Prostate Cancer Kurapa kurapa kunze kwenyika
Chirwere cheprostate, kana carcinoma yeprostate, ndiyo yakajairika kenza mhando pakati pevarume vane makore anodarika makumi mashanu. Zviratidzo zvechirwere zvinogona kufanana neizvo zvechirwere chakajairika chinonzi benign prostatic hyperplasia, uye zvinosanganisira kunetseka kuita weti, ropa mumurini, uye musana, chiuno uye kurwadziwa kwepenhengo uchiita weti. Kuti uone kuve nekenza uye nekuisiyanisa kubva kune mamwe mamiriro, biopsy ichave inosungirwa. Marapirwo akati wandei aripo ekurapa chirwere ichi, uye chiremba wekenza yeprostate anozopa murwere pane ese akasiyana sarudzo. Iwo akanyanya kuwanda ndeye High-Intensity Focused Ultrasound (HIFU), Radiotherapy, Chemotherapy, Prostatectomy, uye Proton Therapy. HIFU inosanganisira kuburitsa yakakwira concentrate yakawanda inopindirana matanda e ultrasound.
Matanda anosvika pagomarara, achiuraya mamwe maseru asina kukuvadza ganda kana nyama dzakatenderedza. Iyi kurapwa inoshandiswa kusimudzira mhedzisiro yemamwe marapirwo ekenza senge chemotherapy Radiotherapy, inonzi zvakare radiation radiation, inogona kunge iri yekunze neyemukati (brachytherapy). Iyo yekutanga inoshandisa maX-ray kubva kumashini ekuwedzera, maerekitironi uye dzimwe nguva mapurotoni kunongedza nzvimbo yegomarara kubva kunze nekuparadza maseru egomarara, nepo panguva yekupedzisira, izvo zvinhu zvine mwenje zvinoiswa mukati medzenharaunda. Radiotherapy kurapwa kwakajairika, sezvo 40% yevarwere vanorwara nekenza vanofanirwa kuitiswa izvi. Uyezve, radiotherapy inowanzo shandiswa mukubatana nekemotherapy, iyo pachinzvimbo inoshandisa zvinodhaka kuparadza kenza. Chemotherapy chinangwa chekudzora kupatsanura uye kuwanda kwemasero ekenza.
Nehurombo, iwo madhiragi anononoka kudzikamisa maseru ane hutano anopatsanuka nekukasira, zvichizoguma nemhedzisiro, senge bvudzi uye kurasikirwa uremu, kuda kurutsa, kupatirwa uye manyoka, muromo uye huro maronda. Kune mhando dzakasiyana dzechemotherapy dzinogona kushandiswa kugomarara, uye oncologist ichapa zano pamusoro peiyo yekurapa kwakanakisa kwemurwere mushure mekunyatso kuongorora nhoroondo yezvekurapa. Prostatectomy inoumbwa nekubviswa kwezvose kana kungori chikamu cheprostate, nepo proton yekurapa ichishanda zvakafanana ne radiotherapy asi inoshandisa ray yakatarisa yeproton kuitira kuparadza cancer maseru, uye inoonekwa seyisiri yekurwisa kenza kurapwa.
Ndekupi kwandingawane Prostate Cancer Kurapa kunze kwenyika?
Kune zvipatara zvinoverengeka zvakavimbiswa kunze kwenyika zvinopa kurapwa kwataurwa pamusoro apa, uko mutengo wekurapwa nekenza yeprostate unogona kuramba uchidhura kupfuura kumba. HIFU zvipatara kunze kwenyika Radiotherapy zvipatara kunze kwenyika Chemotherapy zvipatara kunze kwenyika Kuti uwane rumwe ruzivo, verenga Nhungamiro yedu kuProstate Cancer Kurapa.,
Pane zvinhu zvakawanda zvinogona kukanganisa mutengo
Wana Mahara Kubvunzana
Chirwere cheprostate inoitika muprostate gland, inova chikamu chehurume hwekubereka. Gomarara rinoitika kana paine kusagadzikana mukukura kwemasero izvo zvinoita kuti maseru apatsanuke uye akure nekukurumidza zvakanyanya apo sero rinofanira kufa kuti riite nzvimbo yemasero matsva. Kenza yeprostate ndeimwe yemhando dzakajairika dzegomarara dzinowanikwa muvarume. Zviitiko zvinogona kuwedzera mukana wekuonekwa uine gomarara reprostate zvinosanganisira kufutisa, rudzi, nhoroondo yemhuri yekenza yeprostate, uye zera. Vamwe varwere vanogona kusangana nezviratidzo zvegomarara reprostate senge erectile kudzvinyirira, kunetseka kuita weti, ropa riripo mumurume, kana kunonoka kana kukanganisika kana uchiita weti. Kunyange zviratidzo zvichizopa vamwe varwere, havasi vese varwere vanozove nezviratidzo.
