Ola kino, Ka maʻi 'aʻai
Adenocarcinoma o ka prostate: ano, kumu, kahua o ka hoʻonaʻauao, a me ka lapaʻau symptoms
Adenocarcinoma o ka prostate - he paakiki i ka maʻi 'aʻai. Mua,ʻo ia i manaoia kekahi o na kumu nui kumu o ka make i waena o mua na kanaka. I kēia lā i kēia maʻi ua increasingly diagnosed ma ka manawa'ōpio wale nō. Ua mea hiki ke pale aku i ka ulu ana o Ka maʻi 'aʻai? Pehea eʻike kona symptoms ma ke kakahiaka nui kahua o ka hoʻonaʻauao?
kekahi mau 'ike
Prostate Adenocarcinoma - he malignant epithelial neoplasm, a pili ia i oncological maʻi. Ma ke ao nei i kēiaʻike, ua hookupaa iho la ia o ka makahiki i 500 000 hou nā mea maʻi. I loko nō o ka ikaika hana o ka lapaʻau 'ana a me ka pākōlea i kūpono, mai adenocarcinoma make koe kiʻekiʻe. No ke aha? Nā mea maʻi pinepine kāpae'ōlelo i ka loiloi mua symptoms o ka pilikia a me ka mai mai, mailoko i ke kauka no ke kōkua.
I ka papa kuhikuhiE kumu o ka maʻi
Adenocarcinoma hoʻomohala ma germination o kaʻeho ma ka prostate ole migrating ma ka lymphatic ducts. Ike pololei kumu o ka maʻi - ke kipi multiplication o 'āno'ē keena. Ka mea, ke kiʻekiʻe o komo iloko o ke ola'aʻaʻa. Atypical oihana mua i hanaʻia e like me ka hopena o aaiaoe mutations. No ke aha la i keia hana ma kai, laekahi lapaʻau hiki ole pane kaʻoi loa. Eia naʻe, kauka maopopo i ka pau pūʻulu o nā kumumea e hoomahuahua i ka likelihood o ulu i ka maʻi.
- Aaiaoe predisposition. Ka pilikia o ka ulu adenocarcinoma o ka prostate, piʻi pū palua, ina mua diagnosed ia abnormality me ka hoahanau.
- Makahiki.
- Pololeiʻai (nele o ke kanuʻai i loko o kaʻai).
- Overweight, nele o ka hoʻokō '.
- Puhi paka. Carcinogenic waiwai na ka uahi paka, i ka hopena maikaʻi ma luna o ke kino holoʻokoʻa.
- Hormonal helehelena. Adenocarcinoma o ka prostate mea mau manawa hou pinepine diagnosed i loko o nā kānaka me ka kiʻekiʻe testosterone pae. Ma keia maʻi i loko o ia mea i wahi ma kekahiʻano pākīkē ano.
Kekahi keiki oeaa ia? A me ka 'ē aʻe i meaʻole i nā mea a pau ano o ka maʻi' aʻai maʻi. Kēia pāhawewe, ino kālaikaiaola, hana ma ka hoʻopōʻino hana kūpono, a no laila, ma luna o.
Pehea eʻike adenocarcinoma?
Hoike ana mai o ka maʻi hiki ole ke kapaia typical. IeAUPIIe, IAa IO na kanaka i symptoms mea e like ai i ka lapaʻau kiʻi o urogenital nā mea palahēhē. Inā kaʻeho mea uuku, ka mea hana ole ma ka iho ike no ka lōʻihi manawa. E like me ka ka hoʻonuiʻana o ka hikoko ke hoʻomanawanui i kaʻano deteriorates. Eia nō kekahi symptoms o prostate adenocarcinoma:
- Pinepine urination. Pela ka nui o ka loli ka luku noho ua hoʻololiʻia.
- Crampingʻeha ma ka abdomen a me ka anus.
- Aloha o ke kāpili emptying o ka bladder ma hope o ka hele ana i ka 'Ia.
- Pilikia me ka potency.
- I ke alo o ke koko i loko o semen a me ka mimi.
Ka loiloi mua symptoms e like me ka poe i kākau i ka prostate adenoma. Nolaila, hoi PalekanaEND_LINK ke kahua me ia mea nui e differentiate kekahi mai kekahi pathology. Ma hope o haanou ana o ka laloʻaoʻao i keʻano o nā metastases (4-la ke kahua o ka maʻi) eha discomfort, piʻi pū, ikeia. I kekahi manawa, e hoʻomōhala ana i lōlō ma ke kāʻei kua o ka spineʻeho mīkini'opihia.
