unyango lomhlaza wedlala lobudoda rhoqo

Umhlaza wedlala lobudoda oqhelekileyo ubhekisa kumhlaza wedlala lesinyi obuya emva konyango lokuqala. Iinketho zonyango ze umhlaza wedlala lesinyi kuxhomekeke kwizinto ezininzi, kubandakanywa unyango lokuqala, indawo yokubuyisela kwakhona, kunye nempilo yonke yesigulana. Olu khetho lunokubandakanya unyango lwehomoni, ichemotherapy, unyango lweradiation, utyando, kunye nonyango ekujoliswe kulo. Ukuqonda olu nyango kunye nenkqubela phambili yamva nje kunokuxhobisa izigulana ukuba zenze izigqibo ezinolwazi malunga nokhathalelo lwazo.Umhlaza wedlala lesinyi kuthetha ukuba umhlaza ubuyile emva konyango lokuqala. Oku kunokuphindaphinda kwendawo, oku kuthetha ukuba ibuyela kwibhedi ye-prostate okanye kufuphi, okanye ukuphindaphinda okude, oku kuthetha ukuba isasazeke kwamanye amalungu omzimba, njengamathambo okanye i-lymph nodes. umhlaza wedlala lesinyi. Ezi ziquka: Inqaku lokuqala leGleason: Amanqaku aphezulu eGleason ekuxilongweni anxulunyaniswa nomngcipheko ophezulu wokuphindaphinda. Amanqanaba ePSA: Amanqanaba aphezulu e-PSA emva konyango lokuqala angabonisa iiseli zomhlaza ezishiyekileyo. Inqanaba loMhlaza: Amanqanaba aphezulu ngakumbi omhlaza ekuxilongweni athwala umngcipheko omkhulu wokuphinda uvele. Imida yoLwando: Imida yotyando olulungileyo (iiseli zomhlaza ezifunyenwe kumda wethishu esusiweyo) zonyusa umngcipheko wokuphinda ubuyele kwindawo.IiKhetho zonyango lwe-Recurrent Prostate CancerUkhetho lonyango lonyango umhlaza wedlala lesinyi kuxhomekeke kwizinto ezininzi, kubandakanywa uhlobo lonyango lokuqala, indawo kunye nobungakanani bokuphindaphinda, kunye nempilo yonke yesigulane kunye nezinto ezikhethwayo.Unyango lweHormone (Androgen Deprivation Therapy - ADT)Unyango lweHormone, eyaziwa ngokuba yi-androgen deprivation therapy (ADT), ijolise ekunciphiseni amanqanaba e-androgens (i-hormone yokukhula yamadoda) emzimbeni, onokutshisa umhlaza weprotate. I-ADT inokulawulwa ngamachiza okanye, ngokuqhelekileyo, utyando lokususa i-testicles (orchiectomy) .Iinketho eziqhelekileyo ze-ADT ziquka: i-LHRH agonists (umzekelo, i-Lupron, i-Zoladex) abachasi be-LHRH (umzekelo, i-Firmagon) I-Anti-androgens (umzekelo, i-Casodex, i-Eulexin, i-Eulexin, i-Eulexin, i-Nilandronly ye-hormone ekugqibeleni, ininzi ye-hormone yonyango, i-progressant ye-hormone yonyango ekugqibeleni, i-progressive ye-hormone kumhlaza wedlala lobudoda (CRPC). Nangona kunjalo, kukho unyango olusebenzayo olufumanekayo lwe-CRPC.Unyango lweRadiation TherapyRadiation isebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziselwa ukunyanga ukuphindaphinda kwendawo kwibhedi ye-prostate emva kotyando okanye ukujolisa kwiiseli zomhlaza kwezinye iindawo zomzimba. Unyango lwaNgaphandle lweBeam Radiation (EBRT) I-Brachytherapy (imbewu yeradioactive etyalwe ngqo kwidlala lesinyi)[Iziko loPhando loMhlaza laseShandong Baofa](https://baofahospital.com) lisebenzisa ubuchule obuphambili bokusasazeka ngemitha ukunciphisa iziphumo ebezingalindelekanga ngelixa sisandisa ukusebenza ngempumelelo kunyango. Qhagamshelana neengcali zethu malunga nezicwangciso zonyango olulolwakho.UtyandoUqhaqho lunokuba lukhetho lwendawo umhlaza wedlala lesinyi emva konyango lweradiation. Oku kudla ngokuba yi-salvage prostatectomy (ukususwa kwedlala lengqula). Nangona kunjalo, yinkqubo entsonkothileyo eneziphumo ebezingalindelekanga ezinokwenzeka, ngoko ke kubalulekile ukuxoxa ngobungozi kunye neenzuzo kunye nogqirha wotyando.IChemotherapyI-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Isetyenziswa rhoqo kwi-metastatic umhlaza wedlala lesinyi, ngakumbi xa unyango lwe-hormone lungasasebenzi.Iziyobisi eziqhelekileyo ze-chemotherapy ezisetyenziselwa umhlaza we-prostate ziquka: I-Docetaxel (Taxotere) Cabazitaxel (Jevtana) Unyango olujoliswe kuyo Unyango olujoliswe kuyo ngamachiza ajolise ngokukodwa kwiimolekyuli ezithile okanye iindlela ezibandakanyekayo ekukhuleni komhlaza kunye nokusasazeka. Imizekelo ibandakanya: I-Olaparib (i-Lynparza) kunye ne-Rucaparib (i-Rubraca): I-PARP inhibitors esetyenziselwa ii-cancer ezineziphene ezithile zokulungisa