Kune varwere vasina zviratidzo, gomarara rinowanzoonekwa panguva yebiopsy. Paanoonekwa kuti ane gomarara reprostate, chiremba anoongorora gomarara uye otarisa kuti gomarara rave padanho ripi, kunyangwe rakapararira kupfuura gland reprostate, uye mhando yekenza iyo murwere anayo. Maitiro ekurapa anoenderana nesaizi uye mhando yegomarara murwere anaro uye kuti rakapfigirwa kune iyo gland yeprostate kana kwete. Sarudzo dzekurapa dzinosanganisira kuvhiya (prostatectomy inowanzoitwa), radiotherapy, brachytherapy (yemukati mhando ye radiotherapy), kurapa kwehomoni, chemotherapy, uye yakakwira-yakasimba yakatarisana ne ultrasound (HIFU).
Varwere vazhinji vanogona kusarudza kuwana rwechipiri pfungwa vasati vafunga nezvehurongwa hwavo hwekurapa. Iyo nguva yenguva iyo murwere achazoda kushandisa kune imwe nyika uye muchipatara ichasiyana zvichienderana nekurapwa. Kana uchirapwa radiotherapy kana chemotherapy, maitiro acho anowanzoitwa kuchipatara kwenguva yekufamba kwemavhiki mashoma, zvichireva kuti murwere achazobuda muchipatara musi iwoyo sekurapwa asi zvinoda zvikamu zvakawanda. Varwere vari kuvhiyiwa senge prostatectomy, vangangoda kugara muchipatara kwemazuva maviri kusvika mana mushure mekuvhiyiwa. Nguva inodiwa Nhamba yemazuva ari muchipatara 2 - 4 mazuva. Huwandu hwemazuva anodikanwa muchipatara hunosiyana nemushonga wega wega. Varwere vari kurapwa chemotherapy vachasiya musi iwoyo iwoyo avo vari kuvhiyiwa vangangoda kugara kwenguva yakareba. Kune nzira dzakasiyana dzekurapa idzo murwere nachiremba vachakurukura pamwechete.
Asati aitwa chero kurapwa, murwere anotanga kusangana nachiremba kuti vataure nezvekurapa. Chiremba anogona kuraira akati wandei bvunzo senge ultrasound scan, prostate biopsy, CT (computerised tomography) scan, kana MRI (magnetic resonance imaging) scan kana bvunzo idzi dzisati dzaitwa. Iyi bvunzo inobatsira chiremba kuronga chirongwa chakakodzera chekurapa murwere.
Kana murwere achivhiyiwa, chiremba anowanzo kuraira kuti arege kudya uye kunwa mumaawa akapfuura kuvhiyiwa, kuitira kuti agadzirire anesthetic.
Maitiro ekurapa anoitwa, zvinoenderana nerudzi rwekurapa rwunosarudzwa nachiremba nemurwere. Muzviitiko zvakawanda, kurapwa kunogona kusanganiswa. Kuvhiya kunowanzo sanganisira kubvisa iyo prostate gland uye maitiro anozonzi seprostatectomy. A prostatectomy, iyo yakarongedzwa seyakanyanya kana yakapusa prostatectomy, inogona kuitwa laparoscopically kana sekuvhiya kwakavhurika uye murwere anotarisirwa neakajairirika. Radical prostatectomy inowanzoitwa laparoscopically, iyo inosanganisira kugadzira zvidiki zvidiki mudumbu, kuburikidza neiyo endoscope inoiswa uye inoshandiswa kubvisa iyo prostate gland uchishandisa kamera kutungamira.
