Kenza yeprostate

Kenza yeprostate kenza inotangira muprostate gland. Prostate idiki, dhizaini-yakaita chimiro chinoumba chikamu chehurume hwekubereka. Inoputira urethra, iyo chubhu inoburitsa weti kunze kwemuviri.

Kenza yeprostate ndiyo inonyanya kukonzera rufu kubva kugomarara muvarume vanopfuura makore makumi manomwe neshanu. Kenza yeprostate haiwanzo kuwanikwa muvarume vadiki pane makumi mana.

Vanhu vari panjodzi huru vanosanganisira:

• Varume vemuAfrica veAmerica, avo vanowanzoita gomarara iri pazera rega rega
• Varume vanopfuura makore makumi matanhatu
• Varume vane baba kana mukoma vane gomarara reprostate

Vamwe vanhu vari panjodzi vanosanganisira:

• Varume vanga varipadhuze neAgent Orange
• Varume vanodya chikafu chine mafuta mazhinji, kunyanya mafuta emhuka
• Varume vakafutisa

Kenza yeprostate haina kujairika muvanhu vasingadyi nyama (vezvinodyiwa).

Dambudziko rakajairika mune vangangoita varume vese sezvavanokura i prostate yakawedzerwa. Izvi zvinonzi benign prostatic hyperplasia, kana BPH. Izvo hazvisimudze njodzi yako yekenza yeprostate. Asi, inogona kuwedzera yako prostate-yakatarwa antigen (PSA) yeropa bvunzo mhedzisiro.

Nekenza yekutanga yeprostate, kazhinji hapana zviratidzo.

Iyo PSA yeropa bvunzo inogona kuitwa kuongorora varume gomarara reprostate. Kazhinji, PSA inokwira pasati paine chero zviratidzo.

Zviratidzo zvakanyorwa pazasi zvinogona kuitika nekenza yeprostate sezvo ichikura kukura muprostate. Zviratidzo izvi zvinogona zvakare kukonzerwa nemamwe matambudziko eprostate:

• Kunonoka kana kunonoka kutanga kwerini rwizi
• Kudonhedza kana kuburitsa weti, kazhinji kazhinji mushure mekuita weti
• Inononoka urinha rwizi
• Kutwasanuka kana uchiita weti, kana kusakwanisa kuburitsa weti yese
• Ropa mune weti kana urume

Kana kenza yapararira, panogona kuve nekurwadziwa kwepfupa kana hunyoro, kazhinji kazhinji muzasi kumashure uye mapfupa epamuviri.

Kuitika zvisina kujairika kwedhijitari rectal bvunzo inogona kunge iri yega chiratidzo checancer yeprostate.

Bhiopsy inodiwa kuti utaure kana uine kenza yeprostate. Bhiopsy maitiro ekubvisa sampuro yetishu kubva kuprostate. Muenzaniso unotumirwa kubazi kuti riongororwe. Zvichaitwa muhofisi yechiremba wako.

Chiremba wako anogona kukurudzira biopsy kana:

• Iwe une yakakwira PSA nhanho
• Iyo digital rectal bvunzo inoratidza yakaoma kana isina kuenzana pamusoro

Mhedzisiro yebiopsy inonzi inoshandisa iyo inonzi Gleason giredhi uye iyo Gleason mamaki.

Iyo Gleason giredhi inokuudza iwe kuti kenza ingapararira nekukurumidza sei. Inomaka mamota pachiyero che1 kusvika 5. Unogona kunge uine mamakisi akasiyana ekenza mune imwe bhaopsy sampuli. Iwo maviri akajairika mamaki akawedzerwa pamwechete. Izvi zvinokupa iyo Gleason mamaki. Iyo yakakwira yako Gleason mamaki, iko kenza inogona kutenderera kupfuura prostate:

• Zvikamu 2 kusvika ku6: Yakaderera-giredhi kenza yeprostate.
• Chikamu 7: Pakati- (kana pakati) kenza yegiredhi. Makenza mazhinji eprostate anowira muboka iri.
• Zvikamu 8 kusvika ku10: Kenza yepamusoro-giredhi.

Imwe grading system, iyo 5 Giredhi Boka Sisitimu inoita basa riri nani rekutsanangura kenza ichaita uye kupindura kurapwa.

• Bhuku reboka 1: Gleason chikamu 6 kana pasi (kenza yepasi-giredhi)
• Giredhi boka 2: Gleason mamaki 3 + 4 = 7 (yepakati-giredhi kenza)
• Giredhi boka 3: Gleason mamaki 4 + 3 = 7 (yepakati-giredhi kenza)
• Bhuku reboka 4: Gleason chikamu 8 (kenza yepamusoro-grade)
• Bhuku reboka 5: Gleason chikamu 9 kusvika ku10 (kenza yepamusoro-grade)

Boka repasi rinoratidza mukana uri nani wekubudirira kurapwa pane rakakwira boka. Boka repamusoro rinoreva kuti mamwe maseru ekenza anotaridzika akasiyana nemasero akajairwa. Boka repamusoro zvakare rinoreva kuti zvinowanzoita kuti bundu ripararire zvine hukasha.

