Khansara ya prostate: Kukhala ndi moyo pazigawo zosiyanasiyana za matendawa

Prostate ndi kachilombo kakang'ono mu thupi lamwamuna, komwe kali pakati pa chikhodzodzo ndi urethra. Kukwanira kwakukulu ndi kukhala ndi ntchito zochepa (makamaka ndi chitukuko cha chinsinsi chapadera kuti apange umuna wabwino), zimayambitsa vuto lalikulu kwa anthu ambiri. Mavuto angayambe kale ali wamng'ono (zaka 25 kapena kale), pamene anyamata akupeza matenda monga prostatitis. Kutupa kotereku kwa prostate, komwe kumadzimva kawirikawiri, kukomoka m'mimba, kuchepa, kusowa tulo, ndi zina. Akatswiri amati masiku ano prostatitis ndi "wamng'ono", ndiko kuti, Odziwika mwa anyamata (asanakhale ndi matenda oposa 30-40 a zaka).

Zifukwa za matendawa

Pali zifukwa zingapo: moyo wosagwirizana ndi kugonana (matenda), ukhondo wodetsedwa (komanso matenda), moyo waumisiri (nthawi zambiri ntchito yamalonda, nthawi yambiri yogwira ntchito patsogolo pa kompyuta), moyo wosagwirizana ndi kugonana (palibe umuna wamtundu), etc. Chitani prostatitis Mankhwala oletsa tizilombo toyambitsa matenda, tikupatseni minofu ya prostate, komanso amalangiza kusintha njira ya moyo (zochita zolimbitsa thupi, musagwire ozizira, etc.).

Matenda aakulu kwambiri a prostate: khansa

Prostatitis ngati palibe mankhwala akukhala aakulu. Koma matenda ena osasangalatsa komanso oopsa omwe angapangidwe m'thupi lino ndi prostate adenoma (khansa yoipa) ndi kansa ya prostate. Khansa ya prostate m'mayiko ena yafika kale ku malo achitatu (pambuyo pa khansa ya m'mapapo ndi m'mimba), koma imakhala malo achiwiri ponena za chiwerengero cha imfa (pambuyo pa khansa yamapapo). Kuchokera ku kansa ya prostate, 10% mwa amuna onse ku Russia omwe amavutika ndi khansa kufa. Zizindikiro za matendawa ndizofanana ndi zizindikiro za prostatitis: kawirikawiri amakakamiza kukodza, mkodzo wofooka, mavuto okhwima, kupweteka m'mimba pamunsi. Komabe, mu siteji ya khansa, madontho a magazi amawoneka mkodzo, pali ululu mu perineum, kuperewera kosatha, kupweteka m'mapfupa, kutupa kwa miyendo ya m'munsi. Pali magawo anayi a matenda, monga khansa ya prostate. Chiyembekezo cha moyo mu khansara ya masitepe ndi zaka zoposa 10 kwa odwala 90%. Odwala 100% amakhala ndi matendawa kwa zaka zisanu. Koma pakadali pano matendawa amatha pokhapokha ngati akuchiritsidwa bwino. Ngati mankhwalawa sakuyendetsedwa bwino, kapena wodwala sakukwaniritsa zofuna zonse za dokotala, kansa ya prostate ikupita patsogolo. Moyo wa wodwalayo ngati kansa ikupita patsiku lachiwiri lidzakhala zaka zoposa 10 kwa odwala 60-70% okha. Otsalawo 30-40% omwe adalandira matendawa, amakhala zaka zosachepera khumi. Malingana ndi deta ina, odwala 100% amakhala zaka zosachepera zisanu. Kachilinso, ngati sichikuthandizani (kapena ngati sichipezeka, ngati wodwalayo asapereke nthawi kwa dokotala) kapena malinga ndi zinthu zina (mwachitsanzo, zizindikiro za thupi), wodwala akupitirizabe kupanga khansara ya prostate. Zamoyo zaka 10 ndi zambiri zimangokhala 30-30% mwa odwala onse omwe ali ndi khansa ya prostate ya siteji III. Zina zimayankhula za zaka zisanu zapakati pa 50%. Panthawi iyi (ngakhale kale), pali metastases (kufalikira kwa maselo a khansa kumadera ena a thupi). Khansara ya prostate imakhala yoopsa chifukwa metastases ndi iyo ikhoza kukhala yodabwitsa, mosadziwika. Kawirikawiri, mankhwala oyambirira amayamba, amakhalanso ogwira mtima, ndipo khansa imayamba kuchepa.

Kansa ya Prostate: Gawo 4 (lotsiriza)

Mwamwayi, ngakhale kuti madokotala onse akuyesetsa, wodwalayo yekha ndi achibale ake, odwala ena amapezeka kuti ali ndi gawo lachinayi la matendawa. Ichi ndi gawo lotsiriza, loopsya komanso loopsya la matenda a wodwala ndi kansa ya prostate. Zoyembekeza za moyo pa siteji iyi sizoposa zaka 10 mu 85-90% mwa odwala onse. Zoonadi, zonse zimadalira njira zothandizira, mmoyo wa wodwala mwiniwake, potsatira malamulo onse a dokotala, ndi zina zotero. Komabe, chiyembekezo ndi chakuti mankhwala sakuima, ndipo mawu akuti "khansa si chiganizo" Kuphatikizana ndikugwirizana ndi khansa ya prostate. Njira zatsopano zamankhwala zikupangidwira, ndipo kuyembekezera kwa moyo kwa odwala omwe ali ndi khansa iyi ikuwonjezeka.

Njira zochiritsira

Thandizo la khansa ya prostate imaphatikizapo mankhwala a mahomoni, mankhwala ochizira, mankhwala opaleshoni, ndi chemotherapy (kumayambiriro kwa metastasis). Masiku ano cryotherapy imagwiritsidwanso ntchito (chithandizo cha malo okhudzidwa ndi kuzizira). Msonkhano Wachigawo wa Altai ku Oncology mu 2009, deta idasanthuledwa pa njira ya chithandizo cha odwala 200 (amuna apakatikati) omwe ali ndi khansa ya prostate. Chifukwa cha phunzirolo, zinatsimikiziridwa kuti ndi mitundu yeniyeni ya khansara, opaleshoni yowakakamiza inapangitsa kuti moyo ukhalepo. Pakati pa III-IV, kugwiritsa ntchito mankhwala a mahomoni kuphatikizapo radiotherapy kunathandiza kwambiri kuti nthawi yamoyo ikhale yaitali.