Kuvhiya kwepaparoscopic inogona zvakare kuitwa pachishandiswa robhoti rubatsiro, izvo zvinogona kuita zvidiki zvidiki izvo zvinonyatsojeka, zvichireva kunyangwe ipfupi nguva yekudzosa. Prostatectomy iri nyore inoitwa kuburikidza nekuvhiya kwakashama. Rudzi urwu rwekuvhiya runosanganisira kugadzira incision kana mudumbu, iyo inonzi nzira yekudzosera kumashure, kana muparineum, iyo nzvimbo iri pakati peanus uye scrotum, iyo inonzi ndiyo nzira yekumira. Iyo retropubic nzira inowanzo shandiswa uye inowanzo sanganisira kubvisa ma lymph node pamwe neprostate gland uye inogona kusiya tsinga dzakasimba. Maitiro akasarudzika haanyanyo shandiswa, sezvo ma "lymph node" haakwanise kubviswa, uye zvakare tsinga dzinogona kuregererwa. Radiotherapy ndeye yakakwira-simba radiation kurapwa kunoshandiswa kurapa cancer. Inogona kuitwa nekunze kana mukati. Mukurapa kenza yeprostate, brachytherapy, inova fomu yemukati radiotherapy, inogona kushandiswa.
Brachytherapy inosanganisira kuisa chinhu chine mwaranzi, kazhinji muchimiro chembeu, muprostate gland. Mbeu dzinosiiwa mukati memuviri kudzamara kenza yapora, kana kusvika maseru adzikira, zvinoenderana nechinangwa chekurapwa. Ivo vanobva vabviswa kana vangoshumira basa ravo. Kune zvekare mhando dzechigarire dzekupinza, zvichireva kuti hazvibviswe mushure mekurapwa, zvisinei hazvikonzere kukuvara mukusiiwa mukati memuviri. Hormone therapy ndeimwe nzira yekurapa inoitwa semushonga. Mahormone anopiwa kumurwere anovavarira kudzivirira muviri kubva mukugadzira testosterone. Maseru ekenza anoda testosterone kuti ararame uye arambe achikura uye nekudzivirira testosterone kubva mukugadzirwa, maseru haazokwanise kukura uye anogona kufa.
Mune zvimwe zviitiko, senzira yekudzivirira kugadzirwa kwe testosterone, machende anogona kuvhiyiwa. Chemotherapy ndiko kushandiswa kwemushonga kana mishonga ine makemikari zvinhu zvekurapa gomarara. Kune nzira dzakasiyana dzekupa mishonga yemakemikari inosanganisira intravenous (IV), intra-arterial (IA), kana majekiseni e-intraperitoneal (IP).
Chemotherapy inogona zvakare kupihwa nemuromo kana kuiswa uchishandisa misoro yemafuta. High-intensity yakatarisana neultrasound (HIFU), nzira nyowani nyowani inoshandiswa kurapa kenza, maitiro anosanganisira kushandisa yakakwira-simba yakatarisana nesimba re ultrasound kune dzimwe nzvimbo dzekenza. Maitiro acho anoitwa pasi pechinhu chisina kujairika uye inosanganisira kuisa chiongorori che ultrasound muchikamu uye kutungamira matanda eprostate ayo anopisa zvinyama nemaseru uye anozviparadza. Mishonga inogona kusanganiswa kana kuvhiya kuri kuitwa, kuitira kudzikamisa bundu pamberi pekuvhiyiwa.,
Zvinotevera ndizvo zvakanakisa zvipatara gumi zveProstate Cancer Kurapa pasirese:
| # | chipatara | nyika | manzwiro | mutengo | |
|---|---|---|---|---|---|
| 1 | BLK-MAX Super Specialty Chipatara | India | New Delhi | --- | |
| 2 | Chipatara cheThainakarin | Tairendi | Bangkok | --- | |
| 3 | Medipol Mega University Chipatara | Teki | Istanbul | --- | |
| 4 | Chung-Ang University Chipatara | Chammhembe Koria | Seoul | --- | |
| 5 | ISAR Klinikum Munich | Jerimani | Munich | --- | |
