Chida choyandikana ndi gland chimasokonezeka ndi khansa kufalikira
Bedi la prostate ndiloweta m'mimba yamphongo yomwe ili pansi pa chikhodzodzo kumene prostate gland imakhala. Mawuwa amagwiritsidwa ntchito nthawi zambiri pochita opaleshoni yotchedwa radical .prostatectomy yomwe prostate gland imachotsedwa pakati pa amuna omwe ali ndi khansara ya prostate.
Chifukwa cha malo ake oyandikana nawo, bedi la prostate liri pachiopsezo pofalitsa khansa.
Chifukwa cha ichi, bedi la prostate (lomwe limatchedwanso prostatic fossa) kawirikawiri ndilo cholinga cha mankhwala opatsirana khansa yachiwiri.
Pamene Prostatectomy Yaikulu Imasonyeza
Kuchita opaleshoni kumagwiritsidwa ntchito kwambiri pofuna kuchiza khansa ya prostate ngati siinafalikire (yowonongeka) kupitirira prostate gland yokha. Mankhwala otchuka kwambiri a prostatectomy ndiwo opaleshoni yaikulu. Zimaphatikizapo kuchotseratu prostate gland ndi minofu yowzungulira, kuphatikizapo masinki vesicles (ziwalo zomwe zimatulutsa madzi omwe amapanga njere). Mankhwala am'mimba amkati angathenso kuchotsedwa.
Mu prostatectomy kwambiri, prostate gland imatha kupezeka m'njira zosiyanasiyana.
- Kupyolera mu kapangidwe ka m'mimba m'munsi (retropubic)
- Kupyolera mu kapangidwe pakati pa anus ndi scrotum (perineal)
- Kupyolera mu kapangidwe ka chimbudzi pogwiritsa ntchito chida chopangira opaleshoni chotchedwa laparoscope (laparoscopic)
Kusankha opaleshoni kumadalira kwambiri zolinga zamankhwala.
Mankhwala otchedwa retropubic prostatectomy amagwiritsidwa ntchito kwambiri ngati madokotala amakhulupirira kuti khansara yayamba kufalikira ku maselo am'mimba. Laparoscopic prostatectomy imakhala yovuta kwambiri koma imafuna dokotala wa opaleshoni wodziwa bwino (ndipo sangaperekedwe m'makliniki onse).
Pa atatuwa, prostineectomy yosavuta kwambiri imagwiritsidwa ntchito kawirikawiri chifukwa nthawi zambiri imayambitsa mitsempha ya mitsempha yomwe imabweretsa mavuto okhwima.
Bedi la Prostate mu Chithandizo cha Khansa
Bedi la prostate ndilo gawo lofunika kwambiri la amuna omwe ali ndi prostatectomy. Ndi kumene maselo a khansa amapezeka kawirikawiri atachotsedwa. Ndi malo omwe khansara imabwereranso anthu omwe amachitira kale matendawa.
Pazifukwa izi, mankhwala othandizidwa ndi adjuvant (wachiwiri) angagwiritsidwe ntchito poonetsetsa kuti maselo onse a khansa ayambitsidwa. Pakalipano, malingaliro onse obwerezabwereza adzaphatikizapo kufufuza za bedi la prostate ndi mazati ozungulira.
The Adjuvant Radiation Therapy ndi Bedi la Prostate
Pambuyo pa prostatectomy yochulukirapo, dokotala adzafuna kuyang'anitsitsa nthawi zonse mkhalidwe wanu ndi mayeso a magazi otchedwa prostate-specific antigen (PSA) kuyesa. PSA imagwiritsidwa ntchito pozindikira kutupa kwa prostate gland. Pambuyo pochotsa gland, PSA iyenera kugwera pamtundu wosawoneka mkati mwa mwezi umodzi kapena kuposerapo.
Komabe, ngati PSA ikuyamba kuwuka, dokotala wanu angapereke njira yothetsera mankhwala omwe amatchedwa radiation ray radiation . Izi zimapereka ma radiation omwe amayang'ana mwachindunji ku bedi la prostate ndi minofu yozungulira. Nthaŵi zina zimagwiritsidwa ntchito pamodzi ndi mankhwala otchedwa hormone mankhwala kuti apange mankhwala ochiritsira.
Mankhwala othandizira mazira a adjuvant angakhale opatsirizidwanso kwa amuna omwe amawoneka kuti ali pachiopsezo chachikulu chobwereranso. Ndondomekoyi imachitidwa posachedwa kuti prostatectomy iwonetsetse kuti zochitika zonse za khansa zimafa. Pafupifupi 60 peresenti ya amuna omwe amagwiritsa ntchito prostatectomy kwambiri akhoza kubwereranso.
Kwa amuna amene amapezeka mobwerezabwereza m'bedi la prostate, koma popanda mankhwala a metastasis , mankhwalawa angapangidwe. Cholinga cha mankhwalawa ndi kuteteza (osati kuchiza) khansara ndi kuchiteteza kuti zisachoke pamtunda. Siziyenera matenda a metastatic.
Zotsatira zochokera ku ma ARV zimasiyana mosiyana ndi momwe zimakhalira m'madera mwathu kapena kufalitsa khansa. Onetsetsani kuti mukambirane ndi dokotala zomwe mungathe kuyembekezera musanayambe njira yothetsera ululu.
> Zotsatira:
> Barkati, M .; Simard, D .; Taussky, D. et al. "Kujambula kwa maginito kwa prostate bedi radiotherapy kupanga: Wophunzira komanso kusiyana-siyana." Journal of Medical Imaging ndi Radiation Oncology . 2015; Epub patsogolo pa kusindikiza).
> Herrera, F. ndi Berthold, D. "Mankhwala Opatsirana Pambuyo Pogwiritsa Ntchito Prostatectomy Yaikulu: Zotsatira za Odwala." Malire a Oncology. 2016; 6: 117.