mob qog noj ntshav prostate tshwm sim nyob rau hauv lub caj pas prostate, nyob rau hauv lub zais zis, thiab tsim cov khoom ntawm cov kua dej seminal. Tus kab mob no yog tus cwj pwm los ntawm kev sib kis sai ntawm cov kab mob malignant. Lawv kis mus rau cov ntaub so ntswg nyob ze thiab tsim cov qog. Yog tias tus kab mob neoplasm raug tso tseg tsis kho rau lub sijhawm ntev, ces muaj qhov tshwm sim ntau uas tus kab mob tuaj yeem kis mus rau cov kabmob uas nyob sib ze, txo qis qhov ua tau zoo.
mob qog noj ntshav prostate yog dab tsi
mob qog noj ntshav prostate yog ib qho neoplasm cuam tshuam nrog cov qog ua haujlwm ntawm cov tshuaj hormones uas tshwm sim thaum muaj kev nce qib ntawm testosterone hauv cov ntshav. Nws yog ib qho tsim nyog sau cia tias qhov ntau cov tshuaj no tsim tawm, qhov kev pheej hmoo ntawm qog nqaij hlav ntau dua.
Thaum pib, cov qog nqaij hlav qog nqaij hlav tsuas cuam tshuam rau cov qog prostate nkaus xwb, tab sis dhau sijhawm, cov qog kis mus rau lwm yam kabmob, kis mus rau theem loj ntawm kev loj hlob. Metastases pib ntxov li theem 3, tab sis theem 2 mob qog noj ntshav tuaj yeem ua taumetastasize rau lwm cov ntaub so ntswg thiab lub cev.
Raws li kev tshuaj xyuas, kev kho mob qog noj ntshav qib 2 yog qhov ua tau zoo yog tias siv txoj kev kho mob nyuaj, txij li thaum lub sijhawm no tsis muaj cov kab mob malignant hauv cov ntaub so ntswg nyob sib ze. Tsis tas li ntawd, metastases rau cov qog nqaij hlav thiab cov kabmob uas nyob ib sab yog xyaum tsis tau pom. Yog tias tsis ua raws li kev kho mob raws sijhawm, qhov tshwm sim ntawm kev mob qog noj ntshav prostate tuaj yeem ua rau mob hnyav heev, vim tias tom qab kis tus kab mob, metastases txav mus rau cov kabmob thiab cov ntaub so ntswg, uas ua rau cov txheej txheem kho mob nyuaj..
Ua rau kab mob
Txawm hais tias muaj kev vam meej hauv cov tshuaj niaj hnub no, qhov tseeb ua rau mob qog noj ntshav prostate tseem tsis tau txiav txim siab tag nrho. Txawm li cas los xij, raws li kev tshawb fawb, nws tau ua pov thawj tias tus kab mob tuaj yeem tshwm sim tsis tsuas yog tawm tsam keeb kwm ntawm hormonal ntshawv siab, tab sis kuj nyob rau hauv muaj lwm yam predisposing yam, tshwj xeeb xws li:
- laus;
- kev hloov pauv;
- ib puag ncig phem;
- kev quav cawv, haus luam yeeb;
- malnutrition;
- tus kab mob prostate chronic.
Tsis tas li ntawd, tus kab mob tuaj yeem tshwm sim nyob rau hauv rooj plaub ntawm kev ua haujlwm ntev hauv kev lag luam phom sij hauv kev sib cuag nrog cov tshuaj lom thiab tshuaj lom neeg.
Cov tsos mob qog nqaij hlav cancer
thawj cov tsos mob ntawm prostate cancer hauv cov txiv neej hnub thib 2theem tsis tau hais ntau. Cov cim tseem ceeb tuaj yeem suav hais tias yog kev tso zis nyuaj, muaj cov ntshav impurities hauv cov phev thiab zis, nrog rau kev ua txhaum ntawm kev sib deev. Tag nrho cov tsos mob no yog tsis ncaj ncees lawm thiab tej zaum yuav qhia tau tias muaj lwm yam kab mob ntawm tus txiv neej reproductive system.
