ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye

Ukwelashwa kwe-Gleason 7 Prostate Cancer

Umdlavuza wendlala yesinye i-Gleason 7 uwuhlobo lwalesi sifo olunolaka olumaphakathi, oludinga ukucatshangelwa ngokucophelela kwezinketho zokwelapha. Lo mhlahlandlela ophelele uhlola okuhlukahlukene ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye izindlela, ezikusiza ukuthi uqonde izinketho ezitholakalayo futhi wenze izinqumo ezinolwazi ngokubonisana nomhlinzeki wakho wokunakekelwa kwezempilo. Sizofaka izindlela zokwelashwa ezihlukene, ukusebenza kahle kwazo, imiphumela engemihle engaba khona, nezici ezithonya ukukhethwa kokwelashwa. Khumbula, lolu lwazi ngelezinjongo zokufundisa futhi akufanele luthathe indawo yeseluleko sezokwelapha esichwepheshile.

Ukuqonda i-Gleason 7 Umdlavuza Wendlala Yesinye

Yini i-Gleason Score?

Isikolo se-Gleason wuhlelo lokugreda olusetshenziselwa ukunquma ulaka lomdlavuza wendlala yesinye. Isekelwe ekubukekeni kwe-microscopic yamaseli wesimila. Amaphuzu we-Gleason angu-7 akhombisa umdlavuza wendlala yesinye onobungozi obumaphakathi. Lokhu kusho ukuthi inolaka kakhulu kunamaphuzu e-Gleason aphansi kodwa ayinamandla kuneyaphezulu. I-Gleason 7 iphinde ihlukaniswe yaba amaphethini angu-3+4 kanye no-4+3, kanti u-3+4 uthathwa njengonolaka kancane.

Izici Ezithonya Izinqumo Zokwelashwa

Kunezici eziningana ezithonya ukukhetha kwe ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye, okuhlanganisa iminyaka yakho, impilo iyonke, isigaba somdlavuza, nezinto ozikhethayo. Udokotela wakho uzocabangela lezi zici, kanye nesikolo se-Gleason, ukuze akhe uhlelo lokwelapha lomuntu siqu. Ukucatshangelwa okwengeziwe kungase kuhlanganise ukuba khona kwezinye izimo zezempilo nomlando womndeni. I-Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) inikeza ukubonisana okuphelele ukuze ikuqondise kule nqubo.

Izinketho Zokwelapha I-Gleason 7 Umdlavuza Wendlala Yesinye

Ukugada Okusebenzayo

Kwamanye amadoda anomdlavuza wendlala yesinye i-Gleason 7, ukugadwa okusebenzayo (okubizwa nangokuthi ukulinda okulindile) kungaba inketho efanelekile. Lokhu kuhilela ukuqapha njalo umdlavuza ngokuhlolwa kwe-PSA nama-biopsies ukuze kutholwe noma yiziphi izinguquko noma ukuqhubeka. Ukugada okusebenzayo ngokuvamile kucatshangelwa amadoda anesifo esisengozini encane, futhi kuvumela ukubambezeleka noma ukugwema ukwelashwa okunolaka kuze kudingeke.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ngoba ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye, ingalethwa ngaphandle (i-external beam radiation therapy) noma ngaphakathi (i-brachytherapy). Ukwelashwa ngemisebe yangaphandle kuvame ukulethwa ngezikhathi eziningi emasontweni ambalwa, kuyilapho i-brachytherapy ihilela ukutshala imbewu ekhipha imisebe ngokuqondile endlaleni yendlala. Imiphumela engemihle engaba khona ingase ihlanganise ukukhathala, izinkinga zomchamo, nezinkinga zamathumbu.

Ukuhlinzwa (Prostatectomy)

I-prostatectomy ihilela ukukhishwa ngokuhlinzwa kwe-prostate gland. Le nqubo iyindlela evamile yokwelapha umdlavuza wendlala yesinye, kuhlanganise ne-Gleason 7. Uhlobo lwe-prostatectomy olwenziwa luncike ezingeni lomdlavuza nezinye izici zomuntu ngamunye. I-laparoscopic prostatectomy esizwa ngerobhothi iyindlela yokuhlinza ehlasela kancane, evame ukuholela ezikhathini zokululama ngokushesha kanye nezinkinga ezimbalwa. Imiphumela engemihle engaba khona ingase ihlanganise ukungakwazi ukuzibamba komchamo kanye nokungasebenzi kahle kwe-erectile.

Ukwelashwa Kwamahomoni

I-hormone therapy, ebizwa nangokuthi i-androgen deprivation therapy, ihlose ukunciphisa ukukhiqizwa kwe-testosterone, ihomoni eyenza ukukhula kwamangqamuzana omdlavuza wendlala yesinye. Ivamise ukusetshenziswa ngokuhambisana nezinye izindlela zokwelapha, njengokwelashwa ngemisebe noma ukuhlinzwa, noma njengendlela yokwelapha yomdlavuza wendlala yesinye othuthukile. Imiphumela engemihle ingabandakanya ukushisa okushisayo, ukuncipha kwe-libido, ukukhuluphala, kanye ne-osteoporosis.

Ukukhetha Ukwelashwa Okulungile

Ukukhetha okuhle kakhulu ukwelashwa gleason 7 ukwelashwa komdlavuza wendlala yesinye kuyinqubo eyenziwe ngezifiso kakhulu. Kubalulekile ukuba nezingxoxo ezivulekile nezithembekile nodokotela wakho womchamo noma i-oncologist ukuze uqonde ngokugcwele izinketho zakho kanye nezinzuzo ezingaba khona kanye nezingozi. Cabangela ukufuna umbono wesibili ukuze uqinisekise ukuthi wenza isinqumo esinolwazi kakhulu ngokusekelwe ezimeni zakho ezihlukile. Ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuthi uzulazule kule nqubo eyinkimbinkimbi yokwenza izinqumo.

Ukulandelela Nokuphatha Kwesikhathi Eside

Kungakhathalekile ukuthi iyiphi indlela yokwelapha ekhethiwe, ukuqokwa okujwayelekile kokulandelela kubalulekile ukuze uqaphe impilo yakho futhi uthole noma yikuphi ukuphindeka komdlavuza. Lokhu kubandakanya ukuhlolwa kwe-PSA kanye nezinye izifundo ezingase zibe khona zezithombe. Ukuphatha isikhathi eside kungase kuhlanganise ukwelashwa kwama-hormone okuqhubekayo noma ezinye izindlela zokwelapha njengoba kudingeka.

Umshwana wokuzihlangula:

Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.