He mea paʻakikī ke hoʻākāka i ke ʻano o ka ʻike ʻia ʻana o ka maʻi kanesa prostate. Eia kekahi, ʻaʻole hiki ke kāohi ʻia ke kanesa me nā lāʻau lapaʻau maʻamau, a ʻoi aku ka weliweli o ka ʻike ʻana ua laha aku ia i nā ʻāpana ʻē aʻe o ke kino. Eia naʻe, me ka holomua o ka ʻepekema lapaʻau, ua puka mai nā lāʻau lapaʻau hou a holomua no ia mau hihia paʻakikī. ʻO kekahi o nā lāʻau lapaʻau hou loa e lawe mai ana i ia manaʻolana, ʻo ia ka PSMA i kuhikuhi ʻia i ka lāʻau lapaʻau. E kamaʻilio kākou e pili ana i kēia i kēia lā me ka maʻalahi.
He aha ka PSMA-Targeted Therapy?
I ka ʻōlelo maʻalahi, he lāʻau lapaʻau holomua loa kēia e kuhikuhi ana a luku wale i nā hunaola kanesa. ʻO ka PSMA ma kēia inoa ke kū nei no ka Prostate-Specific Membrane Antigen . ʻOiai paha he mea paʻakikī iki kēia ma ke ʻano o nā huaʻōlelo, he maʻalahi loa ke ʻano o kāna hana.
E noʻonoʻo i nā hunaola kanesa prostate e like me ka pūʻali koa o nā ʻenemi. Loaʻa i kēlā me kēia o kēia mau koa ʻenemi kahi hōʻailona kūikawā, he 'badge', ma ko lākou ʻaʻahu. ʻO kēlā hōʻailona ʻo PSMA. ʻO kēia protein, i kapa ʻia ʻo PSMA, aia ma nā nui he nui ma luna o ka ʻili o nā hunaola kanesa prostate.
No laila, ʻo kāu hana ma kēia lāʻau lapaʻau, ʻo ia ke hoʻokomo ʻana i kahi lāʻau lapaʻau i loko o ke kino e hana ana e like me ka 'missile akamai'. Holoholo kēia lāʻau lapaʻau ma ke kino holoʻokoʻa, loaʻa wale nā pūnaewele kanesa i loaʻa kēlā 'badge' kūikawā i kapa ʻia ʻo PSMA, a hoʻopili iā ia iho iā lākou. A laila, hoʻopau wale kahi mea radioactive (`Lutetium-177`) i loko o ka lāʻau lapaʻau i kēlā pūnaewele kanesa. Ua kapa ʻia hoʻi kēia ʻo `Lu177-PSMA` therapy. I kekahi manawa e lohe pū ʻoe i ka inoa inoa ʻo `Pluvicto™`.
ʻO ka pōmaikaʻi nui o kēia, ʻaʻole ia e like me ke pana wale ʻana i nā kānaka a pau, akā, ʻo ka ʻike ʻana i ka ʻenemi pololei a me ke kuhikuhi ʻana iā lākou, no laila, he mea liʻiliʻi loa ka pōʻino i nā ʻāpana olakino a maikaʻi i loko o ko kākou kino.
He aha ke kelepa prostate?
ʻOiai mākou ma ia mea, e kamaʻilio iki kākou e pili ana i ke kelepa prostate. Loaʻa kēia i nā kāne wale nō. Aia kēia kelepa ma lalo o ka ʻōpū mimi, ma mua o ka anus. ʻO ka maʻamau, ua like ia me ka nui o kahi walnut nui.
I nā hihia hea e hoʻohana ʻia ai kēia lāʻau lapaʻau?
ʻAʻole kēia he lāʻau lapaʻau no nā maʻi maʻi prostate āpau. Manaʻo pinepine ʻia no nā hihia holomua, ʻo ia hoʻi ua pālahalaha ke kanesa ma mua o ka prostate gland (metastatic prostate cancer) . ʻO ke ʻano kēia ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino, e like me nā iwi a i ʻole nā kikowaena lymph.
Eia kekahi, noʻonoʻo nā kauka i kēia lāʻau lapaʻau ke ʻole e kaohi ʻia ke kanesa e nā lāʻau lapaʻau maʻamau e like me ke ʻoki ʻana, ka radiation, a me ka hormone therapy.
Hiki i kēia lāʻau ke ho'ōla loa i ke kanesa?
He nīnau koʻikoʻi loa kēia. ʻO kaʻoiaʻiʻo, ʻaʻole. ʻAʻole ka lāʻau lapaʻau i kuhikuhi ʻia iā PSMA he lāʻau lapaʻau no ka maʻi kanesa.
