Mushonga wekenza yepenticular unogona kusiyanisa zvikuru zvichienderana nemhando uye chikwata chekenza. Mishonga inosanganisira kuvhiyiwa kubvisa testis kanonzi kanzira, iyo inogona kuteverwa ne chemotherapy , remishonga inonzi radiation kana kutizve kuvhiyiwa kubvisa lymph nodes.
Chii Chinoitika Pashure peTestalular Cancer Treatment
Mushure mokunge kurapwa kwapera, kutevera kunowanzobatwa nehofisi yekushanyira pamwe chete nekuongorora ropa uye kufungidzira.
Chinangwa chikuru chekutevera ndezvekufumura chero kudzokera kwekenza. Kunyange zvazvo kenza yepamusoro inogona kuporeswa kunyange mumatanho akapfuura, mugumisiro unogona kunge uri nani kana kenza yakawandisa.
Chinangwa chechipiri chekutevera ndechekugadzirisa nyaya chero ipi zvayo kana matambudziko angave akabuda semugumisiro wekurapa. Izvi zvinogona kusanganisira zvinetso kubva chemotherapy, zvakadai semapapu emapapu, kuora kwemumhino mumaoko nemaoko kana zvinetso zvepvo. Panogona kunge kune nyaya dzisingabatsiri dzinokonzerwa nekurapwa kunoda kupiwa mazano, kutumira kana dzimwe nzira.
Kudzokorora kweSystem uye kuongorora kweMweya
Panguva yekushanya kwehofisi, mamwe mimwe mibvunzo inobvunzwa inoteverwa nekuongorora kwepanyama. Zvose izvi zvinotungamirirwa pakutsanangura chero zviratidzo kana zviratidzo zvinogona kuratidza kudzokorora kwekenza.
- Kudzokorora kweHurongwa: Kuongorora kwehutano inzira yekubvunza mibvunzo chaiyo kuti iongorore zvimwe zvirongwa zvemuviri uye zviratidzo zvichida zvine chokuita nekenza kana kurapwa kwayo. Mibvunzo iyi yakagadzirirwa kuti aone kana pane chero chinhu chitsva kana chinopfuurira chinogona kuva uchapupu hwekenza yenguva dzose. Semuenzaniso, kurwadziwa kweperi shure kunogona kuva chiratidzo chokuti kenza yakapararira kune boka rezvizivo zvinonzi se retroperitoneal lymph nodes, saka iwe unogona kubvunzwa kana iwe uri nechepamusoro unorwadza shure. Kenza yechipupuridzo inogona kupararira kumapapu anokonzerwa nekukanganiswa uye kupfupika kwemhepo, saka unogona kubvunzwa pamusoro pezviratidzo izvi. Mimwe mibvunzo yakawanda inogona kubvunzwawo zvakare, asi inenge yose inotungamirirwa kutsvaga uchapupu hwekenza kana zvinetso kubva mukurapa kwayo.
- Kuongororwa Kwepanyama: Kuongorora kwepanyama kunotarirwawo kutsvaga uchapupu hwekenza. Maitiro akawanda uye nzvimbo inowanzoongororwa. Dumbu rinoongororwa kuburikidza ne palpation (kukudzvisa uye kunzwa neminwe). Kana i-retroperitoneal lymph nodes yakakwana yakawedzerwa, inogona kunzwa sekurwa kwemuviri. Mipapu inoongororwa kuburikidza nekuteerera ne stethoscope kunyatsoteerera chero kusakanganisika kupi zvingaratidza kuti kuvepa mapapu nekenza. Icho chinosara testis chinonzi palpated. Izvi zvinonyanya kuitwa nekuda kwekuti chiitiko chechipiri chekenza chepereticular chinowanzoonekwa kune mumwe munhu atova nekenza yekenza. Zvimwe zvikamu zvekuongorora kwepanyama kunogona kusanganisira kuongorora zvinhu zvakadai sekuongorora mamwe mapoka emakirini uye kuteerera mwoyo.
Laboratory Assessment
Mukuwedzera kune kuongororwa kwehurongwa uye kuongorora kwepanyama, kuongororwa muhofisi kunowanzobatanidza kuongororwa kweropa pamwe zvakare. Kuyera ropa kunoitwa zvikuru kunyanya kutsvaga chiremara chakakosha chinogona kukwidziridzwa kana kenza ichiripo kune imwe nzvimbo yakadai semakirinikodhi kana mapapu. Kuongororwa kweRopa kunogonawo kuitwa kuti uongorore zvinetso kubva mukurapa sechem chemotherapy. Izvi zvinogona kuve kuongororwa ropa kuitira kuongorora itsvo kana maroro basa, iro rinogona kuchinjwa nekemotherapy kune zviyero zvakasiyana uye nguva.
Imaging Studies
Zvichida chinonyanya kutsanangurwa chekutevera-kutarisira ndezvekushanda kwezvimwe zvidzidzo zvekufungidzira. Rudzi rwekudzidza uye ruzhinji runoenderana nesiteji uye kurapwa kwekenza. Chimwe chezvidzidzo zvakajairika zvekufungidzira ndeyebhokisi x-ray. Izvi zvinoitwa kuona kana kune kenza mumapapu. Kana kenza yakanga iri mumapapuse akambodzwa uye yakarapwa nekemotherapy kana kana pane zviratidzo zvinotyisa zvemapmonari, kazhinji kechipiri CT scan ichaitwa panzvimbo ye x-ray. CT inoona ine chigadziriso chikuru uye inonyanya kunzwisisika, asi inodhura zvakawanda uye inobatanidza zvakanyanya kuwedzererwa kwemavara kupfuura x-ray. CT inoongorora inowanzoitwa mudumbu nemapuranga kunyatsotarisa kubatwa nekenza kwema-retroperitoneal lymph nodes.
Kakawanda uye Nguva Yekuongororwa Kwekutevera
Kakawanda sei uye kwenguva yakareba kuongororwa kupi kuitika kunoitwa chisarudzo chinowanzoitika pakati pemurwere uye vanoshanda nekenza. Mirayiridzo inobva kumarudzi akasiyana-siyana inowanzokurudzira kushanyira mwedzi mitatu kusvika ku12 kusvika kumakore mashanu. Nenguva yakawanda sei uye yakawanda sei CT inoongorora uye x-rays inoitwa inosiyana zvichienderana nesiteji, rudzi, uye kurapwa kwekenza yepenticular. Nhamba yeT CT scans inowanzobva kune 2-10 kwemakore mashanu ekutevera kurapwa.