Zvakaoma kutaura kutya nekuzvidya mwoyo kwatinonzwa patinoziva kuti tine kenza. Asi nekuda kwesainzi yezvekurapa yatinayo nhasi, kune mishonga inoshanda kwazvo yekenza. Waizviziva here kuti kune mamwe marudzi ekenza anokura ne "kupa" makemikari emuviri wedu anonzi mahormone? Pakurapa kenza yakadaro, kudzora kugadzirwa kwemahormone iwayo kwakakosha zvikuru. Nhasi tichataura nezveimwe nzira yekurapa yakakosha. Zita racho ndi 'Chemical Castration'. Kunyangwe zita racho ringanzwika serinotyisa zvishoma, iyi imishonga inounza zororo kune varwere vazhinji vekenza.
Zvichitaurwa zviri nyore, chii chinonzi Chemical Castration?
Zvakanaka, ngatitsanangurei izvi zviri nyore. 'Chemical Castration' kushandiswa kwemishonga kana makemikari kumisa kugadzirwa kwemahormone epabonde mumuviri wedu. Mahormone aya anoburitswa muropa nemasero akasiyana-siyana mumuviri wedu. Mahormone aya anodzora zvinhu zvakawanda mumuviri wedu; zvinhu zvakaita sesimba, kukura, uye manzwiro. Mahormone epabonde anonyanya kukosha pazvinhu zvakaita sekuyaruka uye hutano hwekubereka.
Zvisinei, mamwe marudzi egomarara, akadai segomarara reprostate nemamwe marudzi egomarara rezamu, anoenderana nemahormone aya ebonde kuti akure. Kungofanana nemuti unoda mvura kuti ukure, masero aya egomarara anoda mahormone kuti akure. Saka, kurapwa nemakemikari kunoderedza huwandu hwemahormone aya ebonde mumuviri. Ipapo masero egomarara anorasikirwa ne "chikafu" chaanoda, uye kukura kwawo kunomira kana kunonoka.
Kune mamwe mazita akati wandei anoshandiswa pakurapa uku. Kana ukanzwa, izvi zvichava pachena kwauri:
- Kubviswa kwevana muchipatara
- Kurapa Mahormone
- Kurapa kweAndrogen Depression/Deprivation/Depression
Mazita ese aya anoreva chinhu chimwe chete: anoderedza huwandu hwemahormone epabonde mumuviri.
Kurapa uku kunoshandiswa pamamiriro ezvinhu api?
Vanachiremba vanonyanya kushandisa mushonga uyu pamabundu anokonzerwa nemahormone epabonde, kunyanya:
- Kenza yeprostate: Kenza iyi muvarume inowanzo kukonzerwa nehormone yechirume inonzi testosterone.
- Kenza yezamu: Mahormone echikadzi anonzi estrogen neprogesterone anokanganisa kukura kwemamwe marudzi ekenza yezamu muvakadzi.
- Kenza yeMazamu eVarume: Kunyangwe izvi zvisingawanzoitiki, kurapwa nemahormone kunoshandiswawo pane izvi.
Rimwe zita rinozivikanwa remahormone epabonde ndi androgens.Munhu wese anogadzira androgens, asi varume vanogadzira akawanda acho. Testosterone iandrogen huru. Iyi hormone inokosha pakukura nekushanda kweprostate gland. Kana kenza ikaitika, iyi hormone ndiyo inoita kuti kenza ikure.
Chii chinoitika kurapwa kusati kwatanga?
Chiremba wako asati akurayira kurapwa nemahormone, anofanira kuziva kana mhando yekenza yako ichapindura zvakanaka. Izvi zvinosanganisira bvunzo dzinoverengeka. Kuongororwa uku kunogona kuona mhando yekenza uye danho rayo rekupararira.
Mimwe yemiedzo yakaitwa nechinangwa ichi ndeiyi:
- Kuongororwa kweCT
- Kuskena kwePET
- Endoscopy
- Kuongororwa kwemasero ekenza - Kutora sampuli diki yemasero ekenza kuti aongororwe.
- Kuongororwa kweropa kwegomarara
Mune zvimwe zviitiko, kunyanya kana uchida kudzikisa testosterone yako zvachose, chiremba wako anogona kukurukura nezvenzira yekuvhiya inonzi orchiectomy . Izvi zvinosanganisira kubviswa kwechende rimwe chete kana ese ari maviri. Iyi mhinduro inogara iripo. Imwe nzira ndeyekuvhiya kubvisa chete nyama inogadzira testosterone. Zvisinei, zvatiri kutaura nezvazvo pano kuchekwa kwemakemikari, kwete kuvhiyiwa. Inzira yekurapa kwenguva pfupi nemishonga.
