Hoola maʻi ʻaʻai Prostate

Koho ʻia no ka maʻi ʻaʻai prostate ma hope o ka loiloi piha. E kūkākūkā kāu mea mālama ola i nā pono a me nā pilikia o kēlā me kēia lāʻau.

I kekahi manawa hiki i kāu mea hāʻawi ke koi aku i hoʻokahi lāʻau lapaʻau no ʻoe no kāu ʻano maʻi ʻaʻai a me nā kumu pilikia. I nā manawa ʻē aʻe, aia paha he ʻelua a ʻoi paha mau hoʻoponopono e hiki ke maikaʻi iā ʻoe.

Pono nā mea āu a me kāu mea e hāʻawi ai e noʻonoʻo e pili ana i:

• ʻO kou mau makahiki a me nā pilikia olakino ʻē aʻe āu
• Hana ʻia nā hopena ʻaoʻao me kēlā me kēia ʻano lapaʻau
• Inā i hoʻopaʻa ʻia ka maʻi ʻaʻai prostate a i ʻole pehea ka laha ʻana o ka maʻi ʻaʻai prostate
• ʻO kāu helu Gleason, kahi e haʻi ai i ka ikaika o ka maʻi ʻaʻai
• ʻO ka hopena hōʻike antigen kikoʻī prostate (PSA)

E noi i kāu mea hāʻawi e wehewehe i kēia mau mea e pili ana i kāu koho ʻana.

• ʻO nā koho hea e hāʻawi i ka manawa kūpono loa e hoʻōla ai i kou maʻi ʻaʻai a i ʻole ke kaohi ʻana i kāna pālahalaha ʻana?
• Pehea paha ʻoe e loaʻa ai i nā hopena ʻokoʻa, a pehea e pili ai i kou ola?

ʻO Radat prostatectomy kahi ʻoki e wehe i ka prostate a me kekahi o nā mea a puni. He koho ia inā ʻaʻole pāhola ka maʻi ʻaʻai ma ʻō aku o ka gland prostate.

ʻO nā kāne olakino e ola ana he 10 a ʻoi paha mau makahiki ma hope o ka ʻike ʻia me ka maʻi ʻaʻai prostate e loaʻa pinepine i kēia kaʻina hana.

E makaʻala ʻaʻole hiki i nā manawa āpau ke ʻike no kekahi, ma mua o ke kaha ʻana, inā ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka gland prostate.

ʻO nā pilikia ma hope o ke kaha ʻana me ka paʻakikī ka kaohi ʻana i ka mimi a me nā pilikia kūkulu. Eia kekahi, pono i kekahi mau kāne hou nā lāʻau lapaʻau ma hope o kēia ʻoki ʻana.

ʻOi aku ka maikaʻi o ka radiation radiation no ka mālama ʻana i ka maʻi ʻaʻai prostate i palahalaha ʻole ʻia ma waho o ka prostate. Hiki ke hoʻohana ʻia ia ma hope o ke kahakaha ʻana inā aia kekahi makaʻu i kēia manawa nā pūnaʻi maʻi ʻaʻai. Hoʻohana ʻia ka kukuna i kekahi manawa no ka hōʻeha ʻeha ke pā ka maʻi ʻaʻai i ka iwi.

Hoʻohana ka lāʻau radiation radiation kūwaho i nā kukuna x kiʻekiʻe i kuhikuhi ʻia i ka gland prostate:

• Ma mua o ka hoʻomaʻamaʻa ʻana, hoʻohana ka mea hoʻoponopono radiation i kahi peni kūikawā e māka i ka ʻāpana o ke kino e mālama ʻia.
• Hāʻawi ʻia ka uila i ka gland prostate me ka hoʻohana ʻana i kahi mīkini e like me ka mīkini x-ray maʻamau. ʻAʻole maʻamau ka hoʻomaʻamaʻa ponoʻī.
• Hana ʻia ka lāʻau i loko o kahi kikowaena oncology radiation e pili pinepine ʻia i kahi haukapila.
• Hana pinepine ʻia ka mālama ʻana i 5 mau lā i ka pule no 6 a 8 mau pule.

Pākuʻi paha nā hopena i:

• Nānā ʻai
• Pohā
• Nā pilikia kūkulu
• Ka luhi
• ʻO ka hōʻā ʻana o ka pololei a ʻeha paha
• Nā hopena ʻili
• Urinary incontinence, ka manaʻo o ka pono e mimi urinary, a i ʻole ke koko i ka mimi

Aia kekahi mau hōʻike o nā maʻi ʻelua i kū aʻe mai ka pāhawewe pū kekahi.

ʻO Proton therapy kekahi ʻano radiation radiation i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai prostate. Kūpono nā kaola Proton i ka tumo, no laila ka liʻiliʻi o ka hōʻino ʻana i nā mea a puni. ʻAʻole ʻae ʻia a hoʻohana ʻia kēia lāʻau.

