Unoitei Kana Yakapararira?
Sezvo teknolojia inofambira mberi, kuwedzera kwedu kweruzivo kunovandudza. Munguva yakapfuura, kutaura "kenza" kwaizotaura zvose. Zvaireva kuti mumwe munhu ari kufa. Ndinofara, izvi zvinoshanduka uye tinotsanangura mumwe munhu anotaura nezvekutsvaga kwaro kunobva paanowira mukati mehupamhi. Zvinhu zvakawanda zvinotsanangura zvinoreva kusanganisira ukuru, nzvimbo, uye gorosi yemarara. Heano mamwe mazano ekutanga pamusoro penzvimbo yekenza uye kuti inobatana sei nekujekesa uye kusarudzwa kwekurapa.
Kucherechedza Kenza yeProstate
Isati yasvika pakatanga kufungidzirwa kwe-3-Tesla yakawanda-parametric MRI, kenza yakawedzera-capsular prostate yakangowanikwa apo chiremba ainzwa chisina kumira kunze kweglandedzwa neruzhinji rectal examination . Iye zvino, kufungidzira kwemazuva ano uye teknolojia yakakosha kunoita kuti tione zvidimbu zviduku zvekenza zvinopararira kuburikidza ne capsule. Kanzera inopararira kunze kwekaputile yeglandeni kana kuti mumasinical vesicles, apo CT uye bone scan zvisinganzwisisiki, inonzi "inowanikwa munzvimbo ino." Pasinei nokuve nekenza yakapararira kupfuura kapule yeglandu, mazai ezuva ano ane IMRT, kazhinji ne chirwere chechirchytherapy, chinogona kuva chakakosha pakuraira chiremera chikuru.
Kanzera inogona kuporeswa kana ichinyanya kufambira mberi chero bedzi chirwere chacho chinoramba chichigadzirirwa munzvimbo yakawanda pakarepo yakapoteredza prostate. Zvakaitika zvinoratidza kuti kenza yepamusoro ye prostate inowanzowanzobatanidzwa nemaitiro mashoma emakirini emakumbo emakumbo.
Prophylactic miviri yepilvic pamwe chete ne testosterone inactivation pharmaceuticals (TIP) inofanira kuonekwa zvakasimba senzira yekudzivirira.
Mushure mokutanga kutanga neCCT kana bone scan, dzimwe nguva imwe kana maviri metastases inoonekwa. Mamiriro ezvinhu anokonzerwa nemasitaji mashanu kana mashoma anonzi "oligometastases" (oligo muGiriki zvinoreva "vashoma").
Chirongwa chetsika chemazuva ano chinotarisirwa kuti chero zvipi zvese zvinowanikwa zvinongowanikwa "inongova yechando," kuti kunyange imwe metastasis inogara ichiratidza kuti mamwe maitiro emagetsi akawanda ari mune dzimwe nzvimbo dzomuviri. Kutenda uku kunotangira munguva yakapfuura apo kuongorora kwakanga kusina kunyanya uye mastasisiti huru chete inogona kuonekwa.
Treatment Options
Iye zvino, mukana wekuporesa varume ne oligometastase nemirairo yakatarwa haifaniri kuregererwa. Kuramba uchida kurapwa nguva dzose nguva dzose kunotungamirira kune mamwe masisita pasi pasi. Zvinosuruvarisa apo kururamisa kwakananga kwakadai semarayiti kune imwe nzvimbo iri kure yakasviba kana mastasisis yemafupa inongororwa chete kunze kwekutya kwekutya kuti "haigoni kushanda." Apo oligometastases inobatwa nehudhi, humwe hutano hwehutano neTIP, uye zvichida ne Taxotere inofanira kunyatsofungwa.
Apo pfupa inopenya kana CT magwisi anoratidza nhamba yakawanda yakawanda yemasitosita, mizinga yakareba haisisvikiki nokuti miviri yakawanda kune nzvimbo dzakawanda dzefupa inokanganisa mafupa emapfupa. ZANO ndiyo inotanga kurapwa kwevarume vane mafupa akawanda emasitema. Ikozvino panewo uchapupu hune simba hwokuti kuwedzera Taxotere chemotherapy kune TIP inowedzera kuponesa kupona uye inovandudza kutarisana kwekenza.
Mukuwedzera, mumiririri anotsigira akadai saXgeva kana Zometa anofanirawo kutarisirwa. Dhiyabhorosi inogamuchirwa neDAA inonzi inonzi mafiroti inonzi Xofigo yakaratidzwawo kuti iwedzere kupona uye inonyatsogadzirisa marwadzo emapfupa.
Zvisingawanzoitiki, kazhinji pamatanho akakwirira zvikuru kenza yeprotate inogona kupararira kumapapu kana chiropa. Varume vane mapapu emapapu vanowanzopindura zvakanaka kune mishonga yakasiyana-siyana. Chiropa chinonzi metastases chinowedzera kuipa uye hachikwanise kupindura mahomoni. Apo chiropa chemasastases chiripo, pakarepo chemotherapy inoratidzwa. Ndakaonawo kubviswa kunobatsira kubva kuchiropa chechiropa nechirapa iyo FDA-inogamuchirwa nekenza yekoloni inonzi " SIR-Spheres ," chimiro cheradio inopinza iyo inopindirwa muropa rinopa chiropa.
Chirwere cheprostate chinouya munzira dzakasiyana-siyana. Kugadzirisa kwakanaka kunoda kudongeka kwakarurama uye chirongwa chinogadziriswa chirongwa. Kuti zvive nezvibereko zvakanakisisa, varwere vanofanira kuva nehutano hwehutano hwehuwandu hwehutano hupi kana huwandu hwekuongorora hunoonekwa nekenza inopararira kunze kweprostate.