Chii chinoitika panguva yekurapwa?
Uku hakusi kurapwa kamwe chete. Uku kunoramba kuripo. Kazhinji, chiremba wako anokupa mishonga iyi sejekiseni kana sechishandiso chidiki chinoiswa pasi peganda rako (implant). Zvisinei, mimwe mishonga inowanikwawo semapiritsi.
Zvichienderana nerudzi uye chiyero chemushonga waunopiwa, ungangoda kudzokorora kurapwa uku kamwe chete pamwedzi, kamwe chete pamwedzi mitatu yega yega, kana kamwe chete pagore.
Pakurapa kenza yeprostate, kune nzira dzakawanda dzinoshanda nadzo mushonga uyu:
- Inoderedza kugadzirwa kwema androgens (kunyanya testosterone) kubva mumachende.
- Inovhara kugona kwema androgens mumuviri kubatana nekushanda nemasero ekenza.
- Inomisa kugadzirwa kwema androgens kubva kune dzimwe nhengo dzemuviri (kwete machende chete).
Mishonga ipi inoshandiswa pakuita izvi?
Kune mhando dzakasiyana dzemishonga inoshandiswa pakurapa kenza yeprostate. Ngatinyatsoongororai.
| Rudzi rwemishonga | Mashandiro ayo zviri nyore | Mienzaniso (mazita emhando yemishonga) |
|---|---|---|
| MaGnRH Agonists | Izvi zvinotanga kukonzera kuwedzera kamwe kamwe kwemazinga e testosterone (kubuda kwe testosterone). Ipapo muviri unotanga kuregeredza chiratidzo chekugadzira hormone. Mushure memazuva mashoma, kugadzirwa kwe testosterone kunenge kwamira zvachose. | Goserelin (Zoladex®), Leuprolide (Lupron®), Triptorelin (Trelstar®) |
| Vavengi veGnRH | Mushonga uyu haungoerekana wawedzera huwandu hwemahormone sehwemhando yekare. Unomisa zvakananga kugadzirwa kwe testosterone. Saka, 'Testosterone Flare' haiitike. | Degarelix (Firmagon®), Relugolix (Orgovyx®) |
| Kurapa kweAnti-androgen | Pane kumisa kugadzirwa kwemahormone, izvi zvinodzivirira mahormone e androgen mumuviri kuti asasungane nemasero ekenza. Nemamwe mashoko, pane kiyi, asi kiyi (receptor) yainopinda mairi yakavharwa. | Bicalutamide (Casodex®), Enzalutamide (Xtandi®), Apalutamide (Erleada®) |
| Zvinodzivirira Kugadzirwa kweAndrogen | Mushonga uyu unomisa kugadzirwa kwe androgens chero kupi zvako mumuviri (machende, adrenal glands, kunyange masero ekenza). | Abiraterone (Zytiga®), Ketoconazole (Nizoral®) |
Nzira iyi inoshandiswawo here pakurapa kenza yemazamu?
Ehe. Vanachiremba vanokurudzirawo mushonga uyu wehomoni wekenza yemazamu unoenderana neestrogen uye/kana progesterone. Unoshanda nekudzivisa kugadzirwa kwemahomoni echikadzi kana kuamisa kushanda pamasero ekenza. Kune mhando dzakasiyana dzemishonga yeizvi zvakare:
- Mishonga yakaita seTamoxifen inoshanda nekumisa hormone inonzi estrogen kuti isabatane nemasero ekenza.
- Mishonga inodzivirira kukora (semuenzaniso Anastrozole, Letrozole) inoshanda nekuvharira enzyme inogadzira estrogen mumuviri.
- Mishonga yakaita seGoserelin neLeuprolide (inoshandiswawo pakurapa kenza yeprostate) inomisa maovari kushanda kwenguva pfupi uye inoderedza kugadzirwa kweestrogen. Izvi zvakafanana nekuguma kwemwedzi kwechinguvana.
Chii chaungatarisira mushure mekurapwa?
Mishonga iyi inotanga kushanda kana wangotanga kuitora. Inoshanda chero bedzi uchiitora.
Mhedzisiro huru kudzikira kwesimba rekuda bonde/libido. Mhinduro yekukurudzirwa kwepfungwa kana kwemuviri inogona kudzikira. Semuenzaniso, kuwanda kwepfungwa nezvebonde kunogona kudzikira.
Asi chinonyanya kukosha apa ndechekuti mukana weizvi ndewekuti makemikari akwanise kutorwa kubva mumasero emhuka. Kushandiswa kwemakemikari hakusi kwechigarire. Kunogona kudzoserwa kumashure.
