He mea paʻakikī ke hoʻopuka i nā huaʻōlelo i ka makaʻu a me ka hopohopo a mākou e manaʻo ai ke ʻike mākou he maʻi kanesa ko mākou. Akā mahalo i ka ʻepekema lapaʻau holomua i hiki mai iā mākou i kēia lā, aia nā lāʻau lapaʻau kūpono loa no ke kanesa. Ua ʻike anei ʻoe, aia kekahi mau ʻano kanesa e ulu ana ma ka "hānai ʻana" i nā kemika ponoʻī o ko mākou kino i kapa ʻia he hormones? I ka mālama ʻana i kēlā ʻano kanesa, he mea nui loa ka kaohi ʻana i ka hana ʻana o kēlā mau hormones. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano lāʻau lapaʻau kūikawā. ʻO ka inoa ʻo 'Chemical Castration'. ʻOiai paha he mea weliweli iki ka inoa, he lāʻau lapaʻau kēia e lawe mai i ka hōʻoluʻolu i nā poʻe maʻi kanesa he nui.
I ka ʻōlelo maʻalahi, he aha ka Chemical Castration?
ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO ke 'Chemical Castration' ka hoʻohana ʻana i nā lāʻau lapaʻau a i ʻole nā kemika e hoʻōki i ka hana ʻana o nā hormones wahine i loko o ko mākou kino. Hoʻokuʻu ʻia kēia mau hormones i loko o ke kahe koko e nā ʻano kelepa like ʻole i loko o ko mākou kino. Hoʻomalu kēia mau hormones i nā mea he nui i loko o ko mākou kino; nā mea e like me ka ikehu, ka ulu ʻana, a me ke ʻano. He mea nui loa nā hormones wahine no nā mea e like me ka wā ʻōpio a me ke olakino hānau hou.
Eia nō naʻe, hilinaʻi kekahi mau ʻano maʻi kanesa, e like me ke kanesa prostate a me kekahi mau ʻano maʻi kanesa umauma, i kēia mau hormones wahine e ulu ai. E like me ka mea kanu e pono ai ka wai e ulu ai, pono kēia mau hunaola kanesa i nā hormones e ulu ai. No laila, hōʻemi ka mālama ʻana me ke Kemika Castration i ka nui o kēia mau hormones wahine i loko o ke kino. A laila nalowale nā hunaola kanesa i ka "meaʻai" a lākou e pono ai, a oki a lohi paha ko lākou ulu ʻana.
Aia kekahi mau inoa ʻē aʻe i hoʻohana ʻia no kēia lāʻau lapaʻau. Ke lohe ʻoe iā lākou, e ʻoi aku ka maopopo o kēia iā ʻoe:
- Ka hoʻohemo ʻana i ke kino lapaʻau
- Hoʻōla Hormone
- Lāʻau Hoʻohaʻahaʻa/Hoʻonele/Hoʻopau Androgen
ʻO ke ʻano o kēia mau inoa a pau ka mea like: hoʻemi lākou i ka pae o nā hormones wahine i loko o ke kino.
He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?
Hoʻohana nui nā kauka i kēia lāʻau lapaʻau no nā maʻi ʻōpū e hilinaʻi nei i nā hormones wahine, ʻoiai:
- Ka Maʻi ʻAʻai Prostate: ʻO kēia maʻi ʻaʻai i nā kāne ke kumu pinepine ʻia e ka hormone kāne testosterone.
- Ka Maʻi ʻUma: Hoʻopili nā hormones wahine ʻo estrogen a me progesterone i ka ulu ʻana o kekahi ʻano maʻi ʻuma i nā wahine.
- Ka Maʻi ʻŪhā Kāne: ʻOiai he mea kakaikahi kēia, hoʻohana ʻia ka lāʻau lapaʻau hormone no kēia.
ʻO kekahi inoa maʻamau no nā hormones sex he androgens.Hana nā kānaka a pau i nā androgens, akā hana nui nā kāne i ia mau mea. He androgen nui ka Testosterone. He mea nui kēia hormone no ka ulu ʻana a me ka hana o ka prostate gland. Ke kū mai ka maʻi kanesa, ʻo kēia hormone ka mea e hoʻoulu ai i ka ulu ʻana o ke kanesa.
