Prostate cancer kenza yechitatu inonyanya kuzivikanwa pakati pevarume muRussia mushure megomarara remapapu uye cancer yemudumbu. Inowanikwa mune imwe yevarume gumi nemashanu vanopfuura makore makumi mana. Gore roga roga pasi rose, maronda anorwadza eprostate anowanikwa muvanhu vane mamirioni, uye anenge mumwe muzvitatu wavo anofa nekuda kweiyo pathology.Nei kenza yeprostate ichikura?Izvo zvinozivikanwa kuti izvi zvinosanganisirwa nekushandurwa kwehormonal kumashure, genetic predisposition, kushaya chikafu zvinovaka uye kukurudzira kwezvimwe zvinhu, iro basa rayo risati ranyatsosimbiswa. Kubva panguva yekutanga cancermasero isati yatanga kukura kwezviratidzo zvinotungamira murume kune kubvunzana nachiremba kazhinji zvinotora makore akati wandei. Neichi chikonzero, kazhinji murwere anoonekwa neanocologist aine asina hanya, yakawedzera tumor iyo yakaoma kuporesa. Pakazara, itsika kusiyanisa ina nhanho dzekenza yeprostate:Nhanho 1 inoratidzwa nehukuru hushoma hwe tumor, kusavapo kwekubatanidzwa kwe lymph node mune pathological process (masero ekenza anogona kusvika ipapo nekuyerera kwe lymph) uye kugara zvakanaka kwemurwere. Sezvo mutemo, panguva ino, kenza yeprostate inoonekwa nemukana - panguva yekurapwa kweimwe chirwere chegland. Hutano hwehupenyu hwomurwere hwanaka,nullnullkubatsirwa kwemaitiro akapfava ekurapa ayo anowedzera hupenyu nekurerutsa kutambudzika kwemurwere, kunyangwe izvo zvisiri kuzobatsira kukunda cancer.Prostate Kenza KurapaMaitiro ekurapa kenza yeprostate achaenda kwete chete pachikamu chechirwere. Rudzi rwe tumor rwakakosha - rwunotemerwa ne biopsy, kutora masampula emapundu akati wandei ndokuawongorora pasi pehomwe. Dzimwe mhando dzekenza - semuenzaniso polymorphic cell carcinoma ye prostate gland - inokonzeresa kukurumidza kukurumidza kukura, kukura kwevamwe kunopindirwa nemahormone. Anologist aripo oncologist anofunga zvese izvi mamiriro, pamwe nemaonero emurwere iye pachake, asati atorachisarudzo pane zvekurapa maitiro.Basa rakakosha rinoitwa nehunyanzvi hwekushandisa mukiriniki. Haisi chakavanzika kuti tekinoroji dzanhasi nemishonga zvinongowanikwa munzvimbo dzekenza yemumba kana vari padanho rekushandisa. Uye nzira dzechinyakare dzakadai sekubviswa kweshangu yeprostate dzinogona kusiyana zvakanyanya, izvo zvinokanganisa kwete chete kubudirira kwekurapwa, asiwo hupenyu hwomurwere.Kuvhiya kurapaIyo Prostate gland inhengo yakakosha, asi murume wechikuru anokwanisa kurarama pasina iyo. Naizvozvo, kana kenza yacho isina kupararira kune nhengo dzepedyo uye nhengo, uye mamiriro emurwere anotenderaoparesheni, oncologist inokurudzira radical prostatectomy kumurume - kubviswa kweprostate. Mune matanho ekutanga echirwere, nzira iyi inokuitisa kuti upore zvakakwana munguva pfupi (kugara muchipatara kunotora anenge mazuva manomwe).Zvichakadaro, zvakakosha kuyeuka kuti tiri kutaura pamusoro pekukanganisa kwakanyanya nemuviri, izvo zvinosanganiswa nenjodzi kuhupenyu, uye zvakare zvinotungamira kumimwe mhedzisiro isina kunaka. Nekudaro, varwere vanowanzoona matambudziko nekuromba kwemwedzi yakawanda mushure mekuvhiyiwa, vanopfuura hafu yevarume vanogunun'una nekutsakatika kweerection.Chinhu chakapfava chekurapa kurapwa kwekenza yeprostate ndiko kweparoscopic kuvhiya, mukatiIyo prostate inobviswa kuburikidza neyemukati midiki - angori mamirimita mashoma akareba. Nekudaro, njodzi yekunetseka kwepashure inoderedzwa, uye maitiro pachawo anoshivirirwa nemurwere zviri nyore.CryosurgeryImwe nzira yekuvhiyiwa kwechinyakare inogona kuva yeprostate tumor cryosurgery. Iyi nzira inoshanda mumatanho ekutanga echirwere, apo kenza haisati yapfuura nhengo. Munguva yekushandura, tsono dzakakosha dzinoiswa mukati meProstate kuburikidza nemurwere, mukati mayo inonamigon kana nitrogen inopinda. Kupisa kwakaderera kunoparadza tishu dzemukati, uye chiremba, achishandisa ultrasound, anodzora kuti mhedzisiro yacho haikuvadze nhengo dzinovakidzana. Nekuda kweizvozvo, ironhaufanire kubviswa (nyangwe mabasa ayo achikanganisika). Mumakore achangopfuura, cryosurgery yakawedzera kupihwa kurapwa kukuru kwegomarara reprostate, iro rinokodzera varwere veese mazera.RadiosurgeryImwe yenzvimbo dzepamberi pakurapwa dzinogona kuita kenza yeprostate. Izvo zvinosanganisira kushandiswa kweCyber-Knife system. Iyo nzira ndeye pamusoro