Kenza ye Prostate? Zviratidzo, Zvinokonzera, & Kurapa

Kenza ye prostate inoitika kana masero ari mu gland ye prostate atanga kukura zvisingadzoreki. Prostate igland duku, ine saizi ye walnut, iri pasi pe bladder yako uye inogadzira mvura inobatsira pakudyisa nekufambisa sperm.

Rudzi urwu rwekenza rumwe rwezvinonyanya kukanganisa varume, kunyanya avo vane makore anopfuura 50. Mashoko akanaka ndeakuti mazhinji ekenza ye prostate anokura zvishoma nezvishoma uye anoramba ari mu gland ye prostate, kwaasingakonzere kukuvadzwa kukuru. Varume vakawanda vanorarama hupenyu hwakanaka, hwutano kunyangwe mushure mekuziva kuti vane kenza ye prostate.

Zviratidzo zvekenza ye prostate ndeapi?

Kenza ye prostate iri pakutanga kazhinji haina zviratidzo. Ndosaka kuongororwa nguva nenguva kuchikosha sezvaunokura. Kana zviratidzo zvikaonekwa, kazhinji zvinoitika zvishoma nezvishoma.

Aya ndiwo mamwe ezviratidzo zvaunogona kuona, uchifunga kuti mazhinji acho anogonawo kukonzerwa nezvirwere zve prostate zvisiri kenza:

• Kunetseka kutanga kuenda kunzvimbo kana mvura ine simba shoma
• Kuenda kunzvimbo kazhinji, kunyanya usiku
• Kunzwa sekunge bladder yako haina kupera zvachose
• Kurwadziwa kana kupisa pakuenda kunzvimbo
• Ropa mumvura kana sperm
• Kurwadziwa pakuita zvepabonde
• Kurwadziwa kwenguva refu kumusana, magaro, kana pelvis

Zviratidzo izvi zvinogona kunetseka, asi yeuka kuti zvinowanzo konzerwa nekuwedzera kwe prostate kwete kenza. Zvisinei, chero shanduko dzisingaperi mumabasa ako ekushandisa mvura kana zvepabonde dzinofanira kutaurwa nachiremba wako.

Muitiro usina kujairika apo kenza yakapararira kubva ku prostate, unogona kuona kurwadziwa kwemashizha, kurasikirwa nehuremu kusina tsananguro, kana kuneta. Kenza ye prostate yakakura inogonawo kukonzera kuzvimba kwemitswe kana kushaya simba mumitswe kana ikakanganisa lymph nodes iri pedyo kana mitsipa.

Marudzi ekensa ye prostate ndeapi?

Anenge ese ekensa ye prostate ndi adenocarcinomas, anobva mu masero egland anoita mvura ye prostate. Uyu ndiwo rudzi vanachiremba vanonyanya kuziva kurapa, uye inopindura zvakanaka pakurapa kwakasiyana-siyana.

Mamwe marudzi asingawanzoitika anosanganisira masero madiki carcinomas, neuroendocrine tumors, uye sarcomas. Izvi zvinoumba pasi pe 5% yezvese kenza ye prostate. Kunyangwe aya maitiro asingawanzoitika anogona kuva ane utsinye, asiwo haawanzoitiki, saka varume vazhinji vakaziva kuti vane kenza ye prostate vachava nerudzi rwe adenocarcinoma rinoshandisika zviri nyore.

Chiremba wako achaisawo kenza yako maererano nekukurumidza kwaingokura. Mamwe ekensa ye prostate anokura zvishoma nezvishoma uye angasakonzere matambudziko, nepo mamwe ari ane utsinye uye anoda kurapwa nekukurumidza.

Chii chinokonzera kenza ye prostate?

Chikonzero chaicho chekenza ye prostate hachizivikanwi zvizere, asi chinoitika kana shanduko ye DNA ikakonzera kuti masero e prostate akure uye akakamure nekukurumidza kupfuura zvakajairwa. Aya masero asingawanzoitika anoramba achirarama apo mamwe masero aifa, achigadzira tumor.