Maj mam cov tsos mob ntawm prostate cancer hauv cov txiv neej yuav hnyav dua li cov qog pib ua rau cov phab ntsa ntawm lub zais zis. Hauv qhov no, tus txiv neej tau nquag tso zis, tab sis cov zis tawm qeeb heev.
Tsis tas li ntawd, tej zaum yuav muaj lwm yam tsos mob ntawm prostate cancer, xws li:
- tso zis tsis quav ntsej.
- o ntawm qis extremities.
- rau lub raum pob zeb.
- ntshav tso zis thiab phev.
- Kev ua txhaum cai.
Yog tias muaj cov tsos mob ntawm tus mob qog noj ntshav prostate, ces koj yuav tsum sab laj nrog kws kho mob kom paub meej thiab kev kho mob tom ntej.
Diagnosis
Txawm tias muaj teeb meem me tshaj plaws ntawm kev tso zis, koj yuav tsum hu rau tus kws kho mob sai li sai tau. Cov cim no tsis muaj qhov tsis zoo thiab tuaj yeem qhia txog lwm yam kab mob ntawm thaj chaw urogenital ntawm cov txiv neej.
Thaum xub thawj, tus kws kho mob ua kev kuaj palpation, nrog rau kev kuaj mob ntawm qhov quav. Txoj kev no suav hais tias yog qhov yooj yim tshaj plaws thiab tso cai rau koj los txiav txim siab txog qhov muaj oncology. Txawm li cas los xij, yog tias cov qog tuaj yeem hnov, ces tus kab mob yog nyob rau theem kawg.
Yog tias tsis tuaj yeem hnov mob neoplasm tsis tuaj yeem hnov qab, tus neeg mob raug xa mus ua kev tshawb fawb siv cov ntshav kuaj kom pom cov tshuaj tiv thaiv prostate tshwj xeeb. Yuav kom kuaj tau qhov tseeb dua, kuaj ultrasound, kuaj X-ray, thiab tomography raug sau.
Qhov kev kuaj mob zaum kawg tuaj yeem ua tom qab kuaj pom tus prostate. Ua li no, lub laj kab yog ua nrog ib rab koob tshwj xeeb los ntawm perineum los yog lub qhov quav ntawm ib feem me me ntawm cov qog.
Kev kho mob
Ntau tus neeg mob xav paub seb puas tuaj yeem kho mob qog noj ntshav theem 2 thiab siv txoj hauv kev twg rau qhov no. Kev kho mob ntawm lub caj pas prostate yog xaiv los ntawm tus kws kho mob tshwj xeeb nyob ntawm theem ntawm cov kab mob, hnub nyoog ntawm tus neeg mob thiab muaj cov kab mob concomitant. Tsis tas li ntawd, ntau lwm yam tseem ceeb kuj raug coj mus rau hauv tus account. Cov txheej txheem tseem ceeb ntawm kev kho mob yog raws li hauv qab no:
- radical prostatectomy;
- xov tooj cua;
- cryotherapy;
- Yhormone therapy.
Tshuaj kho mob rau qhov mob qog nqaij hlav ntawm qhov 2nd degree yog nqa tawm tsis tshua muaj thiab tsuas yog ua ib feem ntawm txoj kev kho nyuaj nrog lwm txoj kev. Muaj lwm txoj hauv kev kho mob, tab sis qhov kev vam meej muaj peev xwm tsuas yog nyob rau theem pib ntawm tus kab mob.
Kev cuam tshuam kev phais
Kev phais rau qib 2 mob qog noj ntshav prostate yog ib txoj hauv kev tawm tsam tus kabmob. Thaum lub sijhawm ua haujlwm, cov qog yog excised nrog rau cov cuam tshuamlub caj pas prostate. Cov txheej txheem niaj hnub no yog raws li kev siv lub tshuab ua haujlwm.
Qee zaum, laparoscopy tau ua, uas yog qhov kev xaiv maj mam tshaj plaws. Nyob rau hauv cov ntaub ntawv no, ob tug me me incisions nyob rau hauv lub plab mog, uas yog yuav tsum tau rau cov kev taw qhia ntawm lub koob yees duab thiab cov cuab yeej phais. Tag nrho cov txheej txheem ntawm kev ua haujlwm yog ua raws li kev saib xyuas ntawm cov kws tshaj lij. Cov txheej txheem no yog qhov nyab xeeb tshaj plaws, txo qhov kev pheej hmoo ntawm cov teeb meem thiab tiv thaiv kev rov qab los.
