1, prostate cancer screening
PSA (prostate-specific antigen) is an important indicator for assessing the health of the prostate, but Zhang Yanhua, director of the general urology department of the Department of Urology at Taipei Veterans General Hospital, reminded that PSA is not the only indicator for evaluating prostate cancer, and the research survey found that 8 percent of patients with PSA less than 1 had problems with their prostates. The study found that 8% of patients with PSA less than 1 had problems with the section of the prostate, while 20-30% of patients with PSA between 4 and 10 had prostate cancer. Even if the slides are normal, there's still a one-in-four chance of not catching the lesion.
Director Zhang Yanhua said that PSA can be elevated for many reasons, not only in the case of prostate cancer, but also in the case of hypertrophy of the prostate, inflammation of the prostate, and infection of the urinary tract. When the PSA is elevated, the focus is to find out the reason behind it. If you find that the section results are normal, and the PSA is still high after the use of medication, it may mean that you have not caught the lesion, and then you should consider doing another section, or performing a MRI (Magnetic **** vibration photography) examination.
2, prostate cancer needs early treatment
Regal cancer symptoms are often mistaken for aging
Regal cancer to the late stage, the survival rate will be slipped sharply. Director Zhang Yanhua said that the five-year survival rate of stage 4 cancer is about 49%, while the 10-year survival rate is only 28%, and about 30% of the patients are diagnosed for the first time at the stage 4 stage. When many patients experience symptoms such as slow urination, inability to urinate, dribbling and leaking of urine, frequent urination, etc., they think that it is simply an aging phenomenon, and when they find out that something is wrong, it may be too late for them to seek medical treatment.
More choices of medications for patients with advanced prostate cancer
The treatment of advanced prostate cancer is mainly based on hormonal therapy, but most patients become resistant to the drug after 18 to 24 months of treatment, and even the hormonal therapy loses its effect. In recent years, new androgen-suppressing drugs have emerged, such as an oral androgen receptor messaging inhibitor, which has just been approved for health insurance coverage, and could provide another option for patients who have failed hormone therapy.
3. How to prevent prostate cancer
1. Exercise, sunbathing, healthy diet to reduce the risk of prostate cancer
Director Zhang Yanhua reminded that the best way to prevent prostate cancer is to exercise regularly, sunbathing, and avoiding too much high-fat and fried food, and eating less red meat. Research has shown that synthesizing vitamin D through sun exposure can help reduce the risk of prostate cancer, and people can also eat cauliflower, tomatoes and other antioxidant-containing foods to prevent cancer.
2. Regular PSA check is very important
Director Zhang Yanhua also suggests that people over 50 years old should have their PSA checked regularly, and if they have first-degree relatives with high risk groups, such as those suffering from prostate cancer, it is recommended that they should have their PSA checked regularly starting at the age of 45. People at the age of 40 can have their PSA checked once as a reference for the future changes in the value and be alert for further examination if they find that the value is rising rapidly. The PSA test is a good way to get a better idea of the value of the PSA and to get a better idea of the value of the PSA.
4. Detailed treatment for prostate cancer
Treatment:
(1) Traditional Chinese medicine
1.
Prescription: Six-flavored Dihuang Pill plus flavor.
Commonly used medicines: 16g of Radix Rehmanniae Praeparata, 15g of Rhizoma Zedoariae, 12g of Dampness, 12g of Poria, 10g of Cornu Cervi Pantotrichum, 12g of Rhizoma Dioscoreae, 20g of Astragali, 10g of Rhizoma Atractylodes Macrocephala, 10g of Cinnamon Ziziphus, 30g of Inulin, 15g of Rhizoma Baiying, 15g of Verbascum.
(2)Dampness and Heat Accumulation
Treatments: Clearing dampness and heat and dispersing the nodules and inducing diuresis.
Prescription: Bazheng San combined with Ermiao San plus reduction.
Commonly used medicines: Huangbai 10g, Cangzhu 10g, Cheqianren 30g, Chuanmutong 12g, _cumulus 15g, licorice tip 6g, swollen knotted wind 15g, Qu Mai 15g, white flower snake tongue grass 30g, Qiancheng 30g, Tu Fu Ling 30g, Longquan 15g.
(3) stasis and toxicity of the internal junction
Treatments: purging heat and removing toxins, dissolving blood stasis to dissipate the junction.
Prescription: detoxification and elimination of blood stasis soup with flavor.
Commonly used medicines: Sempervirens 30g, Radix et Rhizoma Alba 30g, Radix Scrophulariae 30g, Poria cocos 30g, Radix et Rhizoma Xiaku Cao 30g, Rhizoma Pinelliae 10g, Radix Zephyratae 12g, Rhizoma Puerariae 12g, Radix Succinatae 3g (researching and taking as a bundle), Lycium barbarum 15g, Rhizoma Gramineum 15g, Rhizoma Glycyrrhiza Umbellatae 10g.
(4)Deficiency of the positive and the prevalence of the evil
Treatment: qi and blood double tonic, detoxification, elimination of stasis, and drainage and lymphatic drainage. and diuretic and lymphatic drainage.
Prescription: Bazhen Tang plus flavor. Commonly used medicines are: 15g of raw sun-dried ginseng, 12g of atractylodes macrocephala, 12g of poria, 6g of licorice, 20g of huangdi huang, 10g of white peony, 12g of angelica sinensis, 10g of chuan dome, 15g of zihechuan, 10g of aconite, 30g of semicarpus, 30g of white snakeweed, 15g of vervain grass, 30g of lianqiancao, and in case of pain, add yanhuosuo.
2. Drug external treatment
Chinese medicine injection therapy: it is reported that the Chinese medicine opium oil milk local or intravenous injection method for the treatment of middle and advanced prostate cancer. Among them, in stage III, local injection in the gland, each time the two sides of the leaf each injected 10% of opium gall bladder oil milk 5ml, 3 days once, at least 6 times, up to 22 times; stage IV in addition to local injection, at the same time, every day, 10% of opium gall bladder oil milk 30ml, plus saline 500ml drip, 10 times as a small course of treatment, the interval of 3~5d after the follow-up, 30 times as a large course of treatment.
3. Acupuncture and moxibustion therapy
Indolent urination or retention of urine: kidney Yu, bladder Yu, Guanyuan, Zhongji, Sanyinjiao, Yinlingquan. Use the laxative method, leave the needle for 15 minutes, intermittent transportation of the needle, once a day, 5 to 10 times for a course of treatment.
(2)Western medical treatment
The treatment of prostate cancer must be tailored to the individual, and various methods should be used according to the tumor staging.A1 stage, i.e. focal cancer, is cancer discovered by chance during prostate enlargement surgery. Most of the patients are in stable condition and their prognosis is good. Generally, radical prostatectomy or radiotherapy or endocrine therapy is not advocated. It should be followed up regularly with rectal examination, ultrasound, and PSA changes in blood. stage A2 is diffuse cancer, 35% of which can be extended without treatment, and radical prostatectomy or other treatments should be considered. stage D is mainly treated with radiotherapy, endocrine therapy, and chemotherapy.