
Esi sikhokelo sibanzi siphonononga ezahlukeneyo unyango intermediate prostate umhlaza unyango Izibhedlele unikezelo lwamadoda afunyanwe anomhlaza wedlala lesinyi esiphakathi. Siza kugocagoca kwiindlela ezahlukeneyo zonyango, ukusebenza kwazo, iziphumo ebezingalindelekanga ezinokwenzeka, kunye nezinto ekufuneka siziqwalasele xa usenza izigqibo zonyango. Ukuqonda ukhetho lwakho kubalulekile ukwenza ukhetho olunolwazi malunga nokhathalelo lwakho lwezempilo.
Umngcipheko ophakathi womhlaza wedlala lobudoda ubonakaliswa ngamanqaku e-Gleason we-7 (3 + 4), inqanaba le-PSA eliphakathi kwe-10-20 ng/mL, okanye ithumba elibonakalayo kuvavanyo lwe-rectal kodwa livalelwe kwi-prostate. Iwela phakathi komngcipheko ophantsi kunye nomngcipheko ophezulu womhlaza wedlala lesidoda ngokobundlongondlongo kunye nokuba nokwenzeka kokusasazeka. Izigqibo zonyango zomhlaza wedlala lesidoda oluphakathi emngciphekweni zintsonkothile kwaye zihlala zixhomekeke kwizinto ezinjengobudala, impilo iyonke, kunye nezinto ozikhethayo. Akukho ndlela yokulinganisa yonke into.
Kwamanye amadoda anomngcipheko ophakathi womhlaza wedlala lobudoda, ukucupha okusebenzayo lukhetho olusebenzayo. Oku kubandakanya ukubeka iliso elibukhali ukuqhubeka komhlaza ngovavanyo lwe-PSA rhoqo, iimviwo zedijithali ze-rectal, kunye ne-biopsies. Unyango luqalwa kuphela xa umhlaza ubonakalisa iimpawu zokukhula okubonakalayo okanye ukusasazeka. Le ndlela ifanelekile kwizigulane ezinomhlaza okhula kancinci kunye nexesha elide lokuphila.
Unyango ngemitha, nokuba lunyango lwemitha yangaphandle (EBRT) okanye ibrachytherapy (imitha yangaphakathi), lunyango oluqhelekileyo kumngcipheko ophakathi womhlaza wedlala lesinyi. I-EBRT isebenzisa imiqadi yamandla aphezulu ukujolisa nokutshabalalisa iiseli zomhlaza. I-Brachytherapy ibandakanya ukufakela imbewu ye-radioactive ngqo kwi-prostate. Zombini iinketho zibonakalise ukusebenza ngempumelelo ekulawuleni umhlaza wedlala lesinyi, nangona iziphumo ebezingalindelekanga ezifana nomchamo kunye neengxaki zamathumbu zinokwenzeka. Ukhetho phakathi kwe-EBRT kunye ne-brachytherapy kaninzi luxhomekeke kwizinto zesigulana ngasinye kunye nobuchule be-radiation oncologist.
I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lobudoda. Olu lutyando oluphambili oluneziphumo ebezingalindelekanga ezifana nokungakwazi ukuzibamba kunye nokungasebenzi kakuhle kwe-erectile. Nangona kunjalo, inokuba lunyango olusebenzayo kakhulu, ngakumbi kumhlaza wedlala lesinyi. Isigqibo sokwenziwa kwe-radical prostatectomy sesomntu ophezulu kwaye kufuneka senziwe ngokubonisana nogqirha wotyando onobuchule.
Unyango lweHormone, okanye iADT, isebenza ngokunciphisa amanqanaba eehomoni zamadoda (androgens) ezikhulisa ukukhula komhlaza wedlala lesinyi. Idla ngokusetyenziswa ngokudityaniswa nolunye unyango, olufana nonyango lweradiation, okanye kwiimeko eziphambili. Ngelixa iyasebenza ekwehliseni isantya sokukhula komhlaza, i-ADT inokubangela iziphumo ebezingalindelekanga ezahlukeneyo ezibandakanya ukukhanya okushushu, ukudinwa, kunye nokuncipha kwe-libido. IZiko loPhando ngoMhlaza laseShandong Baofa inikezela ngobuchule obubanzi kunyango lwehomoni.
Elona liphezulu unyango intermediate prostate umhlaza unyango Izibhedlele ukubonelela kuxhomekeke kakhulu kumntu ngamnye. Izinto ezininzi kufuneka ziqwalaselwe ngononophelo ngokubonisana neqela lakho lezempilo. Oku kubandakanya iminyaka yakho, impilo iyonke, iminyaka elindelekileyo yokuphila, inqanaba kunye nebakala lomhlaza wakho, kunye nezinto ozikhethayo malunga neziphumo ebezingalindelekanga zonyango ezahlukeneyo. Kubalulekile ukuba ube neengxoxo ezivulelekileyo nezinyanisekileyo kunye noogqirha bakho ukuvavanya izibonelelo kunye nobungozi bokhetho ngalunye kwaye ukhethe eyona ndlela ilungileyo yokwenza kwimeko yakho ethile.
Ukukhetha isibhedlele esihloniphekileyo esineengcali ezinamava kubalulekile. Jonga izibhedlele ezinomthamo omkhulu wamatyala omhlaza wedlala lesidoda, itekhnoloji ephezulu, kunye neqela lezinto ezininzi ze-oncologists, i-urologists, kunye neengcali zonyango. Ubungqina besigulane kunye nokuhlolwa kwakhona kunokuba luncedo ekwenzeni isigqibo sakho. Qwalasela amaziko anerekhodi eyomeleleyo yophando kunye nezinto ezintsha kunyango lomhlaza wedlala lesinyi. IZiko loPhando ngoMhlaza laseShandong Baofa luzinikele ekuboneleleni ngomgangatho ophezulu, ukhathalelo olugxile kwisigulana kumhlaza wedlala lesinyi.
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.
ecaleni>
umzimba>