He aha ka mea e hana ʻia ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau?
Ma mua o ke kuhikuhi ʻana o kāu kauka i ka lāʻau lapaʻau hormone, pono lākou e ʻike pono inā e pane maikaʻi kāu ʻano maʻi kanesa iā ia. E pili ana kēia i kekahi mau hoʻokolohua. Hiki i kēia mau hoʻokolohua ke hoʻoholo i ke ʻano o ka maʻi kanesa a me ke kahua i laha ai.
ʻO kekahi o nā hoʻokolohua i hana ʻia no kēia kumu:
- Nānā CT
- Nānā PET
- Endoscopy
- Biopsy - Ke lawe ʻana i kahi hāpana liʻiliʻi o nā hunaola kanesa no ka hoʻokolokolo ʻana.
- Nā hoʻāʻo koko no ka maʻi kanesa
I kekahi mau hihia, ʻoiai inā makemake ʻoe e hoʻohaʻahaʻa mau i kāu pae testosterone, hiki i kāu kauka ke kūkākūkā i kahi hana ʻoki i kapa ʻia he orchiectomy . Pili kēia i ka wehe ʻana i kekahi a i ʻole nā testicles ʻelua. He hopena mau loa kēia. ʻO kekahi koho ʻē aʻe, ʻo ia ke ʻoki e wehe wale i ka ʻiʻo e hana ai i ka testosterone. Eia naʻe, ʻo ka mea a mākou e kamaʻilio nei ma ʻaneʻi, ʻo ia ka castration kemika, ʻaʻole ke ʻoki. He lāʻau lapaʻau manawa pōkole me ka lāʻau lapaʻau.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻAʻole kēia he lāʻau lapaʻau hoʻokahi manawa. He hana hoʻomau kēia . ʻO ka maʻamau, e hāʻawi kāu kauka iā ʻoe i kēia mau lāʻau lapaʻau ma ke ʻano he inikini a i ʻole he mea liʻiliʻi i kau ʻia ma lalo o kou ʻili (implant). Eia nō naʻe, loaʻa pū kekahi mau lāʻau lapaʻau ma ke ʻano he mau pila.
Ma muli o ke ʻano a me ka nui o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, pono paha ʻoe e hana hou i kēia lāʻau i hoʻokahi manawa i ka mahina, hoʻokahi i kēlā me kēia ʻekolu mahina, a i ʻole hoʻokahi i ka makahiki.
I ka mālama ʻana i ke kanesa prostate, aia kekahi mau ala e hana ai kēia lāʻau lapaʻau:
- Hoʻemi ia i ka hana ʻana o nā androgens (ʻoi aku ka testosterone) mai nā testicles.
- Hoʻopili ia i ka hiki o nā androgens i loko o ke kino e nakinaki a hana pū me nā pūnaeho kanesa.
- Hoʻōki ia i ka hana ʻana o nā androgens mai nā ʻāpana ʻē aʻe o ke kino (ʻaʻole wale nā testicles).
He aha nā lāʻau lapaʻau i hoʻohana ʻia no kēia?
Aia kekahi mau papa nui o nā lāʻau lapaʻau i hoʻohana ʻia no ke kanesa prostate. E nānā pono kākou iā lākou.
