Kune varwere vekenza yeprotate, chirongwa chakakosha chirongwa ndicho chinonyanya kukosha chekugara kwenguva refu, uye kuwana kuti kurapa kwakanaka kunotanga nekutaura kwakarurama. Prostate Cancer Research Institute (PCRI) inopa zvinhu zvakawanda kubatsira varwere kugona uye kunzwisisa nhanho yavo. Vanoparadzanisa varwere kuita zvikamu zvishanu, vachipa mumwe nomumwe mumvuri wakasiyana weBlue- Sky, Teal, Azure, Indigo kana Royal.
Nzvimbo yacho inozivikanwa nekupindura mibvunzo mitatu yemibvunzo ine chokuita nezvinhu zvakasiyana- PSA , chiziviso, kuongorora, uye kuongorora kwepamusoro-dhiyabhorosi-iyo inowanikwa mune zvechiremba chati. Chibvumirano chemibvunzo yePCRI chiri papeji peji yePCRI pane pcri.org.
The Medical Chart
Hapana chikonzero chemu murwere kuti ave nehasha pamusoro pokukumbira chiremba wake kune kopi yechirapa chati. Varwere vane kodzero dzose kune zvinyorwa zvavo, uye kuva neruzivo rwavo-ruoko runogona kuvabatsira kunzwisisa zviri nani kenza yavo, vatsanangurire danho ravo, uye vasarudze chirongwa chakakodzera chekurapa. Dzimwe mahofisi angakwereta mari yekudaidza, uye zvingatove zvakakosha kuti ukumbire ruzivo kubva kune imwe yehofisi kuunganidza mashoko ose anodiwa. Kamwe murwere ane kopi yemushonga wake wekurapa, achaona kuti yakakamurwa kuva zvikamu zvakanyorwa ma laboratory, maitiro, kufambira mberi, uye radiology. Munezvikamu izvi varwere vachawana ruzivo rwakanakira ruzivo rwekutsvaga danho ravo:
Laboratory
Mushure mekunge murwere achiwana chati, anofanirwa kuumba nhoroondo yezviitiko zvehutano hwePSA dzose. Pamibvunzo iyo, PSA yakakwirira inopinda. Chimwe chete chinogona kunge chiri PSA isina kukwidziridzwa pamusana pechirwere cheprostate. Semuenzaniso, mazinga ePSA acharamba akasimudzirwa kwemwedzi miviri mushure mekushaiwa nenyuchi biopsy.
PSA inogonawo kukwidziridzwa kwemaawa makumi maviri nemaviri kana kuti pashure pechiratidzo chema digital rectal kana mushure mekuita zvepabonde. Chimwe chikonzero ndeyezinga re testosterone muropa. Dzimwe nguva varume vakwegura vane maitiro ezasi e testosterone, vanoti pasi pezana zana, vachava nePSA inodzingwa zvakakwana . Kana chirwere che testosterone chisati chaitwa, varwere vanofanira kuchitaurira kuvanachiremba vavo panguva yechiri kutevera ropa. Pakupedzisira, kana pasina mimwe mikoko iri pamusoro apa inoshandiswa, munhu anofanira kushandisa PSA yakanyanya pakuverenga chikwata chekenza.
Pathology
Mushumo webiopsy unochengetwa muchikamu chechirwere che chati. Rimwe reprotected biopsy rinogona kusanganisira chero ipi zvayo kubva pamatanhatu kusvika kune makumi maviri kana kupfuura kana biopsy cores. Tsanangudzo kubva kune chidimbu inoparadzaniswa kuva zvikamu zvitatu zvakazvimirira. Chimwe chikwata chakabatana nechikero chekenza, chinonzi chikwata cheGleason . Mamwe maviri akabatana nehuwandu hwekenza yakawanikwa. Ngationei mari yakawanda yekutanga:
- Nhamba yakazara yemashizha ane kenza inopa pfungwa yekukura kwemuviri. Semuenzaniso, kuva nechikamu chechina chekrisous cores kubva mumakumbo matanhatu anoratidza kuti chirwere chakakura zvakakwana chiripo, sezvo inopfuura hafu yemakumbo ine kenza. Kune rumwe rutivi, mumwe muenzaniso unenge kuva wezvikamu zviviri zvekenza zvinokonzerwa nekenza zvichibva pamakumbo makumi maviri, izvo zvingaratidza kuti chirwere chacho chiduku.
