Huwandu hwechirwere chegomarara reprostate huri kuwedzera gore negore, uye hwave humwe hwemhondi huru dziri kukanganisa utano hwevarume vakwegura.Parizvino, China yakamisa akajeka ekuongorora cancer yeprostate, asi ichiri kufanira kuenderera mberi nekusimudzira kufarirwa kwekuzivisa veruzhinji.Ye Dingwei, mutevedzeri wemutungamiri weChipatara cheCancer chakabatana neFudan University uye mukuru wedhipatimendi reurology, akataura pamusangano wechangobva kuitika wegomarara reprostate kufambira mberi kwesainzi musangano wakaitirwa kuGuangzhou kuti China ichiri kufanira kusimbisa basa rayo rinotungamira mukutsvagisa zvinodhaka zvepasi rose. kuvandudza miedzo yekiriniki, kuitira kuti ikurumidze kuwedzera uye kuunzwa kwemishonga ine hunyanzvi uye kubatsira varwere vazhinji muChina.
Gomarara reprostate ibundu rinorwadza remudumbu rinoitika muprostate uye ndiro gomarara rinouraya rinowanzoitika muurogenital system yechirume.Nemhaka yokuti haina zviratidzo zvekiriniki panguva yekutanga, inowanzokanganisika navanachiremba kana varwere nokuda kweprostatic hypertrophy kana hyperplasia, uye kunyange varwere vakawanda havauye kuzoona chiremba kusvikira vane zviratidzo zvemetastatic zvakadai sekurwadziwa kwepfupa.Nekuda kweizvozvo, vangangoita makumi manomwe muzana evarwere vekenza yeprostate muChina vari munharaunda yepamusoro uye yakawanda metastatic prostate cancer kana yaonekwa, nekusarapwa uye kufungidzira.Uyezve, chiyero chechirwere chegomarara reprostate chinowedzera nezera, chichikwira nekukurumidza mushure memakore makumi mashanu, uye huwandu hwezviitiko uye huwandu hwekufa kwemakore makumi masere nemashanu kusvika pakakwirira.Pasi pemamiriro ekuwedzera kuchembera muChina, huwandu hwevanhu vane cancer yeprostate muChina huchakwira.
Ye Dingwei akataura kuti kuwedzera kwehuwandu hwechirwere chegomarara reprostate kuChina kwakapfuura iyo yemamwe mamota akasimba, uye huwandu hwevanhu vanofa huri kuwedzera zvakanyanya.Panguva imwecheteyo, makore mashanu ekupona kwegomarara reprostate muChina ari pasi pe70%, nepo muEurope neUnited States, kunyanya United States, makore mashanu ekupona ari pedyo ne100%.“Chikonzero chikuru chemamiriro ezvinhu aya ndechekuti ruzivo rwekuvhenekwa munyika yose kuChina haruna kusimba, uye hapana kuwirirana pakuziva kuti mapoka ari munjodzi anofanira kuongororwa PSA makore maviri oga oga;uye vamwe varwere havasati vawana kuongororwa uye kurapwa, uye hurongwa hwese hwekutarisira kenza yeprostate muChina huchiri kuda kuvandudzwa. "
Kufanana nekenza zhinji, kuvhenekwa kwekutanga, kuongororwa uye kurapwa kwegomarara reprostate kunogona kuwedzera huwandu hwekupona.Zeng Hao, nhengo yeYouth Research Group uye Secretary-General weUrology Branch yeChinese Medical Association, akataura kuti vanhu vekuEurope neAmerica vanokoshesa zvikuru kudzivirira nekurapa gomarara reprostate, uye huwandu hwekuvhenekwa kwegomarara reprostate hwakanyanya. yakakwirira, iyo inobvumira varwere vazhinji vane gomarara rekutanga reprostate kuti vawane mikana yakanaka yekurapa, nepo veruzhinji vekuChina vaine ruzivo rwakaderera rwekuongororwa kwechirwere, uye ruzhinji rwevarwere vari munharaunda uye yakakura metastatic cancer yeprostate kana yaonekwa.
