He aha ka Kanesa Prostate? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hoʻomaka ka kanesa prostate i ka wā e ulu wikiwiki ai nā sela i loko o ka gland prostate. He gland liʻiliʻi, nui e like me ka hua niu, ka prostate, aia ma lalo o kou ʻōpū a hana i ka wai e kōkua ai i ka hānai ʻana a me ka lawe ʻana i ka sperm.

ʻO kēia ʻano kanesa kekahi o nā kanesa maʻamau loa e pili ana i nā kāne, ʻoi aku hoʻi nā kāne ma luna o 50. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā kanesa prostate e ulu mālie a noho mau i loko o ka gland prostate, kahi ʻaʻole paha e hōʻeha nui. Nui nā kāne e ola ana i nā ola piha, olakino maikaʻi ʻoiai ma hope o ka ʻike ʻia ʻana o ka kanesa prostate.

He aha nā hōʻailona o ka kanesa prostate?

ʻAʻole pinepine e hōʻike mai ka kanesa prostate mua i nā hōʻailona. ʻO ia ke kumu e lilo ai ka nānā maʻamau i mea nui i kou mau makahiki. I ka wā e ʻike ʻia ai nā hōʻailona, ​​e ulu mālie lākou i ka manawa.

Eia nā hōʻailona āu e ʻike ai, e hoʻomanaʻo ana he nui o kēia mau mea hiki ke hana ʻia e nā kūlana prostate ʻaʻole kanesa:

• Paʻakikī ke hoʻomaka i ka urination a i ʻole ka kahe palupalu o ka mimi
• Urination pinepine, ʻoi aku hoʻi i ka pō
• Manaʻo e like me kou ʻōpū ʻaʻole i hoʻopau loa
• ʻEha a puhi paha i ka wā e urination ai
• Ke koko i loko o ka mimi a i ʻole ka semen
• ʻEha ejaculation
• ʻEha mau i kou kua, nā ʻūhā, a i ʻole ka pelvis

Hiki i kēia mau hōʻailona ke hopohopo, akā e hoʻomanaʻo he pinepine lākou i hana ʻia e ka hoʻonui benign prostate ma mua o ka kanesa. Eia naʻe, pono ke kamaʻilio me kāu kauka i kēlā me kēia loli mau i kāu hana urinary a i ʻole moekolohe.

I nā hihia kakaikahi kahi i pālahalaha ai ka kanesa ma mua o ka prostate, hiki iā ʻoe ke ʻike i ka ʻeha iwi, ka nalowale kaumaha wehe ʻole ʻia, a i ʻole ka luhi. Hiki i ka kanesa prostate holomua ke hōʻeha i ka pehu wāwae a i ʻole ka nāwaliwali i nā wāwae inā pili ia i nā lymph nodes a i ʻole nā ​​nerves kokoke.

He aha nā ʻano o ka kanesa prostate?

ʻO ka hapa nui o nā kanesa prostate he adenocarcinomas, kahi e hoʻomaka ai i nā sela gland e hana i ka wai prostate. ʻO kēia ke ʻano i ʻike nui ʻia e nā kauka i ka mālama ʻana, a pane maikaʻi ia i nā ʻano lapaʻau like ʻole.

ʻO nā ʻano kakaikahi ʻē aʻe e komo pū ana i nā small cell carcinomas, nā neuroendocrine tumors, a me nā sarcomas. ʻOi aku ka liʻiliʻi o kēia mau mea ma mua o 5% o nā kanesa prostate a pau. ʻOiai hiki i kēia mau ʻano kakaikahi ke ʻoi aku ka ikaika, ʻoi aku ka liʻiliʻi o lākou, no laila ʻo ka hapa nui o nā kāne i ʻike ʻia me ka kanesa prostate e loaʻa i ke ʻano adenocarcinoma maʻalahi e mālama ʻia.

E hoʻokaʻawale pū kāu kauka i kāu kanesa ma ka wikiwiki o kona ulu ʻana. ʻO kekahi mau kanesa prostate e ulu mālie loa a ʻaʻole paha e hōʻeha i nā pilikia, ʻoiai ʻo nā mea ʻē aʻe he ʻoi aku ka ikaika a pono i ka mālama koke.

He aha ke kumu o ka kanesa prostate?

ʻAʻole maopopo loa ke kumu pololei o ka kanesa prostate, akā e ulu ana ia i ka wā e hoʻololi ai ka DNA i nā sela prostate e ulu a hoʻokaʻawale wikiwiki ma mua o ka maʻamau. E ola mau kēia mau sela ʻano ʻē aʻe i ka wā e make ai nā sela ʻē aʻe, e hana ana i kahi tumor.

