Kodi khansa ya prostate ndi yotani, ndi mankhwala ati omwe alipo, ndipo ndi chiyani chomwe chikugwiritsidwa ntchito?
Khwerero 4 kansa ya prostate ndiyo njira yabwino kwambiri ya matenda. Izi zikutanthauza kuti khansara yafalikira patali pa prostate kumadera akutali a thupi.
Kumvetsetsa Staging
Njira yowonjezera yogwiritsidwa ntchito ndi khansara ya prostate ndiyo njira ya TNM . Njira ina yogwiritsiridwa ntchito ndi zipatala ndi madokotala ndi njira ya Jewett yomwe imathyola mitsempha kupita ku stage A mpaka gawo D.
Ndi dongosolo la TNM, makalata amaimira:
- T ndi kukula kwa chotupa.
- N nthano yothandizana ndi nthendayi. N0 amatanthawuza kuti khansara siinafalikire kumalo amodzi. N1 amatanthawuza kuti chotupacho chafalikira ku maselo oyandikana nawo pafupi. N2 amatanthawuza kuti chotupacho chafalikira ku maselo akutali.
- M ndi ya metastases. M0 imatanthauza kuti khansara ya prostate sinafalikire kwa ziwalo zakutali. M1 imatanthawuza kuti kansa ya prostate yafalikira ku ziwalo zakutali - mafupa ndiwo malo ofala kwambiri a kansa ya prostate ya metastases.
Khansara ya prostate imayesedwa gawo 4 mu njira zitatu:
- Chotupa cha T4 chopanda ma lymph node komanso palibe metastases.
- Kutupa kulikonse ndi maselo amkati omwe ali pafupi (N1) komanso palibe metastases.
- Matendawa aliwonse omwe ali ndi mliri uliwonse (palibe, pafupi ndi node zabwino, kapena nthiti zakutali zabwino) kuphatikizapo metastase ku dera lina la thupi (M0).
Zizindikiro
Zizindikiro za khansa ya prostate 4 ikhoza kugwirizana ndi khansa mu prostate yanu, kapena chifukwa cha metastases.
Ena mwa awa ndi awa:
- Magazi mu mkodzo
- Kuvuta kukwera mkodzo
- Kusokonekera kwa Erectile
- Kupweteka kwa mafupa ku mitsempha ya mafupa
- Kufooka m'milingo kapena mavuto a m'mimba kapena chikhodzodzo
- Kutaya thupi
- Kuwonjezeka kwa mafupipafupi
- Kutopa
Kudziwa
Mayesero oti apeze kansa ya prostate angaphatikizepo CT scan, ultrasound, MRI, kapena PET scan kuti aone kukula ndi kuyang'ana metastase.
Chiwombankhanga chimagwiritsidwa kawirikawiri kuti chiyang'ane pa kupweteka kwa chotupacho.
Chithandizo
Ngakhale kansa ya prostate 4 kawirikawiri imachira, imatha kuchiritsidwa. Kusakaniza mankhwala osiyanasiyana kumagwiritsidwa ntchito patapita nthawi pa matendawa.
Thandizo la mahomoni - Mankhwala otchedwa hormone ndi omwe amachititsa kuti pakhale nthendayi. Zosankha zosiyanasiyana zimapezeka kuti muchepe testosterone mu thupi lanu. Mankhwala ena amasiya testosterone, ndipo ena amagwira ntchito pofuna kupewa testosterone kuchotsa maselo a kansa ya prostate. Monga momwe estrogen imagwiritsira ntchito mafuta kuti ayambe kukula kwa maselo ambiri a khansa ya m'mawere, testosterone amagwira ntchito ngati mafuta kuti apangitse kukula kwa maselo a kansa ya prostate.
Kuchitidwa opaleshoni - Njira ya TURP nthawi zina imachitika panthawiyi. Popeza kansalu ya kansa ya prostate ili ndi kufotokozera kufalikira kumadera ena a thupi, opaleshoni kuchotsa prostate sichitha "kuchiritsa" khansara monga momwe zinaliri poyamba pa kansa ya prostate. Opaleshoni imeneyi nthawi zina imachita zizindikiro zokhudzana ndi prostate. Nthawi zina ma orchiectomy (kuchotsedwa kwa makoswe) amachitiranso ngati mtundu wa mankhwala otchedwa hormonal treatment.
Maizoni opatsirana - Mvula imatha kugwiritsidwa ntchito limodzi ndi mankhwala otchedwa hormonal treatment kuti athetse ululu, ndipo pambuyo poti mankhwala a mahomoni ayima kugwira ntchito.
Mafuta angathenso kugwiritsidwa ntchito pa mitsempha ya mafupa kuti achepetse ululu.
Chithandizo cha mitsempha ya mafupa - Chithandizo cha mafupa a metastases chingaphatikizepo kuphatikiza kwa mankhwala a radiation ndi gulu la mankhwala lotchedwa bisphosphonates.
Chemotherapy - Chemotherapy angagwiritse ntchito kuwonjezera moyo kwa amuna omwe ali ndi khansa ya prostate komanso amachepetsa ululu chifukwa cha metastases.
Kuthamangitsani
Matenda a sitiroji 4 amasiyana kwambiri malinga ndi momwe khansara imafalikira. Kuthetsa gawo 4 mpaka magawo awiri:
Gawo lachinayi ndi mayendedwe a Regional Regional - Khansara ya prostate yomwe imatchedwa siteji 4 chifukwa cha chotupa chachikulu (T4) kapena chifukwa cha kufalikira kwa maselo amkati omwe ali pafupi amakhala ndi zaka 5 zomwe zimapulumuka.
Gawo lachinayi ndi masitima akutali - Malinga ndi tsiku la SEER National Institute of Cancer Institute, amuna omwe ali ndi kansa ya prostate yapakati pa 4 ndi kufalikira kumalo akutali (N2) kapena madera ena a thupi monga mafupa, 28%. Ngakhale izi zikumbukire kuti mankhwala opititsa patsogolo khansa akukula chaka chilichonse. Munthu aliyense ndi wosiyana, ndipo mayesero a chipatala lero angasinthe manambala awo mawa.
Kulimbana
Phunzirani za khansara yanu. Dziwani zoopsa za khansa yodziwika bwino ya prostate kuti mutha kukonzekera. Landirani chithandizo. Khwerero 4 kansa ya prostate nthawi zina imapweteka kwambiri. Lankhulani ndi dokotala wanu ndipo musayesere kukhala "wolimba mtima" ndipo pewani kuchiza zizindikiro zanu. Ganizirani kulowetsa gulu lothandizira kapena fufuzani pa intaneti pa 4 kansa ya prostate.
Ngati ndi wokondedwa wanu amene akulimbana ndi kansa ya prostate, phunzirani malangizo othandiza kuthandizira wokondedwa ndi kansa ya prostate .
Zotsatira:
American Cancer Society. Kupulumuka kwa khansa ya prostate. http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-survival-rates.
Kumar V, Abbas A, Fausto N. Robbins Pathologic Basis of Disease 7th Edition. 2004.
National Cancer Institute. Chithandizo cha khansa ya prostate - kwa akatswiri azaumoyo (PDQ). http://www.cancer.gov/types/prostate/hp/prostate-treatment-pdq.