He aha te rongoā taiaki mō te mate pukupuku prostate? Te Whāinga, Ngā Momo me ngā Hua

Ko te rongoā taiaki mō te mate pukupuku prostate he rongoā e aukati ana, e whakaheke ana rānei i te testosterone me ētahi atu taiaki tāne e whāngai ana i te tipu o te mate pukupuku prostate. Whakaarohia me te mea e tapahi ana i te pūngao e āwhina ana i ngā pūtau mate pukupuku kia nui ake, kia horapa puta noa i tō tinana.

E mahi ana tēnei huarahi nā te mea e tino whakawhirinaki ana ngā pūtau mate pukupuku prostate ki te testosterone kia tipu, kia ora. Ki te whakaheke koe i ēnei taumata taiaki, ka taea e koe te whakaiti, te whakaheke rānei i te mate pukupuku, e whai wāhi ana koe, ā, he maha ngā wā ka pai ake tō kounga oranga.

He aha te rongoā taiaki mō te mate pukupuku prostate?

Ko te rongoā taiaki he rongoā mate pukupuku e aro ana ki ngā taiaki e hiahia ana tō mate pukupuku prostate kia tipu. E kīia ana hoki ko te rongoā whakawātea androgen (ADT) nā te mea e whakaheke ana i ngā androgens, arā, ngā taiaki tāne pēnei i te testosterone.

Ka whakaputa noa ō pūtau taiaki me ō repe adrenal i ēnei taiaki. He kaiwhiwhi motuhake ā ngā pūtau mate pukupuku prostate e hopu ana i te testosterone me te whakamahi hei pūngao kia nui ake. Mā te aukati i tēnei tukanga, ka taea e te rongoā taiaki te whakaiti nui i te haere o te mate pukupuku.

Kāore tēnei rongoā e whakaora i te mate pukupuku prostate, engari ka taea e ia te whakahaere mō ngā marama, mō ngā tau rānei. He maha ngā tāne e noho ana i te oranga tonu, i te oranga kaha i te wā e whiwhi ana i te rongoā taiaki, ina koa ka honoa ki ētahi atu rongoā.

He aha te take e mahia ai te rongoā taiaki mō te mate pukupuku prostate?

E tūtohu ana ngā tākuta i te rongoā taiaki i te wā kua horapa te mate pukupuku prostate i tua atu i te repe prostate, i te wā rānei kāore ētahi atu rongoā e tika ana mō tō āhuatanga. He tino whai hua mō te mate pukupuku prostate kua piki ake, kua horapa rānei.

Ka whiwhi pea koe i tēnei rongoā i mua i te rongoā iraruke kia whakaheke i te puku, kia whai hua ake ai te iraruke. Ko tēnei huarahi whakakotahi, e kīia ana ko te rongoā neoadjuvant, ka taea te whakapai ake i ō hua rongoā whānui.

I ētahi wā ka mahi te rongoā taiaki hei rongoā piriti i a koe e whakatau ana i ētahi atu kōwhiringa, i te wā rānei kāore i te tūtohutia te pokanga nā te mea he pakeke koe, he ētahi atu āhuatanga hauora rānei. Ka whakaaro tō tākuta ki te wāhanga o tō mate pukupuku, te hauora whānui, me ō hiahia whaiaro i te wā e tūtohu ana i tēnei huarahi.

He aha ngā momo rongoā taiaki mō te mate pukupuku prostate?

He maha ngā huarahi rerekē ka taea te aukati, te whakaiti rānei i ngā taiaki e whāngai ana i tō mate pukupuku prostate. E mahi ana ia momo i tētahi ara ahurei hei whakatutuki i te whāinga kotahi o te whakamate i ngā pūtau mate pukupuku.

