unyango olutsha lomhlaza wedlala lesidlala ngo-2021

Unyango olutsha lomhlaza wedlala lobudoda ngo-2021 kunye ne-BeyondNew yonyango lomhlaza wedlala lobudoda lunika ithemba elihlaziyiweyo kwabo bafunyaniswa benesi sifo sixhaphakileyo. Eli nqaku libonelela ngesishwankathelo senkqubela phambili eyenziwe ngo-2021 nangaphaya, kugxilwe kunyango lwamva nje kunye neenzuzo zabo ezinokubakho. Siphonononga iindlela ezahlukeneyo zonyango, sigxininisa ukubaluleka kokhathalelo lomntu kunye nophando oluqhubekayo kumlo ochasene nomhlaza wesibeleko.

Unyango olutsha loMhlaza weProstate ngo-2021 nangaphaya

Imbonakalo yomhlaba ye unyango olutsha lomhlaza wedlala lesinyi ihlala ikhula, kukho inkqubela phambili ebonakalayo kwiminyaka yakutshanje. Ngo-2021 wabona uphuhliso oluninzi oluthembisayo, olukhokelela kunyango olujoliswe ngakumbi nolusebenzayo lwamadoda afunyanwe enesi sifo. Eli nqaku liphonononga ezi nkqubela-phambili, linikezela ngamagqabantshintshi abanzi okhetho lwamva nje olukhoyo.

Ukuqonda iiNdlela zoNyango lweProstate Cancer

Unyango lomhlaza wedlala lobudoda luxhomekeke kwizinto ezahlukahlukeneyo, kuquka inqanaba lomhlaza, impilo yesigulana iyonke, nezinto azikhethayo. Ukhetho lususela kuphononongo olusebenzayo lomhlaza okhula kade ukuya kunyango oluqatha lwamanqanaba aphambili. Iindlela eziqhelekileyo ziquka:

Utyando

Ukususwa ngotyando lwedlala lobudoda (iprostatectomy) kuhlala kulukhetho lokuqala lonyango, ngakumbi kumhlaza wedlala lesinyi. Utyando oluncediswa yirobhothi luphucule ukuchaneka kunye nokunciphisa iziphumo ebezingalindelekanga.

Unyango ngemitha

Unyango lwemitha, kusetyenziswa imitha yemitha yangaphandle okanye ibrachytherapy (imitha yangaphakathi), ijolise kwiiseli zomhlaza ukuba zitshabalalise. Ukuqhubela phambili kubuchule bokukhanya kwemitha, njengonyango lweradiation-modulated radiation (IMRT) kunye nonyango lweproton, luphucula ukuchaneka kokujolisa kunye nokunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo.

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekuthobeni amanqanaba e-testosterone, ukucotha okanye ukumisa ukukhula kweeseli zomhlaza wedlala lesinyi. Oku kudla ngokusetyenziswa kwizigaba eziphambili zesifo okanye ngokubambisana nolunye unyango.

Unyango ngamachiza

Unyango ngamachiza, kusetyenziswa amachiza anamandla okubulala iiseli zomhlaza, ngokuqhelekileyo lusetyenziselwa umhlaza wedlala lesinyi othe wanwenwela kwamanye amalungu omzimba (metastatic prostate cancer).

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lujolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. Olu nyango luyilelwe ukunciphisa ingozi kwiiseli ezisempilweni kunye nokuphucula ukusebenza konyango. Uninzi lwezonyango ezijoliswe kuzo zibonise isithembiso ekunyangeni umhlaza wedlala lesinyi, ngakumbi ezo zineenguqu ezithile zofuzo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Le ndlela isentsha noko ibandakanya ukomeleza amajoni omzimba ekuboneni nasekutshabalaliseni iiseli zomhlaza. Uphando luyaqhubeka nokuphanda indima ye-immunotherapy kwi unyango olutsha lomhlaza wedlala lesinyi izicwangciso.

Inkqubela phambili kuNyango loMhlaza weProstate ukusukela ngo-2021

Uphando kunye nophuhliso kwi unyango olutsha lomhlaza wedlala lesinyi qhubeka ngesantya esikhawulezayo. Ukusukela ngo-2021, kuye kwakho inkqubela phambili kwiindawo ezininzi:

Ukuphuculwa koNyango ekuJoliswe kulo

Ukuphuhliswa konyango oluthe ngqo kunye nolusebenzayo olujoliswe kuyo luyaqhubeka nokuphucula iziphumo zamadoda anomdlavuza we-prostate ophezulu. Izilingo zeklinikhi ziyaqhubeka ukuvavanya ukusebenza kwee-agent ezintsha kunye nonyango oludibeneyo.

UbuChwephesha boMfanekiso wesizukulwana esilandelayo

Ubuchwephesha bokucinga obuphezulu, obufana ne-PSMA PET scans, ibonelela ngemifanekiso echaneke ngakumbi neneenkcukacha zomhlaza wedlala lesinyi, inceda ekuxilongeni, ekubekweni nasekubekeni iliso kunyango. Oku kukhokelela ekucwangciseni unyango oluchanekileyo kunye neziphumo ezingcono zesigulane.

IiBiopsies zolwelo

Iibiopsies zolwelo zihlalutya ithumba elijikelezayo iDNA (ctDNA) kwiisampulu zegazi. Le ndlela engathinteliyo ivumela ukufunyanwa kwangaphambili kokuphindaphinda komhlaza kunye nokubeka iliso impendulo yonyango, eyenza uhlengahlengiso olungexesha kwisicwangciso sonyango.

Ukukhetha Unyango Olululo

Ukukhetha olona nyango lulungileyo unyango olutsha lomhlaza wedlala lesinyi ifuna indlela yobuqu. Ukubonisana ne-oncologist enamava kumhlaza wedlala lobudoda kubalulekile ukuxoxa ngezinto ezilungileyo kunye nezibi zokhetho ngalunye lonyango, kuthathelwa ingqalelo izinto ezinje ngobudala, impilo ngokubanzi, kunye nenqanaba lomhlaza.

Ulwazi olunikelwe apha lololwazi ngokubanzi kwaye akufuneki luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ngazo naziphi na iinkxalabo zempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.

Ngolwazi oluthe vetshe kunye nenkxaso, ndwendwela IZiko loPhando ngoMhlaza laseShandong Baofa. Banikezela ngokhathalelo olubanzi kunye nonyango oluphambili kumhlaza wedlala lesinyi.

Qaphela: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Nceda udibane nomboneleli wakho wezempilo ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.