Ndakatarisira varwere vekenza yeprotate kwemakore anodarika makumi maviri. Varwere vanouya kwandiri nemhando dzose dzisina kururama. Pano pane gumi zvezvinonyanya kutaurwa:
1. MaProstates Madiki Akaipa
Zvose zvinetso zvine chokuita neurinary system zvinoratidzika kuti zvinopomerwa nezvekuwedzera kweprostate. Izvi hazvikwanise kuva chokwadi nokuti varume vane maduku maduku e prostate vanonyunyutika kuenda kune yekugezera kakawanda.
Kunyange vakadzi vanotambura matambudziko aya uye havana prostate zvachose.
Chikumbiro chakanyanya chokukurota chinowanzoitika, sezvo vanhu vachikura. Sei? Icho chidziviriro chekudzivirira. Yeuka, kukurudzira kwomuviri uye kunzwa kunowedzera kusimba nezera. Eyesight dims, libido inokundikana, kunzwa kunopera. Kana chido chekukandira chikapera, kusvibiswa kwetsvo uye rufu zvinoguma.
Izvi hazvirevi kuti kuwedzera kukurudzira kukwata, sezvo vanhu vachikura, zvinoita. Aiwa, inogona kuva dambudziko rechokwadi, kunyanya kana rinokanganisa kurara. Zvisinei, hazvisi izvo zvakarurama kuisa mhosva dzose pamusoro pekuwedzera kweprostate. Uye kubva pakuonekwa kwekenza, kune rimwe ruzivo rwekuva ne prostate gland guru. Tsvakurudzo dzinoverengeka dzinoratidza kuti hukuru hweprotate hutachiona hunokonzera kanhi dzekodhi dzepamusoro, dzine zvishoma kudarika-capsular kupararira uye une ruzivo rwechirwere chekudzoka kwepamusoro, shure kwehutano, kupfuura zviduku zvishoma zveprotate.
Kuva ne prostate gland guru haisi nguva dzose yakanaka; kune dzimwe chokwadi vamwe varume vane hukuru hwema prostate vane kutambura kwekuvhenekera zviratidzo.
Zvisinei, varume vane prostates yakawedzerwa vanogona kunge vachionga kuti gland yavo yakawedzerwa ine chidziviriro chekuchengetedza kenza yeprostate.
2. Kenza yeProstate Inokonzera Zviratidzo
Munhoroondo yose, varume vakangovashanyira vanachiremba kana imwe chikamu chemiviri yavo ichikuvadza kana kusakoshi. Asi kenza yeprotate haina kukonzera zviratidzo zvacho zvachose kusvikira yava yakanyanyisa.
Izvi hazvirevi kuti varume havagoni kuva nezviratidzo zvinouya kubva munzvimbo yeprostate nekuda kwezvimwe zvinhu zvakadai sehutachiona hwezvirwere kana zvirwere zvepabonde. Asi zviratidzo zvekenza zvakadai sekurwadziwa kwepfupa, kushanduka mukuzora, uye kurwadziwa kwepachevic kunowanzoitika nehosha dzakanyanya kwazvo , kana kenza inopararira kunze kweglandu. Chero bedzi varume vachiita kuongororwa kwegore negore nePSA (prostate-specific antigen), kenza inenge ichinowanikwa nguva refu isati yakwanisa kuita zviratidzo.
3. PSA Inobva kuKenza yeProstate
Vamwe PSA inogona kubva kune kenza yeprostate, asi inowanzobudiswa ne prostate gland. Bhenigri yeganda yeglandu inowanikwa sevarume vane makore, zvichiita kuti PSA iwedzere. Chimwe chikonzero chisingaenzaniswi chepamusoro pePSA chirwere chokuputika, chinonzi prostatitis. Nokudaro, kushandisa PSA chete kuti uongorore kenza inonyanyisa, kunyanya kana PSA iri pasi pe10.
