He aha ka Radiation-Beam waho no ka maʻi maʻi prostate? Ke kumu, ke kaʻina hana & nā hopena

ʻO ka lāʻau lapaʻau radiation-beam waho he lāʻau lapaʻau pololei, ʻaʻole invasive e hoʻohana ana i nā X-ray kiʻekiʻe e kuhikuhi a luku i nā pūnaewele maʻi maʻi prostate mai waho o kou kino. E noʻonoʻo iā ia he kukuna o ka ikehu e kuhikuhi pololei ana i ka maʻi ʻaʻai i ka wā e pale ana i ka ʻiʻo olakino a puni.

Ua kōkua kēia lāʻau lapaʻau i nā tausani o nā kāne e hakakā kūleʻa i ka maʻi maʻi prostate, a ua manaʻo ʻia ʻo ia kekahi o nā koho maikaʻi loa i loaʻa i kēia lā. Hana ka radiation ma ka hōʻino ʻana i ka DNA i loko o nā pūnaewele maʻi maʻi, kahi e kāohi ai iā lākou mai ka ulu ʻana a me ka mahele ʻana.

He aha ka lāʻau lapaʻau radiation-beam waho?

Hāʻawi ka lāʻau lapaʻau radiation-beam waho (EBRT) i ka radiation i kāu prostate mai kahi mīkini i hoʻonoho ʻia ma waho o kou kino. Hoʻolālā ʻia a hoʻohālikelike ʻia nā kukuna radiation me ka nui a me kahi o kāu maʻi maʻi prostate.

I ka wā o ka lāʻau lapaʻau, e moe ʻoe ma luna o kahi papaʻaina i ka wā e neʻe ai kahi mīkini nui i kapa ʻia he linear accelerator a puni ʻoe, e hāʻawi ana i ka radiation mai nā kihi like ʻole. ʻAʻole ʻeha ke kaʻina holoʻokoʻa a maʻamau ka 15-30 mau minuke no kēlā me kēia kau.

Aia kekahi mau ʻano o ka radiation-beam waho, me ka intensity-modulated radiation therapy (IMRT) a me ka stereotactic body radiation therapy (SBRT). E koho kāu oncologist radiation i ke ala maikaʻi loa e pili ana i kāu kūlana kikoʻī a me nā ʻano maʻi maʻi.

No ke aha e hana ʻia ai ka lāʻau lapaʻau radiation-beam waho?

Hoʻomaʻamaʻa ka lāʻau lapaʻau radiation-beam waho i ka maʻi maʻi prostate ma ka luku ʻana i nā pūnaewele maʻi maʻi i ka wā e mālama ana i ka nui o ka ʻiʻo olakino e like me ka hiki. Hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau inā aia kāu maʻi maʻi i loko o ka prostate a i ʻole ua laha wale i nā wahi kokoke.

He hana maikaʻi kēia lapaʻau no ka maʻi maʻi prostate i ka wā mua, kahi e like ai ka maikaʻi me ke ʻoki. He koho maikaʻi nō hoʻi inā ʻaʻole kūpono ʻoe i ke ʻoki ʻana ma muli o ka makahiki, nā maʻi olakino ʻē aʻe, a i ʻole ka makemake pilikino.

I kekahi manawa, hoʻohana ʻia ka lāʻau lapaʻau radiation ma hope o ke ʻoki ʻana inā e noho ana a hoʻi mai paha nā pūnaewele maʻi maʻi. Hiki nō hoʻi ke hui pū ʻia me ka lāʻau lapaʻau hormone e ʻoi aku ka maikaʻi o ka lapaʻau, ʻoi aku hoʻi no nā maʻi maʻi ʻoi aku ka ikaika.

No nā kāne me ka maʻi maʻi prostate holomua, hiki i ka lāʻau lapaʻau radiation ke kōkua i ka mālama ʻana i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola ma ka hoʻemi ʻana i nā ʻōpū e hana ai i ka ʻeha a i ʻole nā pilikia ʻē aʻe.

He aha ke kaʻina hana no ka lāʻau lapaʻau radiation external-beam?

