Ixabiso le-prostal yokuqala yomhlaza

Ukufumana unyango olufikelelekayo lomhlaza wokuqala

Eli nqaku libonelela ngolwazi olubanzi ekuhambeni kweendleko kunye nokukhethwa konyango lomhlaza kwangoko. Iphonononga iindlela ezahlukeneyo zonyango, izinto ezichaphazela iindleko, kunye nezixhobo zokukunceda wenze izigqibo ezizizo. Ukufumana ibhalansi efanelekileyo phakathi kokufikeleleka kunye nokhathalelo lomgangatho kubalulekile, kwaye esi sikhokelo sijolise ekukuncedeni kuloo nkqubo. Khumbula, ukuxilongwa kwangoko kungumba ophumeleleyo kunyango oluphucukileyo kunye neziphumo eziphuculweyo.

Ukuqonda uMhlaza woMhlaza

YINTONI UMhlaza woMhlaza?

I-prostal yomhlaza kwangoko ibhekisa kuMhlaza ongasasazinga ngaphaya kwe-prostate gland. Eli nqanaba, lihlala lifunyanwa ngokuhlolwa kwesiqhelo njengovavanyo lwe-PSA okanye uvavanyo lwedijithali (i-dre), ngokubanzi ibonelela ngeziphumo zonyango olungcono kunye nethuba eliphezulu lonyango oluphumeleleyo. Ngaphambili ukufunyanwa, kokukhona ukhetho olukhoyo luyafumaneka, kwaye rhoqo, ukuncipha okungaphezulu kunyango olufunekayo.

Isitayile kunye nokuhlelwa

I-prostate umhlaza ibandakanya ukumisela ubungakanani bomhlaza. Ukuhlelwa kugxilwe kwindlela iiseli zomhlaza zivele phantsi kwemakroskopu. Zombini ezi zinto zinefuthe kwizigqibo zonyango kunye ne-progunosis. Isitayile esichanekileyo kunye nokuhlelwa kubalulekile kucwangciso lonyango olusebenzayo.

Izinketho zoNyango zoMhlaza wokuqala

Ukuhlolwa okusebenzayo

Amanye amadoda anomhlaza ohamba kancinci, obeka emngciphekweni omkhulu, ophathwayo ephantsi, ekwabizwa ngokuba nokulinda okulindileyo) kunokuba yinto efanelekileyo. Oku kubandakanya ukubeka esweni rhoqo ngovavanyo lwe-PA kunye nee-biopsies ukulandelela inkqubela phambili yomhlaza ngaphandle kokungenelela kwangoko. Le ndlela isebenza ngexabiso kwaye inciphise iziphumo ezinokubakho zonyango olungeyomfuneko.

Utyando (i-Prostatectomy)

Ukususwa kokususwa kwe-prostate gland (i-Prostatectomy) lunyango oluqhelekileyo lomhlaza wokuqala onomhlaza. Iindlela ezahlukeneyo zoqhaqho zikho, kubandakanya i-rooccopic ye-rooscopic ye-prostatectopic (ralp) kwaye ivule i-prostatectomy. Ukhetho lwendlela luxhomekeke kwimiba eyahlukeneyo, kubandakanya ubungakanani kunye nendawo ye-tumar, kunye nobungcali botyando. Iindleko zinokwahluka kakhulu kuxhomekeka kuhlobo lotyando kunye nesibhedlele.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. I-radiation ye-radiation yebhiya yangaphandle (i-EBRT) ihanjiswa kumatshini ngaphandle komzimba, ngelixa i-brachytherapdE iquka ukubeka imbewu yerediyo ngqo ngqo kwi-prostate gland. Zombini iindlela ziyasebenza kumhlaza wokuqala onomhlali, kodwa iindleko ezinxulumene nenye inokuhluka ngokusekwe kwinani leeseshoni zonyango kunye netekhnoloji ethile esetyenzisiweyo.

Unyango lwehomoni

Unyango lweHormone, olubizwa ngokuba ngu-Androgen wokuThintelwa kwe-Androgen Fitrivation (i-ADT), isebenza ngokunciphisa amanqanaba eehomoni ezixhaphaza ukukhula komhlaza. Ihlala isetyenziswa ngokudibeneyo nolunye unyango okanye amatyala okuqhubela phambili. Ixabiso lonyango lwehomoni lixhomekeke kuhlobo lwamayeza asetyenzisiweyo kunye nexesha lonyango.

Izinto ezichaphazela iindleko zonyango

Ixabiso le Ixabiso eliphantsi lonyango lomhlaza ingahluka kakhulu kuxhomekeka kwizinto ezininzi:

Into	Impembelelo kwiindleko
Uhlobo lonyango	Utyando ngokubanzi lubiza kakhulu kunonyango lwe-radiation okanye iphononongo esebenzayo.
Isibhedlele okanye iklinikhi	Iindleko ziyahluka kakhulu kuxhomekeka kwindawo nohlobo lwendawo (yabucala vs).
I-Inshurensi yeinshurensi	Izicwangciso zeinshurensi ziyahluka ekukhunjweni kwabo kunyango lomhlaza.
Iinkonzo ezongezelelweyo	Iindleko zinokuchaphazeleka ziinkonzo ezongezelelweyo ezinje ngokubonisana, iimvavanyo zokuchonga, kunye nokhathalelo lonyango.

Ukufumana ukhathalelo olufikelelekayo

Izixhobo ezininzi zinokukunceda ufumane ifikeleleke Ixabiso le-prostal yokuqala yomhlaza:

Umnikezeli wakho weinshurensi: qhagamshelana nenkampani yakho ye-inshurensi ukuze uqonde ukugubungela kwakho kunye nokuphonononga iindlela zokunciphisa iindleko zepokotho.
Iinkqubo zoncedo lwezezimali: Izibhedlele kunye namaziko amabali anikezela ngeenkqubo zoncedo lwezezimali kwizigulana ezijongene nobunzima bemali. Jonga ezi nkqubo ukubona ukuba uyakufanelekela.
Ukuxoxisana nababoneleli bezempilo: Ungathandabuzi ukuba uthethathethane nezibhedlele okanye kwiikliniki malunga nezicwangciso zokuhlawula okanye izaphulelo.
Imibutho engenzi nzuzo: Imibutho emininzi engajonganga kwenza nzuzo ibonelela ngenkxaso kwizigulana zohlaza, kubandakanya noncedo lwezezimali. Yenza uphando Le mibutho ukubona ukuba ibonelela ngoncedo kwindawo yakho.

Khumbula ukuhlala unxibelelana nogqirha wakho ukuba aphuhlise isicwangciso sonyango esihambelana nemfuno yakho kunye nohlahlo-lwabiwo mali. Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kubalulekile kwiziphumo eziphumeleleyo kumhlaza womhlaza we-prostate.

Ngolwazi oluthe kratya malunga nolawulo lomhlaza kunye nenkxaso, jonga ukutyelela i IZiko loPhando lweShandong Baeo iwebhusayithi.

Iphepha elichazayo: Olu lwazi luyinjongo yemfundo kuphela kwaye alunangqondo. Soloko unxibelelana nengcali yezempilo ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.