Hiki i kekahi mau mea ke hoʻonui i kou pilikia, ʻoiai ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka kanesa:

• Makahiki - e hoʻonui nui ana kou pilikia ma hope o 50
• Mōʻaukala ʻohana o ka kanesa prostate a i ʻole ka umauma
• Lāhui - ʻoi aku ka nui o ka pilikia o nā kāne ʻAmelika ʻApelika
• Nā loli gene hoʻoilina e like me nā mutations BRCA1 a i ʻole BRCA2
• Geography - ʻoi aku ka maʻamau ma ʻAmelika ʻĀkau a me ʻEulopa

Manaʻo kekahi noiʻi e hiki i ka ʻai nui i ka ʻiʻo ʻulaʻula a me nā huahana waiū momona ke hoʻonui i ka pilikia, ʻoiai ʻo nā meaʻai momona i nā hua a me nā mea kanu paha he palekana. Eia naʻe, ʻaʻole ikaika ka hōʻike e hana i nā ʻōlelo aʻoaʻo meaʻai kūikawā no ka pale ʻana.

He mea nui e hoʻomaopopo ʻaʻole ka hapa nui o nā kāne e loaʻa i ka kanesa prostate i nā mea pilikia hiki ke kaohi ʻia. ʻAʻole kēia he mea āu i hana ai a i ʻole hiki ke pale aku ma o nā koho ola wale nō.

I ka wā e ʻike ai i ke kauka no ka kanesa prostate?

Pono ʻoe e kamaʻilio me kāu kauka e pili ana i ka nānā ʻana i ka kanesa prostate e hoʻomaka ana i ka makahiki 50 inā ʻoe i ka pilikia maʻamau. Inā ʻoe he ʻAmelika ʻApelika a i ʻole he mōʻaukala ʻohana o ka kanesa prostate, e noʻonoʻo e hoʻomaka i kēia kamaʻilio i ka makahiki 45.

Mai kali i ka ʻike ʻia ʻana o nā hōʻailona ma mua o ke kūkākūkā ʻana i ka nānā ʻana. E hoʻomanaʻo, ʻaʻole pinepine e hōʻike mai ka kanesa prostate mua i nā hōʻailona i ʻike ʻia, ʻo ia ke kumu e lilo ai nā nānā maʻamau i mea waiwai nui.

E hoʻonohonoho i kahi kūkā koke inā ʻoe e ʻike i nā loli urinary e like me ka paʻakikī e hoʻomaka a hoʻopau paha i ka urination, kahe nāwaliwali, a i ʻole ka urination pinepine i ka pō. ʻOiai he pinepine kēia mau hōʻailona i hana ʻia e nā kūlana benign, pono lākou i ka loiloi.

E ʻimi i ka mālama lapaʻau koke inā ʻoe e ʻike i ke koko i loko o kou mimi a i ʻole ka semen, ka ʻeha iwi mau, a i ʻole ka nalowale kaumaha wehe ʻole ʻia. Pono e loiloi koke ʻia kēia mau hōʻailona, ​​ʻoiai ʻaʻole maʻamau, e hoʻoholo i ko lākou kumu.

He aha nā mea pilikia no ka kanesa prostate?

Hiki i nā pilikia ke kū mai i ka kanesa ponoʻī a i ʻole mai nā lapaʻau. Ke hoʻomaopopo nei i kēia mau mea hiki ke kōkua iā ʻoe e hoʻomākaukau a hana i nā hoʻoholo lapaʻau akamai me kāu hui olakino.

Hiki i nā pilikia pili i ka kanesa ke komo pū:

• Pālahalaha ʻana o ka kanesa i nā lymph nodes a i ʻole nā ​​iwi kokoke
• Urinary incontinence inā pili ka kanesa i ka mana ʻōpū
• Erectile dysfunction mai ka pōʻino nerve
• Nā pilikia bowel inā pālahalaha ka kanesa i nā kino kokoke

Hoʻololi nā pilikia pili i ka mālama ʻana ma muli o kāu lapaʻau i koho ʻia. Hiki i ka ʻoki ke hōʻeha i ka incontinence a me ka erectile dysfunction manawa a mau loa paha. Hiki i ka radiation therapy ke hōʻeha i ka luhi, ka huhū bowel, a me nā pilikia urinary. Hiki i ka hormone therapy ke alakaʻi i nā hot flashes, ka lahilahi iwi, a me nā loli manaʻo.