Hoʻomaka ke kaʻina hana radiation external-beam me kahi hālāwai hoʻolālā kikoʻī i kapa ʻia ʻo simulation. I loko o kēia manawa, e hana kāu hui lapaʻau i kahi hoʻolālā lapaʻau kikoʻī i hana ʻia no kāu maʻi maʻi prostate.

ʻO ka mea mua, e moe ʻoe ma luna o kahi papa lapaʻau ma ke kūlana pololei āu e noho ai i kēlā me kēia kau lapaʻau. E hoʻohana ka hui radiation i nā scans CT a i kekahi manawa nā kiʻi MRI e palapala i kahi kikoʻī o kou prostate a me nā ʻōkana a puni.

E kau ʻia nā peʻa liʻiliʻi, mau loa e pili ana i ka nui o ka freckle ma kou ʻili e kōkua iā ʻoe e hoʻonoho pono no kēlā me kēia lapaʻau. Mai hopohopo - he liʻiliʻi kēia mau māka a ʻaʻole ʻike ʻia.

E hoʻolilo kāu oncologist radiation a me ka physicist lapaʻau i kekahi mau lā e hana ana i kāu hoʻolālā lapaʻau pilikino. Hoʻoholo kēia hoʻolālā i kahi e kuhikuhi ʻia ai nā kukuna radiation a me ka nui o ka radiation āu e loaʻa ai.

Ke pau ka hoʻolālā ʻana, e hoʻomaka ʻoe i kāu mau lapaʻau i kēlā me kēia lā. Eia ka mea e hana ʻia i kēlā me kēia kau:

1. E hoʻololi ʻoe i ka ʻaʻahu haukapila a moe ma luna o ka papa hana
2. E hoʻonoho nā mea lapaʻau radiation iā ʻoe me ka hoʻohana ʻana i nā kaha peʻa ma ke ʻano he alakaʻi
3. E neʻe ka mea hoʻohana laina a puni ʻoe, e hāʻawi ana i ka radiation mai nā kihi he nui
4. Pono ʻoe e moe mālie loa i ka wā e hāʻawi ʻia ai ka radiation, he mau minuke wale nō
5. E nānā nā mea lapaʻau iā ʻoe mai kahi lumi kokoke ma o nā kamera a me nā mea ʻōlelo

ʻO ka hapa nui o nā kāne e loaʻa ana i nā lāʻau lapaʻau i nā lā ʻelima o ka pule (Pōʻakahi a hiki i ka Pōʻalima) no kahi o 7-9 pule. Eia naʻe, hiki i nā ʻenehana hou e like me SBRT ke koi aku i nā lāʻau lapaʻau 4-5 wale nō ma luna o 1-2 pule.

Pehea e hoʻomākaukau ai no kāu lāʻau lapaʻau radiation-beam waho?

ʻO ka hoʻomākaukau ʻana no ka lāʻau lapaʻau radiation-beam waho e pili ana i ka hoʻomākaukau kino a me ka naʻau. E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī, akā eia nā ʻanuʻu nui e hahai ai.

No ka hoʻomākaukau ʻana i kou ʻōpū a me ka ʻōpū, pono ʻoe e mālama i nā hana maʻamau i ka wā o ka lāʻau lapaʻau. Hiki i kāu kauka ke noi iā ʻoe e inu i ka wai i kekahi nui ma mua o kēlā me kēia kau e hōʻoia i ka piha ʻoluʻolu o kou ʻōpū, e kōkua ana i ka pale ʻana i nā ʻōkana kokoke.

Pono paha ʻoe e hahai i nā alakaʻi hoʻomākaukau ʻōpū, e like me ka loaʻa ʻana o ka neʻe ʻana o ka ʻōpū a i ʻole ka hoʻohana ʻana i ka enema ma mua o ka lāʻau lapaʻau. Kōkua kēia mau ʻanuʻu e hōʻoia i nā ʻōkana o loko i ke kūlana like no kēlā me kēia kau.

E mālama i kou ʻili ma kahi o ka lāʻau lapaʻau ma ka hoʻohana ʻana i ke kopa maʻalahi, ʻaʻala ʻole a me ka pale ʻana i nā lotions, deodorants, a i ʻole nā pauka ke ʻole i ʻae ʻia e kāu hui. Mai hoʻopili i kekahi mea i kou ʻili i nā lā lapaʻau a hiki i ka pau ʻana o kāu kau.