Izvi hazvirevi kuti PSA haina maturo. Sezvakataurwa pamusoro apa, hapana zviratidzo zvekenza yeprostate mukutanga kwayo. Saka, pSA yakakwirira inongoratidza kuti chimwe chinhu chiri kuitika ne prostate. Iko kunyengedza kwenhema zvachose kungopedzisa kuti kuwedzera kwePSA kunoratidza kenza. Varume vane PSA yakakwirira vanofanira kudzokorora muedzo.
Kana ikaramba ichingokurudzirwa, inofanira kuramba ichiongorora kuvepo kwekenza yeprostate nekuwana katatu-Tesla multiparametric MRI, kwete bhiopsy isina kumira.
4. 12-Core Random Prostate Biopsy Haisi Big Big
Kuti uwane biopsy ye prostate, murume akatsiga parutivi rwake nemakumbo ake akatasirwa kumucheto wake. Mushure mokunge enema inogadziriswa uye rectum swabbed nesipo, sindete inowanikwa kakawanda kuburikidza nemadziro erectum kuti inyike Novocain mukati nepamusoro peprostate. Kamwe apo prostate inoderedzwa, 12 kana kupfuura-yakakura-bore cores inotorwa necheji-inotakura serole biopsy gun kuburikidza ne rectum.
Mishonga inorwisa mabhakitiriya inowanzopiwa kuitira kuderedza ngozi yehutachiona.
Kana ukaita nounyanzvi, chirongwa chebiopsy chinotora maminitsi makumi maviri nemakumi matatu. Mushure mekufamba, varume vanowanzova neropa mumuginha uye semuna kwemwedzi kana kupfuura. Zvinetso zvenguva pfupi nezvishamiso zvinogona kuitika. Pamusoro pevhiki inotevera kana maviri, nhamba shomanana yevarume (inenge 2 muzana) inopindwa muchipatara kuitira kurapwa kwehupenyu hunotyisa. Dzimwe nguva, mumwe munhu anofa.
5. Chirwere Chese Chirwere Chese Chirwere Chenguva Dzose Chinogara Chichiri Murwere
Kana prostate MRI inoratidzira nzvimbo inoshungurudza uye chinangwa (kwete random) biopsy chinoratidza kenza, iwe uchada kutsvaga mazano ekugadzirisa kusarudza zvakakwana kurapwa. Zvisinei, pane dambudziko. Vose vanachiremba mukenza yeprostate pasi rose vanopa mazano uye vanopa kurapa. Nyaya ndeyokuti vanorayirwa zviri nani apo vanopa kurapa. Nokudaro, vazhinji vanowedzera kukurudzirwa kukunyengetedza kuti uite zvinorapwa navo. Vanachiremba vakachenjera zvakakwana kuziva kuti munoziva izvi. Saka, vanozviisa ivo sevari kumativi enyu uye vanoshandisa nzira inotengesa-kutengesa. Mharidzo yavo inova yakajeka uye inogutsa nokuti inogara ichitaurirana nevarwere vatsva zuva rimwe nerimwe.
Nzira chete yekudzivisa dambudziko iri nekurwisana kwechiremba wekufarira ndeyekugadzirira kubvunzurudza nachiremba uye kumupa iye (kana kuti) sechiremba wako anopa zano chete. Iwe uchada kuzvijekesa kubva pakutanga kuti pasi pose hapana (iye) kana ave iwe chiremba wako kurapa . Chinangwa chekusangana kwako nechiremba anopa mazano ndechokuti uwane ruzivo rwakasarudzwa pamusoro pemhando ipi yekurapa yakanakisisa pamamiriro ako ezvinhu. Iwe unodawo chiremba anopa zano kuti akupe "nechomukati ruzivo" pamusoro pehutano hwemhizha hwevamwe vanachiremba munharaunda yako yezvechiremba.
