isigaba 2 unyango umhlaza wedlala lobudoda

Inqanaba lesi-2 lomhlaza wedlala lobudoda ngumhlaza wasekhaya, okuthetha ukuba awunwenwanga ngaphaya kwedlala lengqula. Oku kunika i-prognosis efanelekileyo kunye neendlela ezahlukeneyo zonyango olusebenzayo. Eyona ndlela ifanelekileyo ixhomekeke kwizinto ezifana nenqaku leGleason, inqanaba lePSA, iminyaka yesigulana kunye nempilo iyonke, kunye nezinto ozikhethayo. Esi sikhokelo siphonononga eziqhelekileyo isigaba 2 unyango umhlaza wedlala lobudoda, kukunceda uqonde ukhetho lwakho kwaye wenze izigqibo ezizizo.Ukuqonda iNqanaba lesi-2 loMhlaza wedlala lesiXekoYintoni echaza iNqanaba lesi-2?Inqanaba lesi-2 umhlaza wedlala lobudoda lithetha ukuba umhlaza uhlala kwidlala lesinyi. Isenokuba nkulu ngokwaneleyo ukuba ivakale ngexesha lovavanyo lwedijithali okanye ibonakale kwiimvavanyo zemifanekiso. Inqaku le-Gleason, elibonisa ubundlongondlongo beeseli zomhlaza, kunye namanqanaba ePSA nawo adlala indima kwizigqibo zeqonga kunye nonyango. Iqonga elichanekileyo libalulekile ekumiseleni eyona ifanelekileyo isigaba 2 unyango umhlaza wedlala lobudoda.Iinketho zoNyango oluQhelekileyo Ukucupha okuSebenzayo Ukucupha okusebenzayo kubandakanya ukubeka esweni umhlaza ngaphandle konyango lwangoko. Oku kudla ngokucetyiswa kumadoda anomngcipheko omncinci isigaba 2 somhlaza wedlala lesinyi (amanqaku eGleason asezantsi, iPSA ephantsi) kunye nabo basenokungaxhamli kunyango oluqatha ngenxa yobudala okanye ezinye iimeko zempilo. Iimvavanyo ze-PSA eziqhelekileyo, iimviwo zedijithali ze-rectal, kunye ne-biopsies zenziwa ukulandelela inkqubela yomhlaza. Unyango luqalwa kuphela ukuba umhlaza ubonakalisa iimpawu zokuhambela phambili. Ucupho olusebenzayo lukhetho olubonelelwa ngu IZiko loPhando ngoMhlaza laseShandong Baofa.I-Radical ProstatectomyRadical prostatectomy ibandakanya ukususwa ngotyando kuyo yonke idlala lengqula kunye nezicubu ezikufutshane. Oku kunokwenziwa ngotyando oluvulekileyo, utyando lwe-laparoscopic, okanye utyando lwe-laparoscopy oluncediswa yirobhothi. Utyando oluncediswa yirobhothi lubonelela ngeengenelo ezinje ngokusikwa okuncinci, ukulahleka kwegazi okuncinci, kunye namaxesha anokuthi alulame ngokukhawuleza. Iziphumo ezinokuthi zibekho zibandakanya ukungabikho komchamo kunye nokungasebenzi kakuhle kwe-erectile. Ukusebenza kwe-radical prostatectomy kuxhomekeke kwizinto ezifana namava engcibi kunye nobungakanani bomhlaza.Unyango lweRadiation TherapyRadiation therapy isebenzisa imitha yamandla aphezulu okanye amasuntswana ukubulala iiseli zomhlaza. Kukho iindidi ezimbini eziphambili: Unyango lweBeam Radiation yaNgaphandle (EBRT) EBRT ihambisa imitha kumatshini ongaphandle komzimba. Unyango ludla ngokunikezelwa yonke imihla iiveki ezininzi. Ubuchule obutsha obufana ne-intensity-modulated radiation therapy (IMRT) kunye ne-stereotactic body radiation therapy (SBRT) zivumela ukujoliswa okuchane ngakumbi komhlaza, ukunciphisa umonakalo kwiithishu ezingqongileyo. Oku kuvumela idosi ephezulu yemitha ukuba ihanjiswe ngokuthe ngqo kwithumba ngelixa ugcina amalungu akufutshane. Kukho iindidi ezimbini: i-brachytherapy ye-low-dose-rate (LDR), apho imbewu ihlala ngokusisigxina kwi-prostate, kunye ne-high-dose-rate-rate (HDR) brachytherapy, apho imbewu ifakwe okwethutyana ize isuswe. IZiko loPhando ngoMhlaza laseShandong Baofa isebenzisa iindlela eziphambili zebrachytherapy isigaba 2 unyango umhlaza wedlala lobudoda.Unyango lweHormone (Androgen Deprivation Therapy - ADT)Unyango lweHormone, nokwaziwa ngokuba yi-androgen deprivation therapy (ADT), ijolise ekuthobeni amanqanaba eehomoni zamadoda (androgens) emzimbeni, ezinokuphembelela ukukhula kweeseli zomhlaza wedlala lesinyi. I-ADT isoloko isetyenziswa ngokudityaniswa nonyango lweradiation ukwenzela ukuba ndlongondlongo isigaba 2 somhlaza wedlala lesinyi. Inokulawulwa ngeenaliti okanye ngamayeza omlomo. Iziphumo eziqhelekileyo ezichaphazelekayo ziquka ukutshisa okutshisayo, ukunciphisa i-libido, ukungasebenzi kakuhle kwe-erectile, kunye nokulahleka kwethambo.I-Focal TherapyFocal therapy yindlela entsha ejolise kuphela kwiindawo ezinomhlaza ngaphakathi kwe-prostate gland, igcina yonke i-gland. Oku kunokubanakho ukunciphisa umngcipheko weziphumo ebezingalindelekanga ezinxulumene nonyango lwedlala lonke. Iinketho ezahlukeneyo zonyango olujoliso lubandakanya i-cryotherapy (iqhwa), i-high-intensity focused ultrasound (HIFU), kunye ne-electroporation engaguqukiyo (IRE). Unyango olujoliso lunokufaneleka kumadoda anendawo yokuhlala isigaba 2 somhlaza wedlala lesinyi kwaye ingakwazi ukugcina ukusebenza kwezesondo, ngaloo ndlela, ukugcina umgangatho wobomi.Ukuthelekisa uKhetho loNyangoOlona khetho lonyango lungcono isigaba 2 somhlaza wedlala lesinyi kuxhomekeke kwizinto ngamnye. Nalu uthelekiso olwenziwe lula kwiinketho eziqhelekileyo: Unyango IiPros Cons Ukufaneleka Ucupho Olusebenzayo Luphepha iziphumo ebezingalindelekanga zonyango olukhawulezileyo. Ifuna ukujongwa rhoqo. Ukubanakho ukuqhubeka komhlaza. Umhlaza womngcipheko ophantsi, amadoda amadala, okanye abo baneminye imiba yezempilo. I-Radical Prostatectomy Isusa yonke i-prostate gland. Inonyango. Umngcipheko wokungabikho komchamo kunye nokungasebenzi kakuhle kwe-erectile. Ngokubanzi amadoda asempilweni anomhlaza wendawo. Unyango lweRadiation Non-utyando ukhetho. Inonyango. Iziphumo ezinokuthi zibekho: imiba yamathumbu kunye nesinyi, ukungasebenzi kakuhle kwe-erectile. Amadoda angengawo abaviwa abalungileyo botyando okanye akhetha unyango olungaqhaqho. IHormone Therapy Inokunciphisa amathumba kunye nokukhula okucothayo. Imiphumo emibi: ukutshisa okutshisayo, ukunciphisa i-libido, ukulahleka kwethambo. Ihlala isetyenziswa ngokudityaniswa nemitha yomhlaza ondlongondlongo. UNyango oluJoliso Kujongwe kwiindawo ezinomhlaza kuphela. Iziphumo ebezingalindelekanga ezimbalwa. Ayifumaneki ngokubanzi. Iziphumo zexesha elide zisafundwa. Umhlaza wendawo enethumba elichazwe ngokucacileyo. Ukwenza iSigqibo esinolwaziUkukhetha ilungelo isigaba 2 unyango umhlaza wedlala lobudoda sisigqibo sobuqu. Xoxa ngeenzuzo kunye nobungozi bokhetho ngalunye kunye nogqirha wakho. Cinga ngezinto ezifana neminyaka yakho, impilo yonke, ukuba nomhlaza, kunye nezinto ozikhethayo. Ukufumana uluvo lwesibini nako kunokuba luncedo. Izibonelelo ezifana ne Umbutho womhlaza waseMelika kunye ne Iziko lomhlaza leSizwe bonelela ngolwazi oluxabisekileyo malunga nomhlaza wedlala lesinyi kunye nonyango lwawo.Ukubaluleka Kokulandelela UkukhathalelwaNokuba unyango olukhethiweyo, ukhathalelo oluthe gqolo lubalulekile. Oku kubandakanya iimvavanyo ze-PSA, iimviwo zedijithali ze-rectal, kunye neemvavanyo zomfanekiso njengoko kufuneka. Ukunyamekela okulandelwayo kunceda ukufumanisa nakuphi na ukuphindaphinda komhlaza kunye nokulawula nayiphi na imiphumo yexesha elide yonyango. Nge IZiko loPhando ngoMhlaza laseShandong Baofa, sigxininisa ukhathalelo olubanzi lokulandelelwa kwazo zonke izigulane zethu.Ukuphila ngeProstate CancerUkuxilongwa komhlaza wedlala lesinyi kunokuba ngumngeni. Kubalulekile ukuba nenkqubo yenkxaso eyomeleleyo, kuquka usapho, abahlobo, kunye namaqela enkxaso. Ukugcina impilo esempilweni, kuquka ukutya okunesondlo nokuzilolonga rhoqo, nako kunokunceda ukuphucula umgangatho wobomi bakho. Iziko lethu elizinikeleyo lophando lomhlaza linokunceda ukugcina indlela yokuphila esempilweni kwaye likunike inkxaso oyifunayo. Iqela lethu lihlala likulungele ukukunceda kulo lonke uhambo lwakho.