Unoziva nezvekenza yeprostate here? Ngatitaure nezvazvo!

Wakambonzwa nezvekenza yeprostate here? Pamwe wakambonzwa shamwari kana hama ichitaura nezvazvo. Ichi chirwere chinongobata varume chete uye chinoda kutarisirwa. Asi usazvidya moyo, kana wangozviziva, zvinhu zvakawanda zvichajeka. Ngatitaurei nezvazvo zvakadzama, zviri nyore. Prostate igland diki iro varume chete vane. Kutaura chokwadi, rakakura sewalnut diki. Iri pasi pedundira, pamberi peanus. Inoburitsa secretion inosanganiswa nembeu uye inobatsira kuchengetedza mbeu ine hutano kuti ikwanise kubata mwana. Saka, kana masero ari mugland iyi yeprostate anotanga kukura zvisina kujairika uye zvisingadzoreki, tinoidaidza kuti kenza yeprostate. Ichi chirwere chakakomba. Chinogonawo kuonekwa kakawanda pakati pevarume. Ingofunga, varume vanosvika gumi nevatatu pa100 vachava nechirwere ichi pane imwe nguva muhupenyu hwavo. Asi nhau dzakanaka ndedzekuti muzviitiko zvakawanda chinogona kuonekwa chisati chapararira kupfuura prostate gland . Kana chikarapwa nekukurumidza, kenza inogona kurapwa zvachose. Zvisinei, mune zvimwe zviitiko, inogonawo kukonzera rufu. Semuenzaniso, muUnited States chete, vanhu vanosvika zviuru makumi matatu nezvishanu vanofa nayo gore rega rega.

Ndeapi marudzi ekenza yeprostate?

Kana ukaonekwa uine kenza yeprostate, ingangove iri mhando yeadenocarcinoma. Adenocarcinoma rudzi rwekenza runotangira mumasero ematumbu anoburitsa zvinhu, zvakaita seprostate yako. Kashoma, kenza yeprostate inotangira kubva kune mamwe marudzi emasero. Kune mamwe marudzi asingawanzoitiki:

• Kansa dzemasero madiki
• Kansa yekuchinja kwemasero
• Matumbu eNeuroendocrine
• Sarcomas

Ndezvipi zviratidzo zvekenza yeprostate?

Pakutanga, kenza yeprostate inowanzova nezviratidzo zvishoma. Izvi zvinoreva kuti ungasaona shanduko pakutanga. Zvisinei, sezvo kenza ichienderera mberi, unogona kutanga kuona shanduko. Kana uine chimwe chezviratidzo izvi, zvakakosha kuona chiremba kuti akupe mazano :

• Kuda kuita weti kakawanda, dzimwe nguva nekukurumidza, kunyanya husiku .
• Kuyerera kweweti kusina simba, kana kuti weti inotanga kuyerera yozomira.
• Kunzwa kurwadziwa kana kupisa paunenge uchiita weti (tinoti dysuria ).
• Kusakwanisa kudzora weti (izvi zvinonzi kusadzora weti).
• Kusakwanisa kudzora kufamba kwetsvina (kusazvidzora tsvina).
• Kurwadziwa panguva yekubuda kwetsvina uye kusagadzikana pabonde ( kusashanda zvakanaka kwetsvina - ED).
• Kuona ropa mumbeu kana weti .
• Kurwadziwa kwemusana, muchiuno, kana pachipfuva.

Ndezvipi zvinokonzera kenza yeprostate?

Kutaura zvazviri, nyanzvi hadzisati dzaziva kuti masero eprostate anova sei kenza. Kufanana nekenza chero ipi zvayo, kenza yeprostate inotanga apo masero anotanga kupatsanuka nekukurumidza kupfuura zvakajairika. Ingofungai, masero akajairwa mumiviri yedu anofa mushure mechinguva. Asi masero ekenza haafi nenzira iyoyo . Pane kudaro, anoramba achiwanda uye achigadzira bundu. Sezvo masero aya achiramba achipatsanuka, zvidimbu zvebundu zvinogona kuputsika zvopararira kune dzimwe nhengo dzemuviri (izvi zvinonzi metastasis). Nerombo rakanaka, kenza yeprostate inowanzo kukura zvishoma nezvishoma . Kazhinji, bundu iri rinowanikwa kenza isati yapararira kunze kweprostate gland. Panguva iyoyo, kenza yeprostate ine mukana uri nani wekurapwa.

