Kunzwisisa Yepamberi (Chikamu 4) Kenza yeProstate

Zvemukati

• Chii chinonzi advanced prostate cancer?
• Ndezvipi zviratidzo?
• Ndiani ari panjodzi yekenza yepamusoro yeprostate?
• Kenza yepamusoro yeprostate inoonekwa sei?
• Chii chinonzi kurapwa kwekenza yeprostate cancer?
• Hormone Therapy
• Radiation
• Chemotherapy
• Immunotherapy
• Kuvhiya
• Ndeapi maonero?
• Zvaunogona kuita

Chii chinonzi advanced prostate cancer?

Kenza yeprostate kenza inotangira muprostate gland. Yepamberi kenza yeprostate inoitika kana yapararira, kana metastasized, kubva kuprostate ichienda kune dzimwe nzvimbo dzemuviri.

Kenza inopararira kana masero abva pane bundu rekutanga opinda munyama iri padyo. Izvi zvinodaidzwa kunzi metastasis. Gomarara rinogona kupararira rakananga mumatunhu ari pedyo kana kuburikidza neiyo lymphatic system kuenda kunzvimbo dziri kure dzomuviri. Kana izvi zvikaitika, inonzi "chirwere chemastastatic" kana "kenza yeprostate ine metastasis kune" imwe nhengo yemuviri kana sisitimu yenhengo.

Mamota matsva anogona kukura mune chero nhengo, asi gomarara reprostate rinonyanya kupararira kune:

• adrenal gland
• mabhonzo
• chiropa
• mapapu

Stage 4 kenza yeprostate inoitika kana iyo gomarara reprostate ratopararira kunhengo dziri kure kana zvinyama panguva yekuongororwa. Kazhinji yenguva, vanachiremba vanoongorora kenza yeprostate padanho rekutanga. Kazhinji kenza inononoka kukura, asi inogona kupararira kana inogona kudzoka, kana kudzoka, mushure mekurapwa.

Ndezvipi zviratidzo?

Kana kenza yakavharirwa ku prostate, varume vazhinji havana zviratidzo. Vamwe vanonetseka kuita weti kana kucherechedza ropa mune yavo weti.

Metastatic cancer inogona kukonzera zviratidzo zvakajairika senge:

• kushaya simba
• kuneta
• kuonda

Zvimwe zviratidzo zvekenza yeprostate yakakwira zvinoenderana nekwakapararira uye kukura kwemamota.

• Gomarara rakasimbiswa kumapfupa rinogona kutungamira pakurwadziwa kwepfupa uye kutsemuka.
• Kenza yakapararira kuchiropa inogona kukonzera kuzvimba kwemimba kana kuita yero kweganda nemaziso, anozivikanwa sejaundice.
• Mamota mumapapu anogona kukonzera kupfupika kwekufema kana kurwadziwa pachipfuva.
• Muuropi, kenza inogona kukonzera kutemwa nemusoro, dzungu, uye pfari.

Ndiani ari panjodzi yekenza yepamusoro yeprostate?

Chikonzero chaicho chekenza yeprostate hachina kujeka. Ngozi yako yekuvandudza iyi kenza inowedzera mushure mekunge usvitsa makore makumi mashanu.

Mamwe mapoka anowanzo kuve nemhando dzinotyisa dzegomarara reprostate, kusanganisira varume vemuAfrica -America nevarume vanotakura mamwe majini ekugara nhaka akadai seBRCA1, BRCA2, uye HOXB13.

Varume vazhinji vane gomarara reprostate havawanzove nenhoroondo yemhuri yechirwere ichi. Asi kuve nababa kana mukoma ane gomarara reprostate zvakapetwa mukana wako.

Kenza yepamusoro yeprostate inoonekwa sei?

Kana iwe wakamboonekwa uine kenza yeprostate, ita chokwadi chekuudza chiremba wako kana uine chero zviratidzo zvitsva, kunyangwe iwe wapedza kurapwa.

Kuti uone kana gomarara reprostate radzoka kana rapararira, chiremba wako anogona kuraira mimwe miedzo yekufungidzira, iyo inogona kusanganisira:

• X-ray
• CT inoongorora
• MRI inoongorora
• PET inoongorora
• mabhonzo anotarisa

Iwe pamwe haungade zvese izvi bvunzo. Chiremba wako achasarudza bvunzo dzinoenderana nezviratidzo zvako uye bvunzo dzepanyama.

Kana chero ipi yemifananidzo ikaratidza kusagadzikana, hazvireve kuti une kenza. Kuwedzera kuyedza kunogona kudikanwa. Kana vakawana huwandu, chiremba wako angangodaro arayire biopsy.

Kune biopsy, chiremba wako anoshandisa tsono kubvisa masampuli kubva kunzvimbo inofungidzirwa. Nyanzvi yezvirwere anozoongorora maseru akabviswa pasi pe microscope kuti aone kana vaine cancer. Iyo pathologist inogona zvakare kuona kana iwe une fomu ine hasha yekenza yeprostate.

Chii chinonzi kurapwa kwekenza yeprostate cancer?

Zvisinei kuti kenza yeprostate inopararira kupi, ichiri kurapwa sekenza yeprostate. Zvakaoma kurapa kana zvasvika padanho repamberi.

