Khansa ya Prostate
Kufotokozera Kwachidule:
Khansara ya Prostate ndi chotupa chowopsa chomwe nthawi zambiri chimapezeka pamene maselo a khansa ya prostate amakula ndikufalikira m'thupi lachimuna, ndipo kuchuluka kwake kumawonjezeka ndi zaka.Ngakhale kuti kutulukira msanga ndi chithandizo n’kofunika kwambiri, chithandizo china chingathandizebe kuchepetsa kufalikira kwa matendawa ndi kupititsa patsogolo moyo wa odwala.Khansara ya prostate imatha kuchitika pa msinkhu uliwonse, koma nthawi zambiri imakhala yofala kwambiri mwa amuna azaka zapakati pa 60. Ambiri odwala khansa ya prostate ndi amuna, koma pangakhalenso amayi ndi amuna kapena akazi okhaokha.
Chithandizo cha khansa ya prostate chimadalira zinthu zambiri, kuphatikizapo kukula, malo ndi chiwerengero cha zotupa, thanzi la wodwalayo komanso zolinga za ndondomeko ya chithandizo.
Radiotherapy ndi mankhwala omwe amagwiritsa ntchito ma radiation kupha kapena kuchepetsa chotupa.Amagwiritsidwa ntchito pochiza khansa yoyambirira ya prostate ndi khansa yomwe imafalikira kumadera ena a prostate.Radiotherapy ikhoza kuchitidwa kunja kapena mkati.Kutuluka kunja kumathandizira chotupacho pogwiritsira ntchito radiopharmaceuticals ku chotupacho ndiyeno kuyamwa ma radiation kudzera pakhungu.Ma radiation amkati amathandizidwa poika tinthu ting'onoting'ono toyambitsa matenda m'thupi la wodwalayo ndikudutsa m'magazi kupita ku chotupacho.
Chemotherapy ndi mankhwala omwe amagwiritsa ntchito mankhwala kupha kapena kuchepetsa zotupa.Amagwiritsidwa ntchito pochiza khansa yoyambirira ya prostate ndi khansa yomwe imafalikira kumadera ena a prostate.Chemotherapy ikhoza kuchitidwa pakamwa kapena kudzera m'mitsempha.
Opaleshoni ndi njira yodziwira ndi kuchiza khansa ya prostate mwa kuchotsa kapena biopsy.Ochitidwa kunja kapena mkati, opaleshoni nthawi zambiri imagwiritsidwa ntchito pa khansa ya prostate yoyambirira ndi khansa yomwe imafalikira kumadera ena a prostate.Opaleshoni ya khansa ya prostate imaphatikizapo kuchotsa prostate gland (radical prostatectomy), minofu yozungulira ndi ma lymph nodes ochepa.Opaleshoni ndi njira yochizira khansa yomwe imangokhala ku prostate.Nthawi zina amagwiritsidwa ntchito pochiza khansa ya prostate yapamwamba kuphatikiza ndi mankhwala ena.
Timaperekanso odwala omwe ali ndi mankhwala a Ablative, omwe amatha kuwononga minofu ya prostate ndi kuzizira kapena kutentha.Zosankha zingaphatikizepo:
●Kuzizira kwa prostate minofu.Cryoablation kapena cryotherapy ya khansa ya prostate imaphatikizapo kugwiritsa ntchito mpweya wozizira kwambiri kuzizira minofu ya prostate.Minofu imaloledwa kusungunuka ndipo ndondomekoyi ikubwerezabwereza.Kuzizira ndi kusungunuka kumapha maselo a khansa ndi minofu yathanzi yozungulira.
●Kutenthetsa minofu ya prostate.Chithandizo chapamwamba kwambiri cha ultrasound (HIFU) chimagwiritsa ntchito mphamvu ya ultrasound kutenthetsa minofu ya prostate ndikupangitsa kufa.
Mankhwalawa amatha kuganiziridwa pochiza khansa yaing'ono ya prostate pamene opaleshoni sizingatheke.Angagwiritsidwenso ntchito pochiza khansa ya prostate yapamwamba ngati chithandizo china, monga chithandizo cha radiation, sichinathandize.
Ofufuza akufufuza ngati cryotherapy kapena HIFU kuchiza gawo limodzi la prostate ingakhale njira ya khansa yomwe imangokhala ku prostate.Njirayi imatchedwa "focal therapy," njira imeneyi imazindikiritsa dera la prostate lomwe lili ndi maselo a khansa omwe amachitira nkhanza kwambiri derali.Kafukufuku wapeza kuti focal therapy imachepetsa chiopsezo cha zotsatirapo.
Immunotherapy imagwiritsa ntchito chitetezo chamthupi kulimbana ndi khansa.Chitetezo cha mthupi lanu cholimbana ndi matenda sichingawononge khansa yanu chifukwa maselo a khansa amapanga mapuloteni omwe amawathandiza kubisala ku maselo a chitetezo cha mthupi.Immunotherapy imagwira ntchito posokoneza ndondomekoyi.
●Pangani maselo anu kuti amenyane ndi khansa.Chithandizo cha Sipuleucel-T (Provenge) chimatenga ena mwa maselo oteteza thupi lanu, kuwapanga mu labotale kuti alimbane ndi khansa ya prostate kenako ndikulowetsanso maselo m'thupi lanu kudzera mumtsempha.Ndi njira yochizira khansa ya prostate yomwe simayankhanso mankhwala a mahomoni.
●Kuthandiza ma cell a chitetezo chamthupi kuzindikira ma cell a khansa.Mankhwala a Immunotherapy omwe amathandiza ma cell a chitetezo chamthupi kuzindikira ndikuukira ma cell a khansa ndi njira yochizira khansa ya prostate yomwe simayankhanso mankhwala a mahomoni.
Thandizo lamankhwala lomwe limaperekedwa limayang'ana pazovuta zina zomwe zimapezeka m'maselo a khansa.Poletsa zovuta izi, chithandizo chamankhwala chomwe chimayang'aniridwa chingapangitse maselo a khansa kufa.Njira zina zochiritsira zomwe zimagwiritsidwa ntchito zimangogwira ntchito mwa anthu omwe maselo awo a khansa ali ndi masinthidwe ena amtundu.Maselo anu a khansa akhoza kuyesedwa mu labotale kuti awone ngati mankhwalawa angakuthandizeni.
Mwachidule, khansa ya prostate ndi matenda oopsa, ndipo njira zosiyanasiyana zochiritsira zimafunika kuti muchepetse kupitirira kwa matendawa komanso kuti odwala akhale ndi moyo.Ndikofunikira kwambiri kuti muzindikire msanga ndi chithandizo chamankhwala, chifukwa kuzindikira koyambirira ndi chithandizo sikungochepetsa kufa kwa chotupa, komanso kuchepetsa kuopsa kwa chotupa ndikuwongolera moyo wabwino.