Mumwe haagoni kutaura zvakananga pamusoro pekenza yeprotate pasina ruzivo rwebasa rePSA test test . Vanhu vakawanda vanoziva kushandisa PSA kuti vaongorore kenza yeprotate panguva yekutanga. Pane, zvisinei, zvimwe zvimwe zvinokosha zvePSA.
Mhando dzakasiyana dzePSA
PSA ine mabasa akawanda akasiyana. Inonyanya kuzivikanwa ndeyekuongorora kwekenza. Iyo inoshandiswa zvakare kumutsanangurira varume avo vachangobva kuongororwa.
Semuenzaniso, varume vari pasi-panjodzi vane PSA pasi pe10. Varume vane hutachiwana-vane ngozi vane PSA kubva pa10 kusvika ku20. Varume veHoid-Risk vane PSA mazinga anopfuura 20. PSA inogona kushandiswawo kuona kenza inodzoka shure kwekuvhiyiwa kana radiation. Chirwere chinowanzoitika chinogona kuzvibata nenzira isingaiti kana kuti inogona kukura nokukurumidza. Chii chinonakidza ndechokuti kuwedzera kwePSA kukura, nguva inotora kuwedzera, inopa kunzwisisa kwakadzama kuti kushungurudzwa kenza kuchaita sei mune ramangwana. Kurapa kunogona kubva kubva pakucherechedza kusvika kumairasiyo kana cryotherapy kune testosterone kubviswa kwechipatara neLupron uye kunyange chemotherapy.
Kuongorora PSA Mushure mekuvhiya kana kupisa
PSA inokosha pakuonekwa kwekudzokazve kwekenza mushure mekuvhiyiwa kana kupiswa kwemhepo. Kazhinji, mushure mekuvhiyiwa PSA inofanira kudonha kusvika pakusingaoneki. Kunyange kukwira kuduku kwePSA kune chiratidzo chekugona kugadziriswa kwekenza. Pashure pemasikati , kufunga kuti chirwere chacho chave charapa, PSA inogara iri pasi pe1 1.0 nokusingaperi.
Zvisinei, ane mazaya emvura pane zvisizvo. Chokutanga, maPSA maitiro anoramba achidonhorera zvishoma nezvishoma pashure pemasana, dzimwe nguva achitora makore akawanda kuti asvike pakaderera. Chechipiri, kubuda kwenguva pfupi muPSA kunogona kuitika, kunyanya mushure mokunge mbeu inogadziriswa yehudhi. Noncancerous PSA inowedzera, inonzi "PSA Bumps" inogona kukura mushure memakore 1 kusvika kuchina, zvichiita kugadzirisa pamusoro pekugona kwekenza kudzokorora.
IPSA Bump inofungidzirwa inokonzerwa nekunonoka kwemaitiro ekudzivirira immune mu prostate. Mashoko akanaka ndeokuti PSA Bump inogona kunge yakabatanidzwa nehuwandu hwehutano hwehutano. Nhau dzakaipa ndechokuti kushatisa kubuda kwepfungwa sekudzoka kunogona kuvhundutsa varume (uye vanachiremba) kuti vatange kusakosha kwemishonga yehomoni.
Kurondedzera Mhando dzakasiyana dzekudzokazve
Apo chirwere chinodzokorora chichinyatsosimbiswa, chiyero chePSA kechipiri chinoratidza kuvhudzira kwehasha. Semuenzaniso, PSA inoda mwedzi inopfuura 12 kuwirirana, inomiririra kudzoka kwepamusoro-grade-imwe inogona kusatomboda kurapa. Kune rumwe rutivi, kenza iyo inoda mwedzi inopfuura mitatu kuti iite kaviri inoita zvechisimba. Pakupedzisira, kurapwa kwechirwere chinodzokorora kunotungamirirwa nezvinhu zvitatu: chepakutanga - mamiriro ekutanga asati avhiyiwa kana kupiswa kwezuva ( Low vs. Pakati pepamusoro vs. Pasi ), nguva yePSA yeviri uye nzvimbo yekenza yekudzoka yakagadzirirwa sekanakisisa iyo inokwanisa kuverenga , kana kuti chii chiremba ane ruzivo rwechirwere cheprotate rinopinda.
