Isigaba 3 Ukwelashwa komdlavuza we-Prostate Kugcizelela ukubaluleka kwezinhlelo zokwelashwa ezenzelwe umuntu ngokuya ngezinto ezifuywayo kanye nokunikeza umhlahlandlela wokuzulazula kuloluhambo olunzima.

I-Stage 3 TORT RACRACT ARCRACTRACTION: Umhlahlandlela Ogcwele

Isigaba 3 umdlavuza we-Prostate Ibonakala ngamaseli omdlavuza akhule ngaphezu kwendlala yendlala yendlala futhi kungenzeka ukuthi asakaze ezicutshini eziseduzane noma ama-lymph node. Ukwelashwa kwalesi sigaba kubalulekile futhi kubandakanya indlela ye-multidisciplinary, kuvame ukuhlanganisa izindlela zokwelapha eziningana ukukhulisa ukusebenza kahle futhi kunciphise imiphumela emibi. Ukuqonda izinketho ezahlukahlukene ezitholakalayo zibalulekile ezigulini nasemindenini yazo.

Ukuqonda Isigaba 3 Umdlavuza Wendlala

Ukuxilongwa okunembile isinyathelo sokuqala. Lokhu kuhlanganisa ukuhlolwa kwe-digital rectal (DRE), ukuhlolwa kwegazi okuqondile kwe-antigen (PSA), kanye ne-biopsy ukuqinisekisa ukuba khona nesigaba somdlavuza. Isitayela sisiza ukunquma ubukhulu bokusakazeka komdlavuza, kuthonya izinqumo zokwelashwa. Uhlelo lwe-TNM Stiluging luvame ukusetshenziswa, lapho t kubhekisela kusayizi we-tumor nendawo, n kubhekiswa ekubandakanyeni kwe-lymph node, futhi m kubhekiswa kwi-metastasis ekude. Isigaba 3 umdlavuza we-Prostate Kubonisa ukuthi umdlavuza usakaze ngale kwendlala yendlala ye-prostate kodwa hhayi ezithweni ezikude.

Izici ezithonya izinqumo zokwelashwa

Ukwelashwa kwesigaba 3 umdlavuza we-Prostate kucatshangelwe kakhulu futhi kuya ngezinto ezahlukahlukene, kufaka phakathi:

• Impilo yesiguli yonke kanye nobudala
• Ibanga lomdlavuza (linolaka kangakanani)
• Ubukhulu bokusakazeka (isigaba se-TNM)
• Izintandokazi zesiguli namagugu

Izinketho zokwelashwa zesigaba 3 umdlavuza we-Prostate

Izindlela eziningana zokwelashwa zitholakala kwiSigaba 3 umdlavuza we-Prostate, imvamisa esetshenziswa ngokuhlanganiswa:

1. Ukuhlinzwa (i-radical prostatectomy)

I-radical prostatectomy ifaka ukususwa kokuhlinzwa kwe-prostate gland kanye nezicubu ezizungezile. Lokhu kungukuhlinzwa okukhulu ngemiphumela emibi engaba khona, kufaka phakathi ukungasebenzi kahle komchamo kanye nokungasebenzi kahle kwe-erectime. Izinga lempumelelo lincike ezintweni ezifana nesigaba nebanga lomdlavuza.

2. Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukubulala amaseli womdlavuza. Ukwelashwa kwemisebe yangaphandle yangaphandle (EBRT) kuyindlela ejwayelekile, ukuletha imisebe evela ngaphandle komzimba. I-Brachytherapy, ehilela ukubeka imbewu ehambisanayo ngqo kwi-prostate, kungenye inketho. Imiphumela emibi ingafaka izinkinga zomchamo kanye namathumbu, ukukhathala, kanye nokucasulwa kwesikhumba.

3. I-Hormone Therapy (I-Androgen Dischivation Therapy - ADT)

Ukwelashwa kweHormone kuhlose ukunciphisa amazinga e-testosterone, ukwehla noma ukumisa ukukhula kwamangqamuzana omdlavuza we-Prostate ancike e-testosterone ukukhula. Lokhu kungatholakala ngemithi noma ukuhlinzwa (i-orchiectomy). Imiphumela emibi ingafaka ukukhanya okushisayo, inzuzo yesisindo, kwehlile i-libido, ne-osteoporosis.

4. Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Imvamisa ibekelwe amacala athuthukile we umdlavuza we-Prostate noma lapho ezinye izindlela zokwelapha zehluleka. Imiphumela emibi iyajwayelekile futhi ingabaluleka.

5. Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha ziya ngokuya zibaluleke kakhulu ngaphakathi umdlavuza we-Prostate Ukuphatha, okuvame ukusetshenziswa ngokubambisana nezinye izindlela zokwelapha.

6. Ukubhekwa okusebenzayo

Kwamanye amadoda anesigaba esikhula kancane 3 umdlavuza we-Prostate, ukubhekwa okusebenzayo kungaba inketho. Lokhu kufaka ukuqapha ukuqhubeka komdlavuza ngaphandle kokwelashwa ngokushesha. Ukuhlolwa kwe-PSA njalo, ama-biopsies, kanye nokuskena kokucabanga kusetshenziselwa ukulandelela lesi sifo futhi kuqale ukwelashwa uma kunesidingo.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha uhlelo lokwelashwa okungcono kakhulu kudinga ukucubungula ngokucophelela kwezici ngazinye kanye nengxoxo ecophelela ngodokotela we-urologist kanye ne-oncologist. Indlela yethimba le-multidisceplinary livame indlela ephumelela kunