He aha te mate pukupuku prostate? Tohutohu, Take, me te Maimoatanga

Ka puta te mate pukupuku prostate ina tīmata ngā pūtau i roto i te whekau prostate ki te tipu kore-mana. Ko te prostate he whekau iti, rite te rahi ki te nati, kei raro i tō pūngāwerewere, ā, ka whakaputa wai hei whakakōkua i te whāngai me te kawe i te purapura.

Ko tēnei momo mate pukupuku tētahi o ngā mate pukupuku tino noa e pā ana ki ngā tāne, ina koa ko te hunga neke atu i te 50 tau. Ko te rongo pai, ko te nuinga o ngā mate pukupuku prostate ka tipu haere māmā, ā, ka noho tonu ki te whekau prostate, kei reira pea kore ai e pā kino. He tokomaha ngā tāne e ora ana i te ora roa, hauora, ahakoa i muri i te whakatau o te mate pukupuku prostate.

He aha ngā tohu o te mate pukupuku prostate?

I te nuinga o te wā, kāore ngā mate pukupuku prostate i te tīmatanga e whakaatu tohu. Koia tēnei i tino nui ai te tirotiro auau i a koe e koroheke haere ana. Ki te puta mai ngā tohu, ka tipu haere māmā i te wā.

Ko ēnei ngā tohu ka kite pea koe, mā te mahara ko te nuinga o ēnei ka taea hoki te puta mai i ngā āhuatanga prostate kore-mate pukupuku:

• Uaua ki te tīmata i te mimi, ki te ngoikore rānei te rere o te mimi
• Mimi pinepine, ina koa i te pō
• Te whakaaro kare i tino whakakīia tō pūngāwerewere
• Te mamae, te tahuna rānei i te mimi
• Te toto i roto i te mimi, i te purapura rānei
• Te mamae o te ejaculation
• Te mamae roa i tō tuara, i ō huha, i tō pūnaha rānei

Ka awangawanga pea ēnei tohu, engari kia mahara ko te nuinga o te wā ka puta mai i te whānui o te prostate i te mate pukupuku. Heoi, me kōrero ki tō tākuta mō tetahi huringa roa i tō mahi mimi, i tō mahi taane rānei.

I etahi wā onge, ki te horapa te mate pukupuku ki tua atu o te prostate, ka kite pea koe i te mamae o te wheua, te ngaro o te taumaha kaore he take, te ngenge rānei. Ka taea hoki e te mate pukupuku prostate te whakaatu i te pupū o te waewae, te ngoikore rānei o ngā waewae ki te pā ki ngā lymph nodes tata, ki ngā io rānei.

He aha ngā momo mate pukupuku prostate?

Ko te tata katoa o ngā mate pukupuku prostate he adenocarcinomas, e tīmata ana i ngā pūtau whekau e hanga ana i te wai prostate. Koinei te momo e tino mohio ana ngā tākuta ki te whakaora, ā, ka pai te whakautu ki ngā rongoā rerekē.

Ko ētahi atu momo onge ko ngā small cell carcinomas, ngā mate pukupuku neuroendocrine, me ngā sarcomas. Ko ēnei te iti iho i te 5% o ngā mate pukupuku prostate katoa. Ahakoa ka taea e ēnei momo onge te kaha ake, he iti rawa te noa, no reira ko te nuinga o ngā tāne kua whakatauhia te mate pukupuku prostate ka whiwhi i te momo adenocarcinoma tino whakaora.

Ka whakatauritea hoki e tō tākuta tō mate pukupuku ki te tere o te tipu. Ko ētahi mate pukupuku prostate he tino māmā te tipu, ā, pea kore rawa e pā kino, engari ko ētahi atu ka kaha ake, ā, me whakaora wawe.

He aha ngā take o te mate pukupuku prostate?

