
Esi sikhokelo sibanzi siphonononga ukongezwa kwe-extracapsular (ECE) kumhlaza wedlala lesinyi, sichaza iziphumo zawo, ukuxilongwa, kunye neendlela zonyango ezikhoyo. Siza kugubungela ukuba i-ECE ithetha ukuthini, ifunyenwe njani, kunye neendlela ezahlukeneyo ezisetyenziswayo ukulawula le meko, kubandakanya utyando, unyango lwemitha, kunye nonyango lwehomoni. Fumana ulwazi oluya kukunceda wenze izigqibo ezizizo malunga nokhathalelo lwakho kwaye ufumane izibonelelo unyango extracapsular ulwandiso lomhlaza wedlala lobudoda unyango kufutshane nam.
Umhlaza wedlala lobudoda sisifo apho iiseli eziyingozi zikhula kwidlala lengqula. Ukwandiswa kwe-Extracapsular kubhekiselele ekusasazeni umhlaza ngaphaya kwe-prostate capsule, umaleko okhuselayo ojikeleze idlala. Oku kubonisa inqanaba eliphezulu kakhulu lomhlaza kwaye lihlala liphembelela izigqibo zonyango. Ukufunyaniswa kwangethuba kubalulekile ukuze uphumelele unyango lomhlaza wedlala lesinyi. Ubukho be-ECE butshintsha i-prognosis kwaye ifuna indlela yonyango eyingozi ngakumbi xa kuthelekiswa nomhlaza wesifo seprotate.
Ukuxilongwa kwe-ECE kubandakanya indibaniselwano yobuchule. Uvavanyo lwe-digital rectal exam (DRE) ngamanye amaxesha luyakwazi ukubona iindawo ezikrokrisayo. Nangona kunjalo, ukuxilongwa okucacileyo ngakumbi kuxhomekeke kwiindlela zokucinga ezifana nalezi:
Amanqaku e-Gleason, umlinganiselo wobundlavini beeseli zomhlaza, ikwayinto ebalulekileyo ekumiseleni uqikelelo olupheleleyo kunye nesicwangciso sonyango. Amanqaku aphezulu eGleason abonisa umhlaza ondlongondlongo.
Izicwangciso zonyango ze umhlaza wedlala lobudoda kunye ne-ECE ziyahluka ngokuxhomekeke kwizinto eziliqela, kuquka impilo yesigulana iyonke, ubungakanani besifo, kunye nokhetho lobuqu. Iinketho zonyango eziqhelekileyo ziquka:
Izinketho zokuhlinzwa, ezifana ne-radical prostatectomy, zijolise ekususeni i-prostate gland kunye nezicubu ezijikelezileyo ezichaphazelekayo ngumhlaza. Ubungakanani botyando buxhomekeke kwinqanaba kunye nokusasazeka komhlaza. Utyando oluncediswa ngerobhothi luhlala lukhethwa ngenxa yokuchaneka kwalo okuphuculweyo kunye nohlaselo oluncinci. Imiphumo enokubakho yotyando inokubandakanya ukungazinzi kunye nokungasebenzi kakuhle kwe-erectile, kodwa oku kuyahluka ngokuxhomekeka kwinkqubo kunye nomntu.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukutshabalalisa iiseli zomhlaza. Unyango lwemitha yangaphandle kunye nebrachytherapy (imitha yangaphakathi) ziqhele ukusetyenzwa unyango lomhlaza wedlala lesinyi. Unyango ngemitha luhlala lulolona khetho luncinci xa luthelekiswa notyando kodwa lunokuba neseti yalo yeziphumo ebezingalindelekanga.
Unyango lweHormone lujolise ekucothiseni okanye ukumisa ukukhula kweeseli zomhlaza wedlala lesidlala ngokunciphisa amanqanaba e testosterone. Oku kunokusetyenziswa ngokubambisana nolunye unyango, olufana notyando okanye ukusasazeka kwemitha, okanye njengonyango oluzimeleyo lwesifo esiqhubela phambili. Le ndlela yonyango inokukhokelela kwiziphumo ebezingalindelekanga ezinjengokukhanya okushushu kunye nokuncipha kwe-libido.
Ezinye iindlela zonyango zingabandakanya i-chemotherapy, unyango olujoliswe kuyo, kunye ne-immunotherapy, kuxhomekeke kwiinkcukacha zesi sifo kunye nokuqhubela phambili kwayo. Olu nyango luhlala luthathelwa ingqalelo kumhlaza wedlala lobudoda obuphambili okanye obumetastatic.
Ukufumana ukhathalelo olusemgangathweni unyango lomhlaza wedlala kufutshane nam kufuna uphando ngenyameko. Qala ngokubonisana nogqirha wakho wokhathalelo oluphambili okanye i-urologist. Banokukuthumela kwiingcali kunye nezixhobo ezixhotyiselwe ukujongana neemeko zomhlaza wedlala lesinyi, ezinje IZiko loPhando ngoMhlaza laseShandong Baofa. Cinga ngezinto ezifana namava eqela lezonyango, ubugcisa obukhoyo, kunye neenkonzo zenkxaso yezigulane xa usenza isigqibo sakho.
Ulwazi olunikelwe apha lololwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Kubalulekile ukudibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango. Ulwazi olunikeziweyo malunga neendlela zonyango kunye nemiphumo emibi aluphelelanga. Ugqirha wakho unokuxoxa ngezi zinto zinokwenzeka kunye nawe ngokubanzi.
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