kalafo ea mofetše oa tšoelesa ea senya

Kankere ea tšoelesa ea senya e pheta-phetoang e bolela mofetše oa tšoelesa ea senya e khutlang ka mor'a phekolo ea pele. Likhetho tsa kalafo bakeng sa mofetše oa tšoelesa ea senya ho itšetlehile ka lintlha tse ’maloa, ho kopanyelletsa le phekolo ea pele, sebaka sa ho khutla hape le bophelo bo botle ba mokuli ka kakaretso. Likhetho tsena li ka kenyelletsa kalafo ea li-hormone, chemotherapy, kalafo ea radiation, opereishene le liphekolo tse lebisitsoeng. Ho utloisisa liphekolo tsena le tsoelo-pele ea morao tjena ho ka matlafatsa bakuli ho etsa liqeto tse nepahetseng mabapi le tlhokomelo ea bona.Kankere ea prostate e tloaelehileng ho bolela hore mofetše o khutlile ka mor'a phekolo ea pele. Sena e ka ba ho pheta-pheta ha tšoelesa ea senya, ho bolelang hore e khutlela betheng ea tšoelesa ea senya kapa haufi le moo, kapa ho ipheta ho hole, ho bolelang hore e nametse likarolong tse ling tsa 'mele, joalo ka masapo kapa li-lymph nodes. mofetše oa tšoelesa ea senya. Tsena li kenyelletsa: Lintlha tsa pele tsa Gleason: Lintlha tse phahameng tsa Gleason nakong ea tlhahlobo li amahanngoa le kotsi e kholo ea ho hlaha hape. Maemo a PSA: Maemo a phahameng a PSA kamora kalafo ea pele a ka bonts'a lisele tse setseng tsa mofets'e. Mothati oa Kankere: Mekhahlelo e tsoetseng pele ea mofetše nakong ea tlhahlobo e na le kotsi e kholo ea ho ipheta. Mekhahlelo ea Opereishene: Libaka tse ntle tsa ho buoa (lisele tsa mofets'e tse fumanehang pheletsong ea lesela le tlositsoeng) li eketsa kotsi ea ho ipheta sebakeng. mofetše oa tšoelesa ea senya ho itšetlehile ka lintlha tse 'maloa, ho kenyelletsa mofuta oa phekolo ea pele, sebaka le boholo ba ho pheta-pheta, le bophelo bo botle ba mokuli ka kakaretso le likhetho.Therapy Hormone (Androgen Deprivation Therapy - ADT)Hormone therapy, e tsejoang hape e le androgen deprivation therapy (ADT), e ikemiselitse ho theola maemo a androgens (lihomone tsa ho hōla ha banna)' meleng, tse ka bakang mofetše oa prostate. ADT e ka tsamaisoa ka meriana kapa, ka mokhoa o fokolang, opereishene ea ho tlosa li-testicles (orchiectomy) .Dikgetho tse tloaelehileng tsa ADT li kenyelletsa: LHRH agonists (mohlala, Lupron, Zoladex) LHRH bahanyetsi (mohlala, Firmagon) Anti-androgens (mohlala, Casodex, Eulexin, Eulexin, Nilandrons, e qetellang e le kankere ea prostrate, e qetellang e le kankere ea prostrate ea Nilandron) ho thibela kankere ea tšoelesa ea senya (CRPC). Leha ho le joalo, ho na le liphekolo tse sebetsang tse fumanehang bakeng sa CRPC.Kalafo ea Radiation TherapyRadiation e sebelisa mahlaseli a matla a phahameng ho bolaea lisele tsa mofetše. E ka sebelisoa ho phekola ho ipheta ha sebaka betheng ea tšoelesa ea senya ka mor'a ho buuoa kapa ho lebisa lisele tsa kankere likarolong tse ling tsa 'mele. External Beam Radiation Therapy (EBRT) Brachytherapy (peo ea radioactive e kentsoeng ka kotloloho