PSA Nguva Yokudaidzira
Kurapa kurapwa kunonyanya kuchinjwa nechiyero chePSA kusimuka. Somuenzaniso, kana PSA inodarika mumwedzi isingapfuuri mitatu (kana kunyange pasi pemwedzi mitanhatu), kushungurudza kusangana pamwe chete neLupron plus rayation (kana kuti cryosurgery muvarume vakambobatwa nemirairo) zvichida inotarisirwa.
Kana chirongwa chePSA chechipiri chiri pakati pemwedzi mitanhatu nemwedzi 12, kushandiswa kwakanyanya kudzvinyirira nemairaji oga, magichuria oga kana kuti Lupron iri mukati. Vamwe varume vane chirwere chePSA-chakadzokazve vane chirwere chinokura zvishoma nezvishoma uye hapana kurapwa chero chipi zvacho chinodiwa. Iyi ndiyo nyaya apo zvinotora nguva inopfuura gore kuti PSA iwirire.
PSA Kushamisika Nguva Pakati pemwedzi 6 kusvika kune gumi
Zvakadini ne "pakati" mamiriro ezvinhu apo zvirwere zvinowanzoitika zvinoratidzika kuti zvinowanikwa munzvimbo ye prostate fossa kana kuti prostate fossa, node dzinonyatsojeka, iyo yepakutanga-pangozi yaive pakati peMidzimu-Risk uye nguva yePSA inopetwa kaviri inenge pakati pemwedzi mitanhatu kusvika ku12?
Ko munhu ane kenza yeprostate ane chirwere chemunharaunda oga ane radiation kana cryotherapy here? Zvakadini neLupron pakati pega? Tinofanira kuita masikati nekambani pfupi yeLupron? Mhinduro yakanakisisa ndeyokuti isu hatizivi chaizvo. Mune mamiriro ezvinhu akadai, varwere vanofanira kuzviziva nemhando dzose dzingangova nemigumisiro yeimwe neimwe yezvikamu zvakasiyana zvezviito. Zvaunoda iwe pachako inzira yakakwana yekugadzirisa.
Fast Fast PSA Kuda Nguva
Nguva yakashata PSA inokwana kaviri, inoti mwedzi mitatu kana kuti shoma, chiratidzo chakasimba chekugona kutyisa mamiriro ezvinhu ehupenyu. Kunyange zvazvo zviyero zvingave zvakajeka, kurapwa kunofanira kuva nehasha. Kunyangwe kushandisa mushonga usingakodzeri kunogona kubvumirwa. Vashandi vatsva vakaita seZytiga kana Xtandi vangafungidzirwa. Zvidzidzo zvemazuva ano zvakare zvinoratidza kuti varume vanopona zviri nani pavanotora mitanhatu ye Taxotere pamwe neLupron.
Chikamu Chekutanga Chengano
Kazhinji, kurapwa kunofanira kunge kune hutsinye (inosanganisira kusanganiswa kweLupron uye pelvic lymph node radiation) kana chepakutanga-yeboka yaiva yeHigh-Risk . Mishonga inofanirwa kuenderera mberi kune nzira isingadzvinyiriri-cryotherapy chete, mazairo ega kana Lupron chete-kana chiitiko chepakutanga chakanga chiri Pasi-Ngozi .
