Kurapa kenza yeprostate

Kurapa kwekenza yako yeprostate kunosarudzwa mushure mekunyatso kuongorora. Anokuchengetedza hutano achakurukura zvakanakira nenjodzi dzerubatsiro rweumwe neumwe.

Dzimwe nguva mupi wako anogona kukurudzira imwe kurapwa iwe nekuda kwerudzi rwako rwegomarara uye njodzi zvinhu. Dzimwe nguva, panogona kunge paine maviri kana anopfuura marapirwo anogona kunge akakunakira iwe.

Zviitiko iwe nemupi wako zvaunofanira kufunga nezvazvo zvinosanganisira:

• Zera rako nemamwe matambudziko ekurapa aungave nawo
• Zvimwe zvinokanganisa zvinoitika nemhando yega yega yekurapa
• Kunyangwe iyo kenza yeprostate iri munharaunda kana kuti yakawanda sei iyo gomarara reprostate rapararira
• Yako Gleason mamaki, iyo inotaurira kuti hasha sei cancer
• Yako prostate-yakatarwa antigen (PSA) bvunzo mhedzisiro

Kumbira mupiki wako kuti atsanangure zvinhu zvinotevera maererano nesarudzo dzako dzekurapa:

• Ndedzipi sarudzo dzinopa mukana wakanakisa wekurapa kenza yako kana kudzora kupararira kwayo?
• Ndezvipi zvingangoita kuti iwe uve nemhedzisiro mhedzisiro, uye kuti zvinokanganisa sei hupenyu hwako?

Radical prostatectomy kuvhiya kubvisa iyo prostate uye zvimwe zvezvinyama zvakakomberedza. Iyo sarudzo kana kenza isina kupararira kupfuura iyo gland yeprostate.

Varume vane hutano avo vangangorarama makore gumi kana anopfuura mushure mekuonekwa kuti vane cancer yekenza kazhinji vane maitiro aya.

Ziva kuti hazviwanzo kuitika kuti uzive chokwadi, usati wavhiyiwa, kana gomarara rapararira kupfuura gland reprostate.

Zvinogona kuitika matambudziko mushure mekuvhiyiwa zvinosanganisira kunetseka kudzora weti uye erection matambudziko. Zvakare, vamwe varume vanoda kumwe kurapwa mushure mekuvhiyiwa uku.

Radiation Therapy inoshanda zvakanyanya pakurapa kenza yeprostate isina kupararira kunze kweprostate. Inogona zvakare kushandiswa mushure mekuvhiyiwa kana paine njodzi yekuti masero ekenza achiripo. Radiation dzimwe nguva inoshandiswa pakurwadziwa kana kenza yapararira kune pfupa.

External beam radiation therapy inoshandisa yakakwira-inofambisa x-rays yakanangiswa kune iyo prostate gland:

• Asati arapwa, murapi wemwaranzi anoshandisa chinyoreso chakakosha kutara chikamu chemuviri chinofanirwa kurapwa.
• Radiation inoendeswa kune iyo prostate gland uchishandisa muchina wakafanana neyakajairwa x-ray muchina. Mushonga pachawo hauna kurwadziwa.
• Kurapa kunoitwa mune radiation radiation oncology iyo inowanzo kuve yakabatana kuchipatara.
• Kurapa kunowanzoitwa mazuva mashanu pavhiki kwemavhiki matanhatu kusvika masere.

Migumisiro inogona kusanganisira:

• Nzara kurasikirwa
• Manyoka
• Matambudziko ekugadzirisa
• Kuneta
• Kupisa chaiko kana kukuvara
• Kuita kweganda
• Urinary kusagadzikana, kunzwa kwekuda kuita weti nekukurumidza, kana ropa murini

Kune mishumo yekanzura yechipiri inomuka kubva kumwaranzi zvakare.

Proton therapy ndeimwe mhando ye radiation radiation inoshandiswa kurapa kenza yeprostate. Proton matanda anonongedza bundu chaizvo, saka pane kukuvara kudiki kune yakatenderedza tishu. Iyi kurapa haina kugamuchirwa zvakanyanya kana kushandiswa.

