Maxay tahay marxaladda 4 kaansarka qanjirka 'prostate', daawooyinka la heli karo, iyo maxay tahay natiijada?
Marxaladda 4aad ee kansarka qanjirka 'prostate' ayaa ah heerka ugu sareeya ee cudurka. Taas macnaheedu waa in kansarku uu ku faafo meel ka baxsan qanjirka 'prostate' ilaa meelo fog oo jidhka ah.
Fahanka Diyaarinta
Nidaamka celinta ugu badan ee loo isticmaalo kansarka qanjirka 'prostate' waa nidaamka kaadhadhka TNM . Nidaam kale oo ay isticmaalaan isbitaallada qaarkood iyo dhakhaatiirta ayaa ah nidaamka hirgelinta ee Jewett taas oo bur burinaysa burooyinka curuudka A si heer darajo ah.
Iyadoo nidaamka TNM, xarfaha u taagan:
- T wuxuu u yahay qiyaasta burooyinka.
- N waa ka qayb qaadashada limfa noode. N0 waxaa loola jeedaa in kansarku uusan ku faafin qanjirka nukliyeerka. N1 macnaheedu waa buro ayaa ku faaftay qulqulka qanjidhada u dhow. N2 macnaheedu waa buro ayaa ku faafay qanjidhada fog.
- M waa loogu talagalay daroogada. M0 macnaheedu waa in kansarka qanjirka 'prostate' uusan ku fidin meelo fog. M1 waxaa loola jeedaa in kansarka qanjirka 'prostate' uu ku faafo xubnaha jirka - lafaha ayaa ah meesha ugu caansan ee kansarka qanjirada.
Kansarka qanjirka 'prostate' waxaa loo tixgeliyaa heerka 4 ee 3 siyaabood oo kala duwan:
- Cagaarshow T4 oo aan lahayn qulqulka lafdhabarta nukliyeerka oo aan lahayn mitirro.
- Caano walboo kasta oo la socdo qanjidhada u dhaw (N1) oo aan lahayn mitirro.
- Buro-cabbir kasta oo keli ah oo leh xaallad qanjiraha ah (midna, noodhka ku dhaw, ama noodhka fog), oo lagu daro metastases gobolka kale (M0).
Astaamaha
Calaamadaha marxaladda 4 kaansarka qanjirka 'prostate' wuxuu la xiriiri karaa kansarka ku jira qanjirka 'prostate', ama sababo la xidhiidha cirrid.
Qaar ka mid ah kuwaan waxaa ka mid ah:
- Dhiiga kaadida
- Dhibaato kaadinta
- Kala-bax la'aan Erectile
- Xanuunka lafaha ee lafaha lafaha
- Tabar-darrada lugaha ama caloosha ama dhibaatooyinka kaadiheysta
- Miisaanka culus
- Kordho inta jeer ee caabuqa
- Daal
Ciladeynta
Baaritaanno lagu ogaado kansarka qanjirka 'prostate' waxaa ku jiri kara taranka CT, ultrasound, MRI, ama PET scan si loo qiimeeyo koritaanka iyo raadinta jimicsiga.
Biopsi badanaa ayaa la sameeyaa si loo eego gardarrada guska.
Daaweynta
Inkastoo marxaladda 4 kaansarka qanjirka 'prostate' aan caadi ahaan la daaweyn, waa daweyn. Isku-darka daaweynta dhowr ah ayaa sida caadiga ah loo isticmaalaa muddo ka dib marxaladdan cudurka.
Daaweynta Hormoon - Daaweynta hormoonka badanaaba waa meesha ugu muhiimsan ee loogu talagalay cudurka 4aad. Doorashooyin kala duwan ayaa la heli karaa si loo yareeyo xaddiga testosterone ee jirkaaga. Daawooyinka qaarkood waxay joojiyaan wax soo saarka testosterone, qaar kalena waxay ka shaqeeyaan sidii looga hortagi lahaa testosterone ka kicinta unugyada kansarka qanjirka 'prostate'. Sida estrogen u shaqeeyaa sida shidaalka si loogu kiciyo koritaanka nuucyada kansarka naasaha badan, testosterone wuxuu u shaqeeyaa sidii shidaal si loo fududeeyo koritaanka unugyada kansarka qanjirka 'prostate'.
