ʻO ka Cryotherapy Prostate no ke Kanesa Prostate: E aʻo maʻalahi kākou e pili ana iā ia

He mea maʻamau no ka nui o ka poʻe ke manaʻo i ka makaʻu nui a me ka hopohopo ke aʻo lākou e pili ana i ka maʻi ʻaʻai prostate. Akā ʻo ka mea nui e pono ai mākou e hoʻomanaʻo, aia nā lāʻau lapaʻau kūpono loa no kēia i kēia lā. ʻO ka hapa nui o ka manawa ua lohe ʻoe e pili ana i ke ʻoki kino a me ka radiation therapy . Akā i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau ʻokoʻa iki, akā kūpono loa. Ua kapa ʻia ʻo ia he prostate cryotherapy, a i ʻole `(Prostate Cryoablation )`. Ua kapa pū kekahi poʻe iā ia ʻo `(Prostate Cryoablation)`.

He aha ka cryotherapy?

I ka ʻōlelo maʻalahi, pili kēia i ka hoʻopaʻa ʻana i nā hunaola kanesa i loko o ka prostate gland a me ka luku ʻana iā lākou. E noʻonoʻo e like me ka hoʻopaʻa ʻana i ka wai, akā ma kahi mahana haʻahaʻa loa, e like me ka minus 40°C, ua luku ʻia nā hunaola kanesa .

Hana ʻia kēia lāʻau lapaʻau e kahi loea i ke ʻoki ʻana i ka ʻōpū mimi a me ka urethral ( urologist ). I kekahi manawa mālama ʻia ka prostate holoʻokoʻa, a i kekahi manawa ʻo ka ʻāpana wale nō me ke kanesa . Hoʻohana pinepine ʻia kēia ʻano hana, ʻoiai inā ua hoʻi mai ke kanesa ma hope o ka radiation therapy. Hiki ke ʻōlelo ʻia he lāʻau lapaʻau mua no kekahi poʻe.

No wai kēia lāʻau lapaʻau kūpono?

ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. E nānā pono kāu kauka i kou kūlana a hoʻoholo inā kūpono ia nou. ʻO ka maʻamau, noʻonoʻo ʻia kēia lāʻau lapaʻau i nā hihia aʻe:

• Inā ʻaʻole i laha ka maʻi ʻaʻai: He kūpono kēia no nā maʻi ʻaʻai i laha ʻole ma waho o ke kelepa prostate, e ulu lohi ana, a he haʻahaʻa ka pilikia o ka laha ʻana i ka wā e hiki mai ana.
• Inā ʻaʻole ʻoe makemake i ke ʻoki kino a i ʻole ka radiation: ʻAʻole makemake kekahi poʻe e hana i ke ʻoki kino nui a i ʻole ka radiation. He koho maikaʻi kēia no lākou.
• Ke ʻōlelo ʻole ke kauka i nā ʻano hana ʻē aʻe: Inā hoʻoholo kāu kauka ʻaʻole kūpono ke ʻoki kino nui a i ʻole ka radiation therapy iā ʻoe ma muli o nā pilikia olakino ʻē aʻe i loko o kou kino, hiki iā ia ke kuhikuhi i kēia ʻano hana.
• Ke hoʻi hou mai ke kanesa ma hope o ka lāʻau lapaʻau radiation:Hiki i kēia ke lilo i lāʻau lapaʻau holomua loa no nā poʻe maʻi i hoʻi hou mai ke kanesa ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau radiation ma mua.
• No ka hōʻemi ʻana i ka ʻeha a me nā hōʻailona: I kekahi mau hihia, kōkua pū kēia ʻano hana i ka kaohi ʻana i ka ʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe i hoʻokumu ʻia e ka maʻi kanesa.

Pehea ka hana ʻana o kēia lāʻau lapaʻau? He mea kupaianaha!

He mea hoihoi loa kēia e hana ai. Hoʻokomo ke kauka i nā nila lahilahi kūikawā, i kapa ʻia ʻo cryoprobes, ma o ka ʻili i loko o ka prostate gland kahi i loaʻa ai ke kanesa. Hoʻohana lākou i kahi ʻano hana scan i kapa ʻia ʻo transrectal ultrasound e alakaʻi pololei i kēia mau nila i kā lākou pahuhopu.

A laila, ua hoʻokomo ʻia kahi kinoea kūikawā i kapa ʻia ʻo argon ma o ke kui. Hoʻomaʻalili koke kēia kinoea i nā ʻiʻo a puni ke kui i ka mahana o -40°C (-40°C). ʻO kēia anu nui ke kumu o ka hana ʻana o nā pahu hau i loko o nā hunaola kanesa, e pohā ai nā paia hunaola a pepehi iā lākou. Nānā ke kauka i ke kūkulu ʻia ʻana o kēia 'pōpō hau' ma kahi scan.

Ke paʻa pono nā hunaola kanesa, hoʻouna ʻia kekahi kinoea ʻē aʻe i kapa ʻia ʻo helium e hoʻomehana hou i ka wahi. Ua kapa ʻia kēia he 'freeze-thaw cycle', ʻo ia hoʻi he 'freeze and thaw cycle'. Hoʻonāwaliwali nui kēia pōʻaiapuni mua i nā hunaola kanesa. A laila, hoʻopaʻa hou ʻia i hoʻokahi a ʻelua paha manawa , a laila hoʻomehana hou ʻia, e luku loa ana i nā hunaola kanesa.

Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?

E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo e pili ana i ka mea e hana ai ma mua o kāu mālama ʻana. He mea nui e hahai pololei i kēia mau kuhikuhi e hōʻemi i nā pilikia. E noi ʻia paha ʻoe e hana i kēia mau mea:

• Mai ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka mālama ʻana (hoʻokē ʻai).
• Hiki ke noi ʻia ʻoe e lawe i kahi laxative e hoʻomaʻemaʻe i kou colon.
• He mea nui e loaʻa i kekahi e lawe iā ʻoe i ka home ma hope o ka lāʻau lapaʻau, no ka mea, ʻaʻole hiki iā ʻoe ke hoʻokele.
• Pono ʻoe e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā mea i kauoha ʻia e kāu kauka, nā lāʻau lapaʻau ma waho o ke kauka, nā huaora, a me nā lāʻau Ayurvedic a i ʻole nā ​​​​lāʻau lapaʻau lāʻau.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

ʻAʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ka mālama ʻana.

1. Anesthesia: ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka anesthesia. Hiki ke lilo i anesthesia laulā a i ʻole anesthesia kūloko.

2. Ke hoʻokomo ʻana i ka catheter:A laila, hoʻokomo ʻia kahi ʻōmole, i kapa ʻia he catheter, i loko o kou urethra. Hoʻokomo ʻia kahi wai saline mehana iki ma o kēia ʻōmole. Pale kēia i ka urethra mai ka hōʻino ʻia e ke anu nui.

3. Hoʻokomo ʻana i ka nila: A laila, e like me ka mea i ʻōlelo ʻia ma mua, me ke kōkua o kahi scan `(Ultrasound)` a i ʻole `(MRI)`, ua hoʻokomo ʻia nā nila kūikawā `(Cryoprobes)` i loko o ka prostate gland ma nā wahi kikoʻī loa.

4. Ka hau ʻana a me ka lysis: A laila, me ka hoʻohana ʻana i nā kinoea argon a me ka helium, ua luku ʻia nā hunaola kanesa ma ka hoʻopaʻahau ʻia a me ka lysed i nā manawa he nui.

ʻO ka maʻamau, ma kahi o 45 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. Eia nō naʻe, pono ʻoe e noho ma ka haukapila no ʻelua a ʻekolu mau hola. I ka hapanui o nā hihia, he kaʻina hana outpatient kēia, no laila hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe e noho ma ka haukapila i ka pō hoʻokahi.

He aha nā pono o kēia ʻano hana?

Aia kekahi mau pono o kēia ʻano lapaʻau.

Aia kekahi mau hopena ʻaoʻao a me nā pilikia?

E like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, ʻo ka hapa nui o kēia mau mea he manawa pōkole wale nō.

ʻOi aku ka nui o kēia mau hopena ʻaoʻao inā ua loaʻa iā ʻoe nā lāʻau ʻē aʻe, e like me ka radiation therapy i ka prostate, ma mua. Akā ʻo ka nūhou maikaʻi , no ka hapa nui o nā kānaka, e hoʻomaikaʻi mālie kēia mau kūlana i loko o 12-18 mau mahina o ka lāʻau.

Eia kekahi, hiki ke loaʻa nā mea i lalo no ka manawa pōkole:

• Ka pehu ʻana o nā testicles.
• ʻEha a wela paha i ka wā e mimi ai.
• ʻEha ma ke pelvis a i ʻole ka rectum.
• He koko liʻiliʻi i loko o ka mimi.
• Pono e mimi pinepine a wikiwiki paha.

He mea kākaʻikahi loa, hiki ke loaʻa nā pilikia koʻikoʻi, e like me ka hōʻino ʻana i ka rectum a i ʻole ka bladder, a i ʻole ke kūkulu ʻia ʻana o kahi puka kūpono ʻole (fistula) ma waena o ka urethra a me ka rectum. Eia nō naʻe, he mea kākaʻikahi loa kēia.

ʻEhia ka lōʻihi e hoʻōla ai? Pehea ka holomua o ka lāʻau lapaʻau?

ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka, akā pono ʻoe e hoʻi i ka maʻamau i loko o hoʻokahi pule a i ʻole . E wehe kāu kauka i ka catheter i hoʻokahi a ʻelua paha pule. E nīnau i kāu kauka i ka wā hiki iā ʻoe ke hoʻi hou i nā hana maʻamau.

ʻO ka holomua o kēia lāʻau lapaʻau e ana ʻia e ka lōʻihi o ka piʻi ʻana o kāu pae PSA (Prostate-specific antigen - PSA) a me ka lōʻihi o ka ulu ʻole ʻana o ke kanesa. Ua hōʻike ʻia nā noiʻi ua holomua kēia lāʻau lapaʻau ma 76 a 90 mai loko mai o 100 mau hihia ʻekolu mau makahiki ma hope o ka lāʻau lapaʻau. He hopena maikaʻi loa kēlā.

Āhea wau e ʻike ai i ke kauka?

Mai makaʻu e nīnau i kāu kauka inā he mau nīnau a hopohopo paha kāu, ma mua a ma hope paha o ka mālama ʻana. ʻOi aku hoʻi, inā he mau hōʻailona o ka maʻi, e like me ke kuni, ke koko i loko o ka mimi, ka mimi ʻeleʻele a pilau paha, a i ʻole ka ʻeha, e hoʻomaopopo koke i kāu kauka.