Chimiro chakatarisana neglanda chinowanzosangana nekenza yakapararira
Ibhedha reprotate inoratidziro mumurume weplonde ari munharaunda iri pasi pechidzara apo prostate gland rinosara. Izwi iri rinowanzoshandiswa mumamiriro ezvinhu ekuvhiya nzira inozivikanwa se- radical .prostatectomy iyo iyo prostate gland inobviswa mune varume inowanikwa nekenza yeprotate.
Pamusana pechigaro chayo chakatarisana, bhedha reprotate rinonyanya kunetseka pakupararira kwekenza.
Nemhaka yeizvi, bhedha re prostate (inozivikanwawo seprostatic fossa) inowanzotarisa kurapa kwekenza yechipiri.
Apo Radical Prostatectomy Inoratidzwa
Kuvhiya kunowanzoshandiswa kurapa kenza yeprotate kana isina kupararira ( metastasized ) kunze kweprostate gland pachayo. Irodical prostatectomy ndiyo nyanzvi yekuvhiya yakaitwa. Inosanganisira kubviswa kwese prostate gland uye mhuka dzakapoteredza, kusanganisira seminal vesicles (nhengo dzinoshandisa mvura inoshandiswa inogadzira mhuka). Pedyo lymph nodes inogonawo kubviswa.
Mu prostatectomy yakakura, prostate gland inogona kuwanikwa nenzira dzakasiyana-siyana:
- Nenzira yekudzivirira mucheche pasi (retropubic)
- Nenzira yekukanganiswa pakati pe anus uye scrotum (perineal)
- Kuburikidza nechikwiriso chinonzi keyhole uchishandisa chidimbu chinoputika, chine chiedza chakashandiswa chinonzi laparoscope (laparoscopic)
Chisarudzo chekuvhiya chinoenderana zvikuru nechinangwa chekurapa.
A retropubic prostatectomy inowanzoshandiswa kana vanachiremba vachifunga kuti kenza yakapararira kune lymph nodes. A laparoscopic prostatectomy inonyanya kuderedza asi inoda chiremba anyanzvi (uye haingawaniki mumakiriniki ose).
Pakati pavatatu, chirwere chepineineal prostatectomy hachiwanzoshandiswi nokuti zvinowanzokonzera mhirizhonga inokonzera matambudziko ekugadzirisa.
Bhedheni reProstate muCcercer Treatment
Ibhedha reprotate inzvimbo inokosha yekuisa pfungwa kune varume vanotarisa prostatectomy. Ndiko apo masero anouraya anowanzowanikwa mushure mokunge gland rabviswa. Iyowo nzvimbo iyo kenza inowanzodzoka kune vanhu vakambobatwa nehutachiona.
Nokuda kwezvikonzero izvi, chirwere chinonzi adjuvant (secondary) chirwere chinogona kushandiswa kuve nechokwadi chekuti masero ekenza akadzingwa. Panguva iyi, chero sarudzo yekudzoka inowanzobatanidza kuongororwa kwebhedha reprostate uye mazamu akaipoteredza.
Adjuvant Radiation Therapy uye Prostate Bed
Mushure mokunge prostatectomy yakakurumbira yakaitwa, chiremba achada kugara achicherechedza mamiriro ako nehutano weAIDS unonzi prostate-specific antigen (PSA) kuedza. IPSA inoshandiswa kuona kuora kwe prostate gland. Mushure mokunge gland rabviswa, PSA inofanira kudonha kusvika pane zvisingabviriki mumwedzi kana kupfuura.
Zvisinei, kana PSA inotanga kubuda, chiremba wako angaratidza nzira inonzi inonzi radiation radiation therapy. Izvi zvinopa mazai akachengetedzwa zvakananga kumubhedha weprostate uye mhuka dzakapoteredza. Iko dzimwe nguva inoitwa pamwe chete nehomoni inorapa kuti uvandudze chirwere chemari.
Dhiyabhorosi inonzi Adjuvant iyo inogona kunge yakakurudzirwa kune varume vanofunga kuti vari pangozi yakakura yokudzoka zvakare. Nzira yacho inoitwa nokukurumidza mushure meprotatectomy kuti ive nechokwadi chekuti zvose zvinoratidza kenza zvinourawa. Vanenge makumi matanhatu kubva kuzana kubva muzana yevarume vanoita prostatectomy yakawanda vangangodzokorora zvakare.
Kune varume vanoona kudzokorora munharaunda yemubhedha weprostate, asi pasina metastasis , chirwere chinonzi radiation remishonga chinogona kurongerwa. Chinangwa chokurapa chirwere ndechekutonga (panzvimbo pekurapa) kenza uye kuzvidzivirira kubva pamasitasita kunze kwenzvimbo iri pedyo. Hazvina kukodzera zvirwere zvemasastatic.
Zvimwe zvinokonzerwa nemishonga inonzi radiation zvinogona kusiyana-siyana zvichienderana nharaunda kana nzvimbo yakapararira kenza. Iva nechokwadi chekukurukurirana nachiremba wako izvo zvaunokwanisa kutarisira mberi usati wafunga pane imwe nzira yeradio inonzi radiation.
> Sources:
> Barkati, M .; Simard, D .; Taussky, D. et al. "Magnetic resonance imaging for prostate bed radiotherapy urongwa: Unyanzvi huri pakati nepakati nekucherechedza." Zvinyorwa zveMuchiratidzo Zvokurapa uye Mishonga yeMagetsi Oncology . 2015; Epub mberi kwekudhinda).
> Herrera, F. naBerthold, D. "Kurapa Kwemvura pashure peRadical Prostatectomy: Zvinokonzerwa neCliniki." Mitsva muOnology. 2016; 6: 117.