unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi

Iinketho zonyango lweSinyi Neck Invasion in Prostate CancerUkuqonda Bladder Neck Invasion in Prostate Cancer kunye Available Treatments Eli nqaku inika ulwazi olubanzi malunga nokuhlasela kwentamo yesinyi (BNI) kumhlaza wesinyi, echaza iindlela ezahlukeneyo zonyango kunye nokuqwalaselwa. Siza kuphonononga ukuxilongwa, ukulinganisa, kunye nokulawulwa kolu hlobo oluthile lomhlaza wesifo seprotate, sigxile kwiindlela ezisekelwe kubungqina. Ingcaciso enikelwe apha yeyokufundisa kwaye ayifanelanga kuthathwa njengengcebiso yezonyango. Hlala unxibelelana ne-oncologist eqeqeshiweyo ukucwangcisa unyango lomntu.

Ukuqonda uHlaselo lweNeck yeSinyi (BNI) kuMhlaza weProstate

Yintoni i-bladder Neck Invasion?

Ukuhlasela kwentamo yesinyi kubhekiselele ekusasazeni kweeseli zomhlaza wesinyi ukuya kwintamo yesinyi, indawo apho isinyi sidibana khona nombhobho womchamo. Oku kuthathwa njengenqanaba eliphezulu kakhulu lomhlaza wedlala lesinyi, nto leyo ethetha umngcipheko ophezulu wokuphinda ube nefuthe kukhetho lonyango. Ubungakanani bokuhlaselwa - ubunzulu bokungena kwintamo yesinye - kuchaphazela izicwangciso zonyango. Isiteji esichanekileyo ngokuthatha umfanekiso kunye ne-biopsy ibalulekile ukuze usebenze unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi.

Ukubekwa kunye nokuxilongwa kwe-BNI

Ukuxilongwa kwe-BNI ngokuqhelekileyo kubandakanya indibaniselwano yeendlela, kubandakanywa uvavanyo lwe-digital rectal (DRE), uvavanyo lwegazi lwe-prostate-specific antigen (PSA), i-biopsy, kunye ne-imaging efana ne-MRI okanye i-CT scans. Inqanaba limisela ubungakanani bokunwenwa komhlaza, kubandakanywa nokuba umhlaza uye wahlasela izakhiwo ezikufutshane njengentamo yesinyi. Lo mboniso uchanekileyo ubalulekile ekukhokeleni unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi isicwangciso.

Iinketho zonyango lwe-BNI kwi-Cancer yeProstate

Eyona ilungileyo unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi indlela yokufikelela ixhomekeke kwizinto ezahlukeneyo, kubandakanywa impilo yesigulana iyonke, inqanaba lomhlaza, kunye nezinto azikhethayo.

I-Radical Prostatectomy

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lobudoda. Kwiimeko ze-BNI, ugqirha unokuphinda asuse izicubu ezikufutshane, kubandakanywa inxalenye yentamo yesinyi, kuxhomekeke kubungakanani bohlaselo. Ukuphumelela kolu tyando kuyahluka ngokuxhomekeke kwizinto ezininzi kwaye kufuneka kuxoxwe ngokucokisekileyo kunye nogqirha wotyando.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukutshabalalisa iiseli zomhlaza. Kwi-BNI, unyango lwe-radiation ye-radiation yangaphandle (EBRT) isetyenziswa ngokuqhelekileyo, ngamanye amaxesha idibene ne-brachytherapy (imitha yangaphakathi). Ukhetho phakathi kwezi kunye nedosi epheleleyo ixhomekeke kwizinto ezininzi ekufuneka zixoxwe kunye ne-radiation oncologist.

Unyango ngamachiza

I-Chemotherapy ibandakanya ukusebenzisa iziyobisi ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziswa xa umhlaza usasazeke ngaphaya kwe-prostate gland okanye ukuba umhlaza uphinde wavela emva kotyando okanye unyango lweradiation. Iirejimeni ezithile ze-chemotherapy zixhomekeke kwizinto ezininzi ekufuneka zixoxwe kunye ne-oncologist.

