Hom / prostate / neeg mob / kev mob prostate-kho-pdq
Txheej txheem
- 1 Kev Kho Mob Prostate Cancer (®) –Patient Version
- 1.1 Cov Lus Qhia Dav Dav Txog Kab Mob Prostate
- 1.2 .2 Theem ntawm Prostate Cancer
- 1.3 Txoj Kev Kho Mob Cov Tswv Yim
- 1.4 Nkauj Kho Mob Theem I Prostate Cancer
- 1.5 Kev Kho Mob Theem II Prostate Cancer
- 1.6 Kho Mob Theem III Prostate Cancer
- 1.7 Kho Mob Theem IV Prostate Cancer
- 1.8 Kho Tus Mob Hliav Rov Ntsiav Tshuaj lossis Hormone-Resistant Prostate Cancer
- 1.9 Yog Xav Paub Ntau Ntxiv Hais Txog Kev Prostate Cancer
Kev Kho Mob Prostate Cancer (®) –Patient Version
Cov Lus Qhia Dav Dav Txog Kab Mob Prostate
QHOV TSEEM CEEB
- Prostate cancer yog ib yam kab mob hauv cov qog nqaij hlav cancer (hlav).
- Cov tsos mob ntawm tus mob prostate suav nrog tso zis tsawg lossis nquag tso zis.
- Kev ntsuam xyuas uas kuaj cov prostate thiab ntshav tau siv los kuaj kev mob qog nqaij hlav prostate.
- Yuav tso ib qho nqaij los mus kuaj mob prostate cancer thiab paub cov qeb mob qog nqaij hlav (Gleason tau).
- Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.
Prostate cancer yog ib yam kab mob hauv cov qog nqaij hlav cancer (hlav).
Tus mob prostate yog ib lub caj pas hauv tus txiv neej deev. Nws nyob hauv qab lub zais zis (ib yam khoom hauv nruab nrog nqus thiab tso zis) thiab nyob ntawm hauv lub qhov quav (qhov qis ntawm txoj hnyuv). Nws yog hais txog qhov loj npaum li cas ntawm lub txiv ntoo thiab ib puag ncig ntawm lub qhov zis (lub raj uas tso zis tawm ntawm lub zais zis). Lub caj pas prostate ua kua uas yog ib feem ntawm cov phev.
Prostate cancer feem ntau rau cov txiv neej laus. Hauv Asmeskas, li ntawm 1 ntawm 5 tus txiv neej yuav raug tshuaj tias muaj tus kab mob prostate.
Cov tsos mob ntawm tus mob prostate suav nrog tso zis tsawg lossis nquag tso zis.
Cov no thiab lwm yam cim thiab tsos mob tuaj yeem yog tus kab mob prostate lossis lwm yam mob. Nug koj tus kws kho mob yog tias koj muaj qee yam hauv qab no:
- Tsis muaj zog lossis cuam tshuam ("tso-thiab-mus") ntws ntawm cov zis.
- Dheev tso zis.
- Nquag tso zis heev (tshwj xeeb yog thaum tsaus ntuj).
- Teeb meem pib qhov txaus ntawm cov zis.
- Cov teeb meem muab nchuav rau lub zais zis kiag li.
- Mob los sis kub thaum tso zis.
- Cov ntshav hauv cov zis lossis phev.
- Qhov mob nraub qaum, lub duav, lossis lub duav uas tsis ploj mus.
- Ua tsis taus pa, mloog zoo li nkees, lub plawv dhia ceev, kiv taub hau, lossis tawv nqaij los ntawm ntshav liab.
Lwm yam mob yuav ua rau tib cov tsos mob. Raws li cov txiv neej hnub nyoog, prostate yuav loj dua thiab thaiv cov hlab zis lossis lub zais zis. Qhov no tuaj yeem ua teeb meem tso zis lossis teeb meem kev sib deev. Tus mob no hu ua benign prostatic hyperplasia (BPH), thiab txawm hais tias nws tsis yog mob qog noj ntshav, yuav tsum tau phais mob. Cov tsos mob ntawm benign prostatic hyperplasia lossis lwm yam teebmeem hauv lub prostate yuav zoo li cov tsos mob ntawm tus mob prostate.
Kev ntsuam xyuas uas kuaj cov prostate thiab ntshav tau siv los kuaj kev mob qog nqaij hlav prostate.
Cov ntawv xeem thiab txheej txheem hauv qab no yuav raug siv:
- Kev kuaj mob lub cev thiab keeb kwm kev noj qab haus huv: Kev kuaj lub cev kom kuaj xyuas cov cim ntawm kev noj qab haus huv, suav nrog kuaj lub cim ntawm tus kab mob, xws li cov qog lossis lwm yam uas zoo li txawv txawv. Cov keeb kwm ntawm tus neeg mob txoj kev noj qab haus huv thiab cov kab mob yav dhau los thiab kev kho mob tseem yuav raug coj los siv.
- Qhov kuaj xyuas digital ntawm qhov quav (DRE): Kev kuaj qhov quav. Tus kws kho mob lossis tus nais maum ntxig lub qhov ncauj nrawm nrawm rau hauv lub qhov quav thiab hnov mob o ua ntu nyob rau ntawm lub qhov rooj phab ntsa rau cov qog lossis cov chaw tsis zoo.
- Prostate-antigen qhia qhov tseeb (PSA): Kuaj ntsuas uas ntsuas PSA qib hauv cov ntshav. PSA yog ib yam khoom tsim los ntawm prostate uas tej zaum yuav pom muaj ntau dua cov nyiaj hauv cov ntshav ntawm tus txiv neej uas muaj mob qog nqaij hlav cancer. Cov qib PSA kuj tseem tuaj yeem muaj ntau ntxiv hauv cov txiv neej uas muaj kev mob lossis mob rau prostate lossis BPH (nthuav dav, tab sis tsis mob, prostate).
- Transrectal ultrasound: Ib txoj kev uas kuaj pom txog qhov luaj li cas ntawm cov ntiv tes tau ntxig rau hauv lub qhov quav kom kuaj tau cov prostate. Kev sojntsuam yog siv los thaws lub zog hluav taws xob ntau lub suab (ultrasound) tawm ntawm cov ntaub so ntswg sab hauv lossis cov kabmob thiab ua kom ncha. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Txoj kev hloov kho ultrasound yuav siv tau thaum kuaj me me. Qhov no yog hu ua transrectal ultrasound coj biopsy.
