unyango lomhlaza wedlala lobudoda kwindawo ephucukileyo Izibhedlele

Unyango loMhlaza weProstate oPhakamileyo ekuhlaleni: Ukufumana iSibhedlele esiLungileyo Umhlaza wedlala lobudoda okwinqanaba eliphezulu ekuhlaleni kufuna unyango olukhethekileyo kunye nokhathalelo lobuchwephesha. Esi sikhokelo sikunceda ukuba uqonde iinketho zakho kwaye ufumane isibhedlele esifanelekileyo kwiimfuno zakho.

Ukuqonda uMhlaza weProstate oPhakamileyo ekuhlaleni

Umhlaza wedlala lobudoda ophuhlileyo ekuhlaleni ubhekisa kumhlaza oye wasasazeka ngaphaya kwedlala lengqula kodwa awukabikho metastasized (usasazeke kwiindawo ezikude zomzimba). Eli nqanaba lifuna unyango oluqatha ukuthintela ukuqhubela phambili. Iimpawu eziqhelekileyo zinokubandakanya iingxaki zomchamo, iintlungu zethambo, kunye nokungasebenzi kakuhle kwe-erectile, kodwa amadoda amaninzi awafumani zimpawu kwaphela. Ukufunyaniswa kwangethuba kubalulekile, njengoko kuchaphazela ukhetho lonyango kunye noxilongo. Ukuxilongwa ngokuchanekileyo kuxhomekeke kwindibaniselwano yeendlela, kubandakanywa uvavanyo lwe-digital rectal (DRE), uvavanyo lwegazi lwe-prostate-specific antigen (PSA), kunye ne-biopsy. Amanqaku eGleason kunye nenkqubo yeqonga ye-TNM inceda ukumisela ubungakanani bomhlaza.

Iinketho zonyango kuMhlaza weProstate oPhakamileyo ekuhlaleni

Izicwangciso zonyango zixhomekeke kakhulu kumntu ngamnye kwaye zixhomekeke kwizinto ezahlukeneyo ezibandakanya impilo yesigulana iyonke, ubudala, inqanaba lomhlaza, kunye nezinto ozikhethayo. Nazi iindlela zonyango eziqhelekileyo:

Unyango ngemitha

Unyango ngemitha, kubandakanywa unyango lwemitha yangaphandle (EBRT) kunye nebrachytherapy (imitha yangaphakathi), lilitye lembombo unyango lomhlaza wedlala lobudoda ekuhlaleni phambili. I-EBRT isebenzisa imiqadi yamandla aphezulu ukujolisa nokutshabalalisa iiseli zomhlaza, ngelixa i-brachytherapy ibandakanya ukufakela imbewu ye-radioactive ngqo kwi-prostate. Izibhedlele ezininzi zibonelela ngobuchule obuphezulu bokusasazeka ngemitha njengonyango lwe-radiation-modulated radiation (IMRT) kunye nonyango lwe-proton, olunikezela ngeedosi zemitha ezichanekileyo zokunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo. Obu buchule buphuculweyo buhlala bunxulunyaniswa neziphumo zonyango eziphuculweyo. Ukhetho phakathi kwe-EBRT kunye ne-brachytherapy, kunye nokukhethwa kobuchule obuthile be-radiation, kuxhomekeke kwiimpawu zethumba kunye neemeko zomguli ngamnye.

Utyando

I-Radical prostatectomy, ukususwa ngotyando lwedlala lobudoda, yenye inketho unyango lomhlaza wedlala lobudoda ekuhlaleni phambili. Irobhothi encediswa yi-laparoscopy ye-laparoscopy (RALP) yindlela encinci yokungenelela ebonelela ngeenzuzo ezinokubakho ezifana nokuncipha kokulahleka kwegazi, ukuhlala ixesha elifutshane esibhedlele, kunye nokuchacha ngokukhawuleza xa kuthelekiswa notyando oluvulekileyo lwemveli. Ukufaneleka kotyando kuxhomekeke kubukhulu kunye nendawo yethumba, kunye nempilo yesigulane jikelele. Kubalulekile ukuxoxa ngeziphumo ebezingalindelekanga ezinokubakho, kubandakanywa ukungakwazi ukuzibamba komchamo kunye nokungasebenzi kakuhle kwe-erectile, kunye nogqirha wakho wotyando ngaphambi kokuthatha isigqibo malunga nolu nyango.

