Kev kho mob hauv zos qib siab kho mob qog noj ntshav hauv tsev kho mob

Kev Kho Mob Hauv Zos Advanced Prostate Cancer: Nrhiav Lub Tsev Kho Mob Zoo Hauv Kev Mob qog noj ntshav hauv zos yuav tsum tau kho tshwj xeeb thiab kev saib xyuas tshwj xeeb. Phau ntawv qhia no yuav pab koj nkag siab txog koj cov kev xaiv thiab nrhiav lub tsev kho mob zoo rau koj cov kev xav tau.

Nkag siab Locally Advanced Prostate Cancer

Kev mob qog nqaij hlav hauv zos hauv zos yog hais txog cov qog nqaij hlav uas tau kis dhau ntawm lub caj pas prostate tab sis tseem tsis tau metastasized (kis mus rau qhov chaw deb ntawm lub cev). Cov theem no yuav tsum muaj kev kho mob hnyav kom tiv thaiv kev loj hlob ntxiv. Cov tsos mob tshwm sim tuaj yeem suav nrog teeb meem tso zis, mob pob txha, thiab erectile kawg, tab sis ntau tus txiv neej tsis muaj tsos mob dab tsi. Kev kuaj pom ntxov yog qhov tseem ceeb, vim nws cuam tshuam rau kev xaiv kev kho mob thiab kev kwv yees. Kev kuaj mob kom raug yog nyob ntawm kev sib xyaw ua ke, suav nrog kev kuaj lub qhov quav digital (DRE), kuaj ntshav prostate-specific antigen (PSA), thiab kuaj ntshav biopsy. Gleason cov qhab nia thiab TNM qhov kev ua haujlwm pab txiav txim siab txog qhov mob qog noj ntshav.

Kev Xaiv Kev Kho Mob rau Hauv Zos Advanced Prostate Cancer

Cov phiaj xwm kev kho mob yog tus kheej heev thiab nyob ntawm ntau yam xws li tus neeg mob lub cev tag nrho, hnub nyoog, theem mob qog noj ntshav, thiab kev nyiam ntawm tus kheej. Nov yog qee qhov kev kho mob uas muaj:

Kev kho hluav taws xob

Kev kho hluav taws xob, suav nrog kev kho hluav taws xob sab nraud (EBRT) thiab brachytherapy (sab hauv hluav taws xob), yog lub hauv paus ntawm hauv zos advanced prostate kho mob cancer. EBRT siv cov kab hluav taws xob siab rau lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer, thaum brachytherapy cuam tshuam nrog kev cog cov noob hluav taws xob ncaj qha rau hauv prostate. Ntau lub tsev kho mob muaj cov txheej txheem hluav taws xob zoo xws li kev siv hluav taws xob siv hluav taws xob kho hluav taws xob (IMRT) thiab kev kho proton, uas xa cov koob tshuaj hluav taws xob kom txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Cov txheej txheem siab heev no feem ntau cuam tshuam nrog kev kho kom zoo dua qub. Kev xaiv ntawm EBRT thiab brachytherapy, thiab kev xaiv cov txheej txheem hluav taws xob tshwj xeeb, nyob ntawm seb tus qog tus yam ntxwv thiab tus neeg mob qhov xwm txheej.

Kev phais

Radical prostatectomy, kev phais tshem tawm ntawm lub caj pas prostate, yog lwm qhov kev xaiv rau hauv zos advanced prostate kho mob cancer. Robotic-assisted laparoscopic prostatectomy (RALP) yog ib qho kev tawm tsam me me uas muaj cov txiaj ntsig zoo xws li txo qis ntshav, nyob hauv tsev kho mob luv dua, thiab rov qab sai dua piv rau cov kev phais qhib. Qhov tsim nyog ntawm kev phais yog nyob ntawm qhov loj thiab qhov chaw ntawm cov qog, thiab tus neeg mob txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb los tham txog cov kev mob tshwm sim, suav nrog kev tso zis thiab erectile kawg, nrog koj tus kws phais ua ntej txiav txim siab txog kev kho mob.

