ukwelashwa komdlavuza wendlala yesinye

Umdlavuza wendlala yesinye ophindelelayo ubhekisela kumdlavuza wendlala yesinye obuya ngemva kokwelashwa kokuqala. Izinketho zokwelapha ze umdlavuza wendlala yesinye kuncike ezicini eziningana, okuhlanganisa ukwelashwa kokuqala, indawo yokuphinda, kanye nempilo yesiguli iyonke. Lezi zinketho zingabandakanya ukwelashwa kwamahomoni, i-chemotherapy, ukwelashwa ngemisebe, ukuhlinzwa, kanye nokwelashwa okuhlosiwe. Ukuqonda lezi zindlela zokwelapha kanye nentuthuko yakamuva kunganika iziguli amandla okwenza izinqumo ezinolwazi mayelana nokunakekelwa kwazo. Ukuqonda Umdlavuza Wendlala Yendlala YesinyeUmdlavuza wendlala yesinye kusho ukuthi umdlavuza usubuyile ngemva kokwelashwa kokuqala. Lokhu kungaba ukuphindaphinda kwendawo, okusho ukuthi ibuyela kumbhede wendlala yesinye noma eduze, noma ukuphindeka okude, okusho ukuthi sekudlulele kwezinye izingxenye zomzimba, njengamathambo noma ama-lymph nodes.Izinto Ezithonya UkuphindaphindaIzici ezimbalwa zingathonya amathuba umdlavuza wendlala yesinye. Lokhu kubandakanya: Isikolo sokuqala se-Gleason: Izikolo ze-Higher Gleason ekuxilongeni zihlotshaniswa nengozi enkulu yokuphinda. Amazinga e-PSA: Amazinga aphezulu e-PSA ngemva kokwelashwa kokuqala angase abonise amangqamuzana omdlavuza asele. Isigaba somdlavuza: Izigaba ezithuthuke kakhulu zomdlavuza ekuxilongweni zithwala ingozi enkulu yokuphinda uvele. Amamajini Okuhlinzwa: Amamajini okuhlinzwa amahle (amangqamuzana omdlavuza atholakala emaphethelweni ezicubu ezisusiwe) andisa ingozi yokuphinda kwenzeke endaweni.Izinketho Zokwelashwa Zomdlavuza Wendlala Yendlala Yendlala Yesinye Ukhetho lokwelashwa umdlavuza wendlala yesinye kuncike ezicini eziningana, okuhlanganisa uhlobo lokwelashwa kokuqala, indawo kanye nezinga lokuphindaphinda, kanye nempilo yesiguli iyonke kanye nezinto ezithandwayo.Ukwelashwa Kwe-Hormone (Androgen Deprivation Therapy - ADT)Hormone therapy, eyaziwa nangokuthi i-androgen deprivation therapy (ADT), ihlose ukwehlisa amazinga e-androgens (amahomoni okukhula kwabesilisa) emzimbeni, okungaphehla umdlavuza wendlala yesinye. I-ADT ingenziwa ngemithi noma, ngokuvamile, ukuhlinzwa ukuze kukhishwe amasende (i-orchiectomy) .Izinketho ezivamile ze-ADT zifaka: I-LHRH agonists (isb., Lupron, Zoladex) Abaphikisi be-LHRH (isb., Firmagon) Ama-Anti-androgens (isb., Casodex, Eulexin, Eulexin, Nilandronly, i-hormone ehola phambili ye-prostrate, i-prostrate therapy) umdlavuza wendlala yesinye (CRPC). Nokho, kukhona izindlela zokwelapha ezisebenzayo ezitholakalayo ze-CRPC.Ukwelashwa ngemisebeUkwelapha ngemisebe kusebenzisa imisebe yamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziselwa ukwelapha ukuvela kabusha kwendawo embhedeni we-prostate ngemva kokuhlinzwa noma ukukhomba amaseli omdlavuza kwezinye izingxenye zomzimba. I-External Beam Radiation Therapy (EBRT) I-Brachytherapy (imbewu enemisebe efakwe ngqo ku-prostate)[I-Shandong Baofa Cancer Research Institute](https://baofahospital.com) isebenzisa amasu emisebe athuthukisiwe ukuze kuncishiswe imiphumela engemihle ngenkathi ikhulisa ukusebenza ngempumelelo kokwelashwa. Xhumana nochwepheshe bethu ngezinhlelo zokwelashwa eziqondene nawe.UkuhlinzwaUkuhlinzwa kungase kube inketho yendawo umdlavuza wendlala yesinye ngemva kokwelashwa ngemisebe. Lokhu ngokuvamile kuyi-salvage prostatectomy (ukususwa kwe-prostate gland). Nokho, kuyinqubo eyinkimbinkimbi enemiphumela engemihle engaba khona, ngakho kubalulekile ukuxoxa ngezingozi nezinzuzo nodokotela ohlinzayo.I-ChemotherapyI-Chemotherapy isebenzisa izidakamizwa ukuze ibulale amangqamuzana omdlavuza kuwo wonke umzimba. Ngokuvamile isetshenziselwa i-metastatic umdlavuza wendlala yesinye, ikakhulukazi lapho ukwelapha nge-hormone kungasasebenzi.Imithi evamile yokwelapha ngamakhemikhali esetshenziselwa umdlavuza wendlala yesinye ihlanganisa: I-Docetaxel (Taxotere) Cabazitaxel (Jevtana)Imithi Eqondiwe Imithi yokwelapha ehlosiwe imithi eqondise ngokuqondile ama-molecule athile noma izindlela ezihilelekile ekukhuleni nasekusakazekeni komdlavuza. Izibonelo zifaka: I-Olaparib (Lynparza) kanye ne-Rucaparib (Rubraca): I-PARP inhibitor esetshenziselwa umdlavuza anokukhubazeka okuthile kokulungisa i-DNA (ukuguqulwa kwe-BRCA1/2). I-Enzalutamide (Xtandi) kanye ne-Apalutamide (Erleada): Ama-anti-androgens anamandla asetshenziselwa umdlavuza wendlala yesinye. I-Radium-223 (Xofigo): Iqondisa ama-metastases amathambo.Imithi yomuntu siqu, kuhlanganise nokuhlola i-genomic, iya ngokuya ibalulekile ekuhlonzeni iziguli ezingase zizuze ekwelashweni okuhlosiwe.I-ImmunotherapyImmunotherapy ihlanganisa amandla amasosha omzimba ukulwa nomdlavuza. I-Sipuleucel-T (Provenge) iyi-immunotherapy egunyazwe umdlavuza wendlala yesinye we-metastatic castrate. umdlavuza wendlala yesinye, ukuqapha okuvamile kubalulekile ukuze kulandelelwe impendulo yesifo futhi kutholakale noma yikuphi ukuqhubeka okuqhubekayo.Lokhu ngokuvamile kuhilela: Ukuhlola i-PSA Izikena ze-Imaging (isb., ama-bone scans, ama-CT scans, i-MRI) Ukuhlolwa ngokomzimbaIsivivinyo SezivivinyoIzivivinyo zezokwelapha izifundo zocwaningo ezihlola izindlela zokwelapha ezintsha noma izindlela zokuphatha. umdlavuza wendlala yesinye. Ukubamba iqhaza ocwaningweni lomtholampilo kungase kunikeze ukufinyelela kumakhambi asezingeni eliphezulu futhi kube negalelo ekuthuthukiseni ukuqonda nokwelashwa kwalesi sifo. Iziguli zingahlola izinketho zokuhlolwa komtholampilo ngodokotela wazo we-oncologist noma izinsiza ezifana nesizindalwazi seNational Cancer Institute (cancer.gov).Izincazelo Zendlela YokuphilaNakuba ukwelapha kubalulekile, izici zendlela yokuphila zingadlala indima esekelayo ekulawuleni. umdlavuza wendlala yesinye. Lokhu kubandakanya: Ukudla