How to treat Prostate cancer?

['Thikĩrĩria karatathi gaka']

Ũngĩteithia mũndũ atĩa kũhiũrania na kansa ya prostate?

Harĩ njĩra nyingĩ cia kũrigita mũrimũ wa prostate cancer, kũringana na mũrimũ ũrĩa ũrakũra na ũrĩa ũrakũra, na ũrĩa mũndũ arũarĩte na ũrĩa angĩenda kũrigitwo.

Mamwe ma njĩra iria kaingĩ ihũthagĩrũo nĩ:

1. Kũrigĩrĩria: Njĩra ĩno ĩhutĩtie kũrora mũrimũ wa kansa na njĩra ya gũthima na gũthima kaingĩ, handũ ha kwambĩrĩria ũrigitani o hĩndĩ ĩyo.

No ũhũthĩrũo nĩ arũme arĩa marĩ na mũrimũ wa prostate ũtarĩ na ũgwati mũnene.

2. Ũrigitani: Prostatectomy nĩ njĩra ya ũrigitani ya kweheria prostate.

No wĩkwo na njĩra ya gũthĩnjwo kana laparoscopically (kũgerera gũtemwo hanini na indo cia mwanya).

3. Kũhũthĩra ũtheri: Njĩra ĩno ya ũrigitani ĩhũthagĩra ũtheri wa hinya mũnene kũniina tũhengereta twa kansa.

No ĩhũthĩrũo na njĩra ya gũikia kĩndũ mwĩrĩ-inĩ wa mũndũ (kĩndũ kĩrĩ nja ya mwĩrĩ) kana na njĩra ya gwĩkĩra kĩndũ hakuhĩ na mũrimũ ũcio.

4. Ũrigitani wa homoni: Ũrigitani ũcio ũnyihanyihia homoni cia arũme thĩinĩ wa mwĩrĩ, iria itũmaga kansa ya prostate ĩgĩe na ihenya kana ĩgatiga kwĩhaanda.

No ũhũthĩrũo ũrĩ wiki kana ũrĩ hamwe na ndawa ingĩ.

5. Chemotherapy: Njĩra ĩno ya ũrigitani ĩhũthagĩra ndawa kũniina tũhengereta twa kansa.

No ĩhũthĩrũo harĩ mũrimũ wa kansa ya prostate ĩrĩa ĩthiĩte kũndũ kũngĩ thĩinĩ wa mwĩrĩ.

6. Ũrigitani wa kũrũa na mĩrimũ: Ũrigitani ũcio nĩ ũteithagia mwĩrĩ kũrũa na kansa.

No ĩhũthĩrũo harĩ mũrimũ wa prostate ũtambĩte mũno na ndũcoketie ũhoro na njĩra ingĩ cia ũrigitani.

7. Njĩra ya kũbanga ũrĩa mũndũ ekũhonio: Njĩra ĩno ya kũbanga ĩhutagia tũcunjĩ twa DNA kana proteins iria iteithagia tũhengereta twa kansa gũkũra na gũtũũra.

No ĩhũthĩrũo harĩ mũrimũ wa prostate ũtambĩte mũno na ndũcoketie ũhoro na njĩra ingĩ cia ũrigitani.

8. Kũrigitwo na njĩra ya heho: Njĩra ĩno ya kũrigitwo ĩhũthagĩra heho nene mũno kũrigitithia na kũũraga tũhengereta twa kansa.

No ĩhũthĩrũo harĩ mũrimũ wa kansa ya prostate ĩrĩa ĩrĩ kĩambĩrĩria-inĩ kana ĩrĩa ĩcokete thutha wa kũrigitwo na njĩra ingĩ.

9. High-intensity focused ultrasound (HIFU): Njĩra ĩno ya ũrigitani ĩhũthagĩra mĩhũũmũ ya mũgambo wa frequency ya igũrũ kũhũũra na kwananga tũhengereta twa kansa.

No ĩhũthĩrũo harĩ mũrimũ wa kansa ya prostate ĩrĩa ĩrĩ kĩambĩrĩria-inĩ kana ĩrĩa ĩcokete thutha wa kũrigitwo na njĩra ingĩ.

10. Gũikara mũndũ eiguĩte: Njĩra ĩno nĩ ya kũrora mũrimũ ũcio wa kansa na kinyi na njĩra ya gũikara akĩroraga mwĩrĩ, no mũndũ ndabataraga kũrigitwo tiga o rĩrĩa onania ndariri cia mũrimũ ũcio kana agarũrũka.

No ũhũthĩrũo nĩ athuri akũrũ arĩa marĩ na kansa ya prostate ĩrakũra kahora na arĩa marĩ na mathĩna mangĩ maritũ ma mwĩrĩ.

