Inu kapena munthu wina wapafupi nanu mwina munadabwa kwambiri dokotala wanu atakuuzani za mankhwala otchedwa 'Chemical Castration'. Tikamva mawu akuti 'castration', chinthu china chosiyana kwambiri chimabwera m'maganizo mwathu. Koma musachite mantha. Uku si kuchotsa ziwalo zoberekera opaleshoni monga momwe mungaganizire. Iyi ndi njira yofunika kwambiri yothandizira yomwe imagwiritsa ntchito mankhwala, kutanthauza mankhwala, kuti athetse mitundu ina ya khansa. Lero, tikambirana izi m'njira yosavuta komanso yochezeka.
Mwachidule, kodi Chemical Castration ndi chiyani?
Mwachidule, kuchotsedwa kwa mankhwala ndi njira yoletsa kapena kuchepetsa kwambiri kupanga mahomoni ogonana m'thupi lathu kudzera mu mankhwala.
Tsopano taganizirani izi, mahomoni m'matupi athu ali ngati amithenga. Mahomoni awa amatulutsidwa m'magazi kuchokera ku glands zosiyanasiyana. Amithenga awa amayenda m'thupi lonse ndikuuza ziwalo zosiyanasiyana kuti "zichite izi." Mwachitsanzo, mahomoni awa amakhudza zinthu monga kulamulira mphamvu zathu, kukula, ndi malingaliro athu. Mahomoni ogonana ndi mtundu wapadera wa mahomoni. Ndi ofunikira pazinthu monga kutha msinkhu komanso kugwira ntchito kwa njira zoberekera.
Koma, nthawi zina pamakhala vuto. Mitundu ina ya khansa, makamaka khansa ya prostate ndi mitundu ina ya khansa ya m'mawere, imagwiritsa ntchito mahomoni ogonana awa ngati "chakudya". Izi zikutanthauza kuti, bola mahomoni awa alipo, maselo a khansa amakula bwino. Chifukwa chake, mankhwala ochotsera khansa amaletsa "chakudya" chomwe khansa imalandira, kutanthauza kuti, kupezeka kwa mahomoni. Kenako kukula kwa khansa kumayima kapena kumawongoleredwa kwambiri.
Mayina ena angapo amagwiritsidwa ntchito pa izi. Mwachitsanzo:
- Chithandizo cha Mahomoni
- Chithandizo cha Kusowa kwa Androgen
Kodi ntchito za chithandizochi ndi ziti?
Madokotala amagwiritsa ntchito kwambiri mankhwalawa pochiza zotupa zomwe zimadalira mahomoni ogonana.
Ponena za amuna, gulu lalikulu la mahomoni ogonana omwe amapangidwa m'thupi lathu ndi androgens . Ngakhale kuti awa amapangidwanso m'thupi la akazi pamlingo winawake, amapezeka kwambiri m'thupi la amuna. Testosterone ndiye mahomoni akuluakulu a androgen omwe mwina mudamvapo. Homoni iyi ndi yofunika kwambiri pakukula ndi kugwira ntchito kwa prostate gland. Komabe, khansa ya prostate ikachitika, maselo a khansa amagwiritsanso ntchito testosterone iyi kuti akule. Pamenepo ndiye pamafunika chithandizo chochepetsa mahomoni awa.
Mu khansa ya m'mawere ya akazi, mitundu ina ya khansa imadalira mahomoni a estrogen ndi progesterone . Mankhwala omwe amawongolera mahomoni amenewa amagwiritsidwanso ntchito pa khansa zotere.
Kodi mumatani musanayambe chithandizo?
Dokotala wanu asanakupatseni chithandizochi, ayenera kudziwa bwino ngati khansa yanu ingagwire bwino ntchito mukalandira chithandizo cha mahomoni. Izi zidzafunika mayeso angapo.
- Kujambula kwa CT
- Kujambula kwa PET
- Endoscopy
- Biopsy - kutenga chidutswa cha minofu kuti chikaunikidwe
- Kuyezetsa magazi kokhudzana ndi khansa
Chofunika kwambiri ndichakuti chithandizochi sichikhala chokhalitsa. Izi zikutanthauza kuti, akasiya kumwa mankhwalawo, kupanga mahomoni kumabwerera mwakale. Komabe, nthawi zina dokotala angalankhulenso za njira yothetsera vutoli. Imeneyi ndi opaleshoni yotchedwa orchiectomy . Izi zikutanthauza kuti, kuchotsa tchire limodzi kapena onse awiri pa opaleshoni. Izi zimachepetsa kuchuluka kwa testosterone kwamuyaya.
Njira yochizira ndi mankhwala omwe amagwiritsidwa ntchito
Uwu si mankhwala operekedwa kamodzi kokha. Uwu ndi mankhwala opitilira. Momwe mankhwala amaperekedwera ndi osiyana.
- Jakisoni: Njira yomwe imagwiritsidwa ntchito kwambiri.
- Zipangizo Zopangira Thupi: Chipangizo chaching'ono chimayikidwa pansi pa khungu.
- Mapiritsi: Mankhwala ena amapezeka mu mawonekedwe a mapiritsi.
Kutengera mtundu wa mankhwala ndi mlingo wake, mungafunike kubwereza mankhwalawa kamodzi pamwezi, kamodzi pa miyezi itatu iliyonse, kapena kamodzi pachaka.
Gome ili m'munsimu likuwonetsa magulu akuluakulu a mankhwala omwe amagwiritsidwa ntchito pochiza khansa ya prostate. Mayina ake ndi ovuta pang'ono, koma izi ziyenera kukuthandizani kupeza lingaliro lomveka bwino.
| Gulu la mankhwala | Momwe imagwirira ntchito ndi zitsanzo |
|---|---|
| Ma agonist a GnRH | Izi zimakhudza pituitary gland ndikuyimitsa chizindikiro chopita ku machende kuti apange testosterone. Poyamba, kuchuluka kwa mahomoni kumatha kukwera pang'ono (testosterone flare). Mwachitsanzo: Goserelin, Leuprolide. |
| Otsutsana ndi GnRH | Izi zimaletsa kupanga testosterone popanda kuwonjezera mahomoni omwe atchulidwa pamwambapa. Mwachitsanzo: Degarelix. |
| Mankhwala oletsa androgen | Izi zimaletsa mahomoni a androgen omwe amapangidwa m'thupi kotero kuti maselo a khansa sangathe kuwagwiritsa ntchito. Mwachitsanzo: Bicalutamide, Enzalutamide. |
| Zoletsa kupanga kwa Androgen | Izi zimaletsa kupanga ma androgens kulikonse m'thupi, osati m'machende okha. Mwachitsanzo: Abiraterone. |
Kodi ubwino, kuipa, ndi zotsatirapo zake ndi ziti?
Monga chithandizo chilichonse, izi zili ndi ubwino komanso zotsatirapo zake.
Ubwino waukulu
- Kuletsa Khansa: Ubwino waukulu wa izi ndikuti ndi njira yothandiza kwambiri yoletsa khansa yodalira mahomoni.
- Kubweza: Uwu ndi mwayi waukulu. Siwokhalitsa monga opaleshoni. Mukasiya kulandira chithandizo, kuchuluka kwa mahomoni m'thupi lanu komanso ntchito yogonana pang'onopang'ono zidzabwerera mwakale.
Zotsatirapo zomwe zingatheke
Zotsatirapo zina zingachitike mukatenga mankhwalawa kwa nthawi yayitali. Komabe, dokotala wanu adzakambirana nanu zonsezi ndikukupatsani upangiri wofunikira kuti muthane nawo.
- Chilakolako chochepa chogonana/libido
- Kutentha kwambiri
- Matenda a mafupa
- Mavuto okhudzana ndi kagayidwe ka mafuta ndi shuga m'thupi
- Kuvutika maganizo
- Kuchepa kwa thupi
- Kuchepa kwa magazi m'thupi
- Kugwira ntchito molimbika
Kodi izi zimapweteka? Kumwa mapiritsi sikupweteka. Komabe, mukalandira jakisoni kapena chojambulira, mungamve kupweteka pang'ono kapena kutentha. Koma nthawi zambiri zimenezi zimatha pakapita nthawi.
Mafunso ena omwe amafunsidwa kawirikawiri
Kodi izi zikufanana ndi kudulidwa kwa mwana ndi opaleshoni?
Ayi. Kuchotsa machende kapena mazira obereketsa pogwiritsa ntchito opaleshoni ndi kuchotsa kwamuyaya machende kapena mazira obereketsa. Kuchotsa machende pogwiritsa ntchito mankhwala ndi kusiya kwakanthawi kupanga mahomoni pogwiritsa ntchito mankhwala. Mankhwala akasiya, kupanga mahomoni kumayambiranso.
Kodi ichi ndi chifukwa cha vasectomy?
Ayi ndithu. Vasectomy ndi njira yokhazikika yolerera kubereka kwa amuna. Imangoletsa umuna kutuluka. Sizimakhudza kuchuluka kwa mahomoni anu, chilakolako chogonana, kapena ntchito yogonana.
Kodi ndingathe kugonana nditalandira chithandizo?
Inde. Koma mwina simungamve chilakolako chogonana kwambiri komanso simungamve chilakolako chogonana kwambiri. Komanso, kukhwima kwanu kwa chiberekero sikungakhale kovuta, kosakhalitsa, kapena kobwera kawirikawiri monga kale. Lankhulani ndi dokotala wanu za izi momasuka.
Uthenga Wopita Nawo Kunyumba
- Dzina lakuti 'Chemical castration' ndi loopsa, koma limatanthauza mankhwala a khansa yodalira mahomoni.
- Iyi si opaleshoni yokhazikika. Ntchito ya thupi ikhoza kubwerera mwakale chithandizo chikatha.
- Izi zimachepetsa kuchuluka kwa mahomoni ogonana omwe amathandiza maselo a khansa kukula.
- Zotsatirapo zingachitike, koma dokotala wanu adzakuthandizani kuzithetsa.
- Khalani omasuka kulankhula ndi dokotala wanu za mantha, kukayikira, kapena nkhawa zilizonse zomwe mungakhale nazo. Ndi ufulu wanu.
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