- Transrectal magnetic resonance imaging (MRI): Cov txheej txheem siv cov hlau nplaum muaj zog, xov tooj cua, thiab khoos phis tawm los ua cov duab ntxaws ntxaws ntawm cov chaw hauv lub cev. Kev sojntsuam uas muab xov tooj cua nthwv dej tau ntxig rau lub qhov quav ze ntawm lub prostate. Qhov no pab MRI lub tshuab ua kom pom tseeb cov duab ntawm lub prostate thiab cov ntaub so ntswg nyob ze. Hloov MRI ua kom paub yog tias tus mob cancer tau kis sab nraud ntawm prostate rau hauv cov ntaub so ntswg uas nyob ze. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI). Mrect transrectal MRI siv tau thaum phais me me. Qhov no hu ua transrectal MRI coj biopsy.
Yuav tso ib qho nqaij los mus kuaj mob prostate cancer thiab paub cov qeb mob qog nqaij hlav (Gleason tau).
Kev siv ib qho coj los txiav txim yog siv los kuaj kev mob qog nqaij hlav prostate. Kev phais me me yog tshem tawm cov nqaij mos ntawm lub prostate los ntawm kev ntxig ib rab koob nyias nyias ntawm qhov quav thiab nkag mus rau hauv lub prostate. Txoj kev ua no yuav raug siv siv transrectal ultrasound lossis transrectal MRI los pab qhia qhov twg coj mus kuaj ntawm cov nqaij mos. Tus kws kho mob tawm tswv yim pom cov nqaij hauv qab lub tshuab tsom nrhiav cov qog nqaij hlav cancer.
Qee lub sij hawm kuaj me me yog ua tiav siv cov qauv ntawm cov nqaij mos uas raug tshem tawm thaum lub sij hawm transurethral rov qab qog ntawm prostate (TURP) los kho cov benign prostatic hyperplasia.
Yog tias kuaj pom mob qog nqaij hlav, tus kws paub kab mob yuav muab qog nqaij hlav tawm. Qeb qeb qog hais txog qog nqaij hlav cancer saib pom txawv li cas ntawm cov qog nqaij hlav cancer hauv lub tshuab tsom kab saib thiab yuav kho tus mob cancer sai li cas. Qeb ntawm cov kabmob no yog hu ua Gleason tus qhab nia.
Txhawm rau muab cov qog nqaij hlav qib, tus kws kho mob kuaj xyuas cov qog nqaij hlav hauv prostate kom pom tias ntau npaum li cas cov qog nqaij hlav zoo li cov qog ua haujlwm prostate thiab kom pom ob lub qauv cell. Thawj tus qauv piav qhia cov qauv ntaub so ntswg feem ntau, thiab tus qauv thib ob piav qhia tus qauv tom ntej. Txhua cov qauv yog muab qib los ntawm 3 txog 5, nrog qeb 3 saib zoo li feem ntau li qub prostate daim ntaub thiab qib 5 saib qhov txawv txav tshaj plaws. Tom qab ntawd qib ob tau ntxiv rau kom tau txais tus qhab nia Gleason.
Cov qhab nia Gleason tuaj yeem nyob ntawm 6 txog 10. Ntau dua tus qhab nia Gleason, qhov ntau yuav muaj mob qog nqaij hlav thiab yuav kis tau sai. Tus qhab nia Gleason ntawm 6 yog tus mob qes-siab qis; tus qhab nia 7 yog hom mob qog nruab nrab; thiab tus qhab nia ntawm 8, 9, lossis 10 yog mob qog noj ntshav siab. Piv txwv, yog cov qauv nqaij zoo tshaj plaws yog qib 3 thiab tus qauv thib ob yog qib 4, nws txhais tau hais tias feem ntau ntawm cov qog nqaij hlav yog qib 3 thiab tsawg dua ntawm cov mob qog nqaij yog qeb 4. Cov qib raug ntxiv rau Gleason qhov ntawm 7, thiab nws yog ib qho kab mob cancer rau ib nrab-qeb. Cov qhab nia Gleason tuaj yeem sau ua 3 + 4 = 7, Gleason 7/10, lossis cov qhab nia Gleason ntawm 7.
Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.
Qhov raug thiab kho kev xaiv nyob ntawm cov hauv qab no:
- Cov theem ntawm cov qog nqaij hlav (qib PSA, Gleason qhab nia, Qib pab pawg, ntau npaum li cas ntawm cov prostate cuam tshuam los ntawm cov qog nqaij hlav, thiab seb puas mob cancer tau kis rau lwm qhov chaw hauv lub cev).
- Tus neeg mob lub hnub nyoog.
- Txawm hais tias mob kheesxaws nyuam qhuav raug kuaj lossis rov mob dua (rov qab los).
Kev xaiv kho kuj tseem siv raws li cov hauv qab no:
- Seb tus neeg mob puas muaj lwm yam teeb meem kev noj qab haus huv.
- Qhov xav pom kev mob tshwm sim los ntawm kev kho mob.
- Yav tas los kho tus mob prostate.
- Kev xav tau ntawm tus neeg mob.
Feem ntau cov txiv neej kuaj mob muaj tus mob prostate tsis tuag ntawm nws.
Theem ntawm Prostate Cancer
QHOV TSEEM CEEB
- Tom qab kuaj tau tus mob qog nqaij hlav prostate, kev tshuaj ntsuam yog ua mus nrhiav seb cov keeb mob qog nqaij hlav tau kis nyob hauv prostate lossis mus rau lwm qhov hauv lub cev.
- Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
- Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.
- Qib Pab Pawg thiab PSA qib yog siv rau theem prostate cancer.
- Cov theem hauv qab no yog siv rau kev mob prostate:
- Theem Kuv
- Theem II
- Theem III
- Theem IV
- Prostate cancer yuav rov mob dua (rov qab los) tom qab nws tau kho.
Tom qab kuaj tau tus mob qog nqaij hlav prostate, kev tshuaj ntsuam yog ua mus nrhiav seb cov keeb mob qog nqaij hlav tau kis nyob hauv prostate lossis mus rau lwm qhov hauv lub cev.
Cov txheej txheem siv los xyuas seb tus mob khees xaws tau kis hauv prostate lossis rau lwm qhov hauv lub cev hu ua staging. Cov ntaub ntawv sau los ntawm cov txheej txheem theem txiav txim theem ntawm tus kab mob. Nws yog ib qho tseem ceeb uas yuav tsum paub txog theem kom thiaj li npaj tau kev kho mob. Cov txiaj ntsig ntawm kev ntsuam xyuas tau siv los kuaj pom tus mob qog nqaij hlav prostate feem ntau kuj tseem siv los ua tus kab mob. (Saib tshooj General Cov Lus Qhia.) Hauv kev mob qog nqaij hlav prostate, tsis tuaj yeem kuaj sim tshwj tsis yog tus neeg mob muaj cov tsos mob lossis cov cim qhia tias tus kabmob tau kis, xws li mob pob txha, qib PSA siab, lossis Gleason siab.