No laila he aha ka mea e hana ʻia me kēia? ʻO nā pahuhopu nui o kēia lāʻau lapaʻau:
- Ke hoʻēmi nei a i ʻole ka hoʻemi ʻana i nā ʻōpū.
- Ke hoʻolohi nei i ka wikiwiki o ka ulu hou ʻana o ka maʻi kanesa.
- Ka hōʻemi ʻana i nā hōʻailona e like me ka ʻeha i hoʻokumu ʻia e ka maʻi kanesa.
- Ke hoʻolōʻihi nei i ke ola o ka mea maʻi a me ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola.
I ka ʻōlelo maʻalahi, kōkua ia i ke kaua ʻana i ka maʻi kanesa a mālama iā ia ma lalo o ke kaohi. Ma hope o kēia lāʻau lapaʻau, loaʻa paha iā ʻoe kahi manawa o ka "remission" i ka wā ʻaʻohe ou hōʻailona o ka maʻi kanesa a ʻaʻole ikaika ka maʻi. Eia nō naʻe, he mea nui e hoʻomau i ka hahai ʻana me kāu kauka.
He aha ka mea e hana ʻia ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau?
ʻO ka maʻamau, ma mua o ka hana ʻana i kēia lāʻau lapaʻau, ua loaʻa paha iā ʻoe nā lāʻau lapaʻau ʻē aʻe, e like me ka chemotherapy a i ʻole ka hormone therapy. E kūkākūkā wale kāu kauka i kēia koho me ʻoe inā ʻaʻole i loaʻa nā hopena i makemake ʻia.
Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e nānā pono kāu kauka iā ʻoe. Pono ʻoe e kūkākūkā i kāu mōʻaukala olakino piha, nā lāʻau lapaʻau ma mua, a me nā lāʻau lapaʻau o kēia manawa me ia. He manawa kūpono kēia e nīnau ai i kāu mau nīnau.
Eia kekahi, ua kauoha ʻia kekahi mau hoʻāʻo koko a me nā scan kūikawā. Hoʻohana ʻia kēia mau scan e ʻike pono ai i kahi o nā hunaola kanesa i loko o ke kino.
| E nānā | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia? |
|---|---|
| CT Scan (Computered Tomography) | Hoʻopuka kēia i kahi kiʻi ʻekolu-dimensional (3D) o nā iwi a me nā ʻiʻo palupalu i loko o ke kino. Kōkua kēia i ka ʻike ʻana i kahi o nā puʻupuʻu kanesa a me ko lākou nui. |
| ʻIke MRI (Kiʻi Resonance Magnetic) | Me ka hoʻohana ʻana i nā magnet nui a me nā nalu lekiō, loaʻa nā kiʻi maopopo loa a kikoʻī hoʻi o nā ʻiʻo palupalu o ke kino. |
| Nānā PET PSMA | ʻO kēia ke scan koʻikoʻi loa no kēia lāʻau lapaʻau. Ma kēia, e like me ka lāʻau lapaʻau ma mua, ua hoʻokomo ʻia kahi mea radioactive e ʻike ana i ka PSMA i loko o ke kino. Eia naʻe, ʻaʻole ke kumu o kēia e luku i nā hunaola kanesa, akā e hōʻailona i ko lākou wahi ma ke scan. Hiki i kēia ke ʻike pololei loa i nā hunaola kanesa liʻiliʻi loa. |
Ma ka hoʻohui ʻana i kēia mau scan āpau, hana nā kauka i kahi palapala ʻāina piha o ke ʻano o ka laha ʻana o ke kanesa ma kou kino.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻAʻole paʻakikī ka hāʻawi ʻana i kēia lāʻau e like me kou manaʻo.
- ʻO ka maʻamau, hoʻokomo ʻia kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima, a hāʻawi ʻia ka lāʻau lapaʻau i loko o kou kino ma o ia mea, e like me ka hopena saline.
- Aia i loko o kēia inikini ka mea radioactive "Lutetium-177" a mākou i kamaʻilio ai.
- He mau minuke wale nō ke kaʻina hana o ka lāʻau pale ʻana.
- Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau ma mua e kāohi i nā mea e like me ka nausea a me ka luaʻi.
- He hana lapaʻau kēia no waho . ʻO ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila. E nānā ʻia ʻoe no kekahi mau hola ma hope o ka mālama ʻana a laila hiki iā ʻoe ke hoʻi i ka home ke kūpaʻa kou kūlana.
