Chithandizo cha khansa ya prostate

Khansa ya Prostate ndiyo khansa yachitatu kwambiri pakati pa amuna ku Russia pambuyo pa khansa yam'mapapu komanso khansa yam'mimba. Amapezeka m'modzi mwa amuna khumi ndi asanu opitilira zaka 40. Chaka chilichonse padziko lapansi, zotupa zoyipa za prostate zimapezeka mwa anthu miliyoni, ndipo pafupifupi mmodzi mwa atatuwo amafa chifukwa cha matenda amtunduwu.Kodi khansa ya prostate imayamba bwanji?Amadziwika kuti izi zimagwirizanitsidwa ndi kusintha kwa mahomoni, kuzungulira kwa majini, kuperewera kwa zakudya m'thupi komanso kutengera kwa zina, gawo lomwe silinakhazikitsidwe kwathunthu. Kuyambira pomwe khansa yoyambamaselo musanayambike zizindikiro zomwe zimatsogolera bambo kukakumana ndi dokotala nthawi zambiri zimatenga zaka zingapo. Pazifukwa izi, nthawi zambiri wodwala amawonedwa ndi oncologist yemwe ali ndi chotupa chosasiyidwa, chambiri chomwe chimakhala chovuta kuchiritsa. Pazonse, ndi chizolowezi kusiyanitsa magawo anayi a kansa ya prostate:Gawo 1 limadziwika ndi kukula kochepa kwa chotupacho, kusakhudzidwa kwa ma lymph node mu pathological process (maselo a khansa amatha kufika kumeneko ndi zotumphukira za m'mimba) komanso thanzi la wodwalayo. Monga lamulo, pakadali pano, khansa ya prostate imapezeka mwamwayi - panthawi yochizira matenda ena a gland. Matenda a wodwalayo ndi abwino,nullnullpindulani ndi chithandizo chamankhwala chofatsa chomwe chidzakulitsa moyo ndikuchepetsa zovuta za wodwalayo, ngakhale sizithandiza kuthana ndi khansa.Prostate Khansa MankhwalaMomwe mankhwala a khansa ya prostate amayendera samangotengera gawo la matendawo. Mtundu wa chotupa ndi wofunikira - umatsimikiziridwa ndi biopsy, kutenga zitsanzo zingapo za minofu ndikuwunika pansi pa maikulosikopu. Mitundu ina ya khansa - mwachitsanzo polymorphic cell carcinoma ya prostate gland - imakonda kukula mwachangu, kukula kwa ena kumayendetsedwa ndi mahomoni. Dokotala wodziwitsa bwino za oncologist amaganizira zochitika zonsezi, komanso malingaliro a wodwalayo, asanatengelingaliro pazamankhwala azachipatala.Udindo wofunikira umaseweredwa ndi zida zam'chipatala. Si chinsinsi kuti matekinoloje ambiri amakono ndi mankhwala sizikupezeka m'malo operekera khansa zapakhomo kapena ali pachiwonetsero. Ndipo njira zapamwamba monga kuchitira opaleshoni ya prostate zimatha kusiyanasiyana, zomwe zimakhudza osati chithandizo chamankhwala, komanso moyo wa wodwalayo.Mankhwala othandiziraTizilombo ta Prostate ndi chinthu chofunikira, koma champhongo chachikulire chimatha kukhala popanda icho. Chifukwa chake, ngati khansa sinafalikire kwa ziwalo komanso minofu yoyandikana, ndipo mkhalidwe wa wodwalayo umalolaopaleshoni, oncologist angavomereze kuti prostatectomy yoopsa kwa mwamunayo - kuchotsa kwa prostate. M'magawo oyamba a matendawa, njirayi imakuthandizani kuti muchira nthawi yayitali (kukhalabe kuchipatala kumatenga pafupifupi masiku 7).Pakadali pano, ndikofunikira kukumbukira kuti tikulankhula zakusokonekera kwakukulu ndi