Aia kekahi lāʻau lapaʻau no ke kanesa prostate me ka ʻole o ka wehe ʻana i ka gland holoʻokoʻa? E kamaʻilio kākou e pili ana i ka Focal Therapy!

Ua haʻi aku anei ke kauka iā ʻoe he maʻi ʻaʻai prostate kou? ʻO ka mea mua e hiki mai ana i ka noʻonoʻo ke lohe ʻoe i kēlā, "ʻĀ, i kēia manawa pono lākou e ʻoki i ka gland holoʻokoʻa. A laila e loaʻa nā ʻano pilikia like ʻole, ʻeā?" Akā, ʻaʻole pono ʻoe e hele mau i kēlā ʻoki kino nui. Ua lohe anei ʻoe i kahi ʻano hana hou e pili ana i ke kanesa wale nō a ʻaʻole e hōʻeha i nā ʻāpana olakino? ʻO ia ka mea a mākou e kapa nei he focal therapy.

I ka ʻōlelo maʻalahi, he aha ka Focal Therapy?

E noʻonoʻo ua pala kahi ʻāpana liʻiliʻi o kahi hua nui. Wehe wale mākou i kēlā ʻāpana liʻiliʻi pala a hoʻohana i ke koena o nā hua maikaʻi, ʻeā? ʻAʻole mākou e hoʻolei i ka hua holoʻokoʻa. Pēlā ka hana ʻana o kēia lāʻau.

ʻO ka Focal therapy kahi lāʻau lapaʻau no ke kanesa prostate i pālahalaha ʻole ma waho o ke gland, ʻo ia hoʻi, ua kūloko ia . Ma kahi o ka mālama ʻana i ke kelepa prostate holoʻokoʻa, mālama wale ia i ka wahi i kuhikuhi ʻia kahi i loaʻa ai nā hunaola kanesa. Hoʻohana kēia i nā kumu ikehu like ʻole e like me ka wela, ke anu loa, a i ʻole ka uila.

ʻO nā lāʻau lapaʻau maʻamau no ka maʻi kanesa prostate:

• ʻO ke ʻoki kino e wehe ai i ka gland holoʻokoʻa.
• Ka lāʻau lapaʻau radiation i ka gland holoʻokoʻa.
• Nānā Hana: ʻO ia hoʻi, inā haʻahaʻa ka pilikia o ke kanesa, ʻaʻohe pono o ka lāʻau lapaʻau, akā, ua nānā ʻia ke kanesa ma ka hoʻomau ʻana i nā hoʻokolohua e like me ke kuhikuhi a ke kauka.

Hiki ke manaʻo ʻia ka focal therapy he koho maikaʻi ma waena o ke kali wale ʻana a me ka lāʻau nui e hōʻino ana i ka gland holoʻokoʻa.

He aha nā ʻano nui o kēia lāʻau lapaʻau?

Aia kekahi mau ʻano hana lapaʻau focal. ʻOiai ua hoʻokō lākou a pau i ka mea like, ʻokoʻa nā ʻano hana i hoʻohana ʻia. E nānā kākou i nā ʻano hana nui.

ʻO wai ka mea kūpono no kēia lāʻau lapaʻau?

ʻAʻole kēia he lāʻau lapaʻau hiki i nā kānaka a pau ke hana. No ka hana ʻana i ka focal therapy, pono ʻoe e hoʻokō i kekahi mau hōʻoia.

• Pono e hoʻopaʻa ʻia ke kanesa i ka ʻōpū prostate. ʻAʻole hiki ke hana i kēia inā ua pālahalaha aku i nā ʻōpū ʻē aʻe.
• ʻOi aku ka maikaʻi o ka loaʻa ʻana o kahi maʻi kanesa waena-pilikia. No nā maʻi kanesa haʻahaʻa loa, ʻoi aku ka maikaʻi o ka nānā pono ʻana. No nā maʻi kanesa kiʻekiʻe, ʻoi aku ka maikaʻi o ka mālama ʻana (ʻoki kino a i ʻole ka radiation) o ke gland holoʻokoʻa.
• ʻOi aku ka maikaʻi o ka pili ʻana o ka puʻupuʻu i nā wahi koʻikoʻi, e like me ka urinary sphincter a i ʻole ka urethra .

