Prostate cancer i nei tih i hria em? Kan sawi dawn nia!

Prostate cancer chungchang hi i hre tawh em ? I thian emaw, i chhungte emaw pawhin a sawi i hre tawh mai thei. Hei hi mipa chauh natna a ni a, eng emaw chen ngaihsak a ngai a ni. Mahse, lungngai suh, vawikhat i hriat veleh thil tam tak a chiang tawh ang. Chipchiar takin sawi ila, awlsam takin. Prostate hi gland te tak te, mipa chauhin an neih a ni. A dik tak chuan walnut te tak te ang vel a ni. Bladder hnuai, hnute hmaah a awm a. Secretion a secretion a, chu chu sperm nen a inzawm a, nau pai theihna turin sperm hrisel taka a awm theih nan a pui bawk. Chuvangin, he prostate gland chhunga cell te hi a pangngai lo leh thunun theih loha an lo thang tan chuan prostate cancer kan ti thin. Hei hi natna khirh deuh a ni. Mipa zingah pawh hmuh tur a tam zawk thei bawk. Ngaihtuah teh, mipa 100 zinga 13 vel chuan an dam chhungin engtik lai pawhin he natna hi an nei ang. Mahse thu lawmawm tak chu a tam zawkah chuan prostate gland pawn lama a darh hmain hriat theih a ni . A hmaa enkawl a nih chuan cancer hi a dam kim thei a ni. Mahse, a then phei chuan thihna a thlen thei bawk. Entîr nân, United States-ah ringawt pawh hian kum tin mi 35,000 vêl an thi a ni.

Prostate cancer chi hrang hrangte chu engte nge ni?

Prostate cancer i vei tih hmuhchhuah a nih chuan adenocarcinoma chi khat a nih a rinawm ber. Adenocarcinoma hi cancer chi khat a ni a, i prostate ang chi thil tichhuaktu glands cell atanga intan a ni. A tlem hle a, prostate cancer hi cell chi dang atanga lo chhuak a ni. A chi dang hmuh tur awm lo tak tak a awm bawk:

• Cell tenau carcinoma te a awm
• Transitional cell carcinoma te hi a awm a
• Neuroendocrine tumor a awm thin
• Sarcomas a ni

Prostate cancer natna lanchhuahna chu engte nge ni?

A tir lamah chuan prostate cancer hian symptoms a nei tlem hle fo. Chumi awmzia chu a tir lamah chuan inthlak danglamna i hmu lo mai thei tihna a ni. Mahse, cancer a lo zual zel chuan inthlak danglamna engemaw zat i hmu tan mai thei. Heng symptoms te hi i neih chuan doctor pan a pawimawh :

• Frequent, sometimes urgent, need to urinate , a bik takin zan lamah .
• Urine stream chak lo, emaw zun a luang tan a , a tawp leh thin.
• Zun laiin natna emaw, kang emaw hriat (hei hi dysuria kan ti a ni ).
• Urination control theih lohna (hei hi urinary incontinence an ti).
• Bowel movement control theih lohna (fecal incontinence).
• Ejaculation laiin natna leh mipat hmeichhiatna lama harsatna ( erectile dysfunction - ED).
• Semen emaw zun emaw a thisen hmuh .
• I hnungzang hnuai lam, i hip emaw, i rilru emaw a na.

Prostate cancer thlentu te chu engte nge ni?

Dik tak chuan mithiamte chuan prostate cells te hi engtin nge cancer an nih tih chiang takin an la hre lo . Cancer dang ang bawkin prostate cancer hi cell te chu a tlangpui aia rang zawka an inthen tan atanga intan a ni. Ngaihtuah teh, kan taksaa cell pangngai te hi rei vak lo hnuah an thi thin. Mahse cancer cell te chu chutiang chuan an thi lo . Chu ai chuan an pung zel a, tumor an siam zel a ni. Heng cell te hi an inthen chhunzawm zel chuan tumor chi hrang hrang te chu a inthen a, taksa hmun dangah a darh thei a (hei hi metastasis an ti a ni). Vanneihthlak takin, prostate cancer hi a lo thang zawi zawi tlangpui . A tam zawkah chuan heng tumor te hi cancer hi prostate gland pawnah a darh hmain an hmuchhuak thin. Chutih hunah chuan prostate cancer hian dam theihna chance a nei tha zawk hle.

