unyango isinyi intamo invasion unyango umhlaza wesinyi kwizibhedlele

Unyango lweSinyi Neck Invasion kuMhlaza weProstate: Isikhokelo kwizibhedlele kunye noKhetho loNyango Eli nqaku libonelela ngolwazi olubanzi malunga unyango isinyi intamo invasion unyango umhlaza wesinyi kwizibhedlele, ukugubungela ukuxilongwa, ukhetho lonyango, kunye nokubaluleka kokukhetha indawo yonyango efanelekileyo. Siphonononga iindlela ezahlukeneyo zonyango kwaye sigxininisa imfuno yezicwangciso zokhathalelo lomntu ngokusekelwe kwiimfuno zesigulana kunye neemeko.

Ukuqonda Ukuhlasela kweNeck yeSinyi kwi-Prostate Cancer

Ukuhlasela kwentamo yesinyi (BNI) kumhlaza wesinyi kubhekiselele ekusasazeni kweeseli ezinomhlaza ukusuka kwidlala lengqula ukuya kwintamo yesinyi, indawo apho isinyi sidityaniswa khona nombhobho we-urethra. Oku kubonisa inqanaba eliphambili lesi sifo, elifuna indlela enobundlobongela kunye neyohlukeneyo unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo lubalulekile ekuphuculeni iziphumo.

Ukuxilonga Ukuhlaselwa kweNeck yeSinyi

UVavanyo lokuQala

Ukuxilongwa ngokuqhelekileyo kuqala ngovavanyo lwegazi lwe-digital rectal (DRE) kunye novavanyo lwegazi lwe-prostate-specific antigen (PSA). Uphando olongezelelweyo, olufana ne-biopsy, i-MRI scan, kunye/okanye i-CT scan, isoloko iyimfuneko ukuze kuqinisekiswe ukuxilongwa kunye nokuvavanya ubungakanani bokusasazeka komhlaza, kuquka ubukho be-BNI. Iqonga elichanekileyo libalulekile ekumiseleni okufanelekileyo unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi iqhinga.

Ubuchwephesha boMfanekiso obukwinqanaba eliphezulu

Ubuchule bokucinga obukwinqanaba eliphezulu, obufana ne-multiparametric MRI (mpMRI) kunye ne-PET scans, zinokusetyenziswa ukunika iinkcukacha ezithe vetshe malunga nethumba, kuquka ubungakanani balo, indawo elikuyo, kunye nokusasazeka okunokwenzeka kwizakhiwo ezikufutshane. Ezi ndlela zobuchule zinokunceda ekwenzeni izigqibo ezizizo malunga neyona khosi ilungileyo unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi.

Iinketho zonyango lweSinyi Neck Invasion

Iinketho zonyango lomhlaza wedlala lesidoda kunye ne-BNI ziyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanya impilo yesigulana iyonke, ubudala, inqanaba lomhlaza, kunye nezinto ozikhethayo. Iingxoxo kunye ne-oncologist zibalulekile ukuphuhlisa isicwangciso sonyango lomntu.

Utyando

I-Radical prostatectomy, ebandakanya ukususwa ngotyando lwedlala lobudoda, inokuqwalaselwa kwiimeko ezikhethiweyo. Ubungakanani botyando bunokuguqulwa ngokusekelwe kubungakanani bohlaselo. I-laparoscopy encediswa ngerobhothi (i-RALP) isoloko ikhethwa ngenxa yobume bayo obungephi.

Unyango ngemitha

Unyango ngemitha, nokuba yi-radiotherapy yangaphandle (EBRT) okanye ibrachytherapy (imitha yangaphakathi), lolunye unyango oluqhelekileyo. Rhoqo, oku kudityaniswa nonyango lwehomoni (unyango lwe-Androgen deprivation okanye ADT).

Unyango lweHormone

Unyango lweHormone lujolise ekunciphiseni amanqanaba e testosterone emzimbeni, ukunciphisa ukukhula kweeseli zomhlaza wedlala lesidoda. Isetyenziswa rhoqo kunye nolunye unyango lomhlaza wedlala lesinyi, kuquka nezo zine-BNI.

Unyango ngamachiza

I-Chemotherapy igcinelwe izigulane ezine-metastatic disease okanye abo bangakhange baphendule kolunye unyango. Isebenzisa amachiza anamandla ukubulala iiseli zomhlaza kuwo wonke umzimba. Irejimeni ethile yechemotherapy ixhomekeke kwimeko yomntu.

Ukukhetha iSibhedlele esiLungileyo soNyango

Ukukhetha isibhedlele esihloniphekileyo esineengcaphephe ezinamava kubalulekile ukuze sibe sesona siphezulu unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi iziphumo. Izinto ekufuneka ziqwalaselwe ziquka ubuchule besibhedlele kunyango lomhlaza wedlala lesinyi, amava neziqinisekiso zeqela lezonyango, ubugcisa obuphambili kunye nezibonelelo ezikhoyo, kunye nomgangatho wokhathalelo xa uwonke.

Cinga ngophando lwezibhedlele ezinamaziko azinikeleyo omhlaza wesinyi kunye namaqela ahlukeneyo. La maqela ahlala ebandakanya iingcali zeurologists, i-oncologists yeradiation, i-oncologists yezonyango, kunye nezinye iingcali ezisebenzisanayo ukuphuhlisa izicwangciso zonyango ezilungiselelweyo. Ubungqina besigulane kunye nokuhlelwa kwezibhedlele kunokuba luncedo kwinkqubo yokwenza izigqibo. Umzekelo, i IZiko loPhando ngoMhlaza laseShandong Baofa inikeza ngokubanzi unyango lomhlaza wedlala lesinyi.

Ukubaluleka kweSicwangciso soNyango oluSiqu

Kubalulekile ukukhumbula ukuba akukho ndlela yokulinganisa yonke into unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi. Olona khetho lonyango luxhomekeke ngokupheleleyo kwiimeko ezithile zomntu kwaye kufuneka zigqitywe ngokubonisana ne-oncologist enobuchule. Uvavanyo olubanzi luya kuthathela ingqalelo izinto ezahlukeneyo ukwenza isicwangciso sonyango esilungiselelweyo esonyusa amathuba okuphumelela.

I-Disclaimer: Olu lwazi lujoliswe kwiinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.