unyango kwisigaba emva kwexesha unyango umhlaza wesibeleko kwizibhedlele

IiKhetho zoNyango lweLate-Stage Prostate Cancer: Isikhokelo sokuFumana iSibhedlele esiLungileyo Umhlaza wedlala lobudoda kwinqanaba elisezantsi lifuna indlela yonyango ebanzi kunye neyodwa. Esi sikhokelo sibonelela ngolwazi oluyimfuneko kwiinketho zonyango kunye nokuqwalaselwa kwezigulane ezifuna ukhathalelo olungcono. Ijonge ukukunceda uqonde iinketho zakho kwaye ujonge inkqubo yokufumana isibhedlele esifanelekileyo sakho unyango kwisigaba emva kwexesha unyango umhlaza wesibeleko kwizibhedlele iimfuno.

Ukuqonda uMhlaza weProstate-Stage kade

Ukuchaza uMhlaza weProstate weNqanaba kade

Umhlaza weProstate osemva kwexesha, ochazwe njengezigaba ze-III kunye ne-IV, ubhekisa kumhlaza oye wasasazeka ngaphaya kwedlala lengqula. Inqanaba lesithathu libonisa ukusasazeka komhlaza kwizicubu ezikufutshane okanye i-lymph nodes, ngelixa isigaba IV sibonisa i-metastasis-ukusasazeka komhlaza kumalungu akude njengamathambo, imiphunga okanye isibindi. Isicwangciso esithile sonyango sixhomekeke kwinqanaba, ibakala, kunye nempilo yonke yomntu.

Uxilongo kunye neStaging

Ukuxilongwa ngokuchanekileyo kunye nezigaba kubalulekile ukuze usebenze unyango kwisigaba emva kwexesha unyango umhlaza wesibeleko kwizibhedlele. Oku kubandakanya uthotho lweemvavanyo, kubandakanywa uvavanyo lwe-digital rectal (DRE), uvavanyo lwegazi lwe-prostate-specific antigen (PSA), i-biopsy, kunye nezifundo zokucinga ezifana ne-CT scans, i-MRI scans, kunye ne-bone scans. Ukuqonda inqanaba lakho kubalulekile ukuxoxa ngeendlela zonyango kunye ne-oncologist yakho.

Iinketho zonyango lweLate-Stage Prostate Cancer

Unyango lweHormone

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni amanqanaba eehomoni zamadoda (androgens) ezikhulisa umhlaza wesinyi. Oku kunokufezekiswa ngamayeza afana ne-luteinizing hormone-releasing hormone (LHRH) agonists okanye antagonists, okanye ngokuchithwa kotyando. Ngelixa isebenzayo ekunciphiseni okanye ekumiseni ukuqhubela phambili komhlaza, unyango lwe-hormone lunokuba nemiphumo emibi efana nokutshisa okutshisa, ukunciphisa i-libido kunye ne-osteoporosis.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza anamandla ukubulala iiseli zomhlaza. Ihlala isetyenziswa xa unyango lwe-hormone lungasasebenzi okanye kwizigulane ezinezifo ezinobundlobongela. Iirejimeni eziqhelekileyo ze-chemotherapy zomhlaza we-prostate ziquka i-docetaxel, i-cabazitaxel, kunye ne-mitoxantrone. Imiphumo emibi inokuba yinto ebalulekileyo kwaye ibandakanya isicaphucaphu, ukudinwa, ukulahleka kweenwele, kunye nokunyanzeliswa kwenkqubo yomzimba yokuzikhusela.

Unyango ngemitha

Unyango ngemitha isebenzisa imiqadi enamandla kakhulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziselwa ukunyanga umhlaza wesibeleko osemva kwexesha okanye ukunciphisa iimpawu kwisifo se-metastatic. Unyango lwemitha yangaphandle lusetyenziswa ngokuqhelekileyo, kodwa ibrachytherapy (imitha yangaphakathi) inokuba yinto ekhethwayo kwiimeko ezithile. Iziphumo ebezingalindelekanga zinokubandakanya ukudinwa, ukucaphuka kwesikhumba, kunye neengxaki zomchamo okanye izibilini.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa umonakalo kwiiseli eziphilileyo. Iindlela ezininzi zonyango ezijoliswe kuzo zibonise isithembiso ekunyangeni umhlaza wedlala lesinyi, ngakumbi ezo zineenguqu ezithile zofuzo. Olu hlobo lonyango lusetyenziswa rhoqo kunye nolunye unyango.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Ngelixa zintsha kumhlaba wonyango womhlaza wedlala lesidoda, iziyobisi ze-immunotherapy, ezifana ne-pembrolizumab kunye ne-atezolizumab, ziyaphandwa kwaye zisetyenziswa kwiimeko ezithile zesifo semetastatic. Imiphumo emibi iyahluka kwaye idla ngokulawuleka.

Ukukhetha isibhedlele esiLungileyo kuNyango lwakho

Ukukhetha isibhedlele esifanelekileyo unyango kwisigaba emva kwexesha unyango umhlaza wesibeleko kwizibhedlele sisigqibo esibalulekileyo. Qwalasela izinto ezifana nezi: Amava kunye nobuGcisa: Khangela izibhedlele ezinooncologists abanamava kunye neenkqubo ezikhethekileyo zonyango lomhlaza wedlala lesinyi. Ubuchwephesha obukwinqanaba eliphezulu: Izibhedlele ezinokufikelela kumfanekiso okwinqanaba eliphezulu, unyango lweradiation, kunye nobunye ubugcisa bunokubonelela ngokuchaneka okungcono kunye neziphumo. Ukhathalelo oluBanzi: Funa izibhedlele ezibonelela ngeendlela ezahlukeneyo, ezibandakanya iingcaphephe ezahlukeneyo ezifana neengcali zeoncologists, ii-urologists, i-radiation oncologists, kunye noogqirha botyando. Iinkonzo zeNkxaso yeZigulana: Qwalasela ukufumaneka kweenkonzo zenkxaso ezifana neengcebiso, ukubuyisela kwisimo sangaphambili, kunye nokhathalelo lokuthomalalisa.

Umba	Ukubaluleka
Oogqirha abanamava	Phezulu
Ubuchwephesha obukwinqanaba eliphezulu	Phezulu
INdlela yeeNdlela ezininzi	Phezulu
Inkxaso yesigulane	Phakathi

Ukufumana iNkxaso kunye neZibonelelo

Ukujongana nokuxilongwa komhlaza emva kwexesha kunokuba ngumngeni. Ukunxibelelana namaqela enkxaso kunye nemibutho ezinikele kumhlaza wedlala lesinyi kunokubonelela ngolwazi oluxabisekileyo, inkxaso yeemvakalelo, kunye noncedo olusebenzayo. Ezi zixhobo zinokunceda ukuhamba uhambo olunzima lonyango kunye nenkathalo. Khumbula ukunxibelelana ngokuphandle neqela lakho lezempilo malunga nezinto ezikuxhalabisayo kunye nezinto ozikhethayo. Ukufumana ulwazi oluthe kratya malunga nonyango oluphezulu lomhlaza wedlala lesinyi, unganqwenela ukujonga izixhobo ezivela kwiZiko loMhlaza leSizwe. https://www.cancer.gov/. Cinga ngokujonga iinketho ezikhoyo IZiko loPhando ngoMhlaza laseShandong Baofa ngokunzulu unyango kwisigaba emva kwexesha unyango umhlaza wesibeleko kwizibhedlele. Khumbula, olu lwazi lololwazi oluphangaleleyo kwaye akufuneki luthathe indawo yokubonisana nomntu oqeqeshiweyo wezempilo.