
Phau ntawv qhia ntxaws no tshawb txog ntau yam kev kho mob intermediate prostate cancer kho tsev kho mob muab rau cov txiv neej kuaj mob nruab nrab-risk prostate cancer. Peb mam li delve rau hauv ntau txoj kev kho mob, lawv cov kev ua tau zoo, cov kev mob tshwm sim, thiab yam uas yuav tsum tau xav txog thaum txiav txim siab txog kev kho mob. Kev nkag siab txog koj cov kev xaiv yog qhov tseem ceeb rau kev txiav txim siab paub txog koj txoj kev kho mob.
Intermediate-risk prostate cancer yog tus cwj pwm los ntawm Gleason tus qhab nia ntawm 7 (3 + 4), PSA qib ntawm 10-20 ng / mL, los yog qog nqaij hlav uas pom tau ntawm kev kuaj lub qhov quav tab sis nyob rau hauv prostate. Nws ntog ntawm qhov tsis tshua muaj kev pheej hmoo thiab muaj kev pheej hmoo siab mob qog noj ntshav prostate nyob rau hauv cov nqe lus ntawm aggressiveness thiab yuav kis tau. Kev txiav txim siab kho mob rau cov mob qog nqaij hlav prostate nruab nrab yog qhov nyuaj thiab feem ntau nyob ntawm tus kheej yam xws li hnub nyoog, kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Tsis muaj ib qho loj- haum-txhua txoj hauv kev.
Rau qee tus txiv neej uas muaj kev pheej hmoo mob qog nqaij hlav prostate nruab nrab, kev soj ntsuam nquag yog qhov kev xaiv siv tau. Qhov no suav nrog kev saib xyuas kev mob qog noj ntshav los ntawm kev kuaj PSA tsis tu ncua, kuaj lub qhov quav digital, thiab kuaj ntshav. Kev kho mob tsuas yog pib yog tias mob qog noj ntshav qhia pom tias muaj kev loj hlob loj lossis kis tau. Txoj kev no tsim nyog rau cov neeg mob qog nqaij hlav qeeb zuj zus thiab lub neej ntev dua.
Kev kho hluav taws xob, kev kho hluav taws xob sab nraud (EBRT) lossis brachytherapy (sab hauv hluav taws xob), yog ib qho kev kho mob rau nruab nrab-kev pheej hmoo mob qog noj ntshav. EBRT siv cov kab hluav taws xob siab rau lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer. Brachytherapy cuam tshuam nrog kev cog cov noob hluav taws xob ncaj qha rau hauv prostate. Ob qho kev xaiv tau ua pov thawj tias muaj txiaj ntsig zoo hauv kev tswj cov qog nqaij hlav prostate, txawm hais tias muaj kev phiv xws li mob plab thiab plab hnyuv. Kev xaiv ntawm EBRT thiab brachytherapy feem ntau yog nyob ntawm tus neeg mob yam xwm txheej thiab kev txawj ntse ntawm tus kws kho mob oncologist.
Radical prostatectomy cuam tshuam nrog kev phais tshem tawm ntawm cov qog prostate. Qhov no yog ib qho kev lag luam loj nrog cov kev mob tshwm sim xws li incontinence thiab erectile kawg. Txawm li cas los xij, nws tuaj yeem ua tau zoo heev, tshwj xeeb tshaj yog rau kev mob qog noj ntshav hauv zos. Qhov kev txiav txim siab mus rau radical prostatectomy yog tus kheej heev thiab yuav tsum tau ua nrog kev sab laj nrog tus kws kho mob urological.
Hormone therapy, los yog ADT, ua haujlwm los ntawm kev txo qis ntawm cov txiv neej cov tshuaj hormones (androgens) uas ua rau mob qog noj ntshav prostate. Nws yog feem ntau siv ua ke nrog lwm yam kev kho mob, xws li kev kho hluav taws xob, lossis rau cov neeg mob siab heev. Thaum ua tau zoo ntawm kev ua kom qeeb ntawm kev mob qog noj ntshav, ADT tuaj yeem ua rau muaj kev phiv ntau yam xws li kub kub, qaug zog, thiab txo libido. Shandong Baofa Cancer Research Institute muaj kev txawj ntse hauv kev kho tshuaj hormone.
Qhov zoo kev kho mob intermediate prostate cancer kho tsev kho mob muab yog tus kheej heev. Ntau yam yuav tsum tau ua tib zoo xav hauv kev sab laj nrog koj pab neeg kho mob. Cov no suav nrog koj lub hnub nyoog, kev noj qab haus huv tag nrho, lub neej expectancy, theem thiab qib ntawm koj cov qog nqaij hlav, thiab koj tus kheej nyiam txog cov kev mob tshwm sim ntawm ntau yam kev kho mob. Nws yog ib qho tseem ceeb kom muaj kev sib tham qhib thiab ncaj ncees nrog koj cov kws kho mob kom ntsuas cov txiaj ntsig thiab kev pheej hmoo ntawm txhua qhov kev xaiv thiab xaiv qhov kev ua tau zoo tshaj plaws rau koj qhov xwm txheej tshwj xeeb.
Xaiv lub tsev kho mob muaj koob npe nrog cov kws paub txog kev paub yog qhov tseem ceeb. Nrhiav cov tsev kho mob uas muaj cov neeg mob qog nqaij hlav cancer ntau heev, cov thev naus laus zis siab heev, thiab ntau pab pawg kws kho mob oncologist, urologist, thiab kws kho hluav taws xob. Cov ntawv pov thawj ntawm tus neeg mob thiab kev tshuaj xyuas kuj tseem tuaj yeem pab tau rau koj txiav txim siab. Xav txog cov tsev kawm ntawv nrog cov ntaub ntawv muaj zog ntawm kev tshawb fawb thiab kev tsim kho tshiab hauv kev kho mob qog noj ntshav prostate. Shandong Baofa Cancer Research Institute Nws mob siab rau muab kev saib xyuas zoo, tus neeg mob-chav saib xyuas mob qog noj ntshav prostate.
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 ib tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho txhua yam mob.