
Lo mhlahlandlela obanzi uhlola umdlavuza wendlala yesinye i-Gleason 6, izinketho zawo zokwelapha ezitholakala eShayina, kanye nezici ezibalulekile okufanele zicatshangelwe lapho uzulazula kulokhu kuxilongwa. Sizofaka izinqubo zokuxilonga, izindlela zokwelapha, imiphumela engemihle engaba khona, nezinsiza zeziguli nemindeni yazo. Ulwazi olunikeziwe luhlose ukunika amandla ukwenza izinqumo ezinolwazi kulo lonke I-China Gleason 6 ukwelashwa komdlavuza wendlala yesinye uhambo.
Isikolo se-Gleason siwuhlelo lokugreda olubalulekile olusetshenziselwa ukuhlola ulaka lomdlavuza wendlala yesinye. Kunqunywa ngokuhlola amasampula ezicubu ngaphansi kwesibonakhulu nokuhlaziya ukwakheka kwamangqamuzana omdlavuza. Amaphuzu we-Gleason angu-6 amele umdlavuza wendlala yesinye wezinga eliphansi, ngokuvamile obhekwa njengonolaka kunamabanga aphezulu. Kodwa-ke, kubalulekile ukukhumbula ukuthi ngisho nomdlavuza we-Gleason 6 we-prostate udinga ukuqapha ngokucophelela kanye nokuhlelwa kokwelashwa komuntu siqu.
Ngenkathi i-Gleason 6 ithathwa njengesezingeni eliphansi, ayilungile ngempela. Kusengaqhubeka ngokuhamba kwesikhathi, ngakho ukuqapha okuvamile nokugada okusebenzayo kuvame ukutuswa. Inkambo ethile yesenzo incike ezicini ezihlukahlukene, okuhlanganisa iminyaka yesiguli, impilo yonke, kanye nokuba khona kwezinye izici eziyingozi. Izinhlelo zokwelashwa ezizimele zibalulekile ukuze kube nemiphumela emihle.
Ukugada okusebenzayo kuhilela ukuqapha ngokucophelela umdlavuza ngokuhlolwa okuvamile kwe-PSA, ukuhlolwa kwe-digital rectal, nama-biopsies. Le ndlela ifanele iziguli ezinomdlavuza we-prostate we-Gleason 6 osengozini encane futhi igwema ukwelashwa okunamandla ngokushesha. Ukuhlola okuvamile kusiza ukuthola noma yiziphi izinguquko futhi kuvumela ukungenelela okufika ngesikhathi uma kudingeka. Leli isu elisetshenziswa kakhulu ekuphatheni I-China Gleason 6 ukwelashwa komdlavuza wendlala yesinye.
Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ukwelashwa ngemisebe yangaphandle (EBRT) kuyindlela evamile yomdlavuza wendlala yesinye i-Gleason 6. Le ndlela engahlaseli ingasilawula ngempumelelo lesi sifo futhi ingase ihlanganiswe nezinye izindlela zokwelapha ukuze kube nemiphumela ethuthukisiwe. Ukusebenza kahle kanye nemiphumela engemihle incike ezicini ezihlukahlukene kuhlanganise nempilo yonke yesiguli.
I-Radical Prostatectomy ihilela ukukhishwa ngokuhlinzwa kwe-prostate gland. Lolu khetho lucatshangelwa ezigulini ezinomdlavuza okhombisa izimpawu zokuqhubekela phambili noma kulabo abakhetha indlela enolaka. Isikhathi sokululama siyahlukahluka, futhi imiphumela emibi engaba khona ihlanganisa ukungakwazi ukuzibamba komchamo kanye nokungasebenzi kahle kwe-erectile. Ukucatshangelwa ngokucophelela kwezingozi nezinzuzo kubalulekile ngaphambi kokuqhubeka nokuhlinzwa kwe I-China Gleason 6 ukwelashwa komdlavuza wendlala yesinye.
Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi i-androgen deprivation therapy (ADT), ihlose ukunciphisa amazinga amahomoni wesilisa (ama-androgens) abhebhezela ukukhula komdlavuza wendlala yesinye. Ivamise ukusetshenziswa ekuhlanganisweni nezinye izindlela zokwelapha umdlavuza wendlala yesinye i-Gleason 6, ikakhulukazi uma umdlavuza ukhombisa izimpawu zokuqhubekela phambili noma uthathwa njengengcuphe enkulu yokuphinda uvele. Imiphumela engemihle ingabaluleka futhi idinga ukuphathwa ngokucophelela.
Ukukhethwa kokwelashwa komdlavuza wendlala yesinye i-Gleason 6 kukhethwe umuntu ngamunye futhi kuncike ezintweni ezimbalwa. Lokhu kubandakanya:
| Isici | Incazelo |
|---|---|
| Ubudala kanye Nempilo Iphelele | Iziguli ezindala noma lezo ezinezinye izinkinga zezempilo zingase zifaneleke kakhulu ekwelashweni okunolaka. |
| I-Gleason Score Subtype | Ngisho nangaphakathi kwe-Gleason 6, kunezinhlobo ezincane ezingathinta izinqumo zokwelashwa. |
| Amazinga we-PSA | Amazinga e-PSA aphezulu angase abonise ukukhula okusheshayo kwesimila futhi adinga ukuphathwa okunolaka. |
| Izintandokazi Zomuntu Siqu | Ekugcineni, okuthandwayo nezindinganiso zesiguli kufanele ziqondise isinqumo sokugcina sokwelashwa. |
Ukuzulazula ekuxilongweni komdlavuza wendlala yesinye kungase kube inselele. Ukufuna ukwesekwa kochwepheshe bezokunakekelwa kwempilo, amaqembu okusekelana, nomndeni othembekile nabangane kubalulekile. I-Shandong Baofa Cancer Research Institute inikeza ukunakekelwa okuphelele nokusekelwa kweziguli ezinomdlavuza eChina. Ukuze uthole ulwazi olwengeziwe nezinsiza ezengeziwe, ungabheka iwebhusayithi yesikhungo.
Umshwana wokuzihlangula: Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
Imithombo: (Sicela ungeze izingcaphuno ezifanele lapha, ucaphuna izifundo ezithile, izinhlangano, namawebhusayithi kahulumeni ahlobene nokwelashwa komdlavuza wendlala yesinye e-China.)
eceleni>