Kev kho mob qog nqaij hlav

Kev kho koj tus mob prostate yog xaiv tom qab kev ntsuam xyuas kom zoo. Koj tus kws kho mob yuav tham txog qhov zoo thiab qhov phom sij ntawm kev kho mob ib zaug.

Qee zaum koj tus kws kho mob yuav pom zoo kom kho ib qho rau koj vim tias koj yam mob qog nqaij hlav thiab yam phom sij. Lwm lub sijhawm, tej zaum yuav muaj ob lossis ntau qhov kev kho mob uas tuaj yeem yog qhov zoo rau koj.

Qhov tseeb koj thiab koj tus kws khomob yuav tsum xav txog suav nrog:

• Koj muaj hnub nyoog thiab lwm yam teeb meem kev kho mob koj yuav muaj
• Kev phiv uas tshwm sim nrog txhua hom kev kho mob
• Txawm hais tias mob prostate hauv zos los sis ntau npaum li cas tus mob prostate tau kis mus
• Koj tus qhab nias Gleason, uas qhia paub tias mob qog noj ntshav ntau npaum li cas
• Koj qhov kev kuaj mob prostate-antigen (PSA) tiav

Nug koj tus kws kho mob kom piav qhia txog cov hauv qab no txog cov kev xaiv kho koj:

• Txoj kev xaiv twg muaj txoj hauv kev zoo tshaj plaws los kho koj tus mob qog noj ntshav lossis tswj kev kis mob?
• Puas yuav muaj feem tau tias koj yuav muaj cov kev mob tshwm sim txawv, thiab lawv yuav cuam tshuam koj lub neej li cas?

Radical prostatectomy yog phais los tshem tawm cov prostate thiab qee cov ntaub so ntswg. Nws yog ib qho kev xaiv thaum muaj mob qog ntshav tsis kis mus dhau lub qog prostate.

Cov txiv neej noj qab nyob zoo uas yuav muaj sia nyob li 10 lossis ntau xyoo tom qab kuaj pom tias muaj tus mob prostate feem ntau muaj cov txheej txheem no.

Nco ntsoov tias nws tsis yog ib txwm ua tau kom paub qee yam, ua ntej kev phais mob, yog tias mob qog kis tau dhau mus tshaj li lub qog prostate.

Cov teeb meem tshwm sim tom qab kev phais mob suav nrog teeb meem tswj cov zis thiab teeb meem erection. Tsis tas li, qee tus txiv neej xav tau kev kho mob ntxiv tom qab qhov kev phais no.

Kev kho hluav taws xob ua haujlwm zoo tshaj plaws rau kev kho tus mob prostate uas tsis tau kis tawm sab nraud ntawm prostate. Nws kuj tseem siv tau tom qab kev phais mob yog tias muaj kev pheej hmoo tias mob hlwb tseem nyob. Kev txhuam hluav taws xob qee zaum siv rau kev kho mob thaum mob cancer tau kis rau tus pob txha.

Sab nraud nqaj hluav taws xob txoj kev kho siv hluav taws xob high-powered x-rays qhia ntawm lub caj pas prostate:

• Ua ntej txoj kev kho mob, tus kws kho hluav taws xob siv tus cwj mem tshwj xeeb rau kos rau ntawm ntu ntawm lub cev uas yuav tsum tau kho.
• Kev xoo hluav taws xob xa mus rau lub qog prostate siv lub tshuab zoo li lub tshuab xoo hluav taws xob tas li. Txoj kev kho nws tus kheej feem ntau tsis mob.
• Kev kho yog ua nyob rau hauv hluav taws xob oncology chaw uas feem ntau txuas nrog tsev kho mob.
• Txoj kev kho yog feem ntau ua 5 hnub ib lim tiam rau 6 txog 8 lub lis piam.

Cov kev mob tshwm sim tuaj yeem suav nrog:

• Qab los noj mov poob
• Zawv plab
• Teeb meem Erection
• Nkees
• Rectal hlawv lossis raug mob
• Cov tawv nqaij ua xua
• Kev tso zis tsis tu ncua, qhov kev xav ntawm qhov xav tau tso zis sai, lossis ntshav hauv cov zis

Muaj cov ntawv ceeb toom ntawm cov mob qog nqaij hlav thib ob uas tshwm sim los ntawm hluav taws xob ib yam nkaus.

Proton kev kho mob yog lwm txoj kev kho hluav taws xob siv los kho tus mob qog nqaij hlav cancer. Proton beams tsom lub qog ua ke, thiaj li muaj kev puas tsuaj tsawg dua rau cov ntaub so ntswg uas nyob ib puag ncig. Qhov kev kho no tsis tau lees paub los yog siv.

