Mankhwala otchedwa hormone, omwe nthawi zina amatchedwa "androgen deprivation treatment," ndi imodzi mwa njira zoyenera zothandizira khansa ya prostate . Pano pali zomwe muyenera kudziwa pazofunikira izi.
Androgen Kuchokera Kwambiri Kuchiza ndi Mmene Zimagwirira Ntchito
Thupi lanu limapanga mahomoni osiyanasiyana m'moyo wanu wonse. Ena mwa mahomoniwa amapangidwa m'magulu apamwamba kwambiri mwa amuna ndipo amatchedwa androgens.
Testosterone ndi yotchuka kwambiri ndi androgen. Androgens amapangidwa makamaka m'matumbo, koma matenda a adrenal omwe ali pamwamba pa impso amaperekanso pang'ono.
Androgens zasonyeza kuti zimayambitsa khansa ya prostate kuti ikule. Zomwe zimapangitsa kuti asanalandire chithandizo cha mankhwalawa ndi kulepheretsa kupanga kapena zotsatira zake za thupi ndikuti, kuchepetsa kapena kuletsa kukula kwa maselo a khansa ya prostate.
Kuletsa Kupanga Androgens
Kupanga kwa androgens kumachitika makamaka m'matumbo. Pali njira zingapo zomwe zotsatirazi zingathetsereke.
- Orchiectomy
Orchiectomy ndi opaleshoni yomwe ikuphatikizapo kuchotsa magulu awiriwa. Mwachiwonekere, kamvetsedwe kamene kamakhala kuchotsedwa, sangathe kupanga androgens.
Orchiectomy ndi yosiyana ndi njira zina pa zifukwa zikuluzikulu ziwiri. Choyamba, ndondomekoyi imabweretsa zotsatira zomaliza. Palibe njira yobweretsera izo mutatha. Chachiwiri, pali kusintha kwakukulu kwa thupi pakatha opaleshoni.
Pazifukwa izi, amuna ambiri amasankha chimodzi mwa zosankha zosagwiritsanso ntchito zosafunika.
- Luteinizing Hormone-Release Hormone (LHRH) Agonist ndi Antagonists
Magulu awiriwa akugwiritsa ntchito mankhwalawa poletsa mahomoni omwe amachititsa kuti androgens apangidwe. Kawirikawiri amagwira ntchito monga orchiectomy pochepetsa matupi a testosterone m'thupi.
Amagwiritsidwa ntchito pogwiritsa ntchito implants pansi pa khungu kapena monga jekeseni. Mankhwala amodzi m'gulu ili ndi leuprolide, goserelin, triptorelin, ndi abarelix.
Mankhwalawa atchuka kwambiri kuposa orchiectomy m'zaka zaposachedwapa koma ndi okwera mtengo ndipo amafuna kupita kuchipatala kwafupipafupi.
Momwe Androgens Angapezedwe Kugwira Ntchito
Mankhwala a anti-androgen alipo omwe samaletsa kupanga androgens, koma m'malo mwake, amalepheretsa ntchito yawo m'thupi. Izi zimagwiritsidwa ntchito pambuyo pa orchiectomy kapena pamene LHRH agonists kapena otsutsa akugwiritsidwa ntchito. Nthawi zambiri amagwiritsidwa ntchito payekha.
Anti-androgens amaletsa ntchito ya androgens mu thupi lonse mosasamala kanthu kuti androgen inapangidwira m'matumbo kapena matenda a adrenal. Anti-androgens nthawi zambiri amapatsidwa ngati mapiritsi omwe amatengedwa tsiku lililonse.
Mankhwala omwe amapezeka m'gululi ndi flutamide (Eulexin) ndi bicalutamide (Casodex).
Njira Zochiritsira Zomwe Silikugwiritsidwa Ntchito Kwambiri
Mwinamwake mwamvapo kuti maestrojeni amagwiritsidwa ntchito kuti aziletsa zotsatira za mahomoni aamuna mu thupi. Izi ndi zoona, koma sizigwiritsidwa ntchito masiku ano.
Mwamwayi, maestrojeni amapezeka kuti akuwonjezera mwayi wanu wopanga mavuto ena ophatikizapo magazi. Chifukwa cha izi, iwo sanamvere. Masiku ano, amagwiritsidwa ntchito pokhapokha ngati mankhwala ena otchuka a hormone ataya mphamvu komanso zina mwazofunika.