Kāore i tino mōhiotia te take pono o te mate pukupuku prostate, engari ka puta ina ka puta mai ngā huringa DNA e whakaohooho ana i ngā pūtau prostate ki te tipu me te wehe atu i te noa. Ka noho tonu ēnei pūtau rerekē ina mate ētahi atu pūtau, ka hanga he mate pukupuku.

He maha ngā take ka piki ake tō tūponotanga, ahakoa te mea kei a koe ngā tūponotanga, kāore e tikanga ka puta te mate pukupuku ki a koe:

• Te tau - ka piki ake tō tūponotanga i muri i te 50 tau
• Te hītori whānau o te mate pukupuku prostate, o te mate pukupuku u rānei
• Te iwi - he nui ake te tūponotanga o ngā tāne African American
• Ngā huringa kiripuaki kua oti te whakawhiwhi penei i ngā BRCA1, BRCA2 rānei
• Te whenua - he tino noa i Amerika Te Raki me Uropi

E whakaatu ana etahi rangahau ko te kai nui o te mīti whero me te waiu momona pea ka piki ake te tūponotanga, engari ko ngā kai e whai hua, e huawhenua rānei pea ka tiaki. Heoi, kāore te mōhio i tino kaha ki te whakarite i ngā tohutohu kai mō te aukati.

He mea nui kia mōhio ko te nuinga o ngā tāne e puta mai ana te mate pukupuku prostate kāore he tūponotanga e taea te whakahaere. Kāore tēnei i te mea i puta mai i a koe, kāore rānei e taea te aukati mā ngā whiringa noho ora anake.

Nōhea te haere ki te tākuta mō te mate pukupuku prostate?

Me kōrero koe ki tō tākuta mō te tirotiro mate pukupuku prostate i te tīmatanga o te 50 tau ki te noa tō tūponotanga. Ki te African American koe, ki te pēnei rānei tō hītori whānau o te mate pukupuku prostate, whakaarohia te tīmatanga o tēnei kōrero i te 45 tau.

Kaua e tatari kia puta ngā tohu i mua i te kōrero mō te tirotiro. Kia mahara, kāore ngā mate pukupuku prostate i te tīmatanga e whakaatu tohu, koia tēnei i tino nui ai ngā tirotiro auau.

Whakatau he whakatau i mua atu ki te kite koe i tetahi huringa mimi penei i te uaua ki te tīmata, ki te mutu rānei i te mimi, te ngoikore o te rere, te mimi pinepine rānei i te pō. Ahakoa ko ēnei tohu ka puta mai i ngā āhuatanga kore-kino, me arotake.

Rapua te awhina hauora wawe ki te kite koe i te toto i roto i tō mimi, i tō purapura rānei, te mamae roa o te wheua, te ngaro o te taumaha kaore he take rānei. Me arotake wawe ēnei tohu, ahakoa he iti te noa, kia kitea tōna take.

He aha ngā tūponotanga o te mate pukupuku prostate?

Ka taea te puta mai ngā raruraru mai i te mate pukupuku anō, mai i ngā maimoatanga rānei. Ko te mōhiotanga ki ēnei wā pea ka āwhina i a koe ki te whakarite me te whakatau i ngā whakatau maimoatanga me tō rōpū hauora.

Ko ngā raruraru e pā ana ki te mate pukupuku pea ko:

• Te horapa o te mate pukupuku ki ngā lymph nodes tata, ki ngā wheua rānei
• Te kore-mana o te mimi ki te pā te mate pukupuku ki te mana o te pūngāwerewere
• Te kore-mana o te taane mai i te kino o te io
• Ngā raruraru o te whekau ki te horapa te mate pukupuku ki ngā whekau tata

Ka rerekē ngā raruraru e pā ana ki te maimoatanga i runga i te maimoatanga kua tohua e koe. Ka taea e te pokanga te whakaatu i te kore-mana o te mimi me te kore-mana o te taane, he wa poto, he roa rānei. Ka taea e te rongoā radiation te whakaatu i te ngenge, te mamae o te whekau, me ngā raruraru mimi. Ka taea e te rongoā hormone te whakaatu i ngā wera wera, te ngākau o te wheua, me ngā huringa ngākau.

