Kab mob qog noj ntshav yog mob qog noj ntshav uas cuam tshuam rau cov noob qes, thiab feem ntau cov mob qog noj ntshav no cuam tshuam rau cov txiv neej hluas thaum muaj hnub nyoog 25 txog 30. Cov mob qog noj ntshav no feem ntau kho tau los ntawm kev kho kom raug. Cov kev xaiv kho mob suav nrog kev phais, kev kho hluav taws xob, thiab kev siv tshuaj kho mob. Yog tias koj tau kuaj pom tias mob qog noj ntshav, kawm paub yuav kho tus mob qog noj ntshav uas cuam tshuam rau koj li cas.
Cov kauj ruam
Ntu 1 ntawm 3: Ntsuam Xyuas Hom Mob Cancer
Kauj Ruam 1. Kom phais cov qog nqaij hlav
Biopsies rau mob qog noj ntshav tsis tshua muaj neeg ua vim biopsies rau cov qog nqaij hlav tshwj xeeb no ua rau muaj kev pheej hmoo kis mob qog noj ntshav nce ntxiv. Yog tias pom cov qog nqaij hlav los ntawm kev kuaj mob kuaj mob, kuaj ultrasound, thiab kuaj ntshav, tom qab ntawd tus kws kho mob yuav tshem cov qog tawm hauv cov txheej txheem hu ua radical inguinal orchiectomy.
- Ntxiv nrog rau cov qog, cov noob qes thiab cov phev qau tseem yuav raug tshem tawm. Yog tias koj tshem tag nrho cov noob qes, koj muaj txoj hauv kev kom tau txais kev cog noob qes.
- Cov qog thiab lwm cov ntaub so ntswg raug xa mus rau chav kuaj mob txhawm rau kuaj xyuas cov qog nqaij hlav cancer.
Kauj Ruam 2. Tau txais kev sim duab
Yog tias kev tshuaj xyuas cov qog pom tias muaj cov qog nqaij hlav cancer, tom qab ntawd koj tus kws kho mob yuav xaj qhov kev kuaj mob, xws li ntsuas ultrasound (txhawm rau txheeb xyuas cov kua los yog rau qhov hnyav), xoo hluav taws xob, MRIs, CT, PET, lossis kuaj pob txha.. Tus kws kho mob yuav xav tau cov duab ntawm koj lub cev txhawm rau txiav txim siab yam tseem ceeb ntawm koj tus mob qog noj ntshav.
- Kev ntsuas duab yuav siv los txiav txim seb qhov twg thiab qhov twg mob qog noj ntshav tau kis mus. Cov kev ntsuas no tuaj yeem pab kws kho mob pom yog tias mob qog noj ntshav tau kis mus rau lwm qhov chaw, zoo li cov qog ntshav lossis lwm yam kabmob. Ib qho CT scan tau pom zoo yog tias muaj kev xav tias kis mob kis mus rau lub plab thiab hauv siab.
- Kev ntsuas duab kuj tseem siv los saib seb kev kho mob puas ua haujlwm thiab yog tias mob qog noj ntshav rov qab los tom qab kho tas.
Kauj Ruam 3. Txiav txim siab theem mob qog noj ntshav
Kab mob qog noj ntshav tau muab faib ua ob theem. Cov theem ntawm kev mob qog noj ntshav hais txog qhov mob hnyav ntawm qog noj ntshav. Cov theem yog txiav txim siab los ntawm kev kuaj mob qog nqaij hlav, qhov twg cov qog nqaij hlav cancer tau kawm hauv chav kuaj ntshav. Koj txoj kev kho mob nyob ntawm theem mob qog noj ntshav, yog li koj ib txwm yuav mob qog noj ntshav thaum koj kuaj mob.
- Theem 0 mob qog noj ntshav tshwm sim thaum pom cov cell txawv hauv cov noob qes. Cov hlwb tuaj yeem hloov pauv mus rau mob qog noj ntshav, tab sis nyob rau theem no lawv tsuas yog txawv txav. Qhov no yuav yog qee yam zoo li qhov caws pliav.
- Kev mob qog noj ntshav theem I tau tshawb pom tom qab cov noob qes raug tshem tawm. Theem I mob qog noj ntshav tshwm sim thaum mob qog noj ntshav yog nyob hauv cov noob qes lossis cov kua nyob ib ncig ntawm cov noob qes. Theem Kuv kuj tseem tuaj yeem nyob rau hauv cov phev qau lossis caj pas. Kev phais thiab kev saib xyuas ze yuav yog txhua yam kev kho mob uas xav tau rau theem I. Qee zaum, siv tshuaj kho mob lossis hluav taws xob kuj tseem siv tau.
