
Kab lus no muab cov ntaub ntawv tseem ceeb rau cov tib neeg nrhiav pheej yig intermediate prostate kho mob cancer tsev kho mob. Peb tshawb nrhiav ntau yam kev kho mob, tus nqi tseem ceeb, thiab cov peev txheej los pab koj taug txoj kev nyuaj no. Peb yuav hais txog yam cuam tshuam rau cov nqi kho mob, txoj hauv kev nrhiav kev pab nyiaj txiag, thiab qhov tseem ceeb ntawm kev xaiv lub tsev kho mob muaj npe nrov.
Intermediate-risk prostate cancer poob ntawm pawg tsawg thiab muaj kev pheej hmoo siab. Kev txiav txim siab txog kev kho mob nyob ntawm ntau yam, suav nrog tus neeg mob tag nrho kev noj qab haus huv, tus yam ntxwv mob qog noj ntshav (Gleason qhab nia, PSA qib, thiab theem), thiab kev nyiam ntawm tus kheej. Nkag siab txog koj qhov kev kuaj mob tshwj xeeb yog qhov tseem ceeb hauv kev txiav txim siab paub txog kev kho mob.
Ntau yam ua rau kev txiav txim siab qhov zoo tshaj plaws ntawm kev ua rau cov qog nqaij hlav hauv nruab nrab ntawm prostate. Cov no suav nrog tus neeg mob lub hnub nyoog thiab kev noj qab haus huv tag nrho, qog qhov loj thiab qhov chaw, thiab muaj kev cuam tshuam cov qog ntshav qog ntshav. Gleason qhab nia, ib qho kev muab qhab nia ntsuas qhov kev ua phem ntawm tus mob qog noj ntshav, ua lub luag haujlwm tseem ceeb. Kev ntsuam xyuas dav dav los ntawm tus kws kho mob urologist lossis tus kws kho mob oncologist yog qhov tseem ceeb los txiav txim siab txog kev kho mob uas tsim nyog.
Muaj ntau txoj kev kho mob muaj nyob rau nruab nrab mob qog noj ntshav prostate, txhua tus muaj nws tus kheej zoo, qhov tsis zoo, thiab cov nqi cuam tshuam. Cov kev xaiv no suav nrog:
Rau qee tus txiv neej uas muaj kev pheej hmoo mob qog nqaij hlav prostate nruab nrab, kev soj ntsuam nquag tuaj yeem yog qhov kev xaiv tsim nyog. Qhov no suav nrog kev saib xyuas mob qog noj ntshav tsis tu ncua los ntawm kev kuaj PSA thiab biopsies ntau dua li kev kho tam sim. Txoj hauv kev no feem ntau nyiam rau cov txiv neej laus lossis cov uas muaj lwm yam mob uas yuav ua rau kev kho mob hnyav dua. Txawm hais tias nws yog ib qho kev xaiv zoo tshaj plaws nyob rau lub sijhawm luv luv, cov nqi mus sij hawm ntev tau cuam tshuam txog kev mob qog noj ntshav.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem xa tawm sab nraud (sab nraud kab hluav taws xob kho mob) lossis sab hauv (brachytherapy). Sab nrauv kab hluav taws xob kho mob feem ntau yog siv nrog kev kho hormonal. Tus nqi ntawm kev kho hluav taws xob tuaj yeem sib txawv nyob ntawm hom thiab lub sijhawm kho.
Prostatectomy yog ib txoj kev phais kom tshem tawm cov qog prostate. Qhov no feem ntau yog qhov kev xaiv kim dua piv rau kev soj ntsuam xyuas lossis kev kho hluav taws xob. Lub sijhawm rov qab los thiab cov teeb meem uas yuav tshwm sim yuav tsum tau xav txog.
Hormonal therapy aims kom qeeb los yog nres kev loj hlob ntawm prostate cancer hlwb los ntawm kev txo lub cev zus tau tej cov testosterone. Nws feem ntau siv ua ke nrog lwm yam kev kho mob, xws li kev kho hluav taws xob. Tus nqi yuav nyob ntawm seb cov tshuaj twg siv thiab lub sijhawm kho.
Tus nqi kho mob qog noj ntshav prostate tuaj yeem sib txawv nyob ntawm lub tsev kho mob, qhov chaw, thiab hom kev kho mob. Nrhiav lub tsev kho mob muaj npe nrov uas muab cov nqi sib tw yog qhov tseem ceeb. Tej yam uas yuav tsum tau xav txog suav nrog tsev kho mob lub koob npe nrov, kev paub txog kws phais mob, thiab muaj kev pab txhawb nqa.
Ob peb yam ua rau tag nrho cov nqi kho mob qog noj ntshav prostate. Cov no suav nrog hom kev kho mob, qhov ntev ntawm kev kho mob, lub tsev kho mob qhov chaw, thiab tus neeg mob cov ntawv pov hwm. Nws yog ib qho tseem ceeb los tham txog cov nqi uas muaj peev xwm nrog koj tus kws kho mob thiab tshawb nrhiav cov kev xaiv rau kev pab nyiaj txiag.
Muaj ntau qhov kev pab cuam los pab cov neeg mob tswj hwm lub nra nyiaj txiag ntawm kev kho mob qog noj ntshav prostate. Cov no suav nrog kev pov hwm kev tuav pov hwm, tsoomfwv cov haujlwm, thiab cov koom haum pab txhawb nqa. Nws raug nquahu kom tshawb nrhiav thiab tshawb nrhiav txhua yam kev xaiv muaj los xyuas kom nkag mus rau kev kho mob pheej yig.
Xaiv lub tsev kho mob zoo rau koj pheej yig intermediate prostate kev kho mob cancer yog qhov kev txiav txim siab tseem ceeb. Xav txog yam xws li tsev kho mob cov kws tshaj lij hauv kev kho mob qog noj ntshav prostate, kev tshuaj xyuas cov neeg mob, thiab cov txiaj ntsig ua tiav. Koj tuaj yeem pom cov ntaub ntawv qhia ntxaws thiab cov lus pov thawj ntawm tus neeg mob hauv tsev kho mob lub vev xaib.
Rau cov neeg nrhiav kev kho mob qog noj ntshav thiab qib siab, xav txog Shandong Baofa Cancer Research Institute. Lawv muab cov kev kho mob zoo tshaj plaws thiab kev siv thev naus laus zis los pab hauv koj txoj kev taug. Nco ntsoov tias kev tshawb pom ntxov thiab kev cuam tshuam yog qhov tseem ceeb rau kev ua tiav. Nco ntsoov sab laj nrog koj tus kws kho mob los tham txog koj tus kheej cov xwm txheej thiab tsim ib txoj kev kho tus kheej.
Cov ntaub ntawv no yog rau kev paub dav dav thiab cov ntaub ntawv xov xwm nkaus xwb, thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau txhua yam lus nug uas koj muaj txog koj tus mob. Kev txiav txim siab txog kev kho mob yuav tsum tau tham nrog koj tus kws kho mob raws li koj tus kheej cov keeb kwm kho mob thiab xwm txheej.