Hemi atan hian tute nge hlauhawm ber? (Risk factor hrang hrang) 1.1.

Prostate cancer lo awm chhan lian tak tak engemaw zat a awm a, chungte chu:

• Kum : He risk hi i upat deuh deuh chuan a pung zel. Kum 50 chunglam i nih chuan he natna hi i vei a rinawm zawk. Prostate cancer 60% vel chu mipa kum 65 chunglam ah a awm thin.
• Hnam leh chi : Mihring dum emaw, African hnam i nih chuan i risk a sang zawk. Hei hi cancer natna nasa tak, a darh chak lutuk leh kum 50 hmaa cancer hmuhchhuah tawhte tan chuan a dik hle.
• Chhungkaw zingah prostate cancer vei tawh : I chhungte hnai ber (pa emaw unaupa emaw ang chi) tu emaw chuan he natna hi a vei tawh a nih chuan i vei theihna chance chu a let hnih atanga a let thum in a pung a ni.
• Genetics : Lynch syndrome tih natna i neih chuan, emaw, hnute cancer vei theihna tipungtu gene mutations (BRCA1 leh BRCA2) inherited i neih chuan i risk a sang zawk.

Zirna thenkhatah chuan risk factor dang engemawzat hmuhchhuah a ni a, mahse evidence erawh a la chiang lo. Thil dang awm thei chu:

• Meizial zuk.
• Prostate gland a inflammation (prostatitis) a awm thin.
• Body mass index (BMI) 30 aia tam (chu chu thau lutuk tihna a ni).
• Mipat hmeichhiatna hmanga kai theih natna (STIs).
• Agent Orange (Vietnam War laia hman thin chemical) nena inzawmna.

He natna hi Doctor ten engtin nge an hriat chian?

Doctor-te chuan prostate cancer an hriat theih nan test eng emaw zat an hmang a. Chûng zîngah chuan taksa enfiahna, scan, leh a châng chuan biopsy . Mi tam zawk chuan kum 55 vel atang khan screening test an nei tan a, mahse, risk sang tak i nih chuan heng test te hi a hmain i ti tan thei a ni. Heng test te hi kum 70 hnuah tihtawp a ni tlangpui a, heng test result-ah hian thil danglam tak a awm chuan test tam zawk neih a ngai mai thei. Mahse, i doctor chuan cancer chu a lo thang zawi zawi a, harsatna lian tham a thlen lo nia a hriat chuan test tam zawk a tih hmain rei vak lo a nghak thei a ni. Mahse, cancer chu a lo thang chak hle emaw, prostate pawnah a darh tawh emaw a nih chuan, a natna hriat chian nan biopsy lak a ngai ngei ang .

Eng test nge hman thin?

Heng screening test te hian test dang i mamawh leh mamawh loh hriat theih nan a pui ang che:

• Digital Rectal Exam (DRE) : He test-ah hian i doctor chuan i rectum-ah kutkawr vuah, lubricated finger a dah a, i prostate gland chu a hre thei a ni. Lump emaw, hmun khauh emaw a awm chuan cancer chhinchhiahna a ni thei.
• Prostate-Specific Antigen (PSA) thisen test : Prostate gland hian prostate-specific antigen (PSA) an tih protein a siam chhuak a. Thisena PSA level sang hi cancer chhinchhiahna a ni thei. Mahse, cancer ni lo dang, benign prostate hyperplasia (BPH) emaw prostatitis emaw-ah pawh PSA level hi a sang thei a ni. Chuvangin, PSA sang chuan cancer a kawk ngai lo .
• Imaging : MRI emaw transrectal ultrasound emaw hmangin i prostate thlalak a la thei. Heng thlalakte hian cancer rinhlelh theihna hmunte a hriat theih a ni. Heng imaging test result hian i doctor chu biopsy tih leh tih loh tur thutlukna siam turin a pui thei a ni.
• Biopsy : He test-ah hian doctor chuan needle te tak te hmangin prostate gland atanga tissue sample lakchhuah a, cancer cell awm leh awm loh a enfiah thin. Hei hi prostate cancer i neih leh neih loh chiang taka finfiah theihna awmchhun a ni.. Cancer nasat zia leh a darh chak zia a hriat theih bawk. A chang chuan he sample hi enkawl dan tur ruahmanna siamna atana pui turin genetic testing an nei thin.

