Ixabiso eliphantsi lolwandiso lomhlaza onomhlaza okwisiseko sokukhetha unyango Ixabiso eliphantsi lolwandiso lomhlazaEli nqaku libonisa iindlela zonyango zomhlaza onomhlaza kunye nolwandiso olungaphezulu, olujonga ukusebenza ngendleko ecaleni kokusebenza kakuhle. Siza kuhlolisisa ukhetho lonyango, unyango lwe-radiation, unyango lwe-hormonal, unyango oluvelayo, ukubonelela ngesishwankathelo esibanzi sokunceda ekwenzeni izigqibo. Khumbula, olu lwazi luyinjongo yemfundo kwaye akufuneki lube nokubonisana nomsebenzi we-oncologist ofanelekileyo. Izicwangciso zonyango ezixhomekeke kakhulu kwiimpawu ezithile zomhlaza, impilo ngokubanzi, kunye nezinto azithandayo.
Ukhetho loNyango
I-rastrical prostatectomy
Iprostatectomy ye-radical ibandakanya ukususwa kwetyala le-prostate gland. Ngelixa isebenza, luphawu olukhulu olunokubakho. Iindleko zinokwahluka kakhulu kwisibhedlele kunye nemirhumo yogqirha, kunye neemfuno zokugcina imali emva kwexesha. Abanye abaguli, oku kunokuba yeyona nto isebenzayo, i-ixesha elide
Ixabiso eliphantsi lolwandiso lomhlaza, Nokuba iza neendleko zokuqala. Iindleko zexesha elide ezinxulumene nolu nyango zihlala ziphantsi kune-hormonial eqhubekayo okanye i-radiation parapy.
I-Crisosurgery
I-Crisosurgery, okanye i-Criyotherapy, i-freezes kwaye itshabalalise iiseli zomhlaza. Yinkqubo engahlaseli incinci kune-prostatectomy ye-prostatectomy, ihlala iguqulela kwiindleko ezisezantsi. Nangona kunjalo, ukusebenza kwayo kunokuba kuncinci xa kuthelekiswa noqhaqho kwezinye iimeko zokwandiswa kwesandiso.
Unyango lwe-radiation
I-radiation ye-radiation ye-Biam yangaphandle (i-EBRT)
I-EBRT isebenzisa imitha yemitha ephezulu yokujolisa kwaye itshabalalise iiseli zomhlaza. Kukhetho oluncinci oluhlaselayo xa kuthelekiswa nonyango kwaye kunokuba neendleko ngakumbi kwiimeko ezithile. Iindleko ziya kuxhomekeka kwinani leeseshoni ezifunekayo kunye naluphi na unyango olongezelelweyo, njenge-brachytherapy. Uqikelelo lweendleko oluchanekileyo lufuna ukubonisana nge-oncologist yemitha.
I-Brachytherapy
I-Brachytherapy ibandakanya ukubeka imbewu yerediyo ngqo kwi-prostate. Ngelixa kunokwenzeka ukuba sichaneke ngakumbi kune-EBRT, iindleko zokuqala zinokuphezulu, kwaye ayinakulunga kuzo zonke iimeko zolwandiso longezelelweyo. Ukusebenza kwexesha elide ngempumelelo kufuneka kunikelwe ngononophelo ngenxa yezinye iindlela.
Unyango lweHormonal
Unyango lweHormonal lujolise ekunciphiseni amanqanaba e-testosterone, onokucothisa okanye uyeke ukukhula kweeseli zomhlaza. Ihlala isetyenziswa ngokudibeneyo kunye nolunye unyango, ezinje ngemitha okanye utyando, kwaye inokuthathwa njengenye
Ixabiso eliphantsi lolwandiso lomhlaza Inketho kwezinye iimeko, ngakumbi ukuba zidityanisiwe ngereyithi yexabiso elisebenzayo. Iindleko zexesha elide ziya kwahluka ngokusekwe kubude bonyango kunye nonyango oluthile.
Unyango oluhlumayo
Uphando luyaqhubeka nokuvelisa iindlela ezintsha kunye nezinobuchule bokuqinisekisa unyango lomhlaza. Oku kunokubandakanya ubuchwephesha bokucinga okuphezulu kokujolisa kwi-radiation, inoveli yeziyoveli egxile kuguquko oluthile lwendalo, kunye nokuhamba kwengqondo echanekileyo enzelwe ukukhulisa amajoni omzimba omzimba. Ngelixa ezi zinokunika amandla amakhulu, zihlala zibiza kwaye azikho ngokubanzi.
Ukuqwalaselwa kweendleko kunye nokufumana unyango olufikelelekayo
Ixabiso le
Ixabiso eliphantsi lolwandiso lomhlaza inokuba yinkxalabo ebalulekileyo. Izinto ezininzi ziyaphembelela inkcitho ziyonke, kubandakanya uhlobo lonyango, indawo ebonelela ngononophelo, kunye nobungakanani bonakukhathalelo oluyindlela olucetywayo olufunekayo. Izinketho ezinje ngovavanyo lweklinikhi okanye ukufuna ukhathalelo kumaziko awodwa anokubonelela ngeenkqubo zoncedo lwezemali okanye iindleko ezincitshisiweyo. Kubalulekile ukuxoxa ngeendlela ezingafunwa ngekopi yenkqubo yezempilo kunye nokuphononongwa kwezixhobo ezikhoyo, ezinje ngeenkqubo zoncedo ezinikwa ziinkampani zamayeza.
Ukukhetha unyango olufanelekileyo
Indlela efanelekileyo yonyango lwe-prostate yolwandiso lwe-prostate prostate ixhomekeke kwizinto ezininzi, kubandakanya impilo epheleleyo yesigulana, inqanaba kunye nenqanaba lomhlaza, kunye nezinto azithandayo. Iqela elininzi, kubandakanya i-Urogist, i-oncologist yemitha, kunye nogqirha we-ofisi yezonyango, kufuneka babandakanyeke ekudaleni isicwangciso sonyango.
Uhlobo lonyango | Izibonelelo ezinokubakho | Izinto ezinokwenzeka |
I-rastrical prostatectomy | Inokwenzeka | Utyando olukhulu, iingxaki ezinokubakho |
Unyango lwe-radiation phanya (i-EBRT kunye neBrachytherapy) | Ihlaselwe kancinci kunotyando | Iziphumo ezinokubakho, zisenokungabi nakuphika kuzo zonke iimeko |
Unyango lweHormonal | Inokucothisa okanye iyeke ukukhula komhlaza | Iziphumo ebezingalindelekanga, hayi curative |
Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye akufuneki luthathelwe ingqalelo kwingcebiso yezamayeza. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango. Ixabiso lonyango lingahluka ngokuxhomekeka kwindawo kunye nezinye izinto.
Funda ngakumbi malunga noKhathalelo oluBanzi oluGuhlaza lomhlaza kwi-Shandong BaeoR Institute.IZiko leSizwe lomhlaza (NCI)