ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye eduze kwami

Izinketho Zokwelapha I-Gleason 7 Umdlavuza Wendlala Yesinye Eduze Kwakho

Ukuthola ilungelo ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye eduze kwami kungaba nzima. Lo mhlahlandlela ophelele uhlinzeka ngolwazi ngezindlela ezahlukene zokwelapha umdlavuza wendlala yesinye i-Gleason 7, okusiza ukuthi wenze izinqumo ezinolwazi ngokusekelwe ezimeni zakho ngazinye. Sizohlola izinketho ezahlukene, sixoxe ngemiphumela engemihle engaba khona, futhi sikuqondise ekutholeni abahlinzeki bezempilo abahloniphekile endaweni yangakini. Khumbula, lolu lwazi ngelezinjongo zokufundisa futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nodokotela wakho ukuze uthole inkambo engcono kakhulu yesenzo secala lakho elithile.

Ukuqonda i-Gleason 7 Umdlavuza Wendlala Yesinye

Yini i-Gleason Score?

Isikolo se-Gleason wuhlelo lokugreda olusetshenziselwa ukuhlola ulaka lomdlavuza wendlala yesinye. Amaphuzu we-Gleason angu-7 abonisa umdlavuza wendlala yesinye osengozini emaphakathi, okusho ukuthi inolaka kakhulu kunamaphuzu aphansi kodwa anolaka kunamaphuzu aphezulu. Uhlobo oluncane lwangempela lwe-Gleason 7 (isb., 3+4 noma 4+3) luthinta kakhulu izincomo zokwelashwa. Udokotela wakho uzochaza isikolo sakho se-Gleason kanye nemithelela yayo.

Izici Ezithonya Izinqumo Zokwelashwa

Okungcono kakhulu ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye eduze kwami kuncike ezicini eziningana, okuhlanganisa iminyaka yakho, impilo yonke, isigaba somdlavuza, kanye nezinto ozikhethayo. I-oncologist yakho izocabangela lezi zici lapho wenza uhlelo lokwelapha lomuntu siqu. Lezi zici zingase zihlanganise ukuba khona kwezinye izimo zezempilo, ukubekezelela imiphumela engemihle engaba khona, kanye neminyaka yokuphila.

Izinketho Zokwelapha I-Gleason 7 Umdlavuza Wendlala Yesinye

Ukugada Okusebenzayo

Kwamanye amadoda anomdlavuza wendlala yesinye i-Gleason 7, ukubhekwa okusebenzayo kuyindlela esebenzayo. Lokhu kuhilela ukuqapha ngokucophelela umdlavuza ngokuhlola njalo nokuhlolwa ngaphandle kokwelashwa ngokushesha. Le ndlela ifanele abantu abanomdlavuza okhula kancane kanye neminyaka yokuphila isikhathi eside. Ukuhlolwa okuvamile kwe-PSA kanye nama-biopsies kuyizingxenye ezibalulekile zokubhekwa okusebenzayo.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingalethwa ngaphandle (i-external beam radiation therapy) noma ngaphakathi (brachytherapy). Ukwelashwa ngemisebe ye-beam yangaphandle kuvame ukulawulwa ngezikhathi eziningi emavikini ambalwa. I-Brachytherapy ihilela ukufaka imbewu ekhipha imisebe ngqo ku-prostate. Ukukhetha phakathi kwe-beam yangaphandle kanye ne-brachytherapy kuncike ezicini eziningana, okuhlanganisa usayizi wesimila nendawo. Imiphumela engemihle ingase ihlanganise izinkinga zomchamo nezamathumbu.

Ukuhlinzwa (Prostatectomy)

I-prostatectomy yindlela yokuhlinzwa yokukhipha indlala yendlala yesinye. I-Radical prostatectomy ihlose ukususa yonke indlala yendlala yesinye, kuyilapho i-nerve-sparing prostatectomy izama ukulondoloza ukusebenza kwezinzwa ukuze kuncishiswe ukungasebenzi kahle kwe-erectile okungaba khona. Lena inqubo enkulu yokuhlinzwa enemiphumela engemihle efana nokungakwazi ukuzithiba komchamo kanye nokungasebenzi kahle kwe-erectile, nakuba lokhu kuvame ukuba ngokwesikhashana.

Ukwelashwa Kwamahomoni

Ukwelapha nge-hormone, okubuye kwaziwe ngokuthi i-androgen deprivation therapy (ADT), ihlose ukunciphisa noma ukuvimba ukukhiqizwa kwe-testosterone, ebhebhezela ukukhula komdlavuza wendlala yesinye. Lokhu kwelashwa kungasetshenziswa yedwa noma ngokuhambisana nezinye izindlela zokwelapha ezifana nokwelashwa ngemisebe noma ukuhlinzwa. Ngokuvamile kuhilela imithi noma imijovo yokunciphisa amazinga e-testosterone. Imiphumela engemihle ingase ihlanganise ukukhanya okushisayo, ukukhathala, ukuncipha kwe-libido, nokuzuza kwesisindo.

Ukuthola Uchwepheshe Eduze Kwawe

Ukuthola i-oncologist enolwazi ekwelapheni umdlavuza wendlala yesinye kubalulekile. Izinjini zokusesha eziku-inthanethi zingakusiza ukuthi uthole ochwepheshe endaweni yangakini. Ungase futhi ufune ukufuna izincomo kudokotela wakho wokunakekelwa okuyinhloko noma abanye ochwepheshe bezempilo. Cabangela izici ezifana nesipiliyoni, ukubuyekezwa kwesiguli, nezinsiza zesibhedlela nobuchwepheshe lapho ukhetha umhlinzeki.

Ukuze uthole ukunakekelwa okuphelele komdlavuza kanye nezinketho zokwelapha ezithuthukisiwe, cabanga ukuthintana ne- I-Shandong Baofa Cancer Research Institute. Bahlinzeka ngezinsiza eziningi zokweseka iziguli kulo lonke uhambo lwazo lomdlavuza.

Ukucatshangelwa Okubalulekile

Lolu lwazi ololwazi olujwayelekile kuphela futhi aluthathi indawo yeseluleko sezokwelapha esichwepheshile. Hlala uthintana nodokotela wakho ukuze nixoxe ngezimo zakho ngazinye futhi nithuthukise uhlelo lokwelapha olufanelana nawe. Kubalulekile ukuqonda ubungozi nezinzuzo zenketho ngayinye yokwelashwa ngaphambi kokwenza isinqumo. Ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile.

Izithenjwa

(Qaphela: Lesi sigaba sizobandakanya izixhumanisi zamajenali ezokwelapha afanelekile, izinhlangano ezifana ne-American Cancer Society, neminye imithombo ehloniphekile ukusekela ulwazi olwethulwa esihlokweni.)