Ukuqonda ukwelashwa komdlavuza we-Prostate eChina: umhlahlandlela ophelele

Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi se I-China PSMA Prostate Cancer Trancer Trancer Izinketho, ukuhlola intuthuko yakamuva kanye nokucatshangelwa kweziguli. Ifaka izindlela ezahlukahlukene zokwelashwa, izindlela zokuxilonga, nezinto ezithonya izinqumo zokwelashwa eChina.

Ukuxilongwa kanye nokuchithwa komdlavuza we-Prostate eChina

Ukuqonda amazinga we-PSA nama-biopsies

Isinyathelo sokuqala ekuhlolweni komdlavuza we-Prostate Cancer kuvame ukubandakanya isivivinyo segazi esikhethekile se-Antigen (PSA). Amazinga we-PSA aphakeme angakhombisa ubukhona be-Cancer, kepha kudingeka ucwaningo olunye. I-biopsy, imvamisa i-biopsy eqondiswa yi-ultrasound, bese yenziwa ukuthola amasampula wezicubu zokuhlolwa kwezicubu. Imiphumela ithola isigaba nebanga lomdlavuza, inqoba izinqumo zokwelashwa ezalandela. Ukunemba nokutholakala kwalezi zinqubo kuyahlukahlukahlukahlukana ngaphesheya kwezibhedlela eChina. Kubalulekile ukukhetha indawo ehlonishwayo efana neShandong Bandoong Baafa Cancer Research Institute (https://www.baofahospital.com/) Ukuxilongwa okunembile nangokufika ngesikhathi.

Amasu wokucabanga we-Prostate Cancer

Amasu ahlukahlukene wokucabanga, anjenge-Magnetic Resonance imaging (MRI), i-tomography ehlanganisiwe (i-CT), kanye namathambo okuskena, ukudlala izindima ezibalulekile ekubambeni umdlavuza we-prostate kanye nokuthola i-metastasis. Lokhu kusiza ekuboneni ubukhulu bomdlavuza ukusabalala nokuqondisa ukuhlelwa kokwelashwa. Ukuthuthuka kubuchwepheshe bokucabanga kuthuthukisa ukunemba kokuxilongwa kanye nokuhlelwa kokwelashwa eChina. Ezikhungweni zomdlavuza eziholayo, ubuchwepheshe bamuva bokucabanga buvame ukutholakala.

Izinketho zokwelashwa zomdlavuza we-Prostate eChina

Ukuhlinzwa komdlavuza we-prostate

Izinketho zokuhlinza, kufaka phakathi i-prostatectomy evuthayo (ukususwa kokuhlinza kwendlala ye-prostate), zingezokwelapha ezivamile zomdlavuza we-prostate wasendaweni. Ukukhethwa kwenqubo yokuhlinza kuncike ezicini ezahlukahlukene, kufaka phakathi impilo yesiguli sonke kanye nesigaba somdlavuza. I-laparotic-isize i-laparoscopic prostatectomy iya ngokuya isetshenziswa eChina ngenxa yemvelo yayo engenele kanye nezinzuzo ezingaba khona.

Ukwelashwa kwemisebe ye-Prostate Cancer

Ukwelashwa kwemisebe, kungaba ukwelashwa kwemisebe yangaphandle (i-EBRT) noma i-Brachytherapy (ukufakwa kwezinsuku zembewu), kungenye into esetshenziswa kabanzi yokwelashwa. Ukwelashwa kwemisebe ye-radity okulungiselelwe (IMRT) kanye nokwelashwa kwe-proton kungamasu athuthukile asetshenziselwa ukunciphisa ukulimala kwezicubu ezinempilo. Ukufinyelela kulezi zindlela zokukhiqiza zemisebe ethuthukisiwe kuyanda eChina, kunezikhungo eziningi ezikhethekile ezinikeza lezi zindlela zokwelapha.

