
Cov lus qhia dav dav no tshawb txog cov xwm txheej cuam tshuam rau tus nqi kho mob qog noj ntshav prostate thaum Prostate Imaging Reporting thiab Data System (PI-RADS) qhab nia ntawm 4 tau txheeb xyuas. Peb mam li qhia txog ntau yam kev kho mob, cov nuj nqis cuam tshuam, thiab cov peev txheej los pab koj mus rau thaj chaw nyuaj no. Kev nkag siab txog qhov cuam tshuam txog nyiaj txiag yog qhov tseem ceeb rau kev npaj thiab kev txiav txim siab zoo.
Qhov qhab nia PI-RADS ntawm 4 qhia txog qhov tsis txaus ntseeg ntawm cov qog nqaij hlav MRI, qhia txog qhov muaj feem cuam tshuam ntawm tus mob qog noj ntshav. Nws yog ib qho tseem ceeb kom nco ntsoov tias PI-RADS tus qhab nia ib leeg tsis yog kuaj mob. Kev kuaj ntxiv, xws li kev kuaj ntshav biopsy, yog qhov tsim nyog los xyuas kom meej tias muaj thiab ua rau mob qog noj ntshav.
Kev kho mob rau cov qog nqaij hlav qog noj ntshav nrog PI-RADS 4 cov qhab nia sib txawv nyob ntawm ntau yam, suav nrog tus neeg mob kev noj qab haus huv tag nrho, kev mob qog noj ntshav (txiav txim siab los ntawm cov txiaj ntsig biopsy thiab Gleason qhab nia), thiab kev nyiam ntawm tus kheej. Cov kev kho mob uas muaj xws li:
Rau cov qog nqaij hlav prostate uas tsis tshua muaj kev pheej hmoo, kev soj ntsuam xyuas muaj feem xyuam nrog kev saib xyuas mob qog noj ntshav los ntawm kev kuaj xyuas thiab kuaj tsis tu ncua, tsis tas yuav kho tam sim. Qhov kev xaiv no yog tus nqi pib zoo tshaj plaws, tab sis cov nqi mus sij hawm ntev yuav nce ntxiv nyob ntawm qhov kev mob qog noj ntshav. Cov nqi cuam tshuam nrog kev soj ntsuam nquag feem ntau suav nrog kev kuaj xyuas tsis tu ncua thiab kuaj pom.
Kev kho hluav taws xob, suav nrog kev kho hluav taws xob sab nraud (EBRT) thiab brachytherapy (sab hauv hluav taws xob), lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer. Tus nqi ntawm kev kho hluav taws xob sib txawv nyob ntawm seb hom, ntev npaum li cas, thiab qhov chaw kho mob tshwj xeeb. Yam xws li kev xav tau kev kho mob ntxiv, xws li kev kho tshuaj hormone, kuj tuaj yeem ua rau tus nqi tag nrho.
Kev tshem tawm ntawm cov qog prostate yog lwm txoj kev kho mob. Tus nqi ntawm kev phais tuaj yeem sib txawv raws li lub tsev kho mob, tus kws phais tus nqi, thiab txhua yam teeb meem uas yuav tsum tau ua ntxiv. Kev saib xyuas tom qab kev ua haujlwm thiab kev kho kom rov zoo kuj ntxiv rau tag nrho cov nuj nqis.
Kev kho tshuaj hormone feem ntau yog siv nrog rau lwm yam kev kho mob lossis rau kev mob qog noj ntshav prostate. Txoj kev kho no yog tsom kom qeeb lossis nres kev loj hlob ntawm cov qog nqaij hlav cancer los ntawm kev txo qis testosterone qib. Tus nqi yog nyob ntawm hom kev kho tshuaj hormone siv thiab qhov ntev ntawm kev kho mob.
Cov kev kho mob hom phiaj yog cov kev kho tshiab tshiab uas tsom rau cov molecules tshwj xeeb lossis txoj hauv kev cuam tshuam rau kev loj hlob qog noj ntshav. Cov kev kho mob no tuaj yeem kim heev thiab feem ntau yog tshwj tseg rau kev mob qog noj ntshav siab lossis mob qog nqaij hlav cancer.
Tus nqi ntawm Kev kho mob qog noj ntshav prostate nrog rau PI-RADS 4 qhab nia yog cuam tshuam los ntawm ntau yam. Cov no suav nrog:
Muaj tseeb kwv yees tus nqi ntawm Kev kho mob qog noj ntshav prostate xav kom muaj kev sib tham ntxaws nrog koj pab neeg kho mob thiab tus kws kho mob. Lawv tuaj yeem muab kev kwv yees tus kheej raws li koj qhov xwm txheej tshwj xeeb thiab kev npaj kho mob. Nws kuj tseem pom zoo kom tshawb nrhiav cov kev pab nyiaj txiag uas muaj los ntawm tsev kho mob lossis cov koom haum tsis muaj txiaj ntsig.
Ntau qhov kev pabcuam tuaj yeem pab koj tswj hwm lub nra nyiaj txiag ntawm kev kho mob qog noj ntshav prostate. Cov no suav nrog:
Nco ntsoov, sib tham txog koj cov kev txhawj xeeb qhib nrog koj pab neeg kho mob yog qhov tseem ceeb. Lawv tuaj yeem coj koj los ntawm cov kev xaiv kho mob, cov nqi cuam tshuam, thiab cov peev txheej muaj los txiav txim siab paub. Yog xav paub ntxiv, koj tuaj yeem mus ntsib Shandong Baofa Cancer Research Institute rau cov kws tshaj lij tswv yim thiab kev sab laj txog Kev kho mob qog noj ntshav prostate.