“Pachine mukaha mukuru pakati pevarwere vegomarara reprostate vekuChina neEurope neUnited States kubva pakutanga kusvika pakuongororwa kusvika pakurapwa kusvika pakufungidzira.Naizvozvo, kudzivirira uye kurapwa kwegomarara reprostate kuChina kune rwendo rurefu rwekufamba,” Zeng Hao akadaro.
Nzira yekushandura sei mamiriro ezvinhu?Ye Dingwei akati chekutanga ndechekuparidzira ruzivo rwekutanga kuongororwa.Varwere veprostate vane makore anopfuura makumi mashanu ekuberekwa vari panjodzi huru vanofanira kuongororwa prostate specific antigen (PSA) makore maviri oga oga.Chechipiri, kurapwa kwegomarara reprostate kunofanirwa kubhadhara zvakanyanya kurapwa kweiyo chaiyo uye yakazara-maitiro pfungwa.Chechitatu, mukurapa, tinofanira kuterera kune multidisciplinary treatment (MDT) kune varwere vane kenza yeprostate pakati nepakati uye yekupedzisira.Kuburikidza nekuedza kwakabatana kweiyi nzira dzakawanda dziri pamusoro, huwandu hwekupona kwegomarara reprostate muChina hunogona kuvandudzwa zvakanyanya mune ramangwana.
"Tichiri nerwendo rurefu rwekufamba mukuvandudza chiyero chekukurumidza kuongororwa uye mwero wekuonekwa kwechokwadi."Zeng Hao akati dambudziko guru mukuvandudza kuongororwa kwekutanga uye chiyero chekurapa kwekutanga ndechekuti mukuita kwekiriniki, kukosha kwemabundu mamaki ingori yakakosha yereferensi index, uye kuongororwa kwebundu kunoda kusanganiswa nekufungidzira kana kubaya biopsy kuti ikwane. kuongororwa, asi zera repakati revarwere vekenza yeprostate riri pakati pemakore makumi matanhatu nemanomwe kusvika makumi manomwe ekuzvarwa, Rudzi urwu rwevarwere vakura vane kubvuma kushoma kwepuncture biopsy.
Parizvino, nzira dzakajairika dzekurapa cancer yeprostate dzinosanganisira kuvhiya, radiotherapy, chemotherapy uye endocrine therapy, pakati peiyo endocrine therapy ndiyo nzira huru yekurapa cancer yeprostate.
Ye Dingwei akataura kuti mhedzisiro yeASCO-GU ichangobva kuburitswa gore rino yakaratidza kuti musanganiswa therapy inoumbwa nePARP inhibitor Talazoparib uye enzalutamide yakawana mhedzisiro mukiriniki chikamu III kuyedzwa, uye nguva yese yekupona yakavandudzwa zvakanyanya, ne mhedzisiro yakanaka inotarisirwa, tichitarisira kuvandudza hupenyu hwese hwevarwere vane metastatic castration inodzivirira kenza yeprostate mune ramangwana.
"Pachine mikaha yemisika uye zvisati zvazadzikiswa zvinodikanwa mukurapwa mukuunzwa kwemishonga ine hunyanzvi munyika yedu."Ye Dingwei akati anotarisira kukurumidzira kuunzwa kwemishonga ine hunyanzvi, uye anotarisirawo kuti timu yezvechiremba yekuChina inogona kutora chikamu mukuedzwa kwekiriniki yemishonga yepasi rose, kuchengetedza nhanho imwe chete netsvakiridzo yekunze uye budiriro nemusika, uye kushanda pamwe chete kuunza zvimwe. nzira itsva dzekurapa dzevarwere, kuvandudza kukurumidza kuongororwa kwehuwandu uye kurarama kwese.
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Nguva yekutumira: Mar-20-2023