He kūpono ʻoe no kēia a i ʻole?ʻO ka hoʻoholo hope loa e hana wale ʻia e kāu kauka.

He aha nā ʻano hoʻokolohua e hana ʻia ma mua o ka mālama ʻana?

E koho i ke ʻano lapaʻau e kūpono loa iā ʻoe. E kauoha ke kauka i kekahi mau hoʻokolohua ma mua o ka lapaʻau ʻana.

• MRI scan (Magnetic Resonance Imaging): Kōkua kēia i ka loaʻa ʻana o nā kiʻi maopopo loa o ka prostate a me ke kanesa.
• ʻO ka Biopsy Prostate: Ma lalo o ke alakaʻi ʻana a MRI, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka gland prostate e nānā i ke ʻano o ke kanesa.
• Ke Palapala ʻĀina ʻana i ka Biopsy: Ma kēia, lawe ʻia nā hāpana ʻiʻo mai kekahi mau wahi o ka gland a ua palapala ʻia nā palena o ke kanesa me ke ʻano pololei.
• PSMA PET scan: Hana ʻia kēia scan e ʻike inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.

He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?

Nui nā pono o ka focal therapy.

• He mea liʻiliʻi ka hōʻino ʻana i nā ʻiʻo olakino. ʻO kēia ka pōmaikaʻi nui loa.
• He haʻahaʻa ka pilikia o nā hopena ʻaoʻao, ʻoiai nā pilikia e like me ka erectile dysfunction a me ka urinary incontinence.
• Aia ka manawa kūpono e pale aku ai i nā lāʻau lapaʻau invasive e like me ke ʻoki kino nui a me ka radiation therapy.
• Ma mua o ka kali wale ʻana, hiki iā ʻoe ke hana i nā hana ikaika e kūʻē i ka maʻi kanesa .

No laila, ʻaʻohe anei he mau hemahema? Nā mea āu e makaʻala ai

Me nā pono, aia kekahi mau hemahema e pono ai mākou e kamaʻilio me ka ʻoiaʻiʻo.

• ʻAʻole paha e nalowale loa nā hunaola kanesa, ʻo ia hoʻi, ʻoi aku ke kiʻekiʻe o ka pilikia o ka hoʻi hou ʻana o ke kanesa ma mua o ke ʻoki ʻana.
• Inā hoʻi mai ke kanesa, pono paha ʻoe i nā lāʻau hou aku (malia paha ke ʻoki ʻana a i ʻole ka radiation).
• ʻAʻole kūpono kēia lāʻau lapaʻau no kēlā me kēia maʻi.
• ʻOiai he haʻahaʻa ka pilikia, hiki i kekahi poʻe ke loaʻa i kekahi ʻano o nā pilikia moekolohe a me ka mimi.
• He mau ʻenehana hou loa kēia, no laila ke hōʻiliʻili ʻia nei ka ʻikepili ma nā hopena lōʻihi, e like me ke ʻoki kino a me ka radiation therapy.
• Ma hope o ka lāʻau lapaʻau , pono ʻoe e nānā pono ʻia a pinepine. ʻO ia hoʻi nā scan MRI hou, nā hoʻāʻo koko PSA, a me nā biopsies paha.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma hope o ka hoʻōla focal, e nānā pono kāu kauka iā ʻoe no kekahi mau mahina, a hiki paha i nā makahiki. E komo pū kēia me:

• Aia kekahi mau hunaola kanesa i ʻike ʻole ʻia ma nā scan mua?
• Aia kekahi mau hunaola kanesa i koe i hoʻopau loa ʻole ʻia e ka lāʻau lapaʻau?
• Ua hoʻi hou mai anei ke kanesa?
• Inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe (metastasis).

Inā hōʻoia kēia mau hoʻokolohua ua hoʻi mai ke kanesa, pono ʻoe e hana i nā lāʻau ʻē aʻe, e like me ke ʻoki kino a i ʻole ka radiation therapy. Hana ʻia kēia mau mea a pau ma lalo o ke alakaʻi a kāu kauka.