Nā ʻano / prostate / hoʻomanawanui / prostate-treatment-pdq
Nā ʻikepili i loko
- 1 Hoʻomaʻamaʻa Prostate Cancer (®) - Mana Mana Manaʻo
- 1.1 ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai Prostate
- 1.2 Nā pae o ka maʻi ʻaʻai Prostate
- 1.3 Laulā Manaʻo Option Oponopono
- 1.4 Lapaʻau o ke kahua I Prostate maʻi ʻaʻai
- 1.5 Ka mālama ʻana i ka maʻi ʻaʻai Prostate kahua II
- 1.6 Ka mālama ʻana i ka maʻi ʻaʻai Prostate pae III
- 1.7 Ka mālama ʻana i ka maʻi ʻaʻai Prostate kahua IV
- 1.8 Ka mālama ʻana i ka maʻi ʻaʻai Prostate a i ʻole Hormone-Resistant
- 1.9 E aʻo hou e pili ana i ka maʻi ʻaʻai Prostate
Hoʻomaʻamaʻa Prostate Cancer (®) - Mana Mana Manaʻo
ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai Prostate
NA MANA KUNI
- ʻO ka maʻi ʻaʻai Prostate kahi maʻi kahi e kū ai nā maʻi ʻino (maʻi ʻaʻai) i nā aʻa o ka prostate.
- ʻO nā hōʻailona o ka maʻi ʻaʻai prostate me kahi kahe nāwaliwali o ka mimi a i ʻole ka urination pinepine.
- Hoʻohana ʻia nā hoʻokolohua e nānā i ka prostate a me ke koko e ʻike i ka maʻi ʻaʻai prostate.
- Hana ʻia kahi biopsy e ʻike pono i ka maʻi ʻaʻai prostate a ʻike i ka papa o ka maʻi ʻaʻai (Gleason score).
- Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
ʻO ka maʻi ʻaʻai Prostate kahi maʻi kahi e kū ai nā maʻi ʻino (maʻi ʻaʻai) i nā aʻa o ka prostate.
He gland ka prostate i loko o ka ʻōnaehana hānau kāne. Aia ia ma lalo pono o ka bladder (ʻo ka ʻokena e ʻohiʻohi a ninini i ka mimi) a i mua o ke kiko (ka ʻaoʻao haʻahaʻa o ka ʻōpū). ʻO ia e pili ana i ka nui o kahi wōnati a hoʻopuni i kahi ʻāpana o ka urethra (ka paipu e ninini i ka mimi mai ka pākuʻi). Hana ka gland prostate i ka wai i ʻāpana o ka semen.
ʻO ka maʻi ʻaʻai Prostate ka mea maʻamau i nā kāne makua. Ma ka US, ma kahi o 1 o 5 mau kāne e ʻike ʻia me ka maʻi ʻaʻai prostate.
ʻO nā hōʻailona o ka maʻi ʻaʻai prostate me kahi kahe nāwaliwali o ka mimi a i ʻole ka urination pinepine.
ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i hopena ʻia e ka maʻi ʻaʻai prostate a i ʻole nā kūlana ʻē aʻe. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Nāwaliwali a wāwahi ʻia paha ("kū-a-hele") kahe o ka mimi.
- Hoʻoikaika koke e urino.
- ʻO ka urination pinepine (ʻoi loa i ka pō).
- Ka pilikia e hoʻomaka nei i ke kahe o ka mimi.
- Hoʻopilikia i ka hoʻonele ʻana i ka ʻōpū.
- ʻEha a puhi paha i ka wā e urinary.
- Koko i ka mimi a i ʻole ka semen.
- He ʻeha ma ke kua, nā pūhaka, a i ʻole nā pelvis ʻaʻole e hele.
- Ka hanu ʻana o ka hanu, luhi loa, kuʻi ka puʻuwai, wikiwiki, a me nā ʻili pale i hoʻokumu ʻia e ka anemia.
ʻO nā kumu ʻē aʻe paha ke kumu i nā ʻōuli like. I ka wā e ʻelemakule ana nā kāne, nui a nui paha ka prostate a ālai i ka urethra a i ʻole ka huehue. Hiki paha i kēia ke pilikia i ka mimiki a i ʻole nā pilikia moekolohe. Kāhea ʻia kēia ʻano benign prostatic hyperplasia (BPH), a ʻoiai ʻaʻole ia he maʻi ʻaʻai, pono paha ke ʻoki. ʻO nā ʻōuli o ka maʻi maʻi prostatic hyperplasia a i ʻole nā pilikia ʻē aʻe i ka prostate e like paha me nā ʻōuli o ka maʻi ʻaʻai prostate.
Hoʻohana ʻia nā hoʻokolohua e nānā i ka prostate a me ke koko e ʻike i ka maʻi ʻaʻai prostate.
Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.
- ʻImi hoʻokolohua digital (DRE): kahi hōʻike o ka pololei. Hoʻokomo ke kauka a kahu hānai paha i kahi manamana lima i humuhumu ʻia i loko o ka poli a manaʻo ʻia ka prostate ma o ka paia kūpono no nā puʻupuʻu a i ʻole nā wahi ʻino.
- Hōʻike antigen kikoʻī Prostate (PSA): He hoʻāʻo e ana i ka pae o PSA i ke koko. ʻO PSA kahi mea i hana ʻia e ka prostate e ʻike ʻia ma nā kiʻekiʻe ma mua o ke koko o nā kāne i loaʻa i ka maʻi ʻaʻai prostate. Hiki ke kiʻekiʻe nā pae PSA i nā kāne i loaʻa i ka maʻi a i ʻole ka mumū o ka prostate a i ʻole BPH (kahi hoʻonui ʻia, akā noncancerous, prostate).
- Transrectal ultrasound: kahi hana e hoʻokomo ʻia ai kahi ʻimi e pili ana i ka nui o ka manamana lima i loko o ka poli e nānā i ka prostate. Hoʻohana ʻia ka ʻimi e kūʻē ai i nā nalu kani ikaika (ultrasound) mai nā aʻa o loko a i ʻole nā ʻola a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke hoʻohana ʻia ke ultrasound transrectal i ke kaʻina hana biopsy. Kapa ʻia kēia he biopsy alakaʻi ultrasound transrectal.