thupi, komwe kumalumikizidwa ndi chiwopsezo cha moyo, komanso zimabweretsa zotsatirapo zosasangalatsa. Chifukwa chake, odwala nthawi zambiri amakumana ndi mavuto pokodza kwa miyezi yambiri atachitidwa opaleshoni, amuna opitilira theka amadandaula kuti kutayika kwa erection.Njira yofatsa yochizira khansa ya Prostate ndiyo opaleshoni ya laparoscopic, yomweProstate imachotsedwa pang'onopang'ono - mamilimita ochepa kutalika. Zotsatira zake, chiopsezo cha zovuta za postoperative chimachepetsedwa, ndipo njirayo imaloledwa ndi wodwalayo mosavuta.KhalidNjira ina yothandizira pakuchita opaleshoni yachikhalidwe imatha kukhala prostate chotupa cryosurgery. Njira imeneyi imagwira ntchito poyambira matenda, khansa ikadapitirira ziwalo. Pakudzinyenga, singano zapadera zimayikidwa mu Prostate kudzera mwa wodwalayo, momwe maArmonon kapena nitrogen amalowa. Kutentha kochepa kumawononga minyewa ya ndulu, ndipo adotolo, pogwiritsa ntchito ultrasound, amawongolera kuti zotsatira zake sizikuwononga ziwalo zoyandikana. Zotsatira zake, chitsulosayenera kufufutidwa (ngakhale ntchito zake zikuphwanyidwa mosagwirizana). M'zaka zaposachedwa, cryosurgery yakhala ikuperekedwa monga chithandizo chachikulu cha khansa ya Prostate, yomwe ili yoyenera kwa azaka zonse.MawailesiChimodzi mwamagawo odziwika bwino a chithandizo cha khansa ya Prostate. Zimaphatikizapo kugwiritsa ntchito kachitidwe ka cyber-Knife. Njirayi imakhazikitsidwa ndi mtengo wozungulira wa chotupa, chomwe chimatsogolera kuchiwonongeko chake komweko ndikusunga umphumphu wa zimakhala zoyandikana. Ubwino wofunikira wa njirayi ndi kupweteka kotheratu komanso kuvulala: Potsatira njirayi, wodwala amatha kupita kuchipatala.RadiotherapyNgati chotupa chija ndi chaukali kapena chakula kuposa Prostate,komanso ngati wodwalayo ali wofooka kwambiri kuti achite opareshoni, zida zogwiritsira ntchito poizoniyu zimatha kukhala njira ina m'malo mwake. Choyamba, ma X-ray amapha maselo ogawanika mwachangu - ndipo maselo a khansa amakonda kukula kosalamulirika. Chifukwa chake, munthawi yama radiotherapy, chotupa chimachepa, ndipo minyewa yomwe imakhudzidwa ndi maselo opweteketsa "imatsukidwa".Radiation chithandizo imatchulidwa ngati njira ina yoperekera chithandizo, komanso ngati chowonjezera pakugwira ntchito: isanayambe kapena itatha kulowererapo. Titha kulankhula za radiotherapy yakunja (wodwalayo atagona pansi pa emitter) ndi chithandizo cha radiation chamkati, litizida zapadera zama radio zimayambitsidwa m'thupi la wodwalayo.Chithandizo cha radiation yakunja ilinso ndi mitundu yake. Oncologists amafuna kuti muchepetse kuwonongeka kwa ma radiation pazizimba zathupi, motero amayesa kuwongolera kuwala kwa chotupa mu chotupa moyenera momwe angathere. Amathandizidwa ndi njira monga 3D chinsinsi cha radiation therapy, modated mwamphamvu radiation therapy (IMRT), stereotoxic radiation tiba (SBRT), ndi proton radiation therapy. Iliyonse mwanjirazi ili ndi zabwino komanso zoyipa. Radiotherapy nthawi zambiri imayambitsa