Ke kānana maʻi ʻaʻai Prostate

Hiki i ke kānana ʻana o ka maʻi ʻaʻai ke kōkua i ka ʻike mua ʻana i nā hōʻailona o ka maʻi ʻaʻai. I nā manawa he nui, ʻo ka loaʻa ʻana o ka maʻi ʻaʻai i mea ʻoi aku ka maʻalahi e mālama a hoʻōla paha. Eia naʻe, i kēia manawa ʻaʻole maopopo inā he mea kōkua ka nānā ʻana no ka maʻi ʻaʻai prostate no ka hapa nui o nā kāne. No kēia kumu, pono ʻoe e kamaʻilio me kāu mea mālama ola ma mua o ka nānā ʻana i kahi maʻi maʻi maʻi prostate.

ʻO ka hoʻāʻo antigen kikoʻī Prostate (PRA) kahi hōʻike koko e nānā i ke kiʻekiʻe o PSA i kou koko.

• I kekahi mau hihia, hiki i ke kiʻekiʻe o PSA ke manaʻo he maʻi ʻaʻai prostate ʻoe.
• Akā hiki i nā kūlana ʻē aʻe ke kumu i kahi pae kiʻekiʻe, e like me ka maʻi i ka prostate a i ʻole ka prostate hoʻonui ʻia. Pono paha ʻoe i kahi hōʻoia hou e ʻike inā loaʻa ʻoe i ka maʻi ʻaʻai.
• Hiki i nā hoʻokolohua koko ʻē aʻe a i ʻole kahi biopsy prostate ke kōkua i ke kuhi ʻana i kahi maʻi ʻaʻai inā kiʻekiʻe ka hōʻike PSA.

ʻO ka hoʻāʻo digital rectal exam (DRE) kahi hōʻike kahi e hoʻokomo ai kāu mea lawelawe i kahi manamana lima i hoʻopiha ʻia a paʻa ʻia i kou lima. ʻAe kēia i ka mea hāʻawi e nānā i ka prostate no nā lumps a i ʻole nā ​​wahi ʻokoʻa. ʻAʻole hiki ke ʻike ʻia ka hapa nui o nā maʻi ʻōpala me kēia ʻano hoʻokolohua, ma ka liʻiliʻi i nā wā mua.

I ka hapanui o nā hihia, hana pū ʻia ka PSA a me DRE.

ʻO nā hoʻokolohua kiʻi, e like me ultrasound a i ʻole MRI ʻaʻole hana i kahi hana pololei no ka kānana ʻana no ka maʻi ʻaʻai prostate.

ʻO ka pōmaikaʻi o kēlā me kēia hōʻaʻo loiloi ʻana i ka maʻi ʻaʻai e ʻike i ka maʻi ʻaʻai i ka wanaʻao, ke maʻalahi ka mālama ʻana. Akā hoʻopaʻapaʻa ʻia ka waiwai o PSA kānana no ka maʻi ʻaʻai prostate. ʻAʻohe pane hoʻokahi i kūpono i nā kāne āpau.

Mālie ka ulu ʻana o ka maʻi ʻaʻai Prostate me ka lohi. Hiki i nā pae PSA ke hoʻomaka e ala aʻe i mau makahiki ma mua o ka maʻi ʻaʻai e hana ai i nā ʻōuli a i ʻole nā ​​pilikia. He mea maʻamau hoʻi ia e like me ka nui o nā makahiki o nā kāne. I nā kumu he nui, ʻaʻole e loaʻa i ka maʻi ʻaʻai nā pilikia a hoʻopōkole paha i ke ola o ke kāne.

No kēia mau kumu, ʻaʻole maopopo inā ʻoi aku ka maikaʻi o ke kānana maʻamau ma mua o nā makaʻi a i ʻole nā ​​hopena ʻaoʻao o ka mālama ʻia ʻana no ka maʻi ʻaʻai prostate ke loaʻa ʻia.

