Maganin kansar mafitsara

An zaɓi jiyya don cutar kanjamau ta prostate bayan cikakken kimantawa. Mai ba ku kiwon lafiya zai tattauna fa'idodi da haɗarin kowane magani.

Wani lokaci mai ba da sabis naka na iya ba da shawarar magani ɗaya a gare ka saboda nau'in cutar kansa da abubuwan haɗarin ka. Wasu lokuta, maiyuwa akwai magunguna biyu ko sama da zasu iya zama alheri a gare ku.

Abubuwan da dole ne kai da mai ba da sabis kuyi tunani game da sun haɗa da:

• Yawan shekarunka da sauran matsalolin kiwon lafiyar da zaka iya samu
• Hanyoyin da ke faruwa tare da kowane nau'in magani
• Ko cutar sankarar mafitsara ta kasance ko kuma ta yaya yaduwar cutar sankara
• Gleason ku na Gleason, wanda ke nuna yadda cutar kansa ke da ƙarfi
• Sakamakon gwajin ku na takamaiman antigen (PSA)

Tambayi mai ba ku sabis don yin bayanin waɗannan abubuwan da ke biyowa game da zaɓin maganinku:

• Waɗanne zaɓuka suna ba da mafi kyawun damar don warkar da kansar ku ko sarrafa yaduwar sa?
• Yaya wataƙila ku sami illa daban-daban, kuma ta yaya zasu shafi rayuwarku?

Icalwararren ƙwayar prostatectomy shine tiyata don cire prostate da wasu kayan da ke kewaye. Yana da zaɓi lokacin da ciwon daji bai bazu fiye da glandon prostate ba.

Lafiyayyen maza wadanda zasu iya rayuwa tsawon shekaru 10 ko sama da haka bayan an gano su da cutar sankarar prostate galibi suna da wannan aikin.

Kasance da sanin cewa ba koyaushe bane ake iya sanin tabbatacce, kafin ayi aikin tiyata, idan kansar ta bazu sama da glandon prostate.

Matsalolin da ka iya faruwa bayan tiyata sun hada da wahalar sarrafa fitsari da matsalar tashin kafa. Hakanan, wasu maza suna buƙatar ƙarin jiyya bayan wannan tiyatar.

Radiation far yana aiki mafi kyau don magance cututtukan prostate wanda bai bazu a bayan prostate ba. Hakanan za'a iya amfani dashi bayan tiyata idan akwai haɗari cewa ƙwayoyin kansar suna nan. Wani lokaci ana amfani da radiation don sauƙin ciwo lokacin da cutar kansa ta bazu zuwa ƙashi.

Magungunan radiation na katako na waje yana amfani da hasken rana mai ƙarfi wanda aka nuna a glandan prostate:

• Kafin magani, likitan fitila yana amfani da alkalami na musamman don yin alama ga ɓangaren jikin da za a kula da shi.
• Ana isar da radiation zuwa gland din prostate ta hanyar amfani da wata na'ura mai kama da ta x-ray. Maganin kansa yawanci bashi da ciwo.
• Ana yin jiyya a cikin cibiyar cututtukan oncology wanda yawanci ana haɗa shi da asibiti.
• Maganin yawanci ana yin kwanaki 5 a mako don makonni 6 zuwa 8.

Hanyoyi masu illa na iya haɗawa da:

• Rashin cin abinci
• Gudawa
• Matsalar tashin hankali
• Gajiya
• Burningonewa ko rauni na ciki
• Yanayin fata
• Rashin fitsari, jin ana bukatar yin fitsari cikin gaggawa, ko jini a cikin fitsarin

Akwai rahotanni game da cututtukan daji na biyu da suka samo asali daga radiation kuma.

Proton far wani nau'i ne na maganin radiation wanda ake amfani dashi don magance cutar sankarar prostate. Gilashin Proton suna nufin ƙwayar ƙwayar daidai, don haka akwai ƙaramar lalacewa ga kayan da ke kewaye. Ba a yarda da amfani da wannan farfadowa ko amfani dashi ba.

Brachytherapy ana amfani dashi sau da yawa don ƙananan cututtukan prostate waɗanda aka samo su da wuri kuma suna da saurin girma. Brachytherapy na iya haɗe shi tare da maganin fitila na waje don ci gaba da ciwan kansa.