Brachytherapy inowanzo shandiswa kumagomarara eprostate madiki anowanikwa nekukurumidza uye ari kunonoka-kukura. Brachytherapy inogona kusanganiswa neyekunze beam radiation kurapwa kweakanyanya epamberi cancer.

Brachytherapy inosanganisira kuisa mbeu ine radioactive mukati meprostate gland.

• Chiremba anovhiya anoisa tsono diki kuburikidza neganda pasi pechikwama chako kuti ajekese mbeu. Mbeu idiki zvekuti haunzwi.
• Mbeu dzinosiiwa dziri panzvimbo zvachose.

Migumisiro inogona kusanganisira:

• Marwadzo, kuzvimba, kana kupwanya muurume kana chikanda
• Weti tsvuku-shava kana urume
• Kushaya simba
• Kusazvidzora
• Urinary chengetedzo
• Manyoka

Testosterone ndiyo hono hono yechirume. Mapundu eprostate anoda testosterone kuti ikure. Hormonal therapy kurapwa kunoderedza zvinoitika zve testosterone pagomarara reprostate.

Hormone therapy inonyanya kushandiswa kugomarara rakapararira kupfuura kweprostate, asi rinogona zvakare kushandiswa pamwe nekuvhiyiwa uye nemwaranzi yekurapa kenza dzepamberi. Mushonga unogona kubatsira kubvisa zviratidzo uye kudzivirira kumwe kukura uye kupararira kwegomarara. Asi hazvirape kenza.

Rudzi rukuru rwehomoni yekurapa inonzi luteinizing hormone-inosunungura mahormone (LH-RH) agonist. Imwe kirasi yekurapa inonzi LH-RH vanopikisana:

• Mhando mbiri dzemishonga dzinodzivirira machende kubva mukugadzira testosterone. Iyo mishonga inofanirwa kupihwa jekiseni, kazhinji pamwedzi mitatu kusvika kumitanhatu.
• Zvinogona kuitika mhedzisiro zvinosanganisira kusvotwa uye kurutsa, kupisa kupisa, kukura kwemazamu uye / kana unyoro, kupererwa neropa, kuneta, kuonda mapfupa (osteoporosis), kudzikisira chishuwo chepabonde, kudzikira kwemhasuru, kuwedzera huremu, uye kushaya simba.

Rumwe rudzi rwemushonga wehormone unonzi mushonga unodzivirira uyerogen.

• Inowanzo kupihwa pamwe neLH-RH zvinodhaka zvekuvharira mhedzisiro ye testosterone inogadzirwa neadrenal glands, ayo anoita shoma testosterone.
• Zvinogona kuitika mhedzisiro zvinosanganisira matambudziko ekumisikidza, kudzikisira chishuwo chepabonde, matambudziko echiropa, manyoka, uye mazamu akawedzerwa.

Zvizhinji zve testosterone yemuviri zvinogadzirwa nema testes. Nekuda kweizvozvo, kuvhiya kubvisa ma testes (anonzi orchiectomy) kunogona zvakare kushandiswa sekurapa kwehomoni.

Chemotherapy uye immunotherapy (mushonga unobatsira immune system kurwisa gomarara) inogona kushandiswa kurapa gomarara reprostate risingachapindure pakurapwa kwehomoni. Kazhinji mushonga mumwe chete kana mubatanidzwa wemishonga unokurudzirwa.

Cryotherapy inoshandisa tembiricha inotonhora kwazvo kupisa uye kuuraya maseru ekenza yeprostate. Chinangwa checryosurgery ndechekuparadza iyo yese yeprostate gland uye pamwe yakatenderedza tishu.

Cryosurgery kazhinji haishandiswe sekutanga kurapwa kenza yeprostate.

• Utano hwemurume hwekubereka

National Cancer Institute webhusaiti. Prostate cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Yakagadziridzwa Ndira 29, 2020. Yakasvika paKurume 24, 2020.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology (NCCN nhungamiro): kenza yeprostate. Shanduro 1.2020. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Yakagadziridzwa Kurume 16, 2020. Yakasvika paKurume 24, 2020.

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 Saunders; 2020: chits. 81.

• Kenza yeprostate