Ano o ka prostate adenocarcinoma
Kekahi o ka hoomaopopo ana kumumea o ka iapaau ana ka hoʻolālā differentiation adenocarcinoma. Kēia manawa pili ia i ka degere o ka waiwai nui o kaʻeho, na oko ma waena o ola aeee mai pathological. Ua Ua hoʻohana 'ia e classify maʻi. Mākou differentiate ma waena o low-, medium- a me ka hoomaikai differentiated neoplasms hehee wale. Ma ka mea hiki wale mai o ka maʻi līkaia no i na ano adenokartsenomy like:
- melkoatsinarnaya;
- kiʻekiʻe-papa;
- haʻahaʻa-papa;
- squamous.
Melkoatsinarnaya adenocarcinoma o ka prostate - o ka loa e like me ka ano o ka maʻi. Kona kumu o ka epithelium o prostate acini. Neoplasms pele hoʻomōhala ka poʻe i loko o kekahi mau wahi, a laila, merge pu. No ka lapaʻau:ʻoki kino, hōmona testosterone blockade a me ka radiotherapy.
Ka lua o ka loa e like me ka ano o ka adenocarcinoma - kiʻekiʻe-papa. Nō kāu, kaʻeho e hoʻomōhala ana i lohi, a aole hoi e haawi metastases. Kona oihana mua mai i oko i 'ole, mai ka maʻamau keena. Me ka 'eleu ka loaʻaʻana o ka prognosis no ka iapaau ana e maikaʻi.
Ka loa pohihihi keia, aʻano pākīkē ano o squamous adenocarcinoma mea. Ua Ua kapa hoʻohanohano ma ka kokololio metastasis i ka iwi. Hormonal Inc a chemotherapy i loko o kēiaʻano o ka maʻi, he pinepine ineffective. Hoʻomanawanui iki mai i ka manao i ka'ano'ē prostatectomy.
Poorly differentiated adenocarcinoma o ka prostate mai ka awelika degere o ka oolea. Kaʻeho Ua wehewehe aku ma kekahi kūlana pona paʻa 'ole, a me Gleason nāʻai 8-10 mea' ākau. Neoplasm koke ulu i loko o nā loko e pili.
ʻike, no ka maʻi
Ma nā nā keʻena lāʻau lapaʻau Europa, a pau na kanaka ma 45 undergo OAXA ikea ai no ka ka loaʻaʻana o ka prostate maʻi. Ua nā kuka urologist, a me ke koko hoao no ka maopopo antigen. I ka la mahope ua noʻonoʻo i ka loa informative hoao no kakahiakaʻike, o ka maʻi 'aʻai. A nui kiʻekiʻe o PSA i loko o ke koko kahiko o ka'āina i ka 'ke alo aku o ka pathological kaʻina.
Kekahi illustrative hana o ka noiʻi mea he rectal hōʻike. Ua apono 'oe e Loiloi i ka ano o ke kino, a me ka nui o kona functionality. Adenocarcinoma o ka prostate mai he maikaʻi kēla wale nō ma nā kahua o ka hoʻonaʻauao loiloi mua o? Acaeoey. Ma nā hihia, o ka nele no ka pipiʻi a me ka lōʻihi-makahiki lapaau.
Inā 'oe hāʻupu aʻe i kēia maʻi koho hou:
- ultrasound;
- biopsy;
- MRI;
- scintigraphy;
- urinalysis, koko.
Ma na mea he nui kēia ka haukapilaʻo e Loiloi i ka ano o ka prostate ka hoʻohana 'ana i ka hana rectalʻimi. Ua apono ka hoʻohana 'ana i ka kokololio-kui kele hua pa nā no ka noiʻi. Keia mea ua hoʻolauna i loko o ka rectum, a me ka hopena o ke kaʻina hana i hōʻike 'ia ma luna o ka pale.
i ka maʻi ke kahua
Ma mua o lapaʻau e hooholo i 'ano o ka acinar adenocarcinoma o ka prostate (mea ia ua ho'ākāka' ia ma e like ma luna) me ka pono me ka degere o ka pathological kaʻina. Ka hooulu ana o ka maʻi ma hope o ka kapuwai hookahi e like me ka mea i kālā o ka prostate Ka maʻi 'aʻai. Na wale koena unuhi - ke kēla no ka piha daimonio. No ka laʻana, squamous palapala kahua o ka hoʻonaʻauao a pau o ka ulu ana i hikiwawe loa. Muli o kona kulana kiʻekiʻe māmā kūpono 'ana, a ua wehewehe aku ma moderately differentiated adenocarcinoma o ka prostate. Naʻe, i ka ka loaʻaʻana o ka loiloi mua kahua o ka? Acaeoey ua noʻonoʻo i ka hana mana. Inā manawa e hoʻomaka lapaʻau, ka mea i hiki i ka manaolana no ka maikaʻi hoʻokūkū.
He aha ka mea, i ke kuʻina o ka prostate adenocarcinoma kaʻawale? I huina, he eha:
- Ka mua ke kahua Ua kākaʻikahi diagnosed. Loli ma ka'aʻaʻa 'ole i ka palena haʻahaʻa, ka mea hiki ke' akomi i wale ma ka mea o ka biopsy. Ho'āʻo ma pele hōʻike he hōʻemi iki haiahū kūmau mai o ka hae nā hoailona.
