unyango isigaba 3 unyango umhlaza wedlala lesinyi

Inqanaba lesi-3 loNyango loMhlaza wedlala lobudoda: Isikhokelo esiBanzi Eli nqaku libonelela ngesishwankathelo esineenkcukacha zokhetho lonyango lwenqanaba lesi-3 lomhlaza wedlala lesinyi, eliquka iindlela ezahlukeneyo, iziphumo ebezingalindelekanga ezinokubakhona, kunye nokuqwalaselwa kokukhetha eyona ndlela ilungileyo yokwenza. Igxininisa ukubaluleka kwezicwangciso zonyango lomntu ngamnye ngokusekelwe kwizinto zesigulana ngasinye.

Inqanaba le-3 Unyango loMhlaza weProstate: Isikhokelo esiBanzi

Inqanaba lesi-3 lomhlaza wedlala lobudoda libonisa ukuba umhlaza ukhule ngaphaya kwedlala lengqula kwaye usenokuba usasazeke kwizicubu ezikufutshane okanye kwi-lymph nodes. Isebenza unyango isigaba 3 unyango umhlaza wedlala lesinyi ifuna indlela yokujongana neenkalo ezininzi, ithathela ingqalelo impilo yesigulana iyonke, iimpawu zomhlaza, kunye nezinto azikhethayo. Esi sikhokelo siphonononga iindlela ezahlukeneyo zonyango, izibonelelo zazo, imingcipheko, kunye nendlela yokuhamba kolu hambo lunzima.

Ukuqonda iNqanaba lesi-3 loMhlaza weProstate

Ngaphambi kokuba ungene kwiinketho zonyango, kubalulekile ukuqonda iinkcukacha zenqanaba lesi-3 lomhlaza wesinyi. Eli nqanaba liphinda lahlulwa libe ngu-3A kunye no-3B, ngokusekelwe kubungakanani bokunwenwa komhlaza. Isiteji esichanekileyo sibaluleke kakhulu ekunqumeni isicwangciso esifanelekileyo sonyango. Uvavanyo olucokisekileyo lubandakanya uvavanyo lwe-digital rectal, i-biopsy, iimvavanyo ze-imaging (ezifana ne-MRI kunye ne-CT scans), kunye ne-PSA (i-prostate-specific antigen) yovavanyo lwegazi. I-oncologist yakho iya kuchaza ukuxilongwa kwakho kunye nenqanaba ngokweenkcukacha.

Iinketho zonyango kwiNqanaba lesi-3 loMhlaza weProstate

Iinketho ezininzi zonyango ziyafumaneka isigaba 3 unyango umhlaza wedlala lobudoda, edla ngokusetyenziswa ngokudibeneyo. Eyona ndlela ilungileyo ixhomekeke kwiimeko zomntu ngamnye kwaye imiselwa ngokuxoxa ngononophelo neqela lakho lezempilo.

Utyando: Radical Prostatectomy

I-Radical prostatectomy ibandakanya ukususwa ngotyando lwedlala lengqula kunye nezicubu ezijikelezileyo. Olu lutyando olukhulu olunokuba neziphumo ebezingalindelekanga, kubandakanywa ukungakwazi ukuzibamba komchamo kunye nokungasebenzi kakuhle kwe-erectile. Izinga lokuphumelela liyahluka ngokuxhomekeke kumntu kunye nenqanaba lomhlaza. Ukuchacha emva kotyando ngokuqhelekileyo kubandakanya iiveki ezininzi zokuchacha.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Unyango lwemitha yangaphandle lusetyenziswa ngokuqhelekileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. I-Brachytherapy ibandakanya ukubeka imbewu ye-radioactive ngqo kwi-prostate gland. Ukunyanga ngemitha kunokubangela iziphumo ebezingalindelekanga ezifana nokudinwa, urhudo, kunye neengxaki zokuchama. Ubude bexesha kunye nokuqina konyango kuyahluka ngokuxhomekeke kwimeko yomntu.

Unyango lweHormone (Androgen Deprivation Therapy-ADT)

Unyango lwe-Hormone, okanye i-ADT, ijolise ekunciphiseni amanqanaba e-testosterone, ekufuneka iiseli zomhlaza we-prostate zikhule. Oku kunokufezekiswa ngamayeza, anjengenaliti yehomoni okanye iipilisi. I-ADT inokukhokelela kwiziphumo ebezingalindelekanga ezinjengokukhanya okushushu, ukuncipha kwe-libido, ukufumana ubunzima, kunye ne-osteoporosis. Ihlala isetyenziswa kunye nolunye unyango, njengotyando okanye imitha.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza anamandla ukubulala iiseli zomhlaza kuwo wonke umzimba. Ngokubanzi ibigcinelwe inqanaba eliphezulu okanye le-metastatic isigaba sesi-3 somhlaza wedlala lobudoda ongakhange uphendule kolunye unyango. Unyango ngamachiza lunokubangela iziphumo ebezingalindelekanga ezibalulekileyo, kuquka isicaphucaphu, ukuhlanza, ukulahleka kweenwele, nokudinwa.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa ingozi kwiiseli eziphilileyo. Le ndlela isoloko iguquguquka, ngamachiza amatsha kunye nonyango oluhlala luphantsi kophuhliso. I-oncologist yakho inokuxoxa ngokufaneleka kwonyango olujoliswe kuyo kwimeko yakho ethile.

Ukukhetha iSicwangciso soNyango esiLungileyo

Ukukhetha eyona ilungileyo unyango isigaba 3 unyango umhlaza wedlala lesinyi yinkqubo yentsebenziswano. Ibandakanya uqwalaselo ngononophelo lwemiba eyahlukeneyo, kubandakanywa inqanaba kunye nenqanaba lomhlaza, impilo yakho iyonke, izinto ozikhethayo, kunye neziphumo ebezingalindelekanga ezinokubakho zokhetho ngalunye lonyango. Unxibelelwano oluvulekileyo kunye neqela lakho lezempilo, kubandakanywa ugqirha wakho we-urologist, i-oncologist, kunye ne-oncologist ye-radiation (ukuba ikhona), ibalulekile ekwenzeni izigqibo ezinolwazi.

Ukuphila neNqanaba lesi-3 loMhlaza weProstate

Ukulawula isigaba sesi-3 somhlaza wesibeleko sihlala sibandakanya iindlela ezininzi ezibandakanya unyango kunye nokhathalelo oluxhasayo. Ukhathalelo oluxhasayo lujolise ekunciphiseni iimpawu, ukuphucula umgangatho wobomi, nokulawula iziphumo ebezingalindelekanga zonyango. Oku kunokubandakanya unyango lomzimba, iingcebiso, kunye nesikhokelo sesondlo. Khumbula, awuwedwa kolu hambo. Amaqela enkxaso kunye nezibonelelo zinokubonelela ngoncedo oluxabisekileyo ngokwasemoyeni nolusebenzayo.

Inqaku elibalulekileyo:

Olu lwazi lulwazi ngokubanzi kwaye akufanele luthathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango. Ulwazi olunikwe apha lusekelwe kulwazi lwezonyango olukhoyo ngoku kwaye lunokutshintshwa. Ngenkqubela phambili yamva nje unyango isigaba 3 unyango umhlaza wedlala lesinyi, qhagamshelana nogqirha wakho okanye ubhekisele kwiiwebhusayithi zonyango ezihloniphekileyo njengeNational Cancer Institute (https://www.cancer.gov/).

Ngolwazi oluthe kratya malunga nokhathalelo oluphezulu lomhlaza kunye neendlela zonyango, cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa ukudibana.