E hoʻomau i ka lawe ʻana i kāu mau lāʻau maʻamau ke ʻole kāu kauka e haʻi iā ʻoe i nā mea ʻē aʻe. Inā ʻoe e lawe ana i nā mea lahilahi koko a i ʻole nā lāʻau ʻē aʻe, e kūkākūkā i ka manawa me kāu hui mālama ola.

Ma ke ʻano o ka naʻau, he mea maʻamau loa ke hopohopo e pili ana i ka hoʻomaka ʻana i ka lapaʻau. E noʻonoʻo e lawe mai i kekahi mea kākoʻo i kāu mau manawa mua, a mai kānalua e nīnau i nā nīnau e pili ana i nā mea e pili ana iā ʻoe.

Pehea e heluhelu ai i kāu mau hopena lapaʻau radiation external-beam?

Hoʻohālikelike ʻia nā hopena lapaʻau radiation external-beam ma o nā manawa ukali a me nā hoʻokolohua ma mua o nā heluhelu koke. E nānā ʻia kāu holomua ma luna o nā mahina a me nā makahiki ma o nā hoʻokolohua koko PSA a me nā hoʻokolohua kino.

E nānā mau ʻia kāu mau pae PSA ma hope o ka lapaʻau ʻana, maʻamau i kēlā me kēia 3-6 mahina no nā makahiki mua. Hōʻike maʻamau ka lapaʻau kūleʻa i ka emi mau ʻana o nā pae PSA, ʻoiai e hana mālie ana kēia hāʻule ma luna o 18-24 mau mahina.

He ʻokoʻa ka wehewehe ʻana o ka holomua lapaʻau, akā ma ke ʻano maʻamau, pono e hōʻea kāu PSA i kona wahi haʻahaʻa loa (i kapa ʻia ʻo ka nadir) i loko o ʻelua makahiki. Loaʻa i kekahi mau kāne nā pae PSA hiki ʻole ke ʻike ʻia, ʻoiai e mālama ana kekahi i nā pae haʻahaʻa loa akā hiki ke ana ʻia.

E nānā pū kāu kauka iā ʻoe no nā hōʻailona o ka hoʻi hou ʻana o ka maʻi ma o nā hoʻokolohua kino a me nā hoʻokolohua kiʻi inā pono. ʻO ka piʻi ʻana o nā pae PSA ma hope o ka hōʻea ʻana i ka nadir e hōʻike paha ua ola a ua hoʻi mai paha nā cell maʻi.

He mea nui e hoʻomaopopo i ka hoʻomau ʻana o nā hopena radiation no nā mahina ma hope o ka pau ʻana o ka lapaʻau. Pono kou kino i ka manawa e hoʻopau ai i nā cell maʻi i hōʻino ʻia, no laila e hana mālie nā hoʻomaikaʻi ʻana i nā pae PSA.

Pehea e mālama ai i nā hopena ʻaoʻao mai ka lapaʻau radiation external-beam?

ʻO ka mālama ʻana i nā hopena ʻaoʻao mai ka lapaʻau radiation external-beam e kālele ana i ke kākoʻo ʻana i ke kaʻina hana hoʻōla o kou kino i ka wā e mālama ana i kou maikaʻi o ke ola. ʻO ka hapa nui o nā hopena ʻaoʻao he manawa pōkole a hiki ke mālama ʻia me ka mālama kūpono.

No nā hōʻailona urinary e like me ka mimi pinepine, ka ʻā ʻana, a i ʻole ka wikiwiki, e inu i ka wai nui a pale i ka caffeine, ka waiʻona, a me nā meaʻai ʻala. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kōkua i ka mālama ʻana i kēia mau hōʻailona inā lilo lākou i mea hoʻonāukiuki.

Hiki ke mālama ʻia nā hōʻailona o ka ʻōpū e like me ka maʻi palahī, ke kinoea, a i ʻole ka ʻoluʻolu o ka ʻōpū me nā loli i ka ʻai. E ʻai i nā meaʻai liʻiliʻi, pinepine a pale i nā meaʻai kiʻekiʻe i ka fiber i ka wā o ka mālama ʻana. Hiki i nā probiotics a me nā lāʻau anti-diarrheal ke kōkua inā ʻōlelo ʻia e kāu kauka.