Prostate cancer hi eng grade leh stage nge ni?

Doctor-te chuan Gleason score leh cancer staging ang chi thil hmangin cancer hi engtiang chiahin nge a nasat tih leh eng enkawlna nge i mamawh tih an hre thei a ni.

Gleason Score hi eng nge ni?

Gleason score hmang hian i doctor chuan i cancer cells te chu engtiang chiahin nge an danglam tih a classified thei a ni. Cells an abnormal tam poh leh Gleason score a sang zawk thin. He score hian cancer grade, a nih loh leh a darh chak dan tur a hril a ni.

Cancer vei staging (staging) a ni

Cancer staging hmang hian i doctor chuan i cancer chu eng chen nge a lo thang lian emaw, eng chen nge a darh tih emaw a hre thei a ni. Cancer hi prostate gland (local)-ah chauh a awm thei a, a bul hnaia tissue (regional)-ah a lut thei a, taksa peng dangah pawh a darh thei (metastasized). Prostate cancer hi ruh leh lymph node ah a darh tam ber . Tin, thin, thluak, lung leh taksa peng dangah te pawh a thang lian thei bawk.

Prostate cancer hi engtin nge enkawl a nih?

I enkawl dan hi thil engemaw zatah a innghat a ni. Chung zingah chuan i hriselna zawng zawng, cancer hi a darh tawh em tih leh a darh chak dan te pawh a tel. I enkawl dan azirin specialist hrang hrang (entir nan, urologist, radiation oncologist, leh medical oncologist) te nen thawhhona i neih a ngai mai thei . Prostate cancer hmuhchhuah hmasak tam zawk hi enkawlna hmangin tihdam theih a ni .

Damdawi leh enkawlna bikte

Enzuina

I cancer chu zawi zawiin a lo thang lian a, a darh lo a nih chuan i doctor chuan enkawl nghal lovin enfiah a tum mai thei.

• Active Surveillance : Hetah hian screening, scan leh biopsies – kum khat atanga kum thum danah vawi khat vel – cancer kal zel dan enfiah turin regular takin i nei ang. Hei hi cancer hmasa ber, risk hniam tak, symptomatic nei lo tan chuan a tha ber. Cancer a zual chuan enkawl tan chauh a ni.
• Watchful Waiting : Hetiang approach hi kum upa lam emaw, hriselna lama harsatna dang nei emaw tan hman a ni. Test tlem zawk a huam a, cancer tihbo ai chuan symptoms tihziaawmna lam a ngaihtuah zawk.

Inzai

Radical prostatectomy hi surgery hmanga prostate gland natna nei chu paih chhuah a ni.He surgery hian prostate cancer darh lo chu hlawhtling takin a paih chhuak thei a ni. I doctor chuan he surgery hi i hlawkpui dawn nia a ngaih chuan, i tana removal method dik ber a rawn rawt ang che.

• Open Radical Prostatectomy : Hetiang tih danah hian doctor chuan i pum chhungah vawi khat incision a siam a, prostate gland chu a la chhuak thin. Hetiang procedure hi less invasive procedure dang angin hman a ni tawh lo.
• Robotic Radical Prostatectomy : Hetiang tihnaah hian doctor chuan incision tenau tak tak tlemte hmangin a ti thei a ni. Console hmangin robotic system a hmang a ni.

