Izinketho Zokwelashwa Zomdlavuza Wendlala Yendlala Yendlala ye-BRCA Ezithengekayo Eduze KwaweUkuthola izinketho zokwelapha ezithengekayo nezisebenzayo zomdlavuza wendlala yesinye, ikakhulukazi uma ubhekene noguquko lofuzo lwe-BRCA, kungaba inselele. Lo mhlahlandlela uhlinzeka ngolwazi lokukusiza ukuthi uhlole izinketho zakho futhi uthole izinsiza ezifanelana nezidingo zakho. Kubalulekile ukuthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole indlela yokwelashwa engcono kakhulu yesimo sakho esithile.
Ukuqonda i-BRCA Gene ne-Prostate Cancer
Ukuguqulwa kofuzo lwe-BRCA kwandisa ingozi yomdlavuza eminingana, kuhlanganise nomdlavuza wendlala yesinye. Amadoda anokuguqulwa kofuzo lwe-BRCA avame ukuba nezinhlobo ezinonya kakhulu zomdlavuza wendlala yesinye futhi angadinga ukwelashwa okuqinile. Ukuqonda ukuthambekela kwakho kofuzo kuyisinyathelo sokuqala esibalulekile ekulawuleni ubungozi bakho kanye nokufuna ukunakekelwa okufanele. Ukwelulekwa ngokofuzo kungakusiza utolike imiphumela yakho yokuhlolwa futhi uqonde imithelela yohlelo lwakho lokwelapha.
Ukuxilongwa Nokuhlolwa
Ukutholwa kusenesikhathi kuyisihluthulelo sokwelashwa okuphumelelayo komdlavuza wendlala yesinye. Ukuhlolwa okuvamile, okuhlanganisa ukuhlolwa kwe-prostate-specific antigen (PSA) nokuhlolwa kwe-digital rectal (DREs), kubalulekile, ikakhulukazi emadodeni anomlando womndeni womdlavuza wendlala yesinye noma ukuguqulwa kofuzo lwe-BRCA. Lokhu kuhlola kusiza ukuhlonza ubukhona bomdlavuza kusenesikhathi, okuvumela izindlela zokwelapha ezisebenza kahle nezingangeneleli kangako. Khuluma nodokotela wakho mayelana namashejuli okuhlola afanelekile ngokusekelwe ezicini zakho zobungozi.
Izinketho Zokwelashwa Ze-BRCA-Related Prostate Cancer
Izinketho zokwelapha umdlavuza wendlala yesinye ziyehluka kakhulu kuye ngesigaba somdlavuza, impilo yesiguli iyonke, kanye nokuba khona kokuguqulwa kofuzo lwe-BRCA. Imithi ejwayelekile ihlanganisa:
Ukuhlinzwa
Ukuhlinzwa, okufana ne-radical prostatectomy, kungase kube inketho yomdlavuza wendlala yesinye. Le nqubo ihilela ukukhipha i-prostate gland. Izinga lokuphumelela kanye nemiphumela engemihle kuyahlukahluka kuye ngokuthi udokotela ohlinzayo kanye nesimo sesiguli ngasinye.
Ukwelapha Ngemisebe
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ukwelashwa kwemisebe yangaphandle ye-beam kanye ne-brachytherapy (imisebe yangaphakathi) yizindlela ezivamile. Lokhu kuvame ukusetshenziswa ngokuhambisana nezinye izindlela zokwelapha noma njengendlela yokwelapha ezimele.
Ukwelashwa Kwamahomoni
Ukwelashwa ngama-hormone kuhloswe ukunciphisa ukukhiqizwa kwe-testosterone, ebhebhezela ukukhula kwamangqamuzana omdlavuza wendlala yesinye. Lokhu kwelashwa kungasetshenziswa yedwa noma ngokuhambisana nezinye izindlela zokwelapha. Kubaluleke kakhulu kumdlavuza wendlala yesinye.
