UKUNYANGWA KWEMhlaza

Eli nqaku libonelela ngolwazi olubanzi malunga noCwangciso lomhlaza ononyango xa unika ingxelo ye-Prostate xa ingxelo yengxelo kunye nenkqubo yedatha (i-PI-rads) ifunyenwe amanqaku ama-4. Siza kuphonononga iindlela ezahlukeneyo zokunyanga, siqwalasele izinto eziphembelela ekwenzeni izigqibo, kwaye zixoxe ngokubaluleka kokhathalelo lomntu. Ukuqonda ukhetho lwakho kubalulekile ekwenzeni izigqibo ezinolwazi malunga nempilo yakho.

Ukuqonda i-PI-Rad Rad 4

Inqaku le-pi-rads le-4 libonisa ukrokrela okuphakathi komhlaza ophambili wekliniki. Kubalulekile ukuba uqaphele ukuba amanqaku e-pi-rads owedwa ayisosifo esichazayo. Uphando oluthe kratya, njenge-biopsy, ibalulekile ukuqinisekisa ubukho kunye nobungakanani bomhlaza. Inqaku eliphezulu alilungelelanisi ngokuzenzekelayo kunyango oluthe kratya. Izigqibo zonyango zixhomekeka kwizinto ezahlukeneyo, kubandakanya impilo yakho iyonke, ukubakho komhlaza (ukuba ikho), kunye nezinto ozithandayo. Ulwazi oluthe kratya lunokufumaneka kugqirha wakho kunye namaziko ophando akhokelayo onje IZiko loPhando lweShandong Baeo.

Iinketho zoNyango lwe-PI-rads 4

Izinketho zonyango Unyango lwe-rads ye-PI 4 prostate yomhlaza yahluka ngokuxhomekeke kwizinto ezininzi. Ezi zinto zibandakanya ubudala boguli, impilo ngokubanzi, ubukho bezinye iimeko zonyango, kunye neempawu ezithile zomhlaza okrokrelweyo (ukuba uqinisekisiwe). Nazi ezinye iindlela eziqhelekileyo:

Ukuhlolwa okusebenzayo

Ngomhlaza ophantsi onomngcipheko okanye kwiimeko apho umhlaza uthathwa ngokutsha, ukuphononongwa okusebenzayo kunokuba yinketho. Oku kubandakanya ukubeka esweni rhoqo ngovavanyo lwe-PSA, iimviwo zedijithali zedijithali, kunye ne-biopsies ezinokubakho ukuze zifumane naluphi na utshintsho kwinkqubela phambili yomhlaza. Ithintela unyango kwangoko, ukulibazisa ungenelelo kude kufike.

I-rastrical prostatectomy

Iprostatectomy ye-radical ibandakanya ukususwa kwetyala le-prostate gland. Olu utyando olubalulekileyo oluneziphumo ebezinokubakho ezinokubakho ezinje nge-urifortine yokukhupha kunye nokungasebenzi kakuhle kwe-erectile. Ireyithi yempumelelo kunye nokufaneleka kwale nkqubo kuxhomekeke kakhulu kwiimeko zomntu ngamnye. Iingxoxo kunye nogqirha wakho we-undelogist kubalulekile ukuze niqonde umngcipheko kunye nezibonelelo.

Unyango lwe-radiation

Unyango lwe-radiation radia, kubandakanya i-radiation yangaphandle ye-radiation (i-EBRT) kunye neBrachyTherapy (i-Raketion yangaphakathi), ihambisa imitha yokutshabalalisa iiseli zomhlaza. I-EBRT ibandakanya imiqadi engaphandle yemitha, ngelixa i-brachytherapdy iquka ukubeka imbewu yerediyo okanye i-PATPNS ngqo kwi-Prostate. Zombini iindlela zendlela zinokuba neziphumo ebezinokubakho, kwaye ukhetho olufanelekileyo luxhomekeke kwizinto ezithile. Ngolwazi oluthe kratya ngakumbi ngeendlela zokhetho lonyango lwe-radiation ye Unyango lomhlaza, nxibelelana notywala we-radiation.

Unyango lwehomoni

Unyango lweHormone, olubizwa ngokuba lunyango lwe-Androgen Derivation (i-ADT), inciphisa amanqanaba e-testosterone emzimbeni, acothe ukukhula kweeseli zomhlaza ezixhomekeke kwi-testosterone yokukhula. Olu nyango luhlala lusetyenziswa ngokudibeneyo kunye nolunye unyango, ngakumbi kumanqanaba aphezulu esi sifo okanye amatyala ngeempawu ezisemngciphekweni omkhulu. Le ndlela ayisiyonyango kodwa inokulawula kakuhle isifo.

Ukukhetha isicwangciso sonyango esifanelekileyo

Isigqibo malunga neyona ilungileyo Unyango lwe-rads ye-PI 4 prostate yomhlaza ngumntu owodwa. Kubalulekile ukuba neengxoxo ezivulekileyo nezinganyanisekanga neqela lakho lezempilo, kubandakanya i-Undelogist yakho, i-Oncologi yoTyhithi (ukuba iyasebenza), kunye nogqirha we-oncological yezonyango, ukuvavanya izibonelelo zenketho nganye. Cinga ngezinto ezinje ngeminyaka yakho, impilo ngokubanzi, izinto zokuphila, kunye neempawu ezithile zetyala lakho (ukuba umhlaza uqinisekisiwe). Indlela yobuninzi yobuninzi ihlala iyingenelo, uqinisekisa isicwangciso sovavanyo esipheleleyo kunye nonyango.

Ukuqwalaselwa kubalulekile

Khumbula, ukufunyanwa kwangoko kunye nokuthatha unyango ngokukhawuleza kubalulekile kwiziphumo ezilungileyo kumhlaza onomphumo. Ukuba unezinto ezixhalabisayo malunga nomhlaza we-prostate, nxibelelana no-Urogist uhlolo kunye nesikhokelo.

Olu lwazi luyinjongo lezemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso lonyango. Soloko unxibelelana nomboneleli wakho wezempilo ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.