Ndiani ari panjodzi huru yeizvi? (Zvinhu zvine njodzi)

Kune zvinhu zvakawanda zvinokonzera njodzi zvinokonzeresa kukura kwekenza yeprostate:

• Zera : Njodzi iyi inowedzera sezvaunokura. Kana wava nemakore anopfuura makumi mashanu, une mukana wakakura wekubatwa nechirwere ichi. Inenge 60% yekenza yeprostate inowanikwa muvarume vane makore anopfuura makumi matanhatu nemashanu.
• Rudzi nerudzi : Kana uri mutema kana kuti uri werudzi rwemuAfrica, njodzi yako yakakura. Izvi zvinonyanya kuitika kune kenza dzinopararira nekukurumidza uye kenza dzinoonekwa usati wasvitsa makore makumi mashanu.
• Nhoroondo yemhuri yekenza yeprostate : Kana mumwe munhu wemumhuri yako yepedyo (senge baba kana mukoma) akambova nechirwere ichi, mikana yako yekuchibata inowedzera kaviri kusvika katatu.
• Majini : Kana uine chirwere chinonzi Lynch syndrome, kana kuti wakatora nhaka yekuchinja kwemajini (BRCA1 neBRCA2) izvo zvinowedzera njodzi yekenza yemazamu, njodzi yako yakakura.

Dzimwe ongororo dzakaratidza zvimwe zvinhu zvinokonzera njodzi, asi humbowo hahusati hwanyatsojeka. Zvimwe zvinhu zvinogona kukonzera njodzi zvinosanganisira:

• Kusvuta.
• Kuzvimba kweprostate gland (prostatitis).
• Body mass index (BMI) inodarika 30 (zvinoreva kufuta).
• Zvirwere zvepabonde (STIs).
• Kusangana neAgent Orange (kemikari yakashandiswa panguva yeHondo yeVietnam).

Vanachiremba vanoongorora sei chirwere ichi?

Vanachiremba vanoshandisa bvunzo dzinoverengeka kuti vaongorore kenza yeprostate. Izvi zvinosanganisira bvunzo dzemuviri, scans, uye dzimwe nguva biopsy . Vanhu vazhinji vanotanga kuongororwa vane makore makumi mashanu nemashanu. Zvisinei, kana uri panjodzi huru, unogona kutanga kuongororwa uku nekukurumidza. bvunzo idzi dzinowanzo miswa mushure memakore makumi manomwe. Kana mhinduro idzi dzikaratidza chimwe chinhu chisingawanzoitika, ungangoda bvunzo dzakawanda. Zvisinei, kana chiremba wako achifunga kuti kenza iri kukura zvishoma nezvishoma uye haisi kukonzera matambudziko makuru, anogona kumirira kwenguva yakati asati aita bvunzo dzakawanda. Zvisinei, kana kenza iri kukura nekukurumidza kana kuti yapararira kunze kweprostate, biopsy inodiwa kuti isimbise chirwere chacho .

Miedzo ipi inoshandiswa?

Kuongororwa uku kuchakubatsira kusarudza kana uchida kumwe kuongororwa:

• Kuongororwa kweDigital Rectal (DRE) : Muongororo iyi, chiremba wako anoisa chigunwe chakaputirwa mafuta murectum yako obva anzwa prostate gland yako. Kana paine mapundu kana nzvimbo dzakaoma, zvinogona kuva chiratidzo chegomarara.
• Kuongororwa kweropa reProstate-Specific Antigen (PSA) : Prostate gland inoburitsa puroteni inonzi prostate-specific antigen (PSA). Kuwanda kwePSA muropa kunogona kuva chiratidzo chegomarara. Zvisinei, huwandu hwePSA hunogonawo kukwira mune zvimwe zvirwere zvisiri zvegomarara, zvakaita se benign prostate hyperplasia (BPH) kana prostatitis. Saka, PSA yakakwira hazvirevi kenza nguva dzose .
• Kufungidzira : MRI kana transrectal ultrasound inogona kutora mifananidzo yeprostate yako. Mifananidzo iyi inogona kuona nzvimbo dzingafungidzirwe kuti dzine kenza. Mhedzisiro yemiedzo iyi inogona kubatsira chiremba wako kusarudza kana oita biopsy.
• Kuongororwa kwemuviri : Mubvunzo uyu, chiremba anoshandisa tsono diki kubvisa sampuli yenyama kubva muprostate gland uye kuiongorora kuti haina masero ekenza. Iyi ndiyo nzira chete yekusimbisa kana une kenza yeprostate.. Inogonawo kuona kuti gomarara racho rakakomba sei uye kuti riri kupararira nekukurumidza sei. Dzimwe nguva sample iyi inoongororwa majini kuti ibatsire kuronga kurapwa.

