Adenocarcinoma a prostate: kufotokoza, zimayambitsa, masiteji, zizindikiro ndi mankhwala

Adenocarcinoma a prostate - n'kovuta khansa. Poyamba, iye anali m'gulu la zimayambitsa zikuluzikulu za imfa pakati akulu. Today matenda ochuluka anapezeka ali mwana. Kodi n'zotheka kupewa chitukuko cha khansa? Kodi kuzindikira zizindikiro zake mu magawo oyambirira?

zambiri

Prostate Adenocarcinoma - yoopsa zaminyewa neoplasm, kutanthauza matenda oncological. Mu dziko matenda awa anatsimikizira chaka pa odwala latsopano 500 000. Ngakhale bwino nthawi zonse njira yodziwira ndi achire, kuchokera adenocarcinoma imfa amakhalabe mkulu. Chifukwa chiyani? Odwala zambiri amanyalanyaza zizindikiro koyamba vuto ndi musawafulumizitse kwa dokotala thandizo.

The chikuchititsa mavuto a matenda

Adenocarcinoma mwakuchita kumera wa chotupa prostate kapena kusamuka mwa ducts lymphatic. Mumadziwika mwachindunji chifukwa cha matenda - ndi kusalankhula chulutsa maselo nthenda. Iwo pang'onopang'ono kudutsa minofu wathanzi. zinthu atypical anapanga chifukwa cha masinthidwe chibadwa. N'chifukwa chiyani zimenezi, mankhwala amakono sangathe kuyankha ndendende. Komabe, madokotala kusiyanitsa gulu lonse la zinthu zimene walandira kudwala matenda a:

1. Majini chingawapangitse kukhala zidakwa. Kusamala angathe kukhala adenocarcinoma a prostate ukuwonjezeka kawiri, ngati chosayenerera ngati kale anapezeka ndi achibale.
2. Age.
3. Zowona zakudya (kuchepekedwa zakudya zomera chakudya).
4. Onenepa, asamapereke.
5. Kusuta. Carcinogenic zinthu zili fodya, kungasokoneze pa thupi lonse.
6. mbali m'thupi. Adenocarcinoma a prostate ndi kangapo zambiri matenda amuna ndi kofunikira kwambiri testosterone. Mu matenda a iwo kumachitika m'njira mtopola.

Ena zochita zonyamula ndi zinthu zina zomwe zimachitikira mitundu yonse ya matenda a khansa. kuwala kwa mtundu umenewu, zoipa zachilengedwe, ntchito woopsawo mapangidwe, ndi zina zotero.

Kodi kuzindikira adenocarcinoma?

Kuwonekera kwa matenda wosayesedwa lililonse. Kawirikawiri anthu ndi zizindikiro ofanana ndi chithunzi matenda a matenda urogenital. Ngati chotupa ndi laling'ono, pakokha kudziwika kwa nthawi yaitali. Monga kuchuluka kwa zotupa alili chatsitsa. Pano pali zizindikiro za Prostate adenocarcinoma:

1. Pafupipafupi pokodza. Choncho kuchuluka kwa madzimadzi ankadya amakhalabe sichinasinthe.
2. Cramping ululu pamimba ndi chotulukira.
3. Kumverera kwa chosakwanira Ndikudzikhuthula kwa chikhodzodzo pambuyo kupita ku chimbudzi.
4. Mavuto ndi potency.
5. Kukhalapo kwa magazi mu umuna ndi mkodzo.

Zizindikiro koyamba ofanana ndi amene ali pa Prostate adenoma. Choncho, zina matenda siteji m'pofunika kusiyanitsa munthu kuchokera kudwala wina. Pambuyo kuoneka metastases (4-TH siteji ya matenda) ululu kusapeza ukuwonjezeka, kutupa malekezero m'munsi akuwonekera. Nthawi zina akufotokozera ziwalo pa maziko a psinjika msana chotupa.

