
Cov lus qhia dav dav no tshawb txog qhov nyuaj ntawm Gleason 8 kev kho mob qog noj ntshav prostate muaj nyob hauv Suav teb. Peb yuav tshuaj xyuas cov txheej txheem kuaj mob, txoj hauv kev kho mob, thiab qhov tseem ceeb ntawm kev nrhiav cov kws kho mob cov lus qhia rau tus kheej. Kawm paub txog cov kev nce qib tshiab thiab cov peev txheej los mus rau txoj kev taug kev nyuaj no.
Kev mob qog noj ntshav prostate tau muab qhab nia siv Gleason scoring system, uas ntsuas qhov ua phem ntawm cov qog nqaij hlav cancer. Gleason tus qhab nia ntawm 8 qhia tau hais tias muaj qhov sib txawv me ntsis ntawm cov qog nqaij hlav, qhia txog kev mob qog nqaij hlav prostate ntau dua piv rau cov qhab nia qis. Qhov no yuav tsum muaj kev npaj kho mob hnyav dua. Kev nkag siab txog koj qhov qhab nia Gleason yog qhov tseem ceeb rau kev txiav txim siab qhov kev ua haujlwm tsim nyog. Kev kuaj pom zoo los ntawm tus kws kho mob oncologist hauv Suav teb yog thawj kauj ruam hauv kev tswj hwm Tuam Tshoj Gleason 8 kho mob qog noj ntshav prostate.
Kev kuaj mob Gleason 8 prostate cancer koom nrog ntau cov txheej txheem. Cov no suav nrog kev kuaj lub qhov quav digital (DRE), kuaj ntshav prostate-specific antigen (PSA), thiab kuaj ntshav prostate. Cov tswv yim zoo tshaj plaws, xws li MRI thiab CT scans, kuj tseem yuav ua hauj lwm los txiav txim seb qhov mob qog noj ntshav li cas. Qhov tseeb thiab kev ua haujlwm ntawm cov txheej txheem kuaj mob no yog qhov tseem ceeb hauv kev coj ua tau zoo Tuam Tshoj Gleason 8 kho mob qog noj ntshav prostate kev npaj. Kev nkag mus rau cov cuab yeej siv thev naus laus zis thiab cov kws tshaj lij yog qhov tseem ceeb.
Kev xaiv phais, xws li radical prostatectomy (kev phais tshem tawm ntawm lub caj pas prostate), yog cov kev xaiv kho mob rau Gleason 8 prostate cancer. Qhov kev vam meej ntawm radical prostatectomy txawv nyob ntawm seb yam xws li theem ntawm tus mob qog noj ntshav thiab tus neeg mob tag nrho kev noj qab haus huv. Cov txheej txheem phais tsawg kawg nkaus tau txais kev pom zoo los txo cov sij hawm rov qab thiab cov kev mob tshwm sim. Kev xaiv txoj kev phais kom raug yuav tsum tau ua tib zoo xav thiab koom tes nrog koj tus kws kho mob.
Kev kho hluav taws xob, suav nrog kev kho hluav taws xob sab nraud (EBRT) thiab kev kho mob brachytherapy (cog cov noob radioactive rau hauv prostate), yog lwm txoj kev kho mob zoo. Kev kho hluav taws xob siv lub hom phiaj los rhuav tshem cov qog nqaij hlav cancer thaum txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Kev ua tau zoo ntawm kev kho hluav taws xob rau Gleason 8 prostate cancer nyob ntawm ntau yam, nrog rau cov qog qhov loj thiab qhov chaw, thiab tus neeg mob qhov kev noj qab haus huv tag nrho. Cov txheej txheem hluav taws xob siab tshaj plaws, xws li kev siv hluav taws xob siv hluav taws xob kho hluav taws xob (IMRT), yog tsim los ua kom cov qog nqaij hlav, khaws cov ntaub so ntswg noj qab haus huv.