Pehea ka lōʻihi o kēia lāʻau lapaʻau?
Hoʻonohonoho pinepine ʻia kēia lāʻau lapaʻau i kēlā me kēia ʻeono pule . Pono e hoʻopau ʻia ʻeono mau pōʻaiapuni lapaʻau. ʻO ke ʻano kēia, ʻo ka manawa lapaʻau holoʻokoʻa ma kahi o 8 mahina (36 pule).
Ma hope o hoʻokahi pōʻaiapuni lapaʻau a ma mua o ka mea aʻe, e hana kāu kauka i nā hoʻāʻo koko e ʻike i ke ʻano o ka pane ʻana o kou kino i ka lāʻau lapaʻau a e nānā i nā hopena ʻaoʻao.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
ʻO ka pōmaikaʻi nui o kēia lāʻau lapaʻau, ʻo ia ka hiki ke kaohi i ka maʻi ʻaʻai prostate holomua i pane ʻole i nā lāʻau lapaʻau ʻē aʻe, hōʻemi i nā hōʻailona, a hoʻolohi i ka laha ʻana o ka maʻi.
ʻO kekahi pōmaikaʻi nui o kēia, ʻo ia ke kuhikuhi pono ʻana a luku aku i ka protein PSMA i loko o nā hunaola kanesa, no laila he liʻiliʻi loa ka pōʻino i nā hunaola olakino i loko o ke kino. Ua like kēia me kahi hoʻouka kaua i kuhikuhi pono ʻia.
Aia kekahi mau hopena ʻaoʻao? He aha nā pilikia?
E like me nā lāʻau lapaʻau maʻi kanesa, aia kekahi mau hopena ʻaoʻao e hiki ke loaʻa. Eia naʻe, ʻaʻole like ka ʻike ʻana o nā kānaka a pau iā lākou. Hiki i kekahi poʻe ke ʻike pinepine ʻole iā lākou.
| Nā hopena ʻaoʻao maʻamau | He wehewehe iki e pili ana i kēlā |
|---|---|
| Waha maloʻo | Hiki i kēia lāʻau lapaʻau ke loaʻa kekahi hopena ma nā kelepa salivary, no laila e manaʻo paha ʻoe ua piha kou waha i ka saliva. |
| Nā maka maloʻo | Hiki ke hoʻopilikia ʻia ka hana ʻana o nā waimaka ma nā maka, e maloʻo ai a ʻōniʻoniʻo ai nā maka. |
| Luhi | Manaʻo luhi loa. He mea maʻamau kēia me nā lāʻau lapaʻau maʻi kanesa he nui. |
| Ka luaʻi a me ka luaʻi | Na ke kauka e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kāohi ai i kēia maʻi. |
| Makemake nui | Hiki ke emi iho ka makemake e ʻai a me ka ʻai ʻana. |
| Nā hunaola koko i hoʻemi ʻia | He haʻahaʻa iki paha nā pae o ka hemoglobin a me nā platelets i loko o ke koko. ʻO ia ke kumu e hana mau ʻia ai nā hoʻāʻo koko. |
Mai hopohopo e pili ana i kēia mau hopena ʻaoʻao. Hiki ke kāohi ʻia ka hapa nui o lākou. He mea nui e kamaʻilio me kāu kauka e pili ana i kekahi ʻeha āu e manaʻo ai.
Nā mea hiki iā ʻoe ke hana e maʻalahi ai kāu mālama ʻana
ʻAʻole maʻalahi ka noho ʻana me ke kanesa a me ka mālama ʻia ʻana. E kōkua kēia mau mea i ka maʻalahi iki o kēia manawa nou.
E hoʻomaha maikaʻi.
Ke ʻike ʻoe he maʻi kanesa kou, hiki i ke kaumaha o ka noʻonoʻo ʻana i ka lāʻau lapaʻau ke hoʻolilo iā ʻoe i mea paʻakikī ke hiamoe. Akā, pono maoli kou kino i ka hoʻomaha. ʻAʻole wale nō ka nele o ka hiamoe e hoʻopilikia i kou ʻano, hiki nō hoʻi iā ia ke hoʻolilo iā ʻoe i mea paʻakikī ke kū i ke kaumaha o ka lāʻau lapaʻau.
- E hōʻalo i nā meaʻai kaumaha, ke kofe, a me ka waiʻona ma mua o ka moe ʻana.
- Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka puke pai ke kōkua iā ʻoe e hoʻokuʻu i kou mau manaʻo a hoʻomaha i kou manaʻo.
