Esi sikhokelo sibanzi sibonisa izinto ezithambekele iindleko zonyango lomhlaza xa ingcinga yokucinga kunye nenkqubo yedatha (i-PI-rads) inqaku le-4 lichongiwe. Siza kujonga kwizinto ezahlukeneyo zonyango, iindleko ezinxulumene nazo, kunye nezixhobo zokukunceda ukuba ungene kule ndawo inzima. Ukuqonda iimpembelelo zemali kubalulekile kwisicwangciso sokwenza izigqibo ngokufanelekileyo.
Inqaku le-pi-rads le-4 libonisa i-lesion yesikrokrekileyo kwi-Prostate MRI, ephakamisa amathuba okumodareyitha onomhlaza we-prostate. Kubalulekile ukukhumbula ukuba amanqaku e-pi-rads asukile kuphela. Uvavanyo olungaphezulu, njenge-biopsy, iyimfuneko ukuqinisekisa ubukho kunye nokuba nobukrakra womhlaza.
Izinketho zonyango zomhlaza oqhawula umhlaza nge-pi-rads 4 amanqaku avele kakhulu kuxhomekeke kwiziphumo ze-biopsy, kumiselwe yi-biopsy iziphumo ze-biopsy kunye ne-gleason amanqaku), kunye nezinto ezikhethwayo. Izinketho zonyango eziqhelekileyo zibandakanya:
Ngomngcipheko ophantsi womhlaza, ukuphononongwa okusebenzayo kubandakanya ukubeka iliso kumhlaza ngokuhlolwa rhoqo kunye novavanyo, ngaphandle konyango kwangoko. Olu khetho yeyona nto ineendleko zokuqala, kodwa iindleko zexesha elide zinokunyuka ngokuxhomekeke kwinkqubela phambili yomhlaza. Iindleko ezinxulumene nokuhlolwa okusebenzayo ikakhulu zibandakanya ukujonga rhoqo kunye nokucinga.
Unyango lwe-radiation radio, kubandakanya i-radiation ye-radiation yangaphandle (i-EBRT) kunye neBrachytherapy (i-rachyTherapy (imitha yangaphakathi), iithagethi kwaye utshabalalise iiseli zomhlaza. Ixabiso lokunyanga kwe-radiation iyahluka ngokuxhomekeke kuhlobo, ixesha, kunye nekliniki ethile. Izinto ezifana nemfuno yonyango olongezelelweyo, ezinje ngonyango lwehomoni, linokunyusa iindleko.
Ukususwa kokususwa kwe-prostate gland lelinye ukhetho oluqhelekileyo lonyango. Iindleko zotyando zingahluka ngokusekwe ngokubanzi kwisibhedlele, imirhumo kagqirha, kunye nazo naziphi na iingxaki ezifuna iinkqubo ezongezelelweyo. Unonophelo lwasemva kwentsebenzo kunye nokubuyisela kwimeko yesiqhelo kusongeza kwinkcitho kuyo yonke.
Unyango lwe-hormone luhlala lusetyenziswa ngokudibeneyo nolunye unyango okanye umhlaza ophambili we-protate. Olu nyango lujolise ekucothweni okanye lokumisa ukukhula kweeseli zomhlaza ngokunciphisa amanqanaba e-testosterone. Ixabiso lixhomekeke kuhlobo lonyango lwehomoni esetyenzisiweyo kunye nobude bonyango.
Unyango olujolise kunyango lutsha lugxile kwiimolekyuli ezithile okanye iindlela ezibandakanya ukukhula komhlaza. Olu nyango lunokubiza kakhulu kwaye luqhele igcinwe i-Advanced okanye iMestitatic Dost.
Ixabiso le Unyango lomhlaza Nge-pi-rads 4 amanqaku aphenjelelwa zizinto ezininzi. Oku kubandakanya:
Uqikelela ngokuchanekileyo iindleko ze Unyango lomhlaza Ifuna ingxoxo eneenkcukacha neqela lakho lezempilo kunye nomnikezeli weinshurensi. Banokubonelela ngoqikelelo lomntu ngamnye ngokusekelwe kwimeko yakho ethile kunye nesicwangciso sonyango. Kuyacetyiswa ukuphonononga iinkqubo zoncedo lwezezimali ezibonelelwa zizibhedlele okanye kwimibutho engenzi nzuzo.
Izixhobo ezininzi zinokukunceda ukuba ulawule umthwalo wezemali wonyango lomhlaza. Oku kubandakanya:
Khumbula, ukuxoxa malunga neenkxalabo zakho ekuhlelelo kwiqela lakho lezempilo kubalulekile. Banokukukhokela ngeendlela zonyango, iindleko ezinxulumene nazo, kunye nezixhobo ezikhoyo ukwenza izigqibo ezinolwazi. Ngolwazi oluthe kratya, ungandwendwela IZiko loPhando lweShandong Baeo Ngengcebiso yeengcali kunye nokubonisana malunga Unyango lomhlaza.
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