Ukwelashwa kwe-hormone komdlavuza we-prostate

Ukwelashwa kweHormone, eyaziwa nangokuthi i-Androgen Dischivation Therapy (ADT), ivame ukusetshenziswa ukwelapha umdlavuza we-Prostate ophambili. Ihlose ukunciphisa ukukhula kwamangqamuzana omdlavuza ngokunciphisa amazinga e-testosterone. Izidakamizwa zokwelapha eziningana ze-hormone ezahlukahlukene ziyatholakala, futhi ukukhetha kuncike ezicini ngazinye.

I-Chemotherapy yomdlavuza we-Prostate

I-Chemotherapy ngokuvamile ibekelwe amacala omdlavuza we-prostate osezingeni eliphezulu noma we-metastatic ongaphendulanga kwezinye izindlela zokwelapha. Izidakamizwa eziningana ze-chemotherapy zikhombise ukusebenza kahle ekwandiseni impilo yempilo kanye nokwenza ngcono impilo kulezi ziguli.

Ukwelashwa okuhlosiwe kanye ne-immunotherapy

Izidakamizwa ezihlosiwe zokwelapha ezihlosiwe, ezinjengalezo ezihlosiwe ze-PSMA (i-prostate-membrane antigen), ziyavela njengezinketho zokwethulwa komdlavuza we-Prostate Cancer. I-ImmunoSatherapy nayo iyathola ukugcwala, ukuqinisa amasosha omzimba uqobo ukuze alwe namaseli womdlavuza. Ukufinyelela kulezi zindlela zokwelapha ezintsha zihlala zithuthuka eChina.

Ukukhetha ukwelashwa okulungile I-China PSMA Prostate Cancer Trancer Trancer

Ukukhetha isu lokwelashwa elifanele lomdlavuza we-Prostate kudinga ukuhlolwa okuphelele kwezici eziningana, kufaka phakathi isigaba kanye nebanga lomdlavuza, impilo yesiguli ephelele, kanye nokuthandwa ngumuntu. Indlela yethimba lama-multidiculinary, elibandakanya ama-norologists, ama-oncologists, kanye nezazi zezinkampani ze-oncologists, zibalulekile ekwenzeni izinqumo ezinolwazi. Kubalulekile ukudingida konke ukukhetha kokwelashwa nabahlinzeki bezokunakekelwa kwempilo futhi kunesisindo izinzuzo nobungozi bendlela ngayinye.

Indima ye-PSMA ekwelashweni komdlavuza we-Prostate

I-PSMA (i-smartbrane eqondene ne-membrane) iyiprotheni evezwa kakhulu ebusweni be-Prostate Cancer cell. Lokhu kwenza kube yithagethi ekhangayo yokwelapha okusha. Izindlela zokwelapha ze-PSMA, kufaka phakathi ukwelashwa kwe-radionuclide ye-radionuclide ye-radionuclide, kukhombisa imiphumela ethembisayo ekwelapheni umdlavuza we-prostate omelana ne-metastatic castration (MCRPC). Ukucwaninga ekwelashweni okuhlosiwe kwePSMA kuyaqhubeka, futhi indima yawo kuyo I-China PSMA Prostate Cancer Trancer Trancer kuyanda.

Ukusekelwa kanye nezinsizakusebenza zeziguli zomdlavuza we-Prostate eChina

Izinhlangano eziningi zihlinzeka ukwesekwa kanye nezinsizakusebenza zeziguli ezinomdlavuza wendlala yesinye futhi imindeni yazo eChina. Lezi zinsiza zifaka amaqembu ezinikezele ezinikezele, amaqembu okusekela, kanye nemiphakathi eku-inthanethi. Lezi zinhlangano zinikeza imininingwane ebalulekile, ukusekelwa ngokomzwelo, nokuholwa kulo lonke uhambo lokwelashwa. Izibhedlela eziningi zibuye zibe nezinsizakalo zokusekelwa ezinikezelwe ezigulini.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.