Cov ntawv xeem txuas mus ntxiv no thiab cov txheej txheem txuas ntxiv tuaj yeem siv rau hauv txheej txheem kev sib tsoo:
- Nqaij pob txha mos: cov txheej txheem los kuaj xyuas yog tias muaj cov hlwb faib sai sai, xws li mob hlwb, hauv cov pob txha. Qhov tsawg tsawg ntawm cov khoom siv hluav taws xob yog txhaj rau hauv cov hlab ntsha thiab ncig ntawm cov ntshav. Cov khoom siv hluav taws xob khaws cia hauv cov pob txha nrog mob qog noj ntshav thiab tau kuaj pom los ntawm ib qho luam theej duab.
- MRI (sib nqus resonance duab): Tus txheej txheem uas siv cov hlau nplaum, xov tooj cua vuam vias, thiab khoos phis tawm los ua cov duab ntxaws ntxaws ntawm cov chaw hauv lub cev. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI).
- CT scan (CAT scan): Tus txheej txheem uas ua rau cov duab ntxaws ntxig ntawm cov chaw hauv lub cev, coj los ntawm ntau cov ces kaum. Cov duab no yog tsim los ntawm lub koos pis tawj txuas nrog lub tshuab xoo hluav taws xob. Ib qho zas xim tuaj yeem raug txhaj rau hauv txoj hlab ntshav lossis nqos los pab rau cov kabmob lossis cov nqaij ua kom pom tseeb dua. Cov txheej txheem no tseem hu ua suav tomography, computer tom tomography, lossis computerized axial tomography.
- Pelvic lymphadenectomy: Txoj kev phais mob kom tshem tawm cov qog ntshav hauv lub plab mog. Tus kws kho mob tawm tswv yim pom cov nqaij hauv qab lub tshuab tsom nrhiav cov qog nqaij hlav cancer.
- Hlwv seminal hlwv me me: Qhov tshem tawm cov kua hauv qhov muaj pob txha caj qaum (qog ua phev) uas siv rab koob. Tus kws kho mob pub kev paub txog cov kua hauv lub tshuab tsom nrhiav cov qog nqaij hlav cancer.
- ProstaScint scan: Cov txheej txheem los kuaj mob qog nqaij hlav uas tau kis los ntawm prostate mus rau lwm qhov ntawm lub cev, xws li cov qog ntshav ntawm lub qog. Qhov tsawg tsawg ntawm cov khoom siv hluav taws xob yog txhaj rau hauv cov hlab ntsha thiab ncig ntawm cov ntshav. Cov khoom siv hluav taws xob txuam nrog prostate mob hlwb thiab tshawb pom los ntawm lub scanner. Cov khoom siv xov tooj cua nthuav tawm nthuav dav li qhov chaw ci ntsa iab ntawm daim duab hauv thaj chaw uas muaj ntau cov qog ntshav prostate.
Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
Kab mob khees xaws tuaj yeem kis tawm los ntawm cov nqaij mos, cov qog ntshav, thiab ntshav:
- Ntaub so ntswg. Tus kab mob cancer kis los ntawm qhov chaw nws pib kis los ntawm thaj chaw ze.
- Lymph system. Tus mob cancer kis ntawm qhov uas nws pib los ntawm kev nkag rau hauv lymph system. Tus kab mob cancer taug kev los ntawm cov qog ntshav mus rau lwm qhov ntawm lub cev.
- Ntshav. Tus mob cancer kis rau nws los ntawm qhov nws pib los ntawm nkag rau hauv cov ntshav. Tus kabmob khiav tawm hauv cov hlab ntshav mus rau lwm qhov ntawm lub cev.
Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.
Thaum mob cancer kis mus rau lwm qhov hauv lub cev, nws hu ua metastasis. Kab mob khees xaws khiav tawm ntawm qhov chaw lawv pib (thawj qog) thiab taug kev hauv cov qog ntshav lossis ntshav.
- Lymph system. Cov qog nqaij hlav nkag mus rau hauv lub lymph system, taug kev hauv cov hlab ntsws, thiab ua cov qog ntshav (metastatic hlav) hauv lwm qhov ntawm lub cev.
- Ntshav. Cov qog ntshav nkag mus rau hauv cov ntshav, taug kev los ntawm cov hlab ntshav, thiab tsim cov qog ntshav (metastatic hlav) hauv lwm qhov chaw ntawm lub cev.
Cov mob metastatic yog tib yam kabmob uas yog thawj cov qog. Piv txwv, yog tias cov qog nqaij hlav cancer ua rau cov pob txha, cov qog nqaij hlav cancer hauv pob txha yog cov hlav ntshav prostate. Tus kab mob yog metastatic prostate cancer, tsis mob pob txha.
Denosumab, monoclonal antibody, tej zaum yuav raug siv los tiv thaiv pob txha metastases.
Qib Pab Pawg thiab PSA qib yog siv rau theem prostate cancer.
Cov theem ntawm cov qog nqaij hlav yog ua raws cov txiaj ntsig ntawm kev soj ntsuam staging thiab kuaj mob, suav nrog kev kuaj tus mob prostate-antigen (PSA) thiab Qib Pawg. Cov ntaub so ntswg ua kom tshem tawm thaum kuaj me me yog siv los nrhiav qhov Gleason cov qhab nia. Tus qhab nia Gleason nyob ntawm 2 txog 10 thiab piav qhia qhov txawv ntawm cov qog nqaij hlav cancer saib ntawm cov hlwb zoo li cas hauv lub tshuab tsom kab mob thiab qhov yuav tshwm sim tau yog tias cov qog yuav kis mus li cas. Tus lej qis dua, cov kabmob kheesxaws ntau dua li cov hlwb li qub thiab feem ntau yuav loj hlob thiab kis qeeb.
Cov Qib Pawg yog nyob ntawm Gleason cov qhab nia. Saib tshooj General Cov Lus Qhia rau cov lus qhia ntxiv txog tus qhab nia Gleason.
- Qib Pab Pawg 1 yog qhov Gleason tau ntawm 6 lossis tsawg dua.
- Qeb Pawg 2 lossis 3 yog Gleason tus qhab nia ntawm 7.
- Qeb Group 4 yog tus lej Gleason 8.
- Qeb kawm 5 yog Gleason tau 9 lossis 10.
PSA ntsuas kev ntsuas seb PSA nce rau hauv cov ntshav li cas. PSA yog ib yam khoom tsim los ntawm prostate uas tej zaum yuav pom muaj ntau ntxiv hauv cov ntshav ntawm cov txiv neej muaj tus mob prostate.
Cov theem hauv qab no yog siv rau kev mob prostate:
Theem Kuv
- tsis xav paub thaum lub sij hawm xoo pob khoom xoo thiab tau pom los ntawm rab koob me me (ua rau PSA qib siab) lossis hauv ib qho piv txwv ntawm cov ntaub so ntswg tshem tawm thaum phais mob rau lwm qhov laj thawj (xws li benign prostatic hyperplasia). PSA qib qis dua 10 thiab Qib Pab Pawg yog 1; lossis
- yog xav tau thaum qhov kev kuaj mob digital ntawm lub qhov quav thiab tau pom nyob hauv ib nrab lossis tsawg dua ntawm ib sab ntawm lub prostate. PSA qib qis dua 10 thiab Qib Pab Pawg yog 1.
