Unyango oluPhakathi lweProstate Cancer Unyango Kufuphi KwamUkufumana unyango olululo lomhlaza wedlala lesidoda olusemngciphekweni ophakathi kunokuziva ukoyikeka. Esi sikhokelo sibonelela ngolwazi olubanzi ukukunceda ukuba ujonge iinketho zakho kwaye wenze izigqibo ezinolwazi. Siza kuphonononga iindlela ezahlukeneyo zonyango, sixoxe ngezinto eziphembelela ukhetho lonyango, kwaye sinikele ngezixhobo zokunceda ukukhangela kwakho. unyango lomhlaza wedlala lesinyi kufutshane nam.
Ukuqonda i-Intermediate-Risk Prostate Cancer
Ukuchaza uMngcipheko oPhakathi
Umhlaza wedlala lobudoda ophakathi komngcipheko uwela phakathi kwamanqanaba asezantsi kunye nomngcipheko ophezulu. Iphawulwa ngezinto ezithile, ezinje ngeGleason score (umlinganiselo womhlaza weseli aggressive), inqanaba lePSA (i-prostate-specific antigen, isalathisi sovavanyo lwegazi), kunye nenqanaba lethumba. Inkcazo echanekileyo yomngcipheko ophakathi inokwahluka kancinci phakathi kwamaziko, ngoko ke kubalulekile ukuxoxa ngemeko yakho ethile kunye nourologist okanye i-oncologist. Baza kuthathela ingqalelo zonke izinto zakho ukuze bamisele iprofayile yakho yomngcipheko kunye nesicwangciso sonyango.
Iinjongo zoNyango zoMngcipheko oPhakathi woMhlaza weProstate
Iinjongo eziphambili ze
unyango lomhlaza wedlala lesinyi esiphakathi zezokuthintela umhlaza ukuba ungasasazeki, ukuphucula amazinga okuphila, kunye nokugcina umgangatho wobomi. Oku kuquka ukuqwalasela ngenyameko iinkalo eziliqela ngaphambi kokwenza naziphi na izigqibo ngonyango.
Iinketho zonyango kwi-Intermediate-Risk Prostate Cancer
Kukho iindlela ezininzi zonyango zomhlaza wedlala lesidoda osemngciphekweni ophakathi, nganye ineseti yayo yeenzuzo, imingcipheko, kunye nokuqwalaselwa.
Uvavanyo olusebenzayo
Kwamanye amadoda anomhlaza wedlala lobudoda ophakathi emngciphekweni, ukucupha okusebenzayo (okukwabizwa ngokuba kukulinda okulindileyo) kunokuba yindlela efanelekileyo. Oku kubandakanya ukujongwa ngokusondeleyo komhlaza ngovavanyo lwe-PSA rhoqo, i-biopsies, kunye ne-imaging scans, ngaphandle kokungenelela kwangoko. Uphononongo olusebenzayo lujongwa ngokuqhelekileyo kumadoda anomhlaza okhula kancinci kunye nexesha elide lokuphila. Ukuhlolwa rhoqo kubalulekile ukubamba naziphi na iimpawu zokuqhubela phambili.
Unyango ngemitha
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Unyango lwemitha yangaphandle (EBRT) lukhetho oluqhelekileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. I-Brachytherapy, ebandakanya ukubeka imbewu ye-radioactive ngqo kwi-prostate, yenye into enokwenzeka. Ukhetho phakathi kolu khetho luxhomekeke kwizinto ezininzi, kubandakanya impilo yakho iyonke, ubungakanani kunye nendawo yethumba, kunye nezinto ozikhethayo. Iziphumo ezinokuthi zibekho ziquka iingxaki zokuchama kunye nezibilini, ezidla ngokuba zezomzuzwana.
