Los ntawm kev kho kom tswj koj tus mob qog noj ntshav prostate

Cov txheej txheem:

Los ntawm kev kho kom tswj koj tus mob qog noj ntshav prostate
Los ntawm kev kho kom tswj koj tus mob qog noj ntshav prostate
Anonim

Tsis muaj ib txoj hauv kev los tswj kev mob qog noj ntshav prostate. Nws nyob ntawm qhov sib xyaw ua ke. Qhov ntawd suav nrog koj lub hnub nyoog, cov tsos mob, thiab koj tus mob qog noj ntshav loj npaum li cas. Michael Kahn, MD, kws kho mob oncologist uas tshwj xeeb hauv kev mob qog noj ntshav ntawm cov tshuaj Northwestern, hais tias koj lub hom phiaj zoo ntawm lub neej kuj tseem ceeb.

"Puas yog koj kis tau tus kab mob nyob rau hauv qhov kev tswj zoo tshaj plaws ntev npaum li koj tuaj yeem ua tau, tuaj ntuj raug txim lossis dej siab?" Kahn nug. "Los yog nws: Kuv tsuas yog xav kom muaj lub neej zoo li qub."

Txawm li cas los xij, koj tus kws kho mob yuav koom tes nrog koj txhawm rau nrhiav txoj kev npaj kho mob qog noj ntshav zoo.

Ntawm no yog qee yam kev kho mob rau kev mob qog noj ntshav prostate.

YHommon Therapy

Michael Leapman, MD, kws kho mob urological oncologist nrog Smilow Cancer Hospital thiab Yale Cancer Center, hais tias qhov tseem ceeb ntawm kev kho mob yog androgen deprivation therapy (ADT). Zoo li lub npe qhia, cov tshuaj no txwv cov androgens, uas yog cov tshuaj hormones kev sib deev xws li testosterone.

Lub hom phiaj yog tshem tawm "roj" uas cov qog nqaij hlav qog nqaij hlav prostate yuav tsum loj hlob.

Koj kuj yuav tau txais kev kho tshuaj hormonal thib ob.

"Muaj cov tshuaj tiv thaiv androgen tshiab - yam uas ua haujlwm zoo ib yam uas androgen deprivation ua haujlwm tab sis muaj zog dua - uas tseem ua rau lub neej ntev," Leapman hais.

Kev txo qis ntawm cov tshuaj hormones tuaj yeem ua rau qee yam mob tshwm sim, xws li kub kub. Vim li ntawd, qee cov neeg txiav txim siab so los ntawm kev kho.

"Yuav ua li cas peb ua tau yog muab sijhawm so rau lawv thiab cia lawv cov testosterone rov zoo," Leapman hais. "Qhov no feem ntau yuav pab nrog kev phiv."

Cov kws kho mob hu qhov no rau-thiab-tawm mus kom ze sib nrug ADT. Qee tus neeg nrog nws zoo dua li kev kho mob. Thiab cov kev tshawb fawb qhia tau hais tias tsis tu ncua ADT "zoo li yuav luag sib npaug nrog kev kho mob tas li," Leapman hais. Tab sis peb xav tau kev tshawb fawb ntxiv kom paub tseeb.

Tshuaj khomob

Koj yuav muaj qhov no nrog rau ADT lossis lwm yam kev kho mob. Tab sis koj yuav tsis muaj nws txhua hnub.

"Nws yog thawj chav kawm ntawm kws khomob, yog li tsis yog qhov txuas ntxiv," Leapman hais.

Kev kho mob no tsis yog rau txhua tus neeg mob qog noj ntshav. Nws siv cov tshuaj muaj zog uas tua mob qog noj ntshav tab sis tuaj yeem ua rau cov nqaij mos noj qab haus huv, thiab. Nws tuaj yeem muab cov kev mob tshwm sim hnyav dua rau koj thaum piv rau kev kho tshuaj hormone.

Ua ntej pib chemo, Leapman hais tias koj tus kws kho mob yuav tsum xav txog:

  • Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho
  • Seb koj puas muaj lwm yam mob
  • Yuav ua li cas thiaj tswj tau tshuaj chemo
  • Qhov twg koj mob qog noj ntshav tau kis
  • Yuav ua li cas nyob hauv lub neej txhua hnub

Kev Kho Mob

Kev kho mob no siv tshuaj tua kab mob qog noj ntshav yam tsis ua mob rau koj cov hlwb noj qab haus huv. Tam sim no, lub hom phiaj kho mob qog noj ntshav prostate suav nrog BRCA1 thiab BRCA2 noob. Koj tuaj yeem kuaj xyuas seb koj puas muaj kev hloov pauv, lossis kev hloov pauv, rau cov noob no.

Txoj kev kho mob tsis yog qhov kev xaiv zoo rau txhua tus. Tab sis nws yog ib yam uas koj yuav tsum nug koj tus kws kho mob txog. Yog tias koj muaj qee yam kev hloov pauv noob, "qhov ntawd tuaj yeem hloov txoj kev kho mob," Leapman hais.

Immunotherapy

Qee qhov kev kho tshiab tshiab siv koj lub cev tiv thaiv kab mob - koj tiv thaiv kab mob - kom qeeb lossis txwv tsis pub cov qog nqaij hlav qog noj ntshav loj hlob. Qee tus hu ib qho, sipuleucel-T (Provenge), "cov tshuaj tiv thaiv kab mob qog noj ntshav." Leapman hais tias feem ntau nws mus rau cov neeg uas nws mob qog noj ntshav prostate ua rau qee tus tsis muaj tsos mob.

