He lāʻau lapaʻau hou no ke kanesa prostate! E aʻo kākou e pili ana i ka PSMA-Targeted Therapy ma ke ala maʻalahi

Maopopo iaʻu ke kaumaha o ka ʻike ʻana ua loaʻa iā ʻoe a i ʻole kahi mea aloha ka maʻi kanesa prostate. ʻOi loa aku i ka wā i laha ai ke kanesa (metastatic) i nā ʻāpana ʻē aʻe o ke kino a ʻaʻole pane maikaʻi i nā lāʻau lapaʻau maʻamau, ʻoi aku ka nui o ka makaʻu a me ka hopohopo. Akā, mai hopohopo. Me ka holomua o ka ʻepekema lapaʻau, aia i kēia manawa nā lāʻau lapaʻau kikoʻī a kikoʻī no kēia ʻano hihia. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā lāʻau lapaʻau hou loa a koʻikoʻi loa. ʻO ia ka PSMA-Targeted Therapy.

He aha kēia lāʻau lapaʻau i hoʻolālā ʻia no ka PSMA?

I ka ʻōlelo maʻalahi, he lāʻau lapaʻau holomua loa kēia e kuhikuhi ana a luku wale i nā hunaola kanesa.

E noʻonoʻo he 'antenna' kūikawā ko nā hunaola kanesa prostate ma waho e hiki ke ʻike iā lākou. ʻO kēia antenna ka mea a mākou e kapa nei he PSMA , a i ʻole Prostate-specific membrane antigen, i ka lāʻau lapaʻau. He protein kēia i loaʻa i nā nui he nui ma ka ʻili o nā hunaola kanesa prostate.

Ma kēia lāʻau lapaʻau, hoʻohana mākou i kahi mea e hana ana e like me ka 'missile'. Hiki i kēia 'missile' ke loaʻa i ka antenna PSMA ma nā hunaola kanesa a pili iā ia. ʻAʻole e nalowale wale kēia missile, lawe ia i kahi tracer radioactive me ia. I mea pololei, he mea ia i kapa ʻia ʻo Lutetium-177 . No laila, ke pili kēia missile i ke hunaola kanesa, kuhikuhi kēlā mea radioactive a luku wale i ke hunaola kanesa.

I nā hihia hea e hāʻawi ʻia ai kēia lāʻau lapaʻau?

Hoʻohana pinepine ʻia ka lāʻau lapaʻau PSMA no ka maʻi kanesa prostate holomua , ʻoi aku hoʻi:

• Ke pane ʻole ia i nā lāʻau lapaʻau maʻamau e like me ke ʻoki kino a i ʻole ka radiation.
• Ke pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino, no ka laʻana, nā iwi (metastatic prostate cancer).
• Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau lapaʻau ke hiki ʻole i nā lāʻau lapaʻau ʻē aʻe, e like me ka hormone therapy a i ʻole chemotherapy, ke kaohi hou i ke kanesa.

Hoʻōla loa anei ka lāʻau PSMA i ka maʻi kanesa?

He mea kēia e pono ai kākou a pau e hoʻomaopopo pono. ʻAʻole ka lāʻau lapaʻau PSMA he lāʻau lapaʻau no ka maʻi kanesa. ʻO nā pahuhopu nui:

• Ka hoʻemi ʻana i ka nui o nā tumors.
• Ke kāohi nei i ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai.
• 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.

ʻO ke ʻano o ka 'ho'ōla' ʻaʻole loa e hoʻi hou mai ke kanesa. Eia nō naʻe, ma hope o kēia lāʻau lapaʻau, hiki ke hāʻawi ʻia i ka mea maʻi i kahi manawa i ʻole ai nā hōʻailona a ʻaʻole hana ke kanesa, i kapa ʻia he wā hoʻomaha .

He aha kaʻu e hana ai ma mua o ka mālama ʻana?

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e nānā pono kāu kauka iā ʻoe. He mea nui e hoʻomaopopo iā ia e pili ana i kāu mōʻaukala olakino piha, nā lāʻau lapaʻau ma mua, a me nā lāʻau lapaʻau o kēia manawa. Eia kekahi, he manawa kūpono kēia e nīnau ai i kāu mau nīnau.

Eia kekahi, pono e hana ʻia nā hoʻokolohua ma lalo nei.

Ma ka hoʻohui ʻana i kēia mau hoʻokolohua a pau, hoʻoholo nā kauka i kahi o nā hunaola kanesa i loko o kou kino a pehea ke kūpono o kēia lāʻau lapaʻau iā ʻoe.