Ndezvipi zvikamu uye magiredhi ekenza yeprostate?

Vanachiremba vanoshandisa zvinhu zvakaita seGleason score uye cancer staging kuti vaone kuti cancer yacho yakakomba zvakadii uye kuti unoda kurapwa sei.

Chii chinonzi Gleason Score?

Chiyero cheGleason chinobvumira chiremba wako kuti aongorore kuti masero ako egomarara haana kujairika zvakadii. Kana masero acho asina kujairika zvakanyanya, chiyero cheGleason chinokwira. Chiyero ichi chinoratidza kuti kenza iri papi, kana kuti ingangopararira nekukurumidza zvakadii.

Kuongororwa kwekenza

Kuongororwa kwekenza kunopa chiremba wako mukana wekuona kuti kenza yako yakura kana kupararira kusvika papi. Kenza inogona kunge iri muprostate gland (yemunharaunda), yakapinda munyama dziri pedyo (dzemunharaunda), kana kuti yakapararira kune dzimwe nhengo dzemuviri (dzakapararira). Kenza yeprostate inowanzopararira kumapfupa nema lymph nodes . Inogonawo kukura muchiropa, muuropi, mumapapu, nedzimwe nhengo dzemuviri.

Kenza yeprostate inorapwa sei?

Kurapwa kwako kunoenderana nezvinhu zvakati wandei. Izvi zvinosanganisira hutano hwako hwese, kana kenza yapararira, uye kuti iri kupararira nekukurumidza sei. Zvichienderana nekurapwa kwako, ungangoda kushanda nenyanzvi dzakasiyana-siyana (semuenzaniso, vanachiremba vezvedundira, vanachiremba vekenza yemwaranzi, uye vanachiremba vekenza yekurapa) . Mazhinji ekenza yeprostate anowanikwa nekukurumidza anogona kurapwa nekurapwa .

Mishonga chaiyo uye marapirwo

Kutarisa

Kana kenza yako ichikura zvishoma nezvishoma uye isina kupararira, chiremba wako anogona kusarudza kuiongorora asina kuirapa nekukasika.

• Kuongororwa Nesimba : Mukuita izvi, muchaongororwa nguva dzose, kuongororwa uye kuongororwa kwe biopsy - kanenge kamwe chete pagore kusvika pamatatu - kuti muone kufambira mberi kwegomarara. Izvi zvakanakira gomarara risati rasvika, risingakoshi uye risingaratidzi zviratidzo. Kurapwa kunotanga chete kana gomarara rikawedzera.
• Kumirira Wakangwarira : Nzira iyi inoshandiswa kuvanhu vakuru kana avo vane mamwe matambudziko ehutano. Inosanganisira bvunzo shoma uye inonyanya kutarisisa pakuderedza zviratidzo pane kubvisa kenza.

Kuvhiya

Kuvhiyiwa kweprostate kwakanyanya (radical prostatectomy) inzira yekuvhiya inobvisa prostate gland ine chirwere.Kuvhiyiwa uku kunogona kubvisa kenza yeprostate isati yapararira zvinobudirira. Kana chiremba wako achifunga kuti ungabatsirwa nekuvhiyiwa uku, iye achakurudzira nzira yakakodzera yekubvisa kenza yacho.