Unyango lweHormone (Unyango lokuVimba iAndrogen)

Unyango lwe-Hormone, okanye unyango lwe-androgen deprivation (ADT), lunciphisa amanqanaba eehomoni zamadoda (androgens) ezikhulisa ukukhula komhlaza wedlala lesinyi. Oku kudla ngokusetyenziswa kumanqanaba aphezulu omhlaza wedlala lesinyi okanye kudityaniswe nolunye unyango. Uhlobo oluthile kunye nobude bonyango lwe-hormone kufuneka lugqitywe yi-oncologist.

Iindlela ezidibeneyo

Rhoqo, indibaniselwano yolu nyango, olufana notyando olulandelwa lunyango lwemitha okanye unyango lwehomoni, luthathwa njengokuphucula ukusebenza konyango. unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi. Le ndlela ilungiselelwe isekelwe kwiimpawu ezizodwa zomhlaza wesigulane ngasinye.

Ukukhetha iSicwangciso soNyango esiLungileyo

Ukukhetha isicwangciso sonyango esisiso unyango isinyi intamo invasion unyango lomhlaza wedlala lesinyi kufuna ukuba kuqwalaselwe ngenyameko iinkalo zomntu ngamnye. Kubalulekile ukuba udibane neqela leengcaphephe ezininzi ezibandakanya iingcali ze-urologists, ii-oncologists ngemitha, i-oncologists yezonyango, kwaye mhlawumbi nabanye, ukwenza isicwangciso somntu ngamnye. Le ndlela yeqela iqinisekisa ukuba zonke iinketho ziqwalaselwa kwaye unyango olufanelekileyo lukhethwa. Unxibelelwano oluvulekileyo kunye nomboneleli wakho wezempilo lungundoqo kuyo yonke inkqubo. Cinga ngokufuna uluvo lwesibini ukuqinisekisa ukuba unolwazi olupheleleyo.

Ulawulo Lwexesha elide kunye nokulandelela

Emva kokugqiba unyango lokuqala, ukuqeshwa kokulandelela rhoqo kubalulekile ukubeka iliso nakuphi na ukuphindaphinda okanye iingxaki. Oku kuqeshwa kunokubandakanya iimvavanyo ze-PSA, izifundo zemifanekiso, kunye novavanyo lomzimba. Ulawulo lwexesha elide lunokubandakanya unyango oluqhubekayo lwehomoni okanye olunye unyango njengoko luyimfuneko.

UKhetho Lonyango	Iingenelo	Iingxaki
I-Radical Prostatectomy	Unyango olunokubakho, lunokubonelela ngempilo yexesha elide ngaphandle kwezifo.	Imingcipheko yotyando, iziphumo ebezingalindelekanga ezinokuthi zibekho njengokungakwazi ukuzibamba okanye ukungasebenzi kakuhle kwe-erectile.
Unyango ngemitha	Ukuhlasela okungaphantsi kunotyando, kunokudityaniswa nolunye unyango.	Iziphumo ebezingalindelekanga ezifana nezibilini okanye iingxaki zesinyi, ezinokubakho kwiingxaki zexesha elide.
Unyango ngamachiza	Isebenza kakuhle kwizifo eziphambili, inokucutha amathumba.	Iziphumo ezibi ezibalulekileyo, ezifana nesicaphucaphu, ukudinwa, nokulahleka kweenwele.
Unyango lweHormone	Unokucothisa ukukhula komhlaza, ukuphucula iimpawu.	Imiphumo ehlala ixesha elide, enjengokutshisa, ukuncipha kwamathambo, nokungasebenzi kakuhle ngokwesini.

Khumbula, olu lwazi lulungiselelwe iinjongo zemfundo kuphela kwaye aluquki iingcebiso zonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane ukuxilongwa kunye nonyango lwazo naziphi na iimeko zonyango.

Ngolwazi oluthe kratya ngonyango lomhlaza wedlala lobudoda, nceda undwendwele IZiko loPhando ngoMhlaza laseShandong Baofa iwebhusayithi. Banikezela ngokhathalelo olubanzi lomhlaza kunye neendlela zonyango oluphezulu.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.