
Ukuthola isibhedlela esifanele ukwelashwa okusha komdlavuza wendlala yesinye kungaba nzima. Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile ukukusiza ukuthi uhlole izinketho zakho, uqonde intuthuko yokwelashwa, futhi wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho. Sizohlola izindlela zokwelashwa ezahlukahlukene, izici okufanele uzicabangele lapho ukhetha isibhedlela, nezinsiza ezizokusiza ohambweni lwakho.
Izinketho zokuhlinza zomdlavuza wendlala yesinye zihlanganisa i-radical prostatectomy (ukususwa ngokuphelele kwe-prostate gland), kanye nezinqubo ezingavamisile ezifana ne-robotic-assisted laparoscopic prostatectomy. Ukuzikhethela kuncike esiteji kanye nebanga lomdlavuza, kanye nezici zesiguli ngasinye. Izinga lempumelelo kanye nemiphumela engemihle engase ibe khona iyahlukahluka kuye ngendlela yokuhlinza kanye nolwazi lwethimba labahlinzayo. Kubalulekile ukuxoxa ngalezi zinketho ngokucophelela nodokotela wakho womchamo noma i-oncologist.
Ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ukwelashwa ngemisebe yangaphandle kuyindlela evamile, eletha imisebe engaphandle komzimba. I-Brachytherapy ihilela ukubeka imbewu ekhipha imisebe noma izimila ngqo ku-prostate. Lolu hlobo lwe ukwelashwa okusha komdlavuza wendlala yesinye inikeza ukukhomba okunembile futhi inciphisa ukulimala kwezicubu ezizungezile. Ukukhethwa kokwelashwa ngemisebe kuncike ezicini ezihlukahlukene, okuhlanganisa izici zesimila kanye nempilo iyonke.
Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi yi-androgen deprivation therapy (ADT), kusebenza ngokunciphisa amazinga amahomoni abhebhezela ukukhula komdlavuza wendlala yesinye. Le ndlela ingasetshenziswa yodwa noma ihlanganiswe nezinye izindlela zokwelapha. Nakuba kuphumelela ekunciphiseni noma ekumiseni ukukhula komdlavuza, ukwelapha nge-hormone kungabangela imiphumela emibi efana nokushisa okushisayo, ukuzuza kwesisindo, nokunciphisa i-libido. Udokotela wakho uzokala izinzuzo nezingozi ngaphambi kokuncoma lokhu kwelashwa.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ngokuvamile kugcinelwe umdlavuza we-prostate othuthukile osusakazekele kwezinye izingxenye zomzimba (umdlavuza we-prostate metastatic). Nakuba i-chemotherapy inganciphisa izimila futhi andise ukuphila, futhi inemiphumela emibi ebalulekile, edinga ukulawulwa ngokucophelela.
I-Immunotherapy ihlanganisa amasosha omzimba ukulwa nomdlavuza. Lokhu uma kuqhathaniswa ukwelashwa okusha komdlavuza wendlala yesinye indlela ibonisa imiphumela ethembisayo ezinhlotsheni ezithile zomdlavuza wendlala yesinye. Ishukumisa amasosha omzimba ukuthi aqondise futhi abhubhise amangqamuzana omdlavuza ngempumelelo. Ucwaningo olwengeziwe luyaqhubeka ukuze kwandiswe ukusetshenziswa kwalo futhi kuthuthukiswe ukusebenza kahle kwalo.
Ukukhethela isibhedlela ukwelashwa okusha komdlavuza wendlala yesinye kudinga ukucatshangelwa ngokucophelela. Izinto okufanele zihlolwe zihlanganisa ulwazi lwesibhedlela nochwepheshe ekwelapheni umdlavuza wendlala yesinye, ukutholakala kobuchwepheshe obuthuthukisiwe nezinketho zokwelapha, uchwepheshe bethimba lezokwelapha (odokotela bezokwelapha, odokotela be-oncologists, odokotela be-radiation oncologists, abahlengikazi, njll.), ukugunyazwa nezitifiketi zesibhedlela, ukubuyekezwa kwesiguli kanye nezilinganiso, kanye nolwazi lwesiguli lulonke, okuhlanganisa ukufinyelela ezinsizeni zokusekela.
| Isici | Ukubaluleka |
|---|---|
| Isipiliyoni ngemithi ethile | Okuphezulu - okubalulekile ukuze uthole imiphumela ephezulu |
| Ubuchwepheshe obusezingeni eliphezulu kanye nemishini | Okuphezulu - kuqinisekisa ukunemba nokusebenza kahle |
| Indlela yethimba lemikhakha eminingi | Ukunakekela okuphezulu ngokubambisana kuthuthukisa impumelelo yokwelashwa |
| Izinsizakalo zokusekela iziguli | Okumaphakathi - kuthuthukisa ulwazi lwesiguli kanye nempilo enhle |
| Ukugunyazwa kanye nezitifiketi | Okuphezulu - kusho ikhwalithi kanye namazinga okuphepha |
Ukucwaninga izibhedlela nongoti bazo kubalulekile. Ungathola ulwazi olubalulekile kumawebhusayithi ezibhedlela, amasayithi okubuyekeza, kanye nenethiwekhi kadokotela wakho.
Ukuze uthole ulwazi olwengeziwe ngomdlavuza wendlala yesinye kanye nezinketho zokwelapha, thintana nezinhlangano ezihlonishwayo njenge-American Cancer Society (https://www.cancer.org/) kanye neNational Cancer Institute (https://www.cancer.gov/). Lezi zinsiza zinikeza ulwazi oluphelele, ukusekela, nokuqondisa.
Cabangela ukufuna umbono wesibili komunye uchwepheshe ukuze uqinisekise ukuthi wenza isinqumo esingcono kakhulu sempilo yakho. Khumbula, ukuxhumana okusebenzayo nethimba lakho lezempilo kubalulekile kulo lonke uhambo lwakho lokwelashwa.
Ngokunakekelwa komdlavuza osezingeni lomhlaba, cabanga ukuhlola ubuchwepheshe be- I-Shandong Baofa Cancer Research Institute. Bazinikele ekuhlinzekeni ukunakekelwa okuthuthukile nozwela ezigulini ezinomdlavuza wendlala yesinye.
eceleni>