Hoʻohana pinepine ʻia ʻo Brachytherapy no nā maʻi ʻaʻai prostate liʻiliʻi e ʻike ʻia a ulu a lohi. Hoʻohui pū ʻia ʻo Brachytherapy me ka lāʻau radiation radiation kūwaho no nā maʻi ʻino holomua.

Pili ʻo Brachytherapy i ke kau ʻana i nā ʻano lūlū i loko o ka gland prostate.

• Hoʻokomo kahi kauka lapaʻau i nā nila liʻiliʻi ma o ka ʻili ma lalo o kou scrotum e hoʻopili i nā ʻanoʻano. Liʻiliʻi loa nā hua āu e ʻike ʻole ai.
• Waiho mau nā hua ma kahi.

Pākuʻi paha nā hopena i:

• Ka ʻeha, ka pehu ʻana a i ʻole ka ʻeha ʻana i ka peni a i ʻole ka scrotum
• Mimi ʻulaʻula ʻulaʻula a i ʻole semen
• Impotence
• Hoʻomau ʻole
• Paʻa mimi
• Pohā

ʻO ka testosterone ka hone kāne kāne nui. Pono nā tumo Prostate i ka ulu ʻana o ka testosterone. ʻO ka Hormonal therapy kahi lapaʻau e hōʻemi i ka hopena o ka testosterone ma ka maʻi ʻaʻai prostate.

Hoʻohana nui ʻia ʻo Hormone therapy no ka maʻi ʻaʻai i pāhola ma ʻō aku o ka prostate, akā hiki nō ke hoʻohana pū ʻia me ke ʻoki a me ka pāhawewe e mālama ai i nā maʻi maʻi holomua. Hiki i ke kōkua ke kōkua i ke kōkua ʻana i nā hōʻailona a pale i ka ulu hou ʻana a me ka hoʻolaha ʻana o ka maʻi ʻaʻai. Akā ʻaʻole ia e hoʻōla i ka maʻi ʻaʻai.

Kapa ʻia ka ʻano nui o ka hoʻōla hormonone i kahi agonist e hoʻokuʻu ana i ka homone (LH-RH). Kāhea ʻia kekahi papa o ka hoʻomaʻamaʻa LH-RH antagonists:

• Paʻa nā ʻano lāʻau ʻelua i nā testicle mai ka hana ʻana i ka testosterone. Pono e hāʻawi ʻia nā lāʻau i ke kō, maʻa mau i kēlā me kēia 3 a 6 mau mahina.
• ʻO nā hopena ʻē aʻe e pili pū me ka nausea a me ka luaʻi, nā uila wela, ka ulu ʻana o ka umauma a me / a palupalu paha, anemia, luhi, nā iwi lahilahi (osteoporosis), hoʻoliʻiliʻi i ka makemake moekolohe, hoʻemi i ka nui o nā mākala, loaʻa ke kaupaona, a me ka impotence.

Kapa ʻia kekahi ʻano lāʻau lāʻau hormona me ka lāʻau androgen-blocks:

• Hāʻawi pinepine ʻia ia me nā lāʻau LH-RH e ālai i ka hopena o ka testosterone i hana ʻia e nā adrenal glands, kahi e hana ai i kahi testosterone liʻiliʻi.
• ʻO nā hopena ʻē aʻe e pili pū me nā pilikia kūkulu hale, hoʻemi i ka makemake moekolohe, nā pilikia o ke ake, ka maʻi diarrhea, a me nā umauma nui.

ʻO ka hapa nui o ka testosterone o ke kino e hana ʻia e nā testes. ʻO ka hopena, hiki ke hoʻohana ʻia ke ʻoki e wehe i nā testes (i kapa ʻia ʻo orchiectomy) ma ke ʻano he lapaʻau hormonal.

ʻO Chemotherapy a me immunotherapy (ka lāʻau e kōkua ai i ke kino pale o ke kino e hakakā i ka maʻi ʻaʻai) hiki ke hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai prostate e pane hou ʻole i ka mālama ʻana i ka hormone. ʻO ka maʻamau pinepine ʻia kahi lāʻau hoʻokahi a i ʻole ka hui pū ʻana o nā lāʻau.

Hoʻohana ka Cryotherapy i nā anuanu anuanu e paʻa a pepehi i nā hunaola maʻi ʻaʻai prostate. ʻO ka pahuhopu o cryosurgery ke hoʻopau i ka gland prostate āpau a me nā mea āpau paha.

ʻAʻole hoʻohana ʻia ʻo Cryosurgery ma ke ʻano he lapaʻau mua no ka maʻi ʻaʻai prostate.

• Anatomia hānau kāne

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻo Prostate cancer (PDQ) - mana loea olakino. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Hoʻohou i Ianuali 29, 2020. Loaʻa iā Malaki 24, 2020.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana hoʻokolohua NCCN i ka oncology (nā alakaʻi NCCN): ka maʻi ʻaʻai prostate. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Hoʻohou ʻia Malaki 16, 2020. Loaʻa iā Malaki 24, 2020.

ʻO Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Maʻi ʻaʻai Prostate. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2020: chap 81.

• Kanesa Prostate