Khansa ya prostate

Kuyika khansa ndi njira yofotokozera kuchuluka kwa khansa mthupi lanu komanso komwe ili mthupi lanu. Kuwonetsa khansa ya prostate kumathandiza kudziwa kukula kwa chotupa chanu, kaya chafalikira, komanso komwe chafalikira.

Kudziwa gawo la khansa kumathandiza gulu lanu la khansa:

• Sankhani njira yabwino kwambiri yochizira khansa
• Sankhani mwayi wanu wochira
• Pezani mayesero azachipatala omwe mutha kulowa nawo

Kukhazikitsa koyambirira kumadalira zotsatira za kuyesa kwa magazi kwa PSA, ma biopsies, ndi kuyesa kwa kujambula. Izi zimatchedwanso zochitika zakuchipatala.

PSA amatanthauza puloteni yopangidwa ndi prostate yoyesedwa ndi kuyesa kwa labu.

• Mulingo wapamwamba wa PSA ukhoza kuwonetsa khansara yayikulu kwambiri.
• Madokotala awunikiranso momwe magulu a PSA akuchulukira kuchokera pakuyesa mpaka kuyesa. Kuwonjezeka mwachangu kumatha kuwonetsa chotupa chowopsa.

Prostate biopsy imachitika muofesi ya dokotala wanu. Zotsatira zitha kuwonetsa:

• Kuchuluka kwa prostate kumakhudzidwa.
• Chiwerengero cha Gleason. Nambala kuchokera pa 2 mpaka 10 yomwe ikuwonetsa momwe ma cell a khansa amawonekera bwino ngati maselo abwinobwino akamawonedwa ndi microscope. Zotsatira zisanu ndi chimodzi kapena zochepa zikuwonetsa kuti khansara ikukula pang'onopang'ono komanso osati yankhanza. Manambala apamwamba akuwonetsa khansa yomwe ikukula mwachangu yomwe imafalikira.

Kujambula mayeso monga CT scan, MRI, kapena scan scan amathanso kuchitidwa.

Pogwiritsa ntchito zotsatira za mayeserowa, dokotala wanu akhoza kukuwuzani zaumoyo wanu. Nthawi zina, izi zimakhala zokwanira kuti mupange chisankho pamankhwala anu.

Kujambula opaleshoni (kutengera matenda) kumadalira zomwe dokotala wanu amapeza ngati mukuchitidwa opaleshoni kuti muchotse prostate ndipo mwina mwazinthu zina zam'mimba. Kuyesa kwa labu kumachitika pa minofu yomwe yachotsedwa.

Izi zimathandizira kudziwa chithandizo china chomwe mungafune. Zimathandizanso kudziwiratu zomwe muyenera kuyembekezera mankhwala akatha.

Kutalika kwa siteji, khansa imakulirakulira.

Khansa I khansa. Khansara imapezeka mu gawo limodzi lokha la prostate. Gawo I limatchedwa khansa yapadera ya prostate. Sizingamveke pakuyesa kwamakina a digito kapena kuwonedwa ndimayeso ojambula. Ngati PSA ndi yochepera 10 ndipo Gleason ndi 6 kapena kuchepera, khansa ya Stage I ikuyenera kukula pang'onopang'ono.

Khansa yachiwiri. Khansara ndiyotsogola kwambiri kuposa gawo loyamba. Sinafalikire kupitirira Prostate ndipo amatchedwabe komweko. Maselowa ndi abwinobwino kuposa maselo am'magawo 1, ndipo amatha kukula msanga. Pali mitundu iwiri ya khansa yachiwiri ya prostate:

• Gawo IIA limapezeka mbali imodzi yokha ya prostate.
• Gawo IIB likhoza kupezeka mbali zonse ziwiri za prostate.

Khansa ya Gawo lachitatu. Khansara yafalikira kunja kwa Prostate muminyama yakomweko. Zitha kufalikira m'matumbo. Izi ndi zopangitsa zomwe zimapanga umuna. Gawo lachitatu limatchedwa khansa ya prostate yotsogola kwanuko.

Khansa ya Gawo IV. Khansara yafalikira kumadera akutali a thupi. Zitha kukhala m'ma lymph node kapena mafupa apafupi, nthawi zambiri m'chiuno kapena msana. Ziwalo zina monga chikhodzodzo, chiwindi, kapena mapapo zimatha kutenga nawo mbali.

Kuyenda limodzi ndi mtengo wa PSA ndi mphotho ya Gleason kukuthandizani inu ndi adotolo kuti musankhe mankhwala abwino, poganizira:

• Zaka zanu
• Thanzi lanu lonse
• Zizindikiro zanu (ngati muli nazo)
• Malingaliro anu pazotsatira zamankhwala
• Mwayi woti mankhwala atha kuchiza khansa yanu kapena kukuthandizani munjira zina

Ndi khansa ya prostate ya siteji I, II, kapena III, cholinga chachikulu ndikuchiza khansayo pochiza ndikuletsa kuti isabwererenso. Ndi gawo IV, cholinga ndikukulitsa zizindikiritso ndikutalikitsa moyo. Nthawi zambiri, khansa ya prostate yapa siteji IV siyingachiritsidwe.

Pezani nkhaniyi pa intaneti Loeb S, Eastham JA. Kuzindikira ndi kukhazikitsidwa kwa khansa ya prostate. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 111.

Tsamba la National Cancer Institute. Kuwonetsa khansa ya Prostate (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/prostate/hp/prostate-screening-pdq. Idasinthidwa pa Ogasiti 2, 2019. Idapezeka pa Ogasiti 24, 2019.

Reese AC. Matenda azachipatala a khansa ya prostate. Mydlo JH, Godec CJ, okonza. Khansa ya Prostate. Wachiwiri ed. Philadelphia, PA: Elsevier; 2016: chaputala 39.

• Khansa ya Prostate