kuvura cribriform kuvura kanseri ya prostate

Uburyo bwo kuvura Kanseri ya Prostate Cribriform Kanseri ya prostate ni ubwoko bwihariye bwa kanseri ya prostate irangwa nubwubatsi budasanzwe bwa glandular. Sobanukirwa n'ibihari kuvura cribriform kuvura kanseri ya prostate amahitamo ningirakamaro mubuyobozi bwiza no kunoza ibisubizo byabarwayi. Iyi ngingo itanga incamake yaya mahitamo, yerekana inyungu zabo, ingaruka, hamwe nuburyo bukwiye kumwirondoro wabarwayi batandukanye.

Gusobanukirwa Cribriform Kanseri ya Prostate

Kanseri ya prostate ya Cribriform itandukanijwe nuburyo bwububiko bwayo, yerekana ibipfunyika hafi, cribriform (gisa na sivile). Iyi miterere yamateka irashobora kugira ingaruka kumahitamo no kuvura. Mugihe uburyo nyabwo bukiri gukorwaho iperereza, ubushakashatsi bwerekana ko ubu buryo bushobora kuba bufitanye isano nimyitwarire ikabije yibibyimba. Kwipimisha neza binyuze muri biopsy na Gleason amanota ningirakamaro muguhitamo inzira ikwiye. Iperereza rindi, nka scan ya MRI, rishobora gukoreshwa mu gusuzuma urugero rwa kanseri.

Gupima no Gutanga Cribriform Kanseri ya Prostate

Kwipimisha neza kanseri ya prostate ya cribriform ishingiye kuri biopsy ya prostate. Inzobere mu bumenyi bw'indwara isuzuma icyitegererezo cya tissue munsi ya microscope kugirango isuzume imiterere ya glandular, imenye ibiranga cribriform, kandi igaragaze amanota ya Gleason. Gutanga amanota ya Gleason bifasha gutandukanya kanseri yibasira, bigira ingaruka kumyemezo yo kuvura. Gutegura bikubiyemo kumenya urugero rwa kanseri ikwirakwizwa hakoreshejwe uburyo bwo gufata amashusho nka MRI, CT scan, hamwe no gusuzuma amagufwa. Icyiciro kiramenyesha ingamba zo kuvura no guhanura.

Uburyo bwo kuvura Kanseri ya Prostate ya Cribriform

Uwiteka kuvura cribriform kuvura kanseri ya prostate amahitamo ya cribriform ya kanseri ya prostate ikoreshwa mubindi kanseri ya prostate ariko ikozwe neza ukurikije amanota ya Gleason, icyiciro, nubuzima bwumurwayi muri rusange. Uburyo bwibanze bwo kuvura burimo:

1. Gukurikirana ibikorwa

Ku barwayi bafite kanseri ya prostate ifite ibyago bike (amanota make ya Gleason n'indwara zaho), kugenzura neza ni amahitamo meza. Ibi bikubiyemo gukurikirana buri gihe binyuze mu bizamini bya PSA, ibizamini bya rectal digitale, na biopsies kugirango hamenyekane impinduka zose ziterwa na kanseri. Igenzura rifatika ryirinda kuvurwa byihuse, bigabanya ingaruka zishobora guterwa. Ariko, birasaba gukurikiranirwa hafi no kubikurikirana.

2. Kubaga (Radical Prostatectomy)

Prostatectomie radical, kubaga gukuramo prostate, nuburyo busanzwe bwo kuvura kanseri ya prostate ya cribriform. Ubu buryo burashobora gukorwa hakoreshejwe uburyo butandukanye bwo kubaga, harimo na robaroscopic prostatectomy ifashwa na robo (RALP) cyangwa kubagwa kumugaragaro. Guhitamo tekinike biterwa nibintu bitandukanye, harimo ubuhanga bwo kubaga hamwe n’umurwayi ku giti cye. Ingaruka zishobora kubaho zirimo kutagira inkari no kudakora neza. Igihe cyo gukira kiratandukanye bitewe n'ubwoko bwo kubaga bwakozwe.

