Inqanaba le-3 lokunyanga umhlaza: Inqaku elibanzi le-Guithis libonelela ngesishwankathelo esibanzi sezinto ezi-3 zomhlaza, ukugubungela isifo, kunye neziphumo ezinokubakho. Igxininisa ukubaluleka kwezicwangciso zonyango ezijolise kwizinto zomguli ngamnye kwaye zinikezela ngesikhokelo ekuhambeni kolu hambo luntsonkothileyo.

Inqanaba le-3 lokunyanga umhlaza: Isikhokelo esibanzi

Inqanaba 3 Umhlaza womhlaza iphawulwa ngeeseli zomhlaza ezikhule ngaphaya kwe-Grostate Gland kwaye zisenokuba zasasazeka kwizicubu ezikufutshane okanye ezi-lymph node. Unyango lweli nqanaba lubalulekile kwaye lubandakanya indlela yemibuzo emininzi, idla ngokudibanisa unyango oluninzi ukwandisa ukusebenza kunye nokunciphisa iziphumo ebezingalindelekanga. Ukuqonda iindlela ezahlukeneyo zokhetho ezikhoyo kubalulekile kwizigulana nakwiintsapho zabo.

Inqanaba lokuqonda 3 Prostate Umhlaza

Isifo esichanekileyo silinyathelo lokuqala. Oku kubandakanya uvavanyo lwedijithali ledijithali (i-dre), i-antign ye-antign (PSA) yegazi, kunye ne-biopsy yokuqinisekisa ubukho kunye nenqanaba lomhlaza. Isitali sinceda ukumisela ubungakanani bomhlaza osasazwayo, ukuphembelela izigqibo zonyango. Inkqubo ye-TNM isetyenziswa, apho kubhekiswa kubungakanani be-tumoor kunye nendawo, n ibhekisa kwi-Lymph Node ukubandakanyeka kwe-Lymph node, kwaye m ibhekisele kwi-metastasis ekude. Inqanaba 3 Umhlaza womhlaza ibonisa ukuba umhlaza usasaze ngaphaya kwe-prostate gland kodwa hayi kwizitho ezikude.

Izinto ezichaphazela izigqibo zonyango

UKUNYANGELWA KWESIXEKO 3 Umhlaza womhlaza Imntu ngamnye kwaye ixhomekeke kwimiba eyahlukeneyo, kubandakanya:

• Impilo epheleleyo yesigulana kunye nobudala
• Ibakala lomhlaza (inobundlongondlongo kangakanani)
• Ubungakanani bokusasazeka (inqanaba le-TNM)
• Ukukhetha isigulana kunye neenqobo zokuziphatha

Izinketho zoNyango lweSigaba se-3 QAPHELA

Iindlela ezahlukeneyo zonyango ziyafumaneka kwiSigaba 3 Umhlaza womhlaza, ihlala isetyenziswa ngokudibeneyo:

I-1. Utyando (fricaracy prostatectom)

Iprostatectomy ye-radical ibandakanya ukususwa kwe-prostate ye-prostate gland kunye nezicubu ezijikelezileyo. Olu luphawu oluphambili oluneziphumo ebezingalindelekanga, kubandakanya neziphumo ze-charimary kunye nokungasebenzi kakuhle kwe-erectile. Ireyithi yempumelelo ixhomekeke kwizinto ezifana nenqanaba kunye nenqanaba lomhlaza.

I-2. Unyango lwe-radiation

Unyango lwe-radiation radi lusebenzisa imiqadi enamandla enamandla ukubulala iiseli zomhlaza. I-radiation ye-radiation yebhiya yangaphandle (i-EBRT) yindlela eqhelekileyo, ehambisa imitha ukusuka ngaphandle komzimba. I-Brachytherapy, ebandakanya ukubeka imbewu yerediyo ngqo kwi-Prostate, yenye inketho. Iziphumo ebezingalindelekanga zinokubandakanya iingxaki zokuchama kunye neqhina, ukudinwa, kunye nokucaphuka kolusu.

I-3. Unyango lwe-hormone (i-Androgen Drivation Unyango-I-ADT)

Unyango lweHormone lujolise ekunciphiseni amanqanaba e-testosterone, ucothe okanye uchithe ukukhula kweeseli zomhlaza ezixhomekeke kwi-testosterone yokukhula. Oku kunokufezekiswa ngamayeza okanye ngoqhaqho (Oorhectomy). Iziphumo ebezingalindelekanga zinokubandakanya ukukhanya okushushu, ukufumana ubunzima, ukuncipha kwe-libido kunye ne-osteoporosis.

I-4. Chemotherapy

I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ihlala igcinelwe iimeko eziphambili ze Umhlaza womhlaza Okanye xa ezinye izinto zonyango ziyasilela. Iziphumo ebezingalindelekanga zixhaphakile kwaye zinokubaluleka.

5. Unyango olujolisiweyo

Unyango olujolise kunyango lusebenzisa iziyobisi ezijolise ngqo kwiiseli zomhlaza, ukunciphisa umonakalo kwiiseli ezisempilweni. Olu nyango luya luhlala lubalulekile ngaphakathi Umhlaza womhlaza Ulawulo, lihlala lisetyenziswa ngokudibeneyo kunye nolunye unyango.

I-6. Ukuhlolwa okusebenzayo

Kwabanye abantu abanenqanaba lokukhula okucothayo 3 Umhlaza womhlaza, ukuphononongwa okusebenzayo kunokuba yinketho. Oku kubandakanya ukubeka esweni ngokusondeleyo inkqubela phambili yomhlaza ngaphandle konyango kwangoko. Uvavanyo lwe-PSA rhoqo, ii-biossies, kunye nokucinga ukuba isetyenziselwa ukulandelela isifo kwaye uqalise unyango ukuba kukho imfuneko.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukukhetha esona sicwangciso sonyango sifuna ukuqwalaselwa ngenyameko kwizinto ezizodwa kunye nengxoxo eqinisekileyo kunye ne-Urogist kunye ne-oncologist. Indlela yeqela elininzi lihlala lelona ndlela isebenzayo yokulawula inqanaba 3 Umhlaza womhlaza.

Ukulawula iziphumo ebezingalindelekanga

Unyango oluninzi lwe Umhlaza womhlaza inokuba neziphumo ebezingalindelekanga. Kubalulekile ukuba uxoxe ngezi zinto neqela lakho lezempilo kwaye uphuhlise izicwangciso zokulawula. Amaqela enkxaso kunye neengcebiso zinokuba yingenelo.

Izixhobo kunye neNkxaso

Imibutho eliqela ibonelela ngezixhobo kunye nenkxaso yabantu abanayo Umhlaza womhlaza. Le mibutho inika ulwazi malunga neendlela zonyango, iindlela zokujongana, kunye noncedo lwezezimali. Umzekelo, Umbutho woMhlaza waseMelika Nika izibonelelo ezibanzi kunye nenkxaso kwizigulana zomhlaza kunye neentsapho zabo. Cinga ngokufuna inkxaso kule mibutho kuzo zonke iindlela zonyango.

Unonophelo lomntu kunye neenketho zonyango oluphambili, cinga ngokunxibelelana ne IZiko loPhando lweShandong Baeo. Zinikezelwe ekuboneleleni ngononophelo olubanzi kunye nophando olusikiweyo kunyango lomhlaza.

Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye akufuneki luthathelwe ingqalelo kwingcebiso yezamayeza. Soloko unxibelelana nengcali yezempilo ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.