Iyi bvunzo inotevera inogona kuitwa kuti uone kana gomarara rapararira:

• CT scan
• Bone scan
• MRI scan

Iyo PSA yeropa bvunzo inozoshandiswa zvakare kuongorora kenza yako mushure mekurapwa.

Kurapa kunoenderana nezvinhu zvakawanda, kusanganisira yako Gleason mamaki uye hutano hwako hwese. Chiremba wako achakurukura nezvenzira dzako dzekurapa newe.

Kana kenza isina kupararira kunze kweprostate gland, kurapwa kwakajairika kunosanganisira:

• Kuvhiya (radical prostatectomy)
• Radiation kurapa, kusanganisira brachytherapy uye proton therapy

Kana iwe uri mukuru, chiremba wako anogona kukurudzira kungo tarisa kenza nePSA bvunzo uye biopsies.

Hormone kurapa inonyanya kushandiswa kugomarara rakapararira kupfuura kweprostate. Inobatsira kubvisa zviratidzo uye inodzivirira kumwe kukura uye kupararira kwegomarara. Asi hazvirape kenza.

Kana kenza yeprostate ikapararira kunyangwe mushure mekurapwa kwehomoni, kuvhiyiwa, kana radiation kunoyedzwa, kurapwa kunogona kusanganisira

• Chemotherapy
• Immunotherapy (mushonga unokonzeresa immune system kurwisa nekuuraya maseru ekenza)

Kuvhiya, radiation radiation, uye kurapwa kwehomoni kunogona kukanganisa kuita kwako kwepabonde. Matambudziko nekudzora weti zvinogoneka mushure mekuvhiyiwa uye kurapwa kwemwaranzi. Kurukura nezvekunetseka kwako nemupi wako wekuchengeta hutano.

Mushure mekurapa kenza yeprostate, iwe unenge uchitariswa zvakanyanya kuti uone kuti cancer haina kupararira. Izvi zvinosanganisira kuongorora kwese, kusanganisira kuongororwa kweropa rePSA (kazhinji pamwedzi mitatu kusvika pagore rimwe).

Unogona kudzikamisa kushushikana kwehurwere nekujoinha boka rekutsigira gomarara reprostate. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Kunyatsoita kwaunoita kunoenderana nekuti kenza yapararira kunze kweprostate gland uye kuti isina kujairika sei maseru ekenza ari (iyo Gleason mamaki) kana iwe uchionekwa.

Mushonga unogoneka kana gomarara risina kupararira. Hormone kurapwa kunogona kuvandudza kupona, kunyangwe kana mushonga ukasakwanisika.

Kurukurai zvakanakira nekuipira kwePSA kuongorora pamwe nemupi wezvehutano.

Taura nemupi wako nezve dzinogona nzira dzekudzora njodzi yako yekenza yeprostate. Izvi zvinogona kusanganisira matanho ehupenyu, senge kudya uye kurovedza muviri.

Iko hakuna mishonga inogamuchirwa neDFA yekudzivirira gomarara reprostate.

Kenza - prostate; Biopsy - prostate; Prostate biopsy; Chikamu cheGleason

• Pelvic radiation - kubuda
• Prostate brachytherapy - kubuda
• Radiation Therapy - mibvunzo yekubvunza chiremba wako
• Radical prostatectomy - kubuda

• Utano hwemurume hwekubereka
• Varume urinary turakiti
• BPH
• Kenza yeprostate
• PSA kuongorora ropa
• Prostatectomy - Series
• Transurethral resection yeprostate (TURP) - Series

American Urological Association webhusaiti. PSA kuyedza kwepamberi pekurapa staging uye posttreatment manejimendi yekenza yeprostate: 2013 Kudzokorora kwe2009 Yakanakisa Chiitiko Chirevo www.auanet.org/guidelines/prostate-specific-antigen-(psa)-best-practice-statement. Yakasvika muna Zvita 5, 2019.

American Urological Association webhusaiti. Kuonekwa kwekutanga kwekenza yeprostate (2018): kiriniki nhungamiro. www.auanet.org/guidelines/prostate-cancer-early-detection-guideline. Yakasvika Nyamavhuvhu 22, 2019.

National Cancer Institute webhusaiti. Prostate cancer kurapwa (PDQ) hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 20, 2019. Yakasvika muna Zvita 5, 2019.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology (NCCN nhungamiro): kenza yeprostate. Shanduro 4.2019. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Yakagadziridzwa Nyamavhuvhu 19, 2019. Yakasvika Nyamavhuvhu 4, 2019.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Kenza yeprostate. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 81.

Stephenson AJ, Klein EA. Epidemiology, etiology, uye kudzivirira kenza yeprostate. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

US Preventive Services Task Force, Grossman DC, Curry SJ, et al. Kuongorora kenza yeprostate: US Preventive Services Task Force kukurudzira chirevo. JAMA. 2018; 319 (18): 1901-1913. PMID: 29801017 www.ncbi.nlm.nih.gov/pubmed/29801017.