Theem II
Hauv theem II, mob qog nqaij hlav tau nce qib ntau dua hauv theem I, tab sis tsis tau kis tawm sab nraud ntawm prostate. Theem II tau muab faib ua theem IIA, IIB, thiab IIC.
Hauv theem IIA, mob cancer:
- yog pom nyob hauv ib nrab lossis tsawg dua ntawm ib sab ntawm lub prostate. Qib PSA yog tsawg kawg 10 tab sis qis dua 20 thiab Qib Pab Pawg yog 1; lossis
- yog pom nyob rau hauv ntau dua ib nrab ntawm ib sab ntawm lub prostate lossis hauv ob sab ntawm prostate. PSA qib qis dua 20 thiab Qib Pab Pawg yog 1.
Hauv theem IIB, mob cancer:
- muaj nyob hauv ib qho lossis ob tog ntawm lub prostate. PSA qib qis dua 20 thiab Qib Pab Pawg yog 2.
Hauv theem IIC, mob cancer:
- muaj nyob hauv ib qho lossis ob tog ntawm lub prostate. PSA qib qis dua 20 thiab Qib Pab Pawg yog 3 lossis 4.
Theem III
Theem III raug faib ua ntu IIII, IIIB, thiab IIIC.
Hauv theem IIIA, mob cancer:
- muaj nyob hauv ib qho lossis ob tog ntawm lub prostate. Qib PSA yog tsawg kawg 20 thiab Qib Pab Pawg yog 1, 2, 3, lossis 4.
Hauv theem IIIB, mob qog noj ntshav:
- tau kis ntawm tus mob prostate rau qhov hlwv seminal lossis rau cov nqaij lossis cov kabmob uas nyob ze, xws li lub qhov quav, zais zis, lossis phab ntsa pelvic. PSA tuaj yeem yog qib twg thiab qeb Qib yog 1, 2, 3, lossis 4.
Hauv theem IIIC, mob cancer:
- muaj nyob hauv ib lossis ob sab ntawm lub prostate thiab tej zaum yuav kis mus rau lub hlwv seminal lossis rau cov nqaij mos lossis cov kabmob uas nyob ze, xws li lub qhov quav, zais zis, lossis phab ntsa. PSA tuaj yeem yog qib twg thiab qeb Qib yog 5.
Theem IV
Theem IV tau muab faib ua ntu IVA thiab IVB.
Hauv theem IVA, mob cancer:
- muaj nyob hauv ib lossis ob sab ntawm lub prostate thiab tej zaum yuav kis mus rau lub hlwv seminal lossis rau cov nqaij mos lossis cov kabmob uas nyob ze, xws li lub qhov quav, zais zis, lossis phab ntsa. Kab mob khees xaws tau kis rau cov leeg nyob ze. PSA tuaj yeem yog qib twg thiab qeb Qib yog 1, 2, 3, 4, lossis 5.
Hauv theem IVB, mob cancer:
- tau kis mus rau lwm qhov ntawm lub cev, xws li cov pob txha lossis cov qog ntshav nyob deb. Prostate cancer feem ntau kis rau cov pob txha.
Prostate cancer yuav rov mob dua (rov qab los) tom qab nws tau kho.
Mob khees xaws yuav rov qab los nyob ntawm prostate lossis lwm qhov hauv lub cev.
Txoj Kev Kho Mob Cov Tswv Yim
QHOV TSEEM CEEB
- Muaj ntau hom kev kho mob rau cov neeg mob uas muaj mob qog nqaij hlav cancer.
- Xya hom qauv kev kho mob tau siv:
- Kev saib ntsoov lossis nquag saib xyuas
- Kev phais mob
- Kev siv hluav taws xob thiab kev siv tshuaj radiopharmaceutical
- Kev kho tshuaj hormones
- Kws khomob
- Kev Txhaj Tshuaj Tiv Thaiv
- Kev kho Bisphosphonate
- Muaj kev kho mob rau mob pob txha los ntawm pob txha metastases lossis kev kho hormone.
- Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
- Cryosurgery
- Kev siv khov kho – tsom tawm kev kho ultrasound
- Proton nqaj hluav taws xob kho
- Photodynamic txoj kev kho
- Kev kho tus mob prostate yuav ua rau muaj kev phiv.
- Cov neeg mob yuav xav txog kev sim kho mob.
- Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
- Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Muaj ntau hom kev kho mob rau cov neeg mob uas muaj mob qog nqaij hlav cancer.
Muaj ntau hom kev kho mob muaj rau cov neeg mob qog mob cancer. Qee qhov kev kho mob yog tus qauv (cov kev kho mob tam sim no), thiab qee qhov raug sim hauv kev kuaj mob. Ib txoj kev kho mob hauv tsev kho mob yog txoj kev tshawb nrhiav uas pab txhawm rau txhim kho kev kho mob tam sim no lossis tau txais cov ntaub ntawv ntawm kev kho mob tshiab rau cov neeg mob cancer. Thaum kuaj pom tias cov kev kho tshiab zoo dua li kev kho mob, cov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob. Cov neeg mob yuav xav txog kev sim kho mob. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.
Xya hom qauv kev kho mob tau siv:
Kev saib ntsoov lossis nquag saib xyuas
Kev tos kom tos thiab nquag saib xyuas yog cov kev kho mob siv rau cov txiv neej laus uas tsis muaj cov cim lossis cov tsos mob lossis muaj lwm yam mob thiab rau cov txiv neej uas muaj mob qog nqaij hlav prostate thaum kuaj mob.
Kev tos kom ceev faj yog saib xyuas tus neeg mob kom zoo tsis tas kho mob kom txog thaum muaj cov tsos mob tshwm sim los yog hloov. Kev kho mob yog muab rau kom txo cov tsos mob thiab txhim kho lub neej zoo.
Kev soj ntsuam niaj hnub ua raws nraim li tus neeg mob tus yam tsis tau muab kev kho tshwj tsis yog muaj kev hloov hauv kev ntsuas. Nws yog siv los nrhiav cov cim qhia ntxov tias tus mob nyhav zuj zus. Hauv kev soj ntsuam, cov neeg mob tau txais qee yam kev kuaj mob thiab ntsuas, suav nrog kev kuaj xyuas digital qhov quav, PSA kuaj, transrectal ultrasound, thiab transrectal koob me me, los kuaj xyuas seb puas mob cancer. Thaum tus kabmob pib loj hlob, kho tau los kho tus kabmob.