Yuav muaj ntau hom kev tiv thaiv kab mob rau yav tom ntej. Cov kws tshawb fawb tab tom kawm ib pawg tshuaj hu ua checkpoint inhibitors. Cov no pab koj lub cev tiv thaiv kab mob nrhiav thiab tua cov qog nqaij hlav cancer. Tab sis lawv tseem tsis tau txais kev pom zoo rau mob qog noj ntshav prostate.

Tshuaj Kho Mob

Cov no yog cov kev tshawb fawb uas sim tshuaj kho mob qog noj ntshav tshiab. Koj tus kws kho mob tuaj yeem hais qhia ib qho yog tias koj twb tau sim cov txheej txheem kho mob lossis koj muaj qee yam teeb meem kev noj qab haus huv.

"Piv txwv li, ib qho ntawm [kho tshuaj kho mob] cov tshuaj siv tuaj yeem ua rau peripheral neuropathy," Kahn hais. "Yog tias ib tus neeg twb muaj tus kab mob peripheral neuropathy, peb xav kom tsis txhob ua qhov phem rau lawv. Rau cov neeg ntawd, peb yuav nrhiav kev sim."

Kahn hais tias nws yog ib qho tseem ceeb kom paub tias koj tsis yog "guinea npua" yog tias koj tso npe rau hauv kev sim tshuaj. Hloov chaw, koj pab cov kws tshawb fawb nrhiav txoj hauv kev zoo dua los kho mob qog noj ntshav.

Kev Tswj Kev Mob

Thawj txoj hauv kev yog feem ntau kom paub tseeb tias koj txoj kev kho mob qog noj ntshav ua haujlwm, Leapman hais. Thiab yog tias koj tau so los ntawm ADT, thiab koj pib mob hnyav, "nws yuav luag ib txwm ib lub tswv yim zoo los pib kho cov tshuaj hormonal," nws hais.

Feem ntau, mob qog noj ntshav prostate tuaj yeem kis rau koj cov pob txha. Yog tias qhov no tshwm sim, koj tus kws kho mob yuav xa koj mus rau kws kho mob qog noj ntshav "rau kev kho mob," Kahn hais. "Cov kab hluav taws xob ncaj qha mus rau qhov chaw ntawm cov pob txha metastasis."

Lwm yam uas yuav pab tau koj zoo muaj xws li:

tshuaj mob. Qhov no suav nrog cov tshuaj tom khw muag khoom xws li cov tshuaj uas tsis yog tshuaj tiv thaiv kab mob (NSAIDs) lossis cov tshuaj muaj zog zoo li opioids.

Surgery. Koj tus kws kho mob yuav kuaj xyuas seb koj puas muaj pob txha tawg uas yuav tsum tau teeb tsa.

Kev kho ntxiv. "Tej yam zoo li reiki [tseem hu ua 'kev kho ntawm tes'] lossis acupuncture, Kuv txhawb nqa kiag li, "Leapman hais. "Kuv xav tias yuav muaj qhov mob thiab muaj txiaj ntsig zoo."

Qee qhov mob tuaj yeem qhia qhov teeb meem loj dua. Hu rau koj tus kws kho mob tam sim yog tias koj muaj:

  • Tshuaj lossis mob hnyav dua
  • Tingling los yog loog hauv koj lub puab tsaig
  • Kev tswj koj lub plab lossis zais zis.

Cov no tuaj yeem yog cov cim qhia tias koj mob qog noj ntshav tau kis mus rau koj tus txha nraub qaum, tus mob hu ua metastatic spinal cord compression (MSCC).

Cov lus nug rau koj tus kws kho mob

Nws OK los nqa txhua yam hauv koj lub siab. Tej zaum koj xav paub txog kev phiv tshuaj, kev kho mob kev sib deev, lossis yuav ua li cas rau kev tuag. Txawm koj xav paub, ua ib daim ntawv teev cov khoom koj xav mus dhau.

"Kev npaj yog txhua yam," Leapman hais.

Ntawm no yog qee yam ntawm nws cov lus qhia txog yuav nug koj tus kws kho mob:

  • Kuv lub npe mob cancer yog dab tsi?
  • Kuv lub cev nyob hauv dab tsi?
  • mob hnyav npaum li cas los yog theem twg?
  • Gleason qhab nia yog dab tsi?
  • Puas muaj tus kab mob siab, qis, lossis nruab nrab?
  • Koj txoj kev npaj kho mob yog dab tsi?
  • Yog qhov kev kho thawj zaug tsis ua haujlwm, yuav ua li cas ntxiv?
  • Cov peev txheej twg muaj nyob hauv tsev kho mob yog tias kuv xav tau kev pab?
  • Kuv puas tuaj yeem tso npe rau hauv kev sim tshuaj?
  • Kuv yuav tsum tau kuaj caj ces?

Leapman yaum kom cov neeg nqa "tus neeg sau ntawv tsis ncaj ncees." Nov yog ib tsev neeg lossis phooj ywg uas yuav sau cov ntsiab lus rau koj. Lossis koj tuaj yeem ua suab lossis video kaw ntawm koj mus ntsib. Tsuas yog muab koj tus kws kho mob ua ntej.

"Thawj zaug ib tus neeg rub tawm lub kaw lus, tej zaum kuv tau ntim me ntsis los ntawm nws," Leapman hais. "[Tab sis tam sim no,] Kuv xav txhawb nws vim tias muaj cov ntaub ntawv ntau dhau lawm."

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