Chii chiri chikwata chekenza yekenza yekare, ndeapi marapirwo aripo, uye chii chinonzi chirevo?
Chikamu 4 kenza yeprotate ndiyo yakanyanya kufambira mberi kwechirwere ichi. Zvinoreva kuti kenza yakapararira mberi kweprostate kune nzvimbo dziri kure dzomuviri.
Kunzwisisa Kuronga
Inonyanya kushandiswa kugadzirwa kwekenza yeprotate ndiyo TNM staging system . Imwe nzira inoshandiswa nedzimwe zvipatara uye vanachiremba ndiyo yeJeut staging system iyo inoputsa tumarara muchechi A kusvika kune imwe nzvimbo D.
NeTM system, tsamba dzinomiririra:
- T ndeyekukura kwemarara.
- N iri ye lymph node kupinda. N0 zvinoreva kuti kenza haina kupararira kune chero nhengo dzenzara. N1 zvinoreva kuti tumarara yakapararira kune lymph nodes iri pedyo. N2 zvinoreva kuti tumarara yakapararira kune lymph nodes kure.
- M ndeyemasisase. M0 zvinoreva kuti kenza ye prostate haina kupararira kune nhengo dziri kure. M1 zvinoreva kuti kenza yeprostate yakapararira kune nhengo dziri kure - mapfupa ndiyo inowanikwa munzvimbo dzose dzekenza yeprostate metastases.
Kenza yekenza inofungidzirwa purogiramu 4 nenzira 3 dzakasiyana:
- Chirwere cheT4 chisingabatanidzi lymph node uye pasina metastases.
- Chero huwandu hwechiremera pamwe chete nemakirini ane nhengo dziri pedyo (N1) uye kwete maitiro.
- Chero huwandu hutachiona huga nehupi hwemhando ye lymph node (hapana, node dziri pedyo, kana kuti kure node dzakanaka) pamwe nemasitema kune imwe nzvimbo yomuviri (M0).
Zviratidzo
Zviratidzo zvepatara 4 kenza yeprostate inogona kuenzaniswa nekenza mu prostate yako, kana nekuda kwemasastases.
Zvimwe zvezvi zvinosanganisira:
- Ropa mumuguta
- Dambudziko rokupedza urini
- Erectile dysfunction
- Kutambura kwepfupa kubva pamasitasase emapfupa
- Kushaya simba mumakumbo kana matambudziko kana chikwata
- Kuonda
- Kuwedzerwa kuwanda kwezvirwere
- Kuneta
Kuziva
Miedzo yekuongororwa nekenza yeprotate inogona kusanganisira CT scan, ultrasound, MRI, kana PET scan kuti iongorore kukura uye kutarisa mastasisita.
Bhiopsy inowanzoitwa kuitira kutarisa kushungurudzwa kwechirwere.
Kurapa
Kunyange zvazvo chikwata chekenza yeprostate isingawanzopora, inoporesa. Kusanganiswa kwezvipembenene zvakasiyana-siyana zvinowanzoshandiswa kwenguva yakareba yechinhu ichi chechirwere.
Hormone therapy - Hormone therapy inowanzotarisirwa kugadzirisa chirwere chetatu. Zvisarudzo zvakasiyana-siyana zvinowanikwa kuti kuderedze chiyero che testosterone mumuviri wako. Mimwe mishonga inomisa kubudiswa kwe testosterone, uye vamwe vanoshanda kudzivirira testosterone kubva pakukurudzira kenza yekenza yeprostate. Sezvo estrogen inoshanda semafuta ekusimudzira kuwedzera kwemasero echetere emvere, testosterone inoshanda semafuta kuitira kuti kukura kwekenza yekenza yeprotate.
Kuvhiyiwa kwepamusoro - TURP nzira dzimwe nguva inoitwa panguva ino. Kubvira pakero 4 kenza yeprotate ine tsanangudzo yakapararira kune dzimwe nhengo dzomuviri, kuvhiyiwa kubvisa prostate hazvibudiriri muku "kurapa" kenza sezvazvingava mumatanho ekutanga ekenza yeprostate. Izvi zvinowanzoitwa nokuda kwezviratidzo zvine chokuita ne prostate. Dzimwe nguva an orchiectomy (kubviswa kwetete) inowanzoitwa sechimiro cheHodmonal therapy.
Mazaiyo ane simba - Mazai anogona kushandiswa pamwe nehormonal therapy pakutanga kutarisa marwadzo, uye mushure mokunge mahara hormonal arega kushanda.
Mishonga inogonawo kushandiswa pamapfupa emasitema kuti kuderedza marwadzo.
Kurapa kwemapfupa emaspafu - Kurapa kwemafupa emasasa kunogona kusanganisira kusanganiswa kwemaawa ekurapa uye chirwere chemishonga chinonzi bisphosphonates.
Chemotherapy - Chemotherapy inogona kushanda kuparadzira upenyu hwevarume vane kenza yeprostate uyewo kunobvisa marwadzo nekuda kwemasastases.
Prognosis
Kufanirwa kwechikamu chechirwere chechina chirwere chinowirirana zvakasiyana zvichienderana nekuti kurega kenza yakapararira sei. Kuparadzanisa danho 4 kusvika muzvikamu zviviri:
Chikamu chechina neMasitasita emunharaunda - Kanzera yeprostate iyo inonzi chikamu chechina nekuda kwechiremera chikuru chemuviri (T4) kana nekuda kwekupararira kune lymph nodes iri pedo ine makore mashanu ekupukunyuka kweanoda kusvika 100%.
Chikamu chechina nemasitosti ari kure - Maererano nezuva reNational Cancer Institute reSeer, varume vane chirwere chepaneti chepaneti chechina (4 prostate) uye vakapararira kure nemakiromodhi (N2) kana kune dzimwe nzvimbo dzomuviri wakafanana nemapfupa, vane makore mashanu ekupona 28%. Kunyangwe izvi izvi ramba uchifunga kuti mishonga yepamusoro yekenza iri kuwedzera gore negore. Munhu wose akasiyana, uye miedzo yezvipatara nhasi inogona kuchinja nhamba iyoyo mangwana.
Kutsungirira
Dzidza nezvekenza yako. Iva nehanya nezvimwe zvirwere zvinokonzerwa nekenza yenguva yakazara kuitira kuti iwe ugone kugadzirirwa. Bvuma rubatsiro. Chikamu 4 kenza yeprostate dzimwe nguva inokonzera kurwadziwa kukuru. Taura nachiremba wako uye usaedza kuva "hero" uye usaporera zviratidzo zvako. Funga kubatana neboka rekutsigira kana kutarisa muIndaneti danho rekenza yekenza yeprostate.
Kana iri mudiwa wako ari kurwara nekenza yeprostate, dzidza mazano anokosha ekutsigira wadikanwa nekenza yeprostate .
Sources:
American Cancer Society. Kupona muzinga wekenza yeprostate. http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-survival-rates.
Kumar V, Abbas A, Fausto N. Robbins Pathologic Basis of Disease 7th Edition. 2004.
National Cancer Institute. Prostate Cancer Treatment - yevashandi vehutano (PDQ). http://www.cancer.gov/types/prostate/hp/prostate-treatment-pdq.