
Esi sikhokelo sibonelela ngamagqabantshintshi onyango onokukhetha kulo kwisigaba sesi-2 somhlaza wesinyi e-China. Ibandakanya iindlela ezahlukeneyo, kubandakanya utyando, unyango lweradiation, unyango lwehomoni, kunye nonyango ekujoliswe kulo, ukunceda abaguli kunye neentsapho zabo ukwenza izigqibo ezinolwazi. Siphonononga inkqubela phambili yamva nje kwaye siqwalasele izinto eziphembelela ukhetho lonyango. Le ngcaciso ilapha yenzelwe iinjongo zemfundo kwaye akufanele ithathe indawo yokubonisana nogqirha.
Inqanaba lesi-2 China isigaba 2 unyango umhlaza wedlala lobudoda ibhekisa kumhlaza wedlala lobudoda oye wanwenwa ngaphaya kwedlala lengqula kodwa uhlala uvalelwe ngaphakathi kwi-pelvis. Kubalulekile ukuqonda iinkcukacha zoxilongo, njengoko inqanaba kunye nebakala lomhlaza linempembelelo kweyona ndlela ilungileyo yokwenza. Ukufunyaniswa kwangethuba kunye nezigaba ezifanelekileyo zibalulekile kucwangciso olusebenzayo lonyango.
Izigqibo zonyango lwenqanaba lesi-2 lomhlaza wedlala lobudoda zintsonkothile kwaye zixhomekeke kwizinto ezininzi, kubandakanywa impilo yesigulana iyonke, ubudala, ibakala lomhlaza (ubundlongondlongo beeseli zomhlaza), kunye nezinto ezikhethwa ngumntu. Ubungakanani kunye nendawo yethumba nayo idlala indima ebalulekileyo. Kubalulekile ukuxoxa ngazo zonke iinketho kunye ne-oncologist egxile kumhlaza wesibeleko ukwenza esona sigqibo silungileyo kwiimeko zakho.
Iinketho zotyando ze China isigaba 2 unyango umhlaza wedlala lobudoda ziquka i-radical prostatectomy, ebandakanya ukususa idlala lobudoda. Le nkqubo ijolise ekupheliseni umhlaza ngokupheleleyo. I-laparoscopy encediswa ngerobhothi yindlela ehlaselo kancinane edla ngokukhethwa ngenxa yeenzuzo zayo ezinokubakho, ezifana nokopha okuncinci, ukuhlala ixeshana esibhedlele, kunye namaxesha okukhawuleza uchache. Ukuphumelela kotyando kuxhomekeke kwizinto ezahlukeneyo, kuquka iimpawu zomntu ngamnye zesigulane kunye nobuchule bogqirha wotyando.
Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Unyango lwemitha yangaphandle (EBRT) yindlela eqhelekileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. I-Brachytherapy ibandakanya ukufakwa kwembewu ye-radioactive ngqo kwidlala lesinyi. Unyango lweradiation-modulated intensity-modulated radiation (IMRT) kunye nonyango lweproton zezona ndlela ziphambili ezinokuhambisa imitha yemitha ngokuchanekileyo ngakumbi, ukunciphisa umonakalo kwizicubu ezisempilweni ezingqongileyo. Indlela nganye yokusasazeka kwemitha ineengenelo kunye nezingeloncedo, kwaye kuqwalaselwe ngononophelo ukuba yeyiphi indlela efanelekileyo kwimeko ethile efunekayo.
Unyango lweHormone, ekwaziwa ngokuba yi-androgen deprivation therapy (ADT), yehlisa amanqanaba eehomoni ezikhulisa umhlaza wesinyi. Olu nyango luhlala lusetyenziselwa ukucotha okanye ukumisa ukuqhubeka komhlaza, nokuba uwedwa okanye udityaniswe nolunye unyango, njengotyando okanye unyango ngemitha. I-ADT inokufakwa ngeenaliti, iipilisi, okanye izifakelo.
Unyango ekujoliswe kulo lunyango olutsha olujolise kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza. Olu nyango lujolise ekuphazamiseni ukukhula kweeseli zomhlaza kunye nokusasazeka. Ngelixa ingasoloko ilunyango lokuqala lwenqanaba lesi-2, unyango olujoliswe kuyo lunokudlala indima ngokuxhomekeke kwimeko ethile yesigulana kunye neempawu zomhlaza wabo. Uphando olongezelelweyo kunye nophuhliso luyaqhubeka ukwandisa iinketho kule ndawo.
Ukukhetha isicwangciso sonyango esingcono China isigaba 2 unyango umhlaza wedlala lobudoda kufuna ukuba kuqwalaselwe ngenyameko iinkalo ezahlukahlukeneyo. Indlela yokusebenzisana kunye ne-oncologist enobuchule ibalulekile. Baya kuqwalasela iimeko zakho ngabanye kwaye bacebise esona sicwangciso sifanelekileyo sonyango. Isigqibo kufuneka sisekelwe kuvavanyo olucokisekileyo, ukubala imbali kwimbali yakho yezonyango, ubudala, impilo yonke, kunye nezinto ozikhethayo. Soloko ukhangela izimvo ezininzi kwaye uzibandakanye kwiingxoxo ezivulekileyo neqela lakho lezempilo.
I-China yenze imitsi ebalulekileyo kuphando lomhlaza kunye nonyango. Izibhedlele ezininzi zibonelela ngeendlela zonyango ezikumgangatho ophezulu, kubandakanywa ubuchule bokucinga obuphezulu bokuxilongwa ngokuchanekileyo kunye neenkqubo zotyando olungephi. Ukuthatha inxaxheba kulingo lwezonyango kunokunika ufikelelo kunyango olukumgangatho ophezulu. Ukuxoxa oku kunye nomboneleli wakho wezempilo kubalulekile.
Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nokucwangciswa konyango. Ngolwazi oluthe vetshe ngonyango kunye nenkxaso yomhlaza wedlala lesinyi, unganqwenela ukutyelela iwebhusayithi ye IZiko loPhando ngoMhlaza laseShandong Baofa.
Ngolwazi olongezelelweyo kunye nenkxaso, qwalasela ukuhlola izixhobo ezivela kwimibutho ehloniphekileyo njengeNational Cancer Institute (NCI) kunye ne-American Cancer Society (ACS). Banikela ngolwazi oluxabisekileyo kunye nenkxaso kwizigulane kunye neentsapho zabo.
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