The prevention and treatment of prostate gland cancer

3.13.2009

Up to now, the treatment method of prostate gland cancer, just for repressing the male sex hormone secretes but takes off testicle(seminal vesicles) in addition to, or use estrogen so some hormone therapies.But, in recent years according to the dissimilarity of cancer swollen progress degree, can adopt various treatment methods.Mainly have surgical operation and project line treatment and medicine therapy.
The prostate gland whole resectionses
Was a prostate gland cancer to uniquely cure for good therapy to the prostate gland cancer a little bit in early days that have no other dirty machines to transfer, these were all of the prostate gland to take off in addition to Shu.The surgical operation usually adopts general anaesthesia, prostate gland of inside the layer organize and outside layer the organization cut off together together with the seminal vesicles, conveniently for the sake of improve the prostate gland plump symptom, also prostate gland of inside the layer organization cut off.Urine bladder and urethra that will cut open sew up together and heal in the wound of 3~4 weeks time inside, using to lead an urine tube will urinate a derivation body outside.
Because prostate gland cancer often occurrence surroundings the basin pour to flatteringly transfer inside the chamber.So once the detection should carry on around pour to flatteringly clean up to thoroughly cut off it.
After operation cure
Only be limited by the sufferer in the prostate gland to come to say to the cancer focus to is otiose.But for exceeded prostate gland scope gradually of sufferer come to say, the demand accepts a medicine treatment further.
After operation of complications
After operation of the complications have impotence and wet incontinence and legs anasarca etc..
The impotence is only limited by the patient in very earlier period, if surgical operation the adoption doesn't harm and nerve of the Shu type is to avoid impotent.But usually hard have regard for, impotence of the occurrence is still familiar.For this, according to sufferer's request, can in the surgical operation transplant the penis false body in the penis the thing like this gives solution.
Urethra of inside Gua invite muscle and outside Gua invite the muscle has the function to control row urine.In the surgical operation if hurt inside the Gua invite the muscle will take place an urine incontinence.Not the control of "direct current but bottom" kind doesn't live, but while suddenly standing, sneeze or cough when etc. makes the stomach pressed increment the urine incontinence of run off 2~3 drops of degree, call its"the stomach presses sex urine incontinence", can see in 10% patients around.
The legs anasarca takes place because the lymphoid knot Kuo pure after operation lymphoid reflux is obviously blocked, generally and after 2~6 months can from more.
Inside peep mirror surgical operation
Because a certain reason is the whole resectionses that can not go prostate gland.But again because prostate gland cancer the severity oppress the urethra make the obvious row wet difficult of time, can also from the urethra inside carry on inside peep mirror surgical operation, cut off one part of prostate glands with the oppression that alleviates urethra.
Project line therapy
Shoots line to kill by attaining the purpose of putting out the cancer cell towards having prostate gland at inside of transfering of pelvis and bone of patient, the irradiation X line and V.The pelvis projects light upon 2 treatment time that the months, bones transfer cooking stove also and take for around 2 weekses is have to.These treatment, according to the circumstance, some people can also carry on in the out-patient service.
The pelvis irradiation is effective to the patient who makes progress degree in the C, but because the rectum is also subjected to emanation line influence and sometimes meet short-term of diarrhea or the bowels take the phenomenon of blood.
Hormone therapy
The prostate gland takes place a cancer swollen after, still under the strong influence of hormone.Therefore, the usage represses the hormone therapy(endocrine therapy) of male sex hormone function, can see better curative effect at the patient of above 80%.
As one of the hormone therapies, have will be the testicle of main male sex hormone source to take off in addition to of emasculation surgical operation.Take off the testicle of both sides in addition to being an easy surgical operation, go to hospital for around 10 dayses and then can solve.
Can take the following medicine in addition.The anti- of LH-RH Jie that the Gao Tong secretes that represses already to come from testicle there is the male sex hormone medicine of the anti- to resist a male sex hormone functions and have already waited with male sex hormone Jie the female sex hormone(estrogen) of the anti-.
The anti- of LH-RH Jie monthly needs to be injected once, can develop is a kind of new medicine with emasculation surgical operation same effect, specially suitable to the patient who didn't do emasculation surgical operation.The anti- male sex hormone medicine also has a new medicine in the development recently.
Because these cure and probably appear impotence, breast feminization also the melanin is calm and steady, ache etc. side effect.
Still have, the female sex hormone has to the heart, blood vessel bad influence, therefore the designation that have to obey a doctor takes.
Chemotherapy
To hormone therapy not too effective, or valid for at that time lead a period of time behind again invalid(again Ran) case, there is 10% around.
In this kind of case, at the beginning start being the chemotherapy and hormone therapy suitable for use of anti-cancer.Also usually have at this time use the anti-cancer brings of various side effect, so should be very good to listen to take the doctor's instruction and help.
There are also immunotherapy and thermo therapy etc., but still be placed in research stage in addition.
After preparing
The prostate gland cancer anticipates for current 5 years, the existence rate is 50%, 10 years, and the existence rate is 30~40%.Certainly, because of the dissimilarity of the cancer swollen scope and cell malignant degree, existence the rate is also different.
The cancer was swollen in early days, because the execution cured for good sex surgical operation and probably completely cured.Although the hormone therapy is effective,half patients relapse within 2 years around.The prostate gland cancer increases to living although slow-moving, half patients had already gradually had and transfered while discovering, the case like this more allowed of no after preparing Be getting more optimistic.
Prevent°from
Prevention of extremely recruit to have no.Because have no symptom, 50 years old above of the male should periodically accept a prostate gland check and discovered to is very and important in early days.Cancerous with this kind of of occurrence relational factor such as:The eating of leaf green vegetable isn't enough, carnivorous and excessive and drink alcohol.So, the suggestion eats vegetable more and reduce every day carnivorous, don't drink the wine of accuracy few Gaos.

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