Zvinhu zvakati wandei zvinogona kuwedzera njodzi yako, kunyangwe kuva nezvinhu zvinokonzera njodzi hazvirevi kuti iwe uchava nekensa zvechokwadi:

• Zera - njodzi yako inowedzera zvakanyanya mushure memakore 50
• Nhoroondo yemhuri yekenza ye prostate kana yepamuviri
• Rudzi - varume veAfrica America vane njodzi yakakwira
• Kushanduka kwemajini kunogara kwenguva refu senge BRCA1 kana BRCA2 mutations
• Geography - inowanzoitika muNorth America neEurope

Mamwe ekutsvagisa anoratidza kuti kudya kwakawanda kwenyama tsvuku uye zvokudya zvine mafuta akawanda zvinogona kuwedzera njodzi, nepo kudya kwakawanda kwemichero nemichero kungadzivirira. Zvisinei, uchapupu hahusi hwakasimba zvakakwana kuita mazano ekudya akasimba ekudzivirira.

Zvakakosha kunzwisisa kuti varume vazhinji vanowana kenza ye prostate havafaniri kudzora zvinhu zvinokonzera njodzi. Izvi hazvisi chimwe chinhu chawakakonzera kana waigona kudzivirira nekudya chete.

Rini unofanira kuona chiremba nekuda kwekenza ye prostate?

Unofanira kutaura nachiremba wako nezvekuongororwa kwekenza ye prostate kutanga pamakore 50 kana uri panjodzi yakajairwa. Kana uri muAfrica America kana uine nhoroondo yemhuri yekenza ye prostate, funga kutanga kutaura uku pamakore 45.

Usamirire kuti zviratidzo zvionekwe usati wataura nezvekuongororwa. Yeuka, kenza ye prostate iri pakutanga kazhinji haina zviratidzo zvinoonekwa, ndicho chikonzero chaicho chekuongororwa nguva nenguva kunova kukosha kwazvo.

Rongedza musangano nekukurumidza kana iwe ukaona chero shanduko dzekushandisa mvura senge kunetseka kutanga kana kumisa kuenda kunzvimbo, mvura ine simba shoma, kana kuenda kunzvimbo kazhinji usiku. Kunyangwe zviratidzo izvi zvinowanzo konzerwa nezvirwere zvisiri ngozi, zvinoda kuongororwa.

Tsvaga rubatsiro rwekurapa nekukurumidza kana iwe ukaona ropa mumvura yako kana sperm, kurwadziwa kwenguva refu kwemashizha, kana kurasikirwa nehuremu kusina tsananguro. Zviratidzo izvi, kunyangwe zvisingawanzoitiki, zvinoda kuongororwa nekukurumidza kuti zvizive chikonzero chazvo.

Zvinhu zvinokonzera njodzi yekenza ye prostate ndeapi?

Kunzwisisa zvinhu zvinokonzera njodzi yako kunogona kukubatsira kuita sarudzo dzakachenjera nezvekuongororwa uye mararamiro. Mamwe maitiro aunogona kudzora, nepo mamwe aunogona kukwanisa kukanganisa.

Zvinhu zvinokonzera njodzi zvausingakwanisi kuchinja zvinosanganisira:

• Zera - njodzi inowedzera kaviri makore ose gumi mushure memakore 50
• Rudzi - varume veAfrica America vane njodzi yakakwira ye 60%
• Nhoroondo yemhuri - njodzi inowedzera kaviri kana baba kana munun'una vaive nekensa ye prostate
• Kushanduka kwemajini kunogara kwenguva refu senge BRCA2
• Geography - mitengo yakakwira muNorth America neEurope

Zvinhu zvinogona kukanganisa njodzi yako zvinosanganisira kudya, kurovedza muviri, uye uremu hwemuviri. Mamwe ekutsvagisa anoratidza kuti varume vanodya nyama tsvuku yakawanda uye zvokudya zvine mafuta akawanda vangave vane njodzi yakakwira zvishoma, nepo avo vanodya hove nemiriwo yakawanda vangave vane njodzi yakaderera.

Kurovedza muviri nguva dzose uye kuchengetedza uremu hwakanaka zvinoita sekunge zvinodzivirira, kunyanya pane zvimiro zvine utsinye zvekenza ye prostate. Zvisinei, aya mararamiro anoita sekunge ane mhedzisiro shoma pane njodzi yekenza ye prostate kana ichienzaniswa nemamwe marudzi ekensa.

