Gomarara repachiedza

Gomarara repamazamu igomarara rinotanga mumachende. Iwo machende ndidzo gland dzekuberekesa dzechirume dziri muchikorobho.

Chikonzero chaicho checancer yemachende haina kunzwisiswa. Zviitiko zvinogona kuwedzera njodzi yemurume yekuva nekenza yechipupuriro ndeiyi:

• Abnormal testicle kukura
• Kuratidzwa kune mamwe makemikari
• Nhoroondo yemhuri yekenza yemachende
• Mukondombera
• Nhoroondo yekenza yemachende
• Nhoroondo yetende risina kukodzera (rimwe kana maviri machende anokundikana kuenda muchikanda asati aberekwa)
• Klinefelter chirwere
• Kushaya mbereko
• Fodya kushandiswa
• Down chirwere

Gomarara repamazamu ndiwo kenza yakajairika kuvarume vechidiki uye vezera repakati. Izvo zvinogona zvakare kuitika kune varume vakuru, uye mune zvisingawanzoitika zviitiko, mune vakomana vadiki.

Varume vachena vanowanzoita kupfuura vemuAmerican American neAsia American varume kukudziridza mhando yekenza iyi.

Iko hakuna kuwirirana pakati pevasectomy uye testicular cancer.

Kune maviri akakosha marudzi ekenza testicular:

• Seminomasia
• Nonseminomas

Kanzera idzi dzinokura kubva kumasero enhengo, masero anogadzira urume.

Seminoma: Iyi ndiyo inononoka kukura kenza yechipupuriro inowanikwa muvarume vane makore makumi mana nemakumi mashanu. Kenza iri mumayeso, asi inogona kutapukira kune ma lymph node. Lymph node kubatanidzwa kunogona kurapwa ne radiotherapy kana chemotherapy. Seminomas ane hunyanzvi kune radiation radiation.

Nonseminoma: Iyi yakajairika mhando yekenza testicular inowanzo kukura nekukurumidza kupfuura seminoma.

Mamota eNonseminoma anowanzo kuve nemhando inopfuura imwechete yesero, uye anoonekwa zvinoenderana neaya akasiyana maseru mhando:

• Choriocarcinoma (isingawanzo)
• Embryonal carcinoma
• Teratoma
• Yolk sac bundu

Iyo stromal bundu iri isingawanzo mhando ye testicular bundu. Ivo kazhinji havana kenza. Iwo maviri epamoyo marudzi e stromal tumors iLeydig maseru mamota uye Sertoli maseru mamota. Stromal tumors inowanzoitika panguva yehucheche.

Panogona kunge pasina zviratidzo. Gomarara ringaite senge risingakurware mumasaisai. Kana paine zviratidzo, zvinogona kusanganisira:

• Kusagadzikana kana kurwadziwa mu testicle, kana kunzwa kwekuremerwa muganda
• Marwadzo kumashure kana pasi peguvhu
• Yakawedzera testicle kana shanduko munzira iyo yainonzwa
• Yakawandisa huwandu hwemazamu tishu (gynecomastia), zvisinei izvi zvinogona kuitika kazhinji muvakomana vechidiki vasina cancer testicular.
• Bundu kana kuzvimba mune chero testicle

Zviratidzo mune zvimwe zvikamu zvemuviri, zvakaita semapapu, dumbu, chiuno, musana, kana huropi, zvinogona zvakare kuitika kana gomarara rapararira kunze kwemachende.

Kuongorora kwepanyama kunowanzo bvisa bundu rakasimba (gobvu) mune rimwe remachende. Kana mupi wehutano paanobata tochi inosvika pachikanda, mwenje haupfuure nepaburi. Bvunzo iyi inonzi transillumination.

Mimwe bvunzo inosanganisira:

• Abdominal uye pelvic CT scan
• Kuongororwa kweropa kune mamaki mamaki: alpha fetoprotein (AFP), munhu chorionic gonadotrophin (beta HCG), uye lactic dehydrogenase (LDH)
• Chest x-ray
• Ultrasound yechirwere
• Bone scan uye musoro CT scan (kutsvaga kupararira kwekenza kumapfupa nemusoro)
• MRI uropi

Kurapa kunoenderana ne:

• Rudzi rwe testicular bundu
• Chikamu chebundu

Kana gomarara rikawanikwa, danho rekutanga kuona mhando yekenza kenza nekuiongorora pasi pe microscope. Masero anogona kunge ari seminoma, nonseminoma, kana ese ari maviri.

