Daaweynta kansarka qanjirka 'prostate'

Abaabulidda kansarku waa hab lagu sharxo inta kansarku ku jiro jirkaaga iyo meesha uu ku yaal jirkaaga. Daaweynta kansarka qanjirka 'prostate' ayaa ka caawisa sidii loo ogaan lahaa inta buroku le'eg yahay, inuu faafay, iyo halka uu ku faafay.

Ogaanshaha heerka kansarkaagu wuxuu caawiyaa kooxdaada kansarka:

• Go'aanso habka ugu wanaagsan ee loo daweyn karo kansarka
• Go'aami fursaddaada soo kabashada
• Raadi tijaabooyin caafimaad oo aad ku biiri karto

Tijaabinta hore waxay ku saleysan tahay natiijooyinka baaritaanka dhiigga ee PSA, ka-qaadista, iyo baaritaannada sawirka. Tan waxaa sidoo kale loo yaqaanaa daaweyn caafimaad.

PSA waxaa loola jeedaa borotiin ay sameeyeen qanjirka 'prostate' oo lagu cabiro baaritaanka shaybaarka.

• Heerka sare ee PSA wuxuu muujin karaa kansar aad u horumarsan.
• Dhakhaatiirtu waxay sidoo kale eegi doonaan sida dhakhsaha badan ee heerarka PSA ay uga sii kordhayaan imtixaan ilaa tijaabo. Kordhin deg deg ah ayaa muujin karta buro dagaal badan.

Cad ka-qaadista qanjirka 'prostate biopsy' ayaa lagu sameeyaa xafiiska dhakhtarkaaga. Natiijooyinka ayaa tilmaami kara:

• Intee in leeg tahay qanjirka 'prostate' ayaa ku lug leh.
• Dhibcaha Gleason. Lambar u dhexeeya 2 illaa 10 oo muujinaya sida ugu dhow unugyada kansarku u egyihiin unugyada caadiga ah marka lagu arko mikroskoob. Buundooyinka 6 ama ka yar waxay soo jeedinayaan in kansarku si tartiib ah u korayo oo uusan dagaal badaneyn. Tirooyinka sare waxay muujinayaan kansar si dhakhso ah u koraya oo ay u badan tahay inuu fido.

Tijaabinta sawirka sida CT scan, MRI, ama lafaha ayaa sidoo kale la samayn karaa.

Adoo adeegsanaya natiijooyinka ka soo baxa baaritaanadan, dhakhtarkaaga ayaa kuu sheegi kara heerkaaga caafimaad. Mararka qaarkood, tani waa macluumaad ku filan si go'aan looga gaaro daaweyntaada.

Qalliinka qalliinka (astaamaha noolaha) wuxuu ku saleysan yahay waxa takhtarkaagu soo helo haddii aad qalliin ku qaaddo si looga soo saaro qanjirka 'prostate' iyo laga yaabee qaar ka mid ah qanjidhada qanjidhada. Tijaabada shaybaarka ayaa lagu sameeyaa unugyada la saaray.

Tijaabadani waxay caawineysaa go'aaminta daaweynta kale ee aad u baahan karto. Waxay sidoo kale kaa caawineysaa saadaalinta waxa laga filan karo daaweyntu markay dhammaato.

Marxaladda sare, ayaa kansarka aad u horumarsan.

Marxaladda I kansarka. Kansarka waxaa laga helaa kaliya hal qeyb oo ka mid ah qanjirka 'prostate'. Marxaladda I waxaa loogu yeeraa kansarka qanjirka 'prostate cancer'. Lama dareemi karo inta lagu jiro baaritaanka malawadka dijitaalka ah ama laguma arki karo baaritaanno sawir leh. Haddii PSA ay ka yartahay 10 oo natiijada Gleason ay tahay 6 ama ka yar, kansarka Marxaladda I ayaa u eg inuu tartiib tartiib u korayo.

Kansarka Marxaladda II. Kansarku wuu ka horumarsan yahay heerka 1aad. Kumana sii faafin qanjirka 'prostate' waxaana wali loo yaqaan 'maxalliga ah'. Unugyadu way ka yaryihiin unugyada ku jira heerka I, waxaana laga yaabaa inay si dhakhso leh u koraan. Waxaa jira laba nooc oo kansarka qanjirka 'prostate' ah:

• Marxaladda IIA waxay u badan tahay in laga helo hal dhinac oo keliya ee qanjirka 'prostate'.
• Marxaladda IIB waxaa laga heli karaa labada dhinac ee qanjirka 'prostate'.

Kansarka Marxaladda III. Kansarku wuxuu ku faafay banaanka qanjirka 'prostate' wuxuuna ku fiday unugyada maxalliga ah. Waxaa laga yaabaa inuu ku faafay xubinta taranka. Kuwani waa qanjirrada sameeya shahwada. Marxaladda III waxaa loo yaqaan kansarka qanjirka 'prostate cancer' ee maxalliga ah.

Marxaladda IV kansarka. Kansarku wuxuu ku faafay xubnaha jirka ee fog. Waxay ku jiri kartaa qanjidhada ama lafaha dhow, inta badan miskaha ama lafdhabarta. Xubnaha kale sida kaadiheysta, beerka, ama sambabada way ku lug yeelan karaan.

Diyaarinta iyo qiimeynta PSA iyo dhibcaha Gleason waxay kaa caawinayaan adiga iyo dhakhtarkaaga inaad go'aan ka gaarto daaweynta ugu fiican, iyadoo la tixgelinayo:

• Dadaada
• Caafimaadkaaga guud
• Calaamadahaaga (haddii aad isku aragto)
• Dareenkaaga ku saabsan waxyeellooyinka daaweynta
• Fursadda in daaweyntu ay daaweyn karto kansarkaaga ama kaa caawin karto siyaabo kale

Marxaladda I, II, ama kansarka qanjirka 'prostate', ujeedka ugu weyn waa in lagu daaweeyo kansarka iyadoo la daaweynayo lagana ilaalinayo inuu soo laabto. Marxaladda IV, hadafku waa in la hagaajiyo astaamaha lana kordhiyo nolosha. Xaaladaha badankood, marxaladda IV kansarka qanjirka 'prostate' lama daaweyn karo.

Loeb S, Eastham JA. Baadhista iyo habaynta kansarka qanjidhka kaadi mareenka. Gudaha: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urolojiga. 11aad. Philadelphia, PA: Elsevier; 2016: cutubka 111.

Websaydhka Machadka Kansarka Qaranka. Baadhitaanka kansarka qanjidhka kaadi mareenka (PDQ) - nooca caafimaadka mihnadeed. www.cancer.gov/types/prostate/hp/prostate-screening-pdq. La cusbooneysiiyay Ogosto 2, 2019. La helay Ogosto 24, 2019.

Reese AC. Daaweynta bukaan-socodka iyo kansar ee kansarka qanjirka 'prostate'. Mydlo JH, Godec CJ, eds. Kansarka Prostate. 2aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 39.

• Kansarka Prostate