pi rads 4 kurapwa kenza yeprostate

Kunzwisisa Pi-RADs 4 uye Prostate Cancer Kurapa

Ichi chinyorwa chinopa tarisiro yakazara yeProstate Imaging Reporting uye Data System (PI-RADs) zvibodzwa 4 uye zvazvinoreva pakurapa cancer yeprostate. Tichaongorora zvinorehwa nePI-RADs 4 zvibodzwa, maitiro ekuongorora, nzira dzakasiyana dzekurapa, uye zvakakosha zvekufunga nezvazvo pakuita sarudzo dzekurapa. Dzidza nezve kufambira mberi kwazvino uye nzira yekufamba nayo iyi inonetsa yekuongororwa.

Chii chinonzi PI-RADs Score?

Iyo Prostate Imaging Reporting uye Data System (PI-RADs) yakamira yakajairwa zvibodzwa sisitimu inoshandiswa kuongorora mukana wegomarara reprostate zvichibva pane zvakawanikwa zvemultiparametric magnetic resonance imaging (mpMRI). Iyo sisitimu inopa zvibodzwa kubva pa1 kusvika pa5, 1 ichimiririra mukana wakaderera wegomarara uye 5 wepamusoro. A pi rads 4 kurapwa kenza yeprostate hurukuro inowanzoitika apo murwere anogamuchira PI-RADs mamakisi e4.

Kunzwisisa PI-RADs 4 Score

A PI-RADs 4 mamakisi anoratidza mukana wepakati wekenza yeprostate. Izvo hazvinyatso ongorora cancer asi zvinopa mukana wakakura wekuti kumwe kuferefetwa kunodiwa. Izvi zvinowanzo sanganisira biopsy kuti uwane matishu masampula ekuongororwa kwemicroscopic. Sarudzo yekuenderera mberi nebiopsy inoitwa mukubvunzana neurologist, tichifunga nezve njodzi yemunhu uye zvinodiwa nemurwere. A pi radhi 4 chibodzwa chinoda kunyatsotarisisa matanho anotevera.

Diagnostic Matanho Mushure mePI-RADs 4 Score

Kutevera PI-RADs 4 mamakisi, yakanangwa biopsy inowanzokurudzirwa. Izvi zvinosanganisira kushandisa iyo mpMRI mifananidzo kutungamira kuiswa tsono panguva yebiopsy maitiro, kuwedzera mikana yekuona cancer kana iripo. Iyi nzira chaiyo yakakosha pakuongorora uye kuronga kurapwa. Mhedzisiro yebiopsy ndiyo inosarudza matanho anotevera mukugadzirisa mamiriro emurwere. Izvi zvichazivisa pi rads 4 kurapwa kenza yeprostate zano kuenda mberi.

Kurapa Sarudzo dzeGomarara reProstate Kuongororwa Mushure mePI-RADs 4 Score

Nzira dzekurapa cancer yeprostate yakaonekwa mushure mePI-RADs 4 mamakisi anosiyana zvichienderana nezvinhu zvakati wandei, zvinosanganisira mhedzisiro yebiopsy (Gleason mamakisi, nhanho, uye giredhi regomarara), hutano hwemurwere hwese, uye zvaanoda. Nzira dzakajairika dzekurapa dzinosanganisira:

Active Surveillance

Kune vane njodzi yakaderera yegomarara reprostate, kunyatso tarisisa (kunozivikanwawo sekumirira kurinda) inogona kuve sarudzo. Izvi zvinosanganisira kunyatsoongorora mafambiro egomarara pasina kupindira nekukurumidza. Kugara uchiongororwa uye kuongororwa kwePSA kunobatsira kutarisa kukura kwegomarara. Active surveillance inowanzotariswa pi radhi 4 nyaya dzine yakaderera-njodzi maitiro akatemerwa biopsy zvabuda.

Radiation Therapy

Radiation therapy inoshandisa mwaranzi ine simba guru kuparadza maseru egomarara. Inogona kuendeswa kunze (kunze kwebeam radiation therapy) kana mukati (brachytherapy). Radiation therapy inogona kunge yakakodzera kune yemuno yeprostate cancer inotevera a pi radhi 4 kuwana pa mpMRI uye kusimbiswa ne biopsy.

Kuvhiya (Prostatectomy)

Kuvhiya kubviswa kweprostate gland (radical prostatectomy) ndiyo imwe sarudzo, kunyanya kune emuno kenza yeprostate. Maitiro aya anowanzo itwa muzviitiko zvegomarara rakakosha rakasimbiswa mushure mePI-RADs 4 uye inotevera biopsy. Iyi inzira huru yekuvhiya ine zvingangoitika izvo zvinonyatsokurukurwa nevarwere vachifunga a pi rads 4 kurapwa kenza yeprostate chirongwa chinosanganisira kuvhiyiwa.

Hormone Therapy

Hormone therapy, inozivikanwawo se androgen deprivation therapy, ine chinangwa chekudzikisa mazinga emahomoni echirume anokonzera kukura kwegomarara reprostate. Inowanzoshandiswa mumatambudziko ekenza yeprostate kana pamwe chete nemamwe marapirwo. Kurapa uku kunogona kuva chikamu che pi rads 4 kurapwa kenza yeprostate ronga mamwe magomarara ane hasha kana epamusoro.

Zvinhu Zvokufunga nezvazvo Paunenge Uchisarudza Chirongwa Chekurapa

Sarudzo yekurapa cancer yeprostate yakaonekwa mushure mePI-RADs 4 mamakisi isarudzo yakasarudzika. Zvinhu zvakawanda zvinotariswa, zvinosanganisira:

Kufambisa Kuongororwa Kwako

Kugamuchira PI-RADs 4 mamakisi kunogona kuve kune chekuita. Zvakakosha kukurukura sarudzo dzako neurologist ane hunyanzvi ane ruzivo mukuongororwa nekurapa cancer yeprostate. A multidisciplinary team approach, kusanganisira urologists, radiologists, uye oncologists, kazhinji anopa zvakanakisisa kutarisira. Rangarira kubvunza mibvunzo, kutaura zvinokunetsa, uye kutora chikamu muzvisarudzo zvine chekuita nehutano hwako. Kuti uwane rumwe ruzivo nerutsigiro, funga kutsvaga zviwanikwa zviripo kumasangano ane mukurumbira akadai seAmerican Cancer Society uye National Cancer Institute.

Zvepamusoro uye nyanzvi kurapwa kenza yeprostate, funga kuonana Shandong Baofa Cancer Research Institute.

Disclaimer: Ruzivo urwu nderwezvinangwa zvekudzidzisa chete uye harufanirwe kutorwa sezano rekurapa. Nguva dzose bvunzana nenyanzvi yehutano yehutano kuti iongororwe uye kurapwa.