| Māhele lāʻau lapaʻau | Pehea e hana maʻalahi ai | Nā laʻana (nā inoa lama o nā lāʻau lapaʻau) |
|---|---|---|
| Nā Agonists GnRH | ʻO kēia mau mea mua ke kumu o ka piʻi koke ʻana o nā pae testosterone (kahi lapalapa testosterone). A laila hoʻomaka ke kino e hoʻowahāwahā i ka hōʻailona e hana i ka hormone. Ma hope o kekahi mau lā, kokoke e pau loa ka hana ʻana o ka testosterone. | ʻO Goserelin (Zoladex®), Leuprolide (Lupron®), Triptorelin (Trelstar®) |
| Nā mea kū'ē i ka GnRH | ʻAʻole hoʻonui koke kēia lāʻau lapaʻau i nā pae hormone e like me ke ʻano ma mua. Hoʻōki pololei ia i ka hana ʻana o ka testosterone. No laila, ʻaʻole e loaʻa ka 'Testosterone Flare'. | ʻO Degarelix (Firmagon®), Relugolix (Orgovyx®) |
| Nā Lapaʻau Anti-androgen | Ma kahi o ke kāohi ʻana i ka hana ʻana o ka hormone, pale kēia i nā hormones androgen i loko o ke kino mai ka hoʻopaʻa ʻana i nā hunaola kanesa. I nā huaʻōlelo ʻē aʻe, aia kekahi kī, akā ua ālai ʻia ka laka (receptor) e komo ai. | Bicalutamide (Casodex®), Enzalutamide (Xtandi®), Apalutamide (Erleada®) |
| Nā mea hoʻopaʻa hana Androgen | Hoʻopau kēia lāʻau lapaʻau i ka hana ʻana o nā androgens ma nā wahi āpau o ke kino (testicles, adrenal glands, a me nā cell cancer). | ʻAbiraterone (Zytiga®), Ketoconazole (Nizoral®) |
Hoʻohana ʻia kēia ʻano hana no ka maʻi ʻaʻai umauma?
ʻAe. Paipai pū nā kauka i kēia lāʻau lapaʻau hormone no ka maʻi ʻaʻai umauma i hilinaʻi ʻia e ka estrogen a/a i ʻole ka progesterone. Hana ia ma ke kāohi ʻana i ka hana ʻana o nā hormones wahine a i ʻole ke kāohi ʻana iā lākou mai ka hana ʻana ma nā hunaola kanesa. Aia nā ʻano lāʻau lapaʻau like ʻole no kēia:
- Hana nā lāʻau lapaʻau e like me Tamoxifen ma ka hoʻōki ʻana i ka hormone estrogen mai ka hoʻopili ʻana i nā hunaola kanesa.
- Hana nā mea hoʻopaʻa aromatase (e like me Anastrozole, Letrozole) ma ke ālai ʻana i kahi enzyme e hana ana i ka estrogen i loko o ke kino.
- ʻO nā lāʻau lapaʻau e like me Goserelin lāua ʻo Leuprolide (hoʻohana ʻia no ke kanesa prostate) e hoʻōki i ka hana ʻana o nā ovaries no kekahi manawa a hōʻemi i ka hana ʻana o ka estrogen. Ua like kēia me ka menopause no kekahi manawa.
He aha kāu e manaʻo ai ma hope o ka lāʻau lapaʻau?
Hoʻomaka kēia mau lāʻau lapaʻau e hana i ka wā e hoʻomaka ai ʻoe e lawe iā lākou. Loaʻa ka hopena i ka wā e lawe ai ʻoe iā lākou.
ʻO ka hopena nui ka emi ʻana o ka makemake moe kolohe/libido. Hiki ke hoʻemi ʻia ka pane ʻana i ka hoʻoulu ʻana o ka noʻonoʻo a kino paha. No ka laʻana, hiki ke emi ka alapine o nā manaʻo e pili ana i ka moe kolohe.
Akā ʻo ka mea nui loa ma ʻaneʻi ka pono nui o kēia. ʻAʻole mau loa ka Chemical Castration. Hiki ke hoʻohuli ʻia.
Ma hope o kou hoʻōki ʻana i ka lāʻau lapaʻau, hoʻomaka hou kou kino e hana i nā hormones. Me kēia, hoʻi hou kou makemake moe kolohe i kona pae ma mua. ʻO kēia ka pōmaikaʻi nui o kēia ma mua o ka wehe ʻana i nā testicles a i ʻole nā ovaries.
Aia kekahi mau pilikia a me nā hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i ka lāʻau lapaʻau hormone ke loaʻa nā hopena ʻaoʻao. ʻAʻole loaʻa i nā kānaka a pau iā lākou āpau. A ʻokoʻa ke koʻikoʻi o kēia mau hopena mai kēlā kanaka a kēia kanaka. E kamaʻilio kāu kauka iā ʻoe e pili ana i nā hopena ʻaoʻao o ka lāʻau lapaʻau āu e lawe nei.