Utyando (Prostatectomy)
Iprostatectomy enkulu ibandakanya ukususwa ngotyando lwedlala lobudoda. Le nkqubo inokwenziwa ngotyando oluvulekileyo, utyando lwe-laparoscopic, okanye utyando lwe-laparoscopy oluncediswa yirobhothi. Ukukhethwa kobuchule botyando kuxhomekeke kwiimeko zomntu ngamnye kunye nobuchule bogqirha. Iziphumo ezinokuthi zibekho ziquka ukungasebenzi kakuhle komchamo, ukungaphumeleli komchamo, kunye nokudinwa. Ixesha lokubuyisela liyahluka kodwa ngokubanzi libandakanya iiveki ezininzi zokubuyisela kwisimo sangaphambili.
Unyango lweHormone
Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lusebenza ngokunciphisa amanqanaba eehomoni ezikhuthaza ukukhula komhlaza wesinyi. Ihlala isetyenziswa ngokudibeneyo nolunye unyango, olufana nonyango lweradiation. I-ADT inokucothisa ngempumelelo ukukhula komhlaza kwaye ithobe iimpawu. Nangona kunjalo, inokuba nemiphumo emibi ebalulekileyo, kuquka ukukhanya okutshisa, ukunciphisa i-libido, kunye ne-osteoporosis.
Unyango olujoliso
Unyango olujoliso lujolise ekujoliseni kuphela inxalenye yomhlaza yeprotate, ukugcina izicubu ezisempilweni. Le ndlela intsha kakhulu inciphisa iziphumo ebezingalindelekanga xa kuthelekiswa nonyango lwesintu olufana ne-radical prostatectomy. Ubuchule bubandakanya i-ultrasound egxininise kakhulu (HIFU) kunye ne-cryotherapy. Ukufaneleka konyango olujoliso kuxhomekeke kwiimpawu ezithile zethumba.
Ukukhetha Unyango Olululo: Izinto Emaziqwalaselwe
Eyona ilungileyo
unyango lomhlaza wedlala lesinyi esiphakathi kuxhomekeke kwiqela lemiba nganye. Ugqirha wakho uya kuqwalasela ngenyameko:
| Umba | Impembelelo kuKhetho loNyango |
| Ubudala kunye nempilo yonke | Amadoda amadala okanye abo banezinye iimeko zempilo banokukhetha ukhetho oluncinci. |
| Amanqaku eGleason kunye nenqanaba lePSA | Amanqaku aphezulu kunye namanqanaba ahlala ebonisa umhlaza ondlongondlongo, ochaphazela ubunzulu bonyango. |
| Isigaba se-tumor kunye nobukhulu | Amathumba amakhulu okanye aphezulu ngakumbi anokufuna unyango oluqatha. |
| Izinto ozikhethayo kunye nezinto ezixabisekileyo | Ukukhethwa kwesigulana malunga neziphumo ebezingalindelekanga, ubude bonyango, kunye nokuhlasela kudlala indima ephambili. |
Ukufumana iNgcali ekufutshane nawe
Ukufumana i-oncologist eqeqeshiweyo okanye i-urologist enamava ekunyangeni umhlaza wedlala lobudoda kubalulekile. Unokuqala ukukhangela kwakho ngokucela ugqirha wakho wokhathalelo oluphambili ukuba uthunyelwe. Izixhobo ezikwi-Intanethi ezinje ngeAmerican Cancer Society kunye neNational Cancer Institute nazo zibonelela ngezixhobo zokufumana iingcali. Khumbula, ukufumana ugqirha omthembileyo kwaye uzive ukhululekile kuye kubaluleke kakhulu njengonyango ngokwalo. I
IZiko loPhando ngoMhlaza laseShandong Baofa uzinikele ekunikeni ukhathalelo olubanzi lomhlaza.
Ukuzihlangula
Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana negcisa lezempilo ukuze uxilongwe kwaye unyange nayiphi na imeko yezonyango.[1] Umbutho womhlaza waseMelika. (n.d.). Umhlaza weProstate. Ifunyenwe [Faka i-URL ye-ACS apha] (yongeza i-rel=nofollow)[2] Iziko loMhlaza leSizwe. (n.d.). Unyango lweProstate Cancer. Ifunyanwe ukusuka [Faka i-URL yeNCI apha] (yongeza i-rel=nofollow)