unyango pi rads 4 unyango umhlaza wedlala lesinyi

Unyango lweProstate Cancer ngePI-RADS 4

Eli nqaku libonelela ngolwazi olubanzi malunga neendlela zonyango lomhlaza wesifo seprotate xa i-Prostate Imaging Reporting kunye neNkqubo yeDatha (PI-RADS) amanqaku e-4 afunyenwe. Siza kuphonononga iindlela ezahlukeneyo zonyango, siqwalasela izinto eziphembelela ukwenziwa kwezigqibo, kwaye sixoxe ngokubaluleka kokhathalelo lomntu. Ukuqonda ukhetho lwakho kubalulekile ukwenza izigqibo ezinolwazi malunga nempilo yakho.

Ukuqonda i-PI-RADS iNqaku lesi-4

Amanqaku e-PI-RADS yesi-4 abonisa ukurhanelwa okuphakathi komhlaza wedlala lesinyi. Kubalulekile ukuqaphela ukuba amanqaku e-PI-RADS ewodwa ayiloxilongo luqinisekileyo. Uphando olongezelelweyo, olufana ne-biopsy, luyimfuneko ukuqinisekisa ubukho kunye nobungakanani bomhlaza. Amanqaku aphezulu alilingani ngokuzenzekelayo nonyango oluqatha. Izigqibo zonyango zixhomekeke kwizinto ezahlukeneyo, kuquka impilo yakho iyonke, ukuba ndlongondlongo komhlaza (ukuba ukhona), kunye nezinto ozikhethayo. Ulwazi oluninzi lunokufumaneka kugqirha wakho kunye namaziko ophando aphambili afana ne IZiko loPhando ngoMhlaza laseShandong Baofa.

Iinketho zonyango lwe-PI-RADS 4

Iinketho zonyango ze unyango pi rads 4 unyango umhlaza wedlala lesinyi ziyahluka ngokuxhomekeke kwizinto ezininzi. Ezi zinto ziquka ubudala besigulane, impilo yonke, ubukho bezinye iimeko zonyango, kunye neempawu ezithile zomhlaza okrokrelwayo (ukuba uqinisekisiwe). Nazi ezinye iindlela eziqhelekileyo:

Uvavanyo olusebenzayo

Kumngcipheko ophantsi womhlaza wedlala lobudoda okanye kwiimeko apho umhlaza uthathwa njengokhula kade, ucupho olusebenzayo lunokuba lukhetho. Oku kubandakanya ukubeka iliso rhoqo ngovavanyo lwe-PSA, iimviwo zedijithali ze-rectal, kunye ne-biopsies ngokunokwenzeka ukufumanisa naluphi na utshintsho kwinkqubela phambili yomhlaza. Ithintela unyango olukhawulezileyo, ukulibazisa ukungenelela kude kube yimfuneko.

I-Radical Prostatectomy

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lobudoda. Olu lutyando olubalulekileyo oluneziphumo ebezingalindelekanga ezifana nokungaphumeleli komchamo kunye nokungasebenzi kakuhle kwe-erectile. Izinga lempumelelo kunye nokufaneleka kwale nkqubo kuxhomekeke kakhulu kwiimeko zomntu ngamnye. Iingxoxo kunye ne-urologist yakho zibalulekile ukuze uqonde ingozi kunye neenzuzo.

Unyango ngemitha

Unyango ngemitha, kubandakanywa unyango lwemitha yangaphandle (EBRT) kunye nebrachytherapy (imitha yangaphakathi), ihambisa imitha yokutshabalalisa iiseli zomhlaza. I-EBRT ibandakanya imisebe yangaphandle yemitha, ngelixa ibrachytherapy ibandakanya ukubeka imbewu ye-radioactive okanye ukufakelwa ngokuthe ngqo kwidlala lengqula. Zombini iindlela zineziphumo ebezingalindelekanga, kwaye ukhetho olufanelekileyo luxhomekeke kwizinto ezizimeleyo. Ukufumana iinkcukacha ezithe vetshe kwiinketho zonyango lwemitha ye unyango lomhlaza wedlala lesinyi, dibana ne-radiation oncologist.

Unyango lweHormone

Unyango lwe-Hormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), yehlisa amanqanaba e-testosterone emzimbeni, icothisa ukukhula kweeseli zomhlaza wedlala lesidoda ezithembele kwi-testosterone ekukhuleni. Olu nyango luhlala lusetyenziswa ngokudityaniswa nolunye unyango, ngakumbi kumanqanaba aphezulu esi sifo okanye kwiimeko ezinomngcipheko ophezulu. Le ndlela ayilonyango kodwa inokulawula ngokufanelekileyo isifo.

Ukukhetha iSicwangciso soNyango esiLungileyo

Isigqibo malunga neyona nto ingcono unyango pi rads 4 unyango umhlaza wedlala lesinyi yeyobuqu. Kubalulekile ukuba ube neengxoxo ezivulelekileyo nezinyanisekileyo kunye neqela lakho lezempilo, kuqukwa nogqirha wakho ongugqirha womchamo, i-oncologist ngemitha (ukuba ikhona), kunye ne-oncologist yezonyango, ukuvavanya izibonelelo kunye nobungozi bokhetho ngalunye. Cinga ngezinto ezinje ngeminyaka yakho, impilo iyonke, indlela yokuphila ekhethwayo, kunye neempawu ezithile zetyala lakho (ukuba umhlaza uqinisekisiwe). Indlela yokwenza izinto ezininzi isoloko inenzuzo, iqinisekisa uvavanyo olubanzi kunye nesicwangciso sonyango.

Iingqwalasela ezibalulekileyo

Khumbula, ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo lubalulekile kwiziphumo ezilungileyo kumhlaza wedlala lesinyi. Ukuba unenkxalabo malunga nomhlaza wesibeleko, dibana ne-urologist malunga novavanyo kunye nesikhokelo.

Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ngazo naziphi na iinkxalabo zempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.