Ko te rongo pai, ko te nuinga o ngā raruraru ka taea te whakahaere mā te tiaki hauora tika. Ka mahi tahi tō rōpū hauora ki a koe ki te whakaiti i ngā tūponotanga me te whakaoti i ngā raruraru e puta mai ana i te maimoatanga, i muri rānei i te maimoatanga.

Me pēhea te whakatau i te mate pukupuku prostate?

Ka tīmata te whakatau i te nuinga o te wā mā te whakamātautau toto PSA me te whakamātautau rectal matihiko i tō tirotiro auau. Ko te PSA te tikanga o te prostate-specific antigen, he pūtau e hangaia ana e ngā pūtau prostate ka taea te piki ake i te mate pukupuku.

Ki te whakaatu ēnei whakamātautau i te tīmatanga i te mate pukupuku pea, ka tūtohutia pea e tō tākuta he biopsy prostate. I roto i tēnei mahi, ka tangohia ngā ngira angiangi i ngā tauira iti o te kiko mai i ngā wāhi rerekē o tō prostate. Ka tirotirohia ngā tauira i raro i te microscope kia kitea ngā pūtau mate pukupuku.

Ko ētahi atu whakamātautau pea ko te whakaahua MRI hei whiwhi i ngā pikitia taipitopito o tō prostate, ngā whakamātautau hou penei i te 4Kscore, i te Prostate Health Index rānei e whakarato ana i ngā mōhiohio atu i te PSA anake.

Ki te kitea te mate pukupuku, ka whakatau tō tākuta tōna tohu mā te pūnaha tohu Gleason. Ka āwhina tēnei ki te kī he tere te tipu o te mate pukupuku, me te horapa, ā, ka ārahi i ō whakatau maimoatanga.

He aha te maimoatanga mō te mate pukupuku prostate?

Ka whakawhirinaki te maimoatanga ki ngā take maha tae atu ki te wā me te tohu o tō mate pukupuku, tō tau, te hauora whānui, me ngā manakohanga whaiaro. Ko te rongo pai, he maha ngā whiringa whai hua hei whakaaro.

Mō ngā mate pukupuku tino māmā te tipu, te iti rawa rānei te tūponotanga, ka tūtohutia pea te tirotiro mahi. Ko te tikanga tenei ko te tirotiro auau mā ngā whakamātautau PSA, ngā whakamātautau, me ngā biopsies i etahi wā i te wā kaore he maimoatanga wawe. He tokomaha ngā tāne e pai ana ki tēnei huarahi, ka karo i ngā pānga o te maimoatanga i te wā e tiaki tata ana i tō rātou mate pukupuku.

Ko ngā whiringa pokanga ko te radical prostatectomy, kei reira ka tangohia te whekau prostate katoa. Ka taea te mahi i tēnei mā te pokanga tuwhera, mā ngā hangarau robotic iti rawa rānei. I te nuinga o te wā ka tūtohutia te pokanga mō ngā tāne taitamariki, hauora, he mate pukupuku rohe.

Ka whakamahi te rongoā radiation i ngā hiwi kaha ki te whakamate i ngā pūtau mate pukupuku. Ka tukuna te radiation hiwi o waho mai i waho o tō tinana, engari ko te brachytherapy ka whakauru i ngā purapura radiation tika ki tō prostate. Ka taea e ngā huarahi e rua te whai hua mō te mate pukupuku rohe.

Mō te mate pukupuku whānui, ka aukati te rongoā hormone i te testosterone, e whakakōkua ana i te tipu o te mate pukupuku prostate. Ka taea e tēnei maimoatanga te whakaiti i ngā mate pukupuku me te whakaheke i te tipu o te mate pukupuku, ahakoa kāore e whakaora i te mate.

Ko ngā maimoatanga hou penei i te immunotherapy me te rongoā e whai take ana e whakaatu ana i te tumanako mō etahi momo mate pukupuku prostate whānui. Ka taea e tō oncologist te kōrero mehemea ka tika ēnei whiringa mō tō āhuatanga.