Koinei ngā momo matua ka whakaarohia e tō tākuta mō tō āhuatanga motuhake:

• Ngā kaiwhakahohe LHRH: He werohanga ia marama, ia hauwhā rānei e kī ana ki tō roro kia mutu te tohu i ō pūtaiao kia hanga testosterone
• Ngā kaiwhakatūtū LHRH: He werohanga e aukati tonu ana i te hanga taiaki me te kore he pikinga testosterone i te tīmatanga
• Ngā anti-androgens: He pire e aukati ana i te testosterone ki te piri ki ngā pūtau mate pukupuku
• Te whakawhānautanga pokanga (orchiectomy): He tikanga tūturu e tango ana i ngā pūtaiao
• Ngā rongoā taiaki hou: Ngā rongoā matatau pēnei i te abiraterone me te enzalutamide e aukati ana i ngā ara taiaki maha

Ka whiriwhiria e tō tākuta mate pukupuku te kōwhiringa pai rawa atu i runga i ngā āhuatanga o tō mate pukupuku, tō hauora whānui, me te pēhea tō urupare ki te rongoā. He maha ngā tāne ka tīmata ki ngā werohanga nā te mea ka taea te huri, ā, he whai hua.

Ngā kaiwhakahohe me ngā kaiwhakatūtū LHRH

Ko ngā rongoā LHRH (luteinizing hormone-releasing hormone) te rongoā taiaki tuatahi e tino whakamahia ana. E mahi ana mā te whakararu i ngā tohu i waenga i tō roro me ō pūtaiao.

Ko ngā kaiwhakahohe pēnei i te leuprolide me te goserelin i te tīmatanga ka piki te testosterone mō tētahi wā poto i mua i te whakaweto katoa i te hanga. Ko tēnei pānga mura ka roa pea mō te rua wiki, ā, ka kino pea ō tohumate mō tētahi wā.

Ka karo ngā kaiwhakatūtū pēnei i te degarelix i te wāhanga mura, ka whakaheke tonu i ngā taumata testosterone. Nō reira he tino whai hua rātou ki te whai koe i te mamae i ngā wheua, i te aukati mimi rānei ka kino ake pea i te pikinga o te testosterone.

Ngā rongoā anti-androgen

He pire ngā anti-androgens e aukati ana i te testosterone mai i te here ki ngā pūtau mate pukupuku prostate. Ko ngā kōwhiringa noa ko te bicalutamide, flutamide, me te nilutamide.

He maha ngā wā ka whakamahia ēnei rongoā i te taha o ngā rongoā LHRH hei whakarato i te aukati androgen katoa. Ka whai hua ake tēnei huinga i te rongoā kotahi, ahakoa ka piki ake pea ngā pānga taha.

I ētahi wā ka tohutohu ngā tākuta i ngā anti-androgens anake, ina koa mō ngā tāne pakeke, mō te hunga rānei e hiahia ana ki te pupuri i ētahi mahi tāngata. Heoi, he iti ake te whai hua o tēnei huarahi i te rongoā huinga.

Me pēhea te whakarite mō tō rongoā homoni?

Ko te whakarite mō te rongoā homoni e whai ana i te rite tinana me te ngākau. Mā te rōpū hauora koe e ārahi i ia taahiraa kia mōhio koe, kia māia hoki.

Me tīmata mā te kōrero i tō hītori hauora katoa ki tō tākuta mate pukupuku, tae atu ki ngā raruraru o te ngākau, te mate huka, i ngā raruraru wheua rānei. Ka pā ēnei āhuatanga ki te rongoā homoni, nō reira me whai whakaahua katoa tō tākuta mō tō hauora.

Whakaarohia te whai i ngā whakamātautau tūāpapa i mua i te tīmatanga o te rongoā. Ko ēnei pea ko ngā karapa kiato wheua, ngā whakamātautau mahi ngākau, me ngā mahi toto hei ine i ō taumata homoni o nāianei me ngā tohu hauora whānui.