He mea maʻamau ka luhi i ka wā o ka radiation therapy, no laila e hoʻolālā i ka hoʻomaha hou a pale i ka hoʻoikaika nui. Hiki i ka hoʻoikaika kino māmā e like me ka hele wāwae ke kōkua i ka mālama ʻana i kou pae ikehu, akā e hoʻolohe i kou kino a hoʻomaha i ka wā e pono ai.

Pono e mālama mālie i nā loli ʻili ma ka wahi lapaʻau. E hoʻohana i ke kopa maʻalahi, e holoi maloʻo ma mua o ka hamo ʻana, a e hoʻopili i ka moisturizer inā ʻōlelo ʻia e kāu hui. E pale i ka ʻike ʻana i ka lā i ka wahi i mālama ʻia.

Hiki ke loli nā hana moe kolohe i ka wā a i ʻole ma hope o ka mālama ʻana. E kamaʻilio ākea me kāu hui mālama ola e pili ana i kēia mau hopohopo - aia nā lāʻau lapaʻau a me nā hoʻolālā e hiki ke kōkua i ka mālama ʻana a i ʻole ka hoʻihoʻi ʻana i ke olakino moe kolohe.

He aha nā hopena maikaʻi loa no ka external-beam radiation therapy?

ʻO nā hopena maikaʻi loa mai ka external-beam radiation therapy e hiki mai ana i ka wā e hopu ʻia ai ka maʻi maʻi i ka wā mua a hāʻawi ʻia ka lāʻau me ka pololei. He maikaʻi nā helu kūleʻa no ka maʻi maʻi prostate localized, me nā helu hoʻōla e like me ka wehe ʻana i ke ʻoki.

No ka maʻi maʻi prostate haʻahaʻa, loaʻa i ka external-beam radiation therapy ka mana maʻi maʻi ma kahi o 95% o nā kāne i 10 mau makahiki. Loaʻa i nā maʻi maʻi waena nā helu kūleʻa o 85-90%, ʻoiai e pōmaikaʻi nā maʻi maʻi kiʻekiʻe mai nā lāʻau hui.

ʻO nā hopena maikaʻi loa e hiki mai ana i ka wā e hāʻule ai kāu PSA i nā pae haʻahaʻa loa a noho ma laila. ʻO nā kāne e loaʻa ana i nā pae PSA ma lalo o 0.5 ng/mL ma hope o ka mālama ʻana i ka prognosis lōʻihi loa.

He maikaʻi maʻamau nā hopena o ka maikaʻi o ke ola, me ka hapa nui o nā kāne e mālama ana i ka hana mimi a me ka ʻōpū maikaʻi. Hiki ke hoʻopilikia ʻia ka hana moe kolohe, akā pinepine kēia i ka manawa, ʻoiai me ka lāʻau kūpono a me ke kākoʻo.

He mea hoʻoikaika loa nā helu ola lōʻihi. ʻO ka hapa nui o nā kāne i mālama ʻia me ka lāʻau lapaʻau radiation external-beam no ka maʻi maʻi prostate i loaʻa i kahi ola maʻamau me ka ʻole o ka hoʻi hou ʻana o ka maʻi.

He aha nā mea pilikia no nā pilikia mai ka lāʻau lapaʻau radiation external-beam?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o nā pilikia mai ka lāʻau lapaʻau radiation external-beam. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu hui lapaʻau e hoʻolālā i ke ala lapaʻau palekana a maikaʻi loa.

He hana ko ka makahiki i ka maikaʻi o kou ʻae ʻana i ka lapaʻau, ʻoiai ua ʻae maikaʻi ʻia ka radiation external-beam e nā kāne o nā makahiki āpau. Hiki i nā kāne ʻelemakule ke ʻike i ka luhi nui a lōʻihi ka manawa e ola ai mai nā hopena ʻaoʻao.