Kutsvaga nzvimbo yeCancer
Varume vane PSA vari kukura mushure mekuvhiyiwa kana kuti maharavirai vanofanira kutanga vachiita zvidzidzo zvakafanana zvekufungidzirwa mukuedza kutsanangura nzvimbo yekenza. Zvinosuruvarisa, "chimiro" chinonzi CT uye MRI inowanzokundikana kuona chirwere chinowanzoitika, kunyanya kana PSA iri pasi pe10. Kuvandudzwa kwePET kunoongorora neC11 acetate kana choline kunogona kuona nzvimbo yezvirwere zvinowanzoitika nePSA yakawanda kwazvo. Zvinosuruvarisa, izvi zvinonzi PET zvinoshandiswa zvekare zvokuti inshurensi inogona kunge isipo.
I "mizinga" inowanzoshandiswa ndeyekuti:
- Mucherechedzo Doppler ultrasound kana kuti MRI yakawanda inogadziriswa inogona kushandiswa kutarisa kenza yekare inobata fossa mushure mekuvhiyiwa kana mu prostate gland muvarume vakambobatwa nemirairo.
- Pelvic MRI kana CT scan zvinoshandiswa kutarisa kupararira kune lymph nodes.
- Technetium bone scans ndiyo yekare yakaenzana. Mutsva F18 PET mafupa anoona, zvisinei, anonyanya kukosha nokuti anogona kuona mishonga ine kenza duku kupfuura technetium bone scans.
Apo Zviratidzo Zvisati Zvaratidza Mega Metastases Mushure mekuvhiya
Kazhinji, varume vainge vashoma -pangozi kana kuti vari pakati pepakati-pangozi vasati vavhiyiwa uye vanovaka kukura kwePSA nekaviri kechipiri pakati pemwedzi mitanhatu kusvika kune gumi vachave nemakirwo akanaka ekurapa mahara ne salvage ma radiation kune prostate fossa. Zvimwewo, varume vanotya nezvemigumisiro yemirasiyo vanogona kufunga kubvisa pasi PSA pamwe neLupron iri pakati pemwedzi mitanhatu. Varume vane nguva dzinokurumidza kupetwa kaviri, pasi pemwedzi mitanhatu, somuenzaniso, vanofanira kunge vane mazhenje kune node dzepelvic dzakasanganiswa nekureba kwenguva refu yeLupron, vanoti mwedzi 12 kusvika ku18. Varume vakanga vari High-Risk vanofanira kunyatsofunga nezvemadiresi emwedzi nemwedzi 12 kusvika ku18 yeLupron. Vangatotanga kufunga kuwedzera mamwe masimba ane simba akadai seZytiga, Xtandi kana Taxotere.
Apo Ma Scans Akajeka Mushure Mokunge Mvura
Nokuda kwekuwedzera kwePSA mushure memasikati, imwe yenzira dzakakurumbira dzinofanirwa kupisa kamukira wekenza mu prostate nemagashigori. Iyi nzira yakave yakakurumbira zvikuru nekusvika kwezvidzidzo zviri nani izvo zvinoita kuti cryosurgeon isarudze chikamu cheglande uye inobata kenza nehutano hwakanyanya panzvimbo yekurapa yose prostate. Zvimwe zvivhiringidzi ne focal cryotherapy zvakanyanya kufanana nekuenzanisa gland rose uye zvinoshamisa zvisinganyanyi kutyisa pane kuedza kubvisa prostate chirwere. Kugadziriswa kubviswa kweprostate mushure memasikati inofanira kunge isina kumbofungidzirwa nekuda kwekukwirira kwakanyanya kwekusaziva uye kusava nesimba.
Chimwe chingaita mune izvi ndechokupa Lupron zvinyararire. Izvi zvichabatsira kupedza chirwere chekune imwe nyika uye izvi zvinonzwisisika pakati pevarume vane nguva dzakapetwa kaviri kune mwedzi mitanhatu kana chikwata chepakutanga chaive chakanga chiri che Low-Risk kana Intermediate-Risk . Varume vane nzvimbo yekudzokera zvakare asi avo vaimbove Vakuru-Dambudziko vangangodaro vari nani vanoshandiswa nemuedzo unorwadza kuporesa chirwere ichi nemuchengeterwa mbeu kana mbeu inogadziriswa kwete kungopedza chirwere ichi neLupron pacharo.
