Kumvetsetsa Zapamwamba (Gawo 4) Khansa ya Prostate

Zamkati

• Kodi khansa ya Prostate ndi yotani?
• Zizindikiro zake ndi ziti?
• Ndani ali pachiwopsezo cha khansa ya prostate?
• Kodi khansa ya prostate yodziwika bwino imapezeka bwanji?
• Kodi chithandizo cha khansa ya prostate yotsogola ndichotani?
• Thandizo la Hormone
• Mafunde
• Chemotherapy
• Chitetezo chamatenda
• Opaleshoni
• Kodi malingaliro ake ndi otani?
• Zomwe mungachite

Kodi khansa ya Prostate ndi yotani?

Khansa ya prostate ndi khansa yomwe imayamba mu prostate gland. Khansara ya prostate yotsogola imachitika ikakhala kuti yayamba kufalikira, kapena kufalikira m'matumbo, kuchokera ku prostate kupita kumadera ena a thupi.

Khansara imafalikira pamene maselo amachoka pachotupa choyambirira ndikulowa munthawi yapafupi. Izi zimatchedwa metastasis yakomweko. Khansa imafalikira mwachindunji kumatumba oyandikira kapena kudzera mumitsempha yam'magazi kumadera akutali a thupi. Izi zikachitika, amatchedwa "metastatic disease" kapena "khansa ya prostate yokhala ndi metastasis ku" gawo lina la thupi kapena ziwalo.

Zotupa zatsopano zimatha kukula m'chiwalo chilichonse, koma khansa ya prostate imafalikira ku:

• adrenal England
• mafupa
• chiwindi
• mapapo

Gawo la khansa ya prostate imachitika khansara ya Prostate ikafalikira kale kumatumba akutali kapena ziphuphu panthawi yomwe imadziwika. Nthawi zambiri, madokotala amatenga khansa ya prostate koyambirira. Kawirikawiri ndi khansa yomwe ikukula pang'onopang'ono, koma imatha kufalikira kapena ikhoza kubwerera, kapena kubwereranso, itatha chithandizo.

Zizindikiro zake ndi ziti?

Khansa ikangokhala m'chiberekero, amuna ambiri alibe zisonyezo. Ena amavutika kukodza kapena kuzindikira magazi mumkodzo wawo.

Khansa ya metastatic imatha kuyambitsa zizindikiritso monga:

• kufooka
• kutopa
• kuonda

Zizindikiro zina za khansa yayikulu ya prostate zimadalira komwe tafalikira komanso kukula kwa zotupazo:

• Khansa yomwe imagwiritsidwa ntchito m'mafupa imatha kubweretsa mafupa ndi mafupa.
• Khansa yomwe yafalikira pachiwindi imatha kutupa m'mimba kapena khungu lachikaso ndi maso, otchedwa jaundice.
• Zotupa m'mapapo zimatha kupangitsa kupuma pang'ono kapena kupweteka pachifuwa.
• Muubongo, khansa imatha kupangitsa mutu, chizungulire, ndi kukomoka.

Ndani ali pachiwopsezo cha khansa ya prostate?

Zomwe zimayambitsa khansa ya prostate sizikudziwika bwinobwino. Chiwopsezo chanu chokhala ndi khansara imakula mukafika zaka 50.

Magulu ena atha kukhala ndi mitundu yankhanza ya khansa ya prostate, kuphatikiza amuna ndi akazi aku Africa-America omwe amakhala ndi mitundu ina ya chibadwa monga BRCA1, BRCA2, ndi HOXB13.

Amuna ambiri omwe ali ndi khansa ya prostate nthawi zambiri samakhala ndi mbiri yokhudza matendawa. Koma kukhala ndi abambo kapena achimwene omwe ali ndi khansa ya prostate kumawonjezera chiopsezo chanu.

Kodi khansa ya prostate yodziwika bwino imapezeka bwanji?

Ngati mwapezeka kale kuti muli ndi khansa ya prostate, onetsetsani kuti mwauza dokotala ngati muli ndi zizindikiro zatsopano, ngakhale mutamaliza mankhwala.

Kuti mudziwe ngati khansa ya prostate yabwerera kapena yafalikira, dokotala wanu akhoza kuyitanitsa mayeso, omwe angaphatikizepo:

• X-ray
• Kujambula kwa CT
• Kujambula kwa MRI
• Chithunzi cha PET
• mafupa

Mwina simusowa kuyesedwa konseku. Dokotala wanu amasankha mayesowa kutengera zomwe mwapeza ndikuwunika kwakuthupi.

Ngati zithunzizi zikuwonetsa zachilendo, sizitanthauza kuti muli ndi khansa. Kuyesanso kowonjezera kungakhale kofunikira. Akapeza misa, dokotala wanu atha kuyitanitsa biopsy.

Pofufuza, dokotala wanu adzagwiritsa ntchito singano kuti achotse zitsanzo m'deralo. Katswiri wa matendawa adzafufuza maselo omwe achotsedwa pansi pa microscope kuti awone ngati ali ndi khansa. Wodwala amathanso kudziwa ngati muli ndi khansa ya Prostate.

Kodi chithandizo cha khansa ya prostate yotsogola ndichotani?

Kaya khansa ya prostate imafalikira pati, imathandizidwabe ngati khansa ya prostate. Zimakhala zovuta kuchiza zikafika pamtunda.