pemhedzisiro yeganda rakatarisana neredhiyo pane tumor, inotungamira mukuparadzwa kwayo kwenzvimbo ichichengetedza kutendeka kwematehwe ari padyo. Mukana wakakosha weiyi nzira ndeyekusarwadziwa kwayo zvachose uye kusiri kukuvara: pakarepo mushure mehurongwa, murwere anogona kubva muchipatara.RadiotherapyKana bundu racho riine hutsinye kana kuti rakura kunze kweprostate,uye zvakare mune zviitiko apo murwere asina kusimba pakuvhiya, iyo radiation yekurapa zvishandiso inogona kuve imwe nzira yekukanganisa. Chekutanga pane zvese, ma-X-rays anouraya anokamura masero - uye maseru emukenza anowanzo kukura nekusagadziriswa. Nekudaro, panguva dzechirongwa che radiotherapy, bundu rinoderera, uye mitezo yakakanganiswa nemaseru inorasika "inoshambidzwa".Radiation kurapwa inorayirwa senzira yekurapa zvakasiyana, uye sechiwedzera pakuvhiya: kana kana mushure mekupindira. Tinogona kutaura nezve ese ekunze radiotherapy (kana murwere akarara pasi pe emitter) uye yemukati radiation kurapwa, riinhimawadhi redhiyo anokosha anounzwa mumuviri wemurwere.Kunze radiation kurapwa kunewo yayo mhando. Oncologists vanotsvaga kuderedza zvakakanganisika mhedzisiro ye radiation pane masisitimu emuviri, saka vanoedza kutungamira beam rekuwonekwa kune radior kune bundu zvakanyanya sezvinobvira. Ivo vanobatsirwa nemaitiro senge 3D chakavanzika radiation therapy, modured intensity radiation therapy (IMRT), stereotoxic radiation therapy (SBRT), uye proton radiation therapy. Imwe neimwe yenzira idzi ine zvakanakira uye zvisina kunaka. Radiotherapy inowanzo kutungamira mukusagadzikana kwekukanganisa urination uye erectile dysfunction.Yemukati radiation kurapwa (brachytherapy) zvakanyanya kuwedzera mhedzisiro ye radiation nekudzorachinhambwe kubva kunowanikwa maseru ekenza. Iyo radioactive granules inoshandiswa muitiro iine radioactive iodine, palladium uye mamwe makemikari anogona kukanganisa yakatenderedza tishu kwenguva yakareba. Zvichienderana nenzira, aya magirazi anogona kuve mumuviri kwemwedzi yakawanda (inopfuurira brachytherapy) kana chete panguva dzekurapwa (zvenguva pfupi brachytherapy).ChemotherapyChemotherapy inoshandiswa, sekutonga, mumamiriro ezvinhu kana cancer ichinge yazara mumuviri wese, saka unofanirwa kubata nechirwere pasi rese. Zvinodhaka zvinoshandiswa kurapa tummentate prostate tumors zvakatemwa mumakosi, zvichitevera mhedzisiro yekurapa nekuvandudza kwemhedzisiro.Chemotherapeutic vamiririri vane maitiro akaipa kwete chete pane kenza, asiwo kune hutano matishu. Naizvozvo, varwere vari kurapwa zvakadaro vanowanzove vaine hutachiona hwekugaya, kushaya simba, kurasikirwa nevhudzi uye chirwere chinotapukira.Kurapa hutachionaMhando iyi yekurapa inoitirwa kurisimudzira kusasimba kwemurwere. Cancer masero ari kunze kwemuviri wedu, asi nekuda kwehunyanzvi hunoshanda mashandiro, ivo vanokwanisa kunzvenga mhinduro yekudzivirira.Kugadzirira kurapa kwekudzivirira kunoitwa mumwe nemumwe - murabhoritari, maseru eropa emurwere "anodzidziswa" kuziva bundu, mozotanga mushonga unopinda mumuviri. Zvine kusuwa, oncologists haasati akwanisa kuwana yakakwirirakushanda kweiyi nzira, nekudaro, kazhinji kazhinji kuno shandiswa seyokubatsira, uyezve mumatanho ekupedzisira echirwere.Hormone kurapwa kweprostate kenzaSezvo kukura kwe tumor kunowanzokonzerwa nekuita kwehomoni dzechirume dzechirume, mumatanho epamberi pekenza yeprostate, vanachiremba vanogona kunyora mishonga inovhara synthesis yezvinhu izvi. Kazhinji isu tiri kutaura pamusoro pehupenyu hwese hutongi hwemishonga yemishonga. Kurapa kwakadaro kunoreva kurasirwa kwachiremba: kuita zvepabonde kunoora kunopesana nekwaakabva. Mukubatana nedzimwe nzira - semuenzaniso, radiotherapy - kutora mahormoni kunogona kutungamira kuchirwere chakakwana kune varwere vari contraindicated mune yakanyanya prostatectomy. Panguva imwe chetekurapwa kudzorerwa kunochinjika - mushure mekubviswa kwezvinodhaka.Idzi nzira dzekurapa dzekenza yeprostate dzakasiyana, uye gore rega rega pane ruzivo nezvenzira nyowani dzinoshanda. Mune mamwe mazwi, pane angangoita asina tariro kana mushonga usina simba rekubatsira murwere. Izvo zvakakosha kuti uwane chiremba anosarudza nzira inoshanda yekurapa. Usaore mwoyo - kukunda kwegomarara kuri zvakanyanya kwauri.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.