Radiation hmanga enkawlna a ni

Prostate cancer hi enkawlna pakhat emaw, enkawlna dang nena hman dun emaw hmangin radiation therapy i nei thei bawk. Radiation therapy hian symptoms a ti reh thei bawk.

• Brachytherapy : Hei hi i prostate gland chhungah radioactive seeds dah a ni. Hei hian cancer cells a tichhia a, a chhehvela tissue hrisel te chu a chhanhim bawk.
• External Beam Radiation Therapy (EBRT) : Machine pakhat chuan X-ray beam chak tak chu tumor lam hawiin a kaihruai a. IMRT ang chi hmanraw changkang tak takte hian cancer chauh a target thei a, chutih rualin tissue hrisel pawh a humhim thei bawk.

Systemic Therapies hmanga enkawlna (Systemic Therapies) te

Cancer hi i prostate pawn lamah a darh tawh a nih chuan i oncologist chuan systemic treatment a rawt thei ang. Heng enkawlnate hian taksa pum puiah a fang kual a, cancer cells te chu a that emaw, an thanlenna a titawp emaw a ni.

• Hormone Therapy : Testosterone hi prostate cancer tipungtu hormone a ni. Hormone therapy-ah chuan damdawi hian testosterone a block emaw, a tihtlem emaw a ni. Mipa thenkhat chuan testosterone siam chhuah tihtawp nan testicles (orchiectomy) lakchhuah nan operation an nei thei bawk.
• Chemotherapy : He enkawlna hian damdawi hmanga cancer cell tihlum a ni. Cancer natna zual tan chuan a chauh emaw, hormone therapy nen emaw pek theih a ni. Cancer hi prostate gland piah lamah a darh tawh a nih chuan chemotherapy chauh emaw, hormone therapy hmangin emaw pek i ni thei bawk.
• Immunotherapy : Hei hian i immune system a tichak a, cancer cells a hmuh theih nan leh a do theih nan a pui thin. Cancer natna zual emaw, lo awm leh emaw tan pawh hman a ni fo.
• Targeted Therapy : Heng enkawlnate hian cancer thlentu genetic mutations te chu an target a ni. BRCA mutations nei cancer tan chuan an thawk tha ber.

Focal Therapy hmanga enkawlna a ni

Focal therapy hi damdawi thar a ni a, i prostate gland chhunga cancer cell awmte a tichhia a ni. I cancer hi a hlauhawm lo a, a darh lo a nih chuan i doctor chuan he enkawlna hi a rawt thei ang. Heng enkawlna tam zawk hi chu experimental a la ni reng a ni.

• High-Intensity Focused Ultrasound (HIFU) : High-intensity sound wave hian lumna nasa tak a siam a, i prostate-a cancer cells te chu a that thin.
• Cryotherapy : Thli lum chuan i prostate chhunga cancer cells te chu a freeze a, tumor chu a tichhia a ni.
• Laser Ablation : Cancer natna hmuna lumna nasa tak thlen chuan prostate gland-a cancer cells te chu a that a, tumor chu a tichhia a ni.
• Photodynamic Therapy : Damdawi hian cancer cell te chu light wavelength thenkhat lakah a ti sensitive zawk thin. Chumi hnuah chuan doctor chuan cancer cell-te chu chutiang êng wavelength-ah chuan a dah a, a that ta a ni.

Prostate cancer enkawlna hian eng side effect nge a neih?

