
Lo mhlahlandlela obanzi uhlola izindlela zokwelapha zokuhlasela umdlavuza wesinye intamo e-China, uchaza izici okufanele zicatshangelwe lapho kukhethwa isibhedlela nohlelo lokwelapha. Ibhekana nezici ezibalulekile zokuxilongwa, izindlela zokwelapha, nokunakekelwa kwangemva kokwelashwa, ikusiza ukuthi uzulazule kulolu hambo oluyinselele.
Ukuhlasela kwentamo yesinye umdlavuza wendlala yesinye uhlobo lomdlavuza wendlala yesinye lapho isimila sisakazekele entanyeni yesinye, indawo lapho isinye sixhuma khona nombhobho. Lesi sigaba esithuthukisiwe sidinga indlela yokwelapha enolaka uma iqhathaniswa nomdlavuza wendlala yesinye. Ukutholwa kusenesikhathi nokwelashwa ngokushesha kubalulekile ukuze kuthuthukiswe imiphumela.
Ukuxilongwa okunembile kuhilela inhlanganisela yokuhlolwa, okuhlanganisa ukuhlolwa kwe-digital rectal (DRE), ukuhlolwa kwegazi kwe-prostate-specific antigen (PSA), i-biopsy, kanye nezifundo zokucabanga njenge-MRI noma i-CT scan. Isiteji sinquma izinga lokusabalala komdlavuza, okubalulekile ekuhleleni okuphumelelayo kakhulu Ukwelashwa komdlavuza wesinye e-China yesinye intamo.
Ukuhlinzwa, okufana ne-radical prostatectomy (ukususwa kwe-prostate gland), kungase kucatshangelwe ezigulini ezinesifo sendawo. Nokho, ngoba ukuhlasela kwentamo yesinye umdlavuza wendlala yesinye, kungase kudingeke ukuhlinzwa okwengeziwe, kuye ngezinga lokuhlasela kanye nempilo yesiguli iyonke. Lokhu kungase kuhlanganise izinqubo eziyinkimbinkimbi kakhulu ezidinga ubuchwepheshe bokuhlinzwa obukhethekile.
Ukwelashwa ngemisebe, okuhlanganisa ukwelapha ngemisebe yangaphandle (EBRT) kanye ne-brachytherapy (imisebe yangaphakathi), kuyizinketho ezivamile zokwelapha ukuhlasela kwentamo yesinye umdlavuza wendlala yesinye. Ukukhetha phakathi kwalezi zindlela kuncike ezicini ezihlukahlukene, okuhlanganisa indawo yesimila nobukhulu, kanye nempilo evamile yesiguli. Imvamisa, inhlanganisela yezindlela zokwelapha ngemisebe isetshenziselwa imiphumela emihle. I-Shandong Baofa Cancer Research Institute inikeza ubuchwepheshe obuphambili be-radiation therapy.
I-Hormone therapy, eyaziwa nangokuthi i-androgen deprivation therapy (ADT), ihlose ukunciphisa ukukhiqizwa kwe-testosterone, eyenza ukukhula kwamangqamuzana omdlavuza wendlala yesinye. Ivamise ukusetshenziswa ngokuhambisana nezinye izindlela zokwelapha ezifana nokuhlinzwa noma ukwelapha ngemisebe, ikakhulukazi ezigabeni ezithuthukile ezifana ukuhlasela kwentamo yesinye umdlavuza wendlala yesinye. I-ADT ingasiza ekunciphiseni isimila futhi ibambezele ukuqhubeka kwaso.
I-Chemotherapy ivame ukusetshenziswa lapho umdlavuza ususabalele kwezinye izingxenye zomzimba (isifo se-metastatic). Kubandakanya ukusebenzisa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza. Okweziguli ezine ukuhlasela kwentamo yesinye umdlavuza wendlala yesinye, ukwelashwa ngamakhemikhali kungase kucatshangelwe uma umdlavuza usuthuthukile naphezu kokunye ukwelashwa.
Ukukhethela isibhedlela Ukwelashwa komdlavuza wesinye e-China yesinye intamo kudinga ukucatshangelwa ngokucophelela. Bheka izibhedlela ezinodokotela bomchamo abanolwazi kanye nama-oncologists asebenza ngomdlavuza wendlala yesinye, izikhungo ezisezingeni eliphezulu, kanye nendlela yokwelapha ephelele.
| Isici | Ukucatshangelwa |
|---|---|
| Ungoti Kadokotela | Ama-urologists aqinisekiswe yibhodi kanye nama-oncologists anolwazi olunzulu ekwelashweni komdlavuza wendlala yesinye. |
| Ubuchwepheshe Nezinsiza | Ukufinyelela ezithombeni ezithuthukisiwe zokuxilonga, amarobhothi okuhlinzwa, nemishini yokwelapha ngemisebe. |
| Indlela Yokwelapha | Uhlelo lokwelapha oluphelele futhi oluqondene nomuntu ngamunye olucabangela isimo sakho esithile kanye nezidingo zempilo. |
| Izinkonzo Zokusekela Iziguli | Ukufinyelela emaqenjini okusekela, ukwelulekwa, nezinye izinsiza zokusiza ekubhekaneni nezinselele zokwelashwa ezingokomzwelo nezomzimba. |
Ukunakekelwa kwangemva kokwelashwa kubalulekile ukuze kuqashwe ukusebenza ngempumelelo kokwelashwa kanye nokulawula imiphumela engemihle engaba khona. Ukubonana njalo nethimba lakho lezokunakekelwa kwempilo kubalulekile empilweni nempilo yesikhathi eside.
Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
Umshwana wokuzihlangula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Kubalulekile ukubonisana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.
eceleni>