prostate)[Shandong Baofa Cancer Research Institute](https://baofahospital.com) e sebelisa mekhoa e tsoetseng pele ea mahlaseli ho fokotsa litla-morao ha e ntse e ntlafatsa katleho ea kalafo. Ikopanye le litsebi tsa rona bakeng sa merero ea phekolo ea motho ka mong.Ho buuoaOpereishene e ka ba khetho bakeng sa sebaka sa heno mofetše oa tšoelesa ea senya ka mor'a phekolo ea mahlaseli. Hangata sena ke salvage prostatectomy (ho tlosoa ha tšoelesa ea senya). Leha ho le joalo, ke ts'ebetso e rarahaneng e nang le litla-morao tse ka bang teng, kahoo ho bohlokoa ho buisana ka likotsi le melemo le ngaka e buoang.ChemotherapyChemotherapy e sebelisa lithethefatsi ho bolaea lisele tsa mofetše' meleng oohle. Hangata e sebelisoa bakeng sa metastatic mofetše oa tšoelesa ea senya, haholo-holo ha phekolo ea li-hormone e se e sa sebetse.Lithethefatsi tse tloaelehileng tsa chemotherapy tse sebelisoang bakeng sa kankere ea senya li kenyelletsa: Docetaxel (Taxotere) Cabazitaxel (Jevtana)Targeted Therapies Litlhare tse lebisitsoeng ke lithethefatsi tse lebisang ka ho khetheha limolek'hule tse itseng kapa litsela tse amehang khōlong ea kankere le ho ata. Mehlala e kenyelletsa: Olaparib (Lynparza) le Rucaparib (Rubraca): Li-inhibitor tsa PARP tse sebelisoang bakeng sa kankere tse nang le bokooa bo itseng ba ho lokisa DNA (BRCA1/2 liphetoho). Enzalutamide (Xtandi) le Apalutamide (Erleada): Li-anti-androgens tse matla haholoanyane tse sebelisoang bakeng sa mofetše oa tšoelesa ea senya e hananang le castrate. Radium-223 (Xofigo): Sepheo sa metastase ea masapo.Meriana ea motho ka mong, ho kopanyelletsa le tlhahlobo ea genomic, e ntse e e-ba ea bohlokoa haholo ho khethollang bakuli ba ka ruang molemo kalafong e lebisitsoeng.ImmunotherapyImmunotherapy e sebelisa matla a sesole sa' mele ho loantša kankere. Sipuleucel-T (Provenge) ke immunotherapy e amohelehang bakeng sa mofetše oa prostate o hananang le metastatic castrate.Monitoring and Follow-upAfter treatment for mofetše oa tšoelesa ea senya, ho beha leihlo kamehla ho bohlokoa ho latela karabelo ea lefu lena le ho bona tsoelo-pele leha e le efe e tsoelang pele.Sena hangata se akarelletsa: PSA test Imaging scans (mohlala, bone scans, CT scans, MRI) Physical examinationsClinical TrialsLiteko tsa bongaka ke lithuto tsa lipatlisiso tse hlahlobang mekhoa e mecha ea phekolo kapa mekhoa ea ho laola. mofetše oa tšoelesa ea senya. Ho nka karolo tekong ea bongaka ho ka fana ka phihlello ea liphekolo tsa maemo a holimo le ho kenya letsoho ho ntlafatseng kutloisiso le kalafo ea lefu lena. Bakuli ba ka hlahloba mekhoa ea liteko tsa tleliniki ka ngaka ea bona ea oncologist kapa lisebelisoa tse kang sebaka sa marang-rang sa Setsi sa Naha sa Kankere (cancer.gov). Liphello tsa Mokhoa oa BopheloLe hoja liphekolo tsa bongaka li le bohlokoa, mabaka a mekhoa ea bophelo le ona a ka thusa ho laola. mofetše oa tšoelesa ea senya. Tsena