Okunempilo: Gcizelela izithelo, imifino, okusanhlamvu, namaprotheni angenalutho. Ukuzivocavoca Okuvamile: Khomba okungenani imizuzu engu-150 yokuzivocavoca okumaphakathi ngesonto. Ukulawula Ukucindezeleka: Zijwayeze izindlela zokuphumula ezifana nokuzindla noma i-yoga. Ukugcina Isisindo Esinempilo: Ukukhuluphala ngokweqile kungaba yimbi imiphumela yomdlavuza wendlala yesinye.Ukubhekana Nomdlavuza Wendlala Yendlala Yesinye.Ukuxilongwa kwe umdlavuza wendlala yesinye kungaba yinselele ngokomzwelo. Kubalulekile ukufuna ukwesekwa emndenini, kubangani, emaqenjini okusekela, noma ochwepheshe bezempilo yengqondo. Ukukhulumisana ngokukhululekile nethimba lakho lezokunakekelwa kwempilo nakho kubalulekile ekulawuleni izici ezingokomzimba nezingokomzwelo zalesi sifo. Iqhaza Le-Shandong Baofa Cancer Research InstituteE-[Shandong Baofa Cancer Research Institute](https://baofahospital.com), sizibophezele ekuhlinzekeni ukunakekelwa okuphelele nokuthuthukile ezigulini ezinomdlavuza. umdlavuza wendlala yesinye. Ithimba lethu lezinhlaka eziningi lodokotela abahlinzayo, odokotela abahlinzayo, odokotela be-radiation oncologists, kanye nabanye ochwepheshe basebenza ndawonye ukuze benze izinhlelo zokwelashwa eziqondene nawe eziklanyelwe izidingo ezihlukile zesiguli ngasinye. Sinikeza uhla lwezindlela zokwelapha ezisezingeni eliphezulu, okuhlanganisa ukwelapha ngamahomoni, ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, izindlela zokwelapha eziqondiwe, kanye nokufinyelela ezivivinyweni zomtholampilo. Futhi sihlinzeka ngezinsizakalo zokunakekela ezisekelayo ukuze sisize iziguli zilawule izinselele ezingokomzimba nezingokomzwelo zokwelashwa komdlavuza. Xhumana nathi namuhla ukuze ufunde kabanzi mayelana namasevisi ethu nokuthi singakusiza kanjani uzulazule uhambo lwakho nge umdlavuza wendlala yesinye.Izindleko Zokwelapha Umdlavuza Wendlala Yesinye Izindleko umdlavuza wendlala yesinye zingahluka kakhulu kuye ngokwelashwa okuqondile okusetshenzisiwe, indawo yokwelashwa, kanye nokuhlinzekwa komshwalense. Iziguli kufanele zixoxe ngezindleko ezingaba khona nabahlinzeki bazo bokunakekelwa kwezempilo kanye nezinkampani zomshwalense ukuze ziqonde izibopho zazo zezezimali.Ukuqhathaniswa kwezindleko okwenziwe lula (Qaphela: Lezi zibalo ezezinjongo zemifanekiso kuphela futhi azimeleli izindleko zangempela.) Izindleko Ezilinganiselwe Zokwelashwa Ngomjikelezo Wezinombolo Ezivamile Ze-Cycles Chemotherapy (isb., I-Docetaxel) $5,000 - I-Hrmone Theg. $500 - $1,500 Ukwelashwa Kweradiation Okuqhubekayo $10,000 - $30,000 (inani lesifundo) Isifundo esisodwa Sokwelapha Okuqondiwe (isb., Olaparib) $10,000 - $15,000 Umshwana Wokuzihlangula Oqhubekayo: Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole iseluleko sezokwelapha esiqondene nawe.Izithenjwa:I-National Cancer Institute. www.cancer.govI-American Cancer Society. www.cancer.org