kurapwa pi rads 4 kurapwa kenza yeprostate

Kurapwa kwegomarara reProstate nePI-RADS 4

Ichi chinyorwa chinopa ruzivo rwakakwana nezvesarudzo dzekurapa cancer yeprostate kana Prostate Imaging Reporting uye Data System (PI-RADS) mamakisi mana aonekwa. Tichaongorora nzira dzakasiyana dzekurapa, tichifunga nezvezvinhu zvinopesvedzera kuita sarudzo, uye kukurukura kukosha kwekutarisirwa kwemunhu. Kunzwisisa zvaunogona kuita kwakakosha pakuita zvisarudzo zvine ruzivo nezvehutano hwako.

Kunzwisisa PI-RADS Chibodzwa 4

A PI-RADS mamakisi mana anoratidza fungidziro ine mwero yekiriniki yakakosha kenza yeprostate. Izvo zvakakosha kuti uzive kuti PI-RADS mamakisi chete haisi yechokwadi kuongororwa. Kuenderera mberi nekuferefeta, senge biopsy, inowanzodikanwa kuratidza huvepo uye huwandu hwegomarara. Chibodzwa chepamusoro hachingoenderane nekubatwa zvine hukasha. Sarudzo dzekurapa dzinoenderana nezvinhu zvakasiyana, kusanganisira hutano hwako hwese, hukasha hwegomarara (kana uripo), uye zvaunoda iwe pachako. Rumwe ruzivo runogona kuwanikwa kubva kuna chiremba wako uye anotungamira masangano ekutsvagisa senge Shandong Baofa Cancer Research Institute.

Kurapa Sarudzo dzePI-RADS 4

Kurapa zvingasarudzwa zve kurapwa pi rads 4 kurapwa kenza yeprostate zvinosiyana zvichienderana nezvinhu zvakawanda. Zvinhu izvi zvinosanganisira zera remurwere, hutano hwese, kuvapo kwemamwe mamiriro ekurapa, uye hunhu hwegomarara rinofungidzirwa (kana zvasimbiswa). Heano mamwe maitiro akajairika:

Active Surveillance

Kune gomarara reprostate rine njodzi yakaderera kana mune zviitiko apo gomarara rinoonekwa richinonoka kukura, kutarisisa kunoshanda kunogona kuve sarudzo. Izvi zvinosanganisira kugara uchitarisa kuburikidza nePSA bvunzo, dhijitari rectal bvunzo, uye pamwe biopsies kuona chero shanduko mukufambira mberi kwegomarara. Inodzivisa kurapwa nokukurumidza, kunonoka kupindira kusvikira zvakakodzera.

Radical Prostatectomy

Radical prostatectomy inosanganisira kuvhiyiwa kubviswa kweprostate gland. Uku kuvhiyiwa kwakakosha kune zvinogona kuitika senge weti incontinence uye erectile dysfunction. Kubudirira kwehuwandu uye kukodzera kwemaitiro aya kunoenderana zvakanyanya nemamiriro ega ega. Hurukuro neurologist yako yakakosha kuti unzwisise njodzi uye mabhenefiti.

Radiation Therapy

Radiation therapy, kusanganisira yekunze beam radiation therapy (EBRT) uye brachytherapy (yemukati mwaranzi), inopa mwaranzi yekuparadza masero egomarara. EBRT inosanganisira mirazvo yokunze yemwaranzi, nepo brachytherapy ichibatanidza kuisa mhodzi dzine mwaranzi kana kuti maimplants zvakananga muprostate. Nzira mbiri idzi dzine zvingangoitika, uye sarudzo yakakwana inobva pane chimwe chinhu. Kuti uwane rumwe ruzivo rwakadzama nezve radiation therapy sarudzo dze kurapwa kenza yeprostate, bvunza chiremba weradiation oncologist.

Hormone Therapy

Hormone therapy, inozivikanwawo se androgen deprivation therapy (ADT), inoderedza mazinga e testosterone mumuviri, kuderedza kukura kwemasero ekenza yeprostate anovimba ne testosterone pakukura. Kurapa uku kunowanzoshandiswa pamwe chete nemamwe marapirwo, kunyanya padanho repamusoro rechirwere kana kune zviitiko zvine njodzi huru. Iyi nzira haisi yekurapa, asi inogona kunyatsogadzirisa chirwere ichi.

Kusarudza Chirongwa Chekurapa Kwazvo

Sarudzo pamusoro pezvakanakisa kurapwa pi rads 4 kurapwa kenza yeprostate ndeyako. Zvakakosha kuti uve nehurukuro dzakavhurika uye dzakatendeseka nechikwata chako chezvehutano, kusanganisira chiremba weurologist, radiation oncologist (kana zvichibvira), uye chiremba oncologist, kuyera mabhenefiti nenjodzi dzesarudzo yega yega. Funga zvinhu zvakaita sezera rako, hutano hwese, mararamiro aunofarira, uye hunhu hwenyaya yako (kana cancer yakasimbiswa). Nzira yakasiyana-siyana inowanzobatsira, kuve nechokwadi chekuongorora kwakakwana uye nzira yekurapa.

Pfungwa Dzinokosha

Rangarira, kukasika kuona uye kurapwa nekukurumidza kwakakosha kune zvakanakisa mhedzisiro mukenza yeprostate. Kana uine zvinokunetsa nezvegomarara reprostate, bvunza chiremba weurologist kuti aongororwe uye kutungamirwa.

Mashoko aya ndeezvinangwa zvekudzidzisa chete uye haafanire kutorwa sezano rekurapa. Gara uchitaurirana nemutarisiri wako wehutano kune chero matambudziko ehutano kana usati waita chero sarudzo dzine chekuita nehutano hwako kana kurapwa.