
IiKhetho zoNyango lwe-Gleason 6 yoMhlaza weProstate: Isikhokelo sokuKhetha iSibhedlele esiLungileyoI-Gleason 6 umhlaza wedlala lobudoda luhlobo oluphantsi lwesi sifo, kodwa lusafuna ukuqwalaselwa ngononophelo kunye nonyango olululo. Esi sikhokelo sikunceda ukuba uqonde iinketho zakho kwaye ujonge inkqubo yokukhetha isibhedlele esifanelekileyo sakho unyango gleason 6 idlala lomhlaza unyango Izibhedlele iimfuno.
Umhlaza we-Gleason 6 we-prostate uhlelwa njengomhlaza womgangatho ophantsi, oku kuthetha ukuba ukhula ngokucothayo. Ngelixa idla ngokuba ndlongondlongo kakhulu kunemihlaza ye-prostate yodidi oluphezulu (i-Gleason 7-10), isafuna ukujongwa kwaye isenokufuna unyango ngokuxhomekeke kwizinto ezahlukeneyo, ezifana nobudala bakho, impilo iyonke, kunye neempawu ezithile zethumba. Indlela yonyango iya kulungelelaniswa neemeko zakho zomntu ngamnye. Kubalulekile ukudibana ne-urologist okanye i-oncologist enamava kukhathalelo lomhlaza we-prostate ukuze uxoxe ngemeko yakho ethile kwaye umisele eyona ndlela ilungileyo yokwenza. Ukufunyaniswa kwangethuba kunye nonyango olukhawulezileyo, kwanakwinqanaba elisezantsi lomhlaza wedlala lobudoda ofana neGleason 6, zibalulekile ekwandiseni iziphumo.
Ukucupha okusebenzayo yindlela eqhelekileyo yomhlaza wedlala lesinyi iGleason 6. Oku kubandakanya ukubeka iliso ngokusondeleyo kumhlaza ngokuhlolwa rhoqo, kubandakanywa novavanyo lwegazi (amanqanaba e-PSA) kunye ne-biopsies, ngaphandle kokungenelela ngokukhawuleza. Le ndlela ifanelekile kwizigulana ezinamathumba akhula kancinci kunye nexesha elide lokuphila. Injongo kukulibazisa okanye ukuphepha unyango olunokuba yingozi ngaphandle kokuba umhlaza uqhubela phambili.
Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Kumhlaza wedlala lesinyi iGleason 6, unyango lweradiation lunokuba lukhetho, ngakumbi ukuba uphononongo olusebenzayo lubonwa lungafanelekanga. Iindidi ezahlukeneyo zonyango lwemitha zikhona, kubandakanywa unyango lwemitha yangaphandle (EBRT) kunye nebrachytherapy (unyango lwangaphakathi lokusasazeka). Ukhetho luxhomekeke kwindawo ye-tumor kunye nobukhulu, kunye nezinto ezithile zesigulane.
Kwezinye iimeko, ukususwa ngotyando kwedlala lengqula (prostatectomy) kunokuqwalaselwa kumhlaza wedlala lesinyi iGleason 6, ngakumbi ukuba umhlaza ukwindawo ethile yaye umguli ngumgqatswa ofanelekileyo wotyando. I-laparoscopy encediswa ngerobhothi yindlela yotyando eluncedo kancinane ebonelela ngeengenelo ezinokubakho ezifana nokuncipha kokulahleka kwegazi, ukuhlala ixesha elifutshane esibhedlele, kunye namaxesha okuchacha ngokukhawuleza. Nangona kunjalo, utyando luthwele imingcipheko kunye neziphumo ebezingalindelekanga.
Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lusenokusetyenziswa ukucothisa okanye ukunqanda ukukhula kweeseli zomhlaza wedlala lobudoda ezibuthathaka kwiihomoni. Ngokuqhelekileyo isetyenziswa ngokudibeneyo nolunye unyango okanye umhlaza we-prostate ophezulu. Kwi-Gleason 6, ayisoloko isetyenziswa njengonyango lodidi lokuqala kodwa inokuqwalaselwa kwiimeko ezithile.
Ukukhetha isibhedlele esifanelekileyo sakho unyango gleason 6 idlala lomhlaza unyango Izibhedlele ibalulekile ekufumaneni ukhathalelo oluphezulu. Qwalasela ezi nkalo zilandelayo:
Qalisa uphando lwakho ngophando ngezibhedlele ezikummandla wakho okanye ezo zineenkqubo zomhlaza wedlala lesidoda. Iiwebhusayithi ezifana neZiko loMhlaza leSizwe (https://www.cancer.gov/kunye noMbutho weCancer waseMelika (https://www.cancer.org/) inokubonelela ngezibonelelo ezixabisekileyo. Unokucela iingcebiso kugqirha wakho. Cinga ngokucwangcisa udliwano-ndlebe kunye nezibhedlele ezininzi ukuthelekisa iinkonzo kunye nobuchule bazo phambi kokuba wenze isigqibo.
Khumbula, ukukhetha unyango olululo kunye nesibhedlele yinkqubo yentsebenziswano phakathi kwakho neqela lakho lezempilo. Unxibelelwano oluvulekileyo nogqirha wakho lungundoqo ekwenzeni izigqibo ezinolwazi malunga neyakho unyango gleason 6 idlala lomhlaza unyango Izibhedlele.
| Umba | Ukubaluleka |
|---|---|
| UbuGcisa boGqirha | Phezulu |
| Ubugcisa besibhedlele | Phezulu |
| Iinkonzo zeNkxaso | Phakathi |
| Indawo & noFikelelo | Phakathi |
Ngolwazi oluthe kratya kunye nokuphonononga iindlela ezibanzi zonyango lomhlaza, cinga ngokundwendwela IZiko loPhando ngoMhlaza laseShandong Baofa. Banikezela ngetekhnoloji ephucukileyo kunye neengcali zonyango ezinamava ezinikezelwe ukubonelela ngononophelo olungcono kakhulu.
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