Hiki i ka ʻoki ʻana i ka ʻōpū a i ʻole ka pelvic ma mua ke hoʻonui i ka pilikia o nā pilikia o ka ʻōpū no ka mea hiki ke ʻoi aku ka maʻalahi o ka ʻiʻo ʻeha i ka radiation. E hoʻolālā pono kāu oncologist radiation a puni nā wahi ʻoki.

ʻO nā pilikia urinary i mua, e like me ka prostate nui a i ʻole ka paʻa ʻana o ka mimi, hiki ke ʻino i ka wā o ka lapaʻau. Hiki i kāu kauka ke ʻōlelo aku e mālama i kēia mau maʻi ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau radiation.

ʻO nā maʻi ʻōpū inflammatory e like me ka maʻi o Crohn a i ʻole ulcerative colitis e hoʻonui i ka pilikia o nā hopena ʻaoʻao ʻōpū koʻikoʻi. E kaupaona pono kāu hui lapaʻau i kēia mau pilikia i ka wā e hoʻolālā ai i kāu lapaʻau.

Hiki i ka maʻi diabetes ke hoʻopilikia i ka hoʻōla a hoʻonui i ka pilikia o nā pilikia, ʻoiai he koho lapaʻau maikaʻi ka lāʻau lapaʻau radiation. He mea nui ka mālama ʻana i ke kō koko maikaʻi ma mua a i ka wā o ka lapaʻau.

Hoʻopilikia ka nui a me kahi o kāu maʻi maʻi prostate i nā pilikia pilikia. Pono paha nā ʻōpū nui a i ʻole nā mea kokoke i nā hale i nā hoʻolālā lapaʻau paʻakikī.

ʻOi aku ka maikaʻi o ka loaʻa ʻana o ka lāʻau lapaʻau radiation external-beam a i ʻole ke ʻoki?

Ma muli o kou kūlana, nā ʻano maʻi maʻi, a me nā makemake pilikino, e koho ʻia ke ʻano o ka lāʻau lapaʻau ma waena o ka lāʻau lapaʻau radiation external-beam a me ke ʻoki. He mea maikaʻi loa nā lāʻau lapaʻau ʻelua no ka maʻi maʻi prostate.

He nui nā pōmaikaʻi o ka lāʻau lapaʻau radiation external-beam, e like me ka nele o nā pilikia o ke ʻoki, ka manawa hoʻōla pōkole, a me ka hiki ke mālama i ka maʻi maʻi i laha wale ma waho o ka prostate. Hiki iā ʻoe ke hoʻomau i kāu mau hana maʻamau i ka hapa nui o ka manawa lapaʻau.

Hiki ke makemake ʻia ke ʻoki inā ʻoe he ʻōpio, he ola lōʻihi, a i ʻole he mau ʻano maʻi maʻi. Hāʻawi ke ʻoki ʻana i ka wehe koke ʻana i ka maʻi maʻi a hoʻopau i ka pilikia liʻiliʻi o nā maʻi maʻi lua i hoʻokumu ʻia e ka radiation i nā makahiki he nui ma hope.

He ʻokoʻa loa ka hoʻōla ʻana ma waena o nā ala ʻelua. Hiki i ka lāʻau lapaʻau radiation ke hoʻomau i ka hapa nui o nā hana maʻamau i ka wā o ka lapaʻau, ʻoiai ke koi nei ke ʻoki i nā pule he nui o ka hoʻōla a me nā palena hana.

He ʻokoʻa nā hopena ʻaoʻao lōʻihi ma waena o nā lāʻau lapaʻau. Hiki i ka lāʻau lapaʻau radiation ke hoʻololi mālie i ka hana mimi a me ka ʻōpū, ʻoiai ke loaʻa i ke ʻoki nā hopena koke i ka hoʻomau a me ka hana moe kolohe e hiki ke hoʻomaikaʻi i ka manawa.

ʻO kou makahiki, ke olakino holoʻokoʻa, ke kahua o ka maʻi maʻi, a me nā waiwai pilikino a pau e komo i kēia hoʻoholo. He nui nā kāne i ʻike he mea kōkua ke loaʻa nā manaʻo lua a kūkākūkā pono i nā koho ʻelua me kā lākou hui mālama ola.

