Thaum Ntxov Kev Kho Mob Cancer Prostate: Phau Ntawv Qhia Txog Kev Tshawb Fawb Thaum ntxov thiab kev kho mob sai yog qhov tseem ceeb rau kev ua tiav Kev kho mob cancer prostate thaum ntxov. Phau ntawv qhia no muab cov ntsiab lus ntawm kev kuaj mob, kev xaiv kho mob, thiab yam uas yuav tsum tau xav txog thaum txiav txim siab txog kev kho mob. Peb yuav tshawb nrhiav ntau yam, suav nrog kev soj ntsuam, kev phais, kev kho hluav taws xob, thiab kev kho hormonal, tsom mus rau qhov kev nce qib tshiab thiab lawv qhov tsim nyog rau ntau theem ntawm tus kab mob. Kev nkag siab txog cov kev xaiv no tso cai rau koj los txiav txim siab xaiv nrog koj pab neeg kho mob.
Nkag siab Thaum Ntxov Prostate Cancer
Kev kuaj mob ntawm Early Prostate Cancer
Thawj kauj ruam hauv
Kev kho mob cancer prostate thaum ntxov yog qhov tseeb kev kuaj mob. Qhov no feem ntau suav nrog kev kuaj lub qhov quav digital (DRE) ua los ntawm tus kws kho mob kom hnov qhov txawv txav hauv lub caj pas prostate. Kev kuaj ntshav prostate-specific antigen (PSA) ntsuas qib ntawm PSA, cov protein uas tsim los ntawm prostate. Kev nce qib PSA tuaj yeem qhia tau tias mob qog noj ntshav prostate, tab sis kev tshawb xyuas ntxiv yog feem ntau tsim nyog. Kev kuaj mob biopsy, suav nrog kev tshem tawm cov qauv me me los ntawm prostate, yog qhov tseem ceeb rau kev lees paub qhov kev kuaj mob thiab txiav txim siab qib qog nqaij hlav thiab theem. Cov tswv yim zoo tshaj plaws, xws li MRI scans, kuj tseem siv tau los ua kom pom cov prostate thiab cov ntaub so ntswg ib puag ncig zoo dua. Kev kuaj pom ntxov yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig kev kho mob.
Staging ntawm Early Prostate Cancer
Thaum kuaj mob qog noj ntshav prostate, nws yog ib qho tseem ceeb los txiav txim siab nws theem, uas qhia txog qhov kev kis mob qog noj ntshav. Staging yuav ntsuas qhov loj thiab qhov chaw ntawm cov qog nyob rau hauv lub caj pas prostate, seb nws puas tau kis mus rau cov qog nqaij hlav nyob ze, thiab yog hais tias nws tau metastasized (kis) mus rau cov kab mob nyob deb. Cov txheej txheem staging siv feem ntau yog TNM system (Tumor, Node, Metastasis). Kev nkag siab txog theem yog qhov tseem ceeb rau kev taw qhia kev txiav txim siab kho mob thiab kev kwv yees kwv yees. Koj tus kws kho mob yuav piav qhia koj cov theem tshwj xeeb thiab nws qhov cuam tshuam.
Kev Xaiv Kev Kho Mob rau Prostate Thaum Ntxov
Muaj ntau txoj kev kho mob rau
thaum ntxov prostate cancer, thiab txoj hauv kev zoo tshaj plaws nyob ntawm ntau yam, 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 nrog koj tus kws kho mob oncologist yog qhov tseem ceeb los txiav txim siab qhov kev txiav txim siab tshaj plaws.
Active Kev soj ntsuam
Rau qee tus txiv neej uas muaj kev pheej hmoo tsawg, mob qog nqaij hlav prostate qeeb, kev soj ntsuam nquag (tseem hu ua kev saib xyuas tos) yog qhov kev xaiv siv tau. Qhov no suav nrog kev saib xyuas mob qog noj ntshav los ntawm kev kuaj PSA tsis tu ncua, DREs, thiab biopsies. Kev kho mob tsuas yog pib yog tias mob qog noj ntshav zuj zus. Txoj kev no zam cov kev mob tshwm sim ntawm kev kho tam sim ntawd. Kev soj ntsuam nquag tsuas yog tsim nyog rau cov xwm txheej tshwj xeeb thiab xav tau kev sib koom tes nrog koj pab neeg kho mob.