Chithandizo cha khansa yayikulu ya prostate chimaphatikizapo njira zowonongera komanso zowongolera. Amuna ambiri amafunikira mankhwala osiyanasiyana ndipo amatha kusintha nthawi ndi nthawi.

Thandizo la Hormone

Thandizo la mahormone limapondereza mahomoni amphongo omwe amathandiza kuti ma cell a khansa akule. Dokotala wanu angakulimbikitseni mankhwala aliwonse awa:

• Orchiectomy ndi njira yochitira opaleshoni yochotsa machende, ndipamene mahomoni amapangidwa.
• Luteinizing agonists otulutsa mahomoni ndi mankhwala omwe amachepetsa kutulutsa kwa testosterone m'machende. Mutha kulandira mankhwalawa kudzera mu jakisoni kapena mwa kuyika khungu lanu.
• Otsutsana ndi LHRH ndi mankhwala omwe amachepetsa kwambiri ma testosterone. Mutha kulandira mankhwalawa pobayidwa mwezi uliwonse pansi pa khungu lanu.
• CYP17 inhibitors ndi anti-androgens amapezeka ngati mapiritsi omwe mungamwe tsiku ndi tsiku.

Zotsatira zoyipa zamankhwala othandizira mahomoni zimaphatikizapo kuchitira jekeseni, kulephera kugonana, komanso kuchepa kwa magazi.

Mafunde

Pozungulira kunja kwa radiation, milatho ya radiation imalunjika ku prostate gland kapena gawo lina la thupi. Ikhoza kuthandizira kuchepetsa zizindikiro khansa ya prostate ikafalikira mpaka fupa. Kutopa ndi gawo lofala.

Pochita ma radiation mkati, dokotala wanu adzaika mbeu zing'onozing'ono zotulutsa mphamvu mu prostate yanu. Mbeu zimatulutsa cheza chokhazikika kapena kutentha kwakanthawi kwakanthawi. Zotsatira zoyipa zimaphatikizapo kusagonana, zovuta zamikodzo, komanso mavuto am'mimba.

Chemotherapy

Chemotherapy imapha ma cell a khansa mthupi lonse. Itha kuchepetsa zotupa zomwe zilipo ndikuchedwa kapena kuletsa kukula kwa zotupa zatsopano. Zotsatira zoyipazi zimaphatikizapo kunyoza, kusowa kwa njala, komanso kuwonda.

Chitetezo chamatenda

Sipuleucel-T (Provenge) ndi katemera yemwe madotolo amagwiritsa ntchito pochiza khansa yayikulu ya prostate, makamaka ngati siyankha mankhwala a mahomoni.

Katemerayu amapangidwa pogwiritsa ntchito maselo anu oyera a magazi. Mumalandira kudzera m'mitsempha itatu ndikutalikirana milungu iwiri. Zotsatira zoyipa zingaphatikizepo:

• nseru
• mutu
• kupweteka kwa msana
• kupweteka pamodzi

Opaleshoni

Ngakhale kuchitidwa opaleshoni ina yotulutsa zotupa kungakhale kotheka, dokotala wanu sangakondweretse khansa ya Prostate yomwe yafalikira m'malo ambiri.

Onetsetsani kuti muuze dokotala ngati zina mwa mankhwalawa zikukhudza moyo wanu. Muthanso kufunsa zamayeso azachipatala a khansa ya prostate. Mayeserowa akuphatikizapo mankhwala atsopano omwe sanagwiritsidwebe ntchito.

Kuphatikiza pa kuchiza khansa, dokotala wanu atha kupereka mayankho pazizindikiro zina monga kupweteka, kutopa, ndi mavuto amkodzo.

Kodi malingaliro ake ndi otani?

Palibe mankhwala omwe amapezeka pagawo 4 la khansa ya prostate. Gulu lanu lazachipatala lidzagwira nanu ntchito kuti muchepetse khansa kwa nthawi yayitali ndikukhalabe ndi moyo wabwino.

Maganizo anu adzadalira momwe khansa ikufalikira mwachangu komanso momwe mumayankhira kuchipatala.

Ndi chithandizo, mutha kukhala ndi moyo zaka zambiri ndi khansa ya prostate.

Zomwe mungachite

Ndikofunikira kuti muphunzire zonse zomwe mungakwanitse za khansa ya prostate yomwe ili patsogolo kuti mupange zisankho mozindikira. Khalani omasuka kwa madotolo anu ndi ena pagulu lanu lazachipatala. Fotokozerani nkhawa zanu ndikukhala omasuka kudzinenera nokha komanso moyo wanu. Pezani malingaliro ena azachipatala ngati mukuwona kuti ndikofunikira.

Mankhwala ena othandizira akhoza kukhala othandiza kuthana ndi khansa yayikulu. Mwachitsanzo:

• tai chi, yoga, kapena chithandizo china chothandizira
• mankhwala
• kusinkhasinkha, masewera olimbitsa thupi, kapena njira zina zopumira
• kutikita

Ntchito zosiyanasiyana zitha kukuthandizani ndi chilichonse kuyambira pogona pomwe mukulandira chithandizo kuti mupeze thandizo pakhomo. Kuyankhulana ndi magulu apaintaneti kapena mwa anthu ndi njira yabwino yogawana zidziwitso ndikuthandizana.