Kana iwe wakaziviswa kuti iwe kana munhu waunoda ane kenza yepamusoro yeprostate , iwe unenge uchinzwa uchizvidya mwoyo zvikuru. Izvi zvinorevei? Inobatwa sei? Kunyange zvazvo kenza yeprotate inonyanya kuwanika mumatanho ekutanga echirwere, hazvisi zvisinganzwisisiki kuti chirwere chinowanikwa kana chirwere chichipfuurira, chinoreva chimiro 4. Zvinogona kubatsira pakunzwisisa danho iri rechirwere kutanga kutarisa zvinongororwa kune vanhu vane kenza yeprostate.
Prostate Cancer Staging
Chirwere cheprostate, kufanana nekenza yose, inowanikwa mumatanho akasiyana-siyana mukati mehutachiona. Kuongororwa kwekenza yeprotate kunogona kuitika chero ipi zvayo. Kunyange zvazvo kenza iyi inononoka-ichikura uye inogona kuramba iri yoga mu prostate kwemakore akawanda, pakupedzisira (kana dzimwe nguva nokukurumidza), inogona kuenderera mune dzimwe nzvimbo dzomuviri.
Mushure mekuongorora kenza yeprostate kunopiwa, kuongororwa kweropa, kuongororwa kwekufungidzira, uye mamwe mimwe miongororo inowanzoitwa kuti iongorore kufambira mberi kwekenza yemurwere uye inotarisa kana uye uye kupi uko kenza yakapararira kunze kweprostate. Izvi zvinogadzirisa "danho" rekenza yeprostate uye inotsanangura zvakaenzana nekupararira kwayo mumuviri, uye inokosha mukugadzirisa nzira yakanakisisa yekurapa kumurwere.
Vanachiremba vazhinji vanoshandisa TNM System kuti vaongorore denderedzwa uye kupararira kwekenza yeprostate mune murwere. "T" inomirira "chirwere," uye inoreva kuwanda kwekenza huru; "N" inomiririra "nodes," uye inoreva kana kwete kana kenza yakapararira kune lymph nodes pedyo, uye "M" inomiririra "metastasis" uye inoreva kuti kana kwete chirwere chakapararira kudarika chipfupi cheprostate munzvimbo dzakapoteredza uye yose yomuviri.
Izvi zvitatu unhu hunoita "danho" rekenza yepirate yevarwere. Kune zvikamu zvina zvinoshandiswa zvakanyanya kurondedzera kufambira mberi kwekenza yeprotate:
- Nhanho 1: Kanza inowanikwa panzvimbo yeprostate uye haigoni kuonekwa muongororo dzese.
- Chikamu chechipiri: Kanzera ichiri kunzvimbo yeprostate asi yakawedzera muhukuru.
- Chikamu chechitatu: Kanzera yakapararira mberi kweprostate asi yakabatanidzwa kune mishonga chete.
- Nhanho yechina: Kanza yakapfuura, kana yakagadziriswa, kupfurikidza neprostate uye mishonga inosvika mumakirini nhengo nedzimwe nhengo mumuviri.
Nhanho 4 Kansa reProstate: Zvinoreva uye Zviratidzo
Chikamu 4 kenza inofungidzirwa mberi, sezvo yakapararira mberi kweprostate uye pakarepo nzvimbo kune dzimwe nzvimbo dzomuviri. Nharaunda ino haigoni kuraswa; asi zvisarudzo zvinoshandiswa zvinogona kuderedza zviratidzo zvinorwadza zvekenza yeprostate. Zviratidzo izvi zvinosanganisira kushaya simba uye kuperevedza ropa nemhaka yekushayikwa kwemasero matsvuku ekugadzirwa kweropa mumapfupa emapfupa, marwadzo emapfupa kana mamwe marwadzo akapararira, kana kuputsika pamusana pemapfupa asina simba. Vamwe varume vanonzwawo kurwadziwa kana kuoma kunyura nekuda kwekuwedzera kweprostate; zvisinei, izvi zvinogonawo kuva chiratidzo chepi zvayo yekenza yeprostate.