I-Chemotherapy
I-Chemotherapy yindlela yokwelapha ehlelekile esebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza emzimbeni wonke. Ngokuvamile kugcinelwe umdlavuza we-prostate othuthukile noma we-metastatic. Imithi ethile ye-chemotherapy izoncika empilweni yomuntu nezici zomdlavuza.
Ukwelapha Okuhlosiwe
Ukwelashwa okuhlosiwe kugxile kuma-molecule athile noma izindlela ezihilelekile ekukhuleni komdlavuza. Lolu hlobo lokwelapha lungase lube nenzuzo ikakhulukazi emadodeni anomdlavuza wendlala yesinye ohlobene ne-BRCA, njengoba kunezindlela zokwelapha eziqondiswe ngqo ezibhekana ngqo nezinguquko zofuzo ezihambisana nokuguqulwa kwe-BRCA.
Ukuthola Ukwelashwa Okuthengekayo
Izindleko zokwelashwa komdlavuza wendlala yesinye zingaba nkulu. Ziningi izinto ezinomthelela ezindlekweni zokugcina, okuhlanganisa uhlobo lokwelashwa, ubude besikhathi sokwelashwa, kanye nesidingo sezinkonzo ezengeziwe ezifana nokulaliswa esibhedlela nokuvuselelwa.Ukuze uthole izinketho zokwelashwa ezithengekayo, cabanga ngalokhu: Ukuthola Umshwalense: Buza nomhlinzeki wakho womshwalense ukuze uqonde ukumboza kwakho ukwelashwa komdlavuza wendlala yesinye. Izinhlelo Zokusiza Ngezezimali: Izinhlangano eziningi zinikeza izinhlelo zokusiza ngezezimali ukusiza iziguli ukuthi zikwazi ukukhokhela ukwelashwa komdlavuza. Cwaninga lezi zinketho, okuhlanganisa nezinhlelo zokusiza isiguli ezinikezwa izinkampani ezithaka imithi. Izivivinyo Zomtholampilo: Ukubamba iqhaza ezivivinyweni zomtholampilo kunganikeza ukufinyelela ekwelashweni okusezingeni eliphezulu ngezindleko ezincishisiwe. Ukuxoxisana Nabahlinzeki: Xoxa ngezinketho zokukhokha futhi uhlole izaphulelo ezingaba khona nabahlinzeki bakho bezempilo.
Ukuhlola Izikhungo Zokwelapha Eziseduze Nawe
Ukuthola isikhungo somdlavuza esinedumela elihle nesinolwazi oluseduze nawe kubalulekile. Izikhungo eziningi ezihlonishwayo zinikeza izinketho ezahlukene zokwelapha kanye nezinhlelo zokusiza ngezezimali. Ungasebenzisa izinjini zokusesha eziku-inthanethi ukuze uthole izindawo eziseduze ezisebenza ekwelapheni umdlavuza wendlala yesinye. Isibonelo, cabanga ngezikhungo ezifana neShandong Baofa Cancer Research Institute (
https://www.baofahospital.com/), enganikeza ubuchwepheshe obukhethekile kule ndawo. Hlala ucwaninga ngokucophelela noma yisiphi isikhungo sokwelashwa ngaphambi kokwenza isinqumo.
Isiphetho
Ukuthola okuthengekayo
ezishibhile brca gene ukwelashwa umdlavuza wendlala yesinye eduze kwami kudinga ukuhlela nokucwaninga ngokucophelela. Khumbula ukubonisana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze wenze uhlelo lokwelapha lomuntu siqu olubhekana nezidingo zakho ezithile kanye nesimo sezezimali. Ukutholwa kusenesikhathi nokusebenzelana nethimba lakho lezempilo kubalulekile ekulawuleni
ezishibhile brca gene ukwelashwa umdlavuza wendlala yesinye eduze kwami nokuthuthukisa umphumela wakho uwonke.