Kurapa kwekenza yeprostate kenza inosanganisira yakanangwa uye systemic kurapwa. Varume vazhinji vanoda mubatanidzwa wemishonga uye vangangoda kugadziriswa nguva nenguva.

Hormone Therapy

Hormone therapy inodzvinyirira echirume mahormoni ayo anobatsira maseru emukenza yeprostate kukura. Chiremba wako anogona kukurudzira chero eanotevera mahormone ekurapa:

• Orchiectomy inzira yekuvhiya kubvisa machende, ndiko kunogadzirwa mahormone.
• Luteinizing hormone-inosunungura mahormone agonists mishonga inoderedza testosterone kugadzirwa mumachende. Unogona kugamuchira mishonga iyi jekiseni kana ne kana nekuisirwa pasi peganda rako.
• Vapikisi veLHRH imishonga inoderedza zvakanyanya testosterone mazinga. Unogona kugamuchira mishonga iyi nemajekiseni emwedzi pasi peganda rako.
• CYP17 inhibitors uye anti-androgens anowanikwa semapiritsi aunogona kutora zuva nezuva.

Mhedzisiro mhedzisiro yehomoni yekurapa zvinodhaka zvinosanganisira jekiseni saiti maitiro, kusagadzikana pabonde, uye kupererwa neropa.

Radiation

Mune ekunze mwaranzi mwaranzi, matanda emwaranzi anotarisa iyo prostate gland kana imwe nzvimbo yemuviri. Inogona kubatsira kudzikamisa zviratidzo kana gomarara reprostate rapararira kusvika pfupa. Kuneta kunowanzoitika mhedzisiro.

Nezve radiation yemukati, chiremba wako anozodyara mbeu diki dzine mwaranzi mu prostate yako. Mbeu dzinoburitsa muyero wakaderera kana wenguva pfupi mwero we radiation. Zvinogona kuitika mhedzisiro zvinosanganisira kusagadzikana pabonde, kunetsekana kwekuita weti, uye matambudziko emukati.

Chemotherapy

Chemotherapy inouraya cancer maseru mumuviri wese. Inogona kudzikira mamota aripo uye inononoka kana kudzivirira kukura kwemamota matsva. Zvimwe zvinokanganisa zvinosanganisira kuda kurutsa, kurasikirwa nechido, uye kuonda.

Immunotherapy

Sipuleucel-T (Provenge) mushonga unodzivirira vanachiremba kurapa gomarara reprostate repamberi, kunyanya kana isiri kupindura kurapa kwehomoni.

Mushonga unogadzirwa uchishandisa masero ako machena eropa. Iwe unozvigamuchira mukati mekusvitsa mumatatu matatu akapatsanurwa mavhiki maviri akapatsanurwa. Migumisiro inogona kusanganisira:

• kusvotwa
• musoro
• kurwadziwa shure
• kurwadza kwemajoini

Kuvhiya

Nepo kumwe kuvhiyiwa kubvisa mamota kungave kuri sarudzo, chiremba wako kashoma kuikurudzira kenza yeprostate yakapararira kunzvimbo dzakawanda.

Ive neshuwa yekuudza chiremba wako kana mamwe emarapirwo aya ari kukanganisa hupenyu hwako. Iwe unogona zvakare kubvunza nezve zvemakiriniki miedzo yekenza yeprostate. Iyi miedzo inosanganisira mishonga mitsva isati yave kushandiswa.

Kunze kwekurapa kenza, chiremba wako anogona kunge achikwanisa kupa mhinduro dzehumwe zviratidzo sekurwadziwa, kuneta, uye matambudziko eurini.

Ndeapi maonero?

Hapana mushonga unowanikwa padanho 4 gomarara reprostate. Bato rako rezvehutano richashanda newe kubatsira kudzora kenza kwenguva yakareba sezvinobvira uchichengetedza hunhu hwakanaka hwehupenyu.

Maonero ako anoenderana nekukurumidza kuri kuita gomarara uye nemabatiro aunoita kurapwa.

Nokurapwa, unogona kurarama kwemakore mazhinji uine metastatic kenza yeprostate.

Zvaunogona kuita

Izvo zvakakosha kuti iwe udzidze zvese zvaunogona nezve advanced prostate cancer kuti iwe ugone kuita uine ruzivo sarudzo. Iva wakavhurika navanachiremba vako nevamwe pane yako timu yekutarisira hutano. Taura zvaunonetseka uye unzwe wakasununguka kuzvimiririra iwe nehupenyu hwako. Tora imwe pfungwa yezvechiremba kana iwe uchinzwa zvichidikanwa.

Dzimwe nzira dzekurapa dzinogona kuratidza kubatsira mukubata nekenza yepamusoro. Semuyenzaniso:

• tai chi, yoga, kana imwe nzira yekurapa
• kurapa kwemimhanzi
• kufungisisa, kufema maekisesaizi, kana mamwe maitiro ekuzorora
• kukwiza muviri

Mhando dzakasiyana dze masevhisi dzinogona kukubatsira iwe nezvose kubva pekugara iwe paunenge uchiwana kurapwa kuwana rubatsiro kubva pamba. Kutaurirana nepamhepo kana mumapoka-mapoka inzira yakanaka yekugovana ruzivo uye kukweretesa kutsigirana.