Kōrero tuwhera ki tō hoa, ki tō whānau rānei mō ngā huringa ka pā ki a koe. Ka pā te rongoā homoni ki tō āhua, te taumata pūngao, me te mahi tāngata, nō reira he nui te rerekētanga o te tautoko me te māramatanga i te kāinga.

He aha te tikanga mō te rongoā homoni?

He rerekē te tikanga i runga i te momo rongoā homoni e tūtohu ana tō tākuta. Ko te nuinga o ngā rongoā he tika tonu, ā, ka taea te mahi i roto i te tari o tō tākuta, i te hōhipera wā-poto rānei.

Mō ngā werohanga, ka toro koe ki tō kaiwhakarato hauora ia marama, ia toru marama, ia ono marama rānei i runga i te rongoā motuhake. Ko te werohanga te tikanga ka tukuna ki tō ringa, huha, uaua rānei o te papa, ā, he meneti noa iho te roa.

Mēnā kei te tango koe i ngā pire, ka whai koe i tētahi hōtaka ia rā i te kāinga. Ka hoatu e tō tākuta ngā tohutohu mārama mō te wā, me tango rānei me te kai, me te aha hoki me mahi mēnā ka ngaro koe i tētahi horopeta.

Ko ngā whakaritenga aroturuki auau ka whai i te pai o te mahi o te rongoā me te mātakitaki i ngā pānga taha. Ko ēnei haerenga te tikanga kei roto ko ngā whakamātautau toto hei tirotiro i ō taumata testosterone me ngā tau PSA (antigen motuhake o te pūkahukahu).

Me pēhea te pānui i ō hua rongoā homoni?

Ka aroturukihia e tō tākuta ētahi tohu matua hei whakatau i te pai o te mahi o tō rongoā homoni. Ko ngā ine tino nui ko tō taumata testosterone me te taumata PSA.

Ko te rongoā homoni angitu te tikanga ka whakaiti i tō testosterone ki ngā taumata iti rawa, i raro iho i te 50 ng/dL (e whai ana ētahi tākuta i raro iho i te 20 ng/dL). Koinei te taumata whakawātea, ā, te tikanga ka puta i roto i ētahi wiki i muri i te tīmatanga o te rongoā.

Me heke anō tō taumata PSA, te tikanga ki raro iho i te 4 ng/mL, iti iho rānei. Ko te pikinga o te PSA i te wā e tango ana i te rongoā homoni ka tohu pea kei te pūāwai tō mate pukupuku ki te rongoā, e hiahia ana kia whakatikatikahia tō huarahi.

Ka aroturukihia anō e tō tākuta tō hauora whānui mā ngā whakamātautau toto auau e tirotiro ana i te mahi ate, ngā taumata huka toto, me te cholesterol. Ka āwhina ēnei ki te hopu i ngā huringa e pā ana ki te rongoā i te wā wawe kia taea ai te whakahaere whai hua.

He aha ngā pānga taha o te rongoā homoni?

Ka taea e te rongoā homoni te whakaputa i ngā pānga taha rerekē nā te mea ka whakaiti nui i ō taumata testosterone. Ko te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i a koe ki te whakarite me te whakahaere i ēnei huringa.

Ko te nuinga o ngā pānga taha ka pōturi te whanake i roto i ngā wiki, i ngā marama rānei, ā, he maha ngā mea ka taea te whakahaere mā te rongoā, mā te whakarerekē rānei i te oranga. Ka mahi tō rōpū hauora ki a koe kia iti ake ngā pānga e kore e pai.