- Zvakakoshawo kutarisa kuti mutana unowanikwa sei mukati mechikamu chega rega. Kuziva kuti muzana wehutachiona huri mumukati unobatsira kuziva kuti chiremera chacho chinorevei (zvinoreva kuti kenza iri kukura nekupararira). Imwe nyanzvi inotarisa pamusoro ne microscope inogona kutonga kuti yakawanda yepakati inotsiviwa nekenza uye kuti yakawanda yeiyo inowanzo inowedzera prostate gland tissue. Iyi nhoroondo inogona kuziviswa nenzira mbiri: Kutanga, inogona kuenzaniswa sehuwandu hwemamiririmita ekenza (1 kusvika 18, ine 18 inomiririra urefu hwemukati wose). Zvimwewo, muwandu wekenza mukati memunharaunda inogona kuziviswa seperesenti yenheyo yose. Kazhinji, mharidzo yehutano inopa ruzivo urwu sezvose zviri muzana uye sehuwandu hwemamilimita. Saka huwandu hwekenza hunogona kunzwisiswa pamwe nehuwandu hwemakanda ane kenza uye nehuwandu hwekenza imwe neimwe inosanganisira, sezvinoratidzwa mumamilimita kana sezana.
- Apo vanhu vanofunga nezve prostate biopsy, chikwata cheGleason, icho chinoratidza chikamu chekenza, kazhinji chinhu chekutanga chinouya mupfungwa, uye ichocho ndechokufunga kwakanaka. Bhikoro rinoratidza maitiro asinganzwisisiki masero emukenza anoonekwa, uye anonyanya kukosha kudarika ukuru hwechiremera. Semuenzaniso, zviri nani kuti uve nechirwere chakakura zvikuru chegiredhi 6 pane chidimbu chediki kadiki 10.
The Gleason grading system yakagadzirwa makore akawanda akapfuura, uye, semugumisiro, ine zvinyorwa zvayo. Semuenzaniso, yepasi purogiramu ye6 uye yepamusoro ndeye 10. Gleason chikwata chinonzi se 6 chichakanyorwa se 3 + 3 = 6. A Gleason nine ichanyorwa se 4 + 5 = 9 kana se 5 + 4 = 9. Kana bhiopsy ine zvikamu zvakasiyana-siyana zvakasiyana, nhamba yakakwirira kubva kumushumo ndiyo iyo inofanira kupinda mumibvunzo.
Stage | Tsanangudzo |
T1 kana "A" | T1c: Kumhanyira hakugoni kunzwika nekombiyiti rekare rekuongorora |
T2 kana "B" | Tumhonyo yakavharwa mukati me prostate T2a : Tumhanzwa yakanzwa neDRE asi pasi pehafu yeimwe rebe T2b : Chirwere chisina kubatana chinonzwa neDRE chinosanganisira zvinopfuura hafu yeshoko rimwe T2c : Chirwere chekubatana chinonzwa mukati mavobes maviri |
T3 kana "C" | Tumhanzwa inonzwa neDRE iyo inoenderera mberi neprostate capsule T3a : Extracapsular extension T3b : Tumha inonzwa neDRE iyo inopinda seminal vesicle (s) |
T4 | Tumhanzwa inonzwa neDRE iyo inopinda rectum kana chikwata |
Nhamba dzekufambira mberi
Zvigumisiro kubva kumunwe kuongorora kweprostate, iyo inonzi digital rectal kuongorora, kana " DRE ", inonzi chirwere chechipatara kana kuti T. Pane imwe nzvimbo mumanotsi ekufambira mberi, kazhinji munharaunda inonzi "Kuongorora Panyama," chiremba achanyora kana ainzwa chero dutu uye, kana zvakadaro, zviyero zvakakwana zvehutundu. Nzira yekuverenga iyo vanachiremba vanoshandisa kunyora zvavakawana muchati inowanikwa mu tafura iri pasi apa. Kuti upindure mibvunzo iwe uchadikanwa kuziva zivo yako T.
Rediology Reports (Imaging Studies)
Tsanangudzo yepfungwa ipi neipi iyo murwere aive nayo ichawanikwa muRadioology chikamu che chati. Iyi mitsara yakanyorwa ne-radiologist, nyanzvi yakagadzirirwa kuverenga zvinyorwa. Nyaya inonyanya kukosha inowanikwa mumushumo wehudhiology inotsanangurwa muchikamu chinonzi "Kuongorora." Nechinangwa chemibvunzo, zvinyorwa zvinokosha zvakakonzerwa kubva kune prostate MRI report ndezvekuvapo kweimwe kana zvinotevera zvinotevera: extracapsular kuwedzera, kupinda seminal vesicle, kana lymph node kupararira.
Zvimwe zviyero, kazhinji pfupa rekona kana CT scan yemudumbu nemapapu (kutsvaga lymph nodes yakakura), inogona kuitwa, kunyanya kune varume vane mazinga ePSA ari pamusoro pe10 kana kuti Gleason yenhamba iri pamusoro pei 6. Apo CT kana Bone scan rinoratidza kenza yemasitasita , zvinokosha kuziva nzvimbo yemasitasti uye, zvisinei here kuti metastases inongova mumakirini emakumbo emakumbo kana mune imwe nzvimbo yomuviri. Shanduro itsva inonzi Axumin inoshandisa positron emission tomography (PET) uye yakarurama kwazvo kupfuura CT scan. Sezvo zvinhu zvamira ikozvino, Axumin inongova iyo FDA-inogamuchirwa mukuongororwa kwevarume vanocherazve chirwere (PSA inokura) mushure mekuvhiyiwa kana kupiswa kwemhepo.
