isigaba sokwelashwa 3 ukwelashwa komdlavuza wendlala yesinye

Isigaba 3 Ukwelashwa Komdlavuza Wendlala Yesinye: Umhlahlandlela OpheleleLe ndatshana ihlinzeka ngemininingwane enemininingwane yezinketho zokwelapha umdlavuza wendlala yesinye, ehlanganisa izindlela ezahlukahlukene, imiphumela engemihle engaba khona, kanye nokucatshangelwa kokukhetha inkambo engcono kakhulu yokwenza. Igcizelela ukubaluleka kwezinhlelo zokwelashwa eziqondene nomuntu ezisekelwe ezintweni zesiguli ngasinye.

Isiteji sesi-3 Ukwelashwa Komdlavuza Wendlala Yesinye: Umhlahlandlela Ophelele

Isigaba sesi-3 somdlavuza wendlala yesinye sisho ukuthi umdlavuza usukhule wadlula i-prostate gland futhi kungenzeka ukuthi ususabalele ezicutshini eziseduze noma kuma-lymph nodes. Isebenza kahle isigaba sokwelashwa 3 ukwelashwa komdlavuza wendlala yesinye kudinga indlela ehlanganisa imikhakha eminingi, kucatshangelwa ngokucophelela impilo yesiguli iyonke, izici zomdlavuza, nezinto ezithandwa umuntu. Lo mhlahlandlela uhlola izindlela zokwelapha ezahlukahlukene, izinzuzo zazo, ubungozi, kanye nendlela yokuhamba kulolu hambo oluyinkimbinkimbi.

Ukuqonda isigaba sesi-3 somdlavuza wendlala yesinye

Ngaphambi kokungena ezinkethweni zokwelapha, kubalulekile ukuqonda imininingwane yesigaba sesi-3 somdlavuza wendlala yesinye. Lesi sigaba siphinde sihlukaniswe sibe ngu-3A no-3B, ngokusekelwe ezingeni lokusabalala komdlavuza. Isiteji esinembile sibalulekile ekunqumeni isu elifanele kakhulu lokwelapha. Ukuhlola okuphelele ngokuvamile kufaka ukuhlolwa kwe-digital rectal, i-biopsy, ukuhlolwa kwe-imaging (njenge-MRI ne-CT scan), kanye nokuhlolwa kwegazi kwe-PSA (i-prostate-specific antigen). I-oncologist yakho izochaza ukuxilongwa kwakho okuqondile kanye nesiteji ngokuningiliziwe.

Izinketho Zokwelapha Zesigaba 3 Somdlavuza Wendlala Yendlala Yendlala Yendlala Yesinye

Izinketho zokwelashwa eziningana ziyatholakala isigaba 3 sokwelashwa komdlavuza wendlala yesinye, evame ukusetshenziswa ngokuhlanganiswa. Indlela engcono kakhulu incike ezimweni zomuntu ngamunye futhi inqunywa ngokuxoxisana ngokucophelela nethimba lakho lezempilo.

Ukuhlinzwa: I-Radical Prostatectomy

I-Radical Prostatectomy ihilela ukukhishwa ngokuhlinzwa kwe-prostate gland kanye nezicubu ezizungezile. Lokhu ukuhlinzwa okukhulu okunemiphumela engemihle engaba khona, okuhlanganisa ukungakwazi ukuzibamba komchamo kanye nokungasebenzi kahle kwe-erectile. Izinga lempumelelo liyahlukahluka kuye ngomuntu kanye nesigaba somdlavuza. Ukululama ngemva kokuhlinzwa ngokuvamile kuhilela amasonto ambalwa wokululama.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ukwelashwa ngemisebe ye-beam yangaphandle kuvame ukusetshenziswa, ukuletha imisebe emshinini ongaphandle komzimba. I-Brachytherapy ihilela ukubeka imbewu ekhipha imisebe ngqo ku-prostate gland. Ukwelashwa ngemisebe kungabangela imiphumela engemihle njengokukhathala, isifo sohudo, nezinkinga zomchamo. Ubude nokuqina kokwelashwa kuyehluka kuye ngesimo somuntu.

