Wakaonekwa kuti une kenza yeprostate , unoitei ikozvino? Munhu wese akasiyana uye kusarudzwa kwekurapa kunoenderana nezvimwe zvinhu. Kuti ikubatsire kusarudza nzira yekurapa, vanachiremba vazhinji vanotarisa makore ako, hutano huzhinji, Prostate Specific Antigen (PSA) , Gleason Grade , Cancer Stage (kusanganisira zvidzidzo zvipi zvese zvemashoko emangwana zvinogona kunge zvakaitwa), Kanzura Volume iri muprostate yako) uye nhoroondo yako yekare yezvechiremba (upi upi uye matambudziko emishonga wawakave nawo kare).
Varwere vazhinji vari kutsvaga mhinduro "yakarurama". Vanonzwa kana vakatarisa zvakaoma uye vanoverenga zvakakwana vachawana mhinduro. Izvo zvatinowana ndezvimwe pfungwa dzinosanganiswa mune chokwadi uye zvidzidzo zvidzidzo. Ndinopa varwere vangu kuwana mhinduro iyo "yakarurama" kwavari. Kurapa kwemurume ane makore 50 ane Gleason 8 kenza inofanira kunge yakasiyana nemurume ane makore 78 ane kamudiki kadiki, kenza yeGleason 6. Mishonga yose inonzwisisika kune vamwe varwere asi kwete varwere vose. Kubudirira uye kunyara kwehutano hwega roga kunofanira kuongororwa zvakaringana vasati vatanga kurapwa.
Chimwe chezvisarudzo zvokutanga zvaunofanira kuita ndezvekuti kenza yako inoda kurapwa here kana inogona kuchengetedzwa zvakanaka.
Kurindira Kurindira
Mune vamwe varwere, imwe nzira yekubata chero kushandiswa kwekushanda uye kutevera PSA ndiyo nzira yakanakisisa. Tinodana iyi kumirira kurindira kana kushandiswa kwekushanda. Izvi zvinowanzoitwa nechezasi yegorosi uye yepamusoro yesero rekenza yekenza.
Ichowo chisarudzo chakanaka mumurume asina hutano kana mukuru. Kunyatsoongorora kunoreva nguva dzose PSA kuongorora uye kazhinji kunosanganisira wechipiri biopsy (Zvinokurudzira kubva pamwedzi mitatu kusvika kune 1 gore mushure mekuongororwa). Kana pane chero nguva kenza inotanga kufambira mberi kubatwa kwakasimba kunogona kushandiswa. Inofungidzirwa kuti inenge 25 muzana yevarwere vakakodzera vakanyoreswa mumitambo yekumirira vachimirira vachatsvaga kugadziriswa kurapwa panguva inotevera.
Active Treatments
Kunyatsoshanda kurapwa ndiko kurapwa nechinangwa chokurapa, kubvisa kana kuuraya masero ose ekenza. Pane 3 maitiro anoshanda maitiro ekurapa.
Surgery
Kuvhiya kwekenza yeprostate kunobvisa yose prostate gland uye mhuka dzakapoteredza. Izvi zvinogona kusanganisira seminal vesicles uye lymph nodes. Kuvhiyiwa kunonzi "Radical Prostatectomy" uye kunogona kutaurirwa nenzira dzakasiyana.
Robot-Kubatsira Radical Prostatectomy
Ne chirongwa ichi chekuvhiya, chiremba wako anowanzoita zviduku zvitanhatu mumudumbu mako pasi. Kuburikidza nekufungidzirwa uku, zviridzwa zvinowanikwa izvo zvinotungamirirwa nechiremba wako kuburikidza ne robot. Chinhu chinonyanyozivikanwa chebhobhoti ndiyo da Vinci Surgical System. Zvakanakira robotic prostatectomy ndezvokuti kazhinji kazhinji kurasikirwa kweropa, kuonekwa kwakanaka uye nguva yakareba kwenguva yakareba yekutengesa kateter. Chinhu chinonyadzisa ndechekuti hapana mhinduro yakananga kune chiremba (chiremba asingakwanisi kunzwa manzwi ako) uye pane chidzidzo chekudzidza zvakasimba kune iyi nzira. Vazhinji vatsva vehuroyi vadzidzisi vanongodzidziswa kuita hutachiona hwe prostatectomy nenzira iyi.
Radical Retropubic Prostatectomy
An incision inogadzirwa kubva pasi pemubilicus kumusoro kwepublicic bone.
Zvikomborero zvinosanganisira chirwere chiduku uye naizvozvo vashoma anesthesia uye zvakazara tactile kunzwa nechiremba. Kuderera kunowanzova kurasikirwa kweropa kuderera uye urefu hwekatheta huripo.
