China cribriform unyango umhlaza wedlala lesinyi

Ukuqonda kunye nokuNyanga iCribriform Prostate Cancer eTshayina

Esi sikhokelo sibanzi siphonononga umhlaza we-cribriform prostate, ukuxilongwa kwawo, iindlela zonyango ezifumanekayo eTshayina, kunye nokubaluleka kokufuna unyango ngexesha elifanelekileyo. Siza kugocagoca kwiinkcukacha zolu hlobo lomhlaza wedlala lobudoda, sichaza inkqubela phambili yamva nje kunyango kunye nokubonelela ngemibono ebalulekileyo kwizigulana kunye neentsapho zazo.

Yintoni iCribriform Prostate Cancer?

Umhlaza weProstate yeCribriform luhlobo oluthile lomhlaza wedlala lesidoda ophawulwa ngepateni eyahlukileyo yolwakhiwo phantsi kwemakroskopu. Iiseli zomhlaza zenza izakhiwo ezifana nedlala kunye nenkangeleko yecribriform, oku kuthetha ukuba i-sieve okanye i-perforated. Olu phawu loyilo lunokuphembelela ubundlongondlongo kunye nengqikelelo yomhlaza, yenze ukuba ukubonwa kwangethuba kunye nolawulo olufanelekileyo lubaluleke kakhulu. Ngelixa isabelana ngokufana nezinye i-prostate cancers, ukuqonda iimpawu zayo ezizodwa kubalulekile ekusebenzeni China cribriform unyango umhlaza wedlala lesinyi.

Ukuxilongwa kweCribriform Prostate Cancer eChina

Ukuxilonga cribriform umhlaza wedlala lesinyi ibandakanya amanyathelo aliqela. Ngokuqhelekileyo iqala ngovavanyo lwe-digital rectal (DRE) kunye novavanyo lwegazi lwe-prostate-specific antigen (PSA). Ukuba kufunyaniswe izinto ezingaqhelekanga, kwenziwa i-biopsy ukuze kufunyanwe iisampulu zethishu zokuhlolwa ngemicroscope yingcali yezifo. I-pathologist iya kuhlalutya izicubu ukuqinisekisa ukuxilongwa kunye nokumisela inqaku le-Gleason, elinceda ukuvavanya ubundlongondlongo bomhlaza. Ubuchule bokucinga obuphucukileyo, obufana ne-MRI, bunokusetyenziselwa ukuhlola ngakumbi ubungakanani bomhlaza.

Iinketho zonyango lweCribriform Prostate Cancer eTshayina

Iinketho zonyango ze ETshayina cribriform umhlaza wedlala lesinyi ziyahluka ngokuxhomekeke kwizinto eziliqela, kubandakanywa inqanaba lomhlaza, impilo yesigulana ngokubanzi, kunye nokhetho lobuqu. Iindlela zonyango eziqhelekileyo ziquka:

Utyando

I-Radical prostatectomy, inkqubo yotyando yokususa idlala lengqula, lukhetho oluqhelekileyo lonyango lomhlaza wedlala lesinyi. Uhlobo lotyando kunye nendlela inokwahluka ngokuxhomekeke kubuchule bogqirha kunye neemfuno zesigulana ngasinye. I-laparoscopy encediswa ngerobhothi yindlela yotyando esetyenziswa kancinane.

Unyango ngemitha

Unyango lwemitha yangaphandle (EBRT) kunye nebrachytherapy (unyango lwangaphakathi ngemitha) zezinye iindlela zonyango ezisebenzayo. I-EBRT ikhupha imisebe yemitha enemitha ephezulu evela ngaphandle komzimba, ngelixa ibrachytherapy ibandakanya ukufakela imbewu ene-radioactive ngqo kwidlala lesinyi. Ukhetho phakathi kwezi ndlela luxhomekeke kwiinkcukacha zemeko yesigulane kunye neengcebiso zeqela lezonyango.

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni amanqanaba e-androgens (amahomoni angamadoda) emzimbeni. Oku kunokucothisa okanye kunqande ukukhula kweeseli zomhlaza wedlala lesidoda ezixhomekeke kwezi hormone. Ihlala isetyenziswa kumanqanaba aphezulu omhlaza wedlala lesinyi okanye ngokudibeneyo nolunye unyango.

Unyango ngamachiza

Unyango ngamachiza ngokuqhelekileyo lugcinelwe amanqanaba aphezulu omhlaza wedlala lesinyi angakhange aphendule kolunye unyango. Ibandakanya ukusetyenziswa kweziyobisi ezinamandla ukubulala iiseli zomhlaza kuwo wonke umzimba.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo luhlobo olutsha lonyango lomhlaza olugxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. Olu nyango lunokuthi lusetyenziswe kumhlaza wedlala lesinyi ukujolisa ngokuthe ngqo kwiiseli ezinomhlaza, ukunciphisa iziphumo ebezingalindelekanga xa kuthelekiswa nechemotherapy yesintu.

Ukukhetha Unyango oluLungileyo: Indlela yokusebenzisana

Ukukhetha olona nyango lufanelekileyo cribriform umhlaza wedlala lesinyi ifuna inzame yentsebenziswano phakathi kwesigulana, ugqirha we-urologist, i-oncologist, kunye nezinye iingcali zempilo. Ingxoxo ebanzi yeenketho ezahlukeneyo, iinzuzo kunye neengozi zazo, zibalulekile ekwenzeni isigqibo esinolwazi.

Ukubaluleka kokufunyanwa kwangethuba kunye nokhathalelo oluqhubekayo

Ukufunyaniswa kwangoko komhlaza wedlala lesinyi, kubandakanywa nomhlaza wedlala lesinyi, kubalulekile kwiziphumo zonyango eziphuculweyo. Ukuhlolwa rhoqo, kubandakanywa iimvavanyo ze-PSA kunye nee-DREs, ziyacetyiswa kumadoda asemngciphekweni ophezulu. Ukubeka iliso okuqhubekayo kunye nokunyamekela okulandelwayo kubalulekile emva konyango ukuze kubonwe nakuphi na ukuphindaphinda okanye iingxaki.

Ukufumana iNkxaso kunye nezibonelelo eChina

Ukujonga ukuxilongwa komhlaza wesibeleko kunokuba ngumngeni. Amaqela enkxaso kunye nemibutho exhasa izigulane inokubonelela ngenkxaso exabisekileyo ngokweemvakalelo, ebonakalayo, kunye nolwazi. E-China, zininzi izixhobo ezifumanekayo kwizigulana kunye neentsapho zazo ukubanceda ukuba bajamelane nemingeni yeemvakalelo kunye neyomzimba yomhlaza wedlala lesinyi. IZiko loPhando ngoMhlaza laseShandong Baofa liziko eliphambili ekuboneleleni ngokhathalelo olubanzi lomhlaza, kubandakanywa nobuchule kunyango lomhlaza wedlala lesinyi. Iwebhusayithi yabo inikezela ngolwazi oluxabisekileyo kunye nezibonelelo kwizigulane kunye neentsapho.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.