Nā moʻolelo ʻoiaʻiʻo: Ka maʻi ʻaʻai Prostate

Anter

• E hana i kāu noiʻi ponoʻī
• E ʻike i kahi lāʻau e kūpono iā ʻoe
• Mai hāʻawi pio inā hoʻi ka maʻi ʻaʻai

I kēlā me kēia makahiki, ʻoi aku ma mua o 180,000 mau kāne i ʻAmelika Hui Pū ʻIa i ʻike ʻia me ka maʻi ʻaʻai prostate. ʻOiai he ʻokoʻa ka huakaʻi maʻi ʻaʻai o kēlā me kēia kāne, aia ka waiwai i ka ʻike ʻana i nā mea a nā kāne ʻē aʻe i hele ai.

E heluhelu i ka hana a ʻekolu mau kāne ʻokoʻa ma hope o ke aʻo ʻana e pili ana i kā lākou hōʻailona a me nā haʻawina a lākou i aʻo ai ma ke ala.

E hana i kāu noiʻi ponoʻī

ʻO ko Ron Lewen hoihoi nui no ka Pūnaewele a me ka noiʻi i uku ʻia i kona wā i ʻike ai he maʻi ʻaʻai prostate kāna. "He geek wau, no laila ua noiʻi wale wau i ka heck mai kēia," i ʻōlelo ʻo ia.

ʻO Lewen, ka mea e loaʻa nei nā kānana antigen kikoʻī kikoʻī (PSA) maʻamau mai kona wā ma kahi o 50, ua ʻike ʻia ma Ianuali 2012 ua ʻoi aku kona kiʻekiʻe PSA ma mua o ka maʻamau. "Ua hele lākou ma luna o ka paepae ʻoluʻolu koʻu kauka, no laila ua lawe ʻo ia iaʻu e lawe i kekahi lāʻau ʻalopika inā he maʻi ia. Ua pono wau e hana i kahi hōʻike hou i kekahi mau pule ma hope. " ʻO ka hopena: ua piʻi hou kāna pae PSA. Ua hoʻouna aku ka loio a Lewen iā ia i kahi urologist nāna i hana i kahi hoʻokolohua hoʻokolokolo kikohoʻe a me kahi biopsy ma kāna prostate. Ma Malaki, ua loaʻa iā ia kāna kuhi: ka maʻi ʻaʻai prostate ma mua. "Ua haʻahaʻa kaʻu helu Gleason, no laila ua hopu mua mākou ia," i ʻōlelo ʻo ia.

ʻO ia ka manawa i uku ʻia ai nā mākau hoʻowalewale pūnaewele ʻo Lewen. Ua hoʻomaka ʻo ia e noiʻi i kāna mau koho lapaʻau. Ma muli o ke kaupaona ʻana he 380 paona, ʻaʻole e holo pono ke ʻoki kuʻuna. Ua paipai kahi radiologist i kekahi radiation kahiko a i ʻole brachytherapy, kahi lāʻau e hoʻokomo ʻia ai nā hua lekiō i loko o ka prostate e pepehi i nā hunaola maʻi ʻaʻai. "Maikaʻi kēlā mau koho, akā hoʻomau wau e heluhelu e pili ana i ka proton therapy," i ʻōlelo ʻo ia.

Me ka hoihoi hoihoi, ua ʻimi ʻo Lewen i kahi kikowaena mālama proton. ʻAʻole nui nā kikowaena lapaʻau proton maʻAmelika Hui Pū ʻIa, akā hoʻokahi wale nō 15 mau minuke mai ka hale o Lewen ma Batavia, ʻIlino. I loko o kāna kipa mua ʻana, ua launa ʻo ia me nā kauka, nā kahu hānai, nā mea hoʻomaʻamaʻa radiation, a me nā dosimetrists. "Ua hele lākou i waho e hōʻoluʻolu iaʻu," i ʻōlelo ʻo ia.

