Ndondomekoyi ikhoza kuneneratu kuti mungathe kukhazikitsa khansa ya prostate
The D'amico classification system ndi imodzi mwa njira zomwe zimagwiritsidwa ntchito kwambiri poyeza kansa ya prostate. Poyambira mu 1998 ndi katswiri wofufuza zachipatala wotchedwa D'amico, dongosololi linapangidwa kuti liwone momwe angayambitsire kachilombo ka prostate. Amagawira odwala m'magulu atatu omwe amawotchera pangozi: otsika, ochepa, ndi oopsa, pogwiritsa ntchito njira monga magazi PSA , Gleason grades, ndi magawo okhudzana ndi T-scores
Ntchito ndi Kufunika kwa dongosolo la D'amico
Ndondomeko ya magulu a D'amico adakonzedwa kuti awonetsere kuti kubwerera kwa wodwala aliyense pogwiritsira ntchito magawo omwe akugwiritsidwa ntchito ndigwiritsidwa ntchito kwambiri ngati chimodzi mwa zipangizo zambiri zofufuza zoopsa. Kufufuza uku kungathandize omwe akulimbana ndi kansa ya prostate kuti adziwe zambiri zokhudza chithandizo chawo.
Pofotokoza khansara yanu ya prostate monga gawo limodzi mwa magulu atatuwa, dongosolo lino lingakuthandizeni inu ndi dokotala wanu kupanga njira zowonjezereka za chithandizo. Pali zifukwa zambiri zomwe muyenera kulingalira mukamapanga chisankho chokhudza chithandizo cha khansa ya prostate , kuphatikizapo khalidwe labwino la nthawi yaitali ndi zina zoopsa kapena matenda omwe mungakhale nawo. Matenda onse a khansa ya prostate amatha kukhala ndi chiopsezo chowopsa kapena zotsatira zake. Zovuta izi zingakhale zosiyana pakati pa munthu ndi munthu, koma ndizofunika kukumbukira posankha dongosolo la mankhwala.
Mmene Makhalidwe Amagwirira Ntchito
Choyamba, ndikofunikira kusonkhanitsa manambala anu:
- PSA: Mudzafunika zotsatira za mayeso anu a PSA, kuyezetsa magazi komwe kumatengera puloteni yomwe imapangidwa ndi maselo a prostate yanu.
- Gawo la Gleason: Zotsatira za mpikisano wanu wa Gleason , woperekedwa pogwiritsa ntchito mawonekedwe aang'ono a khansa yanu.
- Maphunziro a pulasiteti T: Makhalidwe anu T , kukula kwa chotupa chanu monga momwe mukuwonera pa ultrasound kapena pakapita mayeso.
Pogwiritsa ntchito manambalawa, chiopsezo chanu chimagawidwa monga:
- Ngozi yaing'ono : Amene ali ndi PSA osachepera kapena ofanana ndi 10, chiwerengero cha Gleason chochepa kapena chofanana ndi 6, kapena ali kuchipatala T1-2a
- Zowopsa: Amuna omwe ali ndi PSA pakati pa 10 ndi 20, chiwerengero cha Gleason cha 7, kapena ali mu chipatala T2b
- Zowopsa kwambiri: Amene ali ndi PSA oposa 20, Gleason mlingo wofanana kapena wamkulu kuposa 8, kapena ali mu chipatala T2c-3a.
Zimene Kafukufuku Amanena Ponena za Njira
Maphunziro awiri omwe anaphatikizapo khansa ya prostate yoposa 14,000 anayang'ana kuti amatha kufotokozera za matenda a khansa komanso momwe anthu onse amapulumutsira komanso momwe amagwiritsira ntchito matendawa.
Kafukufukuyu anayerekezera kuti anthu ambiri amatha kupaleshoni pogwiritsa ntchito njira yotchedwa Kaplan-Meier. Kufufuza kumeneku kumaphatikizapo kupulumuka kwaufulu kwapachilengedwe (BRFS), kutanthawuza kupulumuka kwa khansa ya prostate popanda malo okwanira a PSA kuti ayitchule kuti kubwerera kwa khansa, chiwerengero cha odwala mu magawo osiyanasiyana a khansa. Anthu omwe ankanenedwa kuti adzapulumuka amatha kufanizidwa ndi milandu yeniyeni kuti aone ngati kugwiritsa ntchito njira ya D'amico yopangidwira pangozi yathandizira wodwala kupanga chisankho chodziwitsa bwino kwambiri komanso mwayi wochuluka wopulumuka.
Maphunzirowa anapeza kuti amuna omwe anali ndi chidziwitso chowonjezereka (monga a D'icico-based classification system) anali ndi chiwerengero chachikulu chokhala ndi moyo wathanzi pambuyo pochiza khansa yawo ya prostate, makamaka anthu omwe ali ndi chiopsezo chachikulu chobwezeretsa.
Komabe, dongosololi silingathe kuwona molondola chiopsezo cha kubwereza kwa iwo omwe ali ndi zifukwa zambiri zoopseza. Monga matenda a kansa ya prostate ali ndi zifukwa zambiri zomwe zimayambitsa matenda, ma D'D'aicole akhoza kukhala osayenera kwa amuna omwe ali ndi kansa ya prostate ndi madokotala monga njira zina zowunika.
> Zosowa
- Boorjian SA, Karnes RJ, Rangel LJ. Kliniki ya Mayo kutsimikiziridwa kwa gulu la D'amico pokonzekera kupulumuka pambuyo pa prostatectomy yaikulu. J Urol. 2008 Apr; 179 (4): 1354-60; kukambirana 1360-1. Epub 2008 Mar 4.
- Gabriele, D., Jereczek-Fossa, B., Krengli, M. et al. Pambuyo pa dokotala wa Amico omwe amagwiritsa ntchito mankhwala oopsa kuti adziwitse kubwereza pambuyo poyerekeza ndi khansa ya prostate yowoneka kunja: Candiolo classifier, Radiation Oncology . 2016. 11 (1): 23.
- Hernandez DJ, Nielsen ME, Han M. Kafukufuku wamakono wa kalasi ya D'amico ya khansa ya prostate. Urology. 2007 Nov; 70 (5): 931-5.
- Yu, B., Artibani, W., Heidenreich, A. et al. Udindo wothandizira robot-prostatectomy wochuluka kwambiri ndi matenda osokoneza bongo m'magazi amtundu wa khansa ya prostate: njira yowonongeka. European Urology . 2014. 65 (5): 918-27.