Chii chinonzi Cryotherapy yeCancer yeProstate? Chinangwa, Maitiro & Mhedzisiro

Cryotherapy ye cancer ye prostate inoshandisa kutonhora kukuru kuti itonhodze uye kuparadza maseru ekenza mugland yako ye prostate. Iyi kurapwa isingapindi zvakanyanya inopa varume vane cancer ye prostate yakaganhurirwa imwe nzira yekuvhiya kana radiation, kunyanya kana mamwe marapirwo asina kushanda kana asingakodzeri mamiriro avo.

Maitiro acho anosanganisira kuisa tsono dzakatetepa, dzakaita setsono kuburikidza neganda rako kuti upe tembiricha inotonhora zvakananga kunyama ine kenza. Chiremba wako anogona kunyatso tarisa tumor achiedza kuchengetedza nyama yakatenderedza ine hutano, zvichiita kuti ive nzira yakatarisana yekurapa kenza.

Chii chinonzi cryotherapy ye cancer ye prostate?

Cryotherapy ndiyo kurapwa kwekenza inoshandisa tembiricha inotonhora kuuraya maseru ekenza ye prostate. Iyi nzira inovimba nemutemo wekuti maseru ekenza anonyanya kunzwisisa kutonhora kukuru kupfuura maseru akajairika, zvichikonzera kuti afe kana achitonhodzwa.

Panguva yemaitiro, chiremba wako anoisa akati wandei tsono dzesimbi dzakatetepa kuburikidza neganda pakati pe scrotum yako ne anus. Aya ma probes anopa mvura nitrogen kana argon gasi, iyo inogadzira tembiricha yakaderera se -40°C (-40°F). Iyo freezing process inoparadza maseru ekenza nekuumba makristasi echando mukati mavo, ayo anobvarura madziro avo eseru.

Cryotherapy yemazuva ano inoshandisa advanced imaging technology senge ultrasound kana MRI kutungamira ma probes zvakanyatso. Izvi zvinobatsira chiremba wako kutarisisa maseru ekenza achidzivirira nyama iri pedyo ine hutano senge bladder yako, rectum, uye tsinga dzinodzora urination uye basa repabonde.

Nei cryotherapy ye cancer ye prostate ichiitwa?

Cryotherapy inoshanda seimwe sarudzo yekurapa kana cancer ye prostate yakavharirwa mugland ye prostate uye isina kupararira kune dzimwe nhengo dzemuviri wako. Chiremba wako anogona kukurudzira nzira iyi kana usiri munhu akakodzera kuvhiyiwa nekuda kwezera, mamiriro ehutano, kana zvaunofarira.

Kurapa uku kunoshanda zvakanaka kune varume vane gomarara ravadzoka mushure mekurapwa nemwaranzi. Sezvo kudzokorora mwaranzi kazhinji hakugoneki, cryotherapy inopa mukana wechipiri wekubvisa maseru egomarara pasina kuvhiyiwa kukuru. Inofungidzirwawo kana uine bundu diki, rakaganhurirwa rinogona kunangwa zvakanyatso.

Vamwe varume vanosarudza cryotherapy nekuti haina kupinda zvakanyanya kupfuura kuvhiyiwa kwechinyakare uye kazhinji inoda nguva shoma yekupora. Maitiro acho anogona kudzokororwa kana zvichidikanwa, zvichikupa iwe nachiremba wako kuchinjika mukutarisira kurapwa kwegomarara rako nekufamba kwenguva.

Ndeapi maitiro e cryotherapy?

Maitiro e cryotherapy anowanzo tora anenge maawa maviri uye anowanzoitwa sekurapwa kwevarwere vekunze. Iwe uchagamuchira kana anesthesia yemuzongoza kana anesthesia yakajairika kuti uve nechokwadi chekuti unonzwa wakasununguka panguva yese yekuita.

Kutanga, chiremba wako achaisa catheter inodziya kuburikidza neurethra yako kuti iichengetedze kubva mukukuvadzwa nechando. Zvadaro, vachishandisa ultrasound guidance, vachaisa zvakanyatso 6-8 thin metal probes kuburikidza neganda rako muprostate gland. Aya ma probes akaiswa kuti avhare nzvimbo yese yegomarara.