Mitundu ya Prostate adenocarcinoma

Chimodzi mwa zinthu kudziŵa ndi mankhwala njira zosiyanasiyana adenocarcinoma. Mawu amenewa amanena za mlingo wa kukhwima chotupa, kusiyana pakati pa maselo wathanzi kwa pathological. Amagwiritsidwa ntchito m'kagulu matenda. Ife kusiyanitsa pakati low-, medium- ndipo kwambiri kusiyanitsidwa neoplasms zinthu. Pa zochitika za matenda kuonetsetsa mitundu ngati adenokartsenomy monga:

• melkoatsinarnaya;
• mkulu amasankha;
• otsika kalasi;
• squamous.

Melkoatsinarnaya adenocarcinoma a prostate - ndi yofala kwambiri matenda. gwero lake ndi epithelium a Prostate acini. Neoplasms zambiri kukhala imodzi mwa malo angapo, ndiyeno kuphatikiza pamodzi. Mankhwala: opaleshoni, timadzi testosterone anatseka misewu ndi radiotherapy.

The chachiwiri ambiri mtundu wa adenocarcinoma - mkulu amasankha. Childs, chotupacho akufotokozera pang'onopang'ono sapereka metastases. zanyengo musati amasiyana dongosolo kwa maselo yachibadwa. Ndi kudziwika yake kuti madokotala ananena zawo mankhwala bwino.

The ambiri osowa ndi mwamakani mawonekedwe adenocarcinoma squamous ndi. Iwo kusiyana ndi metastasis mofulumira kwa fupa. mankhwala m'thupi ndi mankhwala amphamvu mu mawonekedwe a matenda, nthawi zambiri sizithandiza. Odwala akulangizidwa kwakukulu prostatectomy.

Bwino kusiyanitsidwa adenocarcinoma a prostate ali ndi madigiri avareji mwamphamvu. Chotupa amakhala ndi dongosolo magawo, ndi Gleason mphambu 8-10 imagwirizana. Neoplasm msanga umasanduka ziwalo pafupi.

matenda a matenda

Mu zipatala European anthu onse pa 45 kukumana ndi kuyezetsa kuvomerezedwa kwa kudziwika matenda prostate. Pamafunikanso upo urologist, ndi magazi kwa Antigen yeniyeni. inawo imatengedwa mayeso ambiri nkhani kwa matenda oyambirira a khansa. A mkulu mlingo wa PSA m'magazi kungotchula akusonyeza pamaso pa ndondomeko pathological.

njira ina fanizo la kafukufuku ndi mayeso thumbo. Iwo amalola kuti aone mkhalidwe wa thupi ndi mmene magwiridwe ake. Adenocarcinoma a prostate ali Mapa zabwino zokha mu magawo koyamba chitukuko. Nthawi zina, chithandizo mtengo ndi yaitali.

Ngati mukukayikira kuti matenda anaika more:

• ultrasound;
• biopsy;
• Kujambula;
• scintigraphy;
• urinalysis, magazi.

Mu zipatala zambiri zamakono kuti aone mkhalidwe wa prostate ntchito yapadera thumbo kafukufuku. Timatha kugwiritsa ntchito mofulumira-singano zokolola mpanda zinthu kafukufuku. chipangizo ichi anadzetsa rectum, ndi zotsatira za ndondomeko amalembedwa yotchinga.

siteji matenda

Pamaso chithandizo kudziwa zotani acinar adenocarcinoma a prostate (chimene anafotokoza pamwamba chabe) komanso kuchuluka kwa ndondomeko pathological. Chitukuko cha matenda motere njira yomweyo monga mitundu ina ya khansa prostate. The okha kusiyana - ndi odziŵa mankhwala wathunthu. Mwachitsanzo, squamous mawonekedwe magawo onse a likukula mofulumira. Ndithu chitukuko liwilo ndipo amakhala ndi amtengo kusiyanitsidwa adenocarcinoma a prostate. Komabe, kudziwika siteji koyamba chitukuko imatengedwa chozizwitsa. Ngati nthawi kuyamba chithandizo, n'zotheka ndikuyembekeza kuti zinthu ziwayendere bwino.