• Kuvhiyiwa kweprostate yakavhurika : Mukuita uku, chiremba anochekwa kamwe chete mudumbu mako obvisa prostate gland. Kuita uku hakuchashandiswi zvakanyanya semamwe maitiro asingapindiri zvakanyanya.
• Kuvhiyiwa kweRobotic Radical Prostatectomy : Mukuita uku, chiremba anogona kuita oparesheni iyi kuburikidza nekucheka kadiki-diki. Anoshandisa robotic system achishandisa console.

Kurapa Nemwaranzi

Unogona kurapwa nemwaranzi yekenza yeprostate senzira imwe chete yekurapa kana pamwe chete nedzimwe nzira dzekurapa. Kurapa nemwaranzi kunogonawo kuderedza zviratidzo.

• Brachytherapy : Izvi zvinosanganisira kuisa mbeu dzine mwaranzi muprostate gland yako. Izvi zvinoparadza masero ekenza ukuwo zvichichengetedza nyama yakakomberedza ine hutano.
• Kurapa Nemwaranzi Yekunze (EBRT) : Muchina unotungamira mwenje une simba weX-rays pabundu. Nzira dzepamusoro dzakadai seIMRT dzinogona kungorwisa kenza chete ukuwo dzichichengetedza nyama ine hutano.

Kurapa Kwakarongeka

Kana kenza yapararira kupfuura prostate yako, chiremba wako wekenza anogona kukurudzira kurapwa kwemuviri wese. Kurapa uku kunofamba nemuviri wese uye kunouraya masero ekenza kana kuamisa kukura.

• Kurapa Mahormone : Testosterone ihormone inobatsira kukura kwekenza yeprostate. Mukurapa mahormone, mishonga inovhara kana kuderedza testosterone. Vamwe varume vanogonawo kuvhiyiwa kubvisa machende (orchiectomy) kuti vamise kugadzirwa kwetestosterone.
• Kurapa nemakemikari : Kurapa uku kunoshandisa mishonga kuuraya masero ekenza. Kune kenza yakakwira, inogona kupiwa yoga kana nekurapwa nehomoni. Kana kenza yapararira kupfuura prostate gland, unogona kupihwa chemotherapy yoga kana nekurapwa nehomoni.
• Kurapa nekudzivirira muviri : Izvi zvinokurudzira masoja emuviri wako kuti awane nekurwisa masero ekenza. Inowanzo shandiswa pakurapa kenza yakakwira kana kuti inodzokororwa.
• Kurapa Kwakanangana : Kurapa uku kunotarisa kuchinja kwemajini kunokonzera kenza. Kunoshanda zvakanyanya pakenza dzine shanduko dzeBRCA.

Kurapa Kwakananga

Focal therapy mushonga mutsva unoparadza masero ekenza mukati meprostate gland yako. Chiremba wako anogona kukurudzira kurapwa uku kana kenza yako isina njodzi yakawanda uye isati yapararira. Mazhinji emishonga iyi achiri kuyedzwa.

• Ultrasound Yakanyanya Kusimba (HIFU) : Mafungu eruzha anokonzera kupisa kwakanyanya uye anouraya masero ekenza muprostate yako.
• Kurapa neCryotherapy : Mhepo inotonhora inoomesa masero ekenza ari muprostate yako, ichiparadza bundu racho.
• Kubviswa kwemasero neLaser : Kupisa kwakanyanya kunonangidzirwa pabundu rekenza kunouraya masero ekenza muprostate gland uye kunoparadza bundu racho.
• Kurapa Nechiedza : Mishonga inoita kuti masero ekenza anzwe zvakanyanya kune mamwe marefu echiedza. Chiremba anobva aisa masero ekenza kune mamwe marefu echiedza, obva aauraya.

Ndezvipi migumisiro yekurapwa kwekenza yeprostate?