Matambudziko anogona kuitika ekensa ye prostate ndeapi?

Matambudziko anogona kubva pakenza pachayo kana kurapwa. Kunzwisisa aya maitiro kunokubatsira kugadzirira uye kuita sarudzo dzakachenjera dzekurapa nechikwata chako chehutano.

Matambudziko ane chekuita nekenza anogona kusanganisira:

• Kenza yakapararira ku lymph nodes iri pedyo kana mapfupa
• Kushaya simba rekushandisa mvura kana kenza ikakanganisa kudzora bladder
• Kushaya simba rekugara zvepabonde nekukuvadzwa kwemitsipa
• Matambudziko ematumbo kana kenza ikapararira kune zvikamu zviri pedyo

Matambudziko ane chekuita nekurapa anochinja zvichienderana nekurapa kwawakasarudza. Kuongororwa kunogona kukonzera kushaya simba kwenguva pfupi kana kwenguva refu uye kushaya simba rekugara zvepabonde. Kurapa kwemwaranzi kunogona kukonzera kuneta, kunetseka kwematumbo, uye matambudziko ekushandisa mvura. Kurapa kwehomoni kunogona kukonzera kupisa, kuonda kwemashizha, uye kushanduka kwemanzwiro.

Mashoko akanaka ndeakuti matambudziko mazhinji anogona kudzorwa nekurapa kwakakodzera. Chikwata chako chehutano chichaita newe kuderedza njodzi uye kugadzirisa chero matambudziko anoitika panguva kana mushure mekurapwa.

Kenza ye prostate inoongororwa sei?

Kuongororwa kazhinji kunotanga nePSA blood test uye digital rectal exam panguva yekuongororwa kwako nguva dzose. PSA inoreva prostate-specific antigen, protein inogadzirwa nemasero e prostate inogona kuwedzera mukati mekenza.

Kana aya bvunzo ekutanga akaratidza kenza inogona kuvapo, chiremba wako anogona kukurudzira prostate biopsy. Panguva yekurapa uku, tsono dzine matete dzinobvisa zvidimbu zviduku zve tishu kubva kunzvimbo dzakasiyana dze prostate yako. Zvidimbu zvinotarwa pasi pemikroskopu kuti zvive nemasero ekensa.

Mamwe bvunzo anogona kusanganisira MRI imaging kuti uwane mifananidzo yakadzama ye prostate yako, kana bvunzo itsva senge 4Kscore kana Prostate Health Index inopa ruzivo rwakawanda kupfuura PSA chete.

Kana kenza ikawanikwa, chiremba wako achaona giredhi rayo achishandisa Gleason score system. Izvi zvinobatsira kufanotaura kuti kenza ingakurumidza sei kukura nekupararira, ichitungamira sarudzo dzako dzekurapa.

Kurapa kwekenza ye prostate ndekupi?

Kurapa kunotsamira pazvinhu zvakawanda zvinosanganisira nhanho ne giredhi rekenza yako, zera rako, hutano hwese, uye zvaunoda. Mashoko akanaka ndeakuti une sarudzo dzakawanda dzinoshanda kufunga nezvadzo.

Kune kenza inokura zvishoma nezvishoma, ine njodzi yakaderera, kucherechedza kwakasimba kunogona kukurudzirwa. Izvi zvinoreva kuongororwa nguva dzose nePSA bvunzo, bvunzo, uye biopsy dzenguva nenguva panzvimbo pekurapa nekukurumidza. Varume vakawanda vanoita zvakanaka neiyi nzira, vachidzivirira matambudziko ekurapa nepo vachichengeta kutarisa kenza yavo.

Sarudzo dzekuongororwa dzinosanganisira radical prostatectomy, uko gland yese ye prostate inobviswa. Izvi zvinogona kuitwa nekuongororwa kwakajairwa kana nzira diki dzisingakuvadzi dzerobotic. Kuongororwa kazhinji kunokurudzirwa kune varume vaduku, vane hutano vane kenza iri munzvimbo.