Me pēhea te whakahaere i te mate pukupuku prostate i te kāinga?

Ko te whakauru whai hua ki tō tiaki ka taea te āwhina i a koe ki te whakaaro nui ake, ā, ka taea te whakapai ake i ō hua. Ka taea e ngā huringa noho ora ngāwari te whakarite i te rerekētanga nui ki te āhua o tō whakaaro i te wā o te maimoatanga.

Arotake ki te kai kai tōtika e whai hua, e huawhenua, me ngā witi katoa i te wā e whakaiti ana i te mīti whero me ngā kai momona. Ko te kai pai ka tautoko i tō pūnaha mate, ā, ka āwhina i te pupuri i te kaha i te wā o te maimoatanga.

Noho mahi tinana penei i te tūtohutia e tō tākuta. Ka taea e te mahi tinana auau te whakahaere i ngā pānga o te maimoatanga penei i te ngenge, te pupuri i te kaha o te wheua, me te whakapai ake i tō ngākau. Ahakoa ngā mahi māmā penei i te hikoi, te kauhoe rānei ka whai hua.

Whakahaerehia te ahotea mā ngā tikanga whakahaerenga, te whakaaroaro, te kōrero rānei ki te kaiwhakaako. Ka taea e te whakatau me te maimoatanga o te mate pukupuku te wero ngākau, ā, ko te whakaoti i te ahotea ka āwhina i tō oranga whānui.

Tāruahia ō tohu me ō pānga, ā, kaua e whakaroa ki te whakapiri atu ki tō rōpū hauora mō ngā pātai, mō ngā āwangawanga rānei. Kei reira rātou hei tautoko i a koe i tō haerenga maimoatanga.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite ka āwhina i a koe ki te whakamahi i te wā o tō whakatau, ā, ka whakarite kia whiwhi koe i ngā mōhiohio e hiahia ana koe. Tīmata mā te tuhi i ō tohu, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā.

Hanga he rārangi o ngā rongoā, ngā huaora, me ngā taapiri katoa e inu ana koe, tae atu ki ngā horopeta. Kawe mai he hītori hauora whānau, ina koa te tohu i ngā whānau i whiwhi i te mate pukupuku prostate, u, mate pukupuku rānei.

Whakaritehia ō pātai i mua. Whakaarohia te uiui mō ō tūponotanga motuhake, ngā tūtohu tirotiro, ngā whakamātautau pea e hiahia ana koe, me te tikanga o ngā hua mō tō hauora.

Ki te kōrero koe mō ngā whiringa maimoatanga, uiui mō ngā painga me ngā tūponotanga o ia huarahi, me pēhea te pā ki tō oranga o ia rā, me te āhua o te ora. Kaua e whakaroa ki te tono ki tō tākuta kia whakawhānui, kia whakamārama rānei i tetahi mea kāore koe i te mōhio.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko ngākau i te wā o te whakatau.

He aha te mea nui mō te mate pukupuku prostate?

He tino noa te mate pukupuku prostate, engari he tino whakaora hoki, ina koa ki te hopukina wawe. Ko te nuinga o ngā tāne kua whakatauhia te mate pukupuku prostate kāore e mate i te mate, ā, he maha ngā whiringa maimoatanga ka taea te āwhina i a koe ki te pupuri i te kounga ora pai.

Ko te mahi nui rawa atu ka taea e koe ko te kōrero auau ki tō tākuta mō te tirotiro. Ko te kite wawe ka hoatu ki a koe ngā whiringa maimoatanga tino nui me te tupono pai mō ngā hua angitu.

Kia mahara ko te whai i ngā tūponotanga kāore e tikanga ka puta te mate pukupuku ki a koe, ā, ko te whakatau kāore e tikanga kua mutu tō oranga. Kua whakapai ake ngā whakahōu hauora i te mate pukupuku prostate i te tekau tau kua hipa.

