kev kho mob pi rads 4 kev kho mob qog noj ntshav prostate

Kev Kho Mob Cancer Prostate nrog PI-RADS 4

Kab lus no muab cov ntaub ntawv qhia txog kev kho mob qog noj ntshav prostate thaum kuaj pom Prostate Imaging Reporting thiab Data System (PI-RADS) qhab nia ntawm 4. Peb yuav tshawb nrhiav ntau yam kev kho mob, xav txog yam uas cuam tshuam rau kev txiav txim siab, thiab sib tham txog qhov tseem ceeb ntawm kev saib xyuas tus kheej. Kev nkag siab txog koj cov kev xaiv yog qhov tseem ceeb rau kev txiav txim siab paub txog koj txoj kev noj qab haus huv.

Nkag siab PI-RADS Score 4

Qhov qhab nia PI-RADS ntawm 4 qhia tau hais tias muaj qhov tsis txaus ntseeg ntawm kev kho mob qog noj ntshav prostate tseem ceeb. Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov qhab nia PI-RADS ib leeg tsis yog qhov tseeb. Kev tshawb nrhiav ntxiv, xws li kev kuaj ntshav biopsy, feem ntau yuav tsum tau lees paub qhov muaj thiab qhov mob qog noj ntshav. Qhov qhab nia siab dua tsis tuaj yeem sib npaug rau kev kho mob hnyav dua. Kev txiav txim siab txog kev kho mob nyob ntawm ntau yam, suav nrog koj qhov kev noj qab haus huv tag nrho, kev mob qog noj ntshav (yog tias muaj), thiab koj tus kheej nyiam. Xav paub ntau ntxiv tuaj yeem nrhiav tau los ntawm koj tus kws kho mob thiab cov chaw tshawb fawb zoo li cov Shandong Baofa Cancer Research Institute.

Kev Xaiv Kev Kho Mob rau PI-RADS 4

Kev kho mob xaiv rau kev kho mob pi rads 4 kev kho mob qog noj ntshav prostate sib txawv nyob ntawm ob peb yam. Cov xwm txheej no suav nrog tus neeg mob lub hnub nyoog, kev noj qab haus huv tag nrho, muaj lwm yam kev mob nkeeg, thiab cov yam ntxwv tshwj xeeb ntawm tus mob qog noj ntshav (yog tias pom tseeb). Nov yog qee qhov kev coj ua:

Active Kev soj ntsuam

Rau cov qog nqaij hlav prostate uas tsis tshua muaj kev pheej hmoo lossis hauv cov neeg mob uas mob qog noj ntshav tau pom tias qeeb zuj zus, kev soj ntsuam nquag yuav yog ib qho kev xaiv. Qhov no suav nrog kev saib xyuas tsis tu ncua los ntawm kev kuaj PSA, kuaj lub qhov quav digital, thiab tejzaum nws biopsies txhawm rau txheeb xyuas cov kev hloov pauv hauv kev mob qog noj ntshav. Nws zam kev kho tam sim ntawd, ncua kev cuam tshuam txog thaum tsim nyog.

Radical Prostatectomy ntawm lub ntsej muag

Radical prostatectomy cuam tshuam nrog kev phais tshem tawm ntawm cov qog prostate. Qhov no yog ib qho kev phais tseem ceeb nrog cov kev mob tshwm sim xws li tso zis tsis ua haujlwm thiab erectile kawg. Qhov kev vam meej thiab tsim nyog ntawm cov txheej txheem no nyob ntawm qhov xwm txheej ntawm tus kheej. Kev sib tham nrog koj tus kws kho mob urologist yog qhov tseem ceeb kom nkag siab txog qhov txaus ntshai thiab txiaj ntsig.

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), xa hluav taws xob los rhuav tshem cov qog nqaij hlav cancer. EBRT cuam tshuam nrog cov kab hluav taws xob sab nraud, thaum brachytherapy cuam tshuam nrog kev tso cov noob radioactive los yog cog ncaj qha rau hauv prostate. Ob txoj hauv kev muaj peev xwm tshwm sim, thiab qhov kev xaiv zoo yog nyob ntawm tus kheej yam. Yog xav paub ntxiv txog kev kho hluav taws xob xaiv rau Kev kho mob qog noj ntshav prostate, mus ntsib kws kho mob oncologist.

Hormone Therapy

Kev kho tshuaj hormone, tseem hu ua androgen deprivation therapy (ADT), txo cov theem ntawm testosterone hauv lub cev, ua rau qeeb ntawm kev loj hlob ntawm cov qog nqaij hlav qog nqaij hlav prostate uas vam khom testosterone rau kev loj hlob. Txoj kev kho no feem ntau yog siv ua ke nrog lwm cov kev kho mob, tshwj xeeb tshaj yog nyob rau theem siab ntawm tus kab mob lossis rau cov neeg mob uas muaj kev pheej hmoo siab dua. Txoj kev no tsis yog kev kho mob tab sis tuaj yeem tswj tus kab mob zoo.

Xaiv Txoj Kev Npaj Kho Mob Zoo

Qhov kev txiav txim siab txog qhov zoo tshaj plaws kev kho mob pi rads 4 kev kho mob qog noj ntshav prostate yog tus kheej. Nws yog ib qho tseem ceeb kom muaj kev sib tham qhib thiab ncaj ncees nrog koj pab neeg saib xyuas kev noj qab haus huv, suav nrog koj tus kws kho mob urologist, hluav taws xob oncologist (yog tias tsim nyog), thiab kws kho mob oncologist, ntsuas cov txiaj ntsig thiab kev pheej hmoo ntawm txhua qhov kev xaiv. Xav txog yam xws li koj lub hnub nyoog, kev noj qab haus huv tag nrho, kev nyiam kev ua neej, thiab cov yam ntxwv tshwj xeeb ntawm koj rooj plaub (yog tias mob qog noj ntshav). Ib txoj hauv kev ntau txoj kev qhuab qhia feem ntau muaj txiaj ntsig zoo, ua kom muaj kev ntsuam xyuas dav dav thiab cov tswv yim kho mob.

Kev txiav txim siab tseem ceeb

Nco ntsoov, kev tshawb pom ntxov thiab kev kho mob sai yog qhov tseem ceeb rau qhov txiaj ntsig zoo tshaj plaws hauv kev mob qog noj ntshav prostate. Yog tias koj muaj kev txhawj xeeb txog kev mob qog nqaij hlav prostate, sab laj nrog kws kho mob urologist rau kev ntsuam xyuas thiab kev taw qhia.

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 koj tus kws kho mob txog 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.