Qaliinka Palyage - Qaab-galka TURP waxaa mararka qaarkood lagu sameeyaa marxaladan. Maaddaama marxaladda 4 kaansarka qanjirka 'prostate' uu leeyahay qeexidda qaybo kale oo jirka ah, qaliinka si looga saaro qanjirka 'prostate' ma fiicna "kansarka" kansarka maxaa yeelay waxaa laga yaabaa inuu marxaladaha hore ee kansarka qanjidhka ka soo baxo. Qalliinnadan waxaa mararka qaarkood loo sameeyaa calaamadaha la xiriira qanjirka 'prostate'. Marmarka qaarkood xinjir sameynta (ka saarista xiniinyaha) sidoo kale waxaa loo sameeyaa qaab daweyn hormooneed.
Shucaaca qalalan - Radiation waxaa la isticmaali karaa daaweynta hoormoonka marka hore si loo xakameeyo xanuunka, ka dib marka daaweynta hormoonku joojiso shaqada.
Radiationka waxaa sidoo kale loo isticmaali karaa lafaha lafaha si loo yareeyo xanuunka.
Daaweynta lafaha lafaha - Daaweynta lafaha lafaha waxay ku jiri kartaa isku dhafka daaweynta shucaaca iyo qaybta daawada loo yaqaan 'bosphosphonates'.
Chemotherapy - Chemotherapy waxaa laga yaabaa inay ka shaqeyso in ay sii dheeraato nolosha ragga qaba kansarka qanjidhka kaadimareenka iyo sidoo kale inay xanibaato xanuunka sababo la xidhiidha mitirka.
Saadaasha
Saadaasha cudurka 4aad ee cudurka ayaa si aad ah u kala duwan, waxayna ku xiran tahay inta kansarku sii fiday. Marxaladda jabaqda 4 hoos ugu dhacday 2 qaybood:
Marxaladda 4aad ee la socota mitirka gobolka - Kansarka qanjidhka 'Prostate' oo loo yaqaan 'stage 4' sababtoo ah xajmiga bukaanka weyn (T4) ama uu ku faafo qulqulka ku dhow dhow wuxuu leeyahay 5 sano oo ka mid ah badbaadada badbaadada ee ku dhawaad 100%.
Marxaladda 4aad ee la socoshada metasaska - Sida laga soo xigtay taariikhda SEER ee Machadka Kansarka ee Qaranka, ragga qaba qanjidhka 4-aad ee qanjidhka 'prostate' oo ku faafa qulqulka qanjidhada ee fog (N2) ama qaybo kale oo jidhka ka mid ah sida lafaha, waxay heleen heerka 5 28%. Xitaa sidan oo kale maskaxda ku hay in daaweynta kansarka casriga ahi ay soo fiicnaanayso sannad kasta. Qof kastaa wuu ka duwan yahay, tijaabooyinka bukaan-eegtada maanta ayaa badali kara lambaradaas berrito.
La qabsashada
Wax ka ogow kansarkaaga. Iska ilaali qaar ka mid ah xaaladaha degdega ah ee kansarka qanjirada si aad diyaar u noqotid. Aqbal caawimaad. Marxaladda 4-aad ee kansarka qanjirka 'prostate' ayaa mararka qaar keeni kara xanuun weyn. La hadal dhakhtarkaaga oo ha isku dayin inaad "geesinimo" noqoto oo iska ilaali daaweynta calaamadahaaga. Tixgeli inaad ku biirto koox taageero ama eegto marxaladda internetka 4 bulshooyinka kansarka qanjirka 'prostate'.
Haddii ay tahay qofka aad jeceshahay inaad la qabsato kansarka qanjirka 'prostate', waxaad barataa talooyin muhiim ah oo ku saabsan taageerida qof la jecel yahay oo leh kansarka qanjirka 'prostate' .
Ilaha:
Society Cancer Society. Heerarka raritaanka ee kansarka qanjirka 'prostate'. http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-survival-rates.
Kumar V, Abbas A, Fausto N. Robbins Pathologic Basis of Disease 7th Edition. 2004.
Machadka Kansarka Qaranka. Daaweynta Kansarka Prostate - ee khabiirada caafimaadka (PDQ). http://www.cancer.gov/types/prostate/hp/prostate-treatment-pdq.