Ukuqonda iindleko ze-PI-rads 4 prostate unyango

Esi sikhokelo sinika isishwankathelo esibanzi seendleko ezinxulumene nokunyanga umhlaza we-prostate ofunyanisiweyo ofunyaniswa nge-pi-rads 4 amanqaku. Siphanda ngeendlela ezahlukeneyo zonyango, ukuphembelela izinto eziphathekayo kumaxabiso, kunye nezixhobo zokukunceda ukuba uhambe ngolu mhlaba unzima wezezimali. Ukuqonda iindleko ezinokubakho kubalulekile ekucwangcisweni nasekuthatheni izigqibo ezinolwazi malunga nokhathalelo lwempilo yakho.

Yintoni i-pi-rads 4 kunye neziphumo zazo?

I-pi-rads (i-Prostate Ingxelo yokunika ingxelo kunye nenkqubo yedatha) inqaku le-4 libonisa ukrokrela okuphakathi kwe-prostate ye-prostate esekwe kwimbonakalo ye-MRI. Oku akuthethi ukuba une-cawring, kodwa iqhubela phambili. Amanyathelo alandelayo adla ngokubandakanya i-biopsy ukuqinisekisa ukuxilongo kwaye ichonge ubundlongondlongo bomhlaza. Ixabiso le-MRI yokuqala kunye ne-biosy elandelayo iya kuba yindleko zakho zokuqala. Iindleko ziyahluka ngokuxhomekeke kwi-inshurensi yakho yokugubungela kunye nendawo ethile.

Iinketho zoNyango lwe-PI-rads 4 prostate Umhlaza

Izinketho zonyango I-PI-rads 4 prostate Umhlaza Kuxhomekeka kakhulu kwizinto ezinjengeminyaka yakho, impilo epheleleyo, ubundlobongela bomhlaza (i-gleason), kunye nezinto ozithandayo. Unyango oluqhelekileyo lubandakanya:

Ukuhlolwa okusebenzayo

Ngomhlaza ophantsi komngcipheko, ukuphononongwa okusebenzayo kubandakanya ukubek'esweni okusondeleyo ngokujonga rhoqo, kubandakanya uvavanyo lwe-PA kunye ne-biopsies, ukufumana naluphi na utshintsho okanye ukuqhubela phambili. Le ndlela ivumela unyango kwangoko kodwa lufuna ukulandela rhoqo, ukuvula iindleko eziqhubekayo. Ixabiso lokuphatha ngokubonakalayo lingaphantsi kolunye unyango kwixesha elifutshane kodwa inokubandakanya iindleko eziqhubekayo ngaphezulu kweminyaka eliqela.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Oku kunokuba yi-radiation ye-radiation yangaphandle (i-EBRT) okanye i-brachytherapy (imitha yangaphakathi). Ixabiso lokunyanga kwe-radiation iyahluka ngokuxhomekeke kuhlobo, inani leeseshoni, kunye neziko. Iindleko zinokuhluka kakhulu, ziphenjelelwa zizinto ezifana nohlobo lwemitha elisetyenzisiweyo kunye nexesha lonyango. Kuya kufuneka ubuze ngqo nomnikezeli wakho wezempilo ukuze uqikelele ngokuchanekileyo.

Utyando (i-Prostatectomy)

Ukususwa kokususwa kwe-prostate gland yenye indlela eqhelekileyo. Iindleko zotyando zibandakanya le nkqubo ngokwayo, ukulala esibhedlele, i-anesthesia, kunye nokhathalelo lwentsebenzo. Ngokwesiqhelo le nto iphambili kunyango lwexabiso eliphezulu. Iinkcukacha zendleko ziya kumiselwa ngugqirha wotyando kunye nesibhedlele. Inokubakho kwiingxaki, njengokungakhathali kunye nokungasebenzi kakuhle kwe-erectile, kufuneka kuthathelwe ingqalelo.

Unyango lwehomoni

Unyango lwe-hormone lujolise ekucothweni okanye lokumisa ukukhula komhlaza ovuthuzayo ngokunciphisa amanqanaba e-testosterone. Oku kunokusetyenziswa bodwa okanye ngokudibeneyo nolunye unyango. Ixabiso lonyango lwehomoni lixhomekeke kuhlobo lwamayeza amiselweyo kunye nexesha lonyango. Ezi ndleko zinokubaluleka, ngakumbi xa kufuneka amayeza ixesha elide.

Izinto ezithambekele kwixabiso le I-PI-rads 4 prostate Umhlaza Unyango

Izinto ezininzi zinegalelo kwiindleko ezikhoyo zokunyanga I-PI-rads 4 prostate Umhlaza:

Ukufumana uncedo lwezezimali kunyango lomhlaza

Ukuhambahamba kwimicimbi yezemali yonyango lomhlaza kunokuba lucelomngeni. Imibutho emininzi inikezela ngeenkqubo zoncedo lwezezimali ukunceda abaguli bahlangabezana neendleko eziphezulu zononophelo. Ukukhangela ukhetho olufana nezibonelelo, iiprofuding ezihlanganisiweyo, kunye nomonde zibalulekile. Umboneleli wakho wezempilo okanye unontlalontle unokukunceda ukuba uchonge izixhobo ezifanelekileyo kwindawo yakho.

Khumbula, ulwazi olunikezwe apha kukolwazi ngokubanzi kwaye akufuneki luthathelwe ingqalelo uqeqesho kwezonyango. Kubalulekile ukubonisana neqela lakho lezempilo ukuxoxa ngemeko yakho ethile, ukhetho lonyango olufumanekayo, kunye neendleko ezinxulumene noko.

Ngolwazi oluthe kratya ngonyango oluPhambili lomhlaza oPhezulu noPhando, jonga ukutyelelwa IZiko loPhando lweShandong Baeo.

Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye alunangqondo. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.