Brachytherapy ya haɗa da sanya ƙwayoyin rediyo a cikin glandon prostate.

• Wani likita mai fiɗa ya saka ƙananan allura ta cikin fatar da ke ƙasan makwancin ku don yin ƙwayoyin. Tsaba suna da ƙanƙan da ba kwa jin su.
• An bar tsaba a wuri dindindin.

Hanyoyi masu illa na iya haɗawa da:

• Jin zafi, kumburi, ko ƙwanƙwasa cikin azzakari ko maƙaryaciya
• Fitsarin ja-ruwan kasa ko maniyyi
• Rashin ƙarfi
• Rashin nutsuwa
• Rike fitsarin
• Gudawa

Testosterone shine babban hormone namiji. Ciwon ƙwayar ƙwayar ƙwayar cuta yana buƙatar testosterone don yayi girma. Hormonalrapy magani ne wanda ke rage tasirin testosterone akan cutar sankarar jakar gurji.

Maganin Hormone galibi ana amfani dashi don cutar kansa wanda ya bazu fiye da prostate, amma kuma ana iya amfani dashi tare da tiyata da raɗaɗɗa don magance cututtukan da suka ci gaba. Maganin na iya taimakawa wajen magance alamomin da hana ci gaba da yaduwar cutar kansa. Amma ba ya warkar da cutar kansa.

Babban nau'in maganin hormone ana kiransa agonist mai sakin layi (LH-RH). Wani aji na far ana kiransa masu adawa da LH-RH:

• Duk nau'ikan magungunan biyu suna toshe kwayoyin halittar daga yin testosterone. Dole ne a ba da magungunan ta hanyar allura, yawanci kowane watanni 3 zuwa 6.
• Illolin da ke iya faruwa sun hada da jiri da amai, walƙiya mai zafi, ci gaban nono da / ko taushi, ƙarancin jini, gajiya, ƙasusuwa da ƙasusuwa (osteoporosis), rage sha'awar jima'i, rage ƙarfin tsoka, riba mai nauyi, da rashin ƙarfi.

Sauran nau'in maganin hormone ana kiransa magani mai hana androgen:

• Sau da yawa ana bayar dashi tare da magungunan LH-RH don toshe tasirin testosterone wanda ƙwayoyin adrenal ke samarwa, wanda ke yin ƙaramin adadin testosterone.
• Matsalolin da ka iya haddasawa sun hada da matsalar karfin kafa, rage sha'awar jima'i, matsalolin hanta, gudawa, da girman nono.

Mafi yawan kwayoyin testosterone ana yin su ne ta hanyar gwaji. A sakamakon haka, ana iya amfani da tiyata don cire gwajin (wanda ake kira orchiectomy) azaman magani na hormonal.

Chemotherapy da immunotherapy (magani wanda ke taimakawa garkuwar jiki yaƙar kansa) ana iya amfani dashi don magance cutar kanjamau da ba ta amsa maganin hormone. Yawancin lokaci ana ba da shawarar guda ɗaya ko haɗin magunguna.

Cryotherapy yana amfani da yanayin sanyi mai sanyi don daskarewa da kashe ƙwayoyin sankara. Makasudin aikin tiyata shine lalata duka glandon prostate da kuma yiwuwar kayan dake kewaye dashi.

Yawanci ba a amfani da shi a matsayin magani na farko don cutar kanjamau.

• Jikin haihuwa na namiji

Yanar gizo Cibiyar Cancer ta Kasa. Maganin ciwon daji na ƙwayar cuta (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/prostate/hp/prostate-treatment-pdq. An sabunta Janairu 29, 2020. An shiga Maris 24, 2020.

Yanar gizo Yanar Gizon Cutar Kanjamau ta Kasa. NCCN jagororin aikin likita a cikin ilimin ilimin halittar jiki (jagororin NCCN): cutar sankarar prostate. Sigar 1.2020. www.nccn.org/professionals/physician_gls/pdf/prostate.pdf. An sabunta Maris 16, 2020. An shiga Maris 24, 2020.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Ciwon daji na Prostate. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 81.

• Prostate Cancer