Chithandizo cha khansa ya prostate

Chithandizo cha khansa yanu ya prostate chimasankhidwa mukayesedwa. Wothandizira zaumoyo wanu akambirana zaubwino ndi kuopsa kwa chithandizo chilichonse.

Nthawi zina omwe amakupatsani angakulimbikitseni chithandizo chimodzi chifukwa cha mtundu wanu wa khansa komanso zoopsa. Nthawi zina, pakhoza kukhala mankhwala awiri kapena kupitilira apo omwe atha kukhala abwino kwa inu.

Zomwe inu ndi omwe mumapereka muyenera kuganizira ndi izi:

• Msinkhu wanu ndi mavuto ena azachipatala omwe mungakhale nawo
• Zotsatira zoyipa zomwe zimachitika ndi mtundu uliwonse wamankhwala
• Kaya khansa ya prostate ili komweko kapena kuchuluka kwa khansa ya prostate yafalikira
• Malingaliro anu a Gleason, omwe amafotokoza momwe khansara ilili yankhanza
• Zotsatira zanu za prostate-antigen (PSA)

Funsani omwe akukuthandizani kuti afotokoze zinthu zotsatirazi posankha mankhwala:

• Ndi zisankho ziti zomwe zimapereka mpata wabwino wochiritsira khansa yanu kapena kuletsa kufalikira kwake?
• Kodi zingatheke bwanji kuti mudzakhala ndi zovuta zina, komanso momwe zingakhudzire moyo wanu?

Radical prostatectomy ndi opaleshoni yochotsa prostate ndi zina mwa minofu yoyandikana nayo. Ndizotheka ngati khansa isafalikire kupitirira prostate gland.

Amuna athanzi omwe atha kukhala zaka 10 kapena kupitilira apo atapezeka ndi khansa ya prostate nthawi zambiri amakhala ndi njirayi.

Dziwani kuti sizotheka nthawi zonse kudziwa, musanachite opareshoni, ngati khansara yafalikira kupitirira prostate gland.

Zovuta zomwe zingachitike mutachitidwa opaleshoni zimaphatikizaponso zovuta kuwongolera mkodzo ndi mavuto okomoka. Komanso, amuna ena amafunikira chithandizo china pambuyo pa opaleshoniyi.

Thandizo la radiation limathandiza kwambiri pochiza khansa ya prostate yomwe siyinafalikire kunja kwa prostate. Itha kugwiritsidwanso ntchito pambuyo pochitidwa opaleshoni ngati pali chiopsezo kuti maselo a khansa akadalipo. Nthawi zina ma radiation amagwiritsidwa ntchito pothana ndi ululu khansa ikafalikira mpaka fupa.

Mankhwala opangira ma radiation akunja amagwiritsa ntchito ma x-ray amphamvu kwambiri kuloza ku prostate gland:

• Asanalandire chithandizo, wothandizira ma radiation amagwiritsa ntchito cholembera chapadera kuti adziwe gawo lamthupi lomwe liyenera kuthandizidwa.
• Magetsi amaperekedwa ku prostate gland pogwiritsa ntchito makina ofanana ndi makina a x-ray wamba. Mankhwalawa nthawi zambiri amakhala opanda ululu.
• Chithandizochi chimachitika m'malo opangira ma radiation omwe nthawi zambiri amalumikizidwa ndi chipatala.
• Chithandizochi chimachitika masiku 5 pasabata kwa milungu 6 mpaka 8.

Zotsatira zoyipa zingaphatikizepo:

• Kulakalaka kudya
• Kutsekula m'mimba
• Mavuto okonzekera
• Kutopa
• Kuwotcha kwadzidzidzi kapena kuvulala
• Khungu
• Kusadziletsa kwamikodzo, kumverera kofunikira kukodza mwachangu, kapena magazi mkodzo

Pali malipoti a khansa yachiwiri yomwe imachokera ku radiation.

Thandizo la Proton ndi mtundu wina wa mankhwala a radiation omwe amagwiritsidwa ntchito pochiza khansa ya prostate. Matumba a Proton amayang'ana chotupacho ndendende, chifukwa chake kuwonongeka kochepa pamatenda oyandikana nawo. Mankhwalawa savomerezedwa kapena kugwiritsidwa ntchito kwambiri.

Brachytherapy imagwiritsidwa ntchito ngati khansa yaying'ono ya prostate yomwe imapezeka msanga ndipo ikukula pang'onopang'ono. Brachytherapy itha kuphatikizidwa ndi mankhwala othandizira ma radiation amtundu wa khansa yotsogola.