ʻO ka nūhou hoʻoikaika, nui nā pilikia hiki ke mālama ʻia me ka mālama lapaʻau kūpono. E hana pū kāu hui olakino me ʻoe e hoʻemi i nā pilikia a hoʻoponopono i nā pilikia e kū mai ana i ka wā a ma hope paha o ka mālama ʻana.

Pehea e ʻike ʻia ai ka kanesa prostate?

Hoʻomaka pinepine ka ʻike ʻana me kahi hoʻokolohua koko PSA a me ka hoʻokolohua rectal digital i kāu nānā maʻamau. ʻO PSA ka prostate-specific antigen, kahi protein i hana ʻia e nā sela prostate e hiki ke hoʻokiʻekiʻe ʻia i ka kanesa.

Inā hōʻike mai kēia mau hoʻokolohua mua i ka kanesa hiki, e ʻōlelo paha kāu kauka i kahi biopsy prostate. I loko o kēia kaʻina hana, e wehe nā nila lahilahi i nā laʻana pūnaewele liʻiliʻi mai nā wahi like ʻole o kāu prostate. E nānā ʻia nā laʻana ma lalo o ka microscope e ʻimi i nā sela kanesa.

Hiki i nā hoʻokolohua hou ke komo pū me ka MRI imaging e kiʻi i nā kiʻi kikoʻī o kāu prostate, a i ʻole nā ​​hoʻokolohua hou e like me ka 4Kscore a i ʻole ka Prostate Health Index e hāʻawi i ka ʻike hou aku ma mua o ka PSA wale nō.

Inā loaʻa ka kanesa, e hoʻoholo kāu kauka i kona papa ma ka hoʻohana ʻana i ka ʻōnaehana helu Gleason. Kēia e kōkua i ka wānana ʻana i ka wikiwiki o ka ulu ʻana a me ka pālahalaha ʻana o ka kanesa, e alakaʻi ana i kāu mau hoʻoholo lapaʻau.

He aha ka lapaʻau no ka kanesa prostate?

Hoʻololi ka lapaʻau ma muli o nā mea he nui e komo pū ana i ke kahua a me ka papa o kāu kanesa, kou makahiki, olakino holoʻokoʻa, a me nā makemake pilikino. ʻO ka nūhou maikaʻi, loaʻa iā ʻoe kekahi mau koho maikaʻi e noʻonoʻo ai.

No nā kanesa ulu mālie, pilikia haʻahaʻa, hiki ke ʻōlelo ʻia ka nānā ʻana ikaika. ʻO ia hoʻi ka nānā mau ʻana me nā hoʻokolohua PSA, nā hoʻokolohua, a me nā biopsies manawa ma mua o ka mālama koke. Nui nā kāne e hana maikaʻi me kēia ala, e pale ana i nā hopena ʻaoʻao o ka mālama ʻana ʻoiai e mālama pono ana i kā lākou kanesa.

ʻO nā koho ʻoki e komo pū ana i ka radical prostatectomy, kahi e wehe ʻia ai ka gland prostate holoʻokoʻa. Hiki ke hana ʻia kēia ma o ka ʻoki ākea maʻamau a i ʻole nā ​​ʻenehana robotic liʻiliʻi. Hoʻomaopopo pinepine ʻia ka ʻoki no nā kāne ʻōpio, olakino maikaʻi me ka kanesa kūloko.

Hoʻohana ka radiation therapy i nā kukuna kiʻekiʻe e pepehi i nā sela kanesa. Hoʻolako ʻia ka radiation beam waho mai waho o kou kino, ʻoiai e komo pū ana ka brachytherapy i ka waiho ʻana i nā hua radioactive pololei i loko o kāu prostate. Hiki i nā ala ʻelua ke loaʻa ka hopena maikaʻi loa no ka kanesa kūloko.

No ka kanesa holomua, pale ka hormone therapy i ka testosterone, ka mea e hoʻoulu ai i ka ulu ʻana o ka kanesa prostate. Hiki i kēia lapaʻau ke hoʻemi i nā tumors a hoʻomāmā i ka holomua o ka kanesa, ʻoiai ʻaʻole ia e hoʻōla i ka maʻi.

Ke hōʻike nei nā lapaʻau hou e like me ka immunotherapy a me ka targeted therapy i ka manaʻolana no kekahi mau ʻano o ka kanesa prostate holomua. Hiki i kāu oncologist ke kūkākūkā inā hiki ke kūpono kēia mau koho no kāu kūlana.

Pehea e mālama ai i ka kanesa prostate ma ka home?

