Izvo zvinogona kufanotaura kuti iwe unogona kuwedzerazve kanama yekenza
The D'amico classification system ndechimwe chezvinhu zvakanyanya kushandiswa pakuongorora kenza yekenza yeprotate. Pakutanga yakagadzirwa muna 1998 nemutsvakurudzi wezvokurapa anonzi D'amico, urongwa hwehutsananguro urongwa hwakagadzirirwa kuongorora njodzi yekudzokorora shure kwekurapwa kwekenza yekenza yeprotate. Inoratidzira varwere muzvikamu zvitatu zvinokonzerwa nehuwandu hwekudzokorora: pasi, mukati, uye pangozi yakakura, uchishandisa zviyero zvakadai seropa PSA mazinga , Gleason mahara, uye zvikamu zvechirwere neT-scores
Basa nekukosha kweA amico Classification System
I-D'amico ngozi yeboka yekugadzirisa urongwa hwakagadzirirwa kuenzanisa mukana wekudzokorora kune mumwe murwere achishandisa sarudzo yezvigadziriswe uye inoshandiswa zvakanyanya semumwe wevanhu vakawanda vakaongororwa matambudziko ekushandisa. Kuongorora uku kunogona kubatsira avo vanorwisana nekenza yeprostate kuti vaite chisarudzo chakanaka maererano nehutano hwavo.
Nokurondedzera kenza yako yeprostate sechikamu cheimwe yemapoka matatu aya, urongwa uhwu hunogona kukubatsira iwe nachiremba wako kuti uite mamwe mazano ekurapa. Kune zvikonzero zvakawanda zvokufunga nezvazvo paunenge uchisarudza nezvekenza yekenza yeprotate , kusanganisira hurefu hwehupenyu hwehupenyu uye humwe hutambudzi hwezvinhu kana hutano husingagumi huripo. Zvose mishonga yekenza ye prostate inotakura imwe yengozi yezvinetso kana zvinetso. Kunyanya kunetseka uku kunogona kusiyana kubva kumunhu kusvika kune munhu, asi zvakakosha kuchengeta mupfungwa pakusarudza hurongwa hwekurapa.
Mashandisirwo Akaitwa Nesimba
Kutanga, zvakakosha kuunganidza nhamba yako:
- PSA: Iwe unoda zviitiko zvekuongorora kwako kwePSA, kuongororwa kweropa kunoona prostate-specific antigen - puroteni inogadzirwa nemasero muprostate yako.
- Gleason chikamu: Migumisiro yechikwata chako cheGleason , chinopiwa zvichienderana nekuoneka kwechimiro chemasero ekenza yako.
- Chikamu chekuita zvechikamu T chikwata: Uye yako T , chiyero chekukura kwemuviri wako sezvinoonekwa pane ultrasound kana panguva yekuongorora rectal.
Uchishandisa nhamba idzi, njodzi yako inogona kuiswa se:
- Dambudziko guru: Vaya vane PSA vasingapfuuri kana vakaenzana ne10, Gleason chikamu zvishoma kana chakaenzana ne6, kana vari muchipatara chetatu T1-2a
- Nharaunda yapakati : Varume vane PSA pakati pe10 ne20, yeGleason chikamu che7, kana vari muchipatara chiitiko T2b
- Kungozi-mungozi: Avo vane PSA vanopfuura makumi maviri, chikwata cheGleason chakaenzana kana chikuru kune 8, kana vari muchipatara chetatu T2c-3a.
Zvinotsvakurudzwa Nezvesayenzi NezveNyika
Zvidzidzo zviviri zvaisanganisira zviuru zvinopfuura 14 000 zvekenza yekenza yekenza yakaona kukwanisa kufanotaura nezvekenza-chaiyo uye yehuwandu hwehupenyu hwehupenyu pamwe chete nekliniki yehutano hwehutano hwakadaro hwekugadzirisa urongwa hwehutano hwemazuva ano.
Idzo zvidzidzo dzinofungidzira kuponeswa kwemashure mushure mekuvhiyiwa neye nzira inonzi Kaplan-Meier nzira. Kuongorora uku kunotarisa kushandiswa kwehupenyu hwehupenyu hwehupenyu huripo (BRFS), kureva kupona kubva mumukenza weprostate usina kukwana zvakakwana PSA yepamusoro kuti ataure kuti chirwere chinodzokorora, mahara muvarwere mune zvikamu zvakasiyana zvekenza. Izvo zvakagara zvataurwa kuponeswa kwemitambo zvakabva zvichifananidzwa nematambudziko chaiwo kuti aone kana kushandisa D'amico ngozi-based classification system yakabatsira murwere kuita chirongwa chekupa ruzivo rwekurapa uye saka mikana yakawedzera yekupona.
Zvidzidzo zvakawanikwa kuti varume vaiva nehuwandu hwehuwandu hwehuwandu hwavo huripo (hwakadai seAndio-risk-based classification system) hwakanga huine huwandu huripo hwehupenyu hunotevera hutano hwekenza yavo yeprostate, zvikurukuru avo varume vane ngozi yakawanda yekudzokorora.
Zvisinei, iyo hurongwa haikwanisi kunyatsoongorora zvakananga njodzi yekudzoka kune avo vane mungozi yakawanda. Sezvo kenza yekenza yeprotate ine mikana yakawanda inokonzera kuwedzera, D'amico classification system ingasave yakakosha kune varume vane kenza yeprostate uye vanachiremba avo semamwe maitiro ekuongorora.
> Sources
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