- Transrectal magnetic resonance imaging (MRI): Kahi hana e hoʻohana ai i ka magnet ikaika, nā nalu lekiō, a me kahi kamepiula e hana i kahi o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Hoʻokomo ʻia kahi kuʻina e hāʻawi ana i nā nalu lekiō i ka pololei ma kahi o ka prostate. Kōkua kēia i ka mīkini MRI e hoʻomaʻemaʻe i nā kiʻi o ka prostate a me nā mea kokoke. Hana ʻia kahi MRI transrectal e ʻike inā ua pālahalaha ka maʻi ʻaʻai ma waho o ka prostate i nā aʻa kokoke. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI). Hiki ke hoʻohana ʻia Transrectal MRI i ke kaʻina hana biopsy. Kāhea ʻia kēia ʻo transrectal MRI biopsy alakaʻi.
Hana ʻia kahi biopsy e ʻike pono i ka maʻi ʻaʻai prostate a ʻike i ka papa o ka maʻi ʻaʻai (Gleason score).
Hoʻohana ʻia kahi biopsy transrectal e hōʻoia i ka maʻi ʻaʻai prostate. ʻO kahi biopsy transrectal ka hemo ʻana o nā mea mai ka prostate ma o ka hoʻokomo ʻana i kahi nila kuina ma o ka kiko a i loko o ka prostate. Hana ʻia kēia kaʻina hana me ka hoʻohana ʻana i ka ultrasound transrectal a i ʻole transrectal MRI e kōkua i ke alakaʻi i kahi e lawe ʻia ai nā mea kiko. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai.
I kekahi manawa hana ʻia kahi biopsy e hoʻohana ana i kahi laʻana o nā kiko i lawe ʻia i ka wā o ka transurethral resection o ka prostate (TURP) e mālama ai i ka hyperplasia prostatic benign.
Inā loaʻa ka maʻi ʻaʻai, e hāʻawi ka pathologist i ka maʻi ʻaʻai. Hōʻike ka papa o ka maʻi ʻaʻaʻa i ke ʻano o ka nānā ʻana o nā hunaola maʻi maʻi ma lalo o ka microscope a me ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai. Kapa ʻia ka papa o ka maʻi ʻaʻai i ka helu Gleason.
No ka hāʻawi ʻana i ka maʻi ʻaʻai i ka papa, nānā ka mea pathologist i nā laʻana o ka maʻi prostate e ʻike ai i ka nui o kaʻiʻo tumola e like me kaʻiʻo prostate maʻamau a loaʻa i nā ʻano o nā pūnaewele ʻelua. Hōʻike ka kumu mua i ke ʻano o ka pūnaewele maʻamau, a ʻo ka hiʻohiʻona ʻelua e wehewehe i ke ana maʻamau maʻamau. Hāʻawi ʻia kēlā me kēia kumu i ka papa mai 3 a 5, me ka papa 3 e nānā ana i nā mea e like me kaʻiʻo prostate maʻamau a me ka papa 5 e nānā nei i nā mea maʻamau ʻole. Hoʻohui ʻia nā māka ʻelua i loaʻa ka helu Gleason.
Hiki ke kau ka helu Gleason mai ka 6 a i ka 10. ʻO ke kiʻekiʻe o ka helu Gleason, ʻo ka ulu ʻana paha o ka maʻi ʻaʻai a hohola koke. ʻO ka helu Gleason o 6 he maʻi ʻaʻai haʻahaʻa haʻahaʻa ia; ʻo ka helu he 7 he maʻi ʻaʻai kau waena; a ʻo ka helu he 8, 9, a 10 paha he maʻi ʻaʻai nui. ʻO kahi laʻana, inā ʻo ke kumu ʻōnaehana maʻamau ka papa 3 a ʻo ka papa lua ka papa 4, ʻo ia hoʻi ka hapa nui o ka maʻi ʻaʻai ka papa 3 a ʻoi aku ka liʻiliʻi o ka maʻi ʻaʻai. a he maʻi ʻaʻai kau waena ia. Kākau ʻia paha ka helu ʻo Gleason ma ke ʻano he 3 + 4 = 7, Gleason 7/10, a i ʻole he helu Gleason hui ʻia o 7.
Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
Pili ka wānana a me nā koho lapaʻau i kēia mau mea:
- ʻO ke kahua o ka maʻi ʻaʻai (pae o PSA, helu Gleason, Papa ʻĀkau, pehea ka nui o ka prostate e hoʻopili ʻia e ka maʻi ʻaʻai, a inā ua pāhola ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino).
- ʻO ka makahiki o ka mea hoʻomanawanui.
- Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.
Hiki ke hilinaʻi ʻia nā koho lapaʻau ma muli o kēia:
- Inā loaʻa nā pilikia olakino ʻē aʻe o ka mea maʻi.
- Nā hopena ʻē aʻe i manaʻo ʻia o ka lapaʻau.
- ʻO ka mālama i hala no ka maʻi ʻaʻai prostate.
- Nā makemake o ka mea hoʻomanawanui.
ʻAʻole make ka hapa nui o nā kāne i ʻike ʻia me ka maʻi ʻaʻai prostate.
Nā pae o ka maʻi ʻaʻai Prostate
NA MANA KUNI
- Ma hope o ke kuhi ʻia ʻana o ka maʻi ʻaʻai prostate, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻea i loko o ka prostate a i ʻole nā ʻāpana ʻē aʻe o ke kino.
- ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
- E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
- Hoʻohana ʻia ka pae papa a me PSA pae i ka maʻi ʻaʻai prostate.
- Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai prostate:
- Ke kahua I
- Kahua II
- Kahua III
- Kahua IV
- E hoʻi paha ka maʻi ʻaʻai Prostate ma hope o ka mālama ʻia ʻana.