Kune mimwe migumisiro yakaipa inogona kuitika kubva mukurapwa:

• Kusazvidzora : Unogona kubuda weti kana uchikosora kana kuseka. Kana kuti ungangonzwa kuda kuita weti kamwe kamwe kunyangwe dundira rako risati razara. Dambudziko iri rinowanzova nani kana usina kurapwa mukati memwedzi 6 kusvika ku12 .
• Kusashanda zvakanaka kwenhengo dzesikarudzi (ED) : Kuvhiyiwa nedzimwe nzira dzekurapa zvinogona kukanganisa kugona kwenhengo dzesikarudzi panguva yebonde. Unogona kuona mutsauko muhupenyu hwako hwepabonde kwegore rimwe kana maviri. Mishonga yakaita seSildenafil (Viagra®) kana Tadalafil (Cialis®) inogona kubatsira nekuwedzera kuyerera kweropa kunhengo dzesikarudzi.
• Kusabereka : Kurapwa kunogona kukanganisa kugadzirwa kwembeu yako kana kubuda kwembeu. Kana uchitarisira kuva nevana, funga nezvekuchengetera mbeu usati watanga kurapwa . Gare gare, mbeu inogona kutorwa yoiswa muchibereko chemumwe wako.

Kana uine migumisiro iyi, iva nechokwadi chekuzivisa timu yako yevanorapa kenza . Kazhinji, vanogona kukurudzira mishonga nemishonga inogona kubatsira.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uine kenza yeprostate, ungada kubvunza chiremba wako mibvunzo yakaita seiyi:

• Kenza yapararira kunze kweprostate yangu here?
• Ndeipi nzira yakanakisisa yekurapa kenza yeprostate padanho rangu?
• Ndezvipi njodzi nemigumisiro yekurapwa?
• Pane njodzi yekenza yeprostate mumhuri mangu here? Kana zvakadaro, tinofanira kuongororwa majini here?
• Ndedzipi nzira dzekutevera dzandinofanira kutarisirwa mushure mekurapwa?
• Ndinofanira kungwarira zviratidzo zvematambudziko here?

Munhu ane kenza yeprostate anogona kuva netariro yerudzii?

Kana kenza yeprostate ikawanikwa nekukurumidza, unogona kutarisira mhedzisiro iri nani . Makumi mapfumbamwe nemapfumbamwe muzana (99%) evarume vanoonekwa vasati vapararira nekenza - kureva kuti, vanorarama kwemakore mashanu mushure mekuonekwa . Kazhinji, kenza iri muprostate gland chete inogona kubviswa zvachose nekurapwa. Zvisinei, kana kenza yapararira (kenza yeprostate yakapararira), mwero wekurarama hauna kunaka - 32% chete yevarume vane kenza yeprostate yakapararira vachave vapenyu makore mashanu mushure mekuonekwa. Paunoziva kuti une kenza yeprostate, unogona kuva nemanzwiro akasiyana-siyana - uye mibvunzo yakawanda. Asi mashoko akanaka ndeekuti kana ikawanikwa nekukurumidza, kenza yeprostate inogona kurapwa zvakanaka . Vanhu vazhinji vanorarama hupenyu hwakazara, husina kenza kwemakore mazhinji mushure mekurapwa. Zvisinei, mune dzimwe nguva, inogona kuva yakanyanya kuipa uye inopararira nekukurumidza. Chikwata chako chekutarisira kenza chichatsanangura sarudzo dzako uye chichakupa rutsigiro nenhungamiro yaunoda kuburikidza nesarudzo yega yega, kubva pakuongororwa kusvika pakurapwa.

Mharidzo Yekupedzisira Yekuenda Kumba

Gomarara reprostate chirwere chinowanzoitika uye chinogona kunge chakakomba muvarume. Asi musavhunduka . Chinhu chakakosha kuziva zviratidzo uye kuongororwa pazera rakakodzera . Zvakakosha kuongororwa gomarara reprostate, kunyanya kana uine makore anopfuura makumi mashanu kana kana mumwe munhu mumhuri yako akamborwara nechirwere ichi. Kana zvikaonekwa nekukurumidza, nzira dzekurapa dzinogona kurapa chirwere ichi zvachose dzagadzirwa nhasi . Saka, kana uine kusava nechokwadi, usanyara kana kutya kuona chiremba. Ndiwe unofanira kutarisira hutano hwako zvakanyanya. Yeuka, kuchengetedza mararamiro ane hutano (kusasvuta, kudya kwakaringana, kurovedza muviri) kunobatsirawo kuzvidzivirira kubva kuzvirwere zvakadaro kusvika pamwero wakati .

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` Kenza yeprostate, kenza yeprostate, PSA, DRE, zviratidzo zvekenza, kurapwa kwekenza, hutano hwevarume