- Theem II mob qog noj ntshav yog thaum mob qog noj ntshav hauv cov noob qes, cov qog ntshav, thiab cov phev qau, nrog rau cov qog ntshav hauv lub plab. Theem II feem ntau raug kho nrog kev kho hluav taws xob. Qee zaum, siv tshuaj kho mob me me kuj tseem siv tau.
- Theem III mob qog noj ntshav muaj cov cim zoo ib yam li theem II tab sis kuj tseem kis mus rau cov qog ntshav ntau dua li lub plab, mus rau lub ntsws, lossis lwm qhov hauv lub cev. Kev phais feem ntau xav tau kom tshem tawm cov qog nqaij hlav hauv lwm qhov ntawm lub cev, nrog rau kev kho mob qog noj ntshav. Kev siv tshuaj kho mob yuav koom nrog kev kho tshuaj cisplatin nrog peb mus los ntawm bleomycin, etoposide, thiab cisplatin. Txawm li cas los xij, cov txiv neej uas muaj teeb meem ua pa nyuaj yuav tsum tau ceev faj yog tias lawv nyob hauv bleomycin vim tias kev siv tshuaj kho mob no tuaj yeem ua rau mob ntsws.
Kauj Ruam 4. Tsim koj pab neeg kho mob
Koj yuav ua haujlwm nrog pab neeg kho mob thaum koj mus kho mob qog noj ntshav. Koj pab neeg yuav sib txawv nyob ntawm seb koj theem mob qog noj ntshav yog dab tsi thiab koj cov kev xaiv rau kev kho theem ntawd.
- Tej zaum koj yuav muaj tus kws kho mob urologist, kws kho mob pab, kws saib xyuas neeg mob, thiab kws saib xyuas neeg mob.
- Yog tias koj muaj kev kho hluav taws xob, koj yuav muaj hluav taws xob oncologist. Yog tias koj mus ntsib kws kho mob, koj yuav muaj kws kho mob oncologist.
- Koj kuj tseem yuav muaj cov neeg ua haujlwm sib raug zoo lossis lwm tus kws tshaj lij kho mob hlwb, kws kho mob lub cev, lossis lwm tus kws tshaj lij.
Ntu 2 ntawm 3: Nrhiav Kev Kho Mob
Kauj Ruam 1. Xaiv NIH qhov chaw kho mob qog noj ntshav
Thaum txiav txim siab yuav mus kho qhov twg, xyuas kom koj xaiv qhov chaw uas kho mob qog noj ntshav tas mus li. Qee lub tsev kho mob lossis chaw kho mob yuav tshwj xeeb rau lwm hom mob qog noj ntshav, xws li mob qog noj ntshav, mob qog noj ntshav, lossis mob qog noj ntshav. Txawm li cas los xij, ib lub National Institutes of Health (NIH) lees paub qhov chaw kho mob qog noj ntshav yuav muab kev kho mob zoo, yog li ua qhov txawv no yog qhov tseem ceeb. Cov chaw kho mob no hu ua NCIs, lossis National Cancer Institutes.
Muaj 69 NIH NCI- Chaw Kho Mob Cancer Centers thoob plaws lub tebchaws. Nov yog cov chaw zoo tshaj plaws rau kev kho mob qog noj ntshav. Cov tsev haujlwm no feem ntau tshawb fawb thiab tshawb fawb txog kev tshawb fawb yooj yim, thiab lawv muaj txoj hauv kev kawm zoo tsom mus rau kev kho txhua hom mob qog noj ntshav
Kauj Ruam 2. Siv kev soj ntsuam kom zoo
Ib txoj kev kho mob qog noj ntshav uas tsis pom nyob hauv ib qho chaw hauv lub cev tshwj tsis yog lub noob qes yog ua tib zoo saib. Tom qab phais tshem tawm cov noob qes, koj yuav tsis xav tau lwm txoj kev kho mob. Rau kaum xyoo tom ntej, koj yuav tau kuaj xyuas tas li los tshuaj xyuas koj lub cev kom paub tseeb tias mob qog noj ntshav tsis rov qab los.
- Koj yuav tau kuaj thiab kuaj ntshav txhua peb rau rau lub hlis rau ib xyoos tom qab koj phais, tom qab ntawd txhua rau rau rau cuaj hlis. Koj tseem yuav muaj CT scan thiab xoo hluav taws xob txhawm rau kuaj mob qog noj ntshav hauv lwm qhov ntawm koj lub cev.