6. Irose yeProstate Inogona Kufa
Ikoko kune kuvhiringidzika kukuru nokuti rimwe zita, "kenza yeprotate," inoshandiswa kune dzose dzakasiyana-siyana dzechirwere. Nekenza yenguruve tinodana zvinhu zvakaipa "melanoma." Icho chinonyanya kuchena chekenza yeganda tinodana "basal cell." Nekenza yeprotate, pane kushandisa mazita akasiyana tinoshandisa nhamba. Semuenzaniso, Gleason 7 uye pamusoro inogona kupararira uye dzimwe nguva inouraya (kunyange iyo isina nzvimbo iri pedyo neyengozi sean melanoma). Gleason 6 uye pasi haina kupararira. Gleason 6 inoshanda sebasal cell carcinoma yeganda.
Iye zvino vanachiremba vari pakupedzisira vanoziva kusiyana uku, vari kutora shure kubva kukurudzira kurapwa kwevanhu vose. Varume vakasarudzwa vanoiswa pakatarisa pasina pedyo nekurapa kwekukurumidza. Iyi nzira itsva inonzi inoshandiswa kuongorora . Pamakore gumi apfuura, kuongororwa kwakaitwa kwakanyanya kugamuchirwa senzira yakanakisisa yekugadzirisa varume vakasarudzwa neGleason 6 kenza ye prostate. Kurongedza kwakagamuchirwa kunogamuchirwa neNational Comprehensive Care Network (NCCN), The American Society of Clinical Oncology (ASCO), uye American Urological Association (AUA) senzira yakakwana yokubata Gleason 6.
7. Migumisiro Yechipfuva Kubva Kuvhiya uye Miridzo Zvakafanana
Varume vane Gleason 7 uye pamusoro vanowanzoda imwe nzira yekurapa. Sezvo varume vakawanda vatsva vaongororwa vachikurukura zvikurukuru newaurologist (uyo ari chiremba), chirwere chinowanzoitwa sechirairo chekusarudza. Dambudziko nderokuti kuvhiyiwa kunowedzera mimwe migumisiro uye mishonga inorapwa inowanzopera kupfuura iyo inogona kuwanikwa nembeu inogadziridza mahara. Heino mutsara, zvisingaiti zvose-zvakabatanidzwa, zvimwe zvezvipingamupinyi zvakanyanya zvakaoma apo kuvhiwa kunogona kukonzera:
- Chirwere chepenteke chakakanganiswa kana "Peyronie's disease." Mukudzidza kwevarume 276 vachiwana chirwere, 17,4 kubva muzana yevarume vakagadzirisa maitiro asina kururama.
- Nyanzvi dzakarondedzera kuti kuisa muto, iyo inonzi "Climacturia," inowanikwa munenge makumi maviri kubva muzana yevarume vanoita chirwere cheprostate.
- Urinary incontinence inowanikwa mu5 kusvika ku10 muzana yevarwere.
- Kushungurudzika kusina kuvhara, kukonzera urini nekukwira, kuseka, kukwezva, kupopota, nezvimwewo zvinoitika mu50 muzana yevarwere.
- Shrinkage yepeni inowanikwa nereji yehafu yehafu inch.
- Zvimwe, zvinetso zvepabonde zvinowanzoitika, kusanganisira nguva inenge yafa.
8. Iwe Unogona Kuita Mirizhonga Mushure mekuvhiya, asi kwete Mutsara
Imwe inotengesa nzvimbo yekuvhiyiwa iyo vakawanda vanotya varwere vanonyaradzwa ndiyo pfungwa yavari kusika tsvina yekuchengeteka, chirongwa chekuchengetedza, nekuita kuvhiyiwa "kutanga" panzvimbo yehuwandu hwemhepo. Vanachiremba vavo vanovataurira, "Kana kenza inodzoka mushure mekuvhiyiwa vanogona kuita miviri, asi kuvhiyiwa hakugoni kuitika mushure memasikati." Ichi chirevo hachiri chechokwadi. Kurarisa mbeu inogadzirwa mumarume avo vanodzokorora mu prostate mushure mekunge mazai ari kuitwa kakawanda.
