pi rads 4 unyango umhlaza wedlala lesinyi

Ukuqonda ii-Pi-RADs 4 kunye noNyango lweProstate Cancer

Eli nqaku libonelela ngombono obanzi weNgxelo yokuBonisa iProstate kunye neNkqubo yeDatha (PI-RADs) amanqaku 4 kunye nefuthe layo kunyango lomhlaza wesifo seprotate. Siza kuphonononga ukuba lithetha ukuthini i-PI-RADs 4 amanqaku, inkqubo yoxilongo, iindlela ezahlukeneyo zonyango, kunye nezinto ezibalulekileyo ekufuneka ziqwalaselwe xa usenza izigqibo zonyango. Funda malunga nenkqubela phambili yamva nje kunye nendlela yokujongana nolu xilongo lucelomngeni.

Yintoni iNqaku le-PI-RADs?

I-Prostate Imaging Reporting and Data System (PI-RADs) yinkqubo yokulinganisa esemgangathweni esetyenziselwa ukuhlola ukubakho komhlaza wedlala lesinyi ngokusekwe kwizinto ezifunyenweyo kwi-multiparametric magnetic resonance imaging (mpMRI). Inkqubo inika amanqaku ukusuka kwi-1 ukuya kwi-5, kunye ne-1 emele amathuba aphantsi okuba nomhlaza kunye ne-5 ephezulu. A pi rads 4 unyango umhlaza wedlala lesinyi Ingxoxo idla ngokuvela xa isigulane sifumana amanqaku e-PI-RAD yesi-4.

Ukuqonda i-PI-RADs 4 Amanqaku

Inqaku le-PI-RADs 4 libonisa amathuba aphakathi omhlaza wesinyi. Ayiwufumani umhlaza ngokuqinisekileyo kodwa icebisa ithuba elibalulekileyo lokuba uphando olongezelelweyo luyimfuneko. Oku kudla ngokubandakanya i-biopsy ukufumana iisampulu zethishu zovavanyo lwemicroscope. Isigqibo sokuqhubeka ne-biopsy senziwe ngokubonisana no-urologist, ngokuqwalasela imingcipheko yomntu ngamnye kunye nokukhethwa kwesigulane. A ipi rads 4 amanqaku afuna ukuqwalaselwa ngononophelo amanyathelo alandelayo.

Iinkqubo zokuxilonga Emva kwe-PI-RADs 4 Amanqaku

Ukulandela amanqaku e-PI-RADs 4, i-biopsy ekujoliswe kuyo iyacetyiswa. Oku kubandakanya ukusebenzisa imifanekiso ye-mpMRI ukukhokela ukubekwa kwenaliti ngexesha lenkqubo ye-biopsy, ukwandisa amathuba okufumanisa umhlaza ukuba ukhona. Obu buchule buchanekileyo bubalulekile kuxilongo olululo kunye nocwangciso lonyango. Iziphumo ze-biopsy ziya kugqiba amanyathelo alandelayo ekulawuleni imeko yesigulane. Oku kuya kwazisa i pi rads 4 unyango umhlaza wedlala lesinyi iqhinga ukuya phambili.

IiNdlela zoNyango lweProstate Cancer ezifunyaniswe emva kwePI-RADs 4 Amanqaku

Iinketho zonyango lomhlaza wedlala lesinyi elifunyaniswe emva kwe-PI-RADs 4 amanqaku ayahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa iziphumo ze-biopsy (inqaku le-Gleason, inqanaba, kunye nebakala lomhlaza), impilo yesigulana iyonke, kunye nezinto ezikhethwa ngumntu. Iindlela zonyango eziqhelekileyo ziquka:

Uvavanyo olusebenzayo

Kwimingcipheko ephantsi yomhlaza wedlala lobudoda, ukucupha okusebenzayo (okukwabizwa ngokuba kukulinda okulindileyo) kunokuba lukhetho. Oku kubandakanya ukubeka iliso ngokusondeleyo ukuqhubeka komhlaza ngaphandle kongenelelo olukhawulezileyo. Ukuhlolwa rhoqo kunye novavanyo lwePSA lunceda ukulandelela ukukhula komhlaza. Ucupho olusebenzayo luhlala luqwalaselwa ipi rads 4 iimeko ezinomngcipheko ophantsi weempawu ezigqitywe ziziphumo ze-biopsy.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Inokuthi ihanjiswe ngaphandle (unyango lwangaphandle lwe-radiation ye-radiation) okanye ngaphakathi (i-brachytherapy). Unyango ngemitha lunokulungela umhlaza wedlala lobudoda emva ipi rads 4 ukufumana kwi-mpMRI kunye nokuqinisekiswa nge-biopsy.

Utyando (Prostatectomy)

Ukususwa ngotyando lwedlala lobudoda (i-radical prostatectomy) yenye inketho, ngakumbi kumhlaza wesinyi. Le nkqubo ikholisa ukwenziwa kwiimeko zomhlaza obalulekileyo oqinisekisiweyo emva kwe-PI-RADs 4 kunye ne-biopsy elandelayo. Le yinkqubo yotyando enkulu eneziphumo ebezingalindelekanga ezixoxwa ngononophelo nezigulana eziqwalasela a pi rads 4 unyango umhlaza wedlala lesinyi isicwangciso esibandakanya utyando.

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba lunyango lokuhluthwa kwe-androgen, lujolise ekunciphiseni amanqanaba eehomoni zesilisa ezikhulisa ukukhula komhlaza wesinyi. Ihlala isetyenziswa kwiimeko zomhlaza wedlala lesinyi okanye ngokudibeneyo nolunye unyango. Olu nyango lunokuba yinxalenye ye pi rads 4 unyango umhlaza wedlala lesinyi isicwangciso somhlaza ondlongondlongo okanye ophucukileyo.

Izinto ekufuneka ziqwalaselwe xa ukhetha iSicwangciso soNyango

Ukhetho lonyango lomhlaza wedlala lesidlala esifunyaniswe emva kwamanqaku e-PI-RADs 4 sisigqibo somntu. Ziliqela izinto ezithathelwa ingqalelo, kuquka:

Ukujonga uxilongo lwakho

Ukufumana amanqaku e-PI-RADs 4 kunokuba malunga. Kubalulekile ukuba uxoxe ngeenketho zakho kunye neurologist eqeqeshiweyo onamava kuxilongo kunye nonyango lomhlaza wedlala lesinyi. Indlela yeqela lee-multidisciplinary, kubandakanywa ii-urologists, i-radiologists, kunye nee-oncologists, zihlala zibonelela ngononophelo olungcono. Khumbula ukubuza imibuzo, ukuvakalisa inkxalabo yakho, kwaye uthathe inxaxheba ngokukhutheleyo kwizigqibo ezinxulumene nempilo yakho. Ukufumana ulwazi oluthe kratya kunye nenkxaso, cinga ngokujonga izibonelelo ezifumanekayo kwimibutho eyaziwayo efana neAmerican Cancer Society kunye neNational Cancer Institute.

Kwinqanaba eliphezulu kunye nekhethekileyo unyango lomhlaza wedlala lesinyi, cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nonyango.