
Pheej yig Locally Advanced Prostate Cancer Treatment Nyob ze Me Nrhiav kev kho mob zoo thiab pheej yig rau kev kho mob qog noj ntshav hauv zos tuaj yeem nyuaj heev. Phau ntawv qhia no muab cov ntaub ntawv tseem ceeb los pab koj nrhiav koj cov kev xaiv thiab txiav txim siab paub txog koj txoj kev saib xyuas.
Kev mob qog nqaij hlav hauv zos hauv zos txhais tau hais tias mob qog noj ntshav tau loj hlob dhau ntawm lub caj pas prostate tab sis tsis tau kis (metastasized) mus rau lwm qhov ntawm lub cev. Cov theem no yuav tsum muaj kev kho mob hnyav kom tiv thaiv kev loj hlob ntxiv. Kev kho mob xaiv rau pheej yig hauv zos kho mob qog noj ntshav prostate nyob ze kuv sib txawv, thiab xaiv qhov yog nyob ntawm ntau yam, suav nrog koj qhov kev noj qab haus huv tag nrho, theem ntawm koj tus mob qog noj ntshav, thiab koj tus kheej nyiam. Nrhiav ib tus kws kho mob muaj npe nrov tau paub txog kev kho mob qog noj ntshav prostate yog qhov tseem ceeb.
Kev kho hluav taws xob siv hluav taws xob siab los tua cov qog nqaij hlav cancer. Sab nraud beam radiation therapy (EBRT) yog ib txoj hauv kev, feem ntau ua ke nrog lwm yam kev kho mob xws li kev kho tshuaj hormone. Kev siv hluav taws xob-modulated radiation therapy (IMRT) thiab brachytherapy (sab hauv hluav taws xob) yog cov txheej txheem siab dua uas tuaj yeem xa cov hluav taws xob ntau dua rau cov qog thaum txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Tus nqi ntawm kev kho hluav taws xob tuaj yeem sib txawv heev nyob ntawm seb hom kev kho mob thiab pes tsawg zaus yuav tsum tau ua. Nws yog ib qho tseem ceeb los tham txog cov nyiaj txiag nrog koj tus kws kho mob thiab tshawb nrhiav cov kev pab nyiaj txiag muaj peev xwm.
Prostatectomy, kev phais tshem tawm ntawm lub caj pas prostate, tej zaum yuav yog ib qho kev xaiv rau qee tus txiv neej uas muaj mob qog noj ntshav hauv zos. Robotic-assisted laparoscopic prostatectomy (RALP) yog ib qho kev tawm tsam me me uas feem ntau ua rau lub sijhawm rov qab sai dua piv rau kev phais qhib. Txawm li cas los xij, kev phais muaj qhov pheej hmoo thiab cov nqi, uas yuav tsum tau ua tib zoo xav.
Kev kho cov tshuaj hormones ua haujlwm los ntawm kev txo qis ntawm cov txiv neej cov tshuaj hormones (androgens) uas ua rau mob qog noj ntshav prostate. Qhov no tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob xws li kev kho hluav taws xob. Nws yog kev kho mob, txhais tau tias nws cuam tshuam rau tag nrho lub cev. Kev mob tshwm sim tuaj yeem suav nrog kub kub, txo libido, thiab hloov pauv qhov hnyav. Tus nqi ntawm kev kho tshuaj hormone tuaj yeem sib txawv raws li hom tshuaj thiab lub sijhawm kho.
Tshuaj kho mob siv tshuaj muaj zog los tua cov qog nqaij hlav cancer. Nws feem ntau yog tshwj tseg rau cov neeg mob uas mob qog noj ntshav tsis tau teb zoo rau lwm yam kev kho mob. Nws yog ib qho tseem ceeb kom nkag siab tias chemotherapy muaj cov kev mob tshwm sim tseem ceeb thiab tsuas yog yuav tsum tau txiav txim siab raws li kev saib xyuas mob nkeeg.
Kev koom tes hauv kev sim tshuaj muaj kev nkag mus rau cov kev kho tshiab thiab kev kho mob uas yuav tsis muaj dav. Cov kev sim no tau ua raws li cov txheej txheem nruj thiab koom nrog kev saib xyuas zoo los ntawm cov kws kho mob. Cov no tuaj yeem yog qhov kev xaiv tseem ceeb rau cov neeg tshawb nrhiav pheej yig hauv zos kho mob qog noj ntshav prostate nyob ze kuv, tab sis koj yuav tsum tau sab laj nrog koj tus kws kho mob oncologist ua ntej tso npe. Ntau lub koom haum tuav cov ntaub ntawv qhia dav dav ntawm kev sim tshuaj tsis tu ncua.
Tus nqi ntawm pheej yig hauv zos kho mob qog noj ntshav prostate nyob ze kuv tuaj yeem yog qhov kev txhawj xeeb loj. Ntau qhov kev pabcuam tuaj yeem pab koj tswj cov nqi no:
Xaiv tus kws kho mob uas paub txog thiab muaj koob npe nrov yog qhov tseem ceeb heev. Nrhiav ib tus kws kho mob urologist lossis tus kws kho mob oncologist tshwj xeeb hauv kev mob qog noj ntshav prostate nrog cov ntaub ntawv pov thawj thiab cov neeg mob tshuaj xyuas zoo. Lub koom haum Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) yog ib lub koom haum saib xyuas zoo uas tuaj yeem yog qhov muaj txiaj ntsig zoo. Xav txog yam xws li tus kws kho mob qhov kev paub nrog kev mob qog noj ntshav hauv zos, kev kho mob tau zoo, thiab cov qhab nia txaus siab rau cov neeg mob.
Nco ntsoov tias txoj kev npaj kho mob zoo tshaj plaws yog tus kheej. Kev sib txuas lus qhib thiab ncaj ncees nrog koj pab neeg kho mob yog qhov tseem ceeb los txiav txim siab paub thiab xyuas kom koj tau txais kev saib xyuas zoo tshaj plaws. Tsis txhob yig nug cov lus nug, nrhiav kev xav thib ob, thiab tawm tswv yim rau koj tus kheej thoob plaws koj txoj kev kho mob.