He aha nā pilikia hiki ke loaʻa i ka lāʻau lapaʻau radiation external-beam?

Hiki i ka lāʻau lapaʻau radiation external-beam ke hoʻoulu i nā pilikia pōkole a me ka lōʻihi, ʻoiai hiki ke mālama ʻia ka hapa nui a hoʻomaikaʻi ka nui i ka manawa. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia a hoʻomākaukau no ka lapaʻau.

Hoʻomohala maʻamau nā pilikia pōkole i ka wā o ka lapaʻau a me nā pule ma hope o ka pau ʻana. He manawa pōkole kēia mau hopena ʻoi a hoʻoponopono i loko o kekahi mau mahina.

ʻO nā pilikia pōkole maʻamau e komo pū ana:

• Ka pinepine ʻana o ka mimi, ka wikiwiki, a i ʻole ke kuni i ka wā e mimi ai
• Nā loli o ka ʻōpū e like me ka maʻi palahī, ke kinoea, a i ʻole ka ʻoluʻolu o ka ʻōpū
• Ka luhi e mau ana no kekahi mau pule ma hope o ka lapaʻau
• Ka huhū o ka ʻili a i ʻole ka ʻulaʻula ma kahi i mālama ʻia ai
• Hoʻonui iki ʻia ka kahe o ka mimi inā he prostate nui kou

ʻAʻole maʻamau nā pilikia lōʻihi, akā hiki ke ulu i nā mahina a i ʻole nā makahiki ma hope o ka lapaʻau. Pono kēia mau hopena mau i ka mālama a me ka nānā ʻana.

ʻO nā pilikia lōʻihi e hiki mai ana:

• Nā pilikia mimi mau e like me ka hiki ʻole ke kāohi a i ʻole ka pilikia o ka hakahaka ʻana i ka ʻōpū
• Ka hana ʻino ʻana o ka ʻōpū me ka maʻi palahī mau a i ʻole ke kahe ʻana o ke koko
• Ka hana ʻino ʻana o ke kāne ma muli o ka pōʻino i nā aʻalolo a me nā kīʻaha koko
• Ka palena o ka urethra (ka liʻiliʻi o ka urethra) e koi ana i ka hoʻoponopono ʻana i ke ʻoki
• Nā maʻi ʻaʻai lua i ka wahi i mālama ʻia ai, ʻoiai he mea maʻamau loa kēia

Hiki ke loaʻa nā pilikia maʻamau akā koʻikoʻi, ʻoiai me nā lāʻau radiation kiʻekiʻe a i ʻole i nā kāne me nā maʻi i loaʻa mua. Hiki i kēia ke komo i ka pilikia nui o ka ʻōpū, nā fistulas (nā pilina maʻamau ma waena o nā ʻōkana), a i ʻole ka paʻa ʻana o ka mimi e koi ana i ka catheterization.

Aia ka pilikia o nā pilikia i nā mea e like me kou olakino holoʻokoʻa, ka lāʻau radiation a me ka ʻenehana i hoʻohana ʻia, a me ka maikaʻi o kou hahai ʻana i nā ʻōlelo aʻo mālama ma hope o ka lapaʻau. Ua hōʻemi nui nā ʻenehana radiation hou i nā helu pilikia i hoʻohālikelike ʻia me nā ʻano kahiko.

I ka manawa hea e ʻike ai au i ke kauka i ka wā o ka lāʻau radiation external-beam?

Pono ʻoe e hoʻokaʻaʻike koke i kāu hui mālama ola inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi a i ʻole nā hōʻailona e pili ana i ka wā a i ʻole ma hope o ka lāʻau radiation external-beam. ʻOiai ua manaʻo ʻia a hiki ke mālama ʻia nā hopena ʻaoʻao he nui, pono kekahi i ka lāʻau lapaʻau wikiwiki.

E kāhea koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona mimi koʻikoʻi e like me ka hiki ʻole ke mimi, ka ʻeha nui ʻaʻole e hoʻomaikaʻi me ka lāʻau, a i ʻole ke koko i loko o kou mimi ma mua o kekahi mau kulu.