- Ka lua o ke kahua Ua wehewehe aku ma lesions māhele gland a me kona membranes. Loli i loko o kona 'ole hiki ke' akomi i ka palpation.
- I ke kolu o ka mua, he mea ikaikaʻeho ulu, nā'ōlelo, Ka maʻi 'aʻai keena. Ke pathological kaʻina i nā hohola i ka prostate Oe.
- Ma ka ha o ke kahua, ka lesion e pili nā loko. Ka hoʻonuiʻana o ka maʻi 'aʻai keena mau. Metastases hiki ke 'akomi i loko o ka lymph aka wahi, a me nā paia o ka abdominal lua.
Walaʻauʻana me nā loina o ka Inc
Adenocarcinoma ke lanakila ma ka loiloi mua ke kahua o ka maʻi wale. Me ka kūpono a me ka piha lapaʻau 'aʻole e pau ana i ka symptoms e, na mea i ka Holomua o ka pathological kaʻina hana ma kekahi kahua. Ke mau hana pilikino E pili hilinaʻi nui ma luna o ka degere o kaʻeho hoolaha aku. Kekahi Lolina o ka wahi o ka hikoko e leie aku, e hana ana pēlā i excision o ka umauma a me ka 'āina' aka wahi. I kēia lā, kauka ho'āʻo e hoʻohana minimally invasive i kūpono i koi mai i ka lōʻihi hoʻopulapula au. IIeEeAIEUIeXAIIUE adenocarcinoma o ka prostate gland pinepine pono expectant'ōnaehana a me ka mākau alu ka mālamaʻana. I ka olelo wanana a ola mea e mau maoli he ku ei ka backdrop o ka hana lapaau.
Makeʻe kulana aʻoki lāʻau lapaʻau hana o ka adenocarcinoma
Inā kaʻeho mea ole no ka hoopau ana, ka hoʻomanawanui ua hoakaka ia hana - prostatectomy. Currently, ka mea, ua lawe mai ka hoʻohana 'ana i ka laparoscope a me ka lopako hoalawehana. Ma hope o prostatectomy pono i ka lōʻihi hoʻopulapula au. Ua nā ana, e hoihoi i ka pelvic nā loko, kane potency (ina ia mea nō i pololei ia).
Ma nā kahua o ka hoʻonaʻauao ma hope o ka lapaʻau hoʻokō hormonal Inc a me ka radiotherapy. Ka hope i ka helu o ke koho. pāhawewe kahi hiki e ke aupuni 'mawaho a maloko (hookomo ana i ka mea hōʻikeʻikeʻuʻuku o radioactive isotopes o ka iodine). I ka prostatectomy ua contraindicated, ka mea, ua UAIAaIN ma cryotherapy. I loko o kēia ke kaʻina hana no kaʻeho ua paʻahau, ai ka malignant aeee i lukuia.
i Acinar adenocarcinoma o ka prostate a me 7 helu kiekie ae maʻelemākule e hoʻomanawanui iki mai i IeAUPIIe, IAa IO malama iʻoki lāʻau lapaʻau 'uao. Ma ia ka hihia ua häʻawi mai ai iä hōʻeuʻeu ka mālamaʻana a me ka palliative ana.
Outlook
He aha hoʻokūkū mea hiki i loko o kaʻike, o "adenocarcinoma o ka prostate '? Ke prognosis o ka maʻi hilinaʻi nui ma luna o ke kahua o ka? Acaeoey o pathologic kaʻina, ke hoʻomanawanui i ka makahiki, a me kona mau ano. I ke kakahiaka nui kahua o ka hoʻonaʻauao ka mea, ua Loipālākiō like conditionally maikaʻi. Eia naʻe, adenocarcinoma ma na kahua o ka hoʻonaʻauao kakahiaka o? Acaeoey, aole ia e hōʻike olinolino lapaʻau kiʻi. No laila, e hoomanawanui i mai i wikiwiki i ke kauka no ka kōkua. Ka hapa nui o ia mau mea i kekahi i ka pilikia ma ka 3-4th ke kahua, ka wā malaila e ai mamua metastases. Ma ia i ka hihia, ai ka maʻi i irreversible.
ka hopena
Oncological maʻi i loko o ka o kēia au nei e increasingly lilo i ke kumu o ka wanaʻao make. Na elele o ka ikaika ke keka, ka loa he ākea adenocarcinoma o ka prostate. Iapaau ana o keia maʻi ka lōʻihi, a loa paʻakikī. ʻike, no ka maʻi i loko o ka hopena o kahua o ka hoʻonaʻauao pele welau imminent make. E pale aku i ka ulu ana o ka mea i insidious maʻi, ia mea pono e hoopili aku i ke ola i ke Aloha Hawaii a me ka mau checkups. E hoʻokaʻaʻike ola!
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