
Hagahaan dhamaystiran waxa uu sahmiyaa kala duwan daawaynta dhexe ee kansarka qanjirka 'prostate' Isbitaalada bixinta ragga laga helay kansarka qanjirka 'prostate' ee khatarta ah. Waxaan u dhexgeli doonaa habab daaweyn oo kala duwan, waxtarkooda, waxyeellooyinkooda iman kara, iyo arrimaha la tixgeliyo marka la samaynayo go'aannada daawaynta. Fahamka xulashooyinkaaga ayaa muhiim u ah samaynta doorashooyin xog ogaal ah oo ku saabsan daryeelkaaga caafimaad.
Khatarta dhexdhexaadka ah ee kansarka qanjirka 'prostate' waxaa lagu gartaa dhibcaha Gleason ee 7 (3+4), heerka PSA ee u dhexeeya 10-20 ng/mL, ama buro laga dareemi karo baarista malawadka laakiin ku kooban qanjirka 'prostate'. Waxay ku dhacdaa inta u dhaxaysa khatarta hoose iyo kansarka qanjirka 'prostate' ee khatarta ah marka loo eego gardarrada iyo suurtagalnimada faafitaanka. Go'aamada daawaynta ee kansarka qanjirka 'prostate' ee dhexdhexaadka ah waa mid adag waxayna inta badan ku xiran yihiin arrimo shakhsi ah sida da'da, caafimaadka guud, iyo dookhyada shakhsi ahaaneed. Ma jiro hab-hal-cabbir-dhan-dhan-dhan.
Ragga qaarkood ee qaba kansarka qanjirka 'prostate' ee khatarta ah, la socodka firfircooni waa ikhtiyaar macquul ah. Tani waxay ku lug leedahay in si dhow loola socdo horumarka kansarka iyada oo loo marayo tijaabooyinka PSA ee caadiga ah, imtixaannada malawadka dhijitaalka ah, iyo ka-qaadista cad cad. Daawaynta waxa la bilaabaa oo kaliya haddi kansarku muujiyo calaamado korriin ama fidin weyn. Habkani wuxuu ku habboon yahay bukaanka qaba kansarrada si tartiib tartiib ah u koraya iyo rajada nolosha oo dheer.
Daaweynta shucaaca, ama daawaynta shucaaca dibadda (EBRT) ama brachytherapy (shucaaca gudaha), waa daawaynta caadiga ah ee kansarka qanjirka 'prostate' ee dhexdhexaadka ah. EBRT waxay isticmaashaa laydh tamar sare leh si ay u beegsato oo ay u burburiso unugyada kansarka. Brachytherapy waxay ku lug leedahay in abuur shucaac ah si toos ah loogu beero qanjirka 'prostate'. Labada doorashoba waxay caddeeyeen inay wax ku ool u yihiin xakamaynta kansarka qanjirka 'prostate', in kasta oo waxyeellooyin soo raaca sida dhibaatooyinka kaadida iyo mindhicirka ay suurtogal tahay. Doorashada u dhaxaysa EBRT iyo brachytherapy waxay inta badan ku xiran tahay arrimaha bukaanka shakhsi ahaaneed iyo khibradda dhakhtarka kansarka.
Prostatectomy Radical waxay ku lug leedahay ka saarista qaliinka qanjirka 'prostate'. Kani waa qalliin weyn oo leh waxyeelooyin soo raaca sida ceshad la'aanta iyo kacsiga. Si kastaba ha ahaatee, waxay noqon kartaa daaweyn aad waxtar u leh, gaar ahaan kansarka qanjirka 'prostate'. Go'aanka lagu maro qanjirka 'prostatectomy radical' waa mid shakhsi ahaaneed waana in lala tashado dhakhtar takhasus u leh kaadi mareenka.
Daaweynta Hormoonka, ama ADT, waxay u shaqeysaa iyadoo hoos u dhigaysa heerarka hoormoonka ragga (androgens) ee hurinaya koritaanka kansarka qanjirka 'prostate'. Badanaa waxaa loo isticmaalaa iyadoo lagu daro daawaynta kale, sida daaweynta shucaaca, ama xaaladaha horumarsan. Iyadoo waxtar u leh hoos u dhigista horumarka kansarka, ADT waxay keeni kartaa waxyeelooyin kala duwan oo ay ku jiraan iftiinka kulul, daalka, iyo hoos u dhaca libido. Shandong Baofa Machadka Cilmi-baarista Kansarka waxay bixisaa khibrad dhamaystiran oo ku saabsan daaweynta hoormoonka.
Tan ugu fiican daawaynta dhexe ee kansarka qanjirka 'prostate' Isbitaalada bixinta waa mid aad u gaar ah. Dhowr arrimood waa in si taxadar leh loo tixgeliyo marka lala tashanayo kooxdaada daryeelka caafimaadka. Kuwaas waxaa ka mid ah da'daada, guud ahaan caafimaadkaaga, rajada nolosha, heerka iyo heerka kansarkaaga, iyo dookhyadaada shakhsi ahaaneed ee ku saabsan dhibaatooyinka ka iman kara daawaynta kala duwan. Waa muhiim inaad la yeelato wadahadal furan oo daacad ah dhakhaatiirtaada si aad u miisaamiso faa'iidooyinka iyo halista ikhtiyaar kasta oo aad doorato habka ugu fiican ee ficilka xaaladaada gaarka ah.
Doorashada isbitaal sumcad leh oo leh khabiiro khibrad leh waa muhiim. Raadi isbitaalo leh mug sare oo kiisaska kansarka qanjidhka qanjirka 'prostate', tignoolajiyada horumarsan, iyo koox cilmi-baarisyo badan ah oo ku takhasusay kansarka, urologists, iyo daaweeyayaasha shucaaca. Markhaati-furka bukaan-socodka iyo dib-u-eegista ayaa waliba ku caawin kara samaynta go'aankaaga. Tixgeli machadyada leh rikoor adag oo cilmi-baaris iyo hal-abuurnimo ee daaweynta kansarka qanjirka 'prostate'. Shandong Baofa Machadka Cilmi-baarista Kansarka waxay u heellan tahay bixinta daryeel tayo sare leh oo bukaan-jiif ah oo loogu talagalay kansarka qanjirka 'prostate'.
Macluumaadkan waxaa loogu talagalay ujeeddooyin waxbarasho oo keliya mana aha in loo tixgeliyo talo caafimaad. Had iyo jeer kala tasho xirfad-yaqaan daryeel caafimaad si loo baadho loona daweeyo xaalad kasta oo caafimaad.