ukwelashwa isinye intamo invasion ukwelashwa komdlavuza wendlala yesinye eduze kwami

Izinketho Zokwelashwa Kokuhlasela Kwentamo Yesinye Kumdlavuza Wendlala Yesinye: Ukuthola Ukunakekelwa Eduze Kwakho Ukwelashwa kwe-bladder neck invasion (BNI) kumdlavuza wendlala yesinye kudinga indlela ebanzi eklanyelwe isiguli ngasinye. Lo mhlahlandlela uhlinzeka ngolwazi lokuqonda i-BNI, izinketho zokwelashwa ezitholakalayo, kanye nendlela yokuthola ukunakekelwa kochwepheshe eduze nawe. Kubalulekile ukukhumbula ukuthi lolu lwazi ngelezinjongo zokufundisa futhi akufanele luthathe indawo yokubonisana nochwepheshe bezokwelapha abaqeqeshiwe.

Ukuqonda Ukuhlasela Kwentamo Yesinye Kumdlavuza Wendlala Yesinye

Ukuhlasela kwentamo yesinye kubhekisela ekusakazekeni kwamangqamuzana omdlavuza wesinye ukuya entanyeni yesinye, indawo lapho isinye sixhuma khona nombhobho. Lokhu kuthathwa njengesigaba esithuthuke kakhulu somdlavuza wendlala yesinye, futhi ubukhona bawo buthinta kakhulu amasu okwelapha. Izinga lokuhlasela, kanye nezinye izici ezifana nempilo yesiguli iyonke nezinye izimo zezokwelapha, kusiza ukunquma okufanele kakhulu ukwelashwa kwesinye intamo invasion ukwelashwa komdlavuza wendlala yesinye uhlelo.

Izinketho Zokwelashwa Kokuhlasela Kwentamo Yesinye

Izinketho zokwelashwa ezimbalwa zikhona ukwelashwa komdlavuza wendlala yesinye nge-BNI, ngayinye inezinzuzo zayo kanye nokubi. Ukukhetha kuxhomeke ezicini ezihlukahlukene, okuhlanganisa isigaba nebanga lomdlavuza, impilo evamile yesiguli, nezinto ezithandwa umuntu siqu. Ukuxhumana okuvulekile ne-urologist yakho noma i-oncologist kubalulekile ukwenza isinqumo esinolwazi.

Ukuhlinzwa

I-Radical prostatectomy, inqubo yokuhlinzwa ukuze kukhishwe indlala yesinye, iyindlela yokwelapha evamile yomdlavuza wendlala yesinye, okuhlanganisa namacala ane-BNI. Ukuphumelela kokuhlinzwa kuncike ezicini ezifana nezinga lokusabalala komdlavuza. Kwezinye izimo, kungase kudingeke ukuhlinzwa okubanzi, okuhlanganisa izicubu eziseduze.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe, okuhlanganisa ukwelapha ngemisebe yangaphandle (EBRT) kanye ne-brachytherapy (imisebe yangaphakathi), kuqondiswe kumaseli omdlavuza anemisebe enamandla amakhulu ukuze awabhubhise. I-EBRT ilethwa ngaphandle, kuyilapho i-brachytherapy ihilela ukubeka imbewu ekhipha imisebe ngokuqondile ku-prostate. Lokhu ukwelashwa kwesinye intamo invasion ukwelashwa komdlavuza wendlala yesinye indlela ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha.

Ukwelashwa Kwamahomoni

Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi i-androgen deprivation therapy (ADT), ihlose ukunciphisa noma ukuvimba ukukhiqizwa kwama-androgens, amahomoni abhebhezela ukukhula komdlavuza wendlala yesinye. Ivamise ukusetshenziselwa ukwehlisa noma ukumisa ukuqhubeka komdlavuza, ikakhulukazi ezigabeni ezithuthukile. I-ADT ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha ze-BNI.

I-Chemotherapy

I-Chemotherapy yindlela yokwelapha ehlelekile esebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza emzimbeni wonke. Ngokuvamile kugcinelwe izigaba ezithuthukisiwe zomdlavuza wendlala yesinye, lapho lesi sifo sesisakazeke ngale kwe-prostate nentamo yesinye.

Ukwelapha Okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni nasekuthuthukisweni komdlavuza. Nakuba okwamanje kungekona ukwelashwa komugqa wokuqala kuzo zonke izimo ze-BNI, ucwaningo lusaqhubeka ukuhlola amandla alezi zindlela zokwelapha ukwelashwa komdlavuza wendlala yesinye.

Ukuthola Ukunakekelwa Kochwepheshe Eduze Kwakho

Ukuthola ochwepheshe bezempilo abanolwazi lwe ukwelashwa isinye intamo invasion ukwelashwa komdlavuza wendlala yesinye eduze kwami kubalulekile. Qala ngokubonisana nodokotela wakho wokunakekela oyinhloko. Bangakudlulisela kuma-urologists kanye nama-oncologists asebenza ngomdlavuza wendlala yesinye. Ungasebenzisa futhi izinjini zokusesha eziku-inthanethi ukuze uthole ochwepheshe endaweni yangakini. Bheka odokotela abanolwazi olunzulu ekwelapheni umdlavuza wendlala yesinye kanye nokujwayelana namacala athuthukile abandakanya i-BNI. Hlola ukubuyekezwa okuku-inthanethi nezilinganiso ukuze uqoqe imininingwane kokuhlangenwe nakho kwezinye iziguli.

Cabangela ukufuna imibono yesibili ukuze uqinisekise ukuthi uthola ukunakekelwa okungcono kakhulu. Ochwepheshe abahlukene bangase babe nemibono eyahlukene kanye nezincomo zokwelashwa. Khumbula ukubuza imibuzo futhi ucacise noma yikuphi ukungabaza onakho mayelana nohlelo lwakho lokwelapha.

Ukucatshangelwa Okubalulekile

Ukukhetha kwe ukwelashwa kwesinye intamo invasion ukwelashwa komdlavuza wendlala yesinye ungumuntu ojulile. Kubalulekile ukuxoxa ngezinzuzo ezingaba khona, ubungozi, kanye nemiphumela engemihle yenketho ngayinye yokwelashwa nethimba lakho lezokwelapha. Bazocabangela isimo sakho esithile futhi bakusize unqume inkambo engcono kakhulu yokwenza. Lesi kufanele kube isinqumo sokuhlanganyela esisekelwe ezidingweni zakho ngabanye kanye nezintandokazi zakho.

Khumbula ukubamba iqhaza ngokugcwele ezinqumweni zakho zokunakekelwa kwezempilo. Buza imibuzo, funa ukucaciseleka, futhi ungangabazi ukufuna umbono wesibili. Ukuhlala unolwazi futhi ubambe iqhaza ohambweni lwakho lokwelashwa kungaba nomthelela omkhulu kumphumela omuhle. Ukuze uthole ulwazi olwengeziwe ngezinketho ezithuthukisiwe zokwelashwa komdlavuza wendlala yesinye, cabangela ukuvakashela i- I-Shandong Baofa Cancer Research Institute iwebhusayithi.