ʻO ka lawe ʻana i kahi kuleana ikaika i kāu mālama ʻana e kōkua iā ʻoe e manaʻo hou aku i ka mana a hoʻomaikaʻi paha i kāu mau hopena. Hiki i nā loli ola maʻalahi ke hana i kahi ʻokoʻa koʻikoʻi i kou manaʻo i ka wā o ka mālama ʻana.

E nānā i ka ʻai ʻana i kahi meaʻai kaulike momona i nā hua, nā mea kanu, a me nā huaola holoʻokoʻa ʻoiai e kaupalena ana i ka ʻiʻo ʻulaʻula a me nā meaʻai momona. Ke kākoʻo nei ka meaʻai maikaʻi i kou ʻōnaehana pale a kōkua i ka mālama ʻana i ka ikehu i ka wā o ka mālama ʻana.

E noho ikaika e like me kāu kauka e ʻōlelo ai. Hiki i ka hoʻoikaika kino maʻamau ke kōkua i ka mālama ʻana i nā hopena ʻaoʻao o ka mālama ʻana e like me ka luhi, mālama i ka ikaika iwi, a hoʻomaikaʻi i kou manaʻo. ʻO nā hana mālie e like me ka hele wāwae a i ʻole ka ʻauʻau paha he pono.

E mālama i ke kaumaha ma o nā ʻenehana hoʻomaha, ka noʻonoʻo, a i ʻole ke kamaʻilio ʻana me kahi kākāʻōlelo. Hiki i ka ʻike ʻana o ka kanesa a me ka mālama ʻana ke pilikia nui, a ke kōkua nei ka hoʻoponopono ʻana i ke kaumaha i kou olakino holoʻokoʻa.

E mālama i kāu mau hōʻailona a me nā hopena ʻaoʻao, a mai kānalua e hoʻokaʻaʻike i kāu hui olakino me nā nīnau a i ʻole nā ​​hopohopo. Aia lākou e kākoʻo iā ʻoe i kou huakaʻi mālama.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

Ke kōkua nei ka hoʻomākaukau iā ʻoe e hana i ka hapa nui o kāu manawa kūkā a hōʻoiaʻiʻo ʻoe e loaʻa i ka ʻike āu e pono ai. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona, ​​e komo pū ana i ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa.

E hana i kahi papa inoa o nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe ai, e komo pū ana i nā dosages. E lawe mai i kahi mōʻaukala lapaʻau ʻohana, ʻoi aku ka hoʻomaopopo ʻana i nā hoahānau i loaʻa i ka kanesa prostate, umauma, a i ʻole nā ​​kanesa ʻē aʻe.

E hoʻomākaukau i kāu mau nīnau ma mua. E noʻonoʻo e nīnau e pili ana i kāu mau mea pilikia kūikawā, nā ʻōlelo aʻoaʻo nānā, nā hoʻokolohua āu e pono ai, a me ka mea e hiki ai i nā hopena ke manaʻo no kou olakino.

Inā ʻoe e kūkākūkā ana i nā koho lapaʻau, e nīnau e pili ana i nā pono a me nā pilikia o kēlā me kēia ala, pehea lākou e pilikia ai i kou ola i kēlā me kēia lā, a pehea ka hoʻōla. Mai kānalua e noi i kāu kauka e hana hou a wehewehe paha i nā mea āu i ʻike ʻole ai.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi e hiki ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi a hāʻawi i ke kākoʻo manaʻo i ka wā o ke kūkā.

He aha ka lawe nui e pili ana i ka kanesa prostate?

He mea maʻamau loa ka kanesa prostate, akā he mea maʻalahi hoʻi ke mālama, ʻoi aku hoʻi i ka wā i hopu ʻia ai i ka wā mua. ʻAʻole e make ka hapa nui o nā kāne i ʻike ʻia me ka kanesa prostate mai ia mea, a nui nā koho lapaʻau e hiki ke kōkua iā ʻoe e mālama i kahi ola maikaʻi.

ʻO ka hana nui āu e hiki ke hana ai, ʻo ia ke kamaʻilio mau ʻana me kāu kauka e pili ana i ka nānā ʻana. Ke hāʻawi nei ka ʻike mua iā ʻoe i nā koho lapaʻau nui loa a me ka manawa maikaʻi loa no nā hopena holomua.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā mea pilikia he manaʻo e loaʻa iā ʻoe ka kanesa, a ʻaʻole ka manaʻo o ka ʻike ʻana he pau kāu ola. Ua hoʻomaikaʻi nā holomua lapaʻau i ka kanesa prostate ʻoi aku ka maʻalahi ma mua o ka makahiki i hala.

E noʻonoʻo, akā mai hoʻokele kou mau hoʻoholo e ka makaʻu. E hana pili me kāu hui olakino e hana i nā koho e kūlike me kou mau waiwai a me kou mau pahuhopu. Me ka mālama lapaʻau kūpono a me ke kākoʻo, hiki iā ʻoe ke holo pono i kēia huakaʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka kanesa prostate

Hiki ke pale ʻia ka kanesa prostate?

ʻAʻohe ala i hōʻoia ʻia e pale aku i ka kanesa prostate ʻoiai ʻo ka makahiki, nā gene, a me ka lāhui nā mea pilikia nui āu e hiki ʻole ke kaohi. Eia naʻe, ʻo ka mālama ʻana i kahi ola olakino me ka hoʻoikaika kino maʻamau, kahi meaʻai kaulike momona i nā hua a me nā mea kanu, a me ke kaumaha olakino paha e kōkua i ka hoʻemi ʻana i kou pilikia. Manaʻo kekahi mau noiʻi e hiki i nā kāne e ʻai mau ana i ka iʻa a i ʻole e ʻai ana i nā meaʻai momona lycopene e like me nā tamato paha he pilikia iki, akā ʻaʻole ikaika ka hōʻike no nā ʻōlelo aʻoaʻo kūikawā.

Pehea ka wikiwiki o ka ulu ʻana o ka kanesa prostate?

ʻO ka hapa nui o nā kanesa prostate e ulu mālie loa, e lawe ana i nā makahiki a i ʻole nā ​​decades e lilo i mea weliweli i ke ola. Nui nā kāne i loaʻa ka kanesa prostate ulu mālie ʻaʻole e hōʻeha i nā pilikia i ko lākou ola. Eia naʻe, hiki i kekahi mau kanesa prostate ke ʻoi aku ka ikaika a ulu wikiwiki. Hoʻohana kāu kauka i nā mea hana e like me ka helu Gleason a me nā pae PSA e kuhikuhi i ka wikiwiki o ka holomua o kāu kanesa kūikawā.

He aha ke ʻano o kahi pae PSA kiʻekiʻe?

ʻAʻole ʻo ka PSA kiʻekiʻe he manaʻo kūʻokoʻa ʻoe i loaʻa ka kanesa. Nui nā kūlana e hiki ke hoʻokiʻekiʻe i nā pae PSA, e komo pū ana ka hoʻonui benign prostate, nā maʻi prostate, ka ejaculation hou, a i ʻole ke holo paikikala. Ma ke ʻano laulā, manaʻo ʻia nā pae PSA ma lalo o 4.0 ng/mL he maʻamau, akā e noʻonoʻo kāu kauka i kou makahiki, lāhui, mōʻaukala ʻohana, a pehea ka loli ʻana o kāu PSA i ka manawa i ka wā e wehewehe ai i kāu mau hopena.

Hiki iā ʻoe ke moe kolohe ma hope o ka mālama ʻana i ka kanesa prostate?

Hiki i nā kāne he nui ke hoʻi i ka hana moekolohe ma hope o ka mālama ʻana i ka kanesa prostate, ʻoiai paha e pono ai ka manawa a me ke ahonui. Hiki i ka ʻoki a me ka radiation ke hoʻopilikia i nā nerves a me nā kīʻaha koko e komo ana i nā erections, akā nui nā lapaʻau maikaʻi no ka erectile dysfunction e komo pū ana i nā lāʻau lapaʻau, nā hāmeʻa, a me ke aʻo ʻana. Hiki i kāu hui olakino ke kōkua iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai a ʻimi i nā koho e hana no ʻoe.

He mea hoʻoilina anei ka kanesa prostate?

Ke holo nei ka kanesa prostate i nā ʻohana, akā ʻaʻole i hoʻoilina pololei ka hapa nui o nā hihia. ʻO ka loaʻa ʻana o ka makuakāne a i ʻole ke kaikuaʻana me ka kanesa prostate e hoʻonui i kou pilikia, a e hoʻonui ana ka pilikia me ka nui o nā hoahānau i pilikia a me ka ʻōpio o lākou i ka wā o ka ʻike ʻana. Ke hoʻonui nei kekahi mau mutations gene hoʻoilina e like me BRCA2 i ka pilikia o ka kanesa prostate. Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana ikaika, hiki ke kōkua ka aʻo ʻana i ka gene e hoʻomaopopo i kou pilikia pilikino.