Ukuqonda kunye nokunyanga umhlaza we-crustrm e-China

Esi sikhokelo sibanzi siphonononga umhlaza we-cribriform, isifo, iindlela zonyango ezifumanekayo eTshayina, kunye nokubaluleka kokufuna ingqalelo yexesha ngexesha elifanelekileyo. Siza kusebenza kwiinkcazo zalo mhlaza upreyitha onomhlaza, ukucacisa inkqubela phambili yamva nje kunyango kunye nokubonelela ngokuqonda okuxabisekileyo kwizigulana nakwiintsapho zabo.

Yintoni i-cribrifoform prostrider?

I-cribrifoform prostment Umhlaza yi-prostate ethile yomhlaza ovuthayo obonakaliswa yipateni yoyilo eyahlukeneyo phantsi kwemakroskopu. Iiseli zomhlaza fomu ye-gland-njengezakhiwo ezinembonakalo ye-cribrifoform, intsingiselo ye-wieve-njenge-on okanye i-on. Esi sixhobo soyilo sinokuphembelela ukuba nobukrakra kunye nokuqiniseka komhlaza, ukufunyanwa kwangoko kunye nolawulo olufanelekileyo. Ngelixa ihambisa izinto ezifanayo nabanye abatsalela umnxeba, ukuqonda iimpawu zayo ezikhethekileyo kubalulekile I-Chibriform Prostate yomhlaza.

Uxilongo lwe-cribrifoform prostate cancer e-china

Ukuchonga I-cribrifoform prostment umhlaza kubandakanya amanyathelo aliqela. Ngokwesiqhelo iqala ngovavanyo lwedijithali yedijithali (i-dre) kunye novavanyo lwe-antign (psa) yegazi. Ukuba ubungangamsha bufunyenwe, i-biopsy yenziwa ukuze ifumane iisampulu ze-tissue zoviwo lwe-microscopic ngugqirha we-pathoid. I-pathologist iya kuhlalutya i-tishu yokuqinisekisa ukuxilongwa kwaye ichonge i-Gleason amanqaku, enceda ekuvavanyeni uburharha bomhlaza. Iindlela zokucinga eziphambili, ezinjenge-MRI, zinokusetyenziselwa ukuvavanya ngakumbi ubungakanani bomhlaza.

Iinketho zoNyango lwe-Cribrifoform Prostate cancer eTshayina

Izinketho zonyango I-Chibrifoform ye-Chibriform Prostate Umhlaza Ukwahluka kuxhomekeke kwizinto ezininzi, kubandakanya nenqanaba lomhlaza, impilo epheleleyo yesigulana, kunye nezinto azithandayo. Iindlela eziqhelekileyo zonyango zibandakanya:

Utyando

Iprostatectomy ye-rasstatectomy, inkqubo yotyando yokususa i-prostate gland, kukhetho oluqhelekileyo lonyango lwe-pribriform yasekhaya. Uhlobo lotyando kunye nendlela yendlela inokwahluka ngokuxhomekeka kubungcali bukagqirha kunye neemfuno zomguli ngamnye. I-Robotic-incedisile i-Laparoscopic Prostatectomy yindlela yokuhlisela encinane kakhulu esetyenziswa ngakumbi.

Unyango lwe-radiation

I-radiation ye-radiation yebhiya yangaphandle (i-EBRT) kunye neBrachytherapy (i-radiation yangaphakathi yeMitha) zezinye iindlela zonyango ezifanelekileyo. I-EBRT ihambisa imitha yamandla aphezulu ukusuka ngaphandle komzimba, ngelixa i-brachytherapd iquka imbewu ebonakalayo ngqo kwi-prostate gland. Ukukhetha phakathi kwezi ndlela kuxhomekeke kwiinkcazo zetyala lesigulana kunye neengcebiso zeqela lezonyango.

Unyango lwehomoni

Unyango lwehomoni, olubizwa ngokuba ngu-Androgen wokuThintela (i-ADT), ijolise ekunciphiseni amanqanaba ee-androgens (iihomoni ezingamadoda) emzimbeni. Oku kunokucothisa okanye ukunqanda ukukhula kweeseli zomhlaza ezixhomekeke kwezihomoni. Ihlala isetyenziswa kumanqanaba aphezulu omhlaza ovuthuzayo okanye ngokudibeneyo nolunye unyango.

Chemotherapy

I-chemotherapy igcinelwe amanqanaba aphezulu omhlaza ovuthuzayo ongaphendulanga kolunye unyango. Kubandakanya ukusetyenziswa kwamachiza anamandla ukubulala iiseli zomhlaza kuwo wonke umzimba.

Unyango olujolise kunyango

Unyango olujolisiweyo luneentlobo ezintsha zonyango lomhlaza ezigxile kwiimolekyuli ezithile ezichaphazelekayo ekuhlululweni komhlaza. Ezi ntlalontle zinokusetyenziswa kumhlaza ophambili we-prostate ukujolisa ngqo kwiiseli zomhlaza, ukunciphisa iziphumo ebezingalindelekanga xa kuthelekiswa ne-chemotherapy yesiko.

Ukukhetha unyango olufanelekileyo: Indlela yokusebenzisana

Ukukhetha olona nyango lufanelekileyo I-cribrifoform prostment umhlaza Ifuna umzamo wokubambisana phakathi kwesigulana, ugqirha we-itrogist, ugqirha we-oncologist, kunye nabanye abaqeqeshi bezempilo. Ingxoxo ebanzi ngeendlela ezahlukeneyo zokukhetha, izibonelelo zabo kunye nengozi, kubalulekile ekwenzeni isigqibo esinolwazi.

Ukubaluleka kokufunyanwa kwangoko kunye nokhathalelo oluqhubekayo

Ukufunyanwa kwangoko komhlaza onomhlaza, kubandakanya nomhlaza we-pribriform prostrimote, kubalulekile ukuze uphuculwe kwiziphumo zonyango. Ukuhlolwa rhoqo, kubandakanya uvavanyo lwe-PA kunye nee-DRES, kuyacetyiswa ukuba abantu basemngciphekweni omkhulu. Inkathalo eqhubekayo kunye nokulandelwa kokulandelwa kubalulekile na emva konyango ukuze ifumane nayiphi na into ephindaphindiweyo okanye iingxaki.

Ukufumana inkxaso kunye nezixhobo eTshayina

Ukuhambahamba kwe-prostal yomhlaza kunokuba lucelomngeni. Amaqela enkxaso kunye nemibutho yenkxaso yesigulana inokubonelela ngenkxaso ebalulekileyo yemvakalelo, esebenzayo, neyolwazi. E China, izibonelelo ezininzi ziyafumaneka kwizigulana nakwiintsapho zabo ukubanceda bakwazi ukujongana neengxaki zeemvakalelo kunye nezomthetho zomhlaza onomhlaza. IZiko loPhando lweShandong Baeo liziko eliphambili ekuboneleleni ngononophelo olubanzi lomhlaza, kubandakanya nobungcali kunyango lomhlaza. Iwebhusayithi yabo ibonelela ngolwazi oluxabisekileyo kunye nezixhobo zokuba izigulana kunye neentsapho.

Iphepha elichazayo: Olu lwazi luyinjongo zemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yezempilo efanelekileyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.