Kodi Mumachita Chiyani Ngati Akufalikira?
Pamene zipangizo zamakono zikupita patsogolo, kumvetsa kwathu kozama kumawongolera. M'mbuyomu, kunena kuti "khansara" inganene zonse. Zinatanthauza kuti wina akufa. Mwamwayi, izi zikusintha ndipo timatanthauzira kuti munthu wina amatha kuganiza kuti amapezeka pati. Zambiri zimatanthauzira zizindikiro monga kukula, malo, ndi kalasi ya chotupacho. Nazi mfundo zenizeni zokhudzana ndi matenda a khansa komanso momwe zimagwirizanirana ndi kusalidwa ndi kusankha mankhwala.
Kuzindikira Khansa ya Prostate
Musanayambe kuchuluka kwa MRI 3-Tesla yowonjezereka, kansa ya prostate yowonjezereka inangowonekera pamene dokotalayo anali ndi vuto lopanda chidziwitso chodzidzimutsa . Tsopano, kujambula zamakono ndi zamakono zamakono zimatithandiza kuti tione madigiri ang'onoang'ono a khansara kufalikira mu capsule. Khansara imafalikira kunja kwa kapule wa gland kapena m'mitsempha ya maselo, pamene CT ndi fupa lasafuyo sizidziwika bwino, limatchedwa "kupita patsogolo kwanuko." Ngakhale kuti khansa inafalikira kupitirira kapule wa gland, ma radiation amakono ndi IMRT, nthawi zambiri ndi chithandizo cha brachytherapy, chingakhale chothandiza kwambiri pakuletsa chotupa chachikulu.
Khansara ikhoza kuchiritsidwa pamene idzapita patsogolo pokhapokha ngati chotupacho chikhalabe pafupi ndi dera lonse lomwe nthawi yomweyo limayandikana ndi prostate. Zochitika zikuwonetsa kuti kansa yapamwamba ya prostate ya m'deralo nthawi zambiri imagwirizanitsidwa ndi metastases zazikulu m'magulu a mitsempha yamimba.
Mavitamini a m'mimba komanso testosterone inactivation pharmaceuticals (TIP) ayenera kuonedwa ngati njira yolepheretsa.
Pambuyo poyambitsa mapepala ndi CT kapena fupa lamatenda, nthawi zina amodzi amodzi kapena awiri amapezeka. Matenda a masastases ndi asanu kapena asanu ochepa amatchedwa "oligometastases" (oligo mu Greek amatanthauza "ochepa").
Zolemba zapamwamba za chilengedwe zimasonyeza kuti mitsempha iliyonse yowoneka ndi "nsonga yachitsulo," kuti ngakhale mitsempha imodzi imasonyeza kuti zowonjezereka zowonjezereka zimapezeka m'madera ena a thupi. Chikhulupiriro ichi chinayamba m'nthaŵi yapitayi pamene zokopa zinali zopanda pake ndipo mitsempha yambiri yokha ingathe kupezeka.
Njira Zothandizira
Tsopano, kuthekera kwa kuchiritsa amuna ndi oligometastases ndi ma radiation okhudzidwa sayenera kunyalanyazidwa. Kutaya chithandizo chamakono chowongolera nthawi zonse kumayambitsa kutsitsa mitsempha pansi pa mzere. Zimakhala zomvetsa chisoni ngati chithandizo chodziŵika bwino monga mankhwalawa ndi mankhwala osokoneza bongo kapena mitsempha ya mafupa imangoletsedwa chifukwa choopa kuti "sichidzagwira ntchito." Pamene oligometastase amachiritsidwa ndi ma radiation, mankhwala owonjezera ndi TIP, ndipo mwina ndi Taxotere ziyenera kuganiziridwa mozama.
Pamene fupa likuwoneka kapena CT akuwonetsa nambala yochuluka ya metastases, miyeso yowonongeka siiyeneranso chifukwa ma radiation kupita kumadera ambiri a fupa amawononga mafupa. TIP ndi mankhwala oyamba omwe amuna omwe ali ndi mafupa ambiri amthambo. Panopo palinso umboni wamphamvu wakuti kuonjezera Taxotere chemotherapy ku TIP kumapitirizabe kupitiriza kukhala ndi moyo komanso kumawathandiza kuchepetsa khansa.
Kuonjezerapo, wothandizira monga Xgeva kapena Zometa ayenera kuperekedwanso. Maofesi a jekeseni ovomerezeka a FDA omwe amatchedwa Xofigo amasonyezanso kuti amakhala ndi moyo wautali komanso amatha kupweteka mafupa.
Kawirikawiri, kawirikawiri pamatenda apamwamba kansa ya prostate ingafalikire kumapapo kapena chiwindi. Amuna omwe ali ndi matumbo a m'mapapo nthawi zambiri amayankha bwino mankhwala osiyanasiyana. Matenda a chiwindi ndi owopsa kwambiri ndipo sangathe kuchitapo kanthu pakamwa mankhwala. Pamene chiwindi cha metastases chilipo, mankhwala amodzi amatha posachedwa. Ndaonanso kuchotsedwa kwapadera kwa metastases ya chiwindi ndi mankhwala omwe ali a FDA-omwe amavomereza khansa ya coloni yotchedwa " SIR-Spheres ," mawonekedwe a mankhwala omwe amaikidwa m'thupi mwa chiwindi.
Khansa ya prostate imapezeka m'njira zosiyanasiyana. Kukonzekera kwabwino kumapanga njira yolondola komanso dongosolo lochiritsira. Potsatira zotsatira zabwino, odwala ayenera kupatsidwa mankhwala oopsa a multimodality nthawi iliyonse pamene machitidwe akuwonetsa kansa imafalikira kunja kwa prostate.