Kurapa kwemwaranzi kunoshandisa mabhuru ane simba rakakura kuuraya masero ekensa. Mwaranzi yekunze inobva kunze kwemuviri wako, nepo brachytherapy ichisanganisira kuisa mbeu dzemwaranzi zvakananga mu prostate yako. Nzira mbiri dzacho dzinogona kuva dzinoshanda kwazvo kune kenza iri munzvimbo.

Kune kenza yakakura, kurapa kwehomoni kunovhara testosterone, iyo inokonzera kukura kwekenza ye prostate. Kurapa uku kunogona kudzikisa tumors uye kudzikisa kukura kwekenza, kunyangwe kuchirapa chirwere chacho.

Kurapa kwakatsva senge immunotherapy uye targeted therapy zviri kuratidza tariro kune mamwe marudzi ekensa ye prostate yakakura. Oncologist yako inogona kukurukura kana aya maitiro angave akakodzera mamiriro ako.

Nzira yekugadzirisa sei kenza ye prostate pamba?

Kutora basa rakakura mukutarisirwa kwako kunogona kukubatsira kunzwa uchikwanisa kudzora uye zvichida kuvandudza mhedzisiro yako. Shanduko dzekudya dzakapusa dzinogona kuita musiyano mukuru mukunzwa kwako panguva yekurapa.

Tarisisa kudya kwakaringana kwakazara nemichero, miriwo, uye zviyo zvizere nepo uchideredza nyama tsvuku nezvokudya zvine mafuta akawanda. Kudya kwakanaka kunotsigira sisitimu yako yekudzivirira uye kunobatsira kuchengetedza simba panguva yekurapa.

Rambai muchiita zvemuviri sezvo chiremba wenyu akakurudzira. Kurovedza muviri nguva dzose kunogona kubatsira kudzora matambudziko ekurapa senge kuneta, kuchengetedza simba remapfupa, uye kuvandudza manzwiro ako. Kunyange mabasa akareruka senge kufamba kana kushambira kunogona kubatsira.

Gadzirisa kushushikana kuburikidza nematekiniki ekusununguka, kufungisisa, kana kutaura nemukurukuri. Kuziva kenza nekurapa kunogona kuva kunetsa mupfungwa, uye kugadzirisa kushushikana kunobatsira hutano hwako hwese.

Chengeta zviratidzo zvako nematambudziko, uye usambotya kubata chikwata chako chehutano nemibvunzo kana zvinetso. Varipo kukutsigira mukufamba kwako kwese kwekurapa.

Unofanira kugadzirira sei musangano wako nachiremba?

Kugadzirira kunokubatsira kuita zvakanyanya panguva yemusangano wako uye kuve nechokwadi chekuti unowana ruzivo rwaunoda. Tanga nekunyora zviratidzo zvako, kusanganisira pavakatanga uye maitiro avo akachinja panguva.

Gadzira runyora rwemishonga yese, mavhitamini, uye zvinowedzerwa zvaunotora, kusanganisira madhoshi. Uya nenhoroondo yemhuri yekurapa, kunyanya kucherechedza hama dzese dzakave nekensa ye prostate, yepamuviri, kana mamwe marudzi ekensa.

Gadzira mibvunzo yako usati watanga. Funga kubvunza nezvezvinhu zvako zvinokonzera njodzi, mazano ekutarisa, bvunzo dzaunoda, uye zvinoreva zvibereko kune hutano hwako.

Kana uri kukurukura sarudzo dzekurapa, bvunza nezvemabhenefiti nenjodzi dzenzira imwe neimwe, maitiro avo anogona kukanganisa hupenyu hwako hwezuva nezuva, uye kuti kupora kuri sei. Usambotya kubvunza chiremba wako kuti adzokorore kana kujeka chero chinhu chausinganzwisisi.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri inogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa panguva yemusangano.

Chii chinonyanya kukosha nezvekenza ye prostate?

Kenza ye prostate yakajairika kwazvo, asi inogona kurapwa zviri nyore, kunyanya kana yakawanikwa pakutanga. Varume vazhinji vakaziva kuti vane kenza ye prostate havazofi nayo, uye sarudzo dzakawanda dzekurapa dzinogona kukubatsira kuchengetedza hupenyu hwakanaka.

Nhanho inonyanya kukosha yaunogona kutora ndeyekutaura nguva dzose nachiremba wako nezvekuongororwa. Kuziva pakutanga kunokupa sarudzo dzakawanda dzekurapa uye mukana wakanaka wekubudirira.