Ma hope o ke kuhi ʻia ʻana o ka maʻi ʻaʻai prostate, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻea i loko o ka prostate a i ʻole nā ʻāpana ʻē aʻe o ke kino.
ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka prostate a i ʻole nā ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka lāʻau. ʻO nā hopena o nā hoʻokolohua i hoʻohana ʻia e ʻike ai i ka maʻi ʻaʻai prostate e hoʻohana pinepine ʻia e hoʻokū i ka maʻi. (E ʻike i ka ʻikepili ʻIkepili Laulaha.) I ka maʻi ʻaʻai prostate, ʻaʻole hiki ke hana i nā hoʻokolohua ke ʻole nā maʻi a me nā hōʻailona paha o ka mea maʻi e pālahalaha ai, e like me ka ʻeha o ka iwi, kahi pae PSA kiʻekiʻe, a i ʻole he helu kiʻekiʻe Gleason.
Hiki ke hoʻohana ʻia nā hoʻokolohua aʻe a me nā kaʻina hana i ke kaʻina hoʻonohonoho.
- ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner.
- MRI (kiʻi resonance ʻume mākenēki): kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).
- CT scan (CAT scan): Kahi hana e hana ai i ka moʻo o nā kiʻi kikoʻī o nā wahi i loko o ke kino, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.
- Pelvic lymphadenectomy: kahi hana ʻoki e wehe i nā lymph node i ka pelvis. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai.
- ʻO ka biopsy seminal vesicle: ʻO ka lawe ʻia ʻana o ka wai mai nā vesicle seminal (glands e hana i ka semen) e hoʻohana ana i kahi nila. ʻIke kahi pathologist i ka wai ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai.
- ProstaScint scan: Kahi hana e nānā ai no ka maʻi ʻaʻai i pālahalaha ʻia mai ka prostate i nā ʻāpana ʻē aʻe o ke kino, e like me nā lymph node. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hoʻopili nā mea lekiō i nā hunaola maʻi ʻaʻai prostate a ʻike ʻia e kahi scanner. Hōʻike ʻia nā mea lekiō ma ke ʻano he wahi mālamalama ma ke kiʻi ma nā wahi kahi e nui ai nā pūnaʻi maʻi ʻaʻai prostate.
ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.
- Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.
- ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.
- Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.
E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.
- ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
- Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai prostate i ka iwi, ʻo nā hunaola maʻi ʻaʻai i loko o ka iwi he mau pūnaʻi maʻi ʻaʻai ponoʻī prostate. ʻO ka maʻi maʻi ʻaʻai prostate metastatic, ʻaʻole ka maʻi ʻaʻa iwi.
ʻO Denosumab, kahi antibody monoclonal, hiki ke hoʻohana ʻia e pale aku i nā metastases iwi.
Hoʻohana ʻia ka pae papa a me PSA pae i ka maʻi ʻaʻai prostate.
Hoʻokumu ʻia ke kahua o ka maʻi ʻaʻai i nā hopena o ka hoʻokū a me nā hoʻokolohua diagnostics, e like me ka hoʻāʻo antigen (PSA) a me ka Group Group. Hoʻohana ʻia nā laʻana kikoʻī i ka wā o ka biopsy e ʻike i ka helu ʻo Gleason. Loaʻa ka helu Gleason mai 2 a 10 a wehewehe i ka ʻokoʻa o nā hunaola maʻi ʻea mai nā hunaola maʻamau ma lalo o kahi microscope a pehea paha e palahalaha aku ai ka tumo. ʻO ka hoʻohaʻahaʻa o ka helu, ʻo ka nui o nā hunaola maʻi ʻino e like me nā hunaola maʻamau a e ulu a hohola mālie paha.
Aia ka pūʻulu papa i ka helu Gleason. E ʻike i ka ʻikepili ʻaoʻao ākea no ka ʻike hou aku e pili ana i ka helu Gleason.
- ʻO ka pūʻulu papa 1 kahi helu Gleason o 6 a ʻoi iki paha.
- ʻO ka papa 2 a 3 paha kahi helu Gleason o 7.
- ʻO ka papa 4 he helu Gleason 8.
- ʻO ka papa 5 he helu Gleason o 9 a 10 paha.
Ana ka hōʻike PSA i ke kiʻekiʻe o PSA i ke koko. ʻO PSA kahi mea i hana ʻia e ka prostate e loaʻa paha i ka nui o ke koko o nā kāne i loaʻa i ka maʻi ʻaʻai prostate.
Hoʻohana ʻia nā pae aʻe no ka maʻi ʻaʻai prostate:
Ke kahua I
- ʻaʻole i ʻike ʻia i ka wā o kahi hoʻokolohua hoʻokolohua pololei a loaʻa ʻia e ka biopsy o ka nila (hana ʻia no kahi pae PSA kiʻekiʻe) a i ʻole kahi ʻāpana o nā kiko i lawe ʻia i ka wā o ke ʻoki no nā kumu ʻē aʻe (e like me ka hyperplasia prostatic benign). ʻO ka pae PSA haʻahaʻa ma mua o 10 a ʻo ka Pūʻulu Papa ʻo 1; a i ʻole
- ʻIke ʻia i ka wā o kahi hoʻokolohua hoʻokolohua pololei a loaʻa i ka hapalua a ʻoi iki paha o kekahi ʻaoʻao o ka prostate. ʻO ka pae PSA haʻahaʻa ma mua o 10 a ʻo ka Pūʻulu Papa ʻo 1.
Kahua II
I ka pae II, ʻoi aku ka holomua o ka maʻi ʻaʻai ma mua o ka pae I, akā ʻaʻole i pālahalaha ʻia ma waho o ka prostate. Māhele ʻia ka pae II i nā pae IIA, IIB, a me IIC.