- Kev siv hluav taws xob thiab tshuaj kho mob yuav siv yog tias pom cov qog nqaij hlav cancer hauv lwm qhov ntawm koj lub cev.
Kauj Ruam 3. Tau txais kev kho hluav taws xob
Kev kho hluav taws xob yog kho mob qog noj ntshav rau mob qog noj ntshav theem II. Thaum kho hluav taws xob, siv hluav taws xob xoo hluav taws xob siab thiab lwm yam hluav taws xob tau siv los txwv qhov kev loj hlob thiab tua cov qog nqaij hlav cancer. Kev kho hluav taws xob feem ntau yog siv los rhuav tshem cov qog nqaij hlav cancer hauv cov qog ntshav.
- Kev tawg hluav taws xob tau ua tiav sab nrauv los ntawm kev tso lub tshuab hla thaj chaw cuam tshuam. Kev kho hluav taws xob tsis mob.
- Qee zaum hluav taws xob tau siv nrog cov qog nqaij hlav thaum ntxov II txhawm rau tua cov qog nqaij hlav cancer uas tuaj yeem txhim kho hauv cov qog ntshav.
- Kev siv hluav taws xob tau siv rau theem III thaum mob qog noj ntshav tau kis mus rau lwm qhov hauv lub cev.
Kauj Ruam 4. Soj ntsuam tshuaj kho mob
Kev siv tshuaj tua kab mob yog tshuaj kho mob qog noj ntshav uas feem ntau txhaj ncaj qha rau hauv cov hlab ntshav nrog rab koob. Cov tshuaj txhaj tau taug kev hla lub cev mus rau cov qog nqaij hlav cancer. Qhov kev kho mob no pom thiab tua cov qog nqaij hlav cancer tsis txuas rau cov qog uas ntab hla koj lub cev.
- Kev siv tshuaj khomob feem ntau yog siv nrog theem I, II, lossis III mob qog noj ntshav thaum mob qog noj ntshav tau txav mus dhau lub noob qes. Yog tias mob qog noj ntshav tsuas yog hauv cov noob qes, yuav tsis siv tshuaj kho mob. Kws kho mob kuj tseem siv tau thaum mob qog noj ntshav rov tshwm sim.
- Kev siv tshuaj kho mob, feem ntau yog kev kho mob cisplatin, tau ua nyob rau hauv kev kho thiab so. Kev kho yuav siv sijhawm ntau lub lis piam lossis ntau hli los ua kom tiav.
Kauj Ruam 5. Tshem cov qog ntshav hauv koj lub plab
Yog tias koj muaj qee hom mob qog noj ntshav theem I lossis II, koj yuav tsum tau tshem cov qog ntshav hauv koj lub plab tawm. Qhov no yog ua tiav hauv txheej txheem hu ua retroperitoneal lymph node dissection (RPLND). Kev phais yog ua tiav los ntawm kev phais hauv thaj tsam plab, thiab cov qog ntshav tau raug tshem tawm ntawm sab nraub qaum.
Kev tshem tawm cov qog ntshav tuaj yeem ua rau lub paj hlwb nyob ze, uas tuaj yeem ua rau muaj teeb meem nrog ejaculation
Kauj Ruam 6. Pauv kev phais mob ntsig txog
Yog tias koj muaj qee hom mob qog noj ntshav theem qis, mob qog noj ntshav yuav hloov mus rau lwm qhov hauv lub cev. Tej zaum koj yuav tsum tau phais mob rau lwm qhov ntawm koj lub cev yog tias kev siv tshuaj kho mob lossis hluav taws xob tsis tau tua cov qog nqaij hlav cancer.
Piv txwv li, koj yuav tsum tau tshem cov qog tawm hauv koj lub ntsws, lub hlwb, lub siab, lossis lwm yam kabmob
Ntu 3 ntawm 3: Xav Txog Lwm Yam Kev Xaiv
Kauj Ruam 1. Tau txais qhov kev xav thib ob
Yog tias koj tsis muaj mob qog noj ntshav txaus ntshai rau lub neej, koj tuaj yeem txiav txim siab tau txais qhov kev xav thib ob. Qhov kev xav thib ob tuaj yeem pab koj ntseeg siab tias koj qhov kev kuaj mob qog noj ntshav yog qhov raug. Qhov kev xav thib ob kuj tuaj yeem pab qhia koj lub tswv yim txog kev xaiv kho mob ib txwm muaj.
