China unyango intermediate umhlaza wedlala lobudoda

Ukuqonda kunye nokulawula uMhlaza weProstate oPhakathi eTshayina

Esi sikhokelo sibanzi siphonononga ubunzima benqanaba eliphakathi lokhetho lomhlaza wesibeleko olukhoyo eTshayina. Siphonononga uxilongo, iindlela zonyango, kunye nokubaluleka kokhathalelo lomntu, sibonelela ngezimvo ezixabisekileyo kwabo bafuna ukucaca kunye nokuqonda ekuhambeni kolu hambo lunzima. Le ngcaciso yenzelwe iinjongo zemfundo kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo eqeqeshiweyo yokuxilongwa kunye nengcebiso zonyango.

Ukuqonda iNqanaba eliPhakathi loMhlaza weProstate

Ukuchaza uMhlaza oPhakathi woMngcipheko weProstate

Inqanaba eliphakathi China unyango intermediate umhlaza wedlala lobudoda ibonakala ngamanqaku e-Gleason we-7 (3 + 4), inqanaba le-PSA phakathi kwe-10-20 ng / mL, okanye ukubandakanyeka kwe-lymph node enye. Eli nqanaba limele umngeni obalulekileyo kuba liwela phakathi komngcipheko ophantsi kunye nomngcipheko ophezulu womhlaza we-prostate, ofuna ukuqwalaselwa ngononophelo kwiindlela ezahlukeneyo zonyango. Eyona ndlela ilungileyo yokwenza ixhomekeke kumntu ngamnye kwaye ixhomekeke kwizinto ezininzi, kubandakanya impilo, ubudala, kunye nezinto ozikhethayo. Uxilongo oluchanekileyo lubaluleke kakhulu, luhlala lubandakanya indibaniselwano ye-biopsies, uvavanyo lwe-PSA, kunye nezifundo zokucinga ezifana ne-MRI.

Uxilongo kunye neStaging

Iqonga elichanekileyo libalulekile ekusebenzeni ngempumelelo China unyango intermediate umhlaza wedlala lobudoda. Oku kubandakanya uhlolo oluneenkcukacha lobungakanani bomhlaza, kubandakanywa amanqaku eGleason, amanqanaba ePSA, kunye nobukho bemetastasis. Ubuchule bokucinga obuphezulu, obufana ne-multiparametric MRI (mpMRI), budlala indima ebalulekileyo ekuchongeni indawo echanekileyo kunye nobungakanani bethumba. Iziphumo zolu vavanyo zinceda i-oncologists ukuba inqume isicwangciso esifanelekileyo sonyango.

IiKhetho zoNyango lweNqanaba eliPhakathi loMhlaza weProstate eTshayina

Uvavanyo olusebenzayo

Kwezinye izigulana ezinomhlaza wedlala lobudoda obuphakathi, ukucupha okusebenzayo kunokuba lukhetho olufanelekileyo. Oku kubandakanya ukubeka iliso ngokusondeleyo ukuqhubeka kwesi sifo ngovavanyo lwe-PSA rhoqo, ii-biopsies, kunye nezifundo zokucinga, ukulibazisa unyango olunobundlobongela de kube yimfuneko. Le ndlela ibaluleke kakhulu kwizigulane ezikhulileyo okanye abo banezinye iinkxalabo zempilo ezibalulekileyo. Ukucupha okusebenzayo kuvumela ulawulo lomntu ngamnye, ukuphepha iziphumo ebezingalindelekanga ezingafunekiyo zonyango oluqatha.

Unyango ngemitha

Unyango ngemitha, kubandakanywa unyango lwemitha yangaphandle (EBRT) kunye nebrachytherapy, lunyango oluqhelekileyo lomhlaza wedlala lesinyi. I-EBRT ihambisa imiqadi yemitha ephezulu yamandla kwindawo yethumba, itshabalalisa iiseli zomhlaza. I-Brachytherapy ibandakanya ukufakwa kwembewu ye-radioactive ngqo kwidlala lesinyi. Omabini amaqhinga asebenza kakhulu, aneziphumo ebezingalindelekanga ezahlukeneyo ngokuxhomekeke kubuchule obuthile kunye neempawu zesigulana. IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngobuchule obuphezulu bonyango lwemitha.

Utyando (Radical Prostatectomy)

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lengqula kunye nezicubu ezijikelezileyo. Le yinkqubo yotyando ebalulekileyo eneziphumo ebezingalindelekanga ezinokuthi zibekho, ezifana nokungaphumeleli komchamo kunye nokungasebenzi kakuhle kwe-erectile. Nangona kunjalo, inokusebenza kakhulu ekupheliseni umhlaza, ngakumbi kwiimeko zendawo. Isigqibo sokuqhubeka notyando kufuneka senziwe ngokubonisana ngokusondeleyo nogqirha onamava kule nkqubo.

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni amanqanaba e-testosterone emzimbeni, ukucotha okanye ukumisa ukukhula kweeseli zomhlaza wedlala lesinyi. Ihlala isetyenziswa kunye nolunye unyango, olufana nonyango lweradiation okanye utyando, okanye njengonyango oluzimeleyo kwiimeko ezithile. I-ADT inokulawula ngokufanelekileyo esi sifo kwaye iphucule amazinga okusinda, kodwa ikwanazo neziphumo ebezingalindelekanga ezinjengokukhanya okutshisa, ukuncipha kwe-libido, kunye ne-osteoporosis.

Ukukhetha uNyango oluLungileyo: Indlela eyenzelwe wena

Elona liphezulu China unyango intermediate umhlaza wedlala lobudoda indlela yokwenza ixhomekeke kakhulu kumntu ngamnye kwaye ixhomekeke kwizinto ezininzi ezibalulekileyo. Oku kuquka iminyaka yomguli, impilo yakhe iyonke, izinto azikhethayo, iimpawu zomhlaza, kunye nokufumaneka konyango oluthile. Indlela yeqela lezinto ezininzi, ebandakanya iingcali ze-urologists, i-oncologists, i-radiation therapists, kunye nezinye iingcali zempilo, zibalulekile ekuphuhliseni isicwangciso sonyango esilungelelanisa iziphumo ngelixa kuncitshiswa iziphumo ebezingalindelekanga.

I-Prognosis kunye noNonophelo lokulandela

I-prognosis yesigaba esiphakathi somhlaza we-prostate iyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa neempawu ezithile zomhlaza kunye nendlela yonyango ekhethiweyo. Ukunyamekela okulandelwa rhoqo kubalulekile ukubeka iliso ekusebenzeni kwonyango kunye nokufumanisa nakuphi na ukuphindaphinda okanye ukuqhubela phambili kwesi sifo. Oku kudla ngokubandakanya iimvavanyo zePSA eziqhelekileyo, iimviwo zedijithali, kunye nezifundo zokucinga. Ukubeka iliso ixesha elide kubalulekile ekulawuleni naziphi na iziphumo ebezingalindelekanga zexesha elide kunye nokugcina umgangatho wobomi obulungileyo.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo eqeqeshiweyo yokuxilongwa kunye nengcebiso zonyango.