Lupron Pamwe Chete Pashure Pokuvhiya kana Mishonga Inopera Kana Mavara Akajeka
Sezvinoratidzwa pamusoro apa, kana zvikwangwani zvapera uye nzvimbo yekudzokazve inoratidzika seyemunharaunda, varume vanewo sarudzo yekurapa zvirwere zvakare zvakare neLupron. Lupron pachayo, zvisinei, ine migumisiro yakasiyana-siyana uye inenge isina kumbopora. Kunyange zvakadaro, chirwere chetachiona kwemakore anopfuura gumi chakajairika. Kuti kuderedza migumisiro yemigumisiro, Lupron inogona kushandiswa mukati-kati. Chimiro chechirevo chemukati chinosanganisira chirwere chinotarisirwa kwemwedzi mitanhatu kusvika kune gumi pashure pacho iyo Lupron inomiswa. Nokufamba kwenguva, testosterone inodzorera uye PSA inotanga kusimudza. Chipiri chechirongwa cheLupron chinotanga apo PSA inodzokera kumashure ekutanga kwePSA, kana kusvika kusvika kumatatu kusvika matanhatu, chero ipi zvayo iri pasi. Inhengo yeLupron inenge iri nzira yakakwana yokutarisa varume vane PSA kudzokerazve kwemakore anopfuura makumi maviri. Lupron chete ndiyo nzira yakanakisisa zvikuru kana nzira yekurapa isingagoneki kuburikidza nekushandisa rayation kana cryotherapy.
Kuzviisa Zvose Pamwe
Saka muchidimbu, mumamiriro ezvinhu akanaka apo zviratidzo zvinoratidza kuti kenza haina kupararira kune nodes, kurapwa nemagashigeri chete kana kuti kupisa kwezuva chete kunonzwisisika chero bedzi dambudziko rekare risati rasvika uye nguva yePSA yakapetwa inofadza. Ichokwadi, kunyange kana zviratidzo zvisingaratidzi metastases, kukanganisa kwezvinhu zviduku zvinoshandiswa mumasvipiti emagetsi kunofanira kufungwa. Dambudziko re Microscopic rinowanikwa mune varume vanotsanya PSA nguva dzakapetwa kana kuti avo vaiva High-Risk panguva yavakatanga kubatwa nekenza yeprostate. Mune mamiriro ezvinhu aya, kuwedzera kweprophylactic pelvic lymph node radiation pamwe nekuwedzera kwedzidzo yeLupron inokurudzirwa.
Kusarudzwa kwehutano hwevarume vane PSA kudzokera zvakare kwakaoma. Izvi zvinotanga nekugadzira nhoroondo yevarwere uchishandisa chekutanga chekuisa pangozi, nguva yePSA yaviri, pamwe nekuwana kuwanikwa. Zvinosuruvarisa, nzvimbo yekenza yenguva yakawanda inogona kuramba isina chokwadi, kunyange mushure mekuita zvakanakisisa zvese. Kana izvi zvikaitika, huwandu hwehutano hunodikanwa muongorori "guesstimate" kubva pane PSA nguva yekubata kaviri uye chekutanga chekutengesa. Pasinei nezvinetso zvose izvi uye kusava nechokwadi, mashoko akanaka ndeokuti nzira dzakasiyana-siyana dzokurapa dziripo. Kuwanda kwevarume, chirwere chinogona kudzorwa kwenguva yakareba, uye mamwe maitiro kunyange aporeswa. Maonero ose ndeechokwadi. Kunyange kune avo vasina kurapwa, vazhinji vanozokwanisa kuchengetedza chirwere chavo mukutarisa kwemazana kana makumi emakore vachirapa.