Nĩ ũndũ wa bata kwarĩrĩria njĩra ciothe cia ũrigitani na arigitani nĩguo ũmenye njĩra ĩrĩa njega biũ ya kũrigita o mũndũ.

['Ũhoro wa kwambĩrĩria']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Wang Y, Chen J, Wu Z, Ding W, Gao S, Gao Y, Xu C: Mechanisms of enzalutamide resistance in castration-resistant prostate cancer and therapeutic strategies to overcome it. Br J Pharmacol. 2021, 178 (2): 239-261.

Talkar SS, Patravale VB: Gene Therapy for Prostate Cancer: A Review. Endocr Metab Immune Disord Drug Targets. 2021, 21 (3): 385-396.

Šamija I, Fröbe A: CHALLENGES IN MANIPULATING IMMUNE SYSTEM TO TREAT PROSTATE CANCER. Acta Clin Croat. 2019, 58 (Suppl 2): 76-81.

Akaza H, Hinotsu S, Usami M, Ogawa O, Kagawa S, Kitamura T, Tsukamoto T, Naito S, Hirao Y, Murai M, Yamanaka H, Namiki M: The case for androgen deprivation as primary therapy for early stage disease: results from J-CaP and CaPSURE. J Urol. 2006, 176 (6 Pt 2): S47-9.

Abraham-Miranda J, Awasthi S, Yamoah K: Immunologic disparities in prostate cancer between American men of African and European descent. Crit Rev Oncol Hematol. 2021, 164 (): 103426.

de Vrij J, Willemsen RA, Lindholm L, Hoeben RC, Bangma CH, Barber C, Behr JP, Briggs S, Carlisle R, Cheng WS, Dautzenberg IJ, de Ridder C, Dzojic H, Erbacher P, Essand M, Fisher K, Frazier A, Georgopoulos LJ, Jennings I, Kochanek S, Koppers-Lalic D, Kraaij R, Kreppel F, Magnusson M, Maitland N, Neuberg P, Nugent R, Ogris M, Remy JS, Scaife M, Schenk-Braat E, Schooten E, Seymour L, Slade M, Szyjanowicz P, Totterman T, Uil TG, Ulbrich K, van der Weel L, van Weerden W, Wagner E, Zuber G: Adenovirus-derived vectors for prostate cancer gene therapy. Hum Gene Ther. 2010, 21 (7): 795-805.

Lee E, Ha S, Logan SK: Divergent Androgen Receptor and Beta-Catenin Signaling in Prostate Cancer Cells. PLoS One. 2015, 10 (10): e0141589.

['Ũkaana: thibitarĩ']

['Website ĩno ĩkoragwo ĩrĩ ya kũrutana na kũheana ũhoro tu na ti ya kũheana ũtaaro wa ũrigitani kana ũtungata wa kĩĩmwĩrĩ.']

['Ũhoro ũrĩa ũrĩ thĩinĩ wa broshua ĩyo ndwagĩrĩirũo kũhũthĩrũo gũthima kana kũrigita mũrimũ mũna, na arĩa marenda ũtaaro wa ũrigitani magĩrĩirũo gũcaria ũteithio wa ndagĩtarĩ.']

['No wone atĩ netiwaki ya neuron ĩrĩa ĩheanaga macokio ma ciũria icio, ndĩkoragwo na ũkinyanĩru mũno ũhoro-inĩ wĩgiĩ namba. Kwa ngerekano, mũigana wa andũ arĩa magwatĩtio mũrimũ mũna.']

['Hingo ciothe caria ũtaaro wa ndagĩtarĩ kana mũndũ ũngĩ wagĩrĩire ũgima-inĩ waku wa mwĩrĩ igũrũ rĩgiĩ mũrimũ. Ndũkaanahũthie ũtaaro wa ndagĩtarĩ kana ũcererũo kũũcaria nĩ ũndũ wa ũndũ ũthomete thĩinĩ wa website ĩno. Ũngĩkorũo ũrona ta wacemania na ũndũ mũhiũ, hũra thimũ 911 kana ũthiĩ thibitarĩ ya hakuhĩ na harĩa ũrĩ. Gũtirĩ ũrata wa ndagĩtarĩ na mũrwaru wonekaga nĩ ũndũ wa website ĩno kana kũhũthĩrũo kwayo. BioMedLib kana aruti ayo a wĩra, kana mũndũ ũngĩ wothe ũrutĩte wĩra thĩinĩ wa website ĩno, ndarĩ na ũira, wa ĩmwe kwa ĩmwe kana wa ĩmwe kwa ĩmwe, wĩgiĩ ũhoro ũrĩa ũheanĩtwo ho kana ũrĩa ũhũthĩrĩtwo.']