Noho mōhio, engari kaua e tukua te wehi ki te arahi i ō whakatau. Mahi tata ki tō rōpū hauora ki te whakatau i ngā whiringa e rite ana ki ō uara me ō whāinga. Mā te tiaki hauora tika me te tautoko, ka taea e koe te haere i tēnei haerenga angitu.

Ngā pātai e ui pinepinetia ana mō te mate pukupuku prostate

Ka taea te aukati i te mate pukupuku prostate?

Kāore he huarahi kī hei aukati i te mate pukupuku prostate, no te mea ko te tau, ko ngā kiripuaki, ko te iwi ngā tūponotanga nui kaore e taea te whakahaere. Heoi, ko te pupuri i te noho ora hauora mā te mahi tinana auau, te kai kai tōtika e whai hua, e huawhenua rānei, me te taumaha hauora pea ka āwhina ki te whakaiti i tō tūponotanga. E whakaatu ana etahi rangahau ko ngā tāne e kai ana ika auau, e kai ana rānei i ngā kai e whai lycopene ana penei i ngā tamati pea ka iti ake te tūponotanga, engari kāore te mōhio i tino kaha mō ngā tohutohu motuhake.

E hā te tere o te tipu o te mate pukupuku prostate?

Ko te nuinga o ngā mate pukupuku prostate he tino māmā te tipu, ka roa ngā tau, ngā tekau tau rānei kia mate kino. He tokomaha ngā tāne he mate pukupuku prostate māmā te tipu kāore rawa e pā kino i tō rātou oranga. Heoi, ko ētahi mate pukupuku prostate ka kaha ake, ka tere ake te tipu. Ka whakamahi tō tākuta i ngā taputapu penei i te tohu Gleason me ngā taumata PSA hei whakatau he tere te tipu o tō mate pukupuku motuhake.

He aha te tikanga o te taumata PSA teitei?

Ko te PSA teitei kāore e tikanga kei a koe te mate pukupuku. He maha ngā āhuatanga ka piki ake ngā taumata PSA, tae atu ki te whānui o te prostate, ngā mate pukupuku prostate, te ejaculation hou, te eke paihikara rānei. I te nuinga o te wā, ko ngā taumata PSA i raro i te 4.0 ng/mL e whakaarohia ana he noa, engari ka whakaaro tō tākuta ki tō tau, iwi, hītori whānau, me te āhua o te huringa o tō PSA i te wā e whakamārama ana i ō hua.

Ka taea te moe i muri i te maimoatanga mate pukupuku prostate?

He tokomaha ngā tāne ka taea te hoki ki te mahi taane i muri i te maimoatanga mate pukupuku prostate, ahakoa pea ka roa te wā me te manawanui. Ka taea e te pokanga me te radiation te pā ki ngā io me ngā oko toto e pā ana ki ngā whakaohooho, engari he maha ngā maimoatanga whai hua mō te kore-mana o te taane tae atu ki ngā rongoā, ngā taputapu, me te tohutohu. Ka taea e tō rōpū hauora te āwhina i a koe ki te mōhio ki te mea e tatari ana koe me te tirotiro i ngā whiringa e mahi ana mōu.

He mate pukupuku prostate kua oti te whakawhiwhi?

Ka rere te mate pukupuku prostate i roto i ngā whānau, engari ko te nuinga o ngā take kāore i te oti te whakawhiwhi tika. Ko te whai i tētahi matua, i tētahi teina rānei he mate pukupuku prostate ka rua te tūponotanga, ā, ka piki ake te tūponotanga me te maha o ngā whānau e pā ana me te taitamariki o te whakatau. Ko ētahi huringa kiripuaki kua oti te whakawhiwhi penei i te BRCA2 ka piki ake te tūponotanga o te mate pukupuku prostate. Ki te kaha tō hītori whānau, pea ka whai hua te tohutohu kiripuaki ki te mōhio ki tō tūponotanga whaiaro.