Kodi magawo a Prostate adenocarcinoma olekanitsidwa? Okwana pali anayi:

1. Gawo loyamba sikawirikawiri matenda. Kusintha kapangidwe minofu ndi kochepa, iwo angathe kuonedwa kudzera mwa biopsy a. Mayesero zambiri kusonyeza kupatuka pang'ono kuchokera zizindikiro muyezo.
2. Gawo lachiwiri amakhala ndi zotupa mbali England ndi zikopa zake. Kusintha kapangidwe ake angathe kuonedwa ndi palpation.
3. Mu ndime yachitatu pali amphamvu chotupa kukula, kubereka, maselo a khansa. The ndondomeko pathological pang'onopang'ono kufalikira kwa Prostate thovu.
4. Pa gawo lachinayi chotupa ziwalo pafupi. Kuchuluka kwa maselo a khansa akupitiriza. Metastases angathe kuonedwa mu mfundo za lymph ndi mpanda wa zonse m'mimba.

zoyamba za chithandizo

Adenocarcinoma akhoza kuwina yekha pa siteji koyamba za matendawa. Ndi mankhwala okwanira ndi lathunthu amalephera kusiya zizindikiro ndi amachepetsa mphamvu ya ndondomeko pathological pa siteji iliyonse. makamaka mankhwala ndondomeko zimadalira mlingo wa chotupa kufala. Ena mitundu ya malo a zotupa amalola opaleshoni pa excision wa m'mawere ndi mfundo dera. Masiku ano, madokotala kugwiritsa ntchito njira asang'ambe kuti musati amafuna yaitali konzanso. Isanafalikire adenocarcinoma ku prostate amafunika kasamalidwe oyembekezera polojekiti mosalekeza. Ulosi wa kupulumuka si nthawi zonse kumawonjezera motsutsa likhale mankhwala yogwira.

Ndiwofatsa komanso opaleshoni chithandizo cha adenocarcinoma

Ngati chotupa ofikika Jaji, wodwalayo Kwalamulidwa ntchito - prostatectomy. Panopa, izo ikuchitika ntchito laparoscope kapena wothandizira loboti. Pambuyo prostatectomy amafuna yaitali konzanso. Pamafunikanso miyeso kubwezeretsa ziwalo m'chiuno, mwamuna potency (ngati likugwirabe).

Mu masiteji pambuyo mankhwala yothandizana mankhwala m'thupi ndipo radiotherapy. Yotsirizira angapo kusankhapo. cheza gwero akhoza linali kunja kapena mkati (mayikidwe a kapisozi a isotopes nyukiliya ayodini). Pamene prostatectomy ndi contraindicated, izo zatha cryotherapy. Pa njirayi chotupa kuzizira, umene maselo zilonda anawonongedwa.

Acinar adenocarcinoma a prostate ndi mfundo 7 apamwamba odwala achikulire kawirikawiri kosamugonjera alowererepo pa opaleshoni. Zikatero amagwira ntchito yowunikira zazikulu ndi miyeso palliative.

kaonedwe

Kodi zotsatira n'zotheka matenda a "adenocarcinoma a prostate '? Kuti madokotala ananena zawo za matenda chimadalira pa siteji ya chitukuko cha ndondomeko pathologic, m'badwo wodwalayo ndi chikhalidwe chake ambiri. Mu magawo oyambirira izo idavoteledwa monga salembedwa yabwino. Mwatsoka, adenocarcinoma mu magawo oyambirira chitukuko sizimawoneka yowala chithunzi matenda. Kotero odwala chisakhale kwa dokotala thandizo. Ambiri a iwo anaona vuto pa siteji 3-4th, pamene pali kale metastases. Zikatero, matenda ndi kulisiya.

Pomaliza

matenda Oncological mu Masiku ano anthu ayamba kukhala chifukwa cha imfa oyambirira. Oimira akazi wamphamvu kwambiri ambiri adenocarcinoma a prostate. Kuchiza matenda ndi yaitali ndi yovuta kwambiri. Matenda a matenda mu magawo mochedwa zambiri umatha imfa pafupi. Pofuna kupewa chitukuko cha matenda amenewa sioneka, m'pofunika kutsatira moyo wathanzi ndi tizipima zonse. Khalani wathanzi!