Koinei ngā pānga taha e mōhiotia ana ka pā ki a koe:

• Ngā uira wera: Ngā ohorere o te wera me te werawera, pērā i te menopause
• Ngenge: Te ngenge, te iti rānei o te kaha i ngā wā katoa
• Ngā huringa o te ngākau: Te pōuri, te āwangawanga, te tairongo rānei
• Ngā huringa o te ira tangata: Te iti o te hiahia me te kore e taea te whakatika
• Ngā huringa tinana: Te pikinga o te taumaha, te ngaro o te uaua, me te whānui o te u
• Te kikokore o te wheua: Te piki ake o te tūponotanga o te osteoporosis me ngā whatianga

Ko ēnei pānga ka taea te huri ki te whakamutu koe i te rongoā hormone, ahakoa ka roa pea ngā marama ki te pai ake ētahi huringa. Ka taea e tō tākuta te whakahau rongoā me te tūtohu i ngā huringa o te oranga hei āwhina i te whakahaere i te nuinga o ēnei take.

Te whakahaere i ngā pānga taha noa

Ka pā ngā uira wera ki te 80% o ngā tāne e whakamahi rongoā hormone, engari he maha ngā rautaki ka taea te āwhina. Ka whakahau pea tō tākuta i ngā rongoā pērā i ngā rongoā anti-depressant, i ngā rongoā anti-seizure rānei ka taea te whakaiti i tō rātou auau me te kaha.

Mō te hauora o te wheua, ka tūtohu pea tō tākuta i ngā tāpiringa konupūmā me te huaora D, me ngā mahi whakangungu e tautoko ana i te taumaha. E hiahia ana ētahi tāne ki ngā rongoā whakahau e kīia ana ko te bisphosphonates hei aukati i te ngaro o te wheua.

Ko te pupuri i te uaua me te whakahaere i te pikinga o te taumaha e hiahia ana ki te whakangungu i ngā wā katoa me te aro ki tō kai. Ko te mahi tahi me te kaiwhakarato kai me te kaimātai tinana ka āwhina i a koe ki te whakawhanake i tētahi mahere ka mau tonu e hāngai ana ki ō taumata kaha me ō kaha.

He aha ngā pānga wā-roa o te rongoā hormone?

Ka taea e te rongoā taiaki mo te wā roa te whakaputa i ngā huringa nui ake i tō tinana, ina koa ka haere tonu te rongoā mō ngā tau maha. Mā te māramatanga ki ēnei pānga ka āwhina koe ki te whakatau i ngā whakatau mō tō atawhai.

Ka noho te hauora o te ngākau me ngā uaua hei āwangawanga nui ki te rongoā taiaki roa. E ai ki ētahi rangahau, ka piki ake te tūponotanga o te mate ngākau me te whiu, ina koa ki ngā tāne e pā ana ki te mate ngākau.

Ko te mātotoru o te wheua ka heke i te wā, ka ārahi pea ki te osteoporosis me te piki ake o te tūponotanga o te whati. Ka aroturukihia tēnei e tō tākuta, ā, ka tūtohu pea i ngā rongoā ārai mēnā ka tino heke tō mātotoru wheua.

Ka puta ngā huringa hinengaro, i ētahi wā ka kiia ko te

I te mutunga, he maha ngā mate pukupuku prostate ka whai i te aukati ki te rongoā hormone, he āhuatanga e kīia ana ko te mate pukupuku prostate e aukati ana i te castration (CRPC). Kāore tēnei e kī ana kua rahua te rongoā, engari kua kitea e te mate pukupuku ngā huarahi ki te tipu ahakoa te iti o te taumata testosterone.

Ngā tohu e ngaro ana pea te whai huatanga o te rongoā hormone ko te piki o ngā taumata PSA, ngā tohu hou pēnei i te mamae o te wheua, rānei ngā whakamātautau whakaahua e whakaatu ana i te tipu o te mate pukupuku. Ko te tikanga ka puta tēnei i te wā roa i ngā marama, i ngā tau rānei.

Ka puta te aukati, he maha ngā kōwhiringa rongoā hou kei te tākuta. Kei roto i ēnei ko ngā rongoā hormone matatau pēnei i te abiraterone me te enzalutamide, te chemotherapy, te immunotherapy, rānei ngā rongoā whāinga hou.