3. Ubuvuzi bwimirasire

Imiti ivura imirasire, yaba imiti ivura imirasire yo hanze (EBRT) cyangwa brachytherapy (imirasire yimbere), irashobora kwibasira no kurimbura kanseri ya kanseri. EBRT itanga imirasire ituruka hanze, mugihe brachytherapy ikubiyemo gushyira imbuto za radioaktike muri glande ya prostate. Guhitamo hagati ya EBRT na brachytherapy biterwa nibintu nkibibyimba biherereye, ingano, nubuzima muri rusange. Ingaruka zo kuvura imirasire zirashobora kuba zirimo ibibazo byinkari ninda, umunaniro, hamwe no kurwara uruhu.

4. Ubuvuzi bwa Hormone (Ubuvuzi bwa Androgene)

Ubuvuzi bwa Hormone, buzwi kandi ku buvuzi bwa androgene bwo kuvura (ADT), bukoreshwa mu kugabanya urugero rwa testosterone, gutinda cyangwa guhagarika imikurire ya kanseri ya prostate. Ubu buvuzi bukoreshwa kenshi muri kanseri ya prostate yateye imbere cyangwa metastatike. ADT ikunze guhuzwa nubundi buvuzi, nko kuvura imirasire cyangwa chimiotherapie. Ingaruka mbi za ADT zirashobora gushiramo flash zishyushye, kugabanuka kwa libido, kongera ibiro, na osteoporose.

5. Chimoterapi

Chimoterapi ni uburyo bwa sisitemu ikoresha imiti yica kanseri mu mubiri. Ubusanzwe ikoreshwa kuri metastatic cribriform kanseri ya prostate yagiye itera imbere nubwo ubundi buvuzi. Uburyo butandukanye bwa chimiotherapie burahari, kandi guhitamo biterwa nimiterere yumurwayi hamwe nicyiciro cyindwara. Ingaruka zishobora kubamo isesemi, kuruka, guta umusatsi, umunaniro, no kugabanuka kwamaraso.

Guhitamo uburyo bwiza

Guhitamo icyiza kuvura cribriform kuvura kanseri ya prostate biterwa nibintu byinshi. Harimo amanota ya Gleason, icyiciro cya kanseri, imyaka yumurwayi, ubuzima muri rusange, hamwe nibyo akunda. Uburyo butandukanye bwitsinda ryabantu, ririmo urologiste, oncologiste, radiologiste, nabandi bahanga, ni ngombwa mugutegura imiti yihariye. Gushyikirana kumugaragaro nitsinda ryubuzima ningirakamaro kugirango umurwayi amenyeshe neza kandi agira uruhare mugikorwa cyo gufata ibyemezo. Kubindi bisobanuro ninkunga, urashobora kuvugana na Shandong Baofa Ikigo Cyubushakashatsi Kanseri.

Kugereranya Imbonerahamwe yuburyo bwo kuvura

Uburyo bwo kuvura	Birakwiriye	Ibyiza	Ibibi
Igenzura rifatika	Indwara nkeya, indwara zaho	Irinde kuvura byihuse, bigabanya ingaruka mbi	Irasaba gukurikiranira hafi, ubushobozi bwo gutinda gutinda
Prostatectomy	Indwara yaho	Birashoboka gukira	Ibishoboka byo kutagira inkari no kudakora neza
Ubuvuzi	Indwara yaho cyangwa yateye imbere	Nibyiza mukurwanya imikurire ya kanseri	Birashoboka kubibazo byinkari ninda, umunaniro
Ubuvuzi bwa Hormone	Indwara yateye imbere cyangwa metastatike	Gutinda cyangwa guhagarika gukura kwa kanseri	Ibishobora gushyuha, kugabanuka kwa libido, osteoporose
Chimoterapi	Indwara ya metastatike	Ubuvuzi bwa sisitemu bwo kwica kanseri	Ibishobora kugira isesemi, kuruka, guta umusatsi, umunaniro

Inshingano: Aya makuru agamije uburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza abashinzwe ubuzima kugirango basuzume kandi bavure indwara iyo ari yo yose. Amakuru yatanzwe hano ashingiye kubushakashatsi buriho kandi birashobora guhinduka. Ibyifuzo byihariye byo kuvura biterwa nimpamvu z’abarwayi ku giti cyabo kandi bigomba kugenwa n’inzobere mu buvuzi.Ibyifuzo: (Iki gice cyaba gikubiyemo ibivugwa mu binyamakuru by’ubuvuzi bijyanye n’imiryango ishyigikira amakuru yatanzwe mu ngingo.)