China yasekuhlaleni unyango lomhlaza wedlala lobudoda phambili

ETshayina EkuPhakameni okuPhambili kwiiKhetho zoNyango lweProstate Cancer

Esi sikhokelo sibanzi siphonononga imbonakalo-mhlaba ye China yasekuhlaleni unyango lomhlaza wedlala lobudoda phambili, ukucacisa iinketho ezikhoyo, ukuqwalaselwa kokukhetha indlela efanelekileyo, kunye nezibonelelo zezigulane kunye neentsapho zabo. Siza kugubungela iindlela ezahlukeneyo zonyango, sigxininisa ukubaluleka kokhathalelo lomntu olusekwe kwimiba yesigulana ngasinye kunye nenkqubela phambili yamva nje kwintsimi. Ukuqonda iinketho zakho kubalulekile ekuhambeni kolu hambo.

Ukuqonda uMhlaza weProstate oPhakamileyo ekuhlaleni

Ukuchaza uMhlaza weProstate oPhakamileyo ekuhlaleni

Umhlaza wedlala lobudoda osele uhambele phambili ekuhlaleni ubhekisa kumhlaza oye wanwenwa ngaphaya kwedlala lengqula kodwa awukametastasized (usasazeke) kumalungu akude. Eli nqanaba lihlelwa ngokwesiqhelo njengezigaba IIIB kunye ne-IVA. Iqonga elichanekileyo libalulekile ekumiseleni eyona ilungileyo China yasekuhlaleni unyango lomhlaza wedlala lobudoda phambili isicwangciso.

Inqanaba kunye nokuxilongwa

Uxilongo lubandakanya indibaniselwano yovavanyo lwe-digital rectal (DRE), uvavanyo lwegazi lwe-prostate-specific antigen (PSA), kunye ne-biopsy. Iindlela zokucinga ezifana ne-MRI kunye ne-CT scans zinceda ukufumanisa ubungakanani bokusasazeka komhlaza. Inqanaba elithile lichaphazela ukhetho lonyango.

IiKhetho zoNyango loMhlaza weProstate oPhakamileyo ekuhlaleni eTshayina

Unyango ngemitha

Unyango ngemitha, kubandakanywa unyango lwemitha yangaphandle (EBRT) kunye ne-brachytherapy (imitha yangaphakathi), lunyango oluxhaphakileyo lonyango lwe-radiation. I-China yasekuhlaleni iqhubela phambili umhlaza wesibeletho. Ubuchwephesha banamhlanje obunje ngonyango lweradiation-modulated intensity-modulated radiation (IMRT) kunye nonyango lweproton kunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo. Iziko loPhando ngoMhlaza laseShandong Baofa (https://www.baofahospital.com/) ibonelela ngeendlela zonyango lwemitha oluphezulu.

Utyando

I-Radical prostatectomy, ukususwa ngotyando lwedlala lobudoda, kunokuba lukhetho kwezinye izigulana ezinomhlaza wedlala lesinyi. Ukufaneleka kotyando kuxhomekeke kwizinto ezifana nempilo yonke yesigulana, ubungakanani kunye nendawo yethumba, kunye nobukho bezinye iimeko zonyango.

Unyango lweHormone (Androgen Deprivation Therapy-ADT)

Unyango lweHormone, ekwaziwa ngokuba yiADT, lujolise ekunciphiseni amanqanaba eehomoni zamadoda (androgens) ezikhulisa ukukhula komhlaza wedlala lesidoda. Ihlala isetyenziswa ngokudityaniswa nolunye unyango, olufana nonyango lwemitha, okanye njengonyango oluzimeleyo kwezinye izigulana. I-ADT inokulawulwa ngeendlela ezahlukeneyo, kuquka iinaliti kunye namayeza aselwayo.

Unyango ngamachiza

I-Chemotherapy igcinelwe iimeko apho umhlaza ungakhange uphendule kakuhle kolunye unyango okanye uqhubele phambili ngaphandle kolunye unyango. Isebenzisa amachiza anamandla ukubulala iiseli zomhlaza kuwo wonke umzimba.

Ukukhetha iSicwangciso soNyango esiLungileyo

Ukukhethwa kwezona zifanelekileyo China yasekuhlaleni unyango lomhlaza wedlala lobudoda phambili isicwangciso yinkqubo yomntu ngamnye kakhulu. Kubandakanya uqwalaselo ngononophelo lwemiba emininzi:

Ukubonisana neqela leengcaphephe, kubandakanywa i-oncologists, i-urologists, kunye ne-radiation oncologists, kubalulekile ekuphuhliseni isicwangciso sonyango somntu.

Inkxaso kunye nezibonelelo

Ukujongana nokuxilongwa komhlaza wedlala lobudoda okwinqanaba eliphezulu kunokuba ngumngeni. Izigulane kunye neentsapho zabo kufuneka zifune inkxaso kwizibonelelo ezahlukeneyo, kubandakanywa amaqela enkxaso, iinkonzo zokucebisa, kunye nemibutho yokuxhasa izigulane. Iziko loPhando ngoMhlaza laseShandong Baofa (https://www.baofahospital.com/) ibonelela ngeenkonzo zenkxaso yezigulane ezibanzi.

Olu lwazi lulwazi ngokubanzi kwaye aluqulunqi iingcebiso zonyango. Hlala ubonisana nogqirha wakho malunga nokuxilongwa kunye nokucwangcisa unyango.