Enkawlna atanga side effect engemaw zat awm thei a awm a:

• Incontinence : I khuh emaw, i nuih emaw hian zun i leak thei. A nih loh leh i bladder a khat loh lai pawhin zun chhuah a ngai nghal tih i hre mai thei bawk. He natna hi thla 6 atanga thla 12 chhungin enkawl lohvin a dam tlangpui .
• Erectile Dysfunction (ED) : Surgery leh enkawlna dangte hian sex hman laiin erection neih theihna a nghawng thei a ni. Kum khat emaw kum hnih emaw chhung chu i sex life-ah danglamna i hmu mai thei. Damdawi Sildenafil (Viagra®) emaw Tadalafil (Cialis®) te hian hei hi penis-a thisen kal tamna hmangin a pui thei a ni.
• Infertility : Enkawlna hian i sperm siamchhuah emaw, i ejaculation emaw a nghawng thei. Fa neih i beisei a nih chuan enkawlna i tan hmain sperm banking ngaihtuah hmasa phawt ang che . Nakinah chuan sperm chu la chhuakin i kawppui uterus-ah dah theih a ni.

Heng side effects te hi i neih chuan i cancer care team te hnenah hriattir ngei ang che . Vawi tam tak chu, damdawi leh enkawlna \angkai tak takte chu an rawt thei \hin.

Doctor hnenah eng zawhna nge ka zawh ang?

Prostate cancer i neih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:

• Ka prostate pawnah cancer hi a darh tawh em?
• Ka prostate cancer stage atan hian eng enkawlna tha ber nge ni ang?
• Enkawlna hian eng hlauhawmna leh nghawng tha lo nge a neih?
• Ka chhungkuaah hian prostate cancer vei theihna a awm em? Chutiang a nih chuan genetic test kan nei tur em ni?
• Enkawlna hnuah eng follow-up care nge ka mamawh?
• Complication chhinchhiahna awmte chu ka fimkhur tur em ni?

Prostate cancer vei hian eng ang beiseina nge a neih theih ang?

Prostate cancer hi a hmaa hmuh a nih chuan a rah tha zawk i beisei thei ang . Mipa cancer a darh hmaa hmuhchhuah zinga zaa 99 (99%) – chu chu an hmuhchhuah hnuah kum nga tal an dam dawn tihna a ni . A tam zawkah chuan cancer prostate gland-a awm chauh chu enkawlna hmangin a bo vek thei a ni. Mahse, cancer hi a darh tawh (metastatic prostate cancer) a nih chuan damchhuahna rate chu a tha tawk lo – metastatic prostate cancer vei zinga mipa 32% chauh chu an hmuhchhuah atanga kum nga hnuah an dam ang. Prostate cancer i vei tih i hriat chuan rilru natna hrang hrang i nei thei a – zawhna tam tak pawh i nei thei bawk. Mahse thu lawmawm tak chu a hmaa hmuh a nih chuan prostate cancer hi enkawl tha tak a ni fo thin . Mi tam tak chu enkawl an nih hnuah kum tam tak chhung chu nun famkim, cancer nei loin an nung a. Mahse, a then phei chuan a na zual thei a, a darh thuai thei bawk. I cancer enkawltu team chuan i duhthlan turte an hrilhfiah ang che a, thutlukna siam apiangah, test atanga enkawlna thlengin i mamawh tanpuina leh kaihhruaina an pe ang che.

Take-Home Thuchah hnuhnung ber

Prostate cancer hi mipa natna tlanglawn tak leh na tak thei tak a ni. Mahse, hlauthawng suh . A pawimawh ber chu a symptoms hriat chian a kum dik takah screening neih hi a ni . Prostate cancer test neih a pawimawh hle a, a bik takin kum 50 chunglam i nih emaw, i chhungte zinga mi tu emaw chuan he natna hi an vei tawh a nih chuan. A hmaa hmuhchhuah a nih chuan he natna hi tidam kim thei tur enkawlna kawng hrang hrang chu tunlai hian an siam chhuak ta a ni . Chuvang chuan rinhlelhna i neih chuan Doctor hmuh hi zak leh hlau suh. I hriselna enkawltu ber tur chu nangmah i ni. Nunphung hrisel (meizial zu lo, ei leh in inthlau, exercise) neih hian chutiang natna laka invenna chu eng emaw chen chu a pui tih hre reng ang che .

---

` Prostate Cancer, prostate cancer, PSA, DRE, cancer symptoms, cancer enkawl dan, mipa hriselna