| 6 | NMC Chipatara DIP | Mubatanidzwa Arabhu Emeretsi | Dubai | --- | |
| 7 | Severance Chipatara | Chammhembe Koria | Seoul | --- | |
| 8 | Evercare Hospital Dhaka | Bhangiradheshi | Dhaka | --- | |
| 9 | Dar Al Fouad Chipatara | Egypt | Cairo | --- | |
| 10 | Kliniki Yakanaka | Ukireni | Kiev | --- |
Vanotevera ndivo vanachiremba vakanakisa veProstate Cancer Kurapa pasirese:
| # | Chiremba | ZVINOKOSHA | CHipatara | |
|---|---|---|---|---|
| 1 | Dr. Rakesh Chopra | Oncologist yezvokurapa | Artemis Hospital | |
| 2 | Dr. Subodh Chandra Pande | Radiation Oncologist | Artemis Hospital | |
| 3 | Dr. Chandan Choudhary | Urologist | Dharamshila Narayana Supe ... | |
| 4 | Dr. HS Bizwi | Urologist | BLK-MAX Super Hunyanzvi H ... | |
| 5 | dr. Ashish Sabharwal | Urologist | Indraprastha Apollo Hospi ... | |
| 6 | Dr. Vikram Sharma | Urologist | Ongororo yeFortis Chirangaridzo ... | |
| 7 | Dr. Deepak Dubey | Urologist | Manipal Hospital Bangalore... | |
| 8 | Dr. Dushyant Nadar | Urologist | Chipatara cheFortis, Noida |
Gomarara reprostate gomarara rinowanikwa muvarume. Prostate chikamu chemaitiro ekubereka kwemurume uye gomarara rinokura muprostate gland.
Zvikonzero zvegomarara reprostate ndeizvi – • Zera (>makore makumi mashanu nemashanu, njodzi inowedzera nekukura) • Hunhu (hunowanikwa muvarume vatema) • Kusvuta • Kufutisa
Muchikamu chekutanga zviratidzo zvekenza yeprostate hazviwanzoonekwa. Chirwere pachiri kuenderera mberi zviratidzo zvinotevera zvinoonekwa – • Kugara uchibuda weti • Kurwadziwa paunenge uchiita weti • Weti inoyerera inogona kutanga nekumira • Fecal incontinence • Chiveve mumakumbo kana mutsoka • Ropa muweti • Ropa mumbeu • Kutadza kuita weti • Kubuda urume kunorwadza.
Ongororo yekuongorora gomarara reprostate ndeye – • Biopsy • Prostate specific antigen blood test • Digital rectal exam
Kurapa gomarara reprostate kunogona kuva nemigumisiro yakaipa yakadai se- • Kusaita weti • Kusashanda zvakanaka kweErectile • Kushaya mbereko
Gomarara reprostate rinozivikanwa zvikuru nekukura muvarume. Murume 1 pavapfumbamwe anobatwa negomarara reprostate.
Kenza yeprostate haigoni kudzivirirwa. Zvisinei, kana iwe une ngozi zvinogara zvichikurudzirwa kutora matanho ekuderedza mikana yechirwere. • Kuongororwa nenguva • Itai maekisesaizi • Chengeta uremu huri hutano • Idya kudya kunovaka muviri • Rega kusvuta
Mhedzisiro yekuvhiyiwa kwekenza yeprostate yakanaka kwazvo.
Kazhinji hapana ngozi nekuvhiyiwa kweprostate. Matambudziko ane chokuita nekuvhiyiwa kweprostate haawanzoitiki.
Mutengo wekurapwa kwegomarara reprostate muIndia unogona kutanga kubva pamadhora zana nemakumi masere. (Mutengo chaiwo unoenderana nerudzi rwekurapa kunoitwa)
Maitiro Ekutsvaga uye Chipatara
Sarudza zvaunogona
Bhuka chirongwa chako
Wagadzirira hupenyu hutsva uye hune hutano
Mozocare inzira yekurapa yekuwana zvipatara nemakiriniki kubatsira varwere kuwana kurapwa kwakanyanya nemitengo inodhura. Mozocare Insights inopa Hutano Nhau, Dzazvino kurapwa hunyanzvi, Chipatara chinzvimbo, Hutano Hwerengedzo Ruzivo uye Kugovana kweRuzivo.
Mashoko ari papeji ino akaongororwa uye akatenderwa na Mozocare timu. Iri peji rakagadziridzwa pa 03 Apr, 2022.