li kenyelletsa: Healthy Diet: Hatisa litholoana, meroho, lijo-thollo, le protheine e se nang mafura. Boikoetliso ba Kamehla: Ikemisetse bonyane metsotso e 150 ea boikoetliso bo itekanetseng ka beke. Stress Taolo: Itloaetse mekhoa ea ho phomola joalo ka ho thuisa kapa yoga. Ho Boloka Boima bo Botle: Botenya bo ka mpefatsa litholoana tsa mofetše oa tšoelesa ea senya.Ho Sebetsana le Mofets'e oa Khafetsa oa Tsoela PeleHo hlahlojoa ha mofetše oa tšoelesa ea senya e ka ba phephetso maikutlong. Ho bohlokoa ho batla tšehetso ho ba lelapa, metsoalle, lihlopha tsa tšehetso, kapa litsebi tsa bophelo bo botle ba kelello. Puisano e bulehileng le sehlopha sa tlhokomelo ea bophelo bo botle hape ke ea bohlokoa bakeng sa ho laola likarolo tsa 'mele le tsa maikutlo tsa lefu lena.Seabo sa Shandong Baofa Cancer Research InstituteAt [Shandong Baofa Cancer Research Institute](https://baofahospital.com), re ikemiselitse ho fana ka tlhokomelo e phethahetseng le e tsoetseng pele ho bakuli ba nang le lefu lena. mofetše oa tšoelesa ea senya. Sehlopha sa rona sa li-oncologists tse fapaneng, lingaka tse buoang, lingaka tsa radiation oncologists, le litsebi tse ling li sebetsa 'moho ho theha meralo e ikhethileng ea kalafo e lumellanang le litlhoko tse ikhethang tsa mokuli e mong le e mong. Re fana ka mefuta e mengata ea liphekolo tsa maemo a holimo, ho kenyelletsa kalafo ea li-hormone, chemotherapy, kalafo ea radiation, liphekolo tse lebisitsoeng, le phihlello ea liteko tsa bongaka. Re boetse re fana ka lits'ebeletso tsa tlhokomelo ea tlhokomelo ho thusa bakuli ho sebetsana le mathata a 'mele le a maikutlo a kalafo ea mofets'e. Ikopanye le rona kajeno ho ithuta haholoanyane ka lits'ebeletso tsa rona le hore na re ka u thusa joang ho tsamaisa leeto la hau ka mofetše oa tšoelesa ea senya.Recurrent Prostate Cancer Treatment CostThe litšenyehelo tsa ho phekola mofetše oa tšoelesa ea senya li ka fapana haholo ho itšetlehile ka phekolo e khethehileng e sebelisoang, sebaka sa phekolo, le tšireletso ea inshorense. Bakuli ba lokela ho buisana ka litšenyehelo tse ka 'nang tsa e-ba teng le bafani ba bona ba tlhokomelo ea bophelo le lik'hamphani tsa inshorense ho utloisisa boikarabelo ba bona ba lichelete.Papiso ea litšenyehelo e nolofalitsoeng (Hlokomela: Lipalo tsena ke tsa merero ea litšoantšo feela 'me ha li emele litšenyehelo tsa sebele.) Kalafo e Lekanngoang Litšenyehelo ka Cycle Typical Number of Cycles Chemotherapy (mohlala, Docetaxel) $5,000 - $5,000 - $Hrmone Thegrapy,HRmone Theg. $500 - $1,500 E Tsoelang Pele Kalafo ea Mahlaseli $10,000 - $30,000 (khoso kaofela) Koetliso e le 'ngoe ea Therapy Targeted (mohlala, Olaparib) $10,000 - $15,000 Boithorollo bo Tsoelang Pele: Kamehla buisana le mofani oa hao oa tlhokomelo ea bophelo bakeng sa keletso ea botho ea bongaka.Litšupiso:Setsi sa Naha sa Kankere. www.cancer.govMokhatlo oa Amerika oa Kankere. www.cancer.org