Ma hope o ke kamaʻilio ʻana me kāna wahine a me ke kaupaona ʻana i nā hopena āpau o nā ʻano lapaʻau ʻokoʻa, ua hoʻoholo ʻo Lewen e hoʻohana i ka proton therapy e mālama ai i kāna maʻi ʻaʻai prostate. No kēia ʻano lapaʻau, hoʻokomo nā kauka i kahi baluna liʻiliʻi i ka poli e hāpai aʻe i ka prostate i hiki ai i ka pāhawewe ke hōʻea i ka prostate me ka ʻole o ka hoʻopili ʻana i nā lālā a me nā mea kokoke.

Ua hoʻopau ʻo ia i kāna mau hana proton i ʻAukake 2012 a ua hana i nā hoʻokolohua PSA i kēlā me kēia ʻekolu mahina no ka makahiki mua. Mai ia manawa, he mau makahiki kipa kāna me kāna kauka. Ma ke ʻano holoʻokoʻa, i ʻōlelo ʻo Lewen, ʻaʻole hiki iā ia ke noi no kahi hoʻomaʻamaʻa maikaʻi aʻe. "He aha nā hopena ʻino i loaʻa iaʻu ma muli o ka mālama ʻana ʻaʻole loa ia he mea i kāohi iaʻu mai kaʻu hana a i ʻole leʻaleʻa i kahi ola maʻamau," i ʻōlelo ʻo ia.

"ʻO kekahi o nā mea maikaʻi loa e pili ana i ka lāʻau i kēia lā ka nui o kā mākou koho, akā ʻo kekahi o nā mea maikaʻi ʻole he nui kā mākou nā koho," i ʻōlelo ʻo ia. "Hiki ke lilo i mea nui loa, akā he mea nui e hoʻomaopopo i kāu mau koho. Ua kamaʻilio paha wau me 20 mau kānaka ʻokoʻa i ka wā o kaʻu noiʻi ʻana, akā ua kōkua ia iaʻu e hana i ke koho maikaʻi loa i ka hopena. ”

E ʻike i kahi lāʻau e kūpono iā ʻoe

ʻAʻole lawe ʻo Hank Curry i ke ola e moe ana. Hāpai ʻo ia i ka mauʻu a hoʻokūkū i nā hoʻokūkū roping. No laila ke kuhi ʻia ʻo Gardnerville, Nevada, kamaʻāina me ka maʻi ʻaʻai prostate ma Kēkēmapa 2011, ua hoʻohana ʻo ia i ke ala like e kaua ai i ka maʻi ʻaʻai.

Ua paipai nā kauka a Curry iā ia e hana i kahi ʻoki kino. Ma hope o nā mea āpau, ua holomua ka maʻi ʻaʻai. I ka manawa i loaʻa iā ia kahi biopsy, ua nānā nā kauka i nā wahi he 16 ma ka prostate no ka loaʻa ʻana o ka maʻi ʻaʻai. Ua hoʻi maikaʻi nā 16 āpau. "Ua ʻōlelo lākou ua manaʻo lākou aia kahi manawa kūpono i hoʻolaha ʻia ai ka maʻi ʻaʻai mai loko mai o ka prostate iho a i loko o koʻu ʻōpū. Ua haʻi lākou iaʻu hiki iā mākou ke hemo, akā ʻaʻohe mea hōʻoia e loaʻa iā lākou āpau, "i ʻōlelo ai ʻo ia. "Inā ʻoe e hele ana i loko o ka pilikia a me ke ʻoki kino a me ka ʻeha ke loaʻa i kēlā ʻoki a ʻaʻole paha ia e hoʻopau i ka maʻi ʻaʻai, ʻike wau ʻaʻole ia ke ʻokiʻoki naʻu."

Ma kahi o, ua loaʻa ʻo Curry i ʻeiwa mau pule radiation, ʻelima mau lā i ka pule. Ua loaʻa iā ia ka Lupron (hormone wahine) i loko e hoʻopili i kona kino mai ka hana ʻana i ka testosterone e hiki ai ke hoʻoulu hou i kāna maʻi ʻaʻai. Ua hoʻomaka ʻo ia i kāna hana lapaʻau ma Ianuali 2012 a hoʻopau iā lākou i ʻewalu mau mahina ma hope i ʻAukake.

