
Phau ntawv qhia no muab cov ntsiab lus dav dav ntawm cov nqi cuam tshuam nrog kev kho mob qog noj ntshav prostate kuaj pom nrog PI-RADS 4 tus qhab nia. Peb tshawb nrhiav ntau yam kev kho mob, cuam tshuam rau tus nqi ntawm tus nqi, thiab cov peev txheej los pab koj mus rau qhov chaw nyiaj txiag nyuaj no. Kev nkag siab txog cov nqi peev xwm yog qhov tseem ceeb rau kev npaj thiab txiav txim siab paub txog koj txoj kev kho mob.
PI-RADS (Prostate Imaging Reporting and Data System) qhab nia ntawm 4 qhia tau hais tias muaj kev tsis txaus ntseeg ntawm cov qog nqaij hlav qog nqaij hlav raws li MRI imaging. Qhov no tsis tau txhais hais tias koj muaj mob qog noj ntshav, tab sis nws lav kev tshawb nrhiav ntxiv. Cov kauj ruam tom ntej no feem ntau suav nrog kev kuaj mob biopsy kom paub meej tias qhov kev kuaj mob thiab txiav txim siab qhov mob qog noj ntshav. Tus nqi ntawm MRI thawj zaug thiab kev kuaj ntshav tom qab yuav yog koj thawj zaug. Cov nqi sib txawv nyob ntawm koj qhov kev pov hwm kev pov hwm thiab qhov chaw tshwj xeeb.
Kev kho mob xaiv rau PI-RADS 4 prostate cancer nyob ntawm ntau yam xws li koj lub hnub nyoog, kev noj qab haus huv tag nrho, kev mob qog noj ntshav (Gleason qhab nia), thiab kev nyiam ntawm tus kheej. Cov kev kho mob uas muaj xws li:
Rau cov qog nqaij hlav uas tsis tshua muaj kev pheej hmoo, kev soj ntsuam muaj feem cuam tshuam nrog kev saib xyuas los ntawm kev kuaj xyuas tsis tu ncua, suav nrog kev kuaj PSA thiab biopsies, txhawm rau txheeb xyuas cov kev hloov pauv lossis kev loj hlob. Txoj hauv kev no zam kev kho tam sim ntawd tab sis yuav tsum tau ua raws li niaj zaus, ua rau cov nqi tsis tu ncua. Tus nqi ntawm kev soj ntsuam nquag feem ntau qis dua lwm yam kev kho mob hauv lub sijhawm luv luv tab sis yuav cuam tshuam nrog cov nqi txuas mus ntxiv ntau xyoo.
Kev kho hluav taws xob siv hluav taws xob muaj zog los tua cov qog nqaij hlav cancer. Qhov no tuaj yeem yog kev kho hluav taws xob sab nraud (EBRT) lossis brachytherapy (sab hauv hluav taws xob). Tus nqi ntawm kev kho hluav taws xob sib txawv nyob ntawm seb hom, pes tsawg zaus, thiab qhov chaw. Cov nqi tuaj yeem muaj ntau yam, cuam tshuam los ntawm yam xws li hom hluav taws xob siv thiab lub sijhawm kho. Koj yuav tsum nug ncaj qha nrog koj tus kws kho mob kom paub qhov tseeb.
Kev phais tshem tawm ntawm lub caj pas prostate yog lwm txoj kev xaiv. Tus nqi ntawm kev phais suav nrog tus txheej txheem nws tus kheej, mus pw hauv tsev kho mob, tshuaj loog, thiab kev kho mob tom qab phais. Qhov no feem ntau yog qhov kev kho mob kim dua ua ntej. Qhov tshwj xeeb ntawm tus nqi yuav raug txiav txim los ntawm tus kws phais thiab lub tsev kho mob. Lub peev xwm rau cov teeb meem, xws li incontinence thiab erectile kawg, yuav tsum tau xav txog.
Hormone therapy aims kom qeeb lossis nres qhov kev loj hlob ntawm prostate cancer los ntawm kev txo cov qib testosterone. Qhov no tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Tus nqi ntawm kev kho tshuaj hormone yog nyob ntawm hom tshuaj uas tau sau tseg thiab lub sijhawm kho. Cov nqi no yuav muaj ntau heev, tshwj xeeb tshaj yog thaum xav tau tshuaj rau lub sijhawm ntev.
Ob peb yam ua rau tus nqi kho mob tag nrho PI-RADS 4 prostate cancer:
| Qhov xwm txheej | Kev cuam tshuam rau tus nqi |
|---|---|
| Hom Kev Kho Mob | Kev phais feem ntau kim dua li kev kho hluav taws xob lossis kev soj ntsuam nquag. |
| Duration ntawm Kev Kho Mob | Kev kho mob ntev dua ib txwm ua rau tus nqi tag nrho. |
| Kev Pov Hwm Pov Hwm | Koj txoj kev pab them nqi kho mob muaj feem cuam tshuam rau cov nuj nqis tawm hauv hnab tshos. |
| Geographic Qhov chaw | Cov nqi kho mob sib txawv hauv cheeb tsam. |
| Cov Nqi Kawm Ntawv thiab Tus Kws Kho Mob | Cov chaw sib txawv thiab cov kws kho mob muaj cov qauv nqi sib txawv. |
Kev taw qhia txog nyiaj txiag ntawm kev kho mob qog noj ntshav tuaj yeem nyuaj. Ntau lub koom haum muaj kev pab nyiaj txiag los pab cov neeg mob tiv thaiv tus nqi kho mob siab. Tshawb nrhiav cov kev xaiv xws li nyiaj pab, kev pab neeg coob coob, thiab cov kev pab cuam pab neeg mob yog qhov tseem ceeb. Koj tus kws kho mob lossis tus kws saib xyuas kev noj qab haus huv tuaj yeem pab koj txheeb xyuas cov peev txheej hauv koj cheeb tsam.
Nco ntsoov, cov ntaub ntawv muab ntawm no yog rau kev paub dav dav thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nws yog ib qho tseem ceeb uas yuav tau sab laj nrog koj pab neeg kho mob los tham txog koj qhov xwm txheej tshwj xeeb, muaj kev xaiv kho mob, thiab cov nqi cuam tshuam.
Yog xav paub ntxiv txog kev kho mob qog noj ntshav thiab kev tshawb fawb, xav mus saib Shandong Baofa Cancer Research Institute.
Disclaimer: Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis 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.