unyango lomhlaza wedlala lobudoda ekuhlaleni

Iinketho zonyango kuMhlaza weProstate oPhakamileyo ekuhlaleni

Umhlaza wedlala lobudoda ophuhlileyo ekuhlaleni (LAPC) uveza imingeni eyodwa kucwangciso lonyango. Esi sikhokelo sibanzi siphonononga iindlela ezahlukeneyo zonyango ezikhoyo, sigxile kwinkqubela phambili yamva nje kwaye sikuncede uqonde izinto eziphembelela izigqibo zonyango. Siza kugubungela iindlela zotyando, unyango lwemitha, unyango lwehomoni, kunye nonyango olusakhulayo oluvelayo. Khumbula, olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye akufuneki luthathe indawo yengcebiso yezonyango. Soloko udibana ne-oncologist yakho ukumisela eyona ndlela ilungileyo yokwenza kwimeko yakho ethile.

Ukuqonda uMhlaza weProstate oPhakamileyo ekuhlaleni

Ukuchaza uMhlaza weProstate oPhakamileyo ekuhlaleni

Unyango lomhlaza wedlala lobudoda kwindawo ephezulu ifuna ukuqondwa ngokuchanekileyo kwesi sifo. I-LAPC ichazwa ngokobungakanani bayo: umhlaza uvalelwe kwi-prostate gland kodwa uneempawu ezibonisa umngcipheko ophezulu wokusasazeka okanye ukuphindaphinda. Ezi mpawu zihlala zibandakanya amanqaku aphezulu eGleason, umthamo omkhulu wethumba, kunye/okanye ukubandakanyeka kwamadlozi. Inqanaba lomhlaza-ngokuqhelekileyo i-T3 okanye i-T4-ikwabonisa ukuqhubela phambili kwayo kwendawo.

Uxilongo kunye neStaging

Ukuxilongwa ngokuchanekileyo kubalulekile ukuze kusebenze unyango lomhlaza wedlala lobudoda ekuhlaleni phambili. Oku kubandakanya uvavanyo lwegazi lwe-digital rectal (DRE), uvavanyo lwegazi lwe-prostate-specific antigen (PSA), i-biopsy, kunye nezifundo zokucinga ezifana ne-MRI okanye i-CT scans. Ukulinganisa kunceda ukumisela ubungakanani bokusasazeka komhlaza kunye nezikhokelo zonyango.

IiNdlela zoNyango kuMhlaza weProstate oPhakamileyo ekuhlaleni

Utyando: Radical Prostatectomy

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lengqula kunye nezicubu ezijikelezileyo. Le yinkqubo ebalulekileyo eneengxaki ezinokwenzeka, kodwa inokuba lukhetho olusebenzayo kwamanye amadoda ane-LAPC. Izinga lempumelelo lixhomekeke kwizinto ezahlukeneyo ezibandakanya inqanaba lomhlaza kunye nobuchule bogqirha wotyando. Ixesha lokubuyisela emva kotyando linokwahluka kakhulu.

Unyango lweRadiation: I-Beam Radiation yangaphandle kunye ne-Brachytherapy

Unyango ngemitha yenye yekona unyango lomhlaza wedlala lobudoda ekuhlaleni phambili. Unyango lwemitha yangaphandle (EBRT) isebenzisa imiqadi yamandla aphezulu ukujolisa kwiiseli zomhlaza. I-Brachytherapy ibandakanya ukubeka imbewu ye-radioactive ngqo kwi-prostate gland. Zombini ezi ndlela zijolise ekubulaleni iiseli zomhlaza ngelixa zinciphisa umonakalo kwiithishu ezisempilweni ezingqongileyo. Ukhetho phakathi kwe-EBRT kunye ne-brachytherapy, okanye ukudibanisa zombini, kuxhomekeke kwizinto ezizimeleyo.

Unyango lweHormone (Androgen Deprivation Therapy-ADT)

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lusebenza ngokunciphisa amanqanaba e-androgens-amahomoni angamadoda-akhulisa ukukhula komhlaza wesinyi. I-ADT isoloko isetyenziswa ngokudityaniswa nolunye unyango lwe-LAPC, nokuba kuphambi okanye emva kotyando okanye ngemitha, ukunceda ukuthintela ukuvela kwakhona. Iziphumo ebezingalindelekanga ze-ADT zinokubandakanya ukukhanya okushushu, ukufumana ubunzima, kunye nokuncipha kwe-libido.

Unyango olusakhulayo kunye novavanyo lweklinikhi

Imbonakalo yomhlaba ye unyango lomhlaza wedlala lobudoda ekuhlaleni phambili ihlala iguquka. Unyango olutsha, olufana ne-immunotherapy kunye nonyango olujoliswe kuyo, lubonisa isithembiso kwiimvavanyo zeklinikhi. Ukuthatha inxaxheba kulingo lweklinikhi kunokubonelela ngokufikelela kunyango olukwinqanaba eliphezulu kwaye kube negalelo kwinkqubela phambili yokhathalelo lomhlaza. Xoxa ngokunokwenzeka kolingo lweklinikhi kunye ne-oncologist yakho.

Ukukhetha iSicwangciso soNyango esiLungileyo

Ukukhetha eyona ilungileyo unyango lomhlaza wedlala lobudoda ekuhlaleni phambili isicwangciso yinkqubo yomntu ngamnye kakhulu. I-oncologist yakho iya kuqwalasela izinto ezininzi ezibandakanya impilo yakho yonke, inqanaba kunye neempawu zomhlaza wakho, kunye nezinto ozikhethayo. Baza kuxoxa ngeenzuzo ezinokwenzeka kunye nobungozi bokhetho ngalunye lonyango ukukunceda wenze isigqibo esinolwazi. Oku kunokubandakanya inkqubo yeqela lezinto ezininzi, ebandakanya ubuchule beengcali zeurologists, ii-oncologists ngemitha, i-oncologists yezonyango, kunye nezinye iingcali. Unxibelelwano oluvulekileyo neqela lakho lezempilo lubalulekile kuyo yonke le nkqubo.

Ulawulo lwexesha elide kunye nokuKhathalela ukuLandelela

Ukulandela unyango lwe-LAPC, ukuqeshwa rhoqo kokulandelela kubalulekile ekubekeni iliso kwimpilo yakho kunye nokufumanisa nayiphi na into enokubakho kwakhona. Oku kuqeshwa kunokubandakanya iimvavanyo zePSA, iimviwo zomzimba, kunye nezifundo zokucinga. Ukuguqulwa kwendlela yokuphila, njengokutya okunempilo kunye nokuzivocavoca rhoqo, kunokudlala indima ebalulekileyo kwintlalontle yexesha elide. Ukufumana izixhobo ezongezelelweyo kunye nenkxaso, qwalasela ukuhlola imibutho efana neProstate Cancer Foundation.

Ngolwazi oluthe kratya kunye neenketho zonyango oluphezulu, cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa. Banikezela ngophando oluphambili kunye nokhathalelo olubanzi lomhlaza wedlala lesinyi.

^{I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo ukuxilongwa kunye nonyango lwaso nasiphi na isimo sonyango.}