Ke kū nei i ka maʻi ʻaʻai Prostate

ʻO ke kū ʻana i ka maʻi ʻaʻai kahi ala e wehewehe ai i ka nui o ka maʻi ʻaʻai i loko o kou kino a ma hea ia i loko o kou kino. Kōkua ke kū ʻana o ka maʻi ʻaʻai Prostate i ka nui o kāu tumo, inā paha ua palahalaha ia, a ma hea kahi i pālahalaha ai.

ʻO ka ʻike ʻana i ke kahua o kou maʻi ʻaʻai e kōkua i kāu kime kanesa:

• E hoʻoholo i ke ala ʻoi loa e mālama ai i ka maʻi ʻaʻai
• E hoʻoholo i kou manawa e ola ai
• E ʻike i nā hoʻokolohua hoʻokolohua hiki iā ʻoe ke hui pū

Hoʻokumu ʻia ka hana mua ma nā hopena o nā hoʻokolohua koko PSA, nā biopsies, a me nā hoʻokolohua kiʻi. Kāhea ʻia kēia mea he kahua hoʻokolohua.

PSA pili i kahi protein i hana ʻia e ka prostate i ana ʻia e kahi hoʻokolohua lab.

• Hiki i kahi pae kiʻekiʻe o PSA ke hōʻike i kahi maʻi ʻaʻai hou aʻe.
• E nānā pū nā kauka i ka wikiwiki o ka piʻi ʻana o nā pae PSA mai kahi hōʻike a kahi hōʻike. ʻO ka piʻi wikiwiki ʻana hiki ke hōʻike i kahi tumelo hōʻeuʻeu ʻoi aku ka ikaika.

Hana ʻia kahi biopsy prostate ma ke keʻena o kāu kauka. Hiki i nā hopena ke hōʻike:

• ʻEhia o ka prostate e pili ana.
• ʻO ka helu Gleason. ʻO kahi helu mai 2 a 10 e hōʻike ana i ke ʻano o ke ʻano o nā hunaola maʻi ʻea e like me nā hunaola maʻamau ke nānā ʻia ma lalo o kahi microscope. Hōʻike nā helu he 6 a ʻoi iki paha i ka maʻi ʻaʻa e lohi e ulu ana a ʻaʻole ikaika. Hōʻike nā helu kiʻekiʻe i kahi kanesa ulu ulu ʻoi aku ka palahalaha.

Hiki paha ke hana i nā hoʻokolohua kiʻi e like me ka scan CT, MRI, a i ʻole ka scan iwi.

Ke hoʻohana nei i nā hopena mai kēia mau hoʻāʻo, hiki i kāu kauka ke haʻi iā ʻoe i kāu pae hoʻokolohua. I kekahi manawa, lawa kēia ka ʻike e hoʻoholo ai e pili ana i kāu lāʻau.

Hoʻokumu ʻia ke kīʻaha ʻānō (pathological staging) i ka mea i loaʻa i kāu kauka inā loaʻa iā ʻoe kahi ʻoki e wehe i ka prostate a me kekahi paha o nā lymph node. Hana ʻia nā hoʻokolohua lab ma nā kiko i lawe ʻia.

Kōkua kēia kau ʻana i ka hoʻoholo ʻana i nā ʻano lāʻau ʻē aʻe āu e pono ai. Kōkua pū ia i ka mea e manaʻo ai ma hope o ka pau ʻana o ka lāʻau.

ʻO ke kiʻekiʻe ke kahua, ʻo ka holomua o ka maʻi ʻaʻai.

ʻO ke kahua maʻi ʻaʻai I. Loaʻa ka maʻi ʻaʻai i hoʻokahi wale nō ʻāpana o ka prostate. Kāhea ʻia au i ka maʻi ʻaʻai prostate kūloko. ʻAʻole hiki ke ʻike ʻia i ka wā o kahi hoʻokolohua hoʻokolohua pololei a ʻike ʻia paha me nā hoʻokolohua kiʻi. Inā he emi ka PSA ma mua o 10 a ʻo ka helu Gleason he 6 a ʻoi aku paha, ulu ulu mālie ke kanesa maʻi.

Laulau II maʻi ʻaʻai. Ua ʻoi aku ka maikaʻi o ka maʻi ʻaʻai ma mua o ka pae I. ʻAʻole ia i pālahalaha ʻia ma ʻō aku o ka prostate a ua kapa ʻia he kamaʻāina. ʻOi aku ka maʻamau o nā hunaola ma mua o nā pūnaewele i ka pae I, a ulu wikiwiki paha. ʻElua ʻano o ka maʻi ʻaʻai prostate pae II:

• Loaʻa ka pae IIA ma hoʻokahi ʻaoʻao o ka prostate.
• Loaʻa ke kahua IIB ma nā ʻaoʻao ʻelua o ka prostate.

Laulau III maʻi ʻaʻai. Ua pālahalaha ʻia ka maʻi ʻaʻai ma waho o ka prostate i nā mea kūloko. Ua pālahalaha paha i nā vesicle seminal. ʻO kēia nā gland e hana i ka semen. Kāhea ʻia ka pae III i kahi maʻi ʻaʻai prostate holomua.

Laulau IV maʻi ʻaʻai. Ua pālahalaha ka maʻi ʻaʻai i nā wahi mamao o ke kino. Hiki iā ia i nā lymph node a i ʻole nā ​​iwi, ka pinepine o ka pelvis a i ʻole ka iwi kuamoo. Hiki ke hoʻopili ʻia nā mea ʻē aʻe e like me ka bladder, ate, a me nā akemāmā.

ʻO ke kau pū ʻana me ka waiwai PSA a me ka helu ʻo Gleason e kōkua iā ʻoe a me kāu kauka e hoʻoholo i ka lāʻau maikaʻi loa, e noʻonoʻo ana:

• Kou makahiki
• ʻO kou olakino holoʻokoʻa
• Kou mau hōʻailona (inā loaʻa iā ʻoe)
• ʻO kou mau manaʻo e pili ana i nā hopena ʻaoʻao o ka lāʻau
• ʻO ka manawa hiki i ka lapaʻau ke hōʻola i kou maʻi ʻaʻai a kōkua iā ʻoe i nā ʻano ʻē aʻe

Me ka maʻi I, II, a i ʻole III ka maʻi ʻaʻai prostate, ʻo ka pahuhopu nui ke hoʻōla i ka maʻi ʻaʻai ma ka mālama ʻana iā ia a me ka mālama ʻana mai ka hoʻi mai. Me ka pae IV, ʻo ka pahuhopu ka hoʻomaikaʻi ʻana i nā hōʻailona a hoʻolōʻihi i ke ola. I ka hapanui o nā hihia, ʻaʻole hiki ke hoʻōla ʻia ka maʻi ʻaʻai prostate pae IV.

Loeb S, Eastham JA. ʻIke a me ka hoʻonohonoho ʻana o ka maʻi ʻaʻai prostate. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 111.

Pūnaewele ʻo National Cancer Institute. ʻO ka loiloi ʻana i ka maʻi ʻaʻai Prostate (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/prostate/hp/prostate-screening-pdq. Hoʻohou i ʻAukake 2, 2019. Loaʻa iā ʻAukake 24, 2019.

ʻO Reese AC. ʻO ke kau maʻi a me nā pathologic o ka maʻi ʻaʻai prostate. ʻO Mydlo JH, Godec CJ, hoʻoponopono. Kanesa Prostate. ʻElua ed. Piladelapia, PA: Elsevier; 2016: chap 39.

• Kanesa Prostate