
Phau ntawv qhia ntxaws no tshawb txog toj roob hauv pes Tuam Tshoj advanced kev kho mob qog noj ntshav prostate cov kev xaiv, muab kev nkag siab txog cov kev kho mob muaj, kev tshawb fawb nce qib, thiab kev xav rau cov neeg mob taug kev nyuaj no. Peb delve rau hauv ntau txoj kev kho mob, qhia txog lawv cov kev ua tau zoo, muaj peev xwm tshwm sim, thiab tsim nyog rau ntau theem ntawm tus kab mob. Cov ntaub ntawv no yog siv rau kev kawm thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob oncologist rau cov lus pom zoo kho tus kheej.
Advanced prostate cancer feem ntau yog hais txog cov qog nqaij hlav uas tau kis dhau ntawm lub caj pas prostate (tus kab mob metastatic) lossis nthuav tawm kev loj hlob sai txawm tias pib kho. Cov theem no feem ntau yuav tsum muaj ntau txoj kev qhuab qhia nrog rau kev kho mob oncology, hluav taws xob oncology, thiab urology. Kev xaiv kho yog nyob ntawm ntau yam, nrog rau cov qog nqaij hlav, qib, thiab tus neeg mob lub cev tag nrho.
Qhov tseeb theem (txiav txim siab txog qhov kis mob qog noj ntshav) thiab kev muab qhab nia (xws li kev mob qog noj ntshav ntawm tes) yog qhov tseem ceeb rau kev npaj kho mob. Cov no yog txiav txim los ntawm kev kuaj biopsies, imaging scans (xws li MRI, CT, thiab kuaj pob txha), thiab kuaj ntshav (PSA qib). Cov txheej txheem sib txawv, zoo li TNM system, yog siv los faib cov kab mob.
Kev kho tshuaj hormone yog lub hauv paus ntawm Tuam Tshoj advanced kev kho mob qog noj ntshav prostate. Nws lub hom phiaj txo qis testosterone qib, ua rau cov qog loj hlob qeeb. Qhov no yuav suav nrog cov tshuaj xws li GnRH agonists, GnRH antagonists, lossis antiandrogens. ADT tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob.
Kev siv tshuaj tua kab mob siv tshuaj tua kab mob qog noj ntshav. Muaj ntau txoj kev khomob khomob muaj rau kev mob qog noj ntshav prostate, feem ntau siv thaum kho tshuaj hormones ua haujlwm tsis zoo. Cov tshuaj nquag siv suav nrog docetaxel, cabazitaxel, thiab lwm yam. Kev xaiv tshuaj khomob yog nyob ntawm tus neeg mob tus mob thiab cov lus teb rau lwm yam kev kho mob.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los kho cov mob qog noj ntshav hauv zos lossis kho cov pob txha metastases (mob qog noj ntshav mus rau pob txha). Sab nraud beam hluav taws xob kho thiab brachytherapy (sab hauv hluav taws xob) feem ntau siv cov tswv yim.
Targeted therapy tshuaj tshwj xeeb yog tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Ob peb hom kev kho mob tau raug tshawb xyuas thiab siv hauv Tuam Tshoj advanced kev kho mob qog noj ntshav prostate rau kev hloov pauv caj ces. Kev xaiv cov hom phiaj kho mob hinges raws li tus neeg mob cov kab mob caj ces, uas yuav tsum tau kuaj tshwj xeeb.
Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Checkpoint inhibitors, uas thaiv cov proteins uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer, tau siv ntau dua hauv kev mob qog noj ntshav prostate. Qhov no yog qhov kev hloov pauv sai sai nrog kev tshawb fawb tsis tu ncua rau hauv cov txheej txheem immunotherapy tshiab.
Xaiv qhov zoo tshaj plaws Tuam Tshoj advanced kev kho mob qog noj ntshav prostate Lub tswv yim yuav tsum tau ua tib zoo xav txog ntau yam, suav nrog tus neeg mob kev noj qab haus huv tag nrho, qhov kev kis mob qog noj ntshav, cov lus teb kho mob yav dhau los, thiab cov kev mob tshwm sim ntawm kev kho mob sib txawv. Ib pab neeg ua haujlwm ntau tus kws tshaj lij feem ntau ua qhov kev txiav txim siab no.
Kev tshawb nrhiav kev kuaj mob qog noj ntshav prostate tuaj yeem nyuaj. Cov neeg mob thiab lawv tsev neeg yuav tsum nrhiav kev txhawb siab los ntawm cov pab pawg txhawb nqa, kev pab sab laj, thiab cov koom haum txhawb pab neeg mob. Cov Shandong Baofa Cancer Research Institute muab kev saib xyuas thiab kev txhawb nqa dav dav, suav nrog kev nkag mus rau cov kev xaiv kho mob siab heev thiab pab pawg saib xyuas kev txhawb nqa.
Kev koom tes hauv kev sim tshuaj muaj kev nkag mus rau cov kev kho mob siab thiab pab txhawb kev paub txog kev mob qog noj ntshav prostate. Cov neeg mob yuav tsum sib tham txog qhov muaj peev xwm koom nrog hauv kev sim tshuaj nrog lawv cov kws kho mob oncologist. Ntau lub tsev kho mob hauv Suav teb koom nrog kev sim tshuaj ntsuam xyuas thoob ntiaj teb thiab lub teb chaws cuam tshuam txog kev mob qog noj ntshav prostate.
Disclaimer: Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob thiab cov lus pom zoo kho mob.