Hormone Therapy (Androgen Deprivation Therapy - ADT)

Kev kho tshuaj Hormone, tseem hu ua androgen deprivation therapy (ADT), lub hom phiaj los txo cov theem ntawm testosterone hauv lub cev, uas cov qog nqaij hlav qog noj ntshav yuav tsum loj hlob. Txoj kev kho no feem ntau siv nrog rau lwm yam kev kho mob xws li kev kho hluav taws xob lossis kev phais, tshwj xeeb tshaj yog nyob rau hauv cov kab mob hauv zos. ADT tuaj yeem ua rau qeeb ntawm kev loj hlob ntawm prostate cancer thiab txhim kho cov ciaj sia taus. Txawm li cas los xij, ADT mus sij hawm ntev tuaj yeem ua rau muaj kev phiv xws li kub kub, qhov hnyav nce, osteoporosis, thiab txo libido. Yuav tsum tau saib xyuas kom zoo thaum thiab tom qab kho ADT.

Tshuaj kho mob

Cov kws khomob feem ntau yog tshwj tseg rau cov neeg mob uas mob qog noj ntshav tau nce lossis tsis tau teb txaus rau lwm yam kev kho mob. Hauv cov ntsiab lus ntawm hauv zos advanced prostate kho mob cancer, chemotherapy tej zaum yuav raug txiav txim siab hauv cov xwm txheej tshwj xeeb, xws li thaum mob qog noj ntshav siab lossis loj hlob sai. Muaj ntau cov tshuaj chemotherapy, txhua tus muaj nws tus kheej cov kev mob tshwm sim. Kev txiav txim siab siv tshuaj khomob yuav nyob ntawm tus neeg mob qhov kev noj qab haus huv tag nrho thiab theem ntawm tus kabmob.

Xaiv Lub Tsev Kho Mob Zoo rau Koj Kev Kho Mob

Xaiv lub tsev kho mob rau hauv zos advanced prostate kho mob cancer yog qhov kev txiav txim siab tseem ceeb. Xav txog yam xws li tsev kho mob cov kev paub hauv kev kho mob qog noj ntshav prostate, muaj cov thev naus laus zis thiab kev xaiv kev kho mob, thiab cov kws tshaj lij ntawm pab pawg kho mob. Nrhiav cov tsev kho mob nrog cov chaw kho mob qog noj ntshav prostate mob siab rau thiab ntau pab pawg kws kho mob uas suav nrog urologists, kws kho mob hluav taws xob, kws kho mob oncologist, thiab lwm tus kws kho mob tshwj xeeb. Kev tshuaj xyuas tus neeg mob thiab kev lees paub raws li txoj cai kuj tseem tuaj yeem muab kev nkag siab zoo. Kev sab laj tus kheej nrog tus kws kho mob tshwj xeeb yuav yog qhov tseem ceeb hauv kev txiav txim siab xaiv.

Nrhiav Kev Pabcuam thiab Kev Pabcuam

Kev kuaj mob ntawm cov qog nqaij hlav prostate hauv zos tuaj yeem nyuaj, ob qho tib si ntawm lub cev thiab lub siab. Nrhiav kev txhawb nqa los ntawm tsev neeg, phooj ywg, thiab pab pawg txhawb nqa yog qhov tseem ceeb hauv kev kho mob. Cov koom haum xws li American Cancer Society thiab Prostate Cancer Foundation muab cov peev txheej tseem ceeb, suav nrog cov ntaub ntawv qhia txog kev kho mob, kev pab nyiaj txiag, thiab kev txhawb siab. Nco ntsoov, koj tsis nyob ib leeg.

Table: Sib piv cov kev xaiv kho mob

Nco ntsoov sab laj nrog koj tus kws kho mob kom txiav txim siab qhov zoo tshaj plaws kev kho mob rau cov mob qog nqaij hlav hauv zos mob qog noj ntshav raws li koj qhov xwm txheej tshwj xeeb. Yog xav paub ntxiv, mus saib hauv Shandong Baofa Cancer Research Institute lub vev xaib. National Cancer Institute tseem muaj cov ntaub ntawv qhia txog kev mob qog noj ntshav prostate.