unyango gleason 7 Prostate unyango lomhlaza Izibhedlele

IiKhetho zoNyango lweGleason 7 yeProstate CancerUkuqonda iGleason iNqaku lesi-7 kwaye liyafumaneka Unyango i-gleason 7 yonyango lomhlaza wesibeleko kwizibhedleleEli nqaku libonelela ngolwazi olubanzi ngamanqaku e-Gleason 7 umhlaza wedlala lesinyi kunye neendlela ezahlukeneyo zonyango ezikhoyo. Siza kuphonononga iindlela ezahlukeneyo, sithathela ingqalelo izinto ezifana nobudala besigulane, impilo iyonke, kunye neempawu ezithile zomhlaza. Kubalulekile ukukhumbula ukuba olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye akufanelekanga ukuba luthathelwe ingqalelo njengengcebiso yezonyango. Ngalo lonke ixesha udibana nogqirha wakho okanye i-oncologist eqeqeshiweyo ukumisela eyona ndlela ilungileyo yokwenza kwiimeko zakho.

Ukuqonda iGleason Score 7 Umhlaza weProstate

Amanqaku e-Gleason yinkqubo yokuhlela esetyenziselwa ukuvavanya ubundlongondlongo bomhlaza wesinyi. Amanqaku eGleason esi-7 amele umhlaza womngcipheko ophakathi. Ayinaburhalarhume njengamanqaku aphezulu eGleason (8-10), kodwa inobundlobongela kunamanqaku asezantsi (6 okanye ngaphantsi). Inqaku leGleason 7 lidla ngokuhlelwa ngokweepateni ezimbini: 3+4 kunye no-4+3. Ipateni ethile ichaphazela iingcebiso zonyango.

Imiba enefuthe kwiZigqibo zoNyango

Isigqibo kwezona zilungileyo unyango gleason 7 Prostate unyango lomhlaza Izibhedlele kwiGleason 7 umhlaza wedlala lobudoda ubandakanya izinto ezininzi ezibalulekileyo: Ubudala besigulana kunye neMpilo xa iyonke: Izigulana ezindala okanye ezo zinemiba ebalulekileyo yezempilo zinokufaneleka ngakumbi kunyango olunobundlobongela obuncinci. Inqanaba loMhlaza: Ubungakanani bokusasazeka komhlaza kunempembelelo enkulu ekukhetheni unyango. Ipatheni yeGleason: Njengoko bekutshiwo ngaphambili, ipateni ethile (3+4 okanye 4+3) phakathi kwenqaku leGleason 7 inefuthe kwisigqibo. Inqanaba le-PSA: Amanqanaba e-Prostate-specific antigen (PSA) abonelela ngolwazi malunga nomsebenzi womhlaza. Iziphumo zeBiopsy: Iziphumo ezineenkcukacha ze-biopsy zinceda ukumisela ubungakanani kunye neempawu zomhlaza.

IiKhetho zoNyango lweGleason Score 7 Umhlaza weProstate

Iinketho zonyango ezininzi ziyafumaneka kwinqaku le-Gleason 7 lomhlaza wesinyi. Ukhetho luxhomekeke kwizinto ezikhankanywe ngasentla kwaye kufuneka zenziwe ngokubonisana nochwepheshe bezonyango.

Uvavanyo olusebenzayo

Ukucupha okusebenzayo kubandakanya ukubeka iliso ngokusondeleyo ukuqhubeka komhlaza ngovavanyo lwe-PSA oluqhelekileyo, ii-biopsies, kunye novavanyo lwedijithali lwe-rectal. Le ndlela isoloko iqwalaselwa kumadoda amadala anomhlaza okhula kancinci okanye lawo anenkxalabo enkulu yezempilo. Ithintela unyango olukhawulezayo olukhawulezileyo kunye nemiphumo enokubakho.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Unyango lwemitha yangaphandle yemitha yindlela eqhelekileyo, ukuhambisa imitha evela ngaphandle komzimba. I-Brachytherapy ibandakanya ukufakela imbewu ye-radioactive ngqo kwi-prostate. Unyango ngemitha lunokusebenza kumhlaza wedlala lesinyi kwiGleason 7.

Utyando (Prostatectomy)

Ukususwa ngotyando kwedlala lengqula (iprostatectomy) yenye indlela. Le nkqubo ijolise ekususeni ngokupheleleyo izicubu zomhlaza. I-laparoscopy encediswa ngerobhothi yindlela encinci yotyando enokunciphisa iziphumo ebezingalindelekanga.

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), yehlisa ukuveliswa kwe-testosterone, ihomoni ekhulisa ukukhula komhlaza wedlala lesidoda. Ihlala isetyenziswa ngokudityaniswa nolunye unyango okanye isifo esikwinqanaba eliphezulu.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Ngokuqhelekileyo igcinelwe umhlaza wedlala lobudoda obuphambili okanye obumetastatic iGleason 7.

Ukukhetha Okulungileyo Unyango i-gleason 7 yonyango lomhlaza wesibeleko kwizibhedlele

Ukukhetha isibhedlele esifanelekileyo kunye neqela lezonyango kubaluleke kakhulu njengokukhetha unyango ngokwalo. Khangela amaziko aneengcali ze-oncologists ezinamava, ii-urologists, kunye neengcali zokusasazeka ngemitha ezikhethekileyo kunyango lomhlaza wedlala lesinyi. Qwalasela oothunywashe abanjengomlinganiselo wempumelelo yesi sibhedlele, ingxelo yomguli, nobugcisa obuphucukileyo obukhoyo.

UKhetho Lonyango	Iingenelo	Iingxaki
Uvavanyo olusebenzayo	Uphepha unyango olukhawulezayo kunye nemiphumo emibi.	Ifuna ukubekwa esweni ngononophelo kwaye isenokungalungeli zonke izigulane.
Unyango ngemitha	Isebenza kumhlaza wasekhaya, awungeneleli kangako kunotyando.	Iziphumo ezinokuthi zibekho njengemiba yomchamo okanye yamathumbu.
Utyando (Prostatectomy)	Inokususa ngokupheleleyo izicubu ezinomhlaza.	Ukubakho kweziphumo ebezingalindelekanga ezibalulekileyo njengokungakwazi ukuzibamba kunye nokungasebenzi kakuhle kwe-erectile.
Unyango lweHormone	Inokucothisa okanye inqande ukukhula komhlaza.	Imiphumo emibi efana nokutshisa okutshisa, ukufumana ubunzima, kunye nokunciphisa i-libido.

Ngolwazi oluthe kratya ngonyango lomhlaza wedlala lobudoda, unokunqwenela ukuphonononga izixhobo ezivela kwimibutho ebekekileyo efana neAmerican Cancer Society kunye neNational Cancer Institute. Khumbula, ukukhetha indlela elungileyo yonyango ngumzamo wentsebenziswano phakathi kwakho neqela lakho lezempilo. Ungalibazisi ukubuza imibuzo kwaye ufune izimvo zesibini ukuqinisekisa ukuba uziva uzithembile kwaye unolwazi malunga nezigqibo zakho zonyango. Kukhathalelo oluphambili nolubanzi, cinga ngokuphonononga iinketho kwizibhedlele eziphambili ezigxile kukhathalelo lomhlaza. Olunye ukhetho olunjalo lunokuba IZiko loPhando ngoMhlaza laseShandong Baofa, baziwa ngobungcali babo kwi-oncology.[I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye ayisebenzisi iingcebiso zonyango. Soloko udibana nengcali yezempilo enolwazi ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.]