Pehea e hana ʻia ai ka lāʻau lapaʻau? Pehea ka lōʻihi o ka manawa e lawe ai?

ʻAʻole kēia he ʻoki kino nui. ʻO ka maʻamau, hoʻokomo ʻia kahi cannula liʻiliʻi i loko o kahi aa koko ma kou lima, a hoʻokomo ʻia ka lāʻau lapaʻau i loko o kou kino ma o ia mea. He mau minuke kēia. Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e pale aku i nā mea e like me ka nausea.

Ma hope o ka mālama ʻana, e mālama ʻia ʻoe ma lalo o ka nānā ʻana o ke kauka no kekahi mau hola a laila hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi . ʻO ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila.

ʻO ka maʻamau, hāʻawi ʻia he 6 mau lāʻau lapaʻau i kēlā me kēia 6 pule . ʻO ke ʻano kēia, ʻo ka lōʻihi o ka manawa lapaʻau he 8 mahina. I loko o kēlā me kēia manawa lapaʻau, hana ʻia nā hoʻāʻo koko e loiloi i ka pane a kou kino i ka lāʻau lapaʻau a me nā hopena ʻaoʻao.

He aha nā hopena ʻaoʻao e hiki mai ana?

E like me nā lāʻau lapaʻau maʻi kanesa, aia kekahi mau hopena ʻaoʻao e hiki ke loaʻa. Eia naʻe, he manawa pōkole kēia mau mea. ʻO nā hopena ʻaoʻao maʻamau:

• Waha maloʻo a me nā maka: He mea maʻamau kēia no ka mea aia kekahi mau wahi liʻiliʻi o ka protein PSMA i loko o nā kelepa salivary.
• Luhi: Manaʻo luhi i ke kino.
• Ka luaʻi a me ka luaʻi: ​​Hāʻawi ʻia ka lāʻau lapaʻau e kāohi i kēia.
• Ka nalowale o ka makemake
• Ka emi ʻana o ka helu o nā cell koko: ʻO ke kiʻekiʻe o ka hemoglobin a me nā platelets i loko o ke koko, ma ke ʻano nui, hiki ke emi iho no kekahi manawa.

Hiki ke ʻokoʻa kēia mau hopena ʻaoʻao mai kēlā kanaka a kēia kanaka, no laila he mea nui e hoʻomaopopo i kāu kauka e pili ana i kekahi ʻeha āu e ʻike ai.

He aha kāu e hana ai e hoʻomaha ai i ka wā o ka mālama ʻana?

Hiki i ka mālama ʻana i ka maʻi kanesa ke lilo i manawa paʻakikī, ma ke kino a me ka noʻonoʻo. Aia kekahi mau mea hiki iā ʻoe ke hana e maʻalahi iki ai kēia manawa.

E hoʻomaha maikaʻi.

E hoʻomaha i ka wā e luhi ai kou kino. E ho'āʻo e hiamoe maikaʻi i ka pō. E pale i ka caffeine a me ka waiʻona ma mua o ka hiamoe ʻana. Hiki i ka kākau ʻana i kahi puke pai a i ʻole ka noʻonoʻo ʻana ke kōkua iā ʻoe e hoʻomaha.

E hana i nā hoʻoikaika kino māmā ke maikaʻi kou manaʻo.

Inā ʻaʻole ʻoe luhi, ʻo ka hoʻoikaika kino māmā, e like me ka hele wāwae, hiki ke lilo i ala maikaʻi e hoʻomaha ai i kou kino a me kou noʻonoʻo. Eia nō naʻe, pono ʻoe e kūkākūkā mau me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi papahana hoʻoikaika kino .

E ʻai i ka meaʻai kaulike.

Hiki i nā mea e like me ka nausea a me ka nalowale o ka makemake ke hōʻemi i kou makemake. Akā he mea nui e loaʻa ka meaʻai e pono ai kou kino. E hoʻokomo i nā protein lean, nā mea kanu, nā huaʻai, nā palaoa piha, a me nā huahana waiū momona haʻahaʻa i kāu papaʻai. Hiki iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo mai kāu kauka a i ʻole kekahi meaʻai meaʻai e pili ana i kēia.

E kiʻi i ke kākoʻo noʻonoʻo āu e pono ai.

Eia kekahi, e nīnau i kāu kauka e pili ana i nā lawelawe aʻoaʻo a i ʻole nā ​​​​hui kākoʻo no kēia ʻano maʻi. ʻO ke kamaʻilio ʻana me ka poʻe i loaʻa nā ʻike like hiki ke lilo i kumu ikaika nui.