Ko te whanaketanga o te aukati kāore e kī ana he kore tūmanako tō āhuatanga. He maha ngā tāne e noho pai tonu ana me ngā rongoā whai hua mō te mate pukupuku prostate e aukati ana i te castration, he maha ngā tau i muri i te mutu o te mahi a te rongoā hormone.

He tika te rongoā hormone mōu?

Ko te whakatau ki te tīmata i te rongoā hormone e whakawhirinaki ana ki ngā mea maha e pā ana ki tō āhuatanga. Ka whakaaro tō oncologist ki tō wāhanga mate pukupuku, te hauora whānui, te pakeke, me ngā hiahia whaiaro i te wā e whakatau ana i ngā tohutohu.

He tino whai hua te rongoā hormone mō ngā tāne e mate pukupuku prostate matatau ana, metastatic rānei, rānei mō te hunga e whiwhi ana i te rongoā i te taha o te rongoā radiation. Kāore pea tēnei i te kōwhiringa pai mō te mate pukupuku wāhanga tuatahi ka taea te rongoā me te pokanga, te radiation anake.

He mea nui te whāinga o tō kounga o te ora i roto i tēnei whakatau. Ko ētahi tāne e whakanui ana i te whakahaere i tā rātou mate pukupuku ahakoa ngā pānga taha, i te wā e pai ana ētahi atu ki te pupuri i tō rātou kounga o te ora i tēnei wā i te wā e taea ana.

Whakamahia te wā ki te kōrero i ngā kōwhiringa katoa ki tō rōpū hauora, tae atu ki ngā painga, ngā tūponotanga, me ngā kōwhiringa kē. Ko te whiwhi i te whakaaro tuarua ka āwhina hoki i a koe kia māia ake i tō whakatau.

Te noho pai i te wā o te rongoā hormone

He maha ngā tāne e whai ana i te oranga hihiri, whai hua i te wā e whiwhi ana i te rongoā taiaki. Ko te mea nui ko te whai i ngā mahi hei whakahaere i ngā pānga taha me te tiaki i tō hauora whānui.

He mea nui te whakakori tinana i te wā e rongoā ana i te taiaki. Ahakoa ngā mahi māmā pēnei i te hīkoi ka āwhina i te pupuri i te uaua, te kaha o te wheua, me te taumata pūngao, me te whakapai ake i tō āhua.

Ko te kai i te kai taurite e whai rawa ana i te konupūmā, te huaora D, me te pūmua e tautoko ana i tō hauora wheua me te āwhina i te whakahaere i ngā huringa taumaha. Whakaarohia te mahi tahi me tētahi tohunga kai kua rēhita e mōhio ana ki ngā hiahia kai o ngā tūroro mate pukupuku.

Kia noho tūhono ki tō whatunga tautoko, ahakoa he whānau, he hoa, he rōpū tautoko mate pukupuku rānei. He maha ngā tāne e kite ana he āwhina ki te kōrero ki ētahi atu kua pā i ngā wheako rite.

Āhea au e kite ai i te tākuta i te wā e rongoā ana i te taiaki?

He mea nui ngā whakaritenga whai-a-muri i te wā e rongoā ana i te taiaki, engari me whakapā atu anō koe ki tō rōpū hauora mēnā ka pā ki a koe ētahi tohumate e pā ana i waenga i ngā haerenga.

Waea atu ki tō tākuta ināianei tonu mēnā ka pōti koe i te mamae o te uma, te poto o te manawa, ngā tohu o te toto toto, ngā whakaaro rānei o te whara i a koe anō. Ka tohu pea ēnei i ngā raruraru nui e hiahia ana kia aro tonu.

Whakapā atu ki tō rōpū hauora i roto i ētahi rā mēnā ka pā ki a koe ngā uira wera e raru ana i te moe, te mamae wheua kāore i te whakamāramahia, ngā huringa nui o te āhua, ētahi pānga taha rānei e māharahara ana ki a koe.