I ke kahua IIA, maʻi ʻaʻai:
- loaʻa i ka hapalua a ʻoi paha o ka ʻaoʻao o ka prostate. ʻO ka pae PSA ma kahi o 10 akā ʻoi aku ka haʻahaʻa ma mua o 20 a ʻo ka Papa Papa 1; a i ʻole
- loaʻa i loko o hoʻokahi hapa o hoʻokahi ʻaoʻao o ka prostate a i ʻole nā ʻaoʻao ʻelua o ka prostate. ʻO ka pae PSA haʻahaʻa ma mua o 20 a ʻo ka Pūʻulu Papa ʻo 1.
I ke kahua IIB, maʻi ʻaʻai:
- loaʻa i hoʻokahi a ʻelua paha ʻaoʻao o ka prostate. ʻO ka pae PSA ma lalo o 20 a ʻo ka Papa Papa 2.
I ke kahua IIC, maʻi ʻaʻai:
- loaʻa i hoʻokahi a ʻelua paha ʻaoʻao o ka prostate. ʻO ka pae PSA ma lalo o 20 a ʻo ka Papa Papa 3 a 4 paha.
Kahua III
Māhele ʻia ka pae III i nā pae IIIA, IIIB, a me IIIC.
I ke kahua IIIA, maʻi ʻaʻai:
- loaʻa i hoʻokahi a ʻelua paha ʻaoʻao o ka prostate. ʻO ka pae PSA ma kahi o 20 a ʻo ka Pūʻulu Papa ʻo 1, 2, 3, a i ʻole 4.
I ke kahua IIIB, maʻi ʻaʻai:
- ua pālahalaha ʻia mai ka prostate a i nā vesicle seminal a i nā mea kokoke a i ʻole nā meaola, e like me ke kīʻaha, ka hakahaka, a me nā paia pelvic. Hiki i ka PSA kekahi pae a ʻo ka Pūʻulu Papa ʻo 1, 2, 3, a i ʻole 4.
I ke kahua IIIC, maʻi ʻaʻai:
- Loaʻa ma nā ʻaoʻao ʻelua a ʻelua paha o ka prostate a ua pāhola paha i nā vesicle seminal a i nā mea kokoke a i ʻole nā meaola, e like me ka rectum, bladder, a i ʻole paia pelvic. Hiki i ka PSA kekahi pae a ʻo ka pae pae ʻo 5.
Kahua IV
Māhele ʻia ka pae IV i nā pae IVA a me IVB.
I ke kahua IVA, maʻi ʻaʻai:
- Loaʻa ma nā ʻaoʻao ʻelua a ʻelua paha o ka prostate a ua pāhola paha i nā vesicle seminal a i nā mea kokoke a i ʻole nā meaola, e like me ka rectum, bladder, a i ʻole paia pelvic. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā wahi lymph kokoke. Hiki i ka PSA kekahi pae a ʻo ka Pūʻulu Papa ʻo 1, 2, 3, 4, a i ʻole 5.
I ke kahua IVB, maʻi ʻaʻai:
- ua hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino, e like me nā iwi a i ʻole nā lymph node mamao. Hoʻolahalaha pinepine ka maʻi ʻaʻai Prostate i nā iwi.
E hoʻi paha ka maʻi ʻaʻai Prostate ma hope o ka mālama ʻia ʻana.
E hoʻi paha ka maʻi ʻaʻai i loko o ka prostate a i ʻole nā ʻāpana ʻē aʻe o ke kino.
Laulā Manaʻo Option Oponopono
NA MANA KUNI
- Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai prostate.
- Hoʻohana ʻia ʻehiku ʻano o ka mālama maʻamau.
- Ke kali nei a kiaʻi paha i ka nānā ʻana
- ʻOki kino
- ʻO ka radiation radiation a me ka radiation radiation
- Hoʻoikaika Hormone
- ʻO Chemotherapy
- Immunotherapy
- Hoʻoikaika Bisphosphonate
- Aia kekahi mau lāʻau no ka ʻehaʻeha o ka iwi i hoʻokumu ʻia e nā metastases iwi a i ʻole ka therapy hormon.
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- ʻO Cryosurgery
- ʻO ka ultrasound therapy hoʻoikaika kiʻekiʻe
- Hoʻoikaika radiation radiation proton
- Hoʻoikaika Photodynamic
- Hoʻomaʻamaʻa no ka maʻi ʻaʻai prostate i nā hopena ʻaoʻao.
- Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
- Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
- Pono paha nā hoʻokolohua ukali.
Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai prostate.
Loaʻa nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai prostate. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.
Hoʻohana ʻia ʻehiku ʻano o ka mālama maʻamau.
Ke kali nei a kiaʻi paha i ka nānā ʻana
ʻO ke kali ʻana a me ka nānā ʻana i ka hana he lāʻau lapaʻau i hoʻohana ʻia no nā kāne ʻelemakule ʻaʻohe o lākou hōʻailona a i ʻole nā hōʻailona a i ʻole nā kūlana olakino ʻē aʻe a no nā kāne i loaʻa ka maʻi ʻaʻai prostate i ka wā o kahi hoʻokolohua loiloi.
Ke kali nei ke kiaʻi me ka nānā pono ʻana i ke ʻano o ka mea maʻi me ka ʻole o ka hāʻawi ʻana i nā lāʻau a hiki i ka wā e ʻike ʻia ai nā hōʻailona a i ʻole nā loli. Hāʻawi ʻia ka mālama ʻana e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ke ola.
Ke ukali pono nei ka nānā pono ʻana i ke ʻano o ka mea maʻi me ka ʻole o ka hāʻawi ʻana i kahi lāʻau ke ʻole nā loli i nā hopena hōʻike. Hoʻohana ʻia ia e ʻike i nā ʻōuli mua e ulu ana ke ʻano o ka maikaʻi. I ka nānā ikaika ʻana, hāʻawi ʻia nā mea maʻi i kekahi mau hoʻokolohua a me nā hoʻokolohua, e like me ka hoʻokolohua hoʻokolohua kikoʻī, hōʻike PSA, ultrasound transrectal, a me ka biopsy kuʻina transrectal, e nānā inā ulu ka maʻi ʻaʻai. Ke hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai, hāʻawi ʻia ka lāʻau e hōʻola ai i ka maʻi ʻaʻai.
