unyango cribriform unyango umhlaza wesibeleko kwizibhedlele

Iinketho zonyango lweCribriform Prostate Cancer

Esi sikhokelo sibanzi siphonononga ezahlukeneyo unyango cribriform unyango umhlaza wesibeleko kwizibhedlele unikezelo lwe-cribriform umhlaza wedlala lesinyi, uhlobo olungaqhelekanga kodwa olubalulekileyo lomhlaza wedlala lesinyi. Siza kuphonononga iindlela ezahlukeneyo zonyango, ukusebenza kwazo, iziphumo ebezingalindelekanga ezinokwenzeka, kunye nezinto ezinefuthe kwizigqibo zonyango. Ukuqonda olu khetho kukunika amandla okwenza izigqibo ezinolwazi ngokusebenzisana neqela lakho lezempilo. Olu lwazi lulungiselelwe iinjongo zemfundo kuphela kwaye aluquki iingcebiso zonyango.

Ukuqonda iCribriform Umhlaza weProstate

Yintoni iCribriform Prostate Cancer?

Umhlaza we-Cribriform prostate ubonakaliswe ngepateni yayo eyahlukileyo yedlala, efana ne-sieve okanye isakhiwo se-honeycomb phantsi kwe-microscope. Ngelixa ixhaphake kakhulu kunezinye iintlobo zomhlaza wedlala lesidoda, ihlala inxulunyaniswa nekhosi endlongondlongo kunye namanqaku aphezulu eGleason, okuthetha isantya sokukhula okukhawulezayo kunye namandla okusasazeka. Ukufunyaniswa kwangethuba kunye nonyango olukhawulezileyo lubalulekile kwiziphumo ezincomekayo.

Uxilongo kunye neStaging

Ukufunyaniswa komhlaza wedlala lobudoda kubandakanya indibanisela yovavanyo lwedijithali lwe-rectal, uvavanyo lwegazi (amanqanaba e-PSA), kunye ne-biopsy. Ukulinganisa, ukufumanisa ubungakanani bokusasazeka komhlaza, kusebenzisa ubuchule bokucinga njenge-MRI kunye ne-CT scans. Iqonga elichanekileyo libalulekile ekulungiseni eyona isebenzayo unyango cribriform unyango umhlaza wesibeleko kwizibhedlele inokubonelela.

Iindlela zoNyango lweCribriform Prostate Cancer

Uvavanyo olusebenzayo

Kwizigulana ezinomngcipheko ophantsi we-cribriform umhlaza we-prostate, ucupho olusebenzayo lunokuba lukhetho. Oku kubandakanya ukubeka esweni ngokusondeleyo amanqanaba e-PSA kunye ne-biopsies rhoqo ukufumana naluphi na ukuqhubela phambili. Ukucupha okusebenzayo kuthintela unyango olukhawulezayo olukhawulezileyo, ukugcina ungenelelo xa kuyimfuneko ngokwezonyango. Kubalulekile ukuxoxa ngokufaneleka kocupho olusebenzayo kunye neurologist yakho.

Utyando (Radical Prostatectomy)

I-Radical prostatectomy ibandakanya ukususa ngotyando idlala lengqula. Olu lukhetho oluqhelekileyo lonyango lomhlaza wedlala lesinyi, ojolise ekususeni ngokupheleleyo umhlaza. I-laparoscopy encediswa ngerobhothi yindlela ehlaselo kancinane edla ngokukhethwa ngenxa yexesha layo elincitshisiweyo lokubuyisela kunye namandla okuba neziphumo zokusebenza ezingcono. Iziko loPhando ngoMhlaza laseShandong Baofa (https://www.baofahospital.com/) liziko elaziwayo elibonelela ngeendlela zotyando ezikumgangatho ophezulu.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Unyango lwemitha yemitha yangaphandle (EBRT) ihambisa imitha evela kumthombo wangaphandle, ngelixa ibrachytherapy ibandakanya ukufakela imbewu ye-radioactive ngqo kwidlala lesinyi. Unyango lwemitha lunokusetyenziswa njengonyango lokuqala okanye ludityaniswe nolunye unyango. Ukhetho phakathi kwe-EBRT kunye ne-brachytherapy kuxhomekeke kwizinto ezininzi, kubandakanywa indawo ye-tumor kunye nempilo yesigulane.

Unyango lweHormone (Androgen Deprivation Therapy-ADT)

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni amanqanaba e-testosterone, ukucotha okanye ukumisa ukukhula komhlaza wedlala lesidoda. I-ADT isoloko isetyenziselwa umhlaza wedlala lobudoda okwinqanaba eliphezulu okanye kudityaniswe nolunye unyango. Iziphumo ebezingalindelekanga ze-ADT zinokubandakanya ukukhanya okushushu, ukufumana ubunzima, kunye nokuncipha kwe-libido.

Unyango ngamachiza

I-Chemotherapy ngokuqhelekileyo igcinelwe umhlaza we-cribriform we-prostate oye wasasazeka ngaphaya kwe-prostate gland. Kubandakanya ukusebenzisa amachiza anamandla ukubulala iiseli zomhlaza kuwo wonke umzimba. I-Chemotherapy idla ngokusetyenziswa kunye nolunye unyango ukuphucula iziphumo.

Ukukhetha Unyango Olululo

Eyona ilungileyo unyango cribriform unyango umhlaza wesibeleko kwizibhedlele uya kunika kuxhomekeke kwizinto ezininzi, kuquka:

• Inqanaba kunye nenqanaba lomhlaza
• Ubudala besigulane kunye nempilo yonke
• Ukhetho lwesigulane
• Imiphumo enokubakho yonyango olwahlukeneyo

Indlela yeqela lezinto ezininzi, ebandakanya ii-urologists, i-oncologists, kunye nezinye iingcali, ibalulekile ekuphuhliseni isicwangciso sonyango lomntu. Unxibelelwano oluvulekileyo kunye nomboneleli wakho wezempilo lubalulekile ekwenzeni izigqibo ezinolwazi malunga nokhathalelo lwakho. Ukuxoxa ngokucokisekileyo ngeengozi kunye neenzuzo zokhetho ngalunye kuya kuqinisekisa ukuba ukhetha unyango olufanele iimeko zakho.

Ukufumana uKhathalelo oluKhethekileyo lweCribriform Prostate Cancer

Ukufumana isibhedlele esinobuchule bokunyanga i-cribriform umhlaza wedlala lobudoda kubaluleke kakhulu. Izibhedlele zophando ezaziwa ngokhetho lwazo oluphezulu zonyango kunye neengcali zonyango ezinamava. Khangela izibhedlele ezinomthamo ophezulu weemeko zomhlaza we-prostate kunye neenkqubo zophando ezinamandla. Ubungqina besigulane kunye nokuphononongwa kwakhona kunokubonelela ngengqiqo ebalulekileyo kumgangatho wokunyamekela okunikezelwayo.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze abone eyona ndlela yonyango ilungileyo kwimeko yakho ethile.