
Lo mhlahlandlela ophelele uhlola umdlavuza wendlala yesinye i-Gleason 6, uhlobo lwesifo esisezingeni eliphansi. Sizofaka ukuxilongwa, izinketho zokwelashwa, nokuthi yini ongayilindela kuyo yonke inqubo, sikunikeze ulwazi oludingekayo ukuze wenze izinqumo ezinolwazi mayelana nodokotela wakho. ukwelashwa gleason 6 ukwelashwa komdlavuza wendlala yesinye.
Isikolo se-Gleason wuhlelo lokugreda olusetshenziselwa ukunquma ulaka lomdlavuza wendlala yesinye. Isekelwe ekubukeni kwamaseli omdlavuza ngaphansi kwesibonakhulu. Isikolo se-Gleason sika-6 (imvamisa engu-3+3) sithathwa njengesezingeni eliphansi, okusho ukuthi amangqamuzana omdlavuza abukeka ejwayelekile futhi akhula kancane. Kodwa-ke, kubalulekile ukukhumbula ukuthi ngisho nomdlavuza we-Gleason 6 we-prostate udinga ukuqapha nokuphathwa ngokucophelela. Lo mphumela awubikezeli ukuziphatha kwesikhathi esizayo ngokunemba okuphelele, futhi izici zesiguli ngasinye nezimpendulo zokwelashwa ziyahlukahluka.
Ukuxilongwa ngokuvamile kuhilela inhlanganisela yokuhlolwa, okuhlanganisa ukuhlolwa kwe-digital rectal (DRE), ukuhlolwa kwegazi le-prostate-specific antigen (PSA), kanye ne-biopsy. I-biopsy ibalulekile ekunqumeni isikolo se-Gleason kanye nezinga lokusabalala komdlavuza. Udokotela wakho uzoxoxa ngokugcwele ngemiphumela yalezi zivivinyo futhi achaze isimo sakho esithile.
Indlela yoku ukwelashwa gleason 6 ukwelashwa komdlavuza wendlala yesinye ngokuvamile kuxhomeke ezicini ezihlukahlukene, kuhlanganise neminyaka yesiguli, impilo yayo yonke, kanye nalokho umuntu akuthandayo. Izinketho ezimbalwa ziyatholakala, futhi udokotela wakho uzokusiza ukuthi unqume inkambo engcono kakhulu yesenzo sezimo zakho ngazinye.
Ukugada okusebenzayo kuhilela ukuqapha njalo umdlavuza ngokuhlolwa kwe-PSA kanye nezivivinyo ze-rectal ngaphandle kokwelashwa ngokushesha. Le ndlela ngokuvamile ifanele amadoda amadala anomdlavuza okhula kancane kanye nalabo abanokugula okubalulekile okungenza ukwelashwa okunolaka kube yingozi. Ukuhlolwa njalo kubalulekile ukuze kutholwe noma yiziphi izinguquko futhi ulungise uhlelo lokwelapha uma kunesidingo. Inhloso ukungenelela kuphela uma umdlavuza uqhubeka.
Ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ukwelashwa ngemisebe ye-beam yangaphandle kuyindlela evamile yomdlavuza wendlala yesinye i-Gleason 6, eletha imisebe engaphandle komzimba. Le ndlela inembile futhi ilokhu icwengisiswa ukuze iqondise amaseli omdlavuza kuyilapho ilondoloza izicubu ezinempilo. Ukuze uthole ulwazi olwengeziwe ngezinketho zokwelashwa, sicela uthintane nodokotela wakho.
I-prostatectomy ihilela ukukhipha ngokuhlinzwa i-prostate gland. Lena inqubo ehlasela kakhulu, futhi isikhathi sokululama singaba sibalulekile. Ngokuvamile kucatshangelwa iziguli lapho ukugada okusebenzayo kuthathwa njengokufanelekile futhi ezinye izinketho ezihlasela kancane zingafanelekile. Isinqumo sokuhlinzwa kufanele senziwe ngokubonisana ne-urologist eqeqeshiwe noma i-oncologist.
I-Hormone therapy, noma i-androgen deprivation therapy (ADT), isebenza ngokunciphisa amazinga e-testosterone, angabambezela ukukhula komdlavuza wendlala yesinye. Ngokuvamile isetshenziswa ezimeni lapho umdlavuza unamandla kakhulu noma ususabalele. Kodwa-ke, ukwelashwa ngamahomoni ngokuvamile akukona ukwelashwa kokuqala komdlavuza wendlala yesinye i-Gleason 6 ngenxa yemiphumela yako engemihle engaba khona. Ngokuvamile kugcinelwe izimo lapho umdlavuza ungasabela kakhulu kwezinye izindlela.
Ukukhetha okuhle kakhulu ukwelashwa gleason 6 ukwelashwa komdlavuza wendlala yesinye kuhilela umzamo wokubambisana phakathi kwakho nethimba lakho lezempilo. Ukuxhumana okuvulekile kubalulekile. Ungangabazi ukubuza imibuzo, ukuveza okukukhathazayo, futhi ufune imibono yesibili uma kudingeka. Ukuqonda izinketho zakho kukunika amandla ngokugcwele okwenza izinqumo ezinolwazi ezihambisana nezidingo nezimo zakho. Ukuze uthole ukunakekelwa komdlavuza okuphelele futhi okuqondene nomuntu uqobo, cabanga ukuxhumana ne- I-Shandong Baofa Cancer Research Institute ukuze uthole imininingwane eyengeziwe.
Kungakhathalekile ukuthi iyiphi indlela yokwelashwa ekhethiwe, ukuqokwa okujwayelekile kokulandelela kubalulekile ukuze kuqashwe impilo yakho futhi kutholwe noma yikuphi ukuphindeka okungaba khona noma izinkinga. Lawa ma-aphoyintimenti ngokuvamile ahlanganisa izivivinyo ze-PSA, izivivinyo ze-rectal, kanye nezifundo zokuthwebula okungenzeka. Udokotela wakho uzokunikeza isiqondiso esiqondile mayelana nemvamisa kanye nezinhlobo zokunakekelwa kokulandelela.
Ukuze uthole ulwazi olwengeziwe nokwesekwa, cabanga ukuhlola izinsiza ezivela ezinhlanganweni ezinedumela elihle njenge-American Cancer Society kanye ne-National Cancer Institute. Lezi zinhlangano zihlinzeka ngolwazi olubanzi ngomdlavuza wendlala yesinye, okuhlanganisa nezinketho zokwelapha, izivivinyo zokwelashwa, namaqembu okusekela.
| Inketho Yokwelapha | Izinzuzo | Ukubi |
|---|---|---|
| Ukugada Okusebenzayo | Igwema imiphumela emibi yokwelashwa; ukuhlasela kancane | Idinga ukuqapha ngokucophelela; ingase ibambezele ukwelashwa okudingekayo |
| Ukwelapha Ngemisebe | Ukuqondisa okunembe; ukuhlasela kancane kunokuhlinzwa | Imiphumela engemihle engaba khona njengezinkinga zokuchama nezithumbu |
| Ukuhlinzwa (Prostatectomy) | Okunamandla okwelapha; kususa izicubu ezinomdlavuza | Inqubo yokuhlasela; isikhathi eside sokuphumula; okungaba nemiphumela engemihle |
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma omunye umhlinzeki wezempilo oqeqeshiwe nganoma imiphi imibuzo ongase ube nayo mayelana nesimo sezempilo.
eceleni>