Yeuka kuti kuva nezvinhu zvinokonzera njodzi hazvirevi kuti uchave nekensa, uye kuziva hazvirevi kuti hupenyu hwako hwapfuura. Kufambira mberi kwekurapa kwakaita kuti kenza ye prostate ive nyore kudzora kupfuura makore gumi apfuura.

Rambai muchiziva, asi musarega kutya kuchitungamira sarudzo dzako. Shandira pedyo nechikwata chako chehutano kuita sarudzo dzinoenderana nemafambiro ako nezvinangwa. Nekurapa kwakakodzera nerutsigiro, unogona kufamba ne rwendo urwu zvichibvira.

Mibvunzo inowanzo bvunzwa nezvekenza ye prostate

Kenza ye prostate inogona kudzivirirwa here?

Hapana nzira yakavimbika yekudzivirira kenza ye prostate sezvo zera, majini, uye rudzi zviri zvinhu zvikuru zvinokonzera njodzi zvausingakwanisi kudzora. Zvisinei, kuchengetedza mararamiro ane hutano nekurovedza muviri nguva dzose, kudya kwakaringana kwakazara nemichero nemichero, uye uremu hwakanaka kungakubatsira kuderedza njodzi yako. Mamwe ekutsvagisa anoratidza kuti varume vanodya hove nguva dzose kana vanodya zvokudya zvine lycopene senge matomatisi vangave vane njodzi yakaderera zvishoma, asi uchapupu hahusi hwakasimba zvakakwana kuita mazano chaiwo.

Kenza ye prostate inokura nekukurumidza sei?

Mazhinji ekensa ye prostate anokura zvishoma nezvishoma, zvichiita makore kana kunyange makumi emakore kuti ave njodzi yehupenyu. Varume vakawanda vane kenza ye prostate inokura zvishoma nezvishoma isingambokonzeri matambudziko muhupenyu hwavo. Zvisinei, mamwe ekensa ye prostate anogona kuva ane utsinye uye anokura nekukurumidza. Chiremba wako anoshandisa zvinhu senge Gleason score uye PSA levels kufungidzira kuti kenza yako yakatarwa ingakurumidza sei kukura.

Chii chinoreva PSA yakakwira?

PSA yakakwira hairevi kuti une kenza. Zvirwere zvakawanda zvinogona kuwedzera PSA levels, kusanganisira kuwedzera kwe prostate, kuzvimba kwe prostate, kubuda kwenguva pfupi, kana kunyange kukwira bhasikoro. Kazhinji, PSA levels pasi pe 4.0 ng/mL inofungwa seyakajairwa, asi chiremba wako achafunga nezera rako, rudzi, nhoroondo yemhuri, uye maitiro ePSA ako akachinja panguva yekutsanangura mhedzisiro yako.

Unogona kuita zvepabonde mushure mekurapwa kwekenza ye prostate here?

Varume vakawanda vanogona kudzoka kuita zvepabonde mushure mekurapwa kwekenza ye prostate, kunyangwe zvingatora nguva nekutsungirira. Kuongororwa nemwaranzi kunogona kukanganisa mitsipa nemidziyo yeropa inobatanidzwa mukusima, asi kune kurapwa kwakawanda kwakakodzera kwekushaya simba rekugara zvepabonde kusanganisira mishonga, zvishandiso, nekurapa. Chikwata chako chehutano chinogona kukubatsira kunzwisisa zvaunofanira kutarisira uye kutsvaga sarudzo dzinoshanda kwauri.

Kenza ye prostate inogara mumhuri here?

Kenza ye prostate inogara mumhuri, asi mazhinji acho haana kuwanikwa zvakananga. Kuva nababa kana munun'una ane kenza ye prostate kunowedzera njodzi yako kaviri, uye njodzi inowedzera nehuwandu hwehama dzakabatwa uye vaive vadiki sei panguva yekuziva. Mamwe majini anogara kwenguva refu senge BRCA2 anowedzerawo njodzi yekenza ye prostate. Kana uine nhoroondo yakasimba yemhuri, genetic counseling inogona kubatsira kunzwisisa njodzi yako pachako.