Kaua e whakaroa ki te whakapā atu me ngā pātai mō tō rongoā, ahakoa he iti noa iho te ahua. Kei reira tō rōpū hauora hei tautoko i a koe puta noa i tō haerenga rongoā.

Ngā pātai e pātai pinepine ana mō te rongoā taiaki mō te mate pukupuku prostate

Q1: He rongoā matū te rongoā taiaki?

Kāore, ehara te rongoā taiaki i te rongoā matū. Ahakoa he rongoā mate pukupuku ngā mea e rua, he rerekē te mahi. Ka aukati, ka whakaiti rānei te rongoā taiaki i ngā homoni tāne e whangai ana i te tipu o te mate pukupuku prostate, i te wā e whakamahi ana te rongoā matū i ngā rongoā e whakaeke tika ana i ngā pūtau e tere ana te wehe puta noa i tō tinana. He iti ake ngā pānga taha o te rongoā taiaki, he rerekē hoki i te rongoā matū.

Q2: Ka taea e au te whakamutu i te rongoā taiaki mēnā ka uaua rawa ngā pānga taha?

Ka taea e koe te kōrero ki tō tākuta mate pukupuku mō te whakamutu, te okioki rānei i te rongoā taiaki mēnā ka pā kaha ngā pānga taha ki tō kounga o te ora. E tūtohu ana ētahi tākuta i te rongoā taiaki wā-wā, arā, ka whai wāhi okioki koe kia ora anō ai tō testosterone mō tētahi wā. Heoi, mā te whakamutu i te rongoā ka tupu ai tō mate pukupuku, nō reira me tino whakaaro ki ngā painga me ngā tūponotanga i mua i tēnei whakatau.

Q3: Ka pā te rongoā taiaki ki tōku kaha ki te whai tamariki?

Ko te tikanga, ka kore e whai tamariki ngā tāne i te wā e rongoā ana rātou i te rongoā taiaki, nā te mea ka tino whakahekehia te testosterone me te aukati i te hanga parāoa. Mēnā kei te hiahia koe ki te whai tamariki ā muri ake nei, kōrero ki tō tākuta mō te pēke parāoa i mua i te tīmatanga o te rongoā. Ka hoki mai pea te kaha ki te whai tamariki i muri i te whakamutu i te rongoā taiaki, engari kāore tēnei i te taurangi, ina koa i muri i te rongoā wā-roa.

Q4: Kia pēhea te roa o taku noho i runga i te rongoā taiaki?

He rerekē te roa i runga i tō āhuatanga motuhake. Ka whiwhi ētahi tāne i te rongoā taiaki mō ētahi marama i mua i te iraruke, i te wā e haere tonu ana ētahi atu e mate pukupuku ana mō ngā tau, mō ake tonu atu rānei. Ka arotakehia e tō tākuta mate pukupuku i ngā wā katoa mēnā he nui ake ngā painga i ngā tūponotanga o te haere tonu i te rongoā. Ko te whāinga he whakahaere i tō mate pukupuku i te wā e pupuri ana i te kounga o te ora e pai ana.

Q5: Ka taea e au te whakakori tinana noa i te wā e rongoā ana i te rongoā taiaki?

Āe, e akiakitia ana te whakakōkō i te wā o te rongoā taiaki, ā, ka āwhina i te whakahaere i ngā pānga taha maha. Tērā pea me whakatika e koe tō hākinakina i te mea he ngenge, he huringa rānei i ngā uaua, engari mā te noho pukumahi ka āwhina i te pupuri i te mātotoru o te wheua, te nui o te uaua, me te hauora hinengaro. Mahi tahi me tō rōpū hauora ki te whakawhanake i tētahi mahere whakakōkō e haumaru ana, e tika ana hoki mō tō taumata whakapakari tinana o nāianei me ētahi atu āhuatanga hauora kei a koe.