
Phau ntawv qhia no muab cov lus qhia dav dav txog qib siab Kev kho mob qog noj ntshav prostate cov kev xaiv thiab pab koj nrhiav cov kws kho mob muaj npe nrov nyob ze koj. Peb tshawb nrhiav ntau yam kev kho mob, sib tham txog yam cuam tshuam rau kev txiav txim siab kho mob, thiab muab cov peev txheej los pab koj tshawb nrhiav qhov zoo tshaj plaws kev kho mob qog noj ntshav prostate nyob ze kuv.
Advanced prostate cancer yog hais txog cov qog nqaij hlav uas tau kis dhau ntawm lub caj pas prostate mus rau lwm qhov hauv lub cev (mob metastatic) lossis tau loj hlob nyob rau hauv prostate nws tus kheej thiab tsis suav tias yog hauv zos. Kev mob qog noj ntshav (txiav txim siab nws qhov twg) ua lub luag haujlwm tseem ceeb hauv kev npaj kho mob. Kev kuaj pom ntxov thiab kho sai yog qhov tseem ceeb rau kev tswj tus kab mob kom zoo.
Kev kho mob qog noj ntshav prostate siv TNM system (Tumor, Node, Metastasis) txhawm rau txheeb xyuas qhov kis mob qog noj ntshav. Kev ntsuas ntsuas qhov ua rau mob qog noj ntshav tshwm sim nyob rau hauv lub tshuab kuaj kab mob. Ob qho tib si staging thiab grading yog qhov tseem ceeb hauv kev txiav txim siab qhov tsim nyog kev kho mob kho mob cancer prostate nyob ze kuv tswv yim.
Kev kho cov tshuaj hormones, tseem hu ua androgen deprivation therapy (ADT), lub hom phiaj los txo lossis thaiv kev tsim cov tshuaj testosterone, ib qho tshuaj uas txhawb kev loj hlob ntawm qog nqaij hlav cancer prostate. Qhov no tuaj yeem ua rau tus kab mob qeeb qeeb thiab txo cov tsos mob. Hom kev kho tshuaj hormones suav nrog cov tshuaj xws li GnRH agonists, antiandrogens, thiab orchiectomy (kev phais tshem tawm ntawm cov noob qes).
Tshuaj kho mob siv cov tshuaj muaj zog los tua cov qog nqaij hlav cancer thoob plaws hauv lub cev. Nws feem ntau siv thaum kho cov tshuaj hormones tsis zoo lossis thaum mob qog noj ntshav tau nthuav dav. Muaj ntau txoj kev khomob khomob muaj, thiab kev xaiv nyob ntawm tus kheej thiab tus yam ntxwv ntawm tus kabmob.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob siab rau lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer. Sab nrauv kab hluav taws xob kho mob feem ntau yog siv, tab sis brachytherapy (cog cov noob hluav taws xob ncaj qha rau hauv prostate) kuj yog ib qho kev xaiv nyob ntawm qhov xwm txheej tshwj xeeb. Radiation tuaj yeem siv ua ke nrog lwm cov kev kho mob.
Cov phiaj xwm kho mob tsom rau cov molecules tshwj xeeb lossis txoj hauv kev koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer. Cov kev kho mob no muab txoj hauv kev meej dua, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Muaj ntau txoj kev kho mob muaj rau kev mob qog noj ntshav prostate, thiab cov tshiab tau tsim kho tas li. Piv txwv suav nrog PARP inhibitors thiab lwm cov tshuaj tshiab.
Immunotherapy aims los txhawb lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Txoj hauv kev no tau pom cov lus cog tseg hauv qee qhov mob qog noj ntshav prostate, tshwj xeeb tshaj yog cov uas muaj cov cim caj ces. Nws yog feem ntau siv nrog rau lwm yam kev kho mob. Qhov muaj thiab tsim nyog ntawm kev siv tshuaj tiv thaiv kab mob yuav nyob ntawm koj tus kheej kev noj qab haus huv profile thiab cov ntsiab lus mob qog noj ntshav.
Nrhiav ib tus kws kho mob uas tsim nyog tau ntsib hauv kev kho mob qog noj ntshav prostate yog qhov tseem ceeb. Koj tuaj yeem pib los ntawm kev tshawb nrhiav online ntawm cov kws kho mob oncologist lossis sab laj nrog koj tus kws kho mob thawj zaug rau cov lus pom zoo. Kev tshawb fawb txog kev paub dhau los thiab kev lees paub ntawm cov kws tshaj lij muaj peev xwm yog qhov tseem ceeb hauv kev ua kom koj tau txais kev saib xyuas zoo tshaj plaws. Xav txog cov kws kho mob tshwj xeeb koom nrog cov chaw kho mob muaj npe nrov xws li Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/), paub txog lawv cov kev txawj ntse hauv oncology.
Kev xaiv chaw kho mob kuj yog ib qho kev txiav txim siab tseem ceeb. Nrhiav cov chaw uas muaj ntau txoj kev qhuab qhia uas muaj xws li urologists, oncologists, hluav taws xob oncologists, thiab lwm tus kws kho mob tshwj xeeb. Nug txog lawv cov kev paub txog kev kho mob qog noj ntshav prostate, lawv cov txiaj ntsig tau zoo, thiab lawv cov kev pab txhawb nqa rau cov neeg mob thiab lawv tsev neeg. Cov kev xaiv kho mob muaj thiab tag nrho cov kev saib xyuas zoo heev cuam tshuam rau kev kho mob.
Ua ntej pib kho, nws yog ib qho tseem ceeb uas yuav tau nug koj tus kws kho mob cov lus nug txog koj qhov kev kuaj mob, kev xaiv kev kho mob, cov kev mob tshwm sim, thiab kev pom mus ntev. Tsis txhob yig mus nrhiav kev xav thib ob los xyuas kom meej tias koj tau txiav txim siab. Kev nkag siab txog qhov txaus ntshai thiab cov txiaj ntsig cuam tshuam nrog kev kho mob sib txawv yog qhov tseem ceeb rau kev txiav txim siab paub zoo.
Kev kho mob qog noj ntshav prostate tuaj yeem nyuaj. Kev sib txuas nrog cov pab pawg txhawb nqa, cov koom haum txhawb nqa tus neeg mob, thiab cov kws kho mob hlwb tuaj yeem muab kev pab cuam muaj txiaj ntsig zoo rau kev xav thiab siv tau thoob plaws koj txoj kev taug. Muaj ntau cov kev pabcuam zoo heev uas muaj los pab koj hauv kev taug txoj kev nyuaj no. Nco ntsoov, koj tsis nyob ib leeg hauv kev sib ntaus sib tua no.
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 tsim nyog 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.