Nhau dzechokwadi: Kenza yeprostate
Zvemukati
Gore rega rega, vanopfuura zana nemakumi masere evarume muUnited States vanoonekwa vaine kenza yeprostate. Nepo rwendo rwemumwe murume rwegomarara rwakasiyana, pane kukosha mukuziva izvo vamwe varume vakapfuura napo.
Verenga zvakaitwa nevarume vatatu vakasiyana mushure mekuziva nezve kuongororwa kwavo uye zvidzidzo zvavakadzidza munzira.
Tsvaga zvako wega
Kushingairira kwaRon Lewen kweInternet uye kutsvagurudza kwakabhadhara paakaziva kuti aive nekenza yeprostate. "Ndiri munhu akadaro geek, saka ini ndangotsvaga izvozvi kunze kweizvi," anodaro.
Lewen, uyo anga achigamuchira maitiro eprostate-specific antigen (PSA) kuongororwa kubvira aine makore makumi mashanu, akawana muna Ndira 2012 kuti mazinga ake ePSA aive akakwirira kupfuura zvakajairwa. "Vakanga vaenda pamusoro pechikumbaridzo chiremba wangu aive akasununguka nazvo, saka akandiita kuti ndinwe mishonga inorwisa mabhakitiriya kuitira kuti inge iri hutachiona. Ndaifanira kuita imwe bvunzo mushure memavhiki mashoma. ” Mhedzisiro: PSA dzake dzakange dzakwira zvakare. Lewen's general practitioner akamutumira kuna urologist uyo akaita digital rectal bvunzo uye biopsy pane yake prostate. Pakazosvika Kurume, akave nekuongororwa kwake: yekutanga-danho gomarara reprostate. "Chikwata changu cheGleason chaive chakaderera, saka takachikurumidza kuchiwana," anodaro.
Ipapo ndipo apo hunyanzvi hwekuuraya hunyanzvi hweL Lewen hwakabhadharwa. Akatanga kuongorora marapirwo aaiitwa. Nekuti aiyera mapaundi mazana matatu nemakumi masere, kuvhiyiwa kwechinyakare kwaisashanda. Radiologist akakurudzira chero echinyakare radiation kana brachytherapy, kurapwa uko radioactive mbeu inoisirwa muprostate kuuraya maseru egomarara. "Idzo sarudzo dzaizove dzakanaka, asi ndakaramba ndichiverenga nezve proton kurapwa," anodaro.
Nechido chakakandirwa, Lewen akatsvaga proton yekurapa nzvimbo. Iko hakuna nzvimbo dzakawanda dzekurapa kweproton muUnited States, asi imwe yakangoitika maminetsi gumi nemashanu kubva kumba kwaLewen muBatavia, Illinois. Munguva yekushanya kwake kwekutanga, akasangana navanachiremba, manesi, varapi ve radiation, uye dosimetrists. "Vakaedza nepavanogona napo kuti ndiite kuti ndinzwe kugadzikana," anodaro.
Mushure mekutaura pamusoro payo nemukadzi wake uye nekuyera mhedzisiro yemhedzisiro dzakasiyana, Lewen akasarudza kushandisa proton kurapa kurapa kenza yeprostate. Pamhando iyi yekurapa, vanachiremba vanoisa chibharumu chidiki muchikamu kuti vasimudze prostate kuitira kuti mwaranzi isvike zviri nani ku prostate isina kukanganisa dzimwe nhengo dzepedyo nematishu.
Akapedza kurapa kwake kweproton muna Nyamavhuvhu 2012 uye akazoedzwa PSA mwedzi yega yega yegore rekutanga. Kubva ipapo, anga achishanyirwa gore negore nachiremba wake. Pakazara, Lewen anoti, haaigona kunge akakumbira chiitiko chiri nani chekurapwa. "Ndeapi madiki mhedzisiro andakava nawo semhedzisiro yekurapwa kwaisambove chero chinhu chainditadzisa kubva kubasa kwangu kana kunakidzwa nehupenyu hwakajairika," anodaro.
"Chimwe chezvinhu zvakanaka kwazvo nezvemushonga nhasi ndechekuti isu tine mikana yakawanda, asi chimwe chezvinhu zvakashata chaizvo ndechekuti isu tine mikana yakawanda," anodaro. "Inogona kukurira, asi zvakakosha kuti unzwisise zvaunogona kusarudza. Zvichida ndakataura nevanhu makumi maviri panguva yekutsvaga kwangu, asi zvakandibatsira kuita sarudzo yakanaka pakupedzisira. ”
Tsvaga mushonga unoenderana newe
Hank Curry haitore hupenyu kurara pasi. Anodhonza uswa uye anokwikwidza mumakwikwi ekutamba. Saka apo Gardnerville, Nevada, mugari akaonekwa aine kenza yeprostate muna Zvita 2011, akatora nzira imwechete yekurwisa gomarara.