Lwm cov lus uas tau siv los piav qhia tsis muab kev kho mob los kho tus mob prostate cancer tom qab kuaj mob yog tshuaj xyuas, saib thiab tos, thiab cia siab rau kev tswj hwm.
Kev phais mob
Cov neeg mob hauv kev noj qab haus huv zoo uas lawv cov qog nyob hauv lub caj pas prostate tsuas yog raug kho nrog kev phais kom tshem tawm cov qog. Cov kev phais hauv qab no yog siv:
- Radical prostatectomy: Kev phais mob txhawm rau tshem tawm cov kua xoo, ib puag ncig cov nqaij mos thiab cov hlwv tawm me me. Kev tshem tawm cov qog ntshav nyob ze yuav ua tau tib lub sijhawm. Lub ntsiab hom radical prostatectomy muaj xws li:
- Qhib radical prostatectomy: kev phais (txiav) tau ua hauv thaj chaw retropubic (qis dua hauv plab) lossis perineum (thaj tsam ntawm qhov quav thiab hnoos qeev). Kev phais mob yog ua los ntawm kev phais. Nws yog qhov nyuaj rau tus kws phais yuav tso cov hlab ntshav ze ntawm prostate lossis tshem cov qog ntshav nyob ze nrog txoj kev tawm perineum.
- Radical laparoscopic prostatectomy: Ntau qhov kev phais me me (txiav) tau ua nyob rau sab phab ntsa ntawm lub plab. Lub laparoscope (lub qev, lub raj zoo li lub ntsuas nrog lub teeb thiab lub lens rau saib) tau ntxig los ntawm ib qho qhib los qhia kev phais. Cov cuab yeej siv phais tau muab tso los ntawm qhov qhib lwm qhov los ua kev phais.
- Kev pab los ntawm laparoscopic radical prostatectomy: Ntau txoj kev txiav me me raug tsim nyob hauv phab ntsa ntawm lub plab, zoo li hauv laparoscopic prostatectomy ib txwm muaj. Tus kws phais mob ntxig cov cuab yeej nrog lub koob yees duab los ntawm ib qho ntawm qhov qhib thiab phais twj paj nruag los ntawm kev qhib lwm qhov siv tes caj npab. Lub koob yees duab muab cov kws phais mob saib 3 qhov ntev ntawm cov prostate thiab cov qauv ib puag ncig. Tus kws phais siv lub caj npab neeg txhawm rau ua qhov kev phais mob thaum zaum ntawm lub computer saib ze ntawm lub rooj ua haujlwm.
- Pelvic lymphadenectomy: Txoj kev phais mob kom tshem tawm cov qog ntshav hauv lub plab mog. Tus kws kho mob tawm tswv yim pom cov nqaij hauv qab lub tshuab tsom nrhiav cov qog nqaij hlav cancer. Yog tias cov qog ntshav muaj mob qog ntshav, tus kws kho mob yuav tsis tshem tawm cov qog thiab yuav ua lwm yam kev kho mob.
- Transurethral resection ntawm tus mob prostate (TURP): Kev phais mob kom tshem tawm cov ntaub so ntswg los ntawm tus qog siv ib daim ntawv phais mob (txoj hlab nyias, lub teeb nrog lub cuab yeej txiav) ntxig los ntawm qhov zis. Tus txheej txheem no yog ua los kho benign prostatic hypertrophy thiab nws qee zaum ua los daws cov tsos mob tshwm sim los ntawm lub qog ua ntej lwm txoj kev kho mob cancer. TURP kuj tseem yuav ua tau rau cov txiv neej uas lub qog tsuas nyob hauv prostate nkaus xwb thiab leej twg tsis tuaj yeem muaj rab qij ntshav prostatectomy ib leeg.
Hauv qee kis, txoj hlab ntsha uas tswj qhov kev txhim kho rab qau tuaj yeem cawm nrog kev phais lub ntsej muag. Txawm li cas los xij, qhov no yuav tsis muaj peev xwm ua tau rau cov txiv neej nrog cov qog loj lossis cov qog uas nyob ze rau txoj hlab ntshav.
Cov teeb meem tshwm sim tom qab phais mob qog nqaij hlav prostate suav nrog cov hauv qab no:
- Cuam meem txom.
- Yuav tso zis tawm ntawm lub zais zis los yog tso quav los ntawm qhov quav.
- Ua kom luv ntawm cov qau (1 txog 2 centimeters). Vim li cas tiag rau qhov no tseem tsis tau paub.
- Hwb pob hauv plab (bulging ntawm cov rog lossis ib feem ntawm txoj hnyuv los ntawm cov leeg tsis muaj zog rau hauv puab tais). Hwb pob qog yuav tshwm sim ntau dua rau cov txiv neej kho radical prostatectomy dua li tus txiv neej uas muaj qee yam lwm hom kev phais mob prostate, kho hluav taws xob, lossis phais tus mob prostate ib leeg. Nws feem ntau tshwm sim hauv thawj 2 xyoos tom qab radical prostatectomy.
Kev siv hluav taws xob thiab kev siv tshuaj radiopharmaceutical
Kev xoo hluav taws xob yog kev kho mob cancer uas siv hluav taws xob xoo hluav taws xob loj lossis lwm yam hluav taws xob tua ntau los tua cov qog nqaij hlav cancer lossis ua kom lawv loj tuaj. Nws muaj ntau txoj kev kho hluav taws xob:
- Kev siv hluav taws xob sab nraud siv lub tshuab sab nraud lub cev xa cov hluav taws xob mus rau thaj tsam ntawm lub cev nrog mob qog noj ntshav. Cov hluav taws xob sib xyaw yog ib hom kev kho hluav taws xob sab nraud uas siv lub khoos phis tawm los ua kom muaj 3 daim duab (3-D) ntawm cov qog thiab ua cov duab hluav taws xob ci ntsa kom haum rau cov qog. Qhov no tso cai rau cov hluav taws xob ntau heev mus cuag cov qog thiab ua rau tsawg dua kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv nyob ze.
Hypofractionated hluav taws xob yuav tau muab vim tias nws muaj sijhawm kho kom yooj yim dua. Hypofractionated hluav taws xob kho yog kev kho hluav taws xob uas qhov loj dua li ib txwm siv tag nrho cov tshuaj tiv thaiv hluav taws xob tau muab ib zaug ib hnub nyob rau lub sijhawm luv dua (sijhawm tsawg dua) piv rau kev kho hluav taws xob. Hypofractionated hluav taws xob kev kho mob yuav muaj cov kev mob tshwm sim ntau dua li kev kho hluav taws xob, nyob ntawm lub sijhawm siv.
