pi rads 4 ukwelashwa komdlavuza wendlala yesinye

Ukuqonda i-Pi-RADs 4 kanye nokwelashwa komdlavuza wendlala yesinye

Lesi sihloko sinikeza ukubuka okuphelele kokubika kwe-Prostate Imaging Reporting and Data System (PI-RADs) amaphuzu 4 kanye nemithelela yawo ekwelashweni komdlavuza wendlala yesinye. Sizohlola ukuthi kusho ukuthini amaphuzu e-PI-RADs 4, inqubo yokuxilonga, izinketho ezihlukahlukene zokwelapha, nezici ezibalulekile okufanele zicatshangelwe lapho kuthathwa izinqumo zokwelashwa. Funda mayelana nentuthuko yakamuva kanye nendlela yokubhekana nalokhu kuxilongwa okuyinselele.

Yini i-PI-RADs Score?

I-Prostate Imaging Reporting and Data System (PI-RADs) iwuhlelo lokulinganisa olujwayelekile olusetshenziselwa ukuhlola amathuba okuba nomdlavuza wendlala yesinye ngokusekelwe kokutholwe yi-multiparametric magnetic resonance imaging (mpMRI). Uhlelo lunikeza amaphuzu ukusuka koku-1 kuye ku-5, oku-1 okumelela amathuba aphansi okuba nomdlavuza futhi oku-5 kube okuphezulu kakhulu. A pi rads 4 ukwelashwa komdlavuza wendlala yesinye ingxoxo ngokuvamile ivela lapho isiguli sithola amaphuzu e-PI-RAD angu-4.

Ukuqonda i-PI-RADs 4 Score

Isikolo se-PI-RADs 4 sibonisa amathuba amaphakathi omdlavuza wendlala yesinye. Ayiwuhlohli umdlavuza ngokuqinisekile kodwa iphakamisa ithuba elibalulekile lokuthi uphenyo olwengeziwe luyadingeka. Lokhu kuvame ukubandakanya i-biopsy ukuze kutholwe amasampula ezicubu ukuze ahlolwe nge-microscopic. Isinqumo sokuqhubeka ne-biopsy senziwa ngokubonisana nodokotela we-urologist, kucatshangelwa izici eziyingozi zomuntu ngamunye kanye nezinketho zesiguli. A iphi 4 amaphuzu adinga ukucatshangelwa ngokucophelela kwezinyathelo ezilandelayo.

Izinqubo zokuxilonga Ngemva kwe-PI-RADs 4 Score

Ukulandela isikolo se-PI-RADs 4, i-biopsy ehlosiwe ngokuvamile iyanconywa. Lokhu kubandakanya ukusebenzisa izithombe ze-mpMRI ukuqondisa ukubekwa kwenaliti ngesikhathi senqubo ye-biopsy, kwandiswe amathuba okuthola umdlavuza uma ukhona. Le nqubo enembile ibalulekile ekuxilongweni okuphumelelayo nasekuhleleni ukwelashwa. Imiphumela ye-biopsy izonquma izinyathelo ezilandelayo zokulawula isimo sesiguli. Lokhu kuzokwazisa i pi rads 4 ukwelashwa komdlavuza wendlala yesinye isu ukuya phambili.

Izinketho Zokwelashwa Zomdlavuza Wendlala Yendlala Yendlala Yendlala Yendlala Yesinye Itholakala Ngemva Kwe-PI-RADs 4 Amaphuzu

Izinketho zokwelapha umdlavuza wendlala yesinye okutholwe ngemuva kwamaphuzu e-PI-RADs 4 ziyahlukahluka kuye ngezinto ezimbalwa, okuhlanganisa imiphumela ye-biopsy (amaphuzu we-Gleason, isigaba, kanye nebanga lomdlavuza), impilo yesiguli iyonke, kanye nezinto ezithandwa nguwe. Izindlela zokwelapha ezijwayelekile zihlanganisa:

Ukugada Okusebenzayo

Ngomdlavuza we-prostate onobungozi obuphansi, ukugada okusebenzayo (okubuye kwaziwe njengokulinda ukuqapha) kungase kube inketho. Lokhu kuhilela ukuqapha ngokucophelela ukuqhubeka komdlavuza ngaphandle kokungenelela ngokushesha. Ukuhlolwa njalo nokuhlolwa kwe-PSA kusiza ukulandelela ukukhula komdlavuza. Ukugada okusebenzayo kuvame ukucatshangelwa iphi 4 izimo ezinezici ezinobungozi obuncane ezinqunywa imiphumela ye-biopsy.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingalethwa ngaphandle (i-external beam radiation therapy) noma ngaphakathi (brachytherapy). Ukwelashwa ngemisebe kungase kulungele umdlavuza wendlala yesinye endaweni elandelayo iphi 4 ukuthola ku-mpMRI nokuqinisekiswa nge-biopsy.

Ukuhlinzwa (Prostatectomy)

Ukususwa ngokuhlinzwa kwe-prostate gland (radical prostatectomy) kungenye indlela, ikakhulukazi kumdlavuza wendlala yesinye. Le nqubo ngokuvamile yenziwa ezimeni zomdlavuza obalulekile emtholampilo oqinisekisiwe ngemva kwe-PI-RADs 4 kanye ne-biopsy elandelayo. Lena inqubo enkulu yokuhlinzwa enemiphumela engemihle engaba khona okuxoxwa ngayo ngokucophelela neziguli ezicabangela a pi rads 4 ukwelashwa komdlavuza wendlala yesinye uhlelo oluhilela ukuhlinzwa.

Ukwelashwa Kwamahomoni

Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi yi-androgen deprivation therapy, ihlose ukunciphisa amazinga amahomoni wesilisa abhebhezela ukukhula komdlavuza wendlala yesinye. Ivame ukusetshenziswa ezimweni ezithuthukisiwe zomdlavuza wendlala yesinye noma ngokuhambisana nezinye izindlela zokwelapha. Lokhu kwelashwa kungase kube yingxenye ye-a pi rads 4 ukwelashwa komdlavuza wendlala yesinye hlela umdlavuza ohlaselayo noma osethuthuke kakhulu.

Izinto Okufanele Zibhekwe Lapho Ukhetha Uhlelo Lokwelapha

Ukukhethwa kokwelashwa komdlavuza wendlala yesinye okutholwe ngemuva kwamaphuzu we-PI-RADs 4 kuyisinqumo esiqondene nawe kakhulu. Kucatshangelwa izinto ezimbalwa, okuhlanganisa:

Ukuzulazula Ekuxilongweni Kwakho

Ukuthola isikolo se-PI-RADs 4 kungathinta. Kubalulekile ukuxoxa ngezinketho zakho nodokotela womchamo onolwazi ekuhlonzweni nasekulashweni komdlavuza wendlala yesinye. Indlela yethimba lezinhlaka eziningi, okuhlanganisa nodokotela bomchamo, odokotela be-radioologist, nodokotela be-oncologists, ngokuvamile inikeza ukunakekelwa okungcono kakhulu. Khumbula ukubuza imibuzo, ukuveza okukukhathazayo, futhi ubambe iqhaza ngenkuthalo ezinqumweni ezihlobene nempilo yakho. Ukuze uthole ulwazi olwengeziwe nokwesekwa, cabanga ukuhlola izinsiza ezitholakala ezinhlanganweni ezinedumela elihle njenge-American Cancer Society kanye ne-National Cancer Institute.

Okwezinga eliphezulu nelikhethekile ukwelashwa komdlavuza wendlala yesinye, cabanga ukuxhumana I-Shandong Baofa Cancer Research Institute.

Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo ukuze uxilongwe futhi welashwe.