Brachytherapy imaphatikizapo kuyika mbewu zamagetsi mkati mwa prostate gland.

• Dokotala amalowetsa singano zing'onozing'ono pakhungu lanu kuti alowe njere. Mbeu ndi zazing'ono kwambiri kotero kuti simumazimva.
• Mbeu zimasiyidwa m'malo mwake.

Zotsatira zoyipa zingaphatikizepo:

• Kupweteka, kutupa, kapena kuphwanya mbolo kapena chikopa
• Mkodzo wofiirira kapena umuna
• Mphamvu
• Kusadziletsa
• Kusunga kwamikodzo
• Kutsekula m'mimba

Testosterone ndiye mahomoni akulu achimuna. Zotupa za prostate zimafunikira testosterone kuti ikule. Thandizo la mahormonal ndi chithandizo chomwe chimachepetsa mphamvu ya testosterone pa khansa ya prostate.

Thandizo la mahomoni limagwiritsidwa ntchito makamaka ndi khansa yomwe yafalikira kupitirira Prostate, koma itha kugwiritsidwanso ntchito ngati opaleshoni komanso radiation pochiza khansa yayikulu. Chithandizochi chitha kuthandiza kuthana ndi zipsinjo ndikuletsa kukula komanso kufalikira kwa khansa. Koma sichiritsa khansa.

Mtundu waukulu wa mankhwala a mahomoni umatchedwa agonist wa luteinizing hormone-release hormone (LH-RH). Gulu lina la mankhwala limatchedwa otsutsana ndi LH-RH:

• Mitundu yonse iwiriyi imaletsa machende kupanga testosterone. Mankhwalawa ayenera kuperekedwa ndi jakisoni, makamaka miyezi itatu kapena isanu ndi umodzi iliyonse.
• Zotsatira zoyipa zimaphatikizapo kunyansidwa ndi kusanza, kunyezimira, kukula kwa mawere ndi / kapena kukoma mtima, kuchepa magazi, kutopa, kupewetsa mafupa (kufooka kwa mafupa), kuchepetsa chikhumbo chogonana, kuchepa kwa minofu, kunenepa, komanso kusowa mphamvu.

Mtundu wina wa mankhwala a mahomoni amatchedwa mankhwala oletsa androgen:

• Nthawi zambiri amaperekedwa limodzi ndi mankhwala a LH-RH kuti aletse zotsatira za testosterone zopangidwa ndi ma adrenal glands, omwe amapanga testosterone pang'ono.
• Zotsatira zoyipa zimaphatikizaponso mavuto okhalitsa, kuchepetsa chilakolako chogonana, mavuto a chiwindi, kutsegula m'mimba, ndi mawere okulitsa.

Zambiri mwa testosterone za thupi zimapangidwa ndi ma testes. Zotsatira zake, opaleshoni yochotsa ma testes (yotchedwa orchiectomy) itha kugwiritsidwanso ntchito ngati mankhwala am'magazi.

Chemotherapy ndi immunotherapy (mankhwala omwe amathandiza chitetezo cha mthupi kuthana ndi khansa) atha kugwiritsidwa ntchito pochiza khansa ya prostate yomwe siyankhiranso chithandizo cha mahomoni. Kawirikawiri mankhwala amodzi kapena kuphatikiza mankhwala kumalimbikitsa.

Cryotherapy imagwiritsa ntchito kuzizira kozizira kwambiri kuzizira ndi kupha ma cell a khansa ya prostate. Cholinga cha cryosurgery ndikuwononga prostate gland yonse komanso minofu yoyandikana nayo.

Cryosurgery nthawi zambiri sagwiritsidwa ntchito ngati chithandizo choyamba cha khansa ya prostate.

• Kutengera kwamwamuna kubereka

Tsamba la National Cancer Institute. Chithandizo cha khansa ya Prostate (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/prostate/hp/prostate-kuchiza-pdq. Idasinthidwa pa Januware 29, 2020. Idapezeka pa Marichi 24, 2020.

Tsamba la National Comprehensive Cancer Network. Malangizo azachipatala a NCCN mu oncology (malangizo a NCCN): khansa ya prostate. Mtundu 1.2020. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Idasinthidwa pa Marichi 16, 2020. Idapezeka pa Marichi 24, 2020.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Khansa ya prostate. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2020: chap 81.

• Khansa ya Prostate