Vanachiremba vaCurry vakamukurudzira kuti avhiyiwe. Mushure mezvose, kenza yakanga yaenda kumberi. Paakange aine bhaopsy, vanachiremba vakatarisa nzvimbo gumi nenhanhatu paprostate kana paine cancer. Vese gumi nevatanhatu vakadzoka vari positive. “Vakati vanonzwa kuti paive nemukana wakanaka kuti gomarara range rapararira kubva muprostate pachayo uye mudumbu mangu. Vakandiudza kuti tinogona kuzvibvisa, asi pakanga pasina vimbiso yekuti vaizowana zvese, ”anodaro. "Kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchikoomba, uye nekurwadziwa kwekuvhiyiwa uye zvichitadza kupedza cancer, ndakaona kuti kwaisave kuvhiyiwa kwangu."
Pane kudaro, Curry yakave nemavhiki mapfumbamwe emwaranzi, mazuva mashanu pasvondo. Iye akabva agamuchira majekiseni eLupron (echikadzi mahormone) ekuchengetedza muviri wake kubva mukugadzira testosterone iyo inogona kukonzeresa kudzoka kwekenza yake. Akatanga marapirwo ake muna Ndira 2012 uye akaapedza mwedzi misere gare gare muna Nyamavhuvhu.
Munguva yekurapwa kwake, Curry akachengetedza akajairwa muviri, achidya zvakanaka, uye achiedza kuchengeta muviri wake uri muchimiro chepamusoro. Izvi zvakamubatsira kuti awanezve simba uye aenderere nehuswa hwake hwekutakura. "Handinzwe kunge ndiri wimp kana chero chinhu."
Usakanda mapfumo pasi kana cancer ikadzoka
Apo Alfred Diggs akaonekwa aine kenza pazera ramakore makumi mashanu nemashanu, akasarudza kuve neakanyanya prostatectomy. "Ndakanga ndisina chero zviratidzo zvine chekuita nekenza yeprostate, asi ndanga ndichiwana maPSA kwenguva yakareba," anodaro aimbove wemishonga uye wezvehutano kubva kuConcord, California. SeAfrican-American, Diggs aiziva mikana yake yekenza yaive yakakwira - sezvaive njodzi yaizodzoka.
"PSA yangu yakapetwa zvakapetwa kaviri mugore rimwe, uye bhiopsy yakaratidza kuti ndaive nekenza yeprostate mumakwenzi akati wandei eprostate yangu," anodaro. "Tekinoroji nyowani dzaivapo, asi dzinofanirwa kunge dziripo makore gumi ndisati ndadziita."
"Mushure mekuvhiyiwa, ndakave nemwedzi mitatu kana mina yekusagadzikana kweweti - asi izvo hazvishamise," anodaro. Diggs zvakare aive ne erectile kudzvinyirira semhedzisiro yekurapwa, asi akagona kurapa nemushonga.
Akanga asina zviratidzo kwemakore gumi nerimwe akatevera, asi gomarara rakadzoka mukutanga kwa2011. "PSA yangu yakatanga kukwira zvishoma nezvishoma, uye kana uine gomarara reprostate, chirwere chinongoratidzwa navanachiremba iPSA yako," anodaro. "Ndakaona vanachiremba vakati wandei, uye vese vakandiudza zvakafanana - ndaida radiation."
Diggs akagamuchira makumi matatu neshanu marapirwo ekurapa kwemavhiki manomwe. Muna Gumiguru 2011, aive apedzwa nemwaranzi yake, uye nhamba dzake dzePSA dzaive dzodzokera kuhunhu zvakare.
Saka kenza yeprostate inodzoka sei kana pasisina prostate? “Kana gomarara reprostate ranyatsowanikwa muprostate, rinokwanisa kurapika zana muzana. Kana masero ekenza akapinda mubhedha weprostate [munyama wakakomberedza prostate], pane mukana kenza inogona kudzoka, "Diggs anodaro.
"Kenza payakadzoka, yakanga isiri yakaipa pamoyo," anodaro. “Izvo hazvina kuita zvakafanana manzwiro. Ndangofunga kuti 'Hepanoi patinoenda zvakare!' ”
Kana iwe ukawana kuongororwa, Diggs inoratidza kusvika kune vamwe varume vakapfuura kuburikidza nekuongororwa uye kurapwa. "Zviri nyore, vanogona kukuudza zvinhu izvo chiremba asingakwanise."