ʻO ka Focal Therapy no ke Kanesa Prostate | ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ia mea

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kahi mea aloha i loaʻa i ka maʻi prostate, he mea maʻamau ka makaʻu, ka hopohopo, a me ke kānalua. "He aha kaʻu e hana ai i kēia manawa? Pono anei au e hana i ke ʻoki kino nui? E loaʻa anei nā hopena ʻaoʻao?" Nui paha kāu mau nīnau e holo ana i loko o kou manaʻo. Akā, mai hopohopo. Ua holomua nui ka ʻepekema lapaʻau i kēia lā. ʻAʻole mālama ʻia nā maʻi kanesa āpau ma ke ʻano like. I kēia lā, e kamaʻilio mākou e pili ana i kahi lāʻau hou no ka maʻi kanesa prostate i ʻokoʻa mai ke ʻoki kino kuʻuna a me ka radiation therapy, a he emi iho nā hopena ʻaoʻao. ʻO ia ka 'Focal Therapy.'

He aha ka Focal Therapy, ma ka ʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, ʻo Focal Therapy kahi ʻano lapaʻau e pili ana i kahi kikoʻī o ke kanesa a luku i nā hunaola kanesa, me ka ʻole o ka mālama ʻana i ka prostate gland holoʻokoʻa.

E noʻonoʻo i kou ʻōpū prostate e like me ka ʻalani. Aia ka maʻi kanesa ma kahi ʻāpana liʻiliʻi o kekahi ʻaoʻao o ka ʻalani. I ka wā ma mua, i nā hihia e like me kēia, pono e wehe ʻia ka ʻalani holoʻokoʻa, ʻo ia hoʻi, ka ʻōpū prostate holoʻokoʻa, ma ke ʻoki kino (ʻoki kino holoʻokoʻa) a i ʻole pono e hāʻawi ʻia ka radiation therapy i ka ʻōpū holoʻokoʻa. Akā hiki i ka hana ʻana pēlā ke hōʻino i nā ʻāpana olakino o ka prostate ʻaʻole i maʻi kanesa. Hoʻonui kēlā i ka pilikia o nā hopena ʻaoʻao e like me ka incontinence urinary a me ka hana ʻino moekolohe.

Akā ma ka Focal Therapy, ʻo ka mea e hana ʻia ana, ʻo ia ke kuhikuhi ʻia ʻana o ke kanesa ma kahi kikoʻī a hoʻohana ʻia kahi kumu ikehu e like me ka wela, ke anu, a i ʻole ka haʻalulu uila e luku wale i kēlā mau hunaola kanesa. Ua like ia me ka lawe ʻana i kahi wahi liʻiliʻi ma kahi lau a paʻa i kahi aniani lā a puhi wale i kēlā wahi a wehe iā ia. He mea liʻiliʻi loa kēia e hōʻino ai i nā ʻiʻo olakino.

He aha nā ʻano like ʻole o kēia lāʻau lapaʻau?

Aia kekahi mau ʻano hana like ʻole no ka hana ʻana i ka Focal Therapy. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono iā ʻoe. Hōʻike ka papa ma lalo nei i kekahi o nā ʻano hana i hoʻohana pinepine ʻia.

ʻO wai ka Focal Therapy kūpono loa?

He nīnau koʻikoʻi loa kēia. No ka mea, ʻaʻole no nā kānaka a pau kēia lāʻau lapaʻau. E nānā pono kāu kauka i kou kūlana a hoʻoholo inā kūpono ʻoe no kēia a i ʻole. ʻO ka mea maʻamau, ʻo ka poʻe i kūpono no kēia lāʻau lapaʻau:

• ʻO ka poʻe nona ka maʻi kanesa i kaupalena ʻia i ka prostate gland (localized): ʻAʻole kūpono kēia ʻano hana inā ua pālahalaha ke kanesa i nā ʻiʻo ma waho o ka gland a i ʻole i nā ʻōpū ʻē aʻe.
• ʻO nā kānaka me ka pilikia waena: Inā ikaika loa ke kanesa a pālahalaha koke (pilikia kiʻekiʻe), ʻoi aku ka palekana o ka mālama ʻana (ʻoki kino/radiation) o ke kelepaʻi holoʻokoʻa.
• Aia ke kanesa ma kahi hoʻokahi o ka ʻōpū: Inā ua pālahalaha ke kanesa ma loko o ka ʻōpū, ʻaʻole e holomua kēia ʻano hana.
• ʻAʻole aia ka maʻi kanesa kokoke i ka sphincter urinary a i ʻole urethra:Inā kokoke lākou, hiki i ka lāʻau lapaʻau ke hōʻino i kēlā mau ʻāpana.

No nā poʻe me nā maʻi kanesa haʻahaʻa loa, ʻo ka nānā pono ʻana, pinepine me ka ʻole o ka lāʻau lapaʻau, ua lawa paha.

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

Ma mua o ka hana ʻana i ka Focal Therapy, pono e hoʻoholo ʻia kahi kikoʻī, ka nui, a me nā palena o ke kanesa. Pono kēia i kekahi mau hoʻokolohua, e like me:

• ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Kōkua kēia i ka ʻike ʻana i kahi kikoʻī o ke kanesa ma ka lawe ʻana i nā kiʻi maopopo loa o ka prostate gland.
• ʻO ka biopsy prostate i alakaʻi ʻia e MRI: Lawe ʻia kahi ʻāpana o ka ʻiʻo mai kahi kānalua i ʻike ʻia ma ka MRI a nānā ʻia.
• Ke Kiʻi ʻAna i ka Biopsy: Lawe ʻia kekahi mau laʻana ʻiʻo mai nā ʻāpana like ʻole o ke kelepaʻi e hoʻoholo ai i nā palena kikoʻī o ke kanesa.
• PSMA PET scan: He mea nui kēia hoʻāʻo e hōʻoia inā ua pālahalaha ke kanesa i nā wahi ʻē aʻe ma waho o ka gland prostate.

He aha nā pōmaikaʻi a me nā pōʻino o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, loaʻa iā Focal Therapy nā pono a me nā hemahema. He mea nui e ʻike i nā ʻaoʻao ʻelua ma mua o ka hoʻoholo ʻana.

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

ʻAʻole i pau nā mea a pau ke pau ka lāʻau lapaʻau. Hoʻomaka ka ʻāpana paʻakikī maoli ma hope o kēlā. E nānā pono kāu kauka iā ʻoe no nā mahina, a i ʻole nā ​​makahiki paha. Eia,

• Aia kekahi mau hunaola kanesa i koe i hoʻopilikia ʻole ʻia e ka lāʻau lapaʻau?
• Aia kekahi maʻi ʻaʻai i hoʻopau loa ʻole ʻia e ka lāʻau lapaʻau?
• Ua hoʻi hou mai anei ke kanesa?
• Ke laha nei ke kanesa i nā wahi ʻē aʻe (metastasis)?

E nānā mau ʻia ʻoe. Hiki i kēia ke komo pū me nā hoʻāʻo koko PSA hou, nā scan MRI, a me kahi biopsy paha. Inā ua hōʻoia ʻia aia nō ke kanesa i loko o kou kino, pono paha ʻoe e hana i nā lāʻau ʻē aʻe, e like me ke ʻoki kino a i ʻole ka radiation therapy.