Hoʻohana ʻia nā huaʻōlelo ʻē aʻe e wehewehe i ka hāʻawi ʻole ʻana i ka lāʻau e hōʻola ai i ka maʻi ʻaʻai prostate ma hope pono o ka ʻike ʻana, ke kiaʻi ʻana a me ke kali ʻana.
ʻOki kino
ʻO nā mea maʻi i ke olakino maikaʻi nona ka ʻōpū i loko o ka gland prostate hiki ke mālama ʻia me ke ʻoki e wehe i ka tumo. Hoʻohana ʻia nā ʻano ʻoki aʻe:
- Radical prostatectomy: ʻO kahi kaʻina hana e wehe i ka prostate, nā mea a puni, a me nā vesicle seminal. Hiki ke hana ʻia ka hemo ʻana o nā lymph node ma ka manawa like. ʻO nā ʻano nui o ka prostatectomy radical pū kekahi:
- Open prostatectomy radical: Hana ʻia kahi ʻoki (ʻoki) i ka wahi retropubic (ʻōpū lalo) a i ʻole ka perineum (kahi ma waena o ka anus a me ka scrotum) Hana ʻia ke kaha ma o ka ʻokiʻoki. ʻOi aku ka paʻakikī o ka kaukoki e hoʻopakele i nā aʻalolo kokoke i ka prostate a i ʻole e wehe i nā lymph node kokoke me ka perineum kokoke.
- ʻO prostatectomy laparoscopic radical: hana ʻia i mau paia liʻiliʻi (ʻoki) i ka paia o ka ʻōpū. Hoʻokomo ʻia kahi laparoscope (kahi mea kani lahilahi, e like me ka Tube me ke kukui a me nā aniani no ka nānā ʻana) ma o hoʻokahi wehe e alakaʻi i ke ʻoki. Hoʻokomo ʻia nā mea hana kīʻaha ma o nā puka ʻē aʻe e hana i ke ʻoki.
- Robot-assist laparoscopic radical prostatectomy: Hana ʻia nā ʻoki liʻiliʻi i ka paia o ka ʻōpū, e like me ka prostatectomy laparoscopic maʻamau. Hoʻokomo ka mea hoʻopuka i kahi mea kani me kahi kāmela ma o kekahi o nā puka a me nā mea ʻokiʻoki ma o nā puka ʻē aʻe e hoʻohana ana i nā lima robotic. Hāʻawi ke kāmela i ke kaukipō i kahi nānā 3-dimensional o ka prostate a me nā hale e pili ana. Hoʻohana ka mea hoʻopuka i nā lima robotic e hana i ke ʻokiʻoki ʻoiai e noho ana ma kahi kamepiula kamepiula kokoke i ka papa hana.
- Pelvic lymphadenectomy: kahi hana ʻoki e wehe i nā lymph node i ka pelvis. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai. Inā loaʻa i nā lymph nodes ka maʻi ʻaʻai, ʻaʻole e lawe ke kauka i ka prostate a koi paha i nā lāʻau ʻē aʻe.
- ʻO ka transurethral resection o ka prostate (TURP): kahi hana ʻoki e wehe i nā mea mai ka prostate e hoʻohana ana i kahi resectoscope (kahi paipu lahilahi, a me kahi mea hana ʻoki) i hoʻokomo ʻia ma o ka urethra. Hana ʻia kēia hana e mālama ai i ka hypertrophy prostatic maikaʻi a hana ʻia i kekahi manawa e hōʻoluʻolu i nā ʻōuli i hana ʻia e kahi tumo ma mua o ka hāʻawi ʻia ʻana o kahi lāʻau maʻi ʻē aʻe. Hana ʻia nō hoʻi ʻo TURP i nā kāne nona ka tumo i ka prostate wale nō a ʻaʻole hiki iā lākou ke loaʻa i kahi prostatectomy radical.
I kekahi mau hihia, hiki ke hoʻopakele ʻia nā aʻalolo e kāohi ana i ke kūkulu ʻana i nā penile me ke ʻoki ʻana i ke aʻa. Eia nō naʻe, ʻaʻole hiki i kēia i nā kāne me nā tumors nui a i ʻole nā puʻupuʻu kokoke loa i nā aʻa.
Nā pilikia e hiki mai ana ma hope o ke kahakaha ʻana o ka maʻi ʻaʻai prostate me kēia mau mea:
- Impotence.
- Kūkulu ka mimi mai ka ʻai a me ka pahu mai ka pololei.
- Ka hoʻopōkole ʻana o ka peni (1 a 2 kenimika). ʻAʻole ʻike ʻia ke kumu kūpono o kēia.
- Inguinal hernia (ʻōpuʻu o ka momona a ʻāpana paha o ka ʻōpū liʻiliʻi ma o nā mākala nāwaliwali i loko o ke aʻa. Hiki pinepine ʻo Inguinal hernia i nā kāne i mālama ʻia me ka prostatectomy radical ma mua o nā kāne i loaʻa kekahi ʻano o ke kahakaha prostate, radiation therapy, a biopsy prostate wale nō. Loaʻa paha ia i loko o nā makahiki 2 ma hope o ka prostatectomy radical.
ʻO ka radiation radiation a me ka radiation radiation
ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. Aia kekahi mau ʻano o ka radiation radiation:
- Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i kahi o ke kino me ka maʻi ʻaʻai. ʻO ka radiation Conformal kahi ʻano o ka radiation radiation kūwaho e hoʻohana ai i kahi kamepiula e hana i kahi kiʻi 3-dimensional (3-D) o ka tumo a hoʻohālikelike i nā kaola kukuna e kūpono i ka tumo. ʻAe kēia i kahi lāʻau kiʻekiʻe o ka pāhawewe e hiki i ka tumo a hoʻemi iki i ka hōʻino ʻana i nā mea olakino kokoke.
