Metastases ndizvo zvinokonzera kenza ngozi. Kusachengetedzwa kwemasero kwekukura kwechimiro kunokanganisa chimiro chechimiro chinoshanda. Zvimwe nhengo, semakirini ane nhengo dzemuenzaniso , dzinoramba dzichishanda zvakanaka, kunyange kana kenza yapararira yakazara. Nokudaro, lymph node inopararira ndiyo imwe nzira ine ngozi yekenza yeprostate metastases. Kune rumwe rutivi rwomukati wechirwere ndicho chiropa, icho chisingaregi kubvumira.
Kukosha kwemasitasasa emapfupa, nzvimbo inonyanyozivikanwa yekenza yeprotate yakapararira, inenge inenge hafu yepakati peiyo inonzi metastase nechiropa chemasastases. Nenzira yakanaka, chiropa chemasastase hachiwanzoitiki apo kenza yeprotate inotanga kuonekwa. Chiropa chinowanzoitika mushure memakore mazhinji ekurapa.
Zviitiko Zvinopesana Nengozi Yemarudzi eProstate Cancer
Paanenge achitaura nezvekenza yeprostate, nokuti shoko rokuti "kenza" rinowanzokonzera kutya kwakanyanya, inofanira kugara ichiyeukwa kuti dzakawanda dzinotsika uye hadzina kupararira. Aya mabhii akakwirira "kanzira" ane mazita akasiyana uye anomiririra chikamu chakasiyana zvachose chezvirwere izvo zvisingagoni kugadziriswa. Zvisinei, patinenge tichitaura nezvemhando yekenza yeprotate ine simba rokupararira, zvinotevera zvinokanganisa kuti zvinotyisa sei:
- Nzvimbo yekupararira, iyo nhengo yakagadzira matanho
- Kuwanda kwekupararira, huwandu hwechirwere hunotyisa.
- Icho chiremara chekukura kwezinga chinoratidzirwa nePSA nguva yechipiri
- Kubudirira kwehutano huripo, chimwe chinhu chakakonzerwa nehuwandu hwemishonga yapfuura idzo dzatoedzwa
Sezvakataurwa pamusoro apa, chiropa hachina kunyanya kubvumira kuitika kwemasita kupfuura chepa kana lymph nodes. Mukuwedzera, nokuti metastases yechiropa inowanzoitika kune varume vane hutachiona hwakanyanya, maronda ekukura maitiro anowanzotanga.
Uyewo, marapirwo anowanzoshandiswa zvakadai sehommone therapy uye chemotherapy ave kazhinji atoedzwa. Kuwanikwa kwechiropa metastases, saka, inokura zvakanyanya.
Kucherechedza chiropa chechiropa
Chiropa chinonzi metastases chinowanzotanga kufungidzirwa kana mukana wehepatic panel wekuyera ropa hauwanzoitiki. Kuongororwa mukati mechikonzero chekusava nekuenzanisa kweropa kunowanzoita kuti kuve kweT CT scan kana kuti MRI scan, iyo inotungamirira pakuonekwa kwemasastases muropa. Zvichida, kuverenga kunogona kutora nzvimbo dzisina kumira mukati mechiropa mune nzira yakajairika ye periodic scanning iyo iri kuitwa sechikamu chepurogiramu yenguva dzose yekucherechedza.
Treatment Options
Utachiona hweHormone naLupron, Zytiga, uye Xtandi, kana chemotherapy naTareotere, Jevtana, uye Carboplatin, ndiyo nzira yakakodzera yekurapa kwechiropa chemastasis. Zvisinei, kurapa uku kungave kwakaedzwa uye kuri kurasikirwa. Sezvo chiropa kukundikana kwakafanana nekufa, kenza yeprostate kukura mumuropa inofanira kumira, pasinei nokuti chirwere ichi chiri kudii mumuviri wose, kureva, mapfupa uye lymph nodes.
Zvidzidzo zvinogona kudzidziswa kubva mumukanda wekoloni nokuti chiropa chemasastases kubva mumasikirini emakoroni emakoroni akajairika.
Mishonga yekenza yekoloni iyo inowanzoshandiswa inosanganisira kuvhiyiwa, kupiswa kwezuva uye kuvharwa kweropa kunopa chiropa kuburikidza nekugadziriswa kwemariti, zvose zvine kubudirira kwakasiyana. Munguva pfupi yapfuura, microspheres ye radioactive yakagamuchirwa kuti iwanike muropa rinopa chiropa. Iyo microspheres inonzi SIR-Spheres. Vakaratidza kuti vanobudirira chaizvo uye vane zviremera zvakanyanya.
Chirwere cheprostate uye chirwere chekoloni chinokonzera kufanana nemhepo. Sezvo zvakadaro, zvinonzwisisika kufunga kuti SIR-Spheres ichave nechinetso chekudzivisa pamuitiro wekenza yeprostate muropa.
Mune tsika yangu, takakurudzira SIR-Spheres kune vane chirwere chekenza yeprostate vane metastases yeropa. Migumisiro yave ichikurudzira nekuvandudza kunoshamisa kwekupona kwakaenzaniswa nezvakaitika kare munguva yekenza yeprostate vane chiropa chechiropa. Chigumisiro chevatanhatu vatatu vanorapwa ne SIR-Spheres vakarongerwa kuti vauye muhurukuro pa 2016 Gastrointestinal Cancers-ASCO Symposium.