['Ũregani: wĩyathi wa kwandĩka']

['Watho wa Digital Millennium Copyright Act wa 1998, 17 U.S.C. § 512 (the DMCA) ũheanaga ũhoti wa ene a ihoto cia wandĩki arĩa metĩkĩtie atĩ ũhoro ũrĩa ũroneka intanetiinĩ nĩ ũtharĩtie ihooto ciao kũringana na watho wa U.S. wa ihoto cia wandĩki.']

['Ũngĩkorũo na wĩtĩkio atĩ ũhoro kana kĩndũ kĩna gĩtahingũrĩtwo ũhoro-inĩ wĩgiĩ website kana ũtungata witũ nĩ gĩgũthũkia ihooto ciaku, wee (kana mũndũ ũrĩa ũgũgũthondekera) no ũtũtũmĩre notithi ũkĩũria ũhoro kana kĩndũ kĩu kĩeherio, kana ũrigĩrĩrio ndũgacihũthĩre.']

["Marũa macio magĩrĩire gũtũmwo na njĩra ya kwandĩkwo na e-mail (rora ũhoro wa andirethi gĩcunjĩinĩ kĩa 'Maũndũ ma kwaranĩria')."]

['DMCA ĩbataraga atĩ notithi yaku ya kuuna ihooto cia wandĩki ĩkorwo na ũhoro ũyũ: (1) ũtaarĩria wa wĩra ũrĩa ũrĩ na ihooto cia wandĩki ũrĩa ũrarumwo; (2) ũtaarĩria wa ũhoro ũrĩa ũrarumwo na ũhoro mũiganu wa gũtũhotithia kũmenya kũrĩa ũhoro ũcio ũrĩ; (3) ũhoro waku wa kwaranĩria, hamwe na andirethi, namba ya thimũ na andirethi ya e-mail; (4) ndũmĩrĩri yaku atĩ wĩ na wĩtĩkio mwega atĩ ũhoro ũcio ũramenererio ndũrĩ na rũtha rwa mwene wa watho, kana mũrũgamĩrĩri, kana rwa watho o wothe; ']

['(5) nĩ mwandĩkanĩire, na nĩ mũkũheo mũkaana wa kũheenania, atĩ ũhoro ũrĩa ũrĩ kĩmenyithiainĩ kĩu nĩ wa ma na atĩ mũrĩ na ũhoti wa kũhingia ihooto iria mũreganĩte nacio;']

['na (6) kĩrore kĩa mwene kĩhoto kana kĩa mũndũ wĩtĩkĩritio gwĩtongoria handũ ha mwene kĩhoto.']

['Kwaga kwandĩka ũhoro ũcio wothe no gũtũme gũtangĩka gwaku kũhĩtũke.']

['Ũhoro wa Kwaranĩria']

['Tũma ndũmĩrĩri ya kũbucia kũgerera thimũ kana thimũ ya mohoro.']

How to treat prostate cancer?

There are several treatment options available for prostate cancer, depending on the stage and aggressiveness of the cancer, as well as the patient's overall health and personal preferences.

Some common treatments include:

1. Active surveillance: This approach involves closely monitoring the cancer with regular checkups and tests, rather than immediately starting treatment.

It may be suitable for men with low-risk prostate cancer.

2. Surgery: A prostatectomy is a surgical procedure to remove the prostate gland.

It can be done through open surgery or laparoscopically (using small incisions and specialized tools).

3. Radiation therapy: This treatment uses high-energy radiation to kill cancer cells.

It can be delivered externally (from a machine outside the body) or internally (through implants placed near the tumor).

4. Hormone therapy: This treatment reduces the levels of male hormones (androgens) in the body, which can slow or stop the growth of prostate cancer.

It can be used alone or in combination with other treatments.

5. Chemotherapy: This treatment uses drugs to kill cancer cells.

It may be used for advanced prostate cancer that has spread to other parts of the body.

6. Immunotherapy: This treatment helps the immune system fight cancer.

It may be used for advanced prostate cancer that has not responded to other treatments.

7. Targeted therapy: This treatment targets specific genes or proteins that help cancer cells grow and survive.

It may be used for advanced prostate cancer that has not responded to other treatments.

8. Cryotherapy: This treatment uses extreme cold to freeze and kill cancer cells.

It may be used for early-stage prostate cancer or for cancer that has come back after other treatments.

9. High-intensity focused ultrasound (HIFU): This treatment uses high-frequency sound waves to heat and destroy cancer cells.

It may be used for early-stage prostate cancer or for cancer that has come back after other treatments.

10. Watchful waiting: This approach involves closely monitoring the cancer with regular checkups and tests, but not starting treatment unless symptoms appear or change.

It may be suitable for older men with slow-growing prostate cancer and other serious health conditions.

It is important to discuss all treatment options with a healthcare team to determine the best course of action for each individual case.

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