Zvisinei, pane chikonzero chinonyanya kukurudzira kusazvidza chirwere chechiremba "kukakavadzana gakava." Kutanga nekuvhiyiwa kwakanzwisisika makore 15 apfuura apo kuvhiyiwa uye kupisa kwemazuva kwakange kune zvirwere zvakashata zvirwere pamwe nemigumisiro yakaipa yakafanana. Nhasi iyi inokosha kugadzirisa. Mazuva ano mashizha ane zvishoma zvisingabatsiri pane kuvhiyiwa uye kuonekwa zviri nani zvirwere. Apo iwe unoda kuporesa kenza, nei uchitanga nehuwandu husina kubudirira uye huwandu hwehutachiona apo uchibata kurapa kwakanakisisa munzvimbo yakachengetwa?
9. Mbeu yeMvura uye Nheyo yeMvura Inenge Yakangofanana
Iko kune zvishanu zvisiyana zvakasiyana siyana zvemazuva uye zvinogona kugoverwa mumapoka maviri:
- Mbeu inonzi radiation-yakagadzikana uye yenguva-iyo inonzi radiation inowanikwa mu prostate
- Bhabhironi-IMRT, SBRT uye chirongwa cheproton-umo majekesheni anozunungurwa kuburikidza nemuviri kutema prostate
Kazhinji, idzi nzira mbiri dzakasiyana dzakabatanidzwa. Kusvikira munguva pfupi yapfuura, kufungidzira kwaiva kuti mushonga wehutano hwaive hwakafanana neye nzira dzose.
Kutenda uku kwakashanduka kubvira pakabudiswa muedzo wakagadzirwa zvakanaka unofanidza kurapwa kwemazuva mazhinji emvura, pamwe nembeu, kunamira mazaisai ega. Makore mapfumbamwe mushure mekurapa, varume vaibata pamwe nekubatanidzwa kwembeu pamwe nekupiswa kwemafuro kwaive ne 20% kuderedza mukana wavo wekudzoka zvakare kana vachienzaniswa nevarume vakanga vane danda remhepo.
10. Kudzoka kweProstate Cancer = Rufu
Kazhinji kenza-mapapu, colon, uye pancreatic somuenzaniso-kana vakadzoka mushure mekurapa, zvinokonzera rufu mukati megore kana maviri. Saka hazvishamisi kuti shoko rokuti "kenza" rinotyisa kutya mumoyo yevanhu. Asi vanhu vanofanira kuziva kuti kufa kwekufa kwekenza yeprostate, kunyange apo inodzoka mushure mekurapwa nekuvhiyiwa kana kupiswa kwemhepo, inenge isinganzwisisiki. Kana munhu akamborapwa nekenza yeprostate ane kudzokorora, kureva, inoita kuti PSA inomuka kubva kune kenza inodzoka zvakare, muvharo wekupona unopfuura makore gumi nematanhatu.
Kune zvikonzero zvakawanda zvezvikonzero zvevarwere kuva netariro. Kufambira mberi kwekufambira mberi kuri kuwanikwa kuburikidza nehutano tekliniki inokurumidza zvikuru. Kuvhara muviri mumuviri kunogona kunge kunofadza zvikuru. Aimbova mutungamiri weMutungamiri Jimmy Carter kusunungurwa kunoshamisa kubva mumasikoma emasanoma akanganisa chiropa chake uye uropi, muenzaniso wezvino. Zvimwe mhando itsva dzehutachiona dzinogona kurwisa uye kurwisa zvirwere zvemasastasi panzvimbo dzakasiyana-siyana mumuviri wose. Pakupedzisira, marapirwo akasiyana-siyana anosarudzwa anozopedzisira achiita nekuda kwekutsvaga nyore nyore kuwana kuongororwa kwakarurama kwechirwere chemaitiro. Kutsvakurudza kuri kufambira mberi. Saka varume vane kenza yeprostate vane tariro chaiye yevakawanda, zvakare, kukosha kunokosha munguva yemberi iri pedyo.