Hāʻawi ʻia paha kahi hoʻolāʻau Hypofractionated radiation no ka mea ʻoi aku ka maikaʻi o ka papa hana lawelawe. ʻO ka Hypofractionated radiation therapy ka hoʻomaʻamaʻa radiation kahi i hāʻawi ʻia ai ka nui ma mua o ka maʻamau maʻamau o ka radiation i hoʻokahi manawa i ka lā ma kahi o ka manawa pōkole (nā lā liʻiliʻi) i hoʻohālikelike ʻia me ka radiation radiation standard. Loaʻa paha nā hopena ʻino ʻoi loa i ka Hypofractionated radiation therapy ma mua o ka maʻamau radiation radiation, kaukaʻi ʻia i nā papa hana i hoʻohana ʻia.
- Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai. I ka maʻi ʻaʻai prostate ma ka wā mua, hoʻonoho ʻia nā ʻano radioactive i ka prostate me ka hoʻohana ʻana i nā nila i hoʻokomo ʻia ma o ka ʻili ma waena o ka scrotum a me ka pololei. ʻO ke kau ʻana i nā hua radioactive i ka prostate e alakaʻi ʻia e nā kiʻi mai transrectal ultrasound a i ʻole compute tomography (CT). Lawe ʻia nā nila kuʻina ma hope o ke kau ʻia ʻana o nā hua lekiō i ka prostate.
- Hoʻohana ka Radiopharmaceutical therapy i kahi mea radioactive e mālama ai i ka maʻi ʻaʻai. Pākuʻi ʻia ʻo Radiopharmaceutical therapy i kēia:
- Hoʻohana ka lāʻau hoʻomalu radiation Alpha i kahi mea radioactive e mālama ai i ka maʻi ʻaʻai prostate i pāhola ʻia i ka iwi. Hoʻokomo ʻia kahi mea radioactive i kapa ʻia ʻo radium-223 i loko o kahi aa a hele i waena o ke kahe o ke koko. ʻOhi ka radium-223 i nā wahi o ka iwi me ka maʻi ʻaʻai a make i nā hunaola maʻi ʻaʻai.
Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation o waho, ka radiation radiation o loko, a me ka radiopharmaceutical therapy e mālama ai i ka maʻi ʻaʻai prostate.
Hoʻonui ka makaʻu o nā kāne me ka radiation radiation no ka maʻi ʻaʻai prostate i ka loaʻa ʻana o ka maʻi ʻaʻai a me / a i ʻole ka maʻi ʻaʻai gastrointestinal.
Hiki i ka radiation radiation ke hana i ka impotence a me nā pilikia urinary e ʻinoʻino paha me ka makahiki.
Hoʻoikaika Hormone
ʻO ka Hormone therapy kahi lapaʻau maʻi ʻaʻai e hoʻoneʻe i nā homone a i ʻole ālai i kā lākou hana a kāpae i nā hunaola maʻi maʻi mai ka ulu ʻana. ʻO nā Hormones nā mea i hana ʻia e nā glands i loko o ke kino a hoʻolaha ʻia i ke kahe o ke koko. I ka maʻi ʻaʻai prostate, hiki i nā homone kāne kāne ke ulu i ka maʻi ʻaʻai prostate. Hoʻohana ʻia nā lāʻau lapaʻau, ʻoki kino, a i ʻole nā hormones ʻē aʻe e hōʻemi i ka nui o nā kāne kāne a i ʻole keakea iā lākou mai ka hana ʻana. Kapa ʻia kēia androgen deprivation therapy (ADT).
Hiki ke hoʻopili ʻia i ka Hormone therapy no ka maʻi ʻaʻai prostate i kēia mau mea:
- Hiki i ka Abiraterone acetate ke pale aku i nā hunaola maʻi ʻaʻai prostate mai ka hana ʻana i androgens. Hoʻohana ʻia ia i nā kāne me ka maʻi ʻaʻai prostate holomua ʻaʻole i ʻoi aku ka maikaʻi me nā hoʻomaʻamaʻa hormone ʻē aʻe.
- ʻO Orchiectomy kahi hana ʻoki e wehe i hoʻokahi a i ʻole nā testicle ʻelua, ke kumu nui o nā homone kāne, e like me ka testosterone, e hoʻemi i ka nui o nā hormone i hana ʻia.
- Hiki i nā Estrogens (nā hormones e hoʻoulu i nā ʻano wahine) ke pale i nā testicle mai ka hana testosterone. Eia nō naʻe, ʻaʻole hoʻohana pinepine ʻia nā estrogens i kēia lā i ka mālama ʻana i ka maʻi ʻaʻai prostate ma muli o ka hopena o nā hopena koʻikoʻi.
- Hiki i nā loneinizing hormone-hoʻokuʻu i nā agonists hormone ke hoʻopau i nā testicle mai ka hana testosterone. ʻO nā laʻana he leuprolide, goserelin, a me buserelin.
- Hiki i nā antiandrogens ke ālai i ka hana o androgens (nā hormones e hoʻolauna i nā ʻano kāne kāne), e like me ka testosterone. ʻO nā laʻana he flutamide, bicalutamide, enzalutamide, apalutamide, a me nilutamide.
- Nā lāʻau i hiki ke pale aku i nā adrenal glands mai ka hana ʻana i androgens me ketoconazole, aminoglutethimide, hydrocortisone, a me progesterone.
ʻO nā kukuna wela, hoʻohaʻahaʻa i ka moekolohe, ka nele o ka makemake no ka moekolohe, a me nā iwi nāwaliwali e hana ʻia i loko o nā kāne e mālama ʻia me ka hoʻōla hormonone ʻO nā hopena ʻē aʻe e pili pū ana me ka maʻi diarrhea, nausea, a me ka aniani.
E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻa Prostate no ka ʻike hou aku.
ʻO Chemotherapy
ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana).
E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻa Prostate no ka ʻike hou aku.
Immunotherapy
ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. ʻO kēia mālama maʻi ʻaʻai kahi ʻano o ka biologic therapy. ʻO Sipuleucel-T kahi ʻano o ka immunotherapy i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai prostate i metastasized (pālahalaha ʻia i nā ʻāpana ʻē aʻe o ke kino).