Kev phais (Prostatectomy)
Radical prostatectomy cuam tshuam nrog kev phais tshem tawm ntawm cov qog prostate. Cov txheej txheem no tuaj yeem ua tau los ntawm kev phais qhib, phais laparoscopic, lossis kev phais neeg hlau-pab laparoscopic. Kev xaiv ntawm txoj kev phais yog nyob ntawm ntau yam, nrog rau tus kws kho mob cov kws tshaj lij thiab tus neeg mob cov xwm txheej tshwj xeeb. Tej yam tshwm sim ntawm kev phais muaj xws li urinary incontinence thiab erectile kawg, txawm hais tias cov no tuaj yeem sib txawv ntawm cov tib neeg.
Kev kho hluav taws xob
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Sab nrauv kab hluav taws xob kho hluav taws xob xa hluav taws xob los ntawm lub tshuab sab nraud lub cev, thaum brachytherapy cuam tshuam nrog kev tso cov noob hluav taws xob ncaj qha rau hauv lub caj pas prostate. Kev kho hluav taws xob tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Tej yam tshwm sim ntawm kev kho hluav taws xob muaj xws li teeb meem tso zis thiab plab hnyuv, nrog rau qaug zog.
Hormonal Therapy
Hormonal therapy, tseem hu ua androgen deprivation therapy (ADT), lub hom phiaj los txo cov qib ntawm cov tshuaj hormones (feem ntau yog testosterone) uas txhawb kev loj hlob ntawm cov qog nqaij hlav prostate. Qhov no tuaj yeem ua tiav los ntawm cov tshuaj uas thaiv kev tsim cov tshuaj hormones lossis tiv thaiv kom tsis txhob ncav cuag cov qog nqaij hlav cancer. Hormonal therapy feem ntau yog siv rau hauv kev mob qog noj ntshav prostate, tab sis kuj tseem tuaj yeem ua lub luag haujlwm hauv kev kho mob ntawm qee qhov mob thaum ntxov. Cov kev mob tshwm sim ntawm kev kho hormonal tuaj yeem suav nrog kub kub, txo libido, thiab qhov hnyav hloov.
Xaiv txoj kev kho mob
Qhov kev txiav txim siab txog
Kev kho mob cancer prostate thaum ntxov yuav tsum tau koom tes nrog koj tus kws kho mob. Xav txog kev nrhiav tswv yim thib ob kom ntseeg tau tias koj txaus siab rau koj txoj kev npaj kho mob. Yam uas yuav tsum xav txog suav nrog theem thiab qib ntawm koj tus mob qog noj ntshav, koj lub hnub nyoog, kev noj qab haus huv, thiab kev nyiam ntawm tus kheej txog kev kho mob thiab kev ua neej nyob mus ntev. Koj pab neeg saib xyuas kev noj qab haus huv yuav pab koj ntsuas cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob kom pom txoj hauv kev zoo tshaj plaws rau yav tom ntej. Nco ntsoov tias ntau tus txiv neej ua tiav kev taug kev
Kev kho mob cancer prostate thaum ntxov thiab ua neej nyob ntev thiab noj qab nyob zoo.
| Kev kho mob xaiv | Kev piav qhia | Tej yam tshwm sim |
| Active Kev soj ntsuam | Kev saib xyuas mob qog noj ntshav ze ze; kev kho mob tsuas yog tias nws loj tuaj. | Tsawg heev; Feem ntau muaj feem xyuam rau cov txheej txheem saib xyuas. |
| Kev phais (Prostatectomy) | Kev phais tshem tawm cov qog prostate. | Urinary incontinence, erectile kawg. |
| Kev kho hluav taws xob | Siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. | Teeb meem tso zis thiab plab, qaug zog. |
| Hormonal Therapy | Txo cov qib tshuaj hormones uas txhawb kev loj hlob ntawm qog nqaij hlav cancer prostate. | Kub flashes, txo libido, hnyav hloov. |
Yog xav paub ntxiv txog kev kho mob qog noj ntshav prostate thiab kev txhawb nqa, thov mus saib hauv American Cancer Society los yog sab laj nrog tus kws kho mob uas tsim nyog. Ntawm Shandong Baofa Cancer Research Institute, peb tau mob siab rau muab kev saib xyuas siab thiab muaj siab hlub rau cov neeg mob qog noj ntshav.