Kurapa Kwekuwedzera Prostate Cancer
Zvakakosha kucherechedza zvakare kuti kunyange kenza yepamusoro yeprotate isingarapiki, inoporesa. Mishonga inogona kunge isingaderedzeri kukura kwekenza asi inogona kuvandudza zviratidzo zvine chokuita nekenza. Kubudirira kunokosha kwakaitwa mukurapa kenza yepamusoro yeprostate mumakore achangobva kupfuura, uye kutarisira hupenyu kuri kuwedzera.
Mishonga itsva yakagamuchirwa, uye mishonga yakawanda ikozvino iri kuongororwa mumakiriniki ekuedzwa . Sezvo netsanangudzo yakave nekenza yeprotate yakapararira kune dzimwe nzvimbo dzomuviri, kuvhiyiwa hakuwanzo sarudzo yechikamu ichi chechirwere. Asi pane zvimwe zvingasarudzwa zvekurapa:
Hormonal Therapy
Utachiona hweHormone inowanzotarisirwa kuderedza ukuru uye kudzivirira kupararira kwemarara kana matumire. Izvi zvingaguma nemigumisiro isina kunaka , yakadai sokuderedza libido, kupisa kunopisa, uye kukura kwezvinyama zvemazamu, asi zvinogona kuvandudza kunaka uye kuwedzera hupenyu hwevarume vane chirwere cheStage 4 chekenza.
Utachiona hweHormone hunoita zvishoma nezvishoma pane kenza yepamusoro yeprostate munguva, uye pakupedzisira, kurapwa uku kunowanzorega kushanda.
Chemotherapy
Kana murwere achirega kupindura hormone therapy, chemotherapy inowanzotora danho rinotevera. Izvi zvinosuruvarisa kurapa kunosanganisira makemikari anowanzopiwa kuburikidza neA IV mumiganhu yakasiyana-siyana. Chemotherapy ine zvakawanda zvisingazovhiringidzi asi inogona kunonoka kana kumira kukura kwekenza yeprostate.
Bhuna Targeted Therapy
Kakawanda kenza ye prostate inowanzopararira kune skeletal system. Zvirwere zvepfupa nekuda kwekufambira mberi izvi zvinogona kukonzera kurwadziwa kwakapfuurira uye kusagadzikana kwevarume vane chirwere cheSatani 4 chekenza. Radiation therapy inowanzoshandiswa kurapa uye kubvisa marwadzo emapfupa mune varwere ava. Izvi zvinogona kuwedzera kuderedza mapfupa, saka inowanzobatanidzwa nemishonga inodhaka inokurudzira bone simba uye kubatsira kuderedza dambudziko rekuputsika.
Immunotherapy
Immunotherapy inzira inofadza yevarume vane kenza yeprostate, pamwe chete nemishonga inogamuchirwa, uye vamwe vari kuongororwa mumakiriniki ekuedzwa. Iko kurapwa kunonyanya kushanda kusimbisa muviri wemuviri wechirwere chemuviri mukurwisana nekenza masero. Immunotherapy inogona kuwedzera mararamiro ehupenyu uye inogona kukonzera kutonga kwenguva refu kwechirwere chevamwe varume vanopindura zvakanaka kurapwa.
Kurarama neKenza yeProstate
Kuongororwa kwekenza yakawanda kunotyisa, asi iwe hausi woga. Funga kubatana neboka rinotsigira munharaunda yako kana paIndaneti apo unogona kuungana nevamwe varume vanotarisana nemamiriro ezvinhu akafanana. Kana iri mudiwa wako ari kurarama nekenza yeprostate, tarisa mazano aya ekutsigira munhu waunoda nekenza .
Sources:
Mulders, P., De Santis, M., Powles, T., naK. Fizazi. Targeted kurapwa kwemakemikari anokonzera-resistant prostate kanzvadzi ine sipuleucel-T immunotherapy. Cancer Immunology, Immunotherapy . 2015. 64 (6): 655-63.
National Cancer Institute. Prostate Cancer Treatment - yevashandi vehutano (PDQ). Updated 10/23/15.
Park, J., uye M. Eisenberger. Kufambira Mberi Mukurapa kweMetastatic Prostate Cancer. Mayo Clinic Proceedings . 2015. 90 (12): 1719-33.
Urology Care Foundation. Purojekiti yakagadzirwa neChristal Prostate.