Ntxiv rau, kev kho hluav taws xob tau ua rau theem 2 mob qog noj ntshav prostate, yog tias lwm hom kev phais mob raug txwv. Nws koom nrog irradiation ntawm lub caj pas prostate nrog kev pab los ntawm cov khoom siv tshwj xeeb. Cov txheej txheem no tsis ua rau cov ntshav txhaws tsis zoo thiab tsis cuam tshuam rau cov hlab plawv. Qhov kev kwv yees ntawm lub neej expectancy nyob rau hauv cov ntaub ntawv no yog heev haum.
Raws li kev tshuaj xyuas qhia, kev kho mob qog noj ntshav hauv qib 2 nrog kev mob qog nqaij hlav radical prostatectomy tuaj yeem ua tau. Thaum phais, nws muaj peev xwm tshem tawm cov qog prostate yam tsis muaj kev cuam tshuam rau cov ntaub so ntswg noj qab haus huv. Txawm li cas los xij, tom qab kev phais, kev tso zis tsis tuaj yeem thiab erectile kawg tuaj yeem tshwm sim.
Kev tswj cov tshuaj khomob
mob qog noj ntshav prostate kuj tau kho nrog kws khomob, uas tau sau ua ke nrog lwm txoj hauv kev. Txoj kev no muaj nyob rau hauv kev siv tshuaj nrog tshuaj lom uas ua rau malignant hlwb thiab txwv tsis pub lawv faib.
Kev kho mob nrog qib 2 cov tshuaj mob qog noj ntshav prostate txhais tau hais tias cov tshuaj ua rau lub plhaub thiab cov nucleus ntawm cov hlwb tsis zoo, ua rau lawv puas tsuaj. Txawm li cas los xij, nws tsim nyog nco ntsoov tias kev kho mob zoo li no muaj ntau yam kev mob tshwm sim, feem ntau ntawm cov plaub hau poob, tsis muaj zog, xeev siab, qaug zog heev. Cov tshuaj feem ntau suav hais tias yog:
- "Mitoxantrone";
- "Doxorubicin";
- "Paclitaxel";
- "Extramustine Phosphate"
Kev noj tshuaj rau kws khomob yog rau lub hlis thiab qhia txog kev siv tshuaj hauv cov ntsiav tshuaj lossis hauv daim ntawv txhaj tshuaj.
Kev kho hluav taws xob cuam tshuam nrog kev kis tus kab mob neoplasm nrog x-rays uas ua rau cov qog loj hlob qeeb. Kev kho hluav taws xob yog ua los ntawm kev siv cov kab nrawm nrawm, uas tau muab faib rau cov qog thiab cov qog ntshav los tiv thaiv nws txoj kev loj hlob thiab kev sib kis ntawm cov hlwb tsis zoo thoob plaws hauv lub cev.
Kev kho hluav taws xob yog ua nyob rau hauv ib chav kawm ntawm 5 hnub hauv ib lub lis piam rau 2 lub hlis. Cov txheej txheem nws tus kheej tsis mob kiag li thiab siv sijhawm li ob peb feeb, tab sis tom qab cov txheej txheem, tus neeg mob tau qhia kom so rau 2-3 teev. Nws raug sau los ntawm theem 2 ntawm kev mob qog noj ntshav prostate, vim tias hluav taws xob tuaj yeem cuam tshuam rau cov hlwb noj qab haus huv, ua rau muaj kev phiv.
Kev coj uabrachytherapy
Ib qho kev kho mob rau theem 2 mob qog noj ntshav prostate yog brachytherapy. Lub ntsiab lus ntawm txoj kev no yog nyob rau hauv qhov tseeb hais tias nyob rau hauv kev tswj ntawm lub tshuab ultrasound, iodized granules nrog ib tug high degree ntawm radioactivity yog txhaj rau hauv lub caj pas prostate. Yog li ntawd, cov hluav taws xob ntau ntxiv yog tsim nyob rau hauv thaj tsam ntawm neoplasm, thiab cov ntaub so ntswg nyob ze ntawm cov qog yuav luag tsis cuam tshuam.
