nqanaba lonyango 2 unyango lomhlaza wesibeleko kwizibhedlele

UNyango lweSigaba sesi-2 soMhlaza wedlala lobudoda: Izibhedlele kunye noKhetho loNyango Eli nqaku libonelela ngamagqabantshintshi abanzi okhetho lonyango lwenqanaba lesi-2 lomhlaza wedlala lesinyi, kuquka neenkcukacha kwizibhedlele ezahlukeneyo kunye namaziko awodwa. Siza kuphonononga iindlela ezahlukeneyo zonyango, iziphumo ebezingalindelekanga, kunye nezinto ekufuneka siziqwalasele xa ukhetha isicwangciso sokhathalelo. Funda malunga nenkqubela phambili yamva nje kunye nendlela yokufumana elona qela lezonyango kwiimfuno zakho zomntu ngamnye.

UNyango lweNqanaba lesi-2 loNyango lweProstate Cancer Izibhedlele

Inqanaba lesi-2 lomhlaza wedlala lobudoda libonisa ukuba umhlaza ukhule ngaphaya kwedlala lengqula kodwa awukanwenweli kwiindawo ezikude zomzimba. Ukhetho lonyango luyohluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa ibakala lomhlaza (ubugwenxa kangakanani), inqanaba lawo (ukuba usasazeke kangakanani), impilo yakho iyonke, kunye nezinto ozikhethayo. Ukukhetha indlela efanelekileyo yonyango kufuna ukuqwalaselwa ngenyameko kunye nengxoxo kunye ne-oncologist yezonyango. La macandelo alandelayo aphicotha awona nyango luxhaphakileyo kunye nezinto eziphembelela izigqibo zonyango isigaba 2 unyango umhlaza wedlala lobudoda.

Ukuqonda iNqanaba lesi-2 loMhlaza weProstate

Ngaphambi kokuba ungene kwiinketho zonyango, kubalulekile ukuqonda iimpawu zenqanaba lesi-2 lomhlaza wesinyi. Eli nqanaba liphinde lihlelwe ngokwamanqanaba angaphantsi (2A kunye ne-2B) ngokusekelwe kubukhulu kunye nobukhulu bomhlaza ngaphakathi kwe-prostate kunye nezicubu ezikufutshane. Uxilongo oluchanekileyo lubalulekile ukumisela eyona ndlela ifanelekileyo yokwenza. Ukulinganisa okuchanekileyo ngokuqhelekileyo kubandakanya ukudibanisa iimviwo ze-rectal zedijithali, ii-biopsies, iimvavanyo ze-imaging (ezifana ne-MRI kunye ne-CT scans), kunye novavanyo lwegazi (amanqanaba e-PSA). Ukufunyaniswa kwangethuba kunye nenqanaba elichanekileyo kubalulekile ekuqinisekiseni okona kulungileyo unyango isigaba 2 umhlaza wedlala lesinyi iqhinga. Oku kuvumela izicwangciso zonyango lomntu ngamnye ezenza ngcono iziphumo ezilungileyo.

IiKhetho zoNyango oluQhelekileyo kwiSigaba sesi-2 soMhlaza weProstate

Utyando

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lobudoda. Olu lukhetho oluqhelekileyo lonyango lwenqanaba lesi-2 lomhlaza wesinyi, ngakumbi kumadoda anempilo entle iyonke. Ubuchwephesha botyando obungenelelayo obuncinci, obufana ne-robotic-assisted laparoscopic prostatectomy, bahlala besetyenziselwa ukunciphisa iziphumo ebezingalindelekanga ezifana nokungakwazi ukuzibamba kunye nokungasebenzi kakuhle kwe-erectile. Izinga lempumelelo ye-radical prostatectomy iyahluka ngokuxhomekeke kwizinto ezifana neempawu zethumba kunye namava ogqirha.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Unyango lwemitha yangaphandle (EBRT) yindlela eqhelekileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. I-Brachytherapy, uhlobo lonyango lwangaphakathi lonyango, lubandakanya ukubeka imbewu ye-radioactive ngqo kwidlala lesinyi. Zombini i-EBRT kunye ne-brachytherapy zingasetyenziswa njengonyango oluzimeleyo okanye zidityaniswe nolunye unyango, olufana nonyango lwehomoni. isigaba 2 unyango umhlaza wedlala lobudoda. Ukhetho phakathi kwe-EBRT kunye ne-brachytherapy kuxhomekeke kwizinto ezizimeleyo kunye neempawu ezithile zomhlaza.

