ukwelashwa okusha komdlavuza wendlala yesinye ngo-2021

Ukwelashwa Okusha Komdlavuza Wendlala Yesinye ngo-2021 kanye ne-BeyondNew Ukwelashwa komdlavuza wendlala yesinye kunikeza ithemba elivuselelwe kulabo abatholakala benalesi sifo esidlangile. Le ndatshana inikezela ngesifinyezo sentuthuko eyenziwe ngo-2021 nangale kwalokho, igxile ezindleleni zakamuva zokwelapha kanye nezinzuzo zazo ezingaba khona. Sihlola izindlela zokwelapha ezihlukahlukene, sigcizelela ukubaluleka kokunakekelwa komuntu siqu kanye nocwaningo oluqhubekayo ekulweni nomdlavuza wendlala yesinye.

Ukwelashwa Okusha Komdlavuza Wendlala Yesinye ngo-2021 nangaphezulu

Indawo ye ukwelashwa okusha komdlavuza wendlala yesinye ilokhu ivela njalo, ngentuthuko enkulu eyenziwe eminyakeni yamuva. Ngo-2021 kube nentuthuko eminingana ethembisayo, okuholela ekwelashweni okuqondiswe kakhulu futhi okusebenzayo kwabesilisa abatholakala benalesi sifo. Lesi sihloko sihlola lezi ntuthuko, sinikeza umbono obanzi wezinketho zakamuva ezitholakalayo.

Ukuqonda Izinketho Zokwelashwa Kwe-Prostate Cancer

Ukwelashwa komdlavuza wendlala yesinye kuncike ezicini ezihlukahlukene, okuhlanganisa isigaba somdlavuza, impilo yesiguli iyonke, kanye nalokho umuntu akuthandayo. Izinketho zisukela ekugadweni okusebenzayo komdlavuza okhula kancane kuye ekwelashweni okunamandla kwezigaba ezithuthukile. Izindlela ezijwayelekile zifaka:

Ukuhlinzwa

Ukususwa ngokuhlinzwa kwendlala yesinye (i-prostatectomy) kuseyindlela yokwelapha eyinhloko, ikakhulukazi kumdlavuza wendlala yesinye. Ukuhlinza okusizwa ngerobhothi kuye kwathuthukisa ukunemba futhi kwanciphisa imiphumela engemihle.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe, kusetshenziswa imisebe ye-beam yangaphandle noma i-brachytherapy (imisebe yangaphakathi), iqondise amangqamuzana omdlavuza ukuze awabhubhise. Intuthuko kumasu wemisebe, njengokwelashwa ngemisebe esetshenziswa ngamandla (IMRT) kanye nokwelashwa kwe-proton, ithuthukisa ukunemba kokukhomba futhi inciphise umonakalo ezicutshini ezinempilo ezizungezile.

Ukwelashwa Kwamahomoni

Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi yi-androgen deprivation therapy (ADT), ihlose ukwehlisa amazinga e-testosterone, ukwehlisa noma ukumisa ukukhula kwamangqamuzana omdlavuza wendlala yesinye. Lokhu kuvame ukusetshenziswa ezigabeni ezithuthukile zesifo noma ngokuhambisana nezinye izindlela zokwelapha.

I-Chemotherapy

Ukwelapha ngamakhemikhali, kusetshenziswa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza, ngokuvamile kusetshenziselwa umdlavuza wendlala yesinye osedlulele kwezinye izingxenye zomzimba (metastatic prostate cancer).

Ukwelapha Okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza. Lokhu kwelashwa kuklanyelwe ukunciphisa ukulimala kwamaseli anempilo futhi kuthuthukise ukusebenza kahle kokwelashwa. Izindlela zokwelapha ezimbalwa ezihlosiwe zibonise isithembiso ekwelapheni umdlavuza wendlala yesinye osethuthukile, ikakhulukazi lawo anokuguqulwa kofuzo okuthile.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe nomdlavuza. Le ndlela entsha uma kuqhathaniswa ihlanganisa ukukhulisa amandla amasosha omzimba okubona nokubhubhisa amangqamuzana omdlavuza. Ucwaningo luyaqhubeka nokuphenya indima ye-immunotherapy ku ukwelashwa okusha komdlavuza wendlala yesinye amasu.

Intuthuko Ekwelapheni Umdlavuza Wendlala Yendlala Kusukela Ngo-2021

Ucwaningo nokuthuthukiswa ku ukwelashwa okusha komdlavuza wendlala yesinye qhubeka ngesivinini esisheshayo. Kusukela ngo-2021, kube nokunye ukuthuthuka ezindaweni eziningana:

Izindlela Zokwelapha Eziqondiwe Ezithuthukisiwe

Ukuthuthukiswa kwezindlela zokwelapha ezihlosiwe eziqondile nezisebenzayo kuyaqhubeka nokuthuthukisa imiphumela yamadoda anomdlavuza wendlala yesinye. Izivivinyo zemitholampilo ziyaqhubeka ukuze kuhlolwe ukusebenza ngempumelelo kwama-ejenti amasha kanye nenhlanganisela yokwelapha.

Amasu Esithombe Sesizukulwane Esilandelayo

Ubuchwepheshe be-imaging obuthuthukisiwe, obufana ne-PSMA PET scans, buhlinzeka ngezithombe ezinembe kakhudlwana nezinemininingwane yomdlavuza wendlala yesinye, ezisiza ekuxilongeni, esiteji, nasekuqashweni kokwelashwa. Lokhu kuholela ekuhleleni ukwelashwa okunembe kakhudlwana kanye nemiphumela engcono yesiguli.

I-Liquid Biopsy

I-Liquid biopsies ihlaziya i-DNA yesimila (ctDNA) kumasampula egazi. Le ndlela engahlanyisi ivumela ukutholwa kusenesikhathi kokuvela kabusha komdlavuza kanye nokuqapha impendulo yokwelashwa, okuvumela ukulungiswa okufika ngesikhathi ohlelweni lokwelapha.

Ukukhetha Ukwelashwa Okulungile

Ukukhetha ukwelashwa okungcono kakhulu ukwelashwa okusha komdlavuza wendlala yesinye idinga indlela yomuntu siqu. Ukubonisana nodokotela we-oncologist onolwazi ngomdlavuza wendlala yesinye kubalulekile ukuxoxa ngobuhle nobubi bendlela ngayinye yokwelashwa, kucatshangelwa izici ezinjengobudala, impilo yonke, kanye nesigaba somdlavuza.

Ulwazi olunikezwe lapha ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.

Ukuze uthole ulwazi olwengeziwe nokwesekwa, vakashela I-Shandong Baofa Cancer Research Institute. Banikeza ukunakekelwa okuphelele kanye nokwelashwa okuphambili komdlavuza wendlala yesinye.

Qaphela: Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Sicela uthintane nomhlinzeki wakho wokunakekelwa kwezempilo nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.