I loko o kāna mau hoʻomaʻamaʻa, mālama ʻo Curry i kahi regimen kino maʻamau, ʻai maikaʻi, a hoʻāʻo e mālama i kona kino i ke ʻano kiʻekiʻe. Ua kōkua kēia iā ia e loaʻa hou ka ikaika a hoʻomau me kāna huki ʻana i ka mauʻu. "ʻAʻohe oʻu manaʻo he wimp wau a i ʻole kekahi mea."

Mai hāʻawi pio inā hoʻi ka maʻi ʻaʻai

I ka manawa i hōʻoia ʻia ai ʻo Alfred Diggs me ka maʻi ʻaʻai i ka makahiki 55, ua koho ʻo ia e loaʻa kahi prostatectomy radical. "ʻAʻole i loaʻa iaʻu kekahi mau hōʻailona e pili ana i ka maʻi ʻaʻai prostate, akā ke loaʻa nei iaʻu nā PSA no ka manawa lōʻihi," wahi a ka mea kauka lāʻau mua a me ka ʻoihana olakino mai Concord, Kaleponi. Ma ke ʻano he ʻAmelika-ʻAmelika, ua ʻike ʻo Diggs he kiʻekiʻe kona mau manawa no ka maʻi ʻaʻai - e like me ka hopena e hoʻi ai.

"Ua ʻoi aku ka palua o kaʻu PSA i hoʻokahi makahiki, a hōʻike kahi biopsy ua loaʻa wau i ka maʻi ʻaʻai prostate ma nā lobes he nui o kaʻu prostate," i ʻōlelo ʻo ia. "Ua ola nā ʻenehana hou, akā pono lākou e puni ma kahi o 10 mau makahiki ma mua o kaʻu hana ʻana."

"Ma hope o ke kaha ʻana, ʻekolu a ʻehā paha mau mahina o ka hoʻomau ʻana o ka mimi - akā ʻaʻole ia he mea maʻamau," i ʻōlelo ai ʻo ia. Ua loaʻa ʻo Diggs i ka hana erectile ma ke ʻano he hopena o ka lapaʻau ʻana, akā ua hiki iā ia ke mālama iā ia me ka lāʻau.

ʻAʻohe hōʻailona ʻo ia no nā makahiki 11 e hiki mai ana, akā hoʻi ka maʻi ʻaʻai i ka mua o 2011. "Ua hoʻomaka kaʻu PSA e piʻi mālie, a inā loaʻa iā ʻoe ka maʻi ʻaʻai prostate hou, ʻo kāu PSA wale nō nā kauka hōʻailona hōʻailona kāu PSA," i ʻōlelo ʻo ia. "Ua ʻike au i kekahi mau kauka, a ua haʻi like lākou iaʻu i ka mea like - pono wau i radiation."

Ua loaʻa iā Diggs he 35 mau hanana radiation i loko o ʻehiku pule. I ʻOkakopa 2011, ua pau ʻo ia me kāna pāhawewe, a ua hoʻi hou kāna mau helu PSA i ka maʻamau.

No laila pehea e hoʻi ai ka maʻi ʻaʻai prostate ke ʻaʻohe prostate hou? "Inā paʻa loa ka maʻi ʻaʻai prostate i ka prostate, aia ma kahi o 100 pākēneka hiki ke hoʻōla. Inā hōʻea nā hunaola maʻi ʻino i ka moena prostate [ʻo nā mea e pili ana i ka prostate], aia kahi manawa e hoʻi ai ka maʻi ʻaʻai, "wahi a Diggs.

"I ka hoʻi ʻana mai o ka maʻi ʻaʻai, ʻaʻole ia he maikaʻi ʻole o ka naʻau," i ʻōlelo ʻo ia. "ʻAʻole i loaʻa ka hopena o ka naʻau. Ua manaʻo wale wau 'Eia hou kāua e hele ai!' "

Inā loaʻa ʻoe i kahi kuhi, manaʻo ʻo Diggs e kiʻi i nā kāne ʻē aʻe i hala i ka maʻi a me ka lāʻau. "Ma ka maʻalahi, hiki iā lākou ke haʻi iā ʻoe i nā mea ʻaʻole hiki i ke kauka."