Unyango lweHormone (Unyango lokuVimba iAndrogen)

Unyango lweHormone, olukwabizwa ngokuba yi-androgen deprivation therapy (ADT), lujolise ekunciphiseni okanye ekuthinteleni ukuveliswa kwee-androgens, iihomoni ezikhulisa ukukhula komhlaza wesinyi. Oku kudla ngokusetyenziswa ngokudityaniswa nolunye unyango okanye njengonyango oluzimeleyo lwenqanaba eliphezulu lesi-2 somhlaza wesibeleko okanye kwiimeko apho utyando okanye imitha ingafanelekanga. I-ADT inokubangela iziphumo ebezingalindelekanga ezinjengokukhanya okutshisayo, ukuncipha kwe-libido, kunye nokuzuza ubunzima. Ezi ziphumo bezingalindelekanga zinokulawulwa ngamayeza kunye nokutshintsha kwendlela yokuphila.

Uvavanyo olusebenzayo

Ucupho olusebenzayo lubandakanya ukujonga ngokusondeleyo ukuqhubeka komhlaza ngaphandle konyango olukhawulezileyo. Olu lukhetho lwamadoda anomngcipheko ophantsi wesigaba sesi-2 somhlaza wesibeleko, apho umhlaza ukhula kancinci kwaye akunakwenzeka ukuba usasazeke ngokukhawuleza. Ukuhlolwa rhoqo, kubandakanywa iimvavanyo ze-PSA kunye ne-biopsies, kuyimfuneko ukulandelela ukukhula komhlaza kunye nokuqinisekisa ukuba unyango luyafuneka kwixesha elizayo. Ukucupha okusebenzayo kuvumela ukulibazisa unyango kude kube yimfuneko ngokwezonyango, ukuphepha iziphumo ebezingalindelekanga ezingeyomfuneko kunyango.

Ukukhetha isibhedlele Inqanaba loNyango 2 Umhlaza weProstate

Ukukhetha isibhedlele esifanelekileyo sakho isigaba 2 unyango umhlaza wedlala lobudoda sisigqibo esibalulekileyo. Jonga izibhedlele ezineengcali zeurologists, i-radiation oncologists, kunye neengcali zonyango ezisebenza ngomhlaza wedlala lesinyi. Qwalasela amanani empumelelo yesi sibhedlele, ubugcisa neenkonzo zokuxhasa abaguli. Ukufunda ukuphononongwa kwezigulane kunye nobungqina kunokubonelela ngeembono ezixabisekileyo kumgangatho wokhathalelo olunikezelwayo. Izibhedlele eziphandayo ezaziwa ngobuchule bazo kunyango lomhlaza wedlala lesinyi, ezifana nezo zinxulumene namaziko amakhulu omhlaza, zicetyiswa kakhulu.

Kukhathalelo olubanzi lomhlaza, cinga ngokujonga iindlela ezinje IZiko loPhando ngoMhlaza laseShandong Baofa, iziko eliphambili elizinikele ekuboneleleni ngonyango oluphezulu kunye nophando kwi-oncology.

Izinto ekufuneka ziqwalaselwe xa ukhetha iSicwangciso soNyango

Olona cwangciso lulungileyo lonyango lwenqanaba lesi-2 lomhlaza wedlala lobudoda luxhomekeke kumntu ngamnye kwaye kuxhomekeke kwizinto ezininzi:

Kubalulekile ukuba ube neengxoxo ezivulelekileyo kunye neqela lakho lezonyango ukuvavanya iinzuzo kunye nobungozi bokhetho ngalunye lonyango kwaye wenze isigqibo esinolwazi esihambelana neemeko kunye neenjongo zakho. Khumbula, ukufunyaniswa kwangoko kunye nothethathethwano olukhawulezileyo kunye nababoneleli bakho bezempilo kubalulekile ukuze uphumelele isigaba 2 unyango umhlaza wedlala lobudoda.

I-Disclaimer: 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.