Nhoroondo ye prostate yakabviswa kuburikidza neine perineal incision (pakati peanus and scrotum) asi izvi hazvibvumi kutarisana nemakiriniki uye hazviwanzoitiki. Nzira yakachena yeparparcopy (isina kushandisa robot) inoshandiswa nevarapi vashoma vanovhiya.
Ngozi dzekuvhiya kwose dzinosanganisira kurasikirwa kweropa, kusava nehanya, erectile kusagadzikana nekukuvadzwa kune zvivako zvakakomberedza. Pane humwe humwe uchapupu hunoratidza kuti chero nzira imwechete inoderedza zvakanyanya dambudziko rekudzivirira kana erectile dysfunction.
Pasinei nedzimwe nzira yakashandiswa iwe unoda kuva nechokwadi chokuti chiremba wako anokwanisa uye anonyatsosununguka mumusarudzo yakasarudzwa.
Radiation inoshandisa simba-ray x-ray kuti iuraye masero emukenza. Kune marudzi akawanda emishonga inopisa mazai uye maitiro matsva anoshandisa zviratidzo zvakagadzirirwa mu prostate gland saka pane chinangwa chekuedza simba pa. Nzira itsva dzehutachiona dzakadai seProteton Beam Therapy hazvifananidzi kuratidza kuti zviri nani kana kuti dzakachengeteka pane zvino.
Miridzo inopiwa nenzira mbiri dzakasiyana. Bhabheri rekunze rine chinyorwa chekunze chinopindira mazai epa prostate. Brachytherapy ndiyo nzira iyo mbeu inogadziriswa inowanikwa mu prostate. Kubudirira kunoenderana nekururama kwekusunungura marwadzo uye kukanganisa kwekenza masero. Mishonga inowanzosanganiswa nemahomoni mune mamwe kanzira ine utsinye.
Cryotherapy
Cryotherapy ye prostate ndiyo nzira iyo maitiro eprotate ari akaoma uye anotengesa kuuraya masero. Nzira dzemazuva ano dzinoshandisa argon uye helium kuti zvibudirire izvi uye nzira yekufambisa / tsvina inodzokororwa kaviri. Nzira yacho inowanikwa muimba yekushandisa pasi peanesthesia. Cryotherapy inoshanda chete kana kenza iri mukati me prostate. Iyo nzira inowanzoshandiswa kana kenza iri munzvimbo imwe chete kana mushure mekukundikana kwemaawa ekurapa. Zvikomborero zvinosanganisira kugara kwenguva pfupi kuchipatara uye nekukurumidza kudzokera kune rimwe basa mukuenzanisa nekuvhiyiwa. Kukanganiswa kunosanganisira mazinga akareba eEcuctive Dysfunction pane mazaisai kana gland rose rakaoma.
Non-Curative Treatments
Chirwere cheprostate chinokura mukupupurira testosterone, mukomana weshure. Kudzivirira kana kubvisa testosterone kuchaita kuti masero akawanda adzoke kana kufa. Kwemakore akawanda iyi ndiyo chete yekurapa kwechirwere chemasastatic. Munguva yakapfuura, matete aifanira kubviswa (orchiectomy) asi zvino mishonga yenguva pfupi inogona kujowa kuti iite chinangwa chimwe chete. Hormonal therapy inowanzoshandiswa pamwe chete nemishonga inonzi radiation.
Nzira mbiri dzepamusoro dzinoshandiswa kudzivirira testosterone: kuvhara iyo kugadzirwa nekuvhara mukoko. Izvi zvinowanikwa mumarudzi akawanda kusanganisira mapiritsi, implants, uye injection. Mishonga yakawanda mutsva yemukenza weprostate inoshandisa nzira dzakanakisisa dzekuvhara maitiro e testosterone kana kudzivirira mutori.
Chemotherapy
Chemotherapy yekenza yeprostate inowanzoshandiswa apo mahomoni akundikana. Kufambira mberi kwakawanda kwakaitwa mumakore gumi apfuura.
HIFU
High-Intensity Focused Ultrasound ndiyo teknolojia inoshandisa mazai e ultrasound ayo anotarisa munzvimbo duku. Izvi zvinokonzera kupisa kukuru uye inouraya masero. Nemhaka yekushanda kwokutanga kushanda, iyi nzira inongowanikwa pasi pekutsvakurudza protocol muU.S.
Sipuleucel-T (Zvimwe) Sipuleucel-T chirwere chepachirwere chepirate chekenza ye prostate. Izvo zvinorehwa kuti zvive zviratidzo kana kuti zvishoma nezviratidzo zvirwere zvine metastatic castrate-resistant prostate kansa.