Maitiro echando anoitika mumitsetse. Hezvino zvinowanzoitika panguva yekurapa:

• Kutanga kutonhora kunotora maminitsi gumi nemashanu, zvichiunza tembiricha yetishu ku -40°C
• Nguva yekunyungudutsa inobvumira tishu kuti idziye zvishoma nezvishoma
• Yechipiri kutonhora inodzokorora maitiro ekuwedzera kuparadzwa kweseru yegomarara
• Kutarisa tembiricha kunovimbisa kutonhora kwakakodzera uku uchidzivirira tishu ine hutano
• Real-time imaging inobatsira chiremba wako kugadzirisa probe placement sezvinodiwa

Mushure mekuita, iwe uchava ne urinary catheter kwevhiki imwe kuti ibatsire nekuyerera kwakajairika sezvo kuzvimba kuchiderera. Varume vazhinji vanogona kuenda kumba zuva rimwe chete kana mushure mehusiku humwe.

Maitiro ekugadzirira cryotherapy yako?

Kugadzirira cryotherapy kunosanganisira matanho akati wandei kuti uve nechokwadi chekubuda zvakanaka. Chiremba wako achapa mirairo yakatarwa, asi kugadzirira kunowanzo kutanga svondo rimwe chete usati waita maitiro ako.

Unofanira kumisa kutora mishonga inogona kuwedzera njodzi yekubuda ropa. Izvi zvinosanganisira aspirin, zvinoderedza ropa, uye mamwe mavitamini emishonga. Chiremba wako achakupa runyoro rwakakwana rwemishonga yekudzivisa uye nguva yekumisa kuitora.

Zuva rimwe chete usati waita maitiro ako, ungangoda:

• Tora maantibayoti akanyorwa kuti udzivise hutachiona
• Tevedza zvirambidzo zvekudya, kazhinji uchidzivisa chikafu chakasimba mushure mepakati peusiku
• Pedzisa kugadzirira ura neenema kana laxative
• Gadzirira mumwe munhu kuti akuendesere kumba mushure mekuita maitiro
• Geza nesipo inorwisa mabhakitiriya sezvakarairwa

Chikwata chako chekurapa chichaongororawo nhoroondo yako yekurapa uye mishonga iripo. Vachatsanangura zvokutarisira panguva uye mushure mekuita maitiro, vachikupa nguva yakawanda yekubvunza mibvunzo uye kugadzirisa chero zvinokunetsa.

Maitiro ekuverenga mhedzisiro yako ye cryotherapy?

Kubudirira mushure me cryotherapy kunoyerwa zvakanyanya kuburikidza nePSA (prostate-specific antigen) bvunzo dzeropa nekufamba kwenguva. Mazinga ako ePSA anofanira kudonha zvakanyanya mumwedzi mishoma yekutanga mushure mekurapa, zvichiratidza kuti maseru ekenza akaparadzwa.

Chiremba wako achatarisa mazinga ako ePSA nguva dzose, kazhinji mwedzi mitatu-6 kwemakore mashoma ekutanga. Mhedzisiro inobudirira inowanzoita kuti PSA yako idonhe kusvika kumazinga akaderera kwazvo uye igare ipapo. Zvisinei, mazinga ePSA haawanzosvika zero nekuti mamwe matishu eprostate ane utano anogona kuramba aripo.

Zvimwe zvidzidzo zvinogona kushandiswa kuongorora kubudirira kwekurapa:

• Zvidzidzo zvekuongorora zvakadai seMRI kuti uone tishu rekenza riripo
• Prostate biopsy kana mazinga ePSA akakwira kana kuramba akasimudzwa
• Kuongororwa kwemuviri kuongorora kupora uye mhedzisiro
• Bvunzo dzebasa reurinary kuti utarise kutonga kwetsvo

Chiremba wako achatsanangura zvinoreva mhedzisiro yako chaiyo pachinzvimbo chako. Kuwedzera kwePSA levels kungaratidza kudzoka kwekenza, nepo mazinga akagadzikana akaderera anoratidza kurapwa kwakabudirira.

Ndezvipi zvinhu zvinokonzera njodzi yekukanganiswa kwecryotherapy?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekukanganiswa kubva ku cryotherapy. Kunzwisisa izvi kunobatsira iwe nachiremba wako kuti muite sarudzo dzine ruzivo pamusoro pekuti kurapwa uku kwakakunakira here.

Zera uye hutano hwese hunoita basa rakakosha mumigumisiro yekurapa. Varume vanopfuura makore 70 vanogona kuve nemitengo yakakwira yekukanganiswa, kunyangwe zera rega harikubvise pakurapa. Hutano hwako hwese, kusanganisira moyo, mapapu, uye basa reitsvo, zvinokanganisa kuti uchashandisa sei maitiro acho.