Chero Chero Mushonga Wekare weKenza yeProstate?
Chinhu chekupedzisira chingafungidzirwa kana uchitora mibvunzo yePCRI ndeyekunge pane imwe nguva yapfuura kurapwa kwekenza yeprostate. Varume vane chirwere chekare uye chirwere, mazairo, cryotherapy, kana kuti hormone blockade avo vari kusangana nePSA inowedzera kazhinji vane chirwere chakaipa chekenza yeprostate uye saka vakagoverwa kune imwe nzvimbo. Zvisinei, haisi nguva dzose cristal ichijekesa izvo chaizvo zvinokonzera kenza zvakare. PSA inowedzera inowanzova chiratidzo chinonyatsokodzera, asi varwere vanoda kuziva zvimwe zvekunyengedzwa kwekenza yekudzoka zvakare.
A PSA Inopera Pashure Kokuvhiya
Kuongorora PSA mushure mekuvhiyiwa hakusi nyore. PSA, shure kwezvose, inotarisirwa kuva zero kana prostate gland yakabviswa zvachose. Zvisinei, kubviswa zvachose kwegorosi hakusi nyore uye zvishoma zvishoma zveprostate zvingasara shure. Kana izvozvo zvikaitika, PSA inogona kuenderera mberi nekusingaperi mumatanho e1 kusvika ku3.3, kunyange kana pasina kenza. Varume vane zvikamu zvakaderera zvakanyanya zvePSA mushure mekuvhiyiwa vanogona kufunga nezvekunge vauya nekukurumidza kurapwa uye kutarisa PSA yavo pedyo kuti vaone kana kune chikwata chekumusoro. Kurapa kunogona kudziviswa kana PSA ichiramba yakasimba. Izvo zvakanyanya PSA inoramba yakasimba, zvinowanzoitika kuti PSA inokonzerwa nekuramba iine prostate gland tishu panzvimbo yekenza.
A PSA Inopera Mushure Mokunge Mvura
Kuongorora PSA mushure memazuva ano kunogona kuoma. Sezvakaipa kubva pakutanga, funga pamusoro pePSA kumusoro kwe1 1.0 kuti uve "asina kujairika." Asi kune zvimwe zvisiri izvo. Zvinokwanisika kuva nePSA kumusoro kwe1 1.0 uye uchiri kusangana nekenza. Nzira dzisina kufana nePSA dzinowanzoitika panzvimbo pfupi mushure memahara, kunyanya pashure pembeu yemazuva. Izvi zvinonzi "PSA bounce." Kuwedzera kunofungidzirwa kunobva kuburikidza nehutachiona hunokonzerwa nehutachiona, kureva, prostatitis . Nekunetseka, chinonyanya kukosha ndechokusiyanisa kubva kune kenza zvakare. Nzira yakatendeseka yekuita izvi ndeyokuongorora girafu rinopfurikidza remazinga akawanda ePSA akaongororwa kupfuura nguva. PSA kubva mumukana wechirwere unowanzoitika inoratidza kuratidzika, kusinganzwisisiki, kukwira mberi. Sezvo kunetseka kunokonzerwa nokuputika, mazinga aya ePSA anowanzokanda uye anopisa, achisimudza kumusoro uye pasi pane girafu mu-zig-zag, pattern spiking.
Kuongorora Hormonal Therapy
Utachiona hweHormone hunorondedzerwa sePSA inomuka pasinei nematetesterone akaderera muropa. PSA mazinga anofanirwa kuongororwa panotanga kushandiswa kwemahomoni uye nguva dzose. Kucherechedza kurwisana nehommone blockade iri nyore kubva apo PSA inofanira kugara ichiderera kusvika kudarika 0.1 mukati memwedzi 6 kusvikira ku8 yekutanga hormone blockade. Kana izvi zvisingakwanisi kuitika, zvinowanzoreva kuti PSA inotanga kuwedzera munguva iri mberi.
Mhedziso
Sezvaunofunga nezvehutano hwako hwakasiyana-siyana, unofanirwa kuongorora chirapa chako chechiremba uye kupedza mapeji ePCRI kuti uone shato yako yekenza. Kunzwisisa kuti kugovera chikwata kune kenza yako kuchakusunga sei nekuziva kwakakodzera kusarudza chirongwa chekurapa chakanaka nekuvandudza mararamiro ako ehutano hwakanaka hwehupenyu uye hupenyu huripo.