- Kev kho hluav taws xob sab hauv yog siv cov tshuaj pleev hluav taws xob kaw hauv cov koob, noob, xov hlau, lossis cov paws menyuam uas tso ncaj qha mus rau lossis ze ntawm cov qog nqaij hlav cancer. Hauv cov qib prostate cancer thaum ntxov, cov noob radioactive tau tso rau hauv prostate siv rab koob uas tau ntxig ntawm daim tawv nqaij ntawm qhov tawv nqaij ntawm qhov tawv nqaij thiab qhov quav. Qhov kev tso kawm ntawm cov noob hauv av rau hauv prostate yog coj los ntawm cov duab los ntawm transrectal ultrasound lossis suav tomography (CT). Cov koob raug tshem tawm tom qab cov noob faus hluav taws xob tau tso rau hauv prostate.
- Radiopharmaceutical kho siv kev siv tshuaj ntsuab los kho mob cancer. Kev kho mob radiopharmaceutical nrog rau cov hauv qab no:
- Alpha emitter hluav taws xob txoj kev kho siv cov tshuaj rau hluav taws xob los kho kev mob qog nqaij hlav cancer uas tau kis mus rau cov pob txha. Cov tshuaj yeeb yaj kiab hu ua radium-223 tau txhaj rau hauv cov leeg ntshav thiab ncig mus rau hauv cov hlab ntshav. Cov radium-223 sau hauv thaj chaw ntawm pob txha nrog mob qog noj ntshav thiab tua cov qog nqaij hlav cancer.
Txoj kev kho hluav taws xob yog muab nyob ntawm seb hom thiab theem ntawm kev kho mob qog noj ntshav. Kev kho hluav taws xob sab nraud, kev kho hluav taws xob sab hauv, thiab radiopharmaceutical kho yog siv los kho qog nqaij hlav cancer.
Cov txiv neej kho nrog kev kho mob hluav taws xob rau kev kho tus mob prostate muaj kev pheej hmoo ntawm muaj mob zais zis thiab / lossis mob qog nqaij hlav cancer.
Kev siv hluav taws xob kho tuaj yeem ua rau impotence thiab mob tso zis uas yuav mob heev dua qub nrog lub hnub nyoog.
Kev kho tshuaj hormones
Kev kho qog noj ntshav yog kev kho mob qog noj ntshav uas tshem tawm cov tshuaj hormones los yog txwv lawv kev ua thiab txwv tsis pub ua qog noj ntshav. Cov tshuaj hormones yog cov tshuaj tsim los ntawm cov qog hauv lub cev thiab ncig ua rau cov hlab ntshav. Hauv prostate cancer, txiv neej cov txiv neej cov tshuaj hormones tuaj yeem ua rau tus mob prostate. Tshuaj, phais mob, lossis lwm yam tshuaj hormones yog siv los txo tus txiv neej cov tshuaj hormones lossis thaiv kev ua haujlwm. Qhov no hu ua androgen deprivation txoj kev kho (ADT).
Kev kho qog noj ntshav mob qog nqaij hlav cancer yuav muaj xws li hauv qab no:
- Abiraterone acetate tuaj yeem tiv thaiv kev mob qog nqaij hlav prostate los ntawm kev ua androgens. Nws yog siv rau cov txiv neej muaj mob qog nqaij hlav qog nqaij hlav cancer uas tsis tau zoo dua nrog lwm txoj kev kho hormone.
- Orchiectomy yog kev phais mob txhawm rau tshem tawm ib lossis ob qhov noob qes, uas yog qhov tseem ceeb ntawm txiv neej cov tshuaj hormones, xws li testosterone, kom txo qis cov tshuaj hormones ua.
- Estrogens (cov tshuaj hormones uas txhawb cov poj niam txiv neej yam ntxwv) tuaj yeem tiv thaiv cov noob qes los ua testosterone. Txawm li cas los xij, estrogens tsis tshua siv niaj hnub no los kho kev mob prostate vim tias muaj kev pheej hmoo ntawm phiv loj.
- Luteinizing cov tshuaj hormone tso tawm agonists tuaj yeem cheem cov noob qes los ua testosterone. Piv txwv yog leuprolide, goserelin, thiab buserelin.
- Antiandrogens tuaj yeem thaiv qhov kev txiav txim ntawm androgens (cov tshuaj hormones uas txhawb cov txiv neej pw ua ke), xws li testosterone. Piv txwv yog flutamide, bicalutamide, enzalutamide, apalutamide, thiab nilutamide.
- Cov tshuaj uas tuaj yeem tiv thaiv cov qog adrenal los ntawm kev ua androgens suav nrog ketoconazole, aminoglutethimide, hydrocortisone, thiab progesterone.
Kub kub tsis txaus, cuam tshuam ntawm kev sib deev, poob ntawm kev muaj siab rau kev sib deev, thiab cov pob txha tsis muaj zog yuav tshwm sim hauv cov txiv neej kho nrog kev kho mob hormone. Lwm yam kev phiv suav nrog zawv plab, xeev siab thiab khaus.
Saib Cov Tshuaj Pom Zoo rau Kev Kho Mob Prostate yog xav paub ntxiv.
Kws khomob
Kev siv tshuaj kho mob yog kev kho mob cancer uas siv cov tshuaj los txwv kev loj hlob ntawm cov qog nqaij hlav cancer, los ntawm kev tua cov qog lossis txwv tsis pub faib. Thaum cov tshuaj tua kab mob noj los ntawm qhov ncauj lossis txhaj rau hauv txoj hlab ntshav lossis leeg, cov tshuaj nkag mus rau cov ntshav thiab tuaj yeem mus txog rau cov qog nqaij hlav ntshav thoob plaws lub cev (kev kho mob tshuaj tua kabmob).
Saib Cov Tshuaj Pom Zoo rau Kev Kho Mob Prostate yog xav paub ntxiv.
Kev Txhaj Tshuaj Tiv Thaiv
Kev Siv Tshuaj Tiv Thaiv yog ib txoj kev kho mob uas siv tus neeg mob lub cev tiv thaiv kab mob cancer. Cov tshuaj uas tsim los ntawm lub cev lossis tsim hauv chav siv tshuaj yog siv los txhawb, ncaj qha, lossis rov kho lub cev lub cev los tiv thaiv tus mob qog nqaij hlav. Kev kho mob cancer no yog ib hom kev kho mob xyoob ntoo. Sipuleucel-T yog ib hom tshuaj tiv thaiv kab mob uas siv los kho tus mob prostate uas tau metastasized (kis mus rau lwm qhov ntawm lub cev).
Saib Cov Tshuaj Pom Zoo rau Kev Kho Mob Prostate yog xav paub ntxiv.
Kev kho Bisphosphonate
Cov tshuaj Bisphosphonate, xws li clodronate lossis zoledronate, txo cov kab mob pob txha thaum mob cancer tau kis rau pob txha. Cov txiv neej uas raug kho nrog antiandrogen kho los yog orchiectomy yog qhov kev pheej hmoo ntawm pob txha pob txha tuaj. Hauv cov txiv neej no, cov tshuaj bisphosphonate txo qis pob txha pob txha (tawg). Kev siv cov tshuaj bisphosphonate los tiv thaiv lossis maj mam loj hlob ntawm pob txha metastases tab tom kawm hauv kev sim tshuaj.
