
Theem 3 Prostate Cancer Treatment: Phau Ntawv Qhia Kom Paub Cov kab lus no muab cov lus qhia dav dav ntawm kev kho mob rau theem 3 mob qog noj ntshav, suav nrog kev kuaj mob, kev kho mob, thiab cov kev mob tshwm sim. Nws hais txog qhov tseem ceeb ntawm cov phiaj xwm kho tus kheej raws li tus neeg mob yam xwm txheej thiab muab cov lus qhia txog kev taug kev nyuaj no.
Theem 3 mob qog noj ntshav prostate yog tus cwj pwm los ntawm cov qog nqaij hlav cancer uas tau loj hlob dhau ntawm lub caj pas prostate thiab tej zaum yuav kis mus rau cov ntaub so ntswg los yog cov qog ntshav nyob ze. Kev kho mob rau theem no yog qhov tseem ceeb heev thiab koom nrog ntau txoj kev qhuab qhia, feem ntau sib txuas ntau yam kev kho mob kom ua tau zoo tshaj plaws thiab txo cov kev mob tshwm sim. Kev nkag siab txog ntau yam kev xaiv muaj yog qhov tseem ceeb rau cov neeg mob thiab lawv tsev neeg.
Kev kuaj pom tseeb yog thawj kauj ruam. Qhov no feem ntau suav nrog kev kuaj lub qhov quav digital (DRE), kuaj ntshav prostate-specific antigen (PSA), thiab kuaj biopsy kom paub meej tias muaj thiab theem ntawm mob qog noj ntshav. Staging pab txiav txim seb tus kab mob cancer kis tau li cas, cuam tshuam rau kev txiav txim siab kho mob. TNM staging system feem ntau yog siv, qhov twg T yog hais txog lub qog loj thiab qhov chaw, N yog hais txog kev koom tes ntawm cov qog nqaij hlav, thiab M yog hais txog cov metastasis nyob deb. Theem 3 mob qog noj ntshav prostate qhia tau hais tias mob qog noj ntshav tau kis dhau ntawm lub caj pas prostate tab sis tsis mus rau cov kab mob nyob deb.
Kev kho mob rau theem 3 mob qog noj ntshav prostate yog tus kheej heev thiab nyob ntawm ntau yam, suav nrog:
Muaj ntau txoj hauv kev kho mob rau theem 3 mob qog noj ntshav prostate, feem ntau siv ua ke:
Radical prostatectomy cuam tshuam nrog kev phais tshem tawm ntawm cov qog prostate thiab cov ntaub so ntswg ib puag ncig. Qhov no yog ib qho kev phais loj nrog cov kev mob tshwm sim, suav nrog kev tso zis tsis ua haujlwm thiab erectile kawg. Qhov kev vam meej yog nyob ntawm yam xws li theem thiab qib ntawm tus mob qog noj ntshav.
Kev kho hluav taws xob siv hluav taws xob siab los tua cov qog nqaij hlav cancer. Sab nraud beam hluav taws xob kho (EBRT) yog ib txoj hauv kev, xa hluav taws xob los ntawm sab nraud lub cev. Brachytherapy, uas cuam tshuam nrog kev tso cov noob hluav taws xob ncaj qha rau hauv prostate, yog lwm txoj hauv kev. Kev mob tshwm sim tuaj yeem suav nrog teeb meem tso zis thiab plab hnyuv, qaug zog, thiab khaus tawv nqaij.
Hormone therapy aims txo testosterone qib, qeeb lossis nres kev loj hlob ntawm prostate cancer hlwb uas nyob ntawm testosterone rau kev loj hlob. Qhov no tuaj yeem ua tiav los ntawm kev siv tshuaj lossis phais (orchiectomy). Kev mob tshwm sim tuaj yeem suav nrog kub kub, qhov hnyav nce, txo libido, thiab pob txha.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws yog feem ntau tshwj tseg rau cov mob siab heev ntawm mob qog noj ntshav prostate los yog thaum lwm yam kev kho mob ua tsis tiav. Cov kev mob tshwm sim muaj tshwm sim thiab tuaj yeem yog qhov tseem ceeb.
Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov kev kho mob no tau dhau los ua qhov tseem ceeb hauv mob qog noj ntshav prostate kev tswj hwm, feem ntau siv nrog rau lwm yam kev kho mob.
Rau qee tus txiv neej nrog qeeb-loj hlob theem 3 mob qog noj ntshav prostate, kev soj ntsuam nquag tuaj yeem yog qhov kev xaiv. Qhov no suav nrog kev saib xyuas qhov mob qog noj ntshav tsis tu ncua. Kev kuaj PSA tsis tu ncua, kev kuaj ntshav, thiab kev tshuaj ntsuam xyuas yog siv los taug qab tus kab mob thiab pib kho yog tias tsim nyog.
Kev xaiv txoj kev kho mob zoo tshaj plaws yuav tsum tau ua tib zoo xav txog cov xwm txheej ntawm tus kheej thiab kev sib tham zoo nrog urologist thiab oncologist. Ib pab neeg ua haujlwm ntau txoj hauv kev feem ntau yog txoj hauv kev zoo tshaj plaws los tswj theem 3 mob qog noj ntshav prostate.
Muaj ntau txoj kev kho mob rau mob qog noj ntshav prostate tuaj yeem muaj kev phiv. Nws yog ib qho tseem ceeb los tham txog cov no nrog koj pab neeg kho mob thiab tsim cov tswv yim los tswj lawv. Pab pawg txhawb nqa thiab kev tawm tswv yim kuj tuaj yeem muaj txiaj ntsig zoo.
Ntau lub koom haum muab kev pabcuam thiab kev txhawb nqa rau cov tib neeg nrog mob qog noj ntshav prostate. Cov koom haum no muab cov ntaub ntawv qhia txog kev kho mob, cov tswv yim daws teeb meem, thiab kev pab nyiaj txiag. Piv txwv li, lub American Cancer Society muab kev pabcuam thiab kev txhawb nqa rau cov neeg mob qog noj ntshav thiab lawv tsev neeg. Xav nrhiav kev txhawb nqa los ntawm cov koom haum no thoob plaws koj txoj kev kho mob.
Rau kev kho tus kheej thiab kev kho mob siab heev, xav txog kev hu rau Shandong Baofa Cancer Research Institute. Lawv mob siab rau muab kev saib xyuas zoo thiab kev tshawb fawb txog kev kho mob qog noj ntshav.
Disclaimer: 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 tus kws kho mob rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.