E ʻike i nā lāʻau i ʻāpono ʻia no ka maʻi ʻaʻa Prostate no ka ʻike hou aku.
Hoʻoikaika Bisphosphonate
ʻO nā lāʻau Bisphosphonate, e like me clodronate a i ʻole zoledronate, hoʻoliʻiliʻi i ka maʻi iwi ke pālahalaha ʻia ka maʻi ʻaʻai i ka iwi. ʻO nā kāne e mālama ʻia me ka antiandrogen therapy a i ʻole orchiectomy aia i ka nui o ka hopena o ka nalo ʻana o ka iwi. I kēia mau kāne, hoʻoliʻiliʻi nā lāʻau bisphosphonate i ka makaʻu o ka haʻi iwi (haki). Ke aʻo ʻia nei ka hoʻohana ʻana i nā lāʻau bisphosphonate e pale a lohi ai paha i ka ulu ʻana o nā metastases iwi i nā hoʻokolohua hoʻokolohua.
Aia kekahi mau lāʻau no ka ʻehaʻeha o ka iwi i hoʻokumu ʻia e nā metastases iwi a i ʻole ka therapy hormon.
ʻO ka maʻi ʻaʻai Prostate i pālahalaha aʻe i ka iwi a me kekahi ʻano o ka hoʻōla hormonone hiki ke hoʻonāwaliwali i nā iwi a alakaʻi i ka ʻeha o ka iwi. ʻO nā mālama ʻana no ka ʻeha iwi ka mea penei:
- Lapaʻau ʻeha.
- Hoʻoikaika radiation kūwaho.
- Strontium-89 (kahi radioisotope).
- Hoʻopaʻa kaulike ʻia me kahi antibody monoclonal, e like me denosumab.
- Hoʻoikaika Bisphosphonate.
- Corticosteroids.
E ʻike i ka hōʻuluʻulu ma Pain no ka ʻike hou aku.
Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
Hōʻike kēia ʻāpana hōʻuluʻulu manaʻo i nā mālama e hoʻopaʻa ʻia nei i nā hoʻokolohua hoʻokolohua. ʻAʻole paha ia e ʻōlelo i kēlā me kēia lapaʻau hou e hoʻopaʻa ʻia ana. Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.
ʻO Cryosurgery
He lāʻau lapaʻau ʻo Cryosurgery e hoʻohana i kahi mea kani e hoʻopaʻa ai a luku hoʻi i nā hunaola maʻi ʻaʻai prostate. Hoʻohana ʻia ʻo Ultrasound e ʻimi i kahi e mālama ʻia. Kapa ʻia kēia ʻano lapaʻau ʻo cryotherapy.
Hiki i ka Cryosurgery ke hana i ka impotence a me ke kahe o ka mimi mai ka pākeke a i ʻole ka noho mai ka pololei.
ʻO ka ultrasound therapy hoʻoikaika kiʻekiʻe
ʻO ka hoʻōla ultrasound hoʻokiwikā kiʻekiʻe kahi lapaʻau e hoʻohana ai i ka ultrasound (nā hawewe kani uila ikaika) e luku ai i nā hunaola maʻi ʻaʻai. No ka mālama ʻana i ka maʻi ʻaʻai prostate, hoʻohana ʻia kahi kuʻina endorectal e hana i nā nalu kani.
Hoʻoikaika radiation radiation proton
ʻO ka Proton radiation radiation therapy kahi ʻano o ka ikehu kiʻekiʻe, ka pāhawewe radiation kūwaho e kuhikuhi ana i nā tumors me nā kahawai protons (nā mea liʻiliʻi liʻiliʻi i hoʻopiʻi ʻia). Ke aʻo ʻia nei kēia ʻano radiation radiation i ka mālama ʻana i ka maʻi ʻaʻai prostate.
Hoʻoikaika Photodynamic
Kahi maʻi ʻaʻai e hoʻohana i ka lāʻau lapaʻau a me kekahi ʻano o ke kukui laser e pepehi i nā hunaola maʻi ʻaʻai. ʻO kahi lāʻau e hana ʻole a hiki i ka wā e hōʻike ʻia i ka mālamu e hoʻopili ʻia i loko o kahi aa koko. Hōʻiliʻili ka lāʻau i nā mea maʻi ʻaʻai ma mua o nā hunaola maʻamau. Hoʻohana ʻia nā paipu Fiberoptic e halihali i ke kukui laser i nā hunaola maʻi ʻaʻai, kahi e hana ai ka lāʻau a make i nā hunaola. Hoʻomaʻamaʻa ka lāʻau Photodynamic i ka hōʻemi iki ʻana i nā mea olakino Hoʻohana nui ʻia ia e mālama i nā tumors ma lalo a i ʻole ma lalo o ka ʻili a i ʻole ka uhi ʻana o nā mea kūloko.
Hoʻomaʻamaʻa no ka maʻi ʻaʻai prostate i nā hopena ʻaoʻao.
No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.
Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.
ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.
ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.
Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.
Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.
Pono paha nā hoʻokolohua ukali.
ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.
E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā loiloi.
Lapaʻau o ke kahua I Prostate maʻi ʻaʻai
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka hoʻomaʻamaʻa maʻamau ʻana o ka maʻi ʻaʻai prostate ma kahi ʻē aʻe i kēia mau mea:
- Ke kali kiaʻi nei.
- Nānā hana. Inā hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai, hāʻawi ʻia paha ka hoʻōla hormonone.
- ʻO ka prostatectomy radical, maʻamau me ka pelvic lymphadenectomy. Hāʻawi ʻia ka radiation radiation ma hope o ke kaha ʻana.
- Hoʻoikaika radiation kūwaho. Hāʻawi ʻia ka Hormone therapy ma hope o ka radiation radiation.
- ʻO ka radiation radiation kūloko me nā hua radioactive.
- ʻO kahi hoʻokolohua hoʻokolohua o ka ultrasound therapy i hoʻoikaika nui ʻia.
