Kenza yeprostate

Kuronga gomarara inzira yekutsanangura kuti gomarara rakawanda sei mumuviri wako uye kuti riri kupi mumuviri wako. Kugadzira gomarara reprostate kunobatsira kuona kuti bundu rako rakakura zvakadii, kana rapararira, uye kwarinopararira.

Kuziva danho rekenza yako kunobatsira kenza yako timu:

• Sarudza nzira yakanakisa yekurapa gomarara
• Sarudza mukana wako wekupora
• Tsvaga kiriniki miedzo iwe yaunogona kujoina

Pakutanga staging zvinoenderana nezvabuda muPSA bvunzo dzeropa, biopsies, uye imaging bvunzo. Izvi zvinodaidzwa zvakare kunzi kukiriniki.

PSA zvinoreva protein inogadzirwa neprostate inopimwa nebvunzo bvunzo.

• Chikamu chepamusoro chePSA chinogona kuratidza cancer yakawedzera.
• Vanachiremba vachatarisawo kuti mangani ePSA anga achiwedzera kubva pabvunzo kusvika pakuedzwa. Kuwedzera nekukurumidza kunogona kuratidza bundu rine hukasha.

Prostate biopsy inoitwa muhofisi yechiremba wako. Mhedzisiro yacho inogona kuratidza:

• Yakawanda sei yeprostate inosanganisirwa.
• Chikamu cheGleason. Nhamba kubva pa2 kusvika pa10 inoratidza kuti maseru ekenza anotaridzika zvakadii semasero akajairwa kana achitariswa pasi pe microscope. Zvikamu 6 kana zvishoma zvinoratidza kuti gomarara rinononoka kukura uye harina hukasha. Nhamba dzepamusoro dzinoratidza gomarara rinokurumidza kukura iro rinonyanya kupararira.

Kufungidzira bvunzo senge CT scan, MRI, kana bone scan zvakare zvinogona kuitwa.

Uchishandisa mhedzisiro kubva kuiyi bvunzo, chiremba wako anogona kukuudza yako kiriniki nhanho. Dzimwe nguva, urwu ruzivo rwakakwana kuti utore sarudzo nezvekurapa kwako.

Kugadziriswa kwekuvhiya (pathological staging) kunoenderana nezvinoonekwa nachiremba wako kana iwe ukavhiyiwa kuti ubvise prostate uye pamwe mamwe ma lymph node. Miedzo yeLab inoitwa pane iyo turu iyo yabviswa.

Aya matanho anobatsira kuona kuti ndeupi mumwe mushonga waungade ungangodaro. Izvo zvinobatsirawo kufungidzira zvaunotarisira mushure mekurapwa kwapera.

Iyo yakakwira nhanho, iyo yakawedzera kenza.

Chikamu I kenza. Gomarara rinowanikwa mune chikamu chimwe chete cheprostate. Stage I inonzi localized prostate cancer. Izvo hazvigone kunzwika panguva yedhijitari rectal bvunzo kana kuoneka ine imaging bvunzo. Kana iyo PSA iri pasi pegumi uye iyo Gleason mamakisi ari matanhatu kana mashoma, Stage I kenza inogona kukura zvishoma.

Gomarara repiri II. Gomarara rave pamusoro kupfuura danho I. Harina kupararira kupfuura kweprostate uye richiri kunzi localized. Maseru aya haana kujairika pane maseru ari muchikamu I, uye anogona kukura nekukurumidza. Kune marudzi maviri echikamu chechipiri chekenza yeprostate:

• Chikamu IIA chinonyanya kuwanikwa mune rimwe chete divi reprostate.
• Chikamu IIB chinogona kuwanikwa mumativi ese eprostate.

Gomarara reStage III. Gomarara rapararira kunze kweprostate kuenda munyama yemuno. Inogona kunge yakapararira mumasena vesicles. Aya ndiwo maronda anoita urume. Chikamu chechitatu chinonzi gomarara reprostate repamuno.

Kenza yeChikamu IV. Gomarara rapararira kumativi ari kure emuviri. Inogona kunge iri mune ma lymph node kana mapfupa ari padyo, kazhinji ehudyu kana musana. Dzimwe nhengo dzakadai sedundira, chiropa, kana mapapu dzinogona kuvepo.

Kufambisa pamwe nePSA kukosha uye Gleason mamaki anobatsira iwe nachiremba wako kusarudza nezvekurapa kwakanyanya, uchifunga:

• Zera rako
• Hutano hwako hwese
• Zviratidzo zvako (kana uine chero)
• Manzwiro ako nezve mhedzisiro yekurapa
• Mukana wekurapwa unogona kurapa kenza yako kana kukubatsira nedzimwe nzira

Necheganda I, II, kana III gomarara reprostate, chinangwa chikuru ndechekurapa kenza nekuirapa nekuichengeta kuti isadzoke. Nedanho IV, chinangwa ndechekuvandudza zviratidzo uye kuwedzera hupenyu. Muzviitiko zvakawanda, danho IV gomarara reprostate haigone kurapwa.

Loeb S, Eastham JA. Kuongororwa uye kuiswa kwekenza yeprostate. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 111.

National Cancer Institute webhusaiti. Prostate cancer yekuongorora (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-screening-pdq. Yakagadziridzwa Nyamavhuvhu 2, 2019. Yakasvika Nyamavhuvhu 24, 2019.

Reese AC. Clinical uye pathologic staging yekenza yeprostate. Mydlo JH, Godec CJ, eds. Kenza yeprostate. 2nd ed. Philadelphia, PA: Elsevier; 2016: chits. 39.

• Kenza yeprostate