Nhanho inotevera ndeyekutarisa kuti gomarara rapararira sei kune dzimwe nhengo dzemuviri. Izvi zvinonzi "staging."

• Stage I gomarara harina kupararira pamusoro pechigamba.
• Kenza yeChikamu II yakapararira kuma lymph nodes mudumbu.
• Kenza yeStage III yakapararira kupfuura ma lymph node (inogona kusvika pachiropa, mapapu, kana huropi).

Mhando nhatu dzekurapa dzinogona kushandiswa.

• Kurapa kwekuvhiya kunobvisa testicle (orchiectomy).
• Radiation kurapa uchishandisa yakakwira-dhiza x-mwaranzi kana mamwe akanyanya-simba mwaranzi inogona kushandiswa mushure mekuvhiyiwa kudzivirira bundu kubva kudzoka. Radiation kurapa inowanzo shandiswa chete pakurapa seminomas.
• Chemotherapy inoshandisa mishonga kuuraya cancer maseru. Uku kurapa kwakavandudza zvakanyanya kupona kwevanhu vane ese maseminomas uye nonseminomas.

Kubatana neboka rekutsigira uko nhengo dzinogovana zvakajairika matambudziko uye matambudziko zvinowanzo batsira kushushikana kwehurwere.

Gomarara redenderedzwa ndeimwe yekenza inorapika uye inorapwa.

Mwero wekupona wevarume vane yekutanga-nhanho seminoma (iyo ine hutsinye rudzi rwecancer testicular) yakakura kupfuura 95%. Iyo isina-isina kupona kwehuwandu hweStage II uye III kenza yakaderera zvishoma, zvinoenderana nehukuru hwebundu uye kana kurapwa kwatanga.

Gomarara repatesticular rinogona kupararira kune dzimwe nhengo dzemuviri. Nzvimbo dzinowanzozivikanwa dzinosanganisira:

• Chiropa
• Mapapu
• Retroperitoneal nzvimbo (nzvimbo iri padyo neitsvo kuseri kwemamwe mitezo iri mudumbu nzvimbo)
• Ubongo
• Bonzo

Matambudziko ekuvhiya anogona kusanganisira:

• Kubuda ropa uye hutachiona mushure mekuvhiyiwa
• Kushaya mbereko (kana machende ese akabviswa)

Vakapukunyuka vegomarara vari pangozi yekukura.

• Chechipiri tumarara twakaipa (kenza yechipiri inoitika panzvimbo dzakasiyana mumuviri inokura mushure mekurapa kenza yekutanga)
• Zvirwere zvemwoyo
• Metabolic chirwere

Zvakare, matambudziko enguva refu muvanopona nekenza anogona kusanganisira:

• Peripheral neuropathy
• Chirwere chetsvo chisingaperi
• Kukuvadza kune nzeve yemukati kubva kumishonga inoshandiswa kurapa gomarara

Kana iwe uchifunga kuti ungangoda kuita vana mune ramangwana, bvunza mupi wako nezve nzira dzekuchengetedza mbeu yako kuti ishandiswe pane inotevera zuva.

Fonera mupi wako kana iwe uine zviratidzo zvecancer testicular.

Kuita testicular kuzviongorora (TSE) mwedzi wega wega kunogona kubatsira kuona cancer yekenza padanho rekutanga, isati yapararira. Kuwana cancer testicular kutanga kwakakosha pakurapa uye kurarama. Nekudaro, testicular cancer yekuongorora haina kukurudzirwa kune vanhu vazhinji muUnited States.

Kenza - testes; Germ sero bundu; Kenza yemachende yeseminoma; Gomarara repasende reNonseminoma; Testicular neoplasm

• Chemotherapy - chii chekubvunza chiremba wako
• Radiation Therapy - mibvunzo yekubvunza chiremba wako

• Utano hwemurume hwekubereka
• Chekubereka murume

Einhorn LH. Gomarara repachiedza. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 190.

Friedlander TW, Diki EJ. Gomarara repachiedza. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 83.

National Cancer Institute webhusaiti. Testicular cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/testicular/hp/testicular-treatment-pdq#section/_85. Yakagadziridzwa May 21, 2020. Yakasvika Nyamavhuvhu 5, 2020.