Muaj kev kho mob rau mob pob txha los ntawm pob txha metastases lossis kev kho hormone.
Prostate cancer uas tau kis mus rau pob txha thiab qee yam kev kho qog yuav ua rau cov pob txha tsis muaj zog thiab ua rau mob pob txha. Kev kho mob rau pob txha muaj xws li cov hauv qab no:
- Tshuaj kho mob.
- Kev kho hluav taws xob sab nraud.
- Strontium-89 (lub xov tooj cua).
- Kev kho hom phiaj nrog lub monoclonal antibody, xws li denosumab.
- Kev kho Bisphosphonate.
- Corticosteroids.
Saib cov ntsiab lus ntawm Cov Xim Xav Tau txais kev qhia ntxiv.
Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
Tshooj lus kawg piav txog kev kho mob uas tau kawm hauv kev sim tshuaj. Nws yuav tsis hais txog txhua txoj kev kho tshiab tau kawm. Cov ntaub ntawv hais txog kev sim kho mob muaj nyob rau ntawm NCI lub vev xaib.
Cryosurgery
Cryosurgery yog kev kho mob uas siv cov khoom siv los khov thiab rhuav tshem cov qog nqaij hlav prostate. Ultrasound yog siv los nrhiav thaj chaw uas yuav kho tau. Hom kev kho no tseem hu ua cryotherapy.
Cryosurgery tuaj yeem ua rau tsis muaj zog thiab tso zis ntawm lub zais zis los yog tso quav los ntawm qhov quav.
Kev siv khov kho – tsom tawm kev kho ultrasound
Kev siv siab tshaj tawm – tsom kwm kev kho mob ultrasound yog ib txoj kev kho mob uas siv ultrasound (lub zog hluav taws xob suab loj) kom rhuav tshem cov qog nqaij hlav cancer. Txhawm rau kho qog mob qog nqaij hlav cancer, ib qho kev soj ntsuam mob qog txhawm rau siv lub suab nrov.
Proton nqaj hluav taws xob kho
Proton nqaj hluav taws xob yog ib hom kev siv hluav taws xob ntau, sab nraud hluav taws xob kev kho mob uas lub hom phiaj mob qog nrog cov dej ntws ntawm cov protons (me me, cov pov thawj zoo). Kev siv hluav taws xob ntau tau kawm nyob rau hauv kev kho mob qog nqaij hlav cancer.
Photodynamic txoj kev kho
Kev kho mob qog noj uas siv tshuaj thiab qee hom laser teeb los tua cov kabmob kheesxaws. Cov tshuaj uas tsis ua haujlwm kom txog thaum nws raug rau lub teeb raug txhaj rau hauv txoj hlab ntshav. Cov tshuaj sau ntau nyob rau hauv cov kabmob kheesxaws dua li ntawm cov cell ib txwm muaj. Fiberoptic leeg tom qab ntawd siv los nqa lub teeb laser rau cov kabmob kheesxaws, qhov twg cov tshuaj yuav ua kom nquag plias thiab tua cov hlwb. Photodynamic txoj kev kho ua rau kev puas tsuaj me me rau cov nqaij mos noj qab haus huv. Nws tsuas yog siv los kho cov qog ntawm lossis tsuas nyob rau hauv daim tawv nqaij lossis hauv ob sab phlu hauv nruab nrog cev.
Kev kho tus mob prostate yuav ua rau muaj kev phiv.
Yog xav paub txog cov kev mob tshwm sim los ntawm kev kho mob qog noj ntshav, saib peb Sab Phiv Rov Qab.
Cov neeg mob yuav xav txog kev sim kho mob.
Txog qee tus neeg mob, koom nrog kev sim kho mob yuav yog txoj kev xaiv zoo tshaj plaws. Cov chaw kuaj mob yog ib feem ntawm cov txheej txheem tshawb mob qog noj ntshav. Cov chaw kho mob tau sim ua kom pom tias kev kho mob qog noj ntshav tshiab muaj kev nyab xeeb thiab zoo dua lossis zoo dua cov qauv tshuaj.
Ntau yam ntawm cov qauv kev kho mob qog noj ntshav niaj hnub no yog los ntawm cov kev tshawb fawb kab mob thaum ntxov. Cov neeg mob uas koom nrog kev sim kho mob tuaj yeem tau txais cov qauv kev kho mob lossis ua thawj zaug tau txais kev kho mob tshiab.
Cov neeg mob uas koom nrog kev sim kho mob kuj pab txhim kho txoj kev kho mob qog nqaij hlav yav tom ntej. Txawm hais tias kev sim tshuaj sim tsis ua rau muaj kev kho mob tshiab, lawv feem ntau teb cov lus nug tseem ceeb thiab pab txav kev tshawb fawb tom ntej.
Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
Qee qhov kev sim tshuaj tsuas yog suav nrog cov neeg mob uas tseem tsis tau txais kev kho mob. Lwm txoj kev sim sim cov kev kho mob rau cov neeg mob uas mob qog noj qab tsis tau zoo dua. Kuj tseem muaj cov kev sim tshuaj kuaj mob uas sim txoj kev tshiab los txwv qog noj ntshav kom tsis txhob mob ntxiv (rov qab los) lossis txo kev phiv los ntawm kev kho mob qog noj.
Cov chaw kuaj mob tau tshwm sim nyob rau ntau lub tebchaws. Cov ntaub ntawv hais txog kev sim kho mob uas tau txhawb nqa los ntawm NCI tuaj yeem nrhiav pom ntawm NCI cov chaw kuaj mob tshawb nrhiav lub vev xaib. Cov chaw kuaj mob txhawb nqa los ntawm lwm cov koomhaum tuaj yeem nrhiav pom ntawm ClinicalTrials.gov lub vev xaib.
Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Qee qhov kev ntsuas mob uas tau ntsuas los kuaj mob qog noj ntshav lossis kom pom tias theem mob cancer yuav rov qab ua dua. Qee qhov kev ntsuas yuav rov ua qhov qub txhawm rau kom pom tias qhov kev kho mob ua haujlwm li cas. Cov kev txiav txim siab hais txog seb puas yuav txuas ntxiv, hloov, lossis tsum tsis mus kho yuav ua raws cov txiaj ntsig ntawm cov kev ntsuas no.
Qee qhov kev sim yuav txuas ntxiv ua ib zaug dhau ib zaug tom qab kho tas. Qhov tshwm sim ntawm kev sim no tuaj yeem qhia tau yog tias koj tus mob tau hloov lossis yog tias mob qog rov qab (rov qab los). Qee qhov kev ntsuas no qee zaum hu ua kev kuaj mob rov qab lossis mus kuaj mob.