Aia kekahi mau kumu ʻē aʻe e noʻonoʻo ai ma mua o ka hoʻokolohua PSA:

• Hopohopo. ʻO ka kiʻekiʻe PSA kiʻekiʻe ʻaʻole ia he kumu he maʻi ʻaʻai kou. ʻO kēia mau hopena a me ka pono no ka hoʻāʻo hou ʻana hiki ke kumu i ka makaʻu a me ka hopohopo, ʻoiai inā ʻaʻohe ou maʻi ʻaʻai prostate.
• Nā hopena ʻaoʻao mai ka hoʻāʻo hou ʻana. Inā ʻoi aku ka kiʻekiʻe o kāu hōʻike PSA ma mua o ka maʻamau, pono paha ʻoe i hoʻokahi a i ʻole nā ​​biopsies e ʻike maopopo. Palekana kahi biopsy, akā hiki ke hana i nā pilikia e like me ka maʻi, ʻeha, kuni, a i ʻole ke koko i ka semen a i ka mimi paha.
• Hoʻolaha. ʻAʻole pili nā maʻi maʻi prostate i kou ola maʻamau. Akā ʻoiai ʻaʻole hiki ke ʻike pono, makemake ka hapa nui o ka poʻe i ka lāʻau. Hiki i nā lāʻau maʻi maʻi ke loaʻa nā hopena ʻino, a me nā pilikia me ke kūkulu ʻana a me ka mimiki ʻana. Hiki i kēia mau ʻaoʻao ke hana i nā pilikia hou aʻe ma mua o ka maʻi ʻaʻai ʻole i mālama ʻia.

Hiki i ke ana ʻana i ka pae PSA ke hoʻonui i ka manawa o ka loaʻa ʻana o ka maʻi ʻaʻai prostate ke kakahiaka nui. Akā aia he hoʻopaʻapaʻa no ka waiwai o ka hōʻike PSA no ka ʻike ʻana i ka maʻi ʻaʻai prostate. ʻAʻohe pane hoʻokahi e kūpono i nā kāne āpau.

Inā 55 a 69 mau makahiki kou, ma mua o ka loaʻa ʻana o ka hoʻāʻo, e kamaʻilio me kāu mea hoʻolako e pili ana i nā pōmaikaʻi a me nā maikaʻi ʻole o ka loaʻa ʻana o kahi hōʻike PSA. E nīnau e pili ana:

• Inā hōʻemi ka kānana ʻana i kou manawa e make ai mai ka maʻi ʻaʻai prostate.
• Inā paha he mea ʻino mai ka loiloi ʻana i ka maʻi ʻaʻai prostate, e like me nā hopena ʻaoʻao mai ka hoʻāʻo ʻana a i ʻole ka mālama ʻana i ka maʻi ʻaʻai ke loaʻa.
• Inā paha he ʻoi aku kou maka i ka maʻi ʻaʻai prostate ma mua o nā poʻe ʻē aʻe.

Inā ʻoe he 55 a ʻoi paha makahiki, ʻaʻole koi ʻia ka kānana ʻana. Pono ʻoe e kamaʻilio pū me kāu mea hāʻawi inā loaʻa ka nui o ka makaʻu no ka maʻi ʻaʻai prostate. ʻO nā kumu pilikia me:

• Ke loaʻa nei kahi moʻolelo ʻohana o ka maʻi ʻaʻai prostate (ʻo ke kaikaina a makua kāne paha)
• ʻO ʻAmelika ʻAmelika

No nā kāne ma mua o ka makahiki 70, kūʻē ka hapa nui o nā ʻōlelo i ka kānana ʻana.

ʻO ka loiloi ʻana i ka maʻi ʻaʻai Prostate - PSA; ʻO ka loiloi ʻana i ka maʻi ʻaʻai Prostate ʻO ka loiloi ʻana i ka maʻi ʻaʻai Prostate - DRE

ʻO Carter HB. American Urological Association (AUA) alakaʻi ma ka loaʻa ʻana o ka maʻi ʻaʻai prostate: ke kaʻina a me ke kumu. ʻO BJU Int. 2013; 112 (5): 543-547. PMID: 23924423 pubmed.ncbi.nlm.nih.gov/23924423/.

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#section/all. Hoʻohou ʻia ʻOkakopa 29, 2020. Loaʻa iā Nowemapa 3, 2020.

ʻO Nelson WG, Antonarakis ES, Carter HB, DeMarzo 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; 2020: chap 81.

ʻO ka Pūʻali Hana Hana Hana US, Grossman DC, Curry SJ, et al. Ke nānā ʻana no ka maʻi ʻaʻai prostate: ʻōlelo aʻoaʻo a ka US Preventive Services Task Force. JAMA. 2018; 319 (18): 1901-1913. PMID: 29801017 pubmed.ncbi.nlm.nih.gov/29801017/.

• Ke nānā ʻana i ka maʻi ʻaʻai Prostate