i-DNA (ukuguqulwa kwe-BRCA1 / 2). I-Enzalutamide (Xtandi) kunye ne-Apalutamide (i-Erleada): I-anti-androgens enamandla ngakumbi esetyenziselwa umhlaza we-prostate onganyangekiyo. I-Radium-223 (i-Xofigo): Iinjongo ze-metastases zamathambo.Iyeza lomntu siqu, kubandakanywa novavanyo lwe-genomic, luba lubaluleke kakhulu ekuchongeni izigulane ezinokuzuza kwiindlela zonyango ezijoliswe kuzo.I-ImmunotherapyImmunotherapy idibanisa amandla omzimba wokulwa nomhlaza. I-Sipuleucel-T (i-Provenge) lunyango lwe-immunotherapy oluvunyiweyo lwe-metastatic castrate-resistant cancer prostate. umhlaza wedlala lesinyi, ukubeka iliso rhoqo kubalulekile ukulandelela impendulo yesifo kunye nokufumanisa naluphi na ukuqhubela phambili.Oku ngokuqhelekileyo kubandakanya: uvavanyo lwe-PSA I-imaging scans (umzekelo, i-bone scans, i-CT scans, i-MRI) Iimvavanyo zePhysical TrialsIzilingo zeClinical zizifundo zophando ezivavanya unyango olutsha okanye iindlela zokulawula. umhlaza wedlala lesinyi. Ukuthatha inxaxheba kulingo lweklinikhi kunokubonelela ngokufikelela kwiindlela zonyango kunye negalelo ekuqhubeleni phambili ukuqonda kunye nokunyangwa kwesi sifo. Izigulana zinokuphonononga iinketho zolingo lwezonyango ngokusebenzisa i-oncologist yazo okanye izixhobo ezifana newebhusayithi yeZiko loMhlaza leSizwe (cancer.gov). IiNgqwalaselo zendlela yokuphilaNgelixa unyango lwezonyango lubalulekile, imiba yokuphila nayo inokudlala indima exhasayo ekulawuleni. umhlaza wedlala lesinyi. Ezi ziquka: Ukutya okunempilo: Gxininisa iziqhamo, imifuno, ukutya okuziinkozo, kunye neprotheni ebhityileyo. Ukuzilolonga rhoqo: Zimisele ubuncinci imizuzu eyi-150 yokuzivocavoca okuphakathi ngeveki. Ulawulo loxinzelelo: Ziqhelanise neendlela zokuphumla ezifana nokucamngca okanye i-yoga. Ukugcina Ubunzima obusempilweni: Ukutyeba kakhulu kunokuzenza mbi kakhulu iziphumo zomhlaza wedlala lesinyi.Ukumelana neRecurrent Prostate CancerUkuxilongwa kwe umhlaza wedlala lesinyi kunokuba lucelomngeni ngokweemvakalelo. Kubalulekile ukufuna inkxaso kusapho, kubahlobo, kumaqela enkxaso, okanye kwiingcali zempilo yengqondo. Unxibelelwano oluvulelekileyo neqela lakho lezempilo lukwabalulekile ekulawuleni imiba yomzimba kunye neemvakalelo zesi sifo. Indima yeShandong Baofa Cancer Research Institute e[Shandong Baofa Cancer Research Institute](https://baofahospital.com), sizimisele ukubonelela ngokhathalelo olubanzi noluphezulu kwizigulana ezinomhlaza. umhlaza wedlala lesinyi. Iqela lethu leengcali ze-oncologists, oogqirha botyando, i-radiation oncologists kunye nezinye iingcali zisebenza kunye ukuphuhlisa izicwangciso zonyango ezilungiselelwe iimfuno zesigulana ngasinye. Sinikezela ngoluhlu lwezonyango ezisezantsi, kubandakanya unyango lwehomoni, ichemotherapy, unyango lweradiation, unyango ekujoliswe kulo, kunye nokufikelela kulingo lwezonyango. Sikwabonelela ngeenkonzo ezixhasayo zokhathalelo ukunceda izigulana zilawule imingeni ngokwasemzimbeni nangokweemvakalelo yonyango lomhlaza. Qhagamshelana nathi namhlanje ukufunda ngakumbi malunga neenkonzo zethu kwaye singakunceda njani uhambe uhambo lwakho nge umhlaza wedlala lesinyi.UNyango oluQhelekileyo loNyango lweProstate CancerIxabiso lokunyanga umhlaza wedlala lesinyi zinokwahluka kakhulu ngokuxhomekeke kunyango oluthile olusetyenzisiweyo, indawo yonyango, kunye ne-inshurensi. Izigulane kufuneka zixoxe ngeendleko ezinokubakho kunye nababoneleli babo bezempilo kunye neenkampani ze-inshurensi ukuze baqonde uxanduva lwabo lwezemali.Uthelekiso lweendleko ezilula (Qaphela: La manani angokwenjongo yokubonisa kuphela kwaye ayimeli iindleko zangempela.) Unyango oluqikelelweyo lweendleko ngoMjikelo Inani leMijikelo yeChemotherapy (umzekelo, iDocetaxel) $5,000 - I-Hrmone ye-Hrmone, i-Hrmone ye-10 $. $ 500 - $ 1,500 Unyango oluqhubekayo lweRadiation $ 10,000 - $ 30,000 (ikhosi iyonke) Ikhosi enye yoNyango oluJoliswe (umzekelo, i-Olaparib) $ 10,000 - $ 15,000 Inkcazo eqhubekayo: Soloko udibana nomboneleli wakho wezempilo malunga neengcebiso zonyango zomntu.IiReferensi:Iziko lomhlaza leSizwe. www.cancer.govUmbutho womhlaza waseMelika. www.cancer.org