Kev kho hlwb yog feem ntau siv rau cov qog nqaij hlav cancer me me uas pom thaum ntxov thiab tab tom qeeb. Kev kho mob hlwb tej zaum yuav suav ua ke nrog kev kho hluav taws xob sab nraud rau kev kho qog nqaij hlav ntau dua.

Kev kho mob hlwb suav nrog tso cov noob tshuaj rau sab hauv lub qog prostate.

• Tus kws phais yuav ntxiv ib rab koob me me dhau ntawm daim tawv nqaij hauv qab koj qhov hnoos qeev kom txhaj cov noob. Cov noob me me ces koj tsis xav li cas.
• Cov noob tawm hauv qhov chaw mus tas li.

Cov kev mob tshwm sim tuaj yeem suav nrog:

• Mob, o, los yog ua pob rau ntawm chaw mos lossis hnoos qeev
• Tso zis liab-daj lossis kua phev
• Cuam meem txom
• Kev tswj tsis tau
• Tso zis cia
• Zawv plab

Testosterone yog qhov tseem ceeb txiv neej hormone. Prostate qog yuav tsum tau testosterone loj hlob. Kev kho qog yog kev kho mob uas txo qis cov nyhuv ntawm testosterone rau mob prostate.

Kev kho qog feem ntau yog siv rau kev mob qog noj ntshav uas tau kis tshaj qhov prostate, tab sis nws kuj tseem tuaj yeem siv nrog kev phais mob thiab hluav taws xob los kho qog nqaij hlav siab tshaj. Cov kev kho mob tuaj yeem pab txo cov tsos mob thiab tiv thaiv kev loj hlob ntxiv thiab kis mob cancer. Tab sis nws tsis kho tus mob cancer.

Hom tshuaj qoj ib ce tseem ceeb hu ua luteinizing hormone tawm cov tshuaj hormones (LH-RH) agonist. Lwm yam kev kho mob siab dua yog hu ua LH-RH kev thaiv tawm:

• Ob yam tshuaj no thaiv cov noob qes los ua testosterone. Cov tshuaj yuav tsum raug txhaj los ntawm kev txhaj tshuaj, feem ntau txhua 3 rau 6 lub hlis.
• Cov kev mob tshwm sim muaj xws li xeev ntuav thiab ntuav, kub ib ce, kev loj hlob ntawm lub mis thiab / lossis rhiab, anemia, nkees, yuag cov pob txha (txha txha), txo qis kev sib deev muaj siab, txo cov leeg nqaij, ua kom yuag, thiab tsis muaj zog.

Lwm hom tshuaj hormone hu ua tshuaj androgen-thaiv cov hlab:

• Nws feem ntau muab nrog rau cov tshuaj LH-RH los thaiv cov txiaj ntsig ntawm testosterone ua los ntawm cov qog adrenal, uas ua rau me me ntawm testosterone.
• Cov kev mob tshwm sim muaj xws li teeb meem erection, txo kev sib deev muaj siab, teeb meem daim siab, raws plab, thiab lub mis o.

Feem ntau ntawm cov cev testosterone ua los ntawm cov noob qes. Yog li ntawd, kev phais kom tshem tawm cov noob qes (hu ua orchiectomy) kuj tseem siv tau los ua kev kho mob hauv tshuaj hormones.

Siv tshuaj kho mob thiab siv tshuaj kho mob (tshuaj uas pab tiv thaiv lub cev tiv thaiv mob qog nqaij hlav cancer) tej zaum yuav siv los kho kev mob qog nqaij hlav prostate uas tsis siv tshuaj kho hormone. Feem ntau ib qho tshuaj ib leeg lossis ib hom tshuaj ntawm cov tshuaj tau pom zoo.

Kev siv tshuaj kho pab huab cua txias siv kom txias thiab tua cov qog ntshav qog ntshav. Lub hom phiaj ntawm cryosurgery yog kom ua kom puas tag nrho cov prostate caj pas thiab tej zaum lwm tus nqaij.

Cryosurgery feem ntau tsis siv los ua kev kho thawj zaug rau tus mob qog nqaij hlav prostate.

• Txiv neej deev aatomy

Lub koom haum Cancer National website. Kev kho mob Prostate cancer (PDQ) - kev tshaj lij kho mob. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. Hloov kho Lub Ib Hlis 29, 2020. Nkag mus rau Lub Peb Hlis 24, 2020.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology (Cov txheej txheem NCCN): mob prostate. Daim Ntawv 1.2020. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. Hloov kho thaum Lub Peb Hlis 16, 2020. Nkag mus rau Lub Peb Hlis 24, 2020.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Prostate mob cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2020: chap 81.

• Prostate Cancer