ʻO nā hōʻailona ʻōpū koʻikoʻi e pono ai ka nānā koke ʻana, ʻo ia ka ʻeha nui o ka ʻōpū, ke kahe nui ʻana o ka ʻōpū, ka luaʻi mau ʻana, a i ʻole nā ​​hōʻailona o ka paʻa ʻana o ka ʻōpū e like me ka paʻa ʻana me ka pehu.

E kāhea i kāu hui mālama ola inā loaʻa iā ʻoe ke kuni ma luna o 101°F (38.3°C), ka luhi nui e pale iā ʻoe mai ka hana ʻana i nā hana o kēlā me kēia lā, a i ʻole kekahi mau hōʻailona e ʻoi aku ka maikaʻi ma mua o ka maikaʻi.

ʻO nā loli ʻili e pono ai ka nānā ʻana, ʻo ia ka ʻulaʻula nui, ka ʻōpū, nā ʻeha hāmama, a i ʻole nā ​​hōʻailona o ka maʻi ma ka wahi lapaʻau. ʻOiai he mea maʻamau ka huhū ʻili maʻalahi, pono nā loli koʻikoʻi i ka loiloi ʻoihana.

Pono nō hoʻi ʻoe e hoʻokaʻaʻike i kāu kauka inā pilikia ʻoe i ka mālama ʻana i kāu mau hōʻailona me nā lāʻau i kuhikuhi ʻia, inā hopohopo ʻoe e pili ana i nā hōʻailona hou, a i ʻole inā manaʻo ʻoe ua lanakila ʻia e nā hopena ʻaoʻao.

He mea nui nā manawa hālāwai maʻamau no ka nānā ʻana i kāu holomua a me ka hopu ʻana i nā pilikia i ka wā mua. Mai haʻalele i kēia mau manawa, ʻoiai inā maikaʻi ʻoe.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka radiation-beam waho no ka maʻi maʻi prostate

Q.1 He maikaʻi anei ka radiation-beam waho no ka maʻi maʻi prostate ʻino?

Hiki i ka radiation-beam waho ke maikaʻi loa no ka maʻi maʻi prostate ʻino, ʻoi aku ka nui ke hui pū ʻia me ka hormone therapy. ʻO ka hui pū ʻana i ka lāʻau lapaʻau e loaʻa pinepine ai nā hopena maikaʻi aʻe ma mua o ka radiation wale nō no nā maʻi maʻi pilikia.

No nā maʻi maʻi ʻino, hiki i kāu oncologist radiation ke ʻōlelo aku i kahi kiʻekiʻe kiʻekiʻe o ka radiation i hāʻawi ʻia i ka manawa lōʻihi. Kōkua kēia hana e hōʻoia i ka hoʻopau ʻia ʻana o nā cell cancer a pau me ka pale ʻana i ka ʻiʻo olakino.

Ke hilinaʻi nei ka holomua o ka mālama ʻana i nā mea e like me kāu pae PSA, ka helu Gleason, a inā paha ua laha ka maʻi maʻi ma waho o ka prostate. Nui nā kāne me ka maʻi maʻi prostate ʻino e loaʻa ana ka mana maʻi maʻi lōʻihi me ka mālama ʻana i ka radiation i hoʻolālā pono ʻia.

Q.2 Ua hana ʻo ka radiation therapy i waho i ka hana erectile mau loa?

Hiki i ka radiation therapy i waho ke hoʻopilikia i ka hana erectile, akā pinepine nā loli e ulu mālie i ka manawa ma mua o ka manawa koke. Ma kahi o 30-50% o nā kāne e ʻike i kekahi degere o ka erectile dysfunction i loko o ʻelua mau makahiki o ka mālama ʻana.

Ke hilinaʻi nei ka hopena i ka hana moe kolohe i nā mea he nui, me kou makahiki, ka hana moe kolohe maʻamau, ka nui o ka radiation, a inā paha e loaʻa iā ʻoe ka hormone therapy. ʻO nā kāne ʻōpio me ka hana maikaʻi ma mua o ka mālama ʻana e loaʻa pinepine nā hopena maikaʻi.

Nui nā lāʻau lapaʻau maikaʻi i loaʻa no ka erectile dysfunction i hoʻokumu ʻia e ka radiation, me nā lāʻau lapaʻau, nā mea hana vacuum, a me nā therapies ʻē aʻe. Hāʻawi pinepine ka hana mua i nā hopena maikaʻi loa, no laila e kūkākūkā i kēia me kāu kauka ma mua o ka lilo ʻana o nā pilikia i mea nui.

Q.3 Pehea ka lōʻihi o ka luhi ma hope o ka radiation therapy i waho?

ʻO ka luhi mai ka radiation therapy i waho e piʻi maʻamau i nā pule hope loa o ka mālama ʻana a hiki ke hoʻomau no 2-6 mau mahina ma hope o ka pau ʻana. ʻIke ka hapa nui o nā kāne i ka hoʻomaikaʻi mālie ʻana i ko lākou pae ikehu i ka manawa.

ʻO ka lōʻihi a me ke koʻikoʻi o ka luhi e ʻokoʻa mai kēlā me kēia kanaka. ʻO nā mea e like me kou makahiki, ke olakino holoʻokoʻa, nā lāʻau lapaʻau ʻē aʻe āu e loaʻa nei, a me ka maikaʻi o kou mālama ʻana i ka hana kino e pili ana i kāu manawa hoʻōla.

Hiki iā ʻoe ke kōkua i ka mālama ʻana i ka luhi ma ka mālama ʻana i ka hoʻoikaika kino māmā, ka hiamoe kūpono, ka ʻai ʻana i nā meaʻai momona, a me ka hoʻokau ʻana i kāu mau hana. Inā hoʻomau ka luhi ma mua o ka mea i manaʻo ʻia a i ʻole e hoʻopilikia nui i kou ola i kēlā me kēia lā, e kūkākūkā i kēia me kāu hui mālama ola.

Q.4 Hiki ke hana hou ʻia ka radiation therapy i waho inā hoʻi mai ka maʻi maʻi?

ʻAʻole i ʻōlelo ʻia ka hana hou ʻana i ka lāʻau lapaʻau radiation external-beam i ka wahi like ma muli o ka pilikia o nā pilikia koʻikoʻi. Eia naʻe, hiki i ka radiation ke hoʻohana ʻia i kekahi manawa e mālama i ka maʻi ʻaʻai i hohola i nā wahi ʻē aʻe o ke kino.

Inā hoʻi mai ka maʻi ʻaʻai prostate ma hope o ka lāʻau lapaʻau radiation, nā koho lapaʻau ʻē aʻe e komo pū ana me ka lāʻau lapaʻau hormone, chemotherapy, a i ʻole nā lāʻau lapaʻau hou e like me ka immunotherapy. E ʻōlelo aku kāu oncologist i ke ala maikaʻi loa e pili ana i kāu kūlana.

I kekahi mau hihia, hiki ke hana ʻia nā lāʻau lapaʻau radiation focal no nā wahi liʻiliʻi o ka maʻi ʻaʻai hou, akā pono kēia i ka loiloi akahele e nā loea i ʻike ʻia. Aia ka hoʻoholo i nā mea e like me kahi o ka hoʻi hou ʻana a me kou olakino holoʻokoʻa.

Q.5 E lilo anei au i radioactive i ka wā o ka lāʻau lapaʻau radiation external-beam?

ʻAʻole ʻoe e radioactive i ka wā a ma hope paha o nā lāʻau lapaʻau radiation external-beam. Hoʻouna ʻia ka radiation mai kahi mīkini waho a ʻaʻole e noho i loko o kou kino ma hope.

Hiki iā ʻoe ke palekana i ka puni o nā lālā o ka ʻohana, me nā keiki a me nā wahine hāpai, ma hope koke o kēlā me kēia kau lapaʻau. ʻAʻohe palena i ka pilina kino a i ʻole ka hāʻawi ʻana i nā mea hale.

He ʻokoʻa kēia mai nā lāʻau lapaʻau radiation kūloko (brachytherapy), kahi e waiho ʻia ai nā hua radioactive i loko o ke kino. Me ka radiation external-beam, loaʻa iā ʻoe ka lāʻau lapaʻau a laila haʻalele i ka hale me ka waiho ʻole ʻia o nā mea radioactive i loko o kou kino.