Tsis txhob xav tias koj tsis tuaj yeem tau txais lub tswv yim thib ob vim tias kws kho mob tau qhia koj tias koj muaj mob qog noj ntshav. Koj txoj kev noj qab haus huv thiab kev kho mob nyob ntawm koj txhais tes, thiab koj muaj lus hais. Yog tias koj tsis xis nyob nrog kev xaiv kho lossis kuaj mob, tau txais kev pom zoo thib ob
Kauj Ruam 2. Saib mus rau phev txhab nyiaj
Yog tias koj muaj mob qog noj ntshav tab sis tseem xav kom muaj menyuam, koj tuaj yeem txiav txim siab phev txhab nyiaj. Mob qog noj ntshav tsis txhais tau tias koj yuav muaj menyuam ntxiv; txawm li cas los xij, kev hloov pauv vim yog mob qog noj ntshav, kho tshuaj kho mob, lossis phais mob tuaj yeem ua rau cov phev tsawg, muaj teeb meem ejaculation, lossis ntxiv lawm tshob.
- Cov txhab nyiaj phev yog qhov uas koj khov cov hnoos qeev ntawm koj cov phev yog li koj tus khub tuaj yeem tsim tau los ntawm kev dag ntxias tom qab.
- Cov theem siab ntawm cov qog nqaij hlav qog ntshav yeej ib txwm muab cov txhab nyiaj phev.
Kauj Ruam 3. Tau txais kev kho testosterone hloov
Koj yuav xav tau kev kho tshuaj testosterone hloov pauv yog tias koj tau tshem tawm ib lossis ob lub noob qes. Tej zaum koj yuav tau txais tshuaj testosterone raws li kev txhaj tshuaj, thaj, lossis gel. Testosterone hloov kho tuaj yeem pab ua rau koj libido thiab pab koj nrog teeb meem erectile.
- Qib qis ntawm testosterone tuaj yeem ua rau qaug zog, txo qis kev sib deev, txo kev loj hlob ntawm lub cev plaub hau, ua haujlwm tsis tiav, thiab hnyav nce.
- Cov kev mob tshwm sim ntawm TRT yog me me. Koj yuav ntsib pob txuv lossis tawv nqaij o, lub mis o, thiab xav kom tso zis ntau ntxiv. TRT tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav ntau ntxiv, yog li tham nrog koj tus kws kho mob.
Kauj Ruam 4. Kho rov qab ejaculation
Yog tias mob qog noj ntshav kis mus rau lossis ua rau puas tsuaj rau koj cov qog ntshav, koj tuaj yeem ntsib kev rov tsim tawm ejaculation. Nov yog qhov xwm txheej uas cov qog ntshav ua puas rau cov phev koj ejaculate rov qab mus rau hauv koj lub cev, mus rau lub zais zis. Koj tuaj yeem orgasm, tab sis koj tsis tuaj yeem ua kom muaj tus khub.
- Txhawm rau kho retrograde ejaculation, koj tuaj yeem noj tshuaj txhawm rau txhim kho lub zais zis kom pab kom cov phev tawm ntawm nws mus.
- Koj tseem tuaj yeem ua rau koj tus khub nrog los ntawm kev dag ntxias lossis hauv-vitro fertilization.
Kauj Ruam 5. Xav txog kev sim tshuaj
Koj tuaj yeem txiav txim siab ua qhov kev tshawb fawb soj ntsuam sim ua ib feem ntawm koj txoj kev kho mob qog noj ntshav. Ntau qhov kev kho mob qog noj ntshav muab kho mob qog noj ntshav tshiab tshaj plaws tshiab, thiab feem ntau lawv yog txoj hauv kev kom tau txais kev kho mob tshiab tshaj plaws uas tseem tsis tau muaj rau pej xeem sawv daws.
- Kev soj ntsuam kuaj mob pab kws kho mob thiab kws tshawb fawb kawm txoj hauv kev tshiab thiab zoo dua los kho mob qog noj ntshav.
- Nug koj tus kws kho mob yog tias lub chaw kho mob lossis tsev kho mob puas kuaj mob. Koj tseem tuaj yeem saib online rau kev sim tshuaj kho mob los ntawm cov koom haum mob qog noj ntshav thiab tsev kho mob tshawb fawb qog noj ntshav.
- Kev sim tshuaj yuav tsis yog qhov zoo rau txhua tus. Nrog koj tus kws kho mob tham.