Zvimwe zvinhu zvakawanda zvinogona kuwedzera njodzi yekukanganiswa:

• Saizi huru yeprostati inoita kuti kuisa probe kuve kwakaoma
• Kuvhiyiwa kweprostati kwaimbove kunogona kugadzira nyama ine mavanga inoomesa kurapwa
• Kurapa kwemwaranzi kwaimbove kunowedzera njodzi yekukuvadzwa kwenyama
• Kusashanda zvakanaka kweweti kana zvepabonde kungawedzera mushure mekurapa
• Chirwere cheshuga kana mamwe mamiriro anokanganisa kupora nekupora

Chiremba wako achanyatsoongorora izvi zvikonzero asati akurudzira cryotherapy. Vachakurukura njodzi yako yega yega uye kukubatsira kuyera mabhenefiti achipesana nekukanganiswa kunogona kuitika.

Ndezvipi zvinogona kukanganiswa kwecryotherapy?

Kufanana nechero maitiro ekurapa, cryotherapy inogona kukonzera mhedzisiro uye matambudziko. Varume vazhinji vanowana mamwe mhedzisiro yenguva pfupi sezvo muviri wavo uchipora, nepo matambudziko akakomba asingawanzoitika asi anogoneka.

Mhedzisiro yakajairika inowanzoita nani nekufamba kwenguva inosanganisira kuzvimba, kupwanya, uye kusagadzikana munzvimbo yekurapa. Unogonawo kuona shanduko dzenguva pfupi mukuyerera, senge kuwedzera kakawanda kana kukurumidza, sezvo prostate yako ichipora.

Matambudziko akakosha anogona kusanganisira:

• Kushaya simba kunobata 80-90% yevarume mushure mekurapwa
• Kushaya simba rekudzora weti kana kuoma kudzora basa retsvo
• Kuchengetwa kweweti kunoda kushandiswa kwe catheter kwenguva pfupi
• Kukuvara kwemukati kana kuumbwa kwe fistula (kashoma, isingasviki 1%)
• Kurwadziwa kwenguva refu kwepelvic kana kushaya simba munzvimbo iyi
• Urethral stricture inokonzera kuoma kuita weti

Kuchinja kwekuita zvepabonde ndiko kunowanzoitika kwenguva refu, sezvo maitiro ekutonhodza anowanzo kukuvadza tsinga dzine basa rekuita erections. Zvisinei, vamwe varume vanochengeta kana kuwana zvakare basa nekufamba kwenguva, kunyanya varume vadiki vane basa rakanaka vasati varapwa.

Chiremba wako achakurukura njodzi idzi zvakadzama uye achakubatsira kunzwisisa zvekutarisira zvichienderana nemamiriro ako chaiwo.

Ndingatarisira riini kuona chiremba mushure me cryotherapy?

Kutevera nguva dzose kunokosha mushure me cryotherapy kuti utarise kupora kwako uye utarise chero zviratidzo zvematambudziko. Chiremba wako achagadzirisa kushanya uku, asi iwe unofanirwawo kuziva kuti ungatsvaga riini kutarisirwa kwekurapa nekukurumidza.

Bata chiremba wako nekukurumidza kana uine zviratidzo zvakakomba zvinogona kuratidza matambudziko. Izvi zvinosanganisira kusakwanisa kuita weti, kubuda ropa zvakanyanya, zviratidzo zvehutachiona senge fivha kana kutonhora, kana kurwadziwa kwakanyanya kusingavandudzi nemishonga.

Iwe unofanirwawo kubata timu yako yehutano kana ukaona:

• Ropa muweti risingavandudzi mukati memazuva mashoma
• Kurwadziwa kwemoyo kana kurutsa
• Kuzvimba kana kutsvuka kunowedzera panzvimbo pekuvandudza
• Kubuda kana kunhuwirira kusinganzwisisike kubva kunzvimbo yekurapa
• Kuoma kuita bowel movements kana kubuda ropa remukati

Kuti utarise nguva dzose, iwe unowanzoona chiremba wako mukati me1-2 mavhiki mushure mekuvhiyiwa, wobva wazviita nguva dzose. Kushanya uku kunobvumira timu yako yekurapa kuti itarise mazinga ako ePSA, iongorore kupora, uye igadzirise chero zvinonetsa nezve mhedzisiro kana kupora.