- E hoʻomaha i ka wā e haʻi mai ai kou kino iā ʻoe, ʻaʻole i ka wā hiki iā ʻoe.
E lulu iki i kou kino ke hiki iā ʻoe.
Inā ʻoe e luhi ana, he manaʻo maikaʻi ke hana i kekahi mau hoʻoikaika kino māmā. ʻOiai kekahi mea e like me ka hele wāwae hiki ke kōkua i ka mālama ʻana i kou puʻuwai a me kou mau māmā e hana pono ana, hoʻoikaika i kou mau ʻiʻo, kōkua i kou ʻōnaehana pale kino, a hoʻēmi i ka luhi a me ke kaumaha.
Akā e hoʻomanaʻo, ma mua o ka hoʻomaka ʻana i kekahi hoʻoikaika kino, he mea nui loa ia e nīnau i kāu kauka.
E ʻai i ka meaʻai kaulike.
ʻO ka luaʻi a me ka nalowale o ka makemake e hōʻemi paha i kou makemake, akā he mea nui loa ia e hāʻawi i ke kino i ka meaʻai e pono ai i kēia manawa.
- Nā protein momona haʻahaʻa (iʻa, moa)
- Nā mea kanu a me nā huaʻai
- Nā hua palaoa piha
- Nā meaʻai waiū momona haʻahaʻa
E hoʻohui i nā mea e like me kēia i kāu papaʻai. E kamaʻilio me kāu kauka e pili ana i kēia. Hiki iā ia ke kuhikuhi iā ʻoe i kahi meaʻai meaʻai i hōʻoia ʻia e ka oncology.
E kiʻi i ke kākoʻo āu e pono ai.
ʻAʻole ʻoe hoʻokahi i kēia huakaʻi. ʻO ke kamaʻilio ʻana e pili ana i kou mau makaʻu, ke kaumaha, a me nā hopohopo me kahi lālā o ka ʻohana a i ʻole he hoaaloha pili hiki ke lilo i kumu hōʻoluʻolu nui. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i nā hui kākoʻo kahi e hiki ai i nā poʻe ʻē aʻe i loaʻa nā ʻike like ke hele, a i ʻole e pili ana i kahi kākāʻōlelo olakino noʻonoʻo.
Loaʻa kēia lāʻau lapaʻau ma Sri Lanka?
ʻO ka lāʻau lapaʻau i kuhikuhi ʻia iā PSMA kahi ʻano lapaʻau i ʻāpono ʻia a ʻae ʻia e nā ʻoihana honua e like me ka FDA ma ʻAmelika Hui Pū ʻIa. Ma Sri Lanka, hiki i nā haukapila nui e mālama ana i ka maʻi kanesa ke loaʻa i ia mau ʻano lapaʻau holomua.
Eia nō naʻe, ʻo ke ala maikaʻi loa a ʻo ke ala wale nō e loaʻa ai ka ʻike pololei a maopopo loa e pili ana i ka kūpono o kēia iā ʻoe, kahi e hiki ai iā ʻoe ke loaʻa i kēia lāʻau lapaʻau ma Sri Lanka, a me ke kumukūʻai o ia mea, ʻo ia ke kamaʻilio pololei me kāu kauka oncology. E aʻo pono ʻo ia i kou kūlana a alakaʻi iā ʻoe i ka lāʻau lapaʻau kūpono loa nāu.
Leka Lawe-Home
- ʻO ka lāʻau lapaʻau i hoʻopaʻa ʻia e PSMA kahi lāʻau lapaʻau holomua no ka maʻi kanesa prostate i pālahalaha i loko o ke kino a ʻaʻole i kāohi ʻia e nā lāʻau lapaʻau ʻē aʻe.
- ʻOiai ʻaʻole kēia he lāʻau e hoʻōla piha ai i ka maʻi kanesa, he kōkua nui ia i ka kaohi ʻana i ka maʻi, ka hōʻemi ʻana i nā hōʻailona, a me ka hoʻomaikaʻi ʻana i ke ʻano o ke ola.
- ʻO kekahi o nā pono nui o kēia, ʻo ia ke kuhikuhi wale nei i nā hunaola kanesa, e hōʻemi ana i ka hōʻino ʻana i nā hunaola olakino.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka waha maloʻo a me ka luhi, akā aia nā ala e kaohi ai iā lākou.
- He mea nui e kamaʻilio ākea me kāu kauka e pili ana i kēia lāʻau lapaʻau a i ʻole kekahi ʻeha āu e ʻike nei. E hoʻomanaʻo mau ʻaʻole ʻoe hoʻokahi i kēia huakaʻi.
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