ʻia kēia ala no nā kāne ʻelemakule me ka helu Gleason haʻahaʻa a me ka maʻi maʻi lohi.
Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. No ka mea kahua lapaʻau T1c prostate cancer, hiki ke hoʻohana ʻia ka lāʻau lapaʻau lāʻau lāʻau waho a i ʻole brachytherapy. Hoʻopili ka lāʻau lapaʻau lāʻau waho i ke kuhikuhi ʻana i nā kukuna radiation ma ka prostate mai waho o ke kino. Hoʻokomo ʻia ka Brachytherapy i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka gland prostate. ʻO ke koho ma waena o kēia mau ala e pili ana i nā kūlana o kēlā me kēia kanaka a me ka ʻike o ka radiation oncologist. E aʻo hou e pili ana i ka radiation therapy mai Mayo Clinic.
ʻO ka prostatectomy kahi hana ʻokiʻoki e wehe ai i ka gland prostate. Manaʻo pinepine ʻia ka prostatectomy radical no nā kāne me kahua lapaʻau T1c prostate cancer, ʻoi aku ka nui o ka poʻe me nā helu Gleason kiʻekiʻe a i ʻole kahi makemake ikaika no ka mālama ʻana. ʻO ka robotic-assisted laparoscopic prostatectomy kahi hana ʻokiʻoki liʻiliʻi liʻiliʻi e alakaʻi pinepine ai i nā manawa hoʻōla wikiwiki i hoʻohālikelike ʻia me ka wehe ʻana.
ʻO ka hormone therapy, i ʻike ʻia ʻo androgen deprivation therapy (ADT), hana ma ka hoʻemi ʻana i ke kiʻekiʻe o nā hormones kāne (androgens) e hoʻoulu i ka ulu ʻana o ka maʻi prostate. Hoʻohana maʻamau ia i ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe a i ʻole no nā pae kiʻekiʻe, a emi pinepine ma ke ʻano he lapaʻau mua no kahua lapaʻau T1c prostate cancer.
Ke koho ana i ka lapaau kupono no kahua lapaʻau T1c prostate cancer Pono e noʻonoʻo pono i nā mea pilikino a me kahi kūkākūkā piha me kāu urologist a / a i ʻole oncologist. Ma Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/), hāʻawi mākou i ka mālama piha me ka hoʻohana ʻana i ka ʻenehana ʻokiʻoki a me nā hoʻolālā lapaʻau holomua. Hoʻolaʻa ʻia kā mākou hui o ka poʻe loea i ka hāʻawi ʻana i ka mālama pilikino i hoʻohālikelike ʻia i kāu mau pono a me kou makemake.
Kuhi ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he ʻōlelo aʻo lapaʻau. E kūkākūkā mau me kekahi ʻoihana mālama ola kūpono no ka hōʻoia ʻana a me ka mālama ʻana i kekahi maʻi olakino.