
Ukuthola ukwelashwa okufanele I-Gleason 7 yomdlavuza wendlala yesinye kungaba nzima. Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile ukukusiza uqonde izinketho zakho futhi wenze izinqumo ezinolwazi. Sizofaka ukuxilongwa, izindlela zokwelapha, imiphumela engemihle engaba khona, nezinsiza zokukusekela kulo lonke uhambo lwakho. Funda mayelana nentuthuko yakamuva ku Gleason 7 ukwelashwa komdlavuza wendlala yesinye futhi uthole abahlinzeki bezempilo abahloniphekile eduze nawe.
Isikolo se-Gleason wuhlelo lokugreda olusetshenziselwa ukunquma ulaka lomdlavuza wendlala yesinye. Amaphuzu we-Gleason angu-7 amele umdlavuza onobungozi obumaphakathi, okusho ukuthi unolaka kakhulu kunamaphuzu aphansi kodwa angaphansi kwamaphuzu aphezulu. Kubalulekile ukuqonda isikolo sakho se-Gleason (isb., 3+4 vs. 4+3) njengoba lokhu kuthonya izincomo zokwelashwa.
Isikolo sakho se-Gleason siyingxenye eyodwa nje ecatshangelwayo ohlelweni lwakho lokwelapha. Ezinye izici ezibalulekile zihlanganisa isigaba somdlavuza (indlela osusabalala ngayo), impilo yakho iyonke, kanye nezinto ozikhethayo. Udokotela wakho uzocabangela zonke lezi zici ukuze anqume inkambo engcono kakhulu ongayithatha.
Kwamanye amadoda anomdlavuza wendlala yesinye i-Gleason 7, ukugadwa okusebenzayo (ukulinda ukuqapha) kungase kube inketho. Lokhu kubandakanya ukuqapha njalo ngokuhlolwa kwe-PSA nama-biopsies ukuze kulandelelwe ukuqhubeka komdlavuza. Le ndlela ngokuvamile ibhekwa njengomdlavuza okhula kancane emadodeni aphila isikhathi eside kanye nokunye okumbalwa okukhathazayo kwezempilo.
Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ngoba I-Gleason 7 yomdlavuza wendlala yesinye, lokhu kungase kuhlanganise ukwelapha ngemisebe yangaphandle (EBRT) noma i-brachytherapy (imisebe yangaphakathi). I-EBRT iletha imisebe engaphandle komzimba, kuyilapho i-brachytherapy ihilela ukubeka imbewu ekhipha imisebe ngokuqondile endlaleni yendlala.
I-prostatectomy ihilela ukukhishwa kokuhlinzwa kwe-prostate gland. Lokhu ukuhlinzwa okukhulu okunemiphumela engemihle engaba khona, okuhlanganisa ukungakwazi ukuzibamba komchamo kanye nokungasebenzi kahle kwe-erectile. I-prostatectomy esizwa ngerobhothi yindlela yokuhlinza engenele kancane enganciphisa eminye yale miphumela engemihle.
Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi i-androgen deprivation therapy (ADT), kunciphisa amazinga amahomoni wesilisa (ama-androgens) abhebhezela ukukhula komdlavuza wendlala yesinye. Lokhu kuvame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha noma njengendlela yokwelapha ezimele yesifo esithuthukile noma esiphindelelayo. I-Shandong Baofa Cancer Research Institute inikeza ukunakekelwa okuphelele futhi kungase kube insiza yokuhlola izinketho zakho zokwelapha.
Ukuthola udokotela womchamo oqeqeshiwe noma onolwazi olunzulu ngomdlavuza wendlala yesinye kubalulekile. Ungaqala usesho lwakho ngokusebenzisa izinjini zokusesha eziku-inthanethi, ucele ukudluliselwa kudokotela wakho oyinhloko, noma uhlole izibhedlela zendawo nezikhungo zomdlavuza. Cabangela izici ezifana nesipiliyoni, amanani empumelelo yokwelashwa, nezibuyekezo zesiguli lapho ukhetha.
Ukubhekana nokuxilongwa kwe I-Gleason 7 yomdlavuza wendlala yesinye kungaba yinselele ngokomzwelo. Kubalulekile ukuba nesistimu yokweseka eqinile, okuhlanganisa umndeni, abangani, namaqembu okusekela. Ungangabazi ukuxhumana nethimba lakho lezempilo, noma ucabange ukujoyina amaqembu osekelo ukuze uxhumane nezinye iziguli ezibhekene nomuzwa ofanayo. Khumbula ukugxila enhlalakahleni yakho iyonke ngokubeka phambili ukukhetha kwendlela yokuphila enempilo futhi ufune ukwesekwa ngokomzwelo.
Ukwelashwa komdlavuza wendlala yesinye kungaholela emiphumeleni ehlukahlukene engathandeki, kuye ngendlela ethile. Imiphumela emibi evamile ingabandakanya izinkinga zomchamo, ukungasebenzi kahle kwe-erectile, ukukhathala, nezinkinga zamathumbu. Kubalulekile ukuxoxa ngemiphumela engemihle engaba khona nomhlinzeki wakho wokunakekelwa kwezempilo futhi uthuthukise amasu okuyilawula ngempumelelo. Ngokuvamile zingancishiswa ngemithi, ukuguqulwa kwendlela yokuphila, nokwelashwa okusekelayo.
I-American Cancer Society (ACS) kanye ne-National Cancer Institute (NCI) banikeza ulwazi oluphelele nezinsiza ngomdlavuza wendlala yesinye. Amawebhusayithi abo ahlinzeka ngolwazi olubalulekile mayelana nokuxilongwa, ukwelashwa, ucwaningo, kanye nezinsizakalo zokusekela. Ungathola futhi amaqembu osekelo endawo nezinhlangano ezimela isiguli ngalezi zinsiza.
| Inketho Yokwelapha | Izinzuzo | Ukubi |
|---|---|---|
| Ukugada Okusebenzayo | Igwema imiphumela emibi yokwelashwa okunolaka | Idinga ukuqapha ngokucophelela; ingase ingafaneleki kubo bonke |
| Ukwelapha Ngemisebe | Ukuhlasela kancane kunokuhlinzwa; ukwelashwa kwendawo | Imiphumela engemihle engaba khona njengezinkinga zokuchama nezithumbu |
| Ukuhlinzwa (Prostatectomy) | Okunamandla okwelapha; ingase isuse wonke amangqamuzana omdlavuza | Ukuhlinzwa okukhulu okunemiphumela emibi engaba khona |
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo ukuze uxilongwe futhi welashwe I-Gleason 7 yomdlavuza wendlala yesinye.
Imithombo: I-American Cancer Society (ACS), I-National Cancer Institute (NCI)
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