
Cov lus qhia dav dav no yuav pab koj nkag siab txog Gleason 8 prostate cancer thiab pom qhov tsim nyog kho gleason 8 kho mob qog noj ntshav prostate nyob ze kuv kev xaiv. Peb tshawb nrhiav kev kuaj mob, kev xaiv kho mob, thiab qhov tseem ceeb uas yuav tsum tau xav txog thaum xaiv tus kws kho mob. Kawm txog cov kev kho mob siab heev thiab qhov twg yuav nrhiav tau cov kws kho mob pom zoo.
Gleason tus qhab nia ntawm 8 qhia txog qhov sib txawv ntawm cov qog nqaij hlav prostate. Qhov no txhais tau hais tias cov qog nqaij hlav cancer zoo li txawv me ntsis ntawm cov hlwb ib txwm nyob hauv lub tshuab tsom. Qhov qhab nia no suav tias yog nruj heev, yuav tsum tau ceev thiab ceev faj txog kev xaiv kev kho mob. Txoj kev kho mob tshwj xeeb yuav nyob ntawm ntau yam, suav nrog theem ntawm mob qog noj ntshav, koj txoj kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Nws yog ib qho tseem ceeb kom muaj kev sib tham nrog koj tus kws kho mob urologist lossis tus kws kho mob oncologist kom paub meej txog kev txiav txim siab.
Qhov kev txiav txim siab ntawm qhov zoo tshaj plaws kho gleason 8 kho mob qog noj ntshav prostate nyob ze kuv yog tus kheej thiab nyob ntawm ntau yam. Cov no suav nrog theem ntawm koj tus mob qog noj ntshav (txiav txim siab los ntawm cov txiaj ntsig biopsy thiab kev tshuaj ntsuam xyuas), koj lub hnub nyoog thiab kev noj qab haus huv tag nrho, koj lub neej expectancy, thiab koj nyiam txog kev kho mob. Koj tus kws kho mob yuav txiav txim siab tag nrho cov xwm txheej no ua ntej pom zoo rau kev nqis tes ua. Kev cuam tshuam thaum ntxov yog qhov tseem ceeb rau cov txiaj ntsig zoo dua. Ib pab neeg ua haujlwm ntau txoj hauv kev, suav nrog urologists, oncologists, thiab radiation oncologists, feem ntau muab kev saib xyuas zoo tshaj plaws.
Muaj ntau txoj kev kho mob rau Gleason 8 prostate cancer. Qhov kev xaiv zoo tshaj yog nyob ntawm tus kheej cov xwm txheej uas tau tham saum toj no. Cov kev xaiv tshaj plaws muaj xws li:
Radical prostatectomy cuam tshuam nrog kev phais tshem tawm cov qog prostate. Qhov no feem ntau suav hais tias yog mob qog noj ntshav hauv zos prostate. Qhov kev vam meej ntawm cov txheej txheem no txawv nyob ntawm qhov kev txawj ntse ntawm tus kws phais thiab theem ntawm cov qog nqaij hlav. Tej yam tshwm sim muaj xws li incontinence thiab erectile kawg. Lub sijhawm rov qab tuaj yeem nyob ntawm ntau lub lis piam mus rau lub hlis.
Kev kho hluav taws xob siv hluav taws xob muaj zog los tua cov qog nqaij hlav cancer. Qhov no tuaj yeem xa tawm sab nraud (sab nraud kab hluav taws xob kho mob) lossis sab hauv (brachytherapy). Sab nrauv kab hluav taws xob kev kho mob feem ntau yog muab ntau tshaj li ob peb lub lis piam, thaum brachytherapy cuam tshuam nrog kev cog cov noob hluav taws xob ncaj qha rau hauv prostate. Cov kev mob tshwm sim muaj xws li qaug zog, khaus tawv nqaij, thiab teeb meem ntawm plab lossis zais zis. Kev xaiv ntawm sab nraud beam thiab brachytherapy yog tsim los ntawm tus neeg mob yam tseem ceeb.
Hormone therapy aims kom txo cov theem ntawm testosterone nyob rau hauv lub cev, qeeb los yog txwv tsis pub txoj kev loj hlob ntawm prostate cancer hlwb. Qhov no feem ntau yog siv rau hauv kev mob qog nqaij hlav prostate siab lossis ua ke nrog lwm yam kev kho mob. ADT tuaj yeem siv los ntawm kev txhaj tshuaj lossis tshuaj noj qhov ncauj. Kev mob tshwm sim tuaj yeem suav nrog kub kub, qhov hnyav nce, poob libido, thiab pob txha.
Kev soj ntsuam nquag muaj kev saib xyuas mob qog noj ntshav tsis tu ncua. Qhov kev xaiv no feem ntau suav hais tias yog rau cov txiv neej uas muaj mob qog nqaij hlav prostate tsawg, thiab kev saib xyuas tsis tu ncua suav nrog kev kuaj PSA thiab biopsies txhawm rau txheeb xyuas qhov hloov pauv. Kev soj ntsuam nquag tuaj yeem tsim nyog rau qee kis Gleason 8 nyob ntawm lwm yam tab sis yuav tsum tau ua tib zoo saib xyuas thiab saib xyuas.
Xaiv tus kws kho mob tshwj xeeb yog qhov tseem ceeb rau kev ua tau zoo kho gleason 8 kho mob qog noj ntshav prostate nyob ze kuv. Saib rau pawg thawj coj saib xyuas urologist thiab oncologists uas muaj kev paub dhau los hauv kev kho mob qog noj ntshav prostate. Xav txog kev nrhiav tswv yim thib ob los xyuas kom meej tias koj tau txais kev saib xyuas zoo tshaj plaws. Koj tuaj yeem tshawb fawb cov tsev kho mob thiab cov chaw kho mob qog noj ntshav paub txog lawv cov kev txawj ntse hauv kev kho mob qog noj ntshav prostate. Shandong Baofa Cancer Research Institute yog ib lub tuam txhab muaj koob npe uas muab kev kho mob siab heev rau ntau yam mob qog noj ntshav, suav nrog mob qog noj ntshav prostate.
Nco ntsoov, cov ntaub ntawv muab ntawm no yog rau kev paub dav dav thiab tsis hloov pauv rau cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob txhawm rau txiav txim siab qhov kev ua haujlwm zoo tshaj plaws rau koj qhov xwm txheej tshwj xeeb. Kev tshawb pom ntxov thiab kev kho mob yog qhov tseem ceeb hauv kev tswj Gleason 8 prostate cancer.
| Kev kho mob | Cov teebmeem | Kev ua tau zoo |
|---|---|---|
| Kev phais (Radical Prostatectomy) | Incontinence, erectile kawg | Zoo heev rau cov kab mob hauv zos |
| Kev kho hluav taws xob | Kev qaug zog, khaus tawv nqaij, teeb meem plab / zais zis | Siv tau rau hauv zos thiab qee yam kab mob siab heev |
| Hormone Therapy (ADT) | Kub flashes, hnyav nce, poob libido, osteoporosis | Ua rau qeeb lossis nres mob qog noj ntshav, feem ntau siv rau theem siab |
| Active Kev soj ntsuam | Cov kev phiv tsawg tsawg, tab sis yuav tsum tau saib xyuas tsis tu ncua | Tsim nyog rau cov teeb meem uas tsis tshua muaj kev pheej hmoo, yuav tsum tau saib xyuas ze |
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 uas tsim nyog rau kev kuaj mob thiab kev kho mob.