Adenocarcinoma kweprostate: tsananguro, zvinokonzera, matanho, zviratidzo uye kurapwa

Adenocarcinoma kweprostate - zvakaoma kenza. Kare, aionekwa mumwe kukonzera rufu pavanhu vakura. Nhasi chirwere ichi inozikanwa akanzi pane muduku. Zvinoita kudzivirira kukura kenza? Sei kuziva zviratidzo yaro tanga?

Vhuṱanzi

Yeprostate Adenocarcinoma - chebundu epithelial neoplasm, iro rinoreva oncological zvirwere. Munyika zvokuongorora ichi kunosimbiswazve gore negore panguva varwere vatsva 500 000. Pasinei Kugara kuvandudzika kuti chirwere uye dzokurapwa unyanzvi, kubva adenocarcinoma kufa anoramba kumusoro. Sei? Varwere kazhinji kufuratira kutanga zviratidzo dambudziko uye regai kumhanyira kuna chiremba rubatsiro.

The kukonzera chirwere

Adenocarcinoma yakataurwa kumera kuti bundu iri prostate kana dzichitama kuburikidza nhengo dzinobudisa ducts. Dzinozivikanwa chikonzero zvakananga chirwere - the inondimukira chokuwanziridza kuti masero mwero. Zvishoma nezvishoma zvinopfuura utano tishu. Atypical zvinhu zviri aumba somugumisiro nemagene kunotouraya. Nei izvi zvichiitika, mushonga ano haagoni kupindura chaizvoizvo. Zvisinei, vanachiremba kusiyanisa rose boka zvinoita kuti kungawedzera mukana wokuti uite dzichiri chirwere:

1. Genetic kubatwa. The pangozi yokuita adenocarcinoma kweprostate inowedzera kaviri, kana abnormality kwakadaro kare chirwere nehama.
2. Age.
3. Kururama zvokudya (dhefisiti zvirimwa zvekudya zvokudya).
4. Kufuta, nokusarovedza muviri.
5. Kusvuta. Carcinogenic zvinhu zviri mudzanga utsi, vane inokanganisa muviri wose.
6. Hormone zvinhu. Adenocarcinoma kweprostate riri kanoverengeka kakawanda chirwere nevanhu vane dzakakwirira testosterone mumatunhu. In chirwere ichi mavari zvinotora nzvimbo nechisimba nenzira.

Vamwe simba kutakura zvimwe zvinhu kuti ndezvemamiriro marudzi ose zvirwere kenza. nemwaranzi ichi, zvakaipa ikoroji, kushanda ngozi runyararo, uye zvichingodaro.

Sei kuziva adenocarcinoma?

Zvinoratidza chirwere haagoni kunzi zvemo. Kazhinji vanhu vane zviratidzo dzakafanana kunotoda mufananidzo urogenital zvirwere. Kana bundu iri diki, izvozvo hakuiti kuzivikanwa kwenguva yakareba. Sezvo kuwanda anomera murwere ezvinhu kuipa. Heano mamwe zviratidzo yeprostate adenocarcinoma:

1. Kuita weti kakawanda. Saka nhamba yemabhuku Urume kuparadzwa anoramba kuzochinja.
2. Cramping marwadzo mudumbu uye horo.
3. Kunzwa kukwana Kuburitswa mu of dundira pashure kuenda chimbuzi.
4. Nezvinetso potency.
5. Kuvapo ropa urume weti uye.

The kutanga zviratidzo zvakafanana avo pana ari prostate adenoma. Saka, mamwe chirwere Danho zvakakosha kusiyanisa umwe neumwe zvokurwara. Pashure chimiro metastases (4-fung pavaipfuura chirwere) marwadzo kusanzwa kunowedzera, kuzvimba rezasi wamativi rinowanika. Dzimwe nguva anovandudza rutivi rwomuviri ari pakanyorwa nomuzongoza bundu compression.