I-Hormone Therapy (Androgen Deprivation Therapy - ADT)

Ukwelapha nge-hormone, noma i-ADT, ihlose ukwehlisa amazinga e-testosterone, amangqamuzana omdlavuza we-prostate adinga ukukhula. Lokhu kungafezwa ngemithi, njengemijovo ye-hormone noma amaphilisi. I-ADT ingaholela emiphumeleni engemihle efana nokushisa okushisayo, ukuncipha kwe-libido, ukukhuluphala, kanye ne-osteoporosis. Ivamise ukusetshenziswa ngokuhambisana nezinye izindlela zokwelapha, njengokuhlinzwa noma ngemisebe.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza kuwo wonke umzimba. Ngokuvamile kugcinelwe umdlavuza we-prostate othuthukisiwe noma we-metastatic wesigaba sesi-3 ongakaphenduli kwezinye izindlela zokwelapha. Ukwelashwa ngamakhemikhali kungabangela imiphumela engemihle ebalulekile, okuhlanganisa isicanucanu, ukuhlanza, ukulahlekelwa izinwele, nokukhathala.

Ukwelapha Okuhlosiwe

Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza, okunciphisa ukulimala kwamaseli anempilo. Le ndlela yokwelapha ilokhu ivela njalo, kunemithi emisha nemithi yokwelapha esakhiwa njalo. I-oncologist yakho ingaxoxa ngokufaneleka kokwelashwa okuhlosiwe kwesimo sakho esithile.

Ukukhetha Uhlelo Lokwelapha Olulungile

Ukukhetha elilungile isigaba sokwelashwa 3 ukwelashwa komdlavuza wendlala yesinye wuhlelo lokusebenzisana. Kuhilela ukucatshangelwa ngokucophelela kwezici ezihlukahlukene, okuhlanganisa isigaba nebanga lomdlavuza, impilo yakho iyonke, izinto ozikhethayo, kanye nemiphumela engemihle engaba khona yenketho ngayinye yokwelashwa. Ukuxhumana okuvulekile nethimba lakho lokunakekelwa kwezempilo, okuhlanganisa udokotela wakho womchamo, udokotela oncologist, kanye ne-radiation oncologist (uma ikhona), kubalulekile ekwenzeni izinqumo ezinolwazi.

Ukuphila Nomdlavuza Wendlala Yendlala Yesinye Isigaba 3

Ukuphatha umdlavuza we-prostate wesigaba sesi-3 kuvame ukubandakanya indlela enezici eziningi ehlanganisa ukwelashwa nokunakekelwa okusekelayo. Ukunakekelwa okusekelayo kuhloswe ukudambisa izimpawu, ukuthuthukisa izinga lempilo, nokuphatha imiphumela engemihle yokwelashwa. Lokhu kungase kuhlanganise ukwelashwa ngokomzimba, ukwelulekwa, kanye neziqondiso zokudla okunomsoco. Khumbula, awuwedwa kulolu hambo. Amaqembu okusekela kanye nezinsiza zinganikeza usizo olubalulekile olungokomzwelo nolungokoqobo.

Inothi elibalulekile:

Lolu lwazi ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ulwazi olunikezwe lapha lusekelwe olwazini lwezokwelapha olutholakalayo njengamanje futhi lungashintsha. Ngentuthuko yakamuva ku isigaba sokwelashwa 3 ukwelashwa komdlavuza wendlala yesinye, thintana nodokotela wakho noma ubhekisele kumawebhusayithi ezokwelapha ahloniphekile njengeNational Cancer Institute (https://www.cancer.gov/).

Ukuze uthole ulwazi olwengeziwe ngokunakekelwa komdlavuza okuthuthukisiwe kanye nezinketho zokwelapha, cabanga ukuthintana I-Shandong Baofa Cancer Research Institute ukuze kuboniswane.