chithandizo gleason 7 khansa ya prostate

Chithandizo cha Gleason 7 Khansa ya Prostate

Khansara ya prostate ya Gleason 7 ndi mtundu wovuta kwambiri wa matendawa, womwe umafunika kuganiziridwa mozama za njira zamankhwala. Bukuli limasanthula zosiyanasiyana chithandizo gleason 7 khansa ya prostate njira, kukuthandizani kumvetsetsa zisankho zomwe zilipo ndikupanga zisankho mwanzeru pokambirana ndi dokotala wanu. Tidzafotokoza njira zosiyanasiyana zochizira, mphamvu zake, zotsatirapo zake, ndi zinthu zomwe zimakhudza kusankha chithandizo. Kumbukirani, izi ndi zophunzitsa ndipo siziyenera kulowa m'malo mwa upangiri wachipatala.

Kumvetsetsa Gleason 7 Khansa ya Prostate

Kodi Gleason Score ndi chiyani?

Mlingo wa Gleason ndi njira yowerengera yomwe imagwiritsidwa ntchito kudziwa kuopsa kwa khansa ya prostate. Zimatengera mawonekedwe a microscopic a cell chotupa. Chiwerengero cha Gleason cha 7 chikuwonetsa khansa yapakatikati ya prostate. Izi zikutanthauza kuti ndiyamphamvu kwambiri kuposa kutsika kwa Gleason koma ndiyocheperako poyerekeza ndi yapamwamba. Gleason 7 idagawikanso kukhala ma 3+4 ndi 4+3, pomwe 3+4 imawonedwa ngati yocheperako pang'ono.

Zomwe Zimakhudza Zosankha za Chithandizo

Zinthu zingapo zimakhudza kusankha kwa chithandizo gleason 7 khansa ya prostate, kuphatikizapo msinkhu wanu, thanzi lanu lonse, siteji ya khansara, ndi zomwe mumakonda. Dokotala wanu adzalingalira izi, pamodzi ndi chiwerengero cha Gleason, kuti apange dongosolo lachidziwitso laumwini. Zowonjezereka zingaphatikizepo kukhalapo kwa matenda ena ndi mbiri ya banja. Bungwe la Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) imapereka zokambirana zambiri kuti zikuwongolereni munjira imeneyi.

Njira Zochizira Gleason 7 Khansa ya Prostate

Kuyang'anira Mwachangu

Kwa amuna ena omwe ali ndi khansa ya prostate ya Gleason 7, kuyang'anitsitsa (komwe kumatchedwanso kudikira) kungakhale njira yoyenera. Izi zimaphatikizapo kuwunika pafupipafupi kwa khansayo kudzera mu mayeso a PSA ndi ma biopsies kuti muwone kusintha kulikonse kapena kupitilira. Kuyang'anitsitsa mwachidwi nthawi zambiri kumaganiziridwa kwa amuna omwe ali ndi matenda osawopsa, ndipo kumathandizira kuchedwetsa kapena kupewa kulandira chithandizo chaukali mpaka pakufunika.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kupha maselo a khansa. Za chithandizo gleason 7 khansa ya prostate, imatha kuperekedwa kunja (kunja kwa beam radiation therapy) kapena mkati (brachytherapy). Thandizo la kunja kwa ma radiation nthawi zambiri limaperekedwa m'magawo angapo kwa milungu ingapo, pomwe brachytherapy imaphatikizapo kuyika njere za radioactive mu prostate gland. Zotsatira zake zingaphatikizepo kutopa, mavuto a mkodzo, ndi matumbo.

Opaleshoni (Prostatectomy)

Prostatectomy imaphatikizapo kuchotsa opaleshoni ya prostate gland. Njira imeneyi ndi yofala pochiza khansa ya prostate, kuphatikizapo Gleason 7. Mtundu wa prostatectomy wochitidwa umadalira kukula kwa khansayo ndi zinthu zina zapayekha. Prostatectomy yothandizidwa ndi robotic ndi njira yopangira opaleshoni yochepa, yomwe nthawi zambiri imatsogolera kuchira msanga komanso zovuta zochepa. Zotsatira zake zingaphatikizepo kulephera kwa mkodzo komanso kusagwira bwino ntchito kwa erectile.

Chithandizo cha Mahomoni

Thandizo la mahomoni, lomwe limatchedwanso kuti androgen deprivation therapy, cholinga chake ndi kuchepetsa kupanga testosterone, mahomoni omwe amalimbikitsa kukula kwa maselo a khansa ya prostate. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena, monga ma radiation therapy kapena opaleshoni, kapena ngati njira yothandizira khansa ya prostate yapamwamba. Zotsatira zake zingaphatikizepo kutentha thupi, kuchepa kwa libido, kunenepa kwambiri, ndi matenda osteoporosis.

Kusankha Chithandizo Choyenera

Kusankha zabwino kwambiri chithandizo gleason 7 khansa ya prostate ndi ndondomeko kwambiri payekha. Ndikofunikira kukambirana momasuka komanso moona mtima ndi urologist wanu kapena oncologist kuti mumvetse bwino zomwe mungasankhe komanso mapindu ake ndi kuopsa kwawo. Lingalirani kufunafuna winanso kuti muwonetsetse kuti mukupanga chisankho mwanzeru motengera momwe zinthu ziliri. Gulu lanu lazaumoyo lidzakuthandizani kuyendetsa zisankho zovuta izi.

Kutsata ndi Kuwongolera Kwanthawi yayitali

Mosasamala kanthu za chithandizo chomwe mwasankha, kuyenderana pafupipafupi ndikofunikira kuti muwone thanzi lanu ndikuzindikira kuyambiranso kwa khansa. Izi zikuphatikiza mayeso a PSA ndi maphunziro ena oyerekeza. Kusamalira nthawi yayitali kungaphatikizepo chithandizo chamankhwala chopitilira muyeso kapena chithandizo china ngati chikufunika.

Chodzikanira:

Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani ndi dokotala wodziwa bwino zachipatala kuti mudziwe ndi kuchiza matenda aliwonse.