Mhando yeprostate adenocarcinoma

Mumwe kuziva zvinokonzera ndiyo kurapwa nzira Kusiyanisa adenocarcinoma. Iri izwi rinoreva ukuru pakunamata bundu, kusiyana masero utano kubva pathological. Rinoshandiswa patsanura zvirwere. We kusiyanisa pakati low-, medium- uye kusiyaniswa zvikuru neoplasms zvinhu. On kuitika chirwere govera mhando yakadai adenokartsenomy se:

• melkoatsinarnaya;
• mukuru-vegiredhi;
• pasi-vegiredhi;
• squamous.

Melkoatsinarnaya adenocarcinoma kweprostate - ndicho chimiro chirwere. Chinenge chiri epithelium kuti yeprostate acini. Neoplasms kazhinji kutanga panguva imwe chete munzvimbo dzinoverengeka, uye ipapo Kubatanidza pamwechete. Nokuti kurapwa: pokuvhiyiwa, kemikari testosterone blockade uye radiotherapy.

Vakawanda mhando rechipiri adenocarcinoma - kumusoro-mugiredhi. Kazhinji, bundu hwapedyo zvishoma nezvishoma uye haapi metastases. zvinhu zvayo regai akasiyana chivako kubva kwomuzvarirwo masero. With nenguva kuonekwa ari fungidziro kunorapwa akanaka.

Kupfuura isingawanzowanikwi uye utsinye chimiro squamous adenocarcinoma iri. Zvinonzi kusiyaniswa kufambira metastasis kuti pfupa. Hormone kurapa uye mishonga chimiro ichi chirwere kazhinji isashande. Varwere vari akanyeverwa yakakura prostatectomy.

Havaratidzi kusiyaniswa adenocarcinoma kweprostate ine avhareji mwero zvakaoma. Bundu iri dzinoratidzwa layered chimiro, uye Gleason zvibodzwa 8-10 inopindirana. Neoplasm nokukurumidza rinokura munzvimbo pedyo nhengo.

chirwere chirwere

Mugore European makiriniki vanhu vose pamusoro 45 vanosangana fanira kuongorora kuti vasabatwa zvirwere yeprostate. Zvinosanganisira kubvunza chiremba wezvedundira, uye muedzo imwe antigen ropa. Yokupedzisira ichaongororwa zvikuru mashoko muedzo mangwanani chirwere chekenza. A mukuru pamwero Mapisarema muropa zvisina kunanga rinoratidza kuvapo imwe pathological kwacho.

Chimwe nzira kuenzanisira tsvakurudzo chinhu rectal bvunzo. Kunoitawo kuti kuongorora mamiriro ezvinhu muviri uye panosvika kwayo functionality. Adenocarcinoma kweprostate ane yakanaka for bedzi kwokutanga nzendo pakukura. Mune zvimwe zviitiko, kudiwa mishonga zvinodhura uye refu-refu.

Kana uchifungidzira kuti chirwere ichi kugadza zvakawanda:

• Ultrasound;
• biopsy;
• MRI;
• scintigraphy;
• urinalysis, ropa.

Muzvipatara dzakawanda ano kuongorora mamiriro ezvinhu prostate uchishandisa rectal vachiongorora chaiyo. Kunoitawo kushandisa nokukurumidza-tsono zvibereko fenzi zvinhu yokutsvakurudza. Kombiyuta hunosumwa kupinda mugaranhoko, uye migumisiro nzira anonyorwa chidzitiro.

chirwere rwakazara

Asati kurapwa kuona hworudzii acinar adenocarcinoma kweprostate (chii chiri kurondedzerwa chete kumusoro) uyewo ukuru kune pathological muitiro. Kukura chirwere anotevera matanho kwakafanana nezvimwe kenza yeprostate. The musiyano chete - kubva for mushonga wakakwana. Somuenzaniso, squamous chimiro muzvikamu zvose kukura vari nokukurumidza. Quite kumhanya kukura uye kunoratidzwa mwero kusiyaniswa adenocarcinoma kweprostate. Zvisinei, kuti kuonekwa ari kutanga kwekupwanyiwa pakukura anoonekwa chishamiso. Kana nguva kutanga kurapwa, zvinokwanisika kuti tariro yakanaka mugumisiro.