Brachytherapy yog tus yam ntxwv los ntawm cov kev mob tshwm sim tsawg dua vim nws qhov cuam tshuam. Cov tshuaj radioactive yog txhaj rau hauv prostate nkaus xwb thiab tsuas yog cuam tshuam rau cov qog xwb, thaum tsis cuam tshuam rau cov cell noj qab nyob zoo. Qhov no ua rau kom muaj txiaj ntsig ntawm cov txheej txheem thiab txo cov kev mob tshwm sim.
Kev Ntsuas thiab lub neej expectancy
Lub neej expectancy rau theem 2 mob qog noj ntshav yog kwv yees li 10-15 xyoo, tab sis cov duab no tuaj yeem sib txawv nce thiab nqis. Txawm hais tias qhov tseeb tias txhua qhov xwm txheej ntawm tus kab mob no yog tib neeg nkaus xwb, qhov kev kwv yees tau zoo heev, qhov muaj sia nyob ntawm cov neeg mob tsib xyoos tom qab kuaj mob yog yuav luag 100%.
Lub neej expectancy rau theem 2 mob qog nqaij hlav prostate feem ntau nyob ntawm kev ua tiav ntawm txoj kev kho, tus neeg mob lub hnub nyoog thiab qhov muaj cov kab mob sib kis. Cov neeg mob feem ntau tswj kom rov zoo tag nrho, tab sis qhov no yuav tsum muaj kev sib koom ua ke los daws qhov teeb meem.
Kev noj haus rau mob qog noj ntshavNeoplasm ntawm prostate
Kev tshawb fawb tau pom tias kev noj zaub mov kom raug rau theem 2 mob qog noj ntshav prostate thiab noj zaub mov tuaj yeem pab ua kom qeeb ntawm tus kab mob. Cov txiv neej uas noj zaub mov tsuas yog nyob ntev dua. Qhov no yog vim tsis muaj metastases. Tib lub sijhawm, cov zaub mov suav nrog cov roj hauv cov zaub nyoos thiab txiv ntoo.
Kev noj zaub mov tshwj xeeb uas txo qhov kev pheej hmoo ntawm kev kis tus kab mob cuam tshuam nrog kev cais tawm ntawm cov zaub mov dawb, qhob cij thiab khoom qab zib. Nws yog ib qho tsim nyog yuav tau noj txiv ntseej, ntses, legumes. Khoom noj khoom haus yuav tsum sib npaug, nquag thiab feem ntau.
khoom noj kom raug yog ua ke nrog cov dej qab zib noj qab haus huv, yuav tsum tsis suav nrog cov dej qab zib uas muaj caffeinated.
Tus neeg mob tshuaj xyuas tom qab kev kho mob
Kev tshuaj xyuas ntawm kev kho mob qog noj ntshav prostate 2 qib sib txawv, nws txhua tus nyob ntawm cov txheej txheem siv los kho. Cov kev tshuaj xyuas zoo tshaj plaws yog txuam nrog radical prostatectomy, vim tias cov txheej txheem no muaj txiaj ntsig zoo dua hauv kev sib piv nrog hormonal thiab kev kho hluav taws xob. Nws yuav tsum raug sau tseg tias thaum lub sijhawm ua haujlwm, cov hlwb noj qab haus huv tsis cuam tshuam, thiab tus kws kho mob txiav txim siab kom raug raws li qhov ua tau ntawm thaj tsam ntawm prostate cuam tshuam los ntawm cov hlwb tsis zoo.
Kev tshuaj xyuas tsis zoo txog kev kho mob qog noj ntshav prostate ntawm qib 2 feem ntau cuam tshuam nrog cov teeb meem ntawm kev txo qis erection thiab urinary incontinence. Nrog rau kev txheeb xyuas raws sijhawm ntawm qhov teeb meem thiab kev siv cov kev kho mob nyuaj, qhov kev cia siab yog qhov zoo heev, vim tias koj tuaj yeem tshem tawm sai sai.kab mob thiab tiv thaiv rov tshwm sim.