Kev kho cov tshuaj hormones, tseem hu ua androgen deprivation therapy (ADT), lub hom phiaj los txo cov theem ntawm testosterone hauv lub cev, ua rau kev loj hlob ntawm cov qog nqaij hlav cancer prostate. Qhov kev xaiv kev kho mob no feem ntau siv ua ke nrog lwm cov kev kho mob, xws li kev phais lossis kev kho hluav taws xob, txhawm rau txhim kho kev kho mob zoo. Hormone therapy tej zaum yuav yog ib qho kev kho mob tseem ceeb lossis kev kho mob uas siv tom qab phais lossis hluav taws xob los txo qhov kev pheej hmoo ntawm kev rov tshwm sim. Kev xaiv ntawm kev kho tshuaj hormone nyob ntawm ntau yam nrog rau theem ntawm tus mob qog noj ntshav thiab tus neeg mob txoj kev noj qab haus huv.
Cov phiaj xwm kev kho mob thiab kws khomob yog siv nyob rau theem siab ntawm mob qog noj ntshav prostate thaum lwm yam kev kho mob tsis ua tiav lossis tsis ua haujlwm ntxiv lawm. Cov kev kho mob no ua haujlwm los ntawm kev tsom mus rau cov qog nqaij hlav cancer tshwj xeeb lossis cuam tshuam rau lawv txoj kev loj hlob thiab kev sib kis. Kev xaiv tshuaj khomob lossis kev khomob tshwjxeeb yog nyob ntawm tus kheej thiab cov yam ntxwv tshwj xeeb ntawm tus kabmob.
Xaiv txoj kev kho zoo tshaj plaws rau Gleason 8 prostate cancer yuav tsum muaj kev ntsuam xyuas tag nrho ntawm ntau yam. Cov xwm txheej no suav nrog tus neeg mob lub hnub nyoog, kev noj qab haus huv tag nrho, theem thiab qib ntawm tus mob qog noj ntshav, thiab kev nyiam ntawm tus kheej. Kev sib tham txog kev xaiv kho mob yuav tsum yog kev sib koom tes ntawm tus neeg mob thiab lawv pab neeg kho mob. Ib txoj kev kho tus kheej uas xav txog tus neeg mob qhov xwm txheej tshwj xeeb yog qhov tseem ceeb rau kev ua tiav cov txiaj ntsig zoo.
Nrhiav ib tus neeg muaj npe nrov thiab paub txog urologist lossis oncologist yog qhov tseem ceeb rau kev ua tau zoo Tuam Tshoj Gleason 8 kho mob qog noj ntshav prostate. Kev sab laj nrog ntau tus kws tshaj lij kom tau txais cov kev xav sib txawv yog feem ntau tau txais txiaj ntsig. Kev tshawb fawb zoo thiab nrhiav kev xav thib ob tuaj yeem pab txiav txim siab txog kev kho mob.
Kev kuaj mob qog noj ntshav prostate tuaj yeem nyuaj rau kev xav. Cov pab pawg txhawb nqa, cov kev pab cuam sab laj, thiab cov peev txheej kev kawm tuaj yeem muab kev pabcuam tseem ceeb thaum lub sijhawm nyuaj no. Kev sib txuas nrog lwm tus neeg mob thiab lawv tsev neeg tuaj yeem muab kev txhawb nqa kev xav thiab cov lus qhia tswv yim.
Yog xav paub ntxiv txog kev mob qog noj ntshav prostate, koj tuaj yeem xav sab laj cov koom haum muaj koob npe xws li National Cancer Institute (NCI) https://www.cancer.gov/. Koj yuav tsum sab laj nrog koj tus kws kho mob tas li ua ntej txiav txim siab txog koj txoj kev npaj kho mob.
Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog ib tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho txhua yam mob.
| Kev kho mob xaiv | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Radical Prostatectomy ntawm lub ntsej muag | Muaj peev xwm kho tau, tshem tawm cov qog | Muaj peev xwm rau kev phiv xws li incontinence thiab impotence |
| Kev kho hluav taws xob | Tsawg invasive dua kev phais, tuaj yeem raug tsom | Tej yam tshwm sim xws li qaug zog thiab mob plab / zais zis |
| Hormone Therapy | Yuav qeeb qog hlav | Kev mob tshwm sim tuaj yeem suav nrog kub kub, qhov hnyav nce, thiab txo libido |
Yog xav paub ntxiv thiab tshawb nrhiav kev kho mob siab heev muaj nyob hauv Suav teb, mus saib Shandong Baofa Cancer Research Institute.