Chii nzendo prostate adenocarcinoma dzoga? In zvachose pane zvina:

1. Danho rokutanga haawanzopiwi chirwere. Aichinja zvinyama yakarongeka zvishoma, vanogona kuonekwa chete kuburikidza biopsy. Miedzo kazhinji zvinoratidza zvishomanana yakatsauka kubva tichienzanisa zviratidzo.
2. Danho rechipiri kunoratidzwa maronda nhengo shwanu uye ayo membranes. Changes ayo mamiriro anogona kuonekwa ne palpation.
3. In danho rechitatu pane simba bundu kukura, kubereka, kenza. The pathological muitiro zvishoma nezvishoma anopararira kusvika yeprostate matema.
4. Panguva pavaipfuura wechina, lesion pedyo zvomukati. Kuwanda masero kenza mberi. Metastases anogona kuonekwa ari node nodes uye madziro abdominal mhango.

Basic misimboti yokurapa

Adenocarcinoma vanogona kuhwina chete pane kutanga pavaipfuura chirwere. With zvakakwana uye kwakakwana kurapwa hakutadzisi zviratidzo uye kuderedza kuchinja ari pathological muitiro chero rwakazara. The marapiro gwara kunoenderana mwero bundu rakapararira. Vamwe dzakasiyana pamusoro nzvimbo anomera inobvumira kuita kushanda musi excision kuti chipfuva uye emunharaunda nodes. Nhasi, vanachiremba vanoedza kushandisa zvishoma invasive nzira kuti haadi refu vapore nguva. Vemunyika adenocarcinoma kweprostate gland kazhinji zvinoda pamuviri utariri uye kunopfuurira zvichiongororwa. Kufembera kupona haisi nguva dzose kunowedzera pamusoro colour kuti basa kurapwa.

Kuchinja uye kuvhiya Mabatirwo adenocarcinoma

Kana bundu hunowanikwa nokuda nokubviswa, murwere ushandiswe kushanda - prostatectomy. Pari, voitakura kunze uchishandisa laparoscope kana robhoti mubatsiri. Pashure prostatectomy kunoda refu vapore nguva. Zvinosanganisira matanho kudzorera pelvic zvomukati, mukono potency (kana richiri kushanda).

In akazotevera nzendo kurapwa mukwanisi hormone kurapa uye radiotherapy. Ekupedzisira ane nhamba zvaungasarudza. nemwaranzi mabviro anogona iri kunze kana mukati (kupinza pamusoro Kamudzira pakati radioactive isotopes ose ayodhini). Kana prostatectomy iri contraindicated kuti kuchatsiviwa cryotherapy. Panguva nzira iyi bundu pachioma, mauri akaipa masero vaparadzwa.

Acinar adenocarcinoma kweprostate uye 7 pfungwa yepamusoro varwere vakwegura kazhinji zvisingachinji kuvhiya kupindira. Pakadaro riri basa guru zvichiongororwa uye palliative matanho.

mataridzikiro

Nei zvinogoneka mune chirwere che "adenocarcinoma kweprostate '? The fungidziro chirwere kunoenderana padariro pave pathologic kwacho, murwere zera uye ake zvayo ezvinhu. In tanga nayo yavose sezvavakatarirwa sezvo conditionally zvakanaka. Zvinosuruvarisa adenocarcinoma pakutanga mumatanho okukura hariwaniki rakajeka kunotoda mufananidzo. Saka varwere regai rikasakurumidza chiremba rubatsiro. Vazhinji vavo akaona dambudziko riri 3-4th pachikuva, kana varipo kare metastases. Pakadaro, chirwere chacho kusingarapiki.

mhedziso

Oncological zvirwere munyika ano vari kuramba achiva kukonzera mangwanani rufu. The vamiririri akasimba pabonde, kupfuura kwakapararira adenocarcinoma kweprostate. Kurapa chirwere ichi refu uye zvakaoma chaizvo. Chirwere chirwere mukupera mumatanho kazhinji kunoguma kufa nokukurumidza. Kudzivirira kukura achinyengera chirwere yakadaro, zvinokosha kuti vanoomerera mararamiro utano uye kugara uchiongororwa. Stay utano!