Unyango lweHormone (Androgen Deprivation Therapy-ADT)

Unyango lwe-Hormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni amanqanaba e-testosterone emzimbeni, ekufuneka iiseli zomhlaza we-prostate zikhule. Le ndlela yonyango isoloko isetyenziswa kunye nolunye unyango olufana nonyango lwemitha okanye utyando, ngakumbi kwiimeko zesifo esiqhubela phambili ekuhlaleni. I-ADT inokucothisa kakhulu ukukhula komhlaza wedlala lesinyi kwaye iphucule amazinga okuphila. Nangona kunjalo, i-ADT yexesha elide inokukhokelela kwiziphumo ebezingalindelekanga ezinjengokukhanya okutshisa, ukufumana ubunzima, i-osteoporosis, kunye nokuncipha kwe-libido. Ukujongwa ngononophelo kuyafuneka ngexesha nasemva konyango lwe-ADT.

Unyango ngamachiza

I-Chemotherapy idla ngokugcinelwa iimeko apho umhlaza uye wahambela phambili okanye ungaphendulanga ngokwaneleyo kolunye unyango. Kumxholo we unyango lomhlaza wedlala lobudoda ekuhlaleni phambili, ichemotherapy inokuqwalaselwa kwiimeko ezithile, njengaxa umhlaza ukwinqanaba eliphezulu okanye ukhula ngokukhawuleza. Amachiza amaninzi echemotherapy ayafumaneka, ngalinye lineseti yalo yeziphumo ebezingalindelekanga. Isigqibo sokusebenzisa i-chemotherapy siya kuxhomekeka kwimpilo yonke yesigulane kunye nenqanaba lesi sifo.

Ukukhetha isibhedlele esiLungileyo kuNyango lwakho

Ukukhethela isibhedlele unyango lomhlaza wedlala lobudoda ekuhlaleni phambili sisigqibo esibalulekileyo. Qwalasela oothunywashe abanjengamava esi sibhedlele ekunyangeni umhlaza wedlala lesinyi, ukufumaneka kobugcisa obuphucukileyo nokhetho lonyango, nobuchule beqela lezonyango. Khangela izibhedlele ezinamaziko omhlaza wedlala lesinyi kunye namaqela ahlukeneyo abandakanya ii-urologists, i-radiation oncologists, i-oncologists yezonyango, kunye nezinye iingcali. Uphononongo lwesigulana kunye nobume bokuvunywa kunokubonelela ngeembono ezixabisekileyo. Ukudibana nomntu oyingcali kuya kuba luncedo ekwenzeni ukhetho olunolwazi.

Ukufumana iNkxaso kunye neZibonelelo

Ukuxilongwa komhlaza wedlala lobudoda okwinqanaba eliphezulu kunokuba ngumngeni, ngokwasemzimbeni nangokweemvakalelo. Ukufuna inkxaso kusapho, abahlobo, kunye namaqela enkxaso kubalulekile kulo lonke uhambo lonyango. Imibutho efana ne-American Cancer Society kunye ne-Prostate Cancer Foundation inikezela ngezibonelelo ezixabisekileyo, kubandakanywa nolwazi malunga neendlela zonyango, uncedo lwemali, kunye nenkxaso yeemvakalelo. Khumbula, awuwedwa.

Itheyibhile: Ukuthelekisa uKhetho loNyango

Khumbula ukudibana nogqirha wakho ukuze ubone okona kulungileyo unyango lomhlaza wedlala lobudoda kwindawo ephezulu ngokusekelwe kwimeko yakho ethile. Ngolwazi oluthe vetshe, ndwendwela i IZiko loPhando ngoMhlaza laseShandong Baofa iwebhusayithi. Iziko lomhlaza leSizwe ikwabonelela ngolwazi olubanzi ngomhlaza wedlala lesinyi.