kusokonezeka pokodza pokodza komanso kusokonekera kwa erectile.Therapy ya radiation yamkati (brachytherapy) imachulukitsa kwambiri mphamvu ya poizoniyu pochepetsamtunda kuchokera kumagwero ake kupita ku maselo a khansa. Ma grayle oopsa omwe amagwiritsidwa ntchito popangira njirayi amakhala ndi ayodini wa radioactive, palladium ndi mankhwala ena omwe amatha kugwira ntchito pazinthu zazitali kwa nthawi yayitali. Kutengera ndi njirayi, ma granles amenewa amatha kukhala m'thupi kwa miyezi yambiri (brachytherapy mosalekeza) kapena pokhapokha pakumwa mankhwala (osakhalitsa a brachytherapy).ChemotherapyChemotherapy imagwiritsidwa ntchito, monga lamulo, pamavuto omwe khansa imafalikira m'thupi lonse, motero muyenera kuthana ndi matendawa padziko lonse lapansi. Mankhwala omwe amagwiritsidwa ntchito pochiza zotupa za prostate yoyipa amalembedwera maphunziro, kutsatira zotsatira za mankhwala ndi kukulitsa mavuto.Othandizira a chemotherapeutic samakhala ndi vuto osati khansa yokha, komanso zimakhala ndi thanzi. Chifukwa chake, odwala omwe amachitidwapo chithandizo chotere nthawi zambiri amakhala ndi vuto logaya chakudya m'thupi, kufooka, kuchepera tsitsi komanso matenda opatsirana.Mankhwala olimbitsa thupiChithandizo chamtunduwu ndicholinga chothandiza chitetezo cha wodwalayo. Maselo a khansa ndi achilendo kwa thupi lathu, koma chifukwa cha zida zapadera zogwiritsira ntchito, amatha kuthana ndi chitetezo cha mthupi.Kukonzekera chitetezo chamthupi kumapangidwa payekhapayekha - mu labotale, m'magazi a wodwalayo "amaphunzitsidwa" kuti azindikire chotupa, kenaka katemera woperekedwayo amayambitsidwa m'thupi. Tsoka ilo, oncologists sanathebe kukwaniritsa zapamwambaKugwiritsa ntchito njirayi, nthawi zambiri, imagwiritsidwa ntchito ngati chothandizira, komanso kumapeto kwa matendawo.Hormone chithandizo cha khansa ya ProstatePopeza kukula kwa chotupa nthawi zambiri kumayambitsidwa ndi zochitika za mahomoni ogonana amuna, mu magawo apamwamba a khansa ya Prostate, madokotala amatha kukupatsirani mankhwala omwe amateteza kaphatikizidwe ka zinthuzi. Nthawi zambiri timalankhula za kuyang'anira kwazamankhwala nthawi zonse. Chithandizo choterechi chimatanthawuza kuperekera kuchipatala: Kugonana kumagwiranso ntchito komwe kunachokera. Kuphatikiza ndi njira zina - mwachitsanzo, radiotherapy - kutenga mahomoni kungapangitse kuchira kwathunthu kwa odwala omwe akuphatikizidwa mu Prostatomyomy yokhazikika. Nthawi yomweyokuponyedwa kuchipatala ndikusintha - mankhwala atasiya.Njira zakuchizira khansa ya Prostate ndizosiyanasiyana, ndipo chaka chilichonse pamakhala chidziwitso panjira zatsopano. Mwanjira ina, palibe milandu yopanda chiyembekezo pamene mankhwala alibe mphamvu zothandizira wodwala. Ndikofunikira kupeza dokotala yemwe amasankha njira yothandizirana mozama. Osataya mtima - kupambana kwa khansa kuli kwambiri kwa inu.Siyani pempho patsamba lathu ndipo akatswiri athu adzakupezani ndi kukuthandizani kusankha chipatala chabwino kwambiri malinga ndi vuto lanu.