- ʻO kahi hoʻokolohua hoʻokolohua o ka photodynamic therapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka cryosurgery.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Ka mālama ʻana i ka maʻi ʻaʻai Prostate kahua II
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka maʻamau maʻamau o ka maʻi ʻaʻai prostate pae II e hoʻopili pū i kēia mau mea:
- Ke kali kiaʻi nei.
- Nānā hana. Inā hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai, hāʻawi ʻia paha ka hoʻōla hormonone.
- ʻO ka prostatectomy radical, maʻamau me ka pelvic lymphadenectomy. Hāʻawi ʻia ka radiation radiation ma hope o ke kaha ʻana.
- Hoʻoikaika radiation kūwaho. Hāʻawi ʻia ka Hormone therapy ma hope o ka radiation radiation.
- ʻO ka radiation radiation kūloko me nā hua radioactive.
- ʻO kahi hoʻokolohua hoʻokolohua o ka cryosurgery.
- ʻO kahi hoʻokolohua hoʻokolohua o ka ultrasound therapy i hoʻoikaika nui ʻia.
- ʻO kahi hoʻokolohua hoʻokolohua o ka proton radiation radiation therapy.
- ʻO kahi hoʻokolohua hoʻokolohua o ka photodynamic therapy.
- Nā hoʻokolohua hoʻokolohua o nā ʻano lapaʻau hou, e like me ka hoʻōla hormonone a ukali ʻia e ka prostatectomy radical.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Ka mālama ʻana i ka maʻi ʻaʻai Prostate pae III
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka maʻamau maʻamau o ka maʻi ʻaʻai prostate pae III hiki ke hoʻopili i kēia mau mea:
- Hoʻoikaika radiation kūwaho. Hāʻawi ʻia ka Hormone therapy ma hope o ka radiation radiation.
- Hoʻoikaika Hormone. Hāʻawi ʻia ka radiation radiation ma hope o ka hoʻōla hormonone.
- ʻO prostatectomy radical. Hāʻawi ʻia ka radiation radiation ma hope o ke kaha ʻana.
- Ke kali kiaʻi nei.
- Nānā hana. Inā hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai, hāʻawi ʻia paha ka hoʻōla hormonone.
ʻO ka mālama ʻana e kaohi i ka maʻi ʻaʻai i loko o ka prostate a hoʻēmi i nā hōʻailona urinary e komo pū paha me kēia:
- Hoʻoikaika radiation kūwaho.
- ʻO ka radiation radiation kūloko me nā hua radioactive.
- Hoʻoikaika Hormone.
- ʻO ka transurethral resection o ka prostate (TURP).
- ʻO kahi hoʻokolohua hoʻokolohua o nā ʻano hou o radiation radiation.
- ʻO kahi hoʻokolohua hoʻokolohua o ka cryosurgery.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Ka mālama ʻana i ka maʻi ʻaʻai Prostate kahua IV
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka maʻamau maʻamau o ka maʻi ʻaʻai prostate IV pae e hoʻopili pū i kēia mau mea:
- Hoʻoikaika Hormone.
- Hoʻohui ʻia ʻo Hormone therapy me chemotherapy.
- Hoʻoikaika Bisphosphonate.
- Hoʻoikaika radiation kūwaho. Hāʻawi ʻia ka Hormone therapy ma hope o ka radiation radiation.
- ʻO ka hoʻomaʻemaʻe radiation radiation Alpha.
- Ke kali kiaʻi nei.
- Nānā hana. Inā hoʻomaka ka ulu ʻana o ka maʻi ʻaʻai, hāʻawi ʻia paha ka hoʻōla hormonone.
- ʻO kahi hoʻokolohua hoʻokolohua o prostatectomy radical me orchiectomy.
ʻO ka mālama ʻana e kaohi i ka maʻi ʻaʻai i loko o ka prostate a hoʻēmi i nā hōʻailona urinary e komo pū paha me kēia:
- ʻO ka transurethral resection o ka prostate (TURP).
- Lapaʻau hoʻomākala.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Ka mālama ʻana i ka maʻi ʻaʻai Prostate a i ʻole Hormone-Resistant
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka hoʻomaʻamaʻa maʻamau o ka maʻi ʻaʻai prostate hou a pale ʻana paha i ka hormone ke komo pū i kēia:
- Hoʻoikaika Hormone.
- Chemotherapy no nā mea maʻi i mālama mua ʻia me ka hormone therapy.
- ʻO ke olakino biologic me sipuleucel-T no nā mea maʻi i mālama ʻia me ka hormone therapy.
- Hoʻoikaika radiation kūwaho.
- Prostatectomy no nā mea maʻi i mālama mua ʻia me ka radiation radiation.
- ʻO ka hoʻomaʻemaʻe radiation radiation Alpha.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
E aʻo hou e pili ana i ka maʻi ʻaʻai Prostate
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai prostate, e ʻike i ka mea aʻe:
- ʻAoʻao Kākoʻo ʻAoʻao Prostate
- ʻO ka maʻi ʻaʻai Prostate, meaʻai kūpono, a me nā meaʻai kīnā ʻole
- Kāohi Pīpī Prostate
- Ke nānā ʻana i ka maʻi ʻaʻai Prostate
- Ua ʻae ʻia nā lāʻau no ka maʻi ʻaʻai Prostate
- Hōʻike Hōʻikeʻike Prostate-Specific Antigen (PSA)
- Hormone Therapy no ka maʻi ʻaʻai Prostate
- Nā koho lapaʻau no nā kāne me ka maʻi ʻaʻa Prostate mua
- Cryosurgery i ka mālama ʻana i ka maʻi ʻaʻai
No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:
- E pili ana i ka maʻi ʻaʻai
- Ke hoʻokū nei
- ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Ke kāohi nei i ka maʻi ʻaʻai
- Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai
- No nā mea ola a me nā mea mālama
E hoʻohā i ka ʻōlelo hoʻohou auto-refresher