Mushure mekunge marega kurapwa, muviri wenyu unotanga kugadzira mahormone zvakare. Pamwe chete neizvi, chido chenyu chebonde chinodzokera padanho rayo rekare. Iri ndiro mukana mukuru weizvi kupfuura kubviswa kwemachende kana maovari pakuvhiyiwa.
Pane njodzi uye migumisiro yakaipa here pakurapa uku?
Kufanana nemishonga yese, kurapwa nemahormone kunogona kuva nemigumisiro yakaipa. Havasi vese vanoiwana yese. Uye kuoma kwemigumisiro iyi kunosiyana kubva pamunhu kusvika pamunhu. Chiremba wako achataura newe nezvemigumisiro yakaipa yemishonga yauri kutora.
Kazhinji, aya ndiwo mamwe emigumisiro inowanzoonekwa kana munhu achitora mushonga uyu kwenguva yakareba:
- Kuda zvepabonde zvishoma
- Kunzwa kamwe kamwe kwekupisa mumuviri (kupisa kwakanyanya)
- Osteoporosis
- Kuderedza tsandanyama
- Kuwedzera mafuta mumuviri
- Kuwedzerwa kwenjodzi yechirwere chemwoyo
- Kuora mwoyo kana kuchinja-chinja kwemanzwiro
- Kushaya ropa
- Kuderera kwebvudzi remuviri
- Mazamu madiki muvarume
Usavhunduke nemhedzisiro iyi. Mizhinji yacho inogona kugadziriswa. Semuenzaniso, chiremba wako anogona kukurudzira mishonga yekuwedzera calcium nevhitamini D uye kurovedza muviri kubatsira nekushaya simba kwemapfupa. Saka zvakakosha kutaura pachena nachiremba wako nezve chero kusagadzikana kwaungave uchinzwa.
Mibvunzo inowanzo bvunzwa
Uku kurapwa kunorwadza here?
Kana ukatora mushonga uyu sepiritsi, hapana kurwadziwa. Kana ukautora sejekiseni, unogona kunzwa kurwadziwa kana kupisa kana jekiseni rapihwa. Asi kazhinji hazvigari kwenguva refu.
Zvinokwanisika here kuva nechimiro chekumira mushure mekurapwa?
Ehe, kuda pabonde kunogona kuitika. Asi nekuda kwekushaya chido chepabonde, zvingasaitika kakawanda sepakutanga. Uye hunhu hwekuda pabonde hunogonawo kuchinja.
- Hazvina kusimba sepakutanga
- Kusakwanisa kuchengetedza kwenguva yakareba
- Kuderera kwekuitika kwezviitiko
Kubviswa kwemasero emukadzi (vasectomy) rudzi rwekubviswa kwemasero emukadzi (castration) here?
Kwete. Kwete zvachose. Vasectomy inzira yekudzivirira pamuviri. Inongodzivirira mbeu kuti isabude munhengo yemurume nembeu. Haina zvazvinoita pahuwandu hwemahormone ako, chishuwo chako chebonde, kana mashandiro ako ebonde.
Chinhu chinonyanya kukosha ndechekuti kurapwa kwegomarara rwendo. Zvakajairika kuva nemibvunzo, zvinokunetsa, uye kutya panguva yerwendo urwu. Taura nezvese izvi nachiremba wako. Kana zvichidikanwa, unogona zvakare kutsvaga rubatsiro rwakadai sekupa mazano. Hausi wega.
Mharidzo Yekuenda Nayo Kumba
- Kuchekwa kwemasero nemakemikari hakusi kuvhiyiwa. Kurapa kenza kunoshandisa mishonga yekumisa kugadzirwa kwemahormone epabonde mumuviri kwenguva pfupi.
- Izvi zvinonyanya kushandiswa pakenza yeprostate nedzimwe mhando dzekenza yemazamu.
- Chimwe chezvakanakira zvikuru zvekurapa uku ndechekuti kunodzoreka . Kana mushonga ukamiswa, huwandu hwemahormone hunodzokera pahwakajairika.
- Migumisiro yakadai sekudzikira kwechido chepabonde, kupisa kwemuviri, uye kushaya simba kwemapfupa zvinogona kuitika, asi chiremba wako anogona kukubatsira kuzvidzora.
- Taura pachena nachiremba wako nezvemibvunzo, zvinokunetsa, kana zvaunotya. Ruzivo rwakarurama nerutsigiro zvakakosha zvikuru panguva yerwendo urwu.
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