Mibvunzo inowanzo bvunzwa pamusoro pe cryotherapy ye prostate cancer

Q.1 Ko cryotherapy yakanaka here ye prostate cancer yematanho ekutanga?

Cryotherapy inogona kushanda ye prostate cancer yematanho ekutanga, kunyanya kana cancer iri mukati megland ye prostate. Zvidzidzo zvinoratidza mitengo yekurapa yakafanana nemamwe marapirwo e prostate cancer ine njodzi shoma, zvichiita kuti ive sarudzo inoshanda kune varume vazhinji.

Zvisinei, hazvifanirwe kuve sarudzo yekutanga yechirwere chematanho ekutanga. Kuvhiyiwa uye radiation therapy zvine marekodhi marefu uye tsvakiridzo yakawanda inotsigira kushandiswa kwavo. Chiremba wako achafunga nezve zera rako, hutano, uye zvaunofarira iwe pachako paunenge uchikurukura kana cryotherapy yakakodzera mamiriro ako chaiwo.

Q.2 Ko cryotherapy inokonzera erectile dysfunction yechigarire here?

Nehurombo, cryotherapy inokonzera erectile dysfunction kune varume vazhinji vanoita maitiro acho. Zvidzidzo zvinoratidza kuti 80-90% yevarume vanowana imwe degree ye erectile dysfunction mushure mekurapa, nemanyaya mazhinji achigara.

Maitiro ekuomesa anowanzo kukuvadza mitsipa yakaoma inokonzeresa kumira, kunyangwe madhokotera achiedza kuachengetedza. Zvisinei, vamwe varume vanodzorera basa nekufamba kwenguva, kunyanya varume vadiki vane basa rakanaka rekuita zvepabonde vasati varapwa. Marapirwo akasiyana e erectile dysfunction anowanikwa kana iyi mhedzisiro ikaitika.

Q.3 Ko cryotherapy inogona kudzokororwa here kana cancer ikadzoka?

Hongu, cryotherapy inogona kudzokororwa kana cancer ikadzoka kana kana kurapwa kwekutanga kusina kubvisa masero ese ekenza. Iri ndiro rimwe remabhenefiti e cryotherapy pamusoro pemamwe marapirwo se radiation, iyo inowanzo kukwanisa kudzokororwa munzvimbo imwechete.

Zvisinei, maitiro ekudzokorora anotakura njodzi dzakakwirira dzezvinokanganisa. Chiremba wako achanyatsoongorora kana mabhenefiti anogona kukunda njodzi dzakawedzerwa zvichienderana nemamiriro ako chaiwo, kusanganisira hutano hwako hwese uye hunhu hwekenza inodzoka.

Mubvunzo 4. Kupora kunotora nguva yakareba sei mushure me cryotherapy?

Varume vazhinji vanopora kubva ku cryotherapy mukati memavhiki 2-4, kunyangwe zvimwe zvinogona kutora nguva yakareba. Iwe unowanzo kuva ne catheter yeweti kwevhiki rimwe, uye iwe unowanzo kukwanisa kudzokera kuzviitiko zvenguva dzose mukati memavhiki 1-2 mushure mekubviswa kwe catheter.

Kupora kwakakwana kwenyama ye prostate kunotora mwedzi yakati wandei. Munguva iyi, unogona kusangana nekugadzirisa zvishoma nezvishoma muzviratidzo zveweti. Zvimwe zvinokonzeresa, kunyanya shanduko mukushanda kwepabonde, zvinogona kuva zvechigarire, nepo vamwe vachipfuurira kuvandudza kusvika gore rimwe mushure mekurapa.

Mubvunzo 5. Cryotherapy inovharwa ne inishuwarenzi here?

Zvirongwa zvakawanda zveinishuwarenzi, kusanganisira Medicare, zvinovhara cryotherapy ye prostate cancer kana zvichidikanwa nemishonga. Maitiro acho anoonekwa seimwe nzira yekurapa prostate cancer, saka kuvharwa kunowanikwa kazhinji.

Zvisinei, ruzivo rwekuvharwa runogona kusiyana pakati pezvirongwa zveinishuwarenzi. Zvakakosha kuti uongorore nemupi wako weinishuwarenzi usati waronga maitiro kuti unzwisise kuvharwa kwako, kusanganisira chero copayments kana deductibles zvingashanda. Hofisi yachiremba wako inogona kubatsira kazhinji kusimbisa kuvharwa uye kushanda nekambani yako yeinishuwarenzi.