Ma keʻano laulā, eia kekahi o nā hopena ʻaoʻao maʻamau e hiki ke kū mai i ka wā e lawe ai i kēia lāʻau no ka manawa lōʻihi:
- Haʻahaʻa ka makemake moe kolohe
- Manaʻo wela koke i ke kino (Welt flashes)
- ʻOsteoporosis
- Ka hōʻemi ʻana i ka nui o nā uaua
- Hoʻonui ʻia ka waiho ʻana o ka momona o ke kino
- Hoʻonui ʻia ka pilikia o ka maʻi puʻuwai
- Kaumaha a i ʻole nā loli o ka naʻau
- Anemia
- Ua emi ka lauoho kino
- Nā ʻāpana umauma liʻiliʻi i nā kāne
Mai hopohopo i kēia mau hopena ʻaoʻao. Hiki ke mālama ʻia ka nui o lākou. No ka laʻana, hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻohui calcium a me ka wikamina D a me ka hoʻoikaika kino e kōkua i ka nāwaliwali o ka iwi. No laila he mea nui e kamaʻilio me kāu kauka e pili ana i kekahi ʻeha āu e ʻike nei.
Kekahi mau nīnau i nīnau pinepine ʻia
He lāʻau ʻeha anei kēia?
Inā ʻoe e lawe i ka lāʻau lapaʻau ma ke ʻano he pila, ʻaʻohe ʻeha. Inā ʻoe e lawe ia mea ma ke ʻano he inikini, hiki iā ʻoe ke manaʻo i kahi ʻeha iki a i ʻole ka wela i ka wā e hāʻawi ʻia ai ka inikini. Akā, ʻaʻole ia e lōʻihi.
Hiki ke loaʻa kahi kūkulu ma hope o ka lāʻau lapaʻau?
ʻAe, hiki ke hoʻāla ʻia. Akā, ma muli o ka haʻahaʻa o ka makemake moekolohe, ʻaʻole paha e hana pinepine ʻia e like me ma mua. A hiki ke loli ke ʻano o ka hoʻāla ʻana.
- ʻAʻole ikaika e like me ma mua
- ʻAʻole hiki ke mālama i ka wā lōʻihi
- Ua emi ka pinepine o ka hanana
He ʻano castration nō hoʻi ka vasectomy?
ʻAʻole. ʻAʻole loa. He ʻano kaohi hānau ka vasectomy. Pale wale ia i ka sperm mai ka puka ʻana mai loko mai o ka penis me ka semen. ʻAʻohe ona hopena i kāu mau pae hormone, ka makemake moekolohe, a i ʻole ka hana moekolohe.
ʻO ka mea nui loa, he huakaʻi ka mālama ʻana i ka maʻi kanesa. He mea maʻamau ka loaʻa ʻana o nā nīnau, nā hopohopo, a me nā makaʻu i kēia huakaʻi. E kamaʻilio e pili ana i kēia mau mea a pau me kāu kauka. Inā pono, hiki iā ʻoe ke ʻimi i nā lawelawe e like me ke aʻo ʻana. ʻAʻole ʻoe hoʻokahi.
Leka Lawe-Home
- ʻAʻole he hana ʻoki kino ka castration kemika . He lāʻau lapaʻau ia no ka maʻi kanesa e hoʻohana ana i nā lāʻau lapaʻau e hoʻōki i ka hana ʻana o ke kino i nā hormones wahine no kekahi manawa.
- Hoʻohana nui ʻia kēia no ke kanesa prostate a me kekahi ʻano kanesa umauma.
- ʻO kekahi o nā pono nui o kēia lāʻau lapaʻau, ʻo ia ka hiki ke hoʻihoʻi ʻia . Ke hoʻōki ʻia ka lāʻau lapaʻau, hoʻi hou nā pae hormone i ka maʻamau.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka emi ʻana o ka makemake i ka moekolohe, nā ʻā wela, a me ka nāwaliwali o ka iwi, akā hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele iā lākou.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau, hopohopo, a i ʻole nā makaʻu āu e loaʻa ai. He mea nui loa ka ʻike pololei a me ke kākoʻo i kēia huakaʻi.











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