
Ukufumana unyango olululo lwe Gleason 7 umhlaza wedlala lesinyi kunokuba nzima. Esi sikhokelo sibonelela ngolwazi olubalulekileyo ukukunceda uqonde iinketho zakho kwaye wenze izigqibo ezinolwazi. Siza kugubungela uxilongo, iindlela zonyango, iziphumo ebezingalindelekanga, kunye nezixhobo zokuxhasa kuhambo lwakho lonke. Funda malunga nenkqubela phambili yamva nje Gleason 7 unyango lomhlaza wedlala lesinyi kwaye ufumane ababoneleli bezempilo abathembekileyo kufutshane nawe.
Amanqaku e-Gleason yinkqubo yokuhlela esetyenziselwa ukujonga ubundlongondlongo bomhlaza wedlala lesinyi. Amanqaku e-Gleason esi-7 amele umhlaza womngcipheko ophakathi, okuthetha ukuba undlongondlongo kunamanqaku asezantsi kodwa ngaphantsi kunamanqaku aphezulu. Kubalulekile ukuqonda amanqaku akho eGleason (umzekelo, 3+4 vs. 4+3) njengoko oku kuphembelela iingcebiso zonyango.
Amanqaku akho eGleason yinto enye eqwalaselwayo kwisicwangciso sakho sonyango. Ezinye izinto ezibalulekileyo ziquka inqanaba lomhlaza (ukuba usasazeke kangakanani), impilo yakho yonke, kunye nezinto ozikhethayo. Ugqirha wakho uya kuthathela ingqalelo zonke ezi zinto ukumisela eyona ndlela ilungileyo yokwenza kuwe.
Kwamanye amadoda anomhlaza wendlala yesinye i-Gleason 7, ukubek' esweni okusebenzayo (ukulinda okubukhali) kunokuba lukhetho. Oku kubandakanya ukubeka iliso rhoqo ngovavanyo lwe-PSA kunye ne-biopsies ukulandelela ukuqhubeka komhlaza. Le ndlela ijongwa njengesiqhelo somhlaza okhula kancinci emadodeni aphila ixesha elide kunye nezinye izinto ezixhalabisayo zempilo.
Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Kuba Gleason 7 umhlaza wedlala lesinyi, oku kunokubandakanya unyango lwemitha yangaphandle (EBRT) okanye ibrachytherapy (imitha yangaphakathi). I-EBRT ikhupha imitha ephuma ngaphandle komzimba, ngelixa ibrachytherapy ibandakanya ukubeka imbewu ene-radioactive ngqo kwidlala lesinyi.
Utyando lwesinyi lubandakanya ukususwa ngotyando lwedlala lobudoda. Olu lutyando olukhulu olunokuba neziphumo ebezingalindelekanga, kubandakanywa ukungakwazi ukuzibamba komchamo kunye nokungasebenzi kakuhle kwe-erectile. I-prostatectomy encediswa ngerobhothi yindlela yotyando engenelelayo kancinane enokunciphisa ezinye zezi ziphumo bezingalindelekanga.
Unyango lweHormone, ekwaziwa ngokuba yi-androgen deprivation therapy (ADT), yehlisa amanqanaba eehomoni zamadoda (androgens) ezikhulisa umhlaza wesinyi. Oku kudla ngokusetyenziswa ngokudityaniswa nolunye unyango okanye njengonyango oluzimeleyo lwesifo esiqhubela phambili okanye esiphindelelayo. IZiko loPhando ngoMhlaza laseShandong Baofa inikeza ukhathalelo olubanzi kwaye inokuba sisixhobo sokuphonononga ukhetho lwakho lonyango.
Ukufumana i-urologist eqeqeshiweyo kunye namava okanye i-oncologist ekhethekileyo kumhlaza we-prostate kubalulekile. Unokuqala ukukhangela kwakho ngokusebenzisa iinjini zokukhangela kwi-intanethi, ucele ukuthunyelwa kugqirha wakho oyintloko, okanye ukhangele izibhedlele zendawo kunye namaziko omhlaza. Qwalasela imiba efana namava, amazinga okuphumelela unyango, kunye nophononongo lwesigulana xa usenza ukhetho lwakho.
Ukujongana nokuxilongwa kwe Gleason 7 umhlaza wedlala lesinyi kunokuba lucelomngeni ngokweemvakalelo. Kubalulekile ukuba nenkqubo yenkxaso eyomeleleyo, kuquka usapho, abahlobo, kunye namaqela enkxaso. Ungalibazisi ukufikelela kwiqela lakho lokhathalelo lwempilo, okanye ucinge ngokujoyina amaqela enkxaso ukunxibelelana nabanye abaguli abajongene namava afanayo. Khumbula ukugxila kwimpilo yakho yonke ngokubeka phambili ukhetho olusempilweni kwaye ufune inkxaso yeemvakalelo.
Unyango lomhlaza wedlala lobudoda lunokukhokelela kwiziphumo ebezingalindelekanga ezahlukeneyo, kuxhomekeke kwindlela ethile. Iziphumo ebezingalindelekanga eziqhelekileyo zinokubandakanya iingxaki zomchamo, ukungasebenzi kakuhle kwe-erectile, ukudinwa, kunye nemiba yamathumbu. Kubalulekile ukuxoxa ngeziphumo ebezingalindelekanga kunye nomboneleli wakho wezempilo kwaye uphuhlise iindlela zokuzilawula ngempumelelo. Ngokufuthi zinokuthomalaliswa ngamayeza, uhlengahlengiso lwendlela yokuphila, nonyango oluxhasayo.
I-American Cancer Society (ACS) kunye neNational Cancer Institute (NCI) inikezela ngolwazi olubanzi kunye nezibonelelo ngomhlaza wesifo seprotate. Iiwebhusayithi zabo zibonelela ngolwazi oluxabisekileyo malunga nokuxilongwa, unyango, uphando, kunye neenkonzo zenkxaso. Unokufumana kwakhona amaqela enkxaso asekuhlaleni kunye nemibutho exhasa izigulane ngokusebenzisa ezi zixhobo.
| UKhetho Lonyango | Iingenelo | Iingxaki |
|---|---|---|
| Uvavanyo olusebenzayo | Uphepha iziphumo ebezingalindelekanga zonyango ndlongo | Ifuna iliso elibukhali; isenokungalungeli wonke umntu |
| Unyango ngemitha | I-invasive encinci kunotyando; unyango lwendawo | Iziphumo ezinokuthi zibekho njengemiba yomchamo kunye nezibilini |
| Utyando (Prostatectomy) | Enokunyanga; inokususa zonke iiseli zomhlaza | Utyando olukhulu oluneziphumo ebezingalindelekanga ezibalulekileyo |
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yezempilo eqeqeshiweyo ukuze uxilongwe kwaye unyangwe Gleason 7 umhlaza wedlala lesinyi.
Imithombo: American Cancer Society (ACS), National Cancer Institute (NCI)
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