Kho Mob Theem I Prostate Cancer
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho qauv ntawm theem I prostate cancer yuav suav nrog cov hauv qab no:
- Xyuam xim tos.
- Kev soj ntsuam kom nquag. Yog tias tus kabmob pib loj hlob, tuaj yeem kho kho hom tshuaj hormone.
- Radical prostatectomy feem ntau, nrog mob hu ua pelvic lymphadenectomy. Kev muab hluav taws xob rau siv tom qab phais tas.
- Kev kho hluav taws xob sab nraud. Kev kho tshuaj hormones yog muab tom qab kho hluav taws xob.
- Kev kho hluav taws xob sab hauv nrog cov noob hluav taws xob.
- Kev sim kho mob kom pom tseeb-siv – teem kho ultrasound.
- Ib qho kev sim kho mob ntawm kev kho yees duab.
- Kev sim tshuaj mob ntawm kev quaj ntsuag.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Kev Kho Mob Theem II Prostate Cancer
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho qauv ntawm theem II prostate cancer yuav suav nrog cov hauv qab no:
- Xyuam xim tos.
- Kev soj ntsuam kom nquag. Yog tias tus kabmob pib loj hlob, tuaj yeem kho kho hom tshuaj hormone.
- Radical prostatectomy feem ntau, nrog mob hu ua pelvic lymphadenectomy. Kev muab hluav taws xob rau siv tom qab phais tas.
- Kev kho hluav taws xob sab nraud. Kev kho tshuaj hormones yog muab tom qab kho hluav taws xob.
- Kev kho hluav taws xob sab hauv nrog cov noob hluav taws xob.
- Kev sim tshuaj mob ntawm kev quaj ntsuag.
- Kev sim kho mob kom pom tseeb-siv – teem kho ultrasound.
- Kev soj ntsuam kab mob kev sim kho kab mob.
- Ib qho kev sim kho mob ntawm kev kho yees duab.
- Kev kuaj mob hauv kev kho mob tshiab, xws li kho cov tshuaj hormone ua raws nrog radical prostatectomy.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Kho Mob Theem III Prostate Cancer
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho mob rau theem III prostate cancer yuav suav nrog cov hauv qab no:
- Kev kho hluav taws xob sab nraud. Kev kho tshuaj hormones yog muab tom qab kho hluav taws xob.
- Kev kho tshuaj hormones. Kev muab hluav taws xob los kho tom qab kho cov tshuaj hormones.
- Tshaj dhau prostatectomy. Kev muab hluav taws xob rau siv tom qab phais tas.
- Xyuam xim tos.
- Kev soj ntsuam kom nquag. Yog tias tus kabmob pib loj hlob, tuaj yeem kho kho hom tshuaj hormone.
Kev kho mob los tswj qog uas nyob hauv prostate thiab tsawg dua cov tsos mob tso zis tuaj yeem suav nrog cov hauv qab no:
- Kev kho hluav taws xob sab nraud.
- Kev kho hluav taws xob sab hauv nrog cov noob hluav taws xob.
- Kev kho tshuaj hormones.
- Cov phais mob ntu ntu ntawm prostate (TURP).
- Kev sim kho mob rau hom tshiab ntawm kev ntsuas hluav taws xob.
- Kev sim tshuaj mob ntawm kev quaj ntsuag.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Kho Mob Theem IV Prostate Cancer
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho mob theem ntawm prostate cancer yuav muaj xws li cov hauv qab no:
- Kev kho tshuaj hormones.
- Kev kho qog ua ke nrog kev siv tshuaj kho mob.
- Kev kho Bisphosphonate.
- Kev kho hluav taws xob sab nraud. Kev kho tshuaj hormones yog muab tom qab kho hluav taws xob.
- Alpha emitter hluav taws xob kho txoj kev kho.
- Xyuam xim tos.
- Kev soj ntsuam kom nquag. Yog tias tus kabmob pib loj hlob, tuaj yeem kho kho hom tshuaj hormone.
- Ib qhov kev sim kho mob rau cov radical prostatectomy nrog orchiectomy.
Kev kho mob los tswj qog uas nyob hauv prostate thiab tsawg dua cov tsos mob tso zis tuaj yeem suav nrog cov hauv qab no:
- Cov phais mob ntu ntu ntawm prostate (TURP).
- Kev siv hluav taws xob.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Kho Tus Mob Hliav Rov Ntsiav Tshuaj lossis Hormone-Resistant Prostate Cancer
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho mob rau kev tiv thaiv kab mob qog ntshav lossis mob tawm tsam prostate tej zaum yuav suav nrog cov hauv qab no:
- Kev kho tshuaj hormones.
- Kev siv tshuaj kho mob rau cov neeg mob twb tau txais kev pab lawm.
- Kev kho biologic nrog sipuleucel-T rau cov neeg mob twb tau txais kev kho mob lawm.
- Kev kho hluav taws xob sab nraud.
- Prostatectomy rau cov neeg mob twb kho mob nrog hluav taws xob kho.
- Alpha emitter hluav taws xob kho txoj kev kho.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Yog Xav Paub Ntau Ntxiv Hais Txog Kev Prostate Cancer
Xav paub ntau ntxiv los ntawm National Cancer Institute txog prostate cancer, saib cov hauv qab no:
- Prostate Cancer Tsev Nplooj Ntawv
- Prostate Cancer, Khoom Noj Khoom Noj, thiab Khoom Noj Muaj Mob
- Kev tiv thaiv qog noj ntshav tiv thaiv
- Kev kuaj mob Prostate Cancer
- Cov Tshuaj Pom Zoo rau Kev Mob Prostate Cancer
- Prostate-specific Antigen (PSA) Kev Ntsuas
- Kev Kho Mob Hlob Rau Kev Mob Qog Noj Qog
- Cov kev xaiv kho mob rau cov txiv neej muaj mob Qog nqaij hlav cancer thaum ntxov
- Cryosurgery hauv Kev Kho Mob Cancer
Txog kev qhia txog kabmob kheesxaws thoob plaws thiab lwm yam kev pabcuam los ntawm National Cancer Institute, saib cov hauv qab no:
- Txog Mob Cancer
- Qib
- Kev Siv Tshuaj Kho Mob thiab Koj: Txhawb Rau Cov Neeg Muaj Mob Cancer
- Qhov Kev Mob Hlaws Hluav Taws Xob thiab Koj: Txhawb Rau Cov Neeg Muaj Mob Cancer
- Kev Muaj Mob Cancer
- Cov Lus Nug Yuav Nug Koj Tus Kws Kho Mob txog Kab Mob Cancer
- Rau Cov Muaj Txoj Sia Nyob thiab Cov Saib Xyuas
Pab saib xyuas nws pib-rov ua dua tshiab