Izikhungo ezihamba phambili zokwelashwa komdlavuza wendlala yesinye ngo-2020 nangaphezulu: Umhlahlandlela opheleleUkuthola okungcono kakhulu izikhungo zokwelashwa ezihamba phambili zomdlavuza wendlala yesinye ngo-2020 kungaba nzima. Lo mhlahlandlela uhlinzeka ngolwazi olubanzi ukukusiza ukuthi uhlole izinketho zakho futhi wenze izinqumo ezinolwazi. Sizohlola izindlela zokwelashwa ezahlukahlukene, izikhungo eziholayo, nezici okufanele zicatshangelwe lapho ukhetha umhlinzeki wokunakekelwa.
Ukuqonda I-Prostate Cancer kanye Nezinketho Zokwelashwa
Umdlavuza wendlala yesinye isifo esivamile, futhi ukwelashwa kwawo kuyehluka kakhulu kuye ngezici ezifana nesiteji, ibanga, kanye nempilo iyonke. Izinketho zokwelashwa ezijwayelekile zihlanganisa:
Ukuhlinzwa
Izinketho zokuhlinzwa, ezifana ne-radical prostatectomy (ukususwa kwe-prostate gland), kuvame ukucatshangelwa umdlavuza wendlala yesinye. Izinga lokuphumelela kanye nemiphumela engemihle engase ibe khona iyahlukahluka kuye ngomuntu ngamunye kanye nolwazi lukadokotela ohlinzayo.
Ukwelapha Ngemisebe
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ukwelashwa kwe-radiation ye-beam yangaphandle kanye ne-brachytherapy (ukufaka imbewu enemisebe) izindlela ezivamile. Le nketho ivame ukusetshenziselwa umdlavuza wasendaweni noma othuthukile wasendaweni.
Ukwelashwa Kwamahomoni
Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi i-androgen deprivation therapy, ihlose ukunciphisa noma ukuvimba amahomoni abhebhezela ukukhula komdlavuza wendlala yesinye. Lokhu kuvame ukusetshenziselwa umdlavuza wendlala yesinye noma ukuhlanganiswa nezinye izindlela zokwelapha.
I-Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza kuwo wonke umzimba. Ngokuvamile kugcinelwe umdlavuza we-prostate metastatic (umdlavuza osusakazeke ngale kwe-prostate).
Ukwelapha Okuhlosiwe
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza kuyilapho kunciphisa ukulimala kumaseli anempilo. Izindlela zokwelapha eziningana ezihlosiwe ziyatholakala kumdlavuza we-prostate osezingeni eliphezulu.
Ukukhetha Isikhungo Sokwelapha Umdlavuza Wendlala Yesinye Esifanele
Ukukhetha isikhungo sokwelashwa esifanele kubalulekile ukuze kube nomphumela ophumelelayo. Cabangela izici ezilandelayo:
Ubungcweti Nesipiliyoni
Bheka izikhungo ezinama-oncologists anolwazi, ama-urologists, nama-oncologists emisebe asebenza ngomdlavuza wendlala yesinye. Inani eliphezulu lamacala omdlavuza wendlala yesinye eselashwayo ngokuvamile libonisa ubuchwepheshe obukhulu kanye nemiphumela ethuthukisiwe.
Ubuchwepheshe Okuthuthukile Nokwelashwa
Hlola ukuthi isikhungo sinikeza ubuchwepheshe bakamuva kanye nokwelashwa, okufana nokuhlinzwa kwerobhothi, izindlela ezithuthukisiwe zemisebe (IMRT, SBRT), kanye nokufinyelela ezinhlolweni zomtholampilo.
Ukunakekela Okuphelele
Uhlelo oluphelele akufanele luhlanganise ukwelashwa kuphela kodwa futhi nokunakekelwa okusekelayo, okuhlanganisa ukuphathwa kwezinhlungu, ukwelapha ngokomzimba, nokusekelwa kwengqondo.
Ukugunyazwa kanye Nesitifiketi
Qinisekisa ukuthi isikhungo siphethe ukugunyazwa okufanele nezitifiketi ezivela ezinhlanganweni ezihlonishwayo.
Ukubuyekezwa Kwesiguli Nobufakazi
Funda ukubuyekezwa kwesiguli kanye nobufakazi ukuze uthole imininingwane mayelana nolwazi lwesiguli kanye nekhwalithi yokunakekelwa okunikezwayo.
Izikhungo Eziphezulu Zokwelapha Umdlavuza Wendlala Yendlala Yendlala Yesinye (Izithombe, Hhayi Uhlu Oluphelele)
Ngenkathi amazinga athile eshintsha minyaka yonke, izikhungo eziningi zithola ukunconywa okuphezulu njalo. Kubalulekile ukwenza olwakho ucwaningo olunzulu oluncike ezidingweni zakho kanye nendawo. Khumbula ukuthintana nodokotela wakho ukuze uthole izincomo eziqondene nawe. (Qaphela: Lesi sigaba sinikeza izibonelo, futhi izinga lezikhungo lingashintshashintsha. Njalo hlola izinsiza zamanje ukuze uthole ulwazi lwakamuva kakhulu.)
| Igama Lesikhungo | Indawo | Ubungcweti |
| I-Memorial Sloan Kettering Cancer Centre | New York, NY | Ukunakekelwa okuphelele komdlavuza |
| MD Anderson Cancer Centre | Houston, TX | Ukunakekelwa okuphelele komdlavuza |
| IMayo Clinic | Rochester, MN (nezinye izindawo) | Ukunakekelwa okuphelele komdlavuza |
| I-Shandong Baofa Cancer Research Institute | China | Ukwelashwa nokucwaninga komdlavuza wendlala yesinye |
Ukuzulazula Enqubweni Yokwenza Izinqumo
Ukukhetha okuhle kakhulu
izikhungo zokwelashwa ezihamba phambili zomdlavuza wendlala yesinye ngo-2020 kudinga ukucatshangelwa ngokucophelela izimo zakho kanye nezinto ozikhethayo. Xoxa ngezinketho zakho kahle nodokotela wakho futhi uqoqe ulwazi emithonjeni eminingi ethembekile. Khumbula, indlela yokwenza izinto eziningi, ebandakanya ochwepheshe abavela emikhakheni eyahlukene, ngokuvamile ingaholela emphumeleni ongcono kakhulu. Ukufuna umbono wesibili kunganikeza umbono owengeziwe nesiqiniseko.
Umshwana wokuzihlangula
Lolu lwazi ololwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.