Risk yam thiab tiv thaiv mob qog noj ntshav zais zis

Risk yam thiab tiv thaiv mob qog noj ntshav zais zis

Risk yam tseem ceeb 

  • Kev haus luam yeeb: ntau dua ib nrab ntawm cov mob qog noj ntshav zais zis yog los ntawm nws. Cov haus luam yeeb (luam yeeb, kav dej lossis cigars) yuav luag peb npaug ntau dua li cov tsis haus luam yeeb kom muaj mob cancer ntawm zais zis1.
  • Ntev raug rau qee yam tshuaj lom neeg cov khoom kev lag luam (tars, cov roj av thiab cov suab, cov tshuaj tua hluav taws, cov ntxhiab amines thiab N-nitrodibutylamine). Cov neeg ua haujlwm hauv kev zas xim, roj hmab, tar thiab kev lag luam hlau yog tshwj xeeb. Mob qog noj ntshav zais zis yog ib ntawm peb yam mob qog noj ntshav tau lees paub los ntawm World Health Organization3. Yog li txhua tus mob qog noj ntshav lub zais zis yuav tsum yog li nrhiav keeb kwm ua haujlwm.
  • Ib txhia pharmaceuticals muaj cyclophosphamide, siv tshwj xeeb hauv kev kho tshuaj, tuaj yeem ua rau mob qog noj ntshav.

  • La radiotherapy ntawm thaj tsam pelvic (lub plab mog). Qee tus poj niam uas tau siv tshuaj kho hluav taws xob rau mob qog noj ntshav tuaj yeem tom qab tsim qog nqaij hlav hauv lub zais zis. Kev kho mob qog noj ntshav prostate nrog kev kho hluav taws xob kuj tseem tuaj yeem ua rau muaj kev pheej hmoo mob qog noj ntshav, tab sis tsuas yog tom qab 5 xyoos (4).

 

Kev tiv thaiv

Kev ntsuas tiv thaiv yooj yim

  • Tsis txhob haus luam yeeb lossis txiav luam yeeb muaj nqis txo cov kev pheej hmoo;
  • Cov neeg raug rau tshuaj lom neeg cov khoom Cov kab mob carcinogens thaum lawv ua haujlwm yuav tsum ua raws li cov txheej txheem kev nyab xeeb. Kev tshuaj ntsuam xyuas yuav tsum tau ua 20 xyoo tom qab pib raug rau cov khoom no.

Kev tshuaj ntsuam xyuas thiab txuas ntxiv mus

Kev kuaj mob

Sib nrug los ntawm kev soj ntsuam kuaj mob, ntau qhov kev tshawb fawb muaj txiaj ntsig zoo rau kev kuaj mob:

• Kev kuaj zis kom txiav txim seb puas kis tus kab mob (ECBU lossis cyto-bacteriological kuaj zis).

• Cytology nrhiav cov cell txawv hauv cov zis;

• Cystoscopy: tshuaj xyuas lub zais zis ncaj qha los ntawm kev tso ib lub raj uas muaj cov fibers nkag mus rau hauv lub qhov zis.

• Kev tshuaj xyuas me me ntawm qhov txhab raug tshem tawm (kuaj mob anatomo-pathological).

• Kev tshuaj ntsuam fluorescence.

Ntsuam xyuas kev ncua

Lub hom phiaj ntawm qhov kev ntsuas no yog txhawm rau txheeb xyuas seb puas muaj cov qog nqaij hlav tsuas yog nyob rau ntawm lub zais zis phab ntsa lossis nws puas tau kis mus rau lwm qhov.

Yog tias nws yog qog nqaij hlav ntawm lub zais zis (TVNIM), qhov kev tshuaj xyuas txuas ntxiv no yog nyob rau hauv txoj cai tsis raug cai tshwj tsis yog ua qhov kev kuaj mob urological CT txhawm rau saib rau lwm qhov puas tsuaj rau cov zis. .

Thaum muaj cov qog nqaij hlav ntau ntxiv (IMCT), kev tshuaj xyuas yog siv CT scan ntawm lub hauv siab, hauv plab, thiab lub plab (qis dua ntawm lub plab uas lub zais zis nyob) txhawm rau txiav txim siab qhov cuam tshuam ntawm cov qog, nrog rau nws txuas ntxiv mus rau cov qog ntshav thiab lwm yam kabmob.

Lwm qhov kev tshawb nrhiav yuav tsim nyog nyob ntawm rooj plaub.

 

 

Sau ntawv cia Ncua