Chithandizo cha Khansa ya Prostate Cryotherapy: Tiyeni Tiphunzire Zambiri Mwachidule

Ndizachilendo kuti anthu ambiri azikhala ndi mantha komanso nkhawa akamadziwa za khansa ya prostate. Koma chofunika kwambiri chomwe tiyenera kukumbukira ndichakuti masiku ano pali njira zothandiza kwambiri zochizira khansa. Nthawi zambiri mwamvapo za opaleshoni ndi chithandizo cha radiation . Koma lero tikambirana za njira yosiyana pang'ono, koma yothandiza kwambiri. Imatchedwa prostate cryotherapy, kapena `(Prostate Cryoablation )`. Anthu ena amatchanso `(Prostate Cryoablation)`.

Kodi cryotherapy ndi chiyani?

Mwachidule, izi zimaphatikizapo kuziziritsa maselo a khansa mu prostate gland ndikuwononga. Taganizirani ngati madzi ozizira, koma kutentha kotsika kwambiri, monga 40°C, maselo a khansa amawonongeka.

Chithandizochi chimachitidwa ndi katswiri wa opaleshoni ya chikhodzodzo ndi mkodzo ( urologist ). Nthawi zina prostate yonse imachiritsidwa, ndipo nthawi zina gawo lokhalo la khansa . Njirayi imagwiritsidwa ntchito nthawi zambiri, makamaka ngati khansa yabwerera pambuyo pa chithandizo cha radiation . Ingalimbikitsidwenso ngati chithandizo chachikulu kwa anthu ena.

Kodi chithandizochi n'choyenera kwa ndani?

Mankhwalawa si oyenera aliyense. Dokotala wanu adzayang'ana mosamala vuto lanu ndikusankha ngati ndi oyenera kwa inu. Mankhwalawa nthawi zambiri amaganiziridwa pazochitika zotsatirazi:

• Ngati khansayo sinafalikire: Iyi ndi yoyenera khansa yomwe sinafalikire kunja kwa prostate gland, ikukula pang'onopang'ono, ndipo ili ndi chiopsezo chochepa chofalikira mtsogolo.
• Ngati simukufuna opaleshoni kapena radiation: Anthu ena safuna kuchitidwa opaleshoni yaikulu kapena radiation. Iyi ndi njira yabwino kwa iwo.
• Dokotala akapanda kulangiza njira zina: Ngati dokotala wanu asankha kuti opaleshoni yaikulu kapena chithandizo cha radiation sichili choyenera kwa inu chifukwa cha mavuto ena azaumoyo m'thupi lanu, iye angakulimbikitseni njira imeneyi.
• Khansa ikabwereranso pambuyo polandira chithandizo cha radiation:Uwu ukhoza kukhala chithandizo chopambana kwambiri kwa odwala omwe khansa yawo yabwereranso atalandira chithandizo cha radiation kale.
• Kuchepetsa ululu ndi zizindikiro: Nthawi zina, njira iyi imathandizanso kuchepetsa ululu kapena zizindikiro zina zomwe zimayambitsidwa ndi khansa.

Kodi chithandizochi chimagwira ntchito bwanji? N'zodabwitsa!

Ichi ndi chinthu chosangalatsa kwambiri kuchita. Dokotala amaika singano zapadera zopyapyala, zotchedwa cryoprobes, kudzera pakhungu kupita ku prostate gland komwe kuli khansa. Amagwiritsa ntchito njira yowunikira yotchedwa transrectal ultrasound kuti atsogolere singano izi molondola komwe akufuna.

Kenako, mpweya wapadera wotchedwa argon umalowetsedwa kudzera mu singano. Mpweya umenewu umaziziritsa mofulumira minofu yozungulira singanoyo mpaka kutentha kwa minus 40°C (-40°C). Kuzizira kwambiri kumeneku kumapangitsa kuti ma cubes a ayezi apangidwe mkati mwa maselo a khansa, zomwe zimapangitsa kuti makoma a maselo aphulike ndikuwapha. Dokotala amawona kupangika kwa 'mpira wa ayezi' uwu pa scan.

Maselo a khansa akangozizira bwino, mpweya wina wotchedwa helium umatumizidwa kuti ukatenthetsenso deralo. Izi zimatchedwa 'kuzizira-kusungunuka', zomwe zikutanthauza 'kuzizira ndi kusungunuka'. Kuzungulira koyamba kumeneku kumafooketsa maselo a khansa kwambiri. Kenako, amazizira kamodzi kapena kawiri , kenako n’kutenthedwanso, zomwe zimawononga maselo a khansa kwathunthu.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Dokotala wanu adzakupatsani malangizo omveka bwino okhudza zomwe mungachite musanalandire chithandizo. Ndikofunikira kutsatira malangizo awa molondola kuti muchepetse mavuto. Mungapemphedwe kuchita izi:

• Musadye kapena kumwa chilichonse kwa maola 8 musanalandire chithandizo (kusala kudya).
• Mungapemphedwe kuti mumwe mankhwala otsekula m'mimba kuti muyeretse m'mimba mwanu.
• Ndikofunikira kukhala ndi munthu woti akuyendetseni kunyumba mukalandira chithandizo, chifukwa simungathe kuyendetsa galimoto.
• Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo omwe dokotala wanu wakupatsani, mankhwala ogulitsidwa kunja kwa sitolo, mavitamini, komanso mankhwala a Ayurvedic kapena azitsamba.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Simudzamva ululu uliwonse panthawi ya chithandizo.

1. Mankhwala oletsa ululu: Choyamba, mudzapatsidwa mankhwala oletsa ululu. Ikhoza kukhala mankhwala oletsa ululu wamba kapena mankhwala oletsa ululu am'deralo.

2. Kuyika katheta:Kenako, chubu, chotchedwa catheter, chimayikidwa mu mkodzo wanu. Madzi ofunda pang'ono a saline amadutsa mu chubu ichi. Izi zimateteza mkodzo kuti usawonongeke ndi kuzizira kwambiri.

3. Kuika singano: Kenako, monga tanenera kale, pogwiritsa ntchito `(Ultrasound)` kapena `(MRI)` scan, singano zapadera `(Cryoprobes)` zimayikidwa mu prostate gland pamalo oyenera kwambiri.

4. Kuzizira ndi kusungunuka: Kenako, pogwiritsa ntchito mpweya wa argon ndi helium, maselo a khansa amawonongeka mwa kuzizira ndi kusungunuka kangapo.

Njira yonseyi nthawi zambiri imatenga mphindi 45. Komabe, muyenera kukhala m'chipatala kwa maola awiri kapena atatu. Nthawi zambiri, iyi ndi njira yopitira kuchipatala, kotero mutha kupita kunyumba tsiku lomwelo. Komabe, nthawi zina, mungafunike kukhala m'chipatala usiku wonse.

Kodi ubwino wa njira iyi ndi wotani?

Pali ubwino wambiri pa njira iyi yochizira.

Kodi pali zotsatirapo ndi zovuta zomwe zingachitike?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zotsatirapo zina zomwe zingachitike. Koma musadandaule, zambiri mwa izi ndi zakanthawi kochepa.

Zotsatirapo izi zimakhalapo makamaka ngati mudalandirapo mankhwala ena, monga chithandizo cha radiation ku prostate, m'mbuyomu. Koma nkhani yabwino ndi yakuti kwa anthu ambiri, matendawa amayamba pang'onopang'ono mkati mwa miyezi 12-18 kuchokera pamene mwalandira chithandizo.

Kuphatikiza apo, zotsatirazi zitha kuchitika kwakanthawi:

• Kutupa kwa machende.
• Kupsa kapena kupweteka mukamakodza.
• Ululu m'chiuno kapena m'matumbo.
• Magazi pang'ono mu mkodzo.
• Kufunika kukodza pafupipafupi kapena mwachangu.

Kawirikawiri, mavuto aakulu amatha kuchitika, monga kuwonongeka kwa rectum kapena chikhodzodzo, kapena kupangika kwa malo otseguka osazolowereka (fistula) pakati pa urethra ndi rectum. Komabe, izi sizichitika kawirikawiri.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire? Kodi chithandizochi chayenda bwino bwanji?

Nthawi yochira imasiyana malinga ndi munthu, koma muyenera kubwerera ku moyo wabwinobwino mkati mwa sabata imodzi kapena kuposerapo . Dokotala wanu adzachotsa catheter pakatha sabata imodzi kapena ziwiri. Funsani dokotala wanu nthawi yomwe mungayambirenso kuchita zinthu wamba.

Kupambana kwa chithandizochi kumayesedwa ndi nthawi yomwe mulingo wa PSA (Prostate-specific antigen - PSA) sukwera komanso nthawi yomwe khansa simakulanso. Kafukufuku wasonyeza kuti chithandizochi chimagwira ntchito bwino pa milandu 76 mpaka 90 mwa 100 patatha zaka zitatu kuchokera pamene chithandizocho chachitika. Izi ndi zotsatira zabwino kwambiri.

Ndiyenera kupita kwa dokotala liti?

Musamaope kufunsa dokotala wanu ngati muli ndi mafunso kapena nkhawa, kaya musanayambe kapena mutalandira chithandizo. Makamaka, ngati muli ndi zizindikiro za matenda, monga malungo, magazi mumkodzo, mkodzo wokhuthala kapena wonunkha, kapena ululu, dziwitsani dokotala wanu nthawi yomweyo .