Ubushinwa buvura kanseri ya prostate

Gusobanukirwa no gucunga Kanseri Hagati ya Stage Hagati

Iyi mfashanyigisho yuzuye iragaragaza ingorane zo kuvura kanseri ya prostate hagati yigihe gito iboneka mubushinwa. Twibanze ku gusuzuma, uburyo bwo kuvura, n'akamaro ko kwita ku muntu ku giti cye, dutanga ubushishozi bw'agaciro ku bashaka gusobanuka no gusobanukirwa mu kuyobora uru rugendo rutoroshye. Aya makuru agenewe intego zuburezi kandi ntizigomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu buvuzi zujuje ibyangombwa byo gusuzuma no kuvura.

Gusobanukirwa Kanseri ya Prostate Hagati-Icyiciro

Gusobanura Kanseri Hagati ya Risk

Hagati Ubushinwa buvura kanseri ya prostate irangwa n amanota ya Gleason ya 7 (3 + 4), urwego rwa PSA hagati ya 10-20 ng / mL, cyangwa uruhare rwa lymph node imwe. Iki cyiciro cyerekana ikibazo gikomeye kuko kiri hagati ya kanseri ya prostate ifite ibyago bike na ibyago byinshi, bisaba ko harebwa uburyo butandukanye bwo kuvura. Inzira nziza y'ibikorwa iratandukanye cyane kandi biterwa nibintu byinshi, harimo ubuzima rusange, imyaka, hamwe nibyo ukunda. Kwipimisha neza nibyingenzi, akenshi birimo guhuza biopsies, gupima PSA, hamwe nubushakashatsi bwerekana nka MRI.

Gusuzuma no Gutegura

Gutegura neza ni ngombwa kugirango bigire akamaro Ubushinwa buvura kanseri ya prostate. Ibi bikubiyemo gusuzuma birambuye urugero rwa kanseri, harimo amanota ya Gleason, urwego rwa PSA, hamwe na metastasis. Ubuhanga buhanitse bwo gufata amashusho, nka MRI nyinshi (mpMRI), bugira uruhare runini mukumenya neza aho ikibyimba giherereye. Ibisubizo by'iri suzuma bifasha oncologiste kumenya ingamba zikwiye zo kuvura.

Uburyo bwo kuvura Kanseri ya Prostate Hagati-Icyiciro mu Bushinwa

Igenzura rifatika

Ku barwayi bamwe na bamwe bafite kanseri ya prostate ishobora guhura nacyo, kugenzura neza birashobora kuba amahitamo akwiye. Ibi bikubiyemo gukurikiranira hafi uko indwara igenda ikorwa hifashishijwe ibizamini bya PSA bisanzwe, biopsies, hamwe n’ubushakashatsi bwerekana amashusho, gutinda kuvura bikabije kugeza bibaye ngombwa. Ubu buryo burakenewe cyane cyane kubarwayi bakuze cyangwa abafite ibindi bibazo byubuzima. Igenzura rifatika ryemerera ubuyobozi kugiti cye, wirinda ingaruka zidakenewe zubuvuzi bukabije.

Ubuvuzi

Imiti ivura imirasire, harimo nubuvuzi bwo hanze (EBRT) hamwe na brachytherapy, nubuvuzi busanzwe bwa kanseri ya prostate yo hagati. EBRT itanga imirasire yingufu nyinshi mumyanya yibibyimba, ikangiza selile. Brachytherapy ikubiyemo gutera imbuto ya radio ikora muri glande ya prostate. Ubu buhanga bwombi bukora neza, hamwe ningaruka zitandukanye bitewe nubuhanga bwihariye nibiranga umurwayi. Shandong Baofa Ikigo Cyubushakashatsi Kanseri itanga tekinoroji yo kuvura imirasire.

Kubaga (Radical Prostatectomy)

Prostatectomie radical ikubiyemo kubaga gukuramo prostate na tissue ikikije. Ubu ni uburyo bukomeye bwo kubaga hamwe n'ingaruka zishobora guterwa, nko kutagira inkari no kudakora neza. Ariko, irashobora kugira akamaro kanini mugukuraho kanseri, cyane cyane mubihe byaho. Icyemezo cyo gukomeza kubaga kigomba gufatwa hifashishijwe inama hafi na muganga ubaga inararibonye muri ubu buryo.

Ubuvuzi bwa Hormone

Ubuvuzi bwa Hormone, buzwi kandi ku buvuzi bwa androgene bwo kubura (ADT), bugamije kugabanya urugero rwa testosterone mu mubiri, gutinda cyangwa guhagarika imikurire ya kanseri ya prostate. Bikunze gukoreshwa hamwe nubundi buvuzi, nko kuvura imirasire cyangwa kubaga, cyangwa nkubuvuzi bwihariye mubihe byihariye. ADT irashobora gucunga neza indwara no kuzamura imibereho, ariko kandi itwara ingaruka mbi nka flash flash, kugabanuka kwa libido, na osteoporose.

Guhitamo uburyo bwiza bwo kuvurwa: Uburyo bwihariye

Ibyiza Ubushinwa buvura kanseri ya prostate uburyo bwihariye kandi buterwa nibintu byinshi byingenzi. Harimo imyaka yumurwayi, ubuzima muri rusange, ibyo akunda, ibiranga kanseri, hamwe no kuvura byihariye. Uburyo butandukanye bwitsinda ryitsinda, ririmo urologiste, oncologiste, abavura imirasire, hamwe nabandi bashinzwe ubuzima, ni ngombwa mugutegura gahunda yihariye yo kuvura itunganya ibisubizo mugihe hagabanijwe ingaruka mbi.

Kumenyekanisha no Gukurikirana Kwitaho

Kumenyekanisha kanseri ya prostate yo hagati iratandukana bitewe nibintu byinshi, harimo ibiranga kanseri hamwe nuburyo bwatoranijwe bwo kuvura. Kwitaho buri gihe ni ngombwa kugira ngo ukurikirane neza uburyo bwo kuvura no kumenya ko indwara yongera kubaho cyangwa gutera imbere. Ibi akenshi bikubiyemo ibizamini bya PSA bisanzwe, ibizamini bya rectal digitale, hamwe nubushakashatsi bwerekana amashusho. Gukurikirana igihe kirekire ni ngombwa mu gucunga ingaruka zose z'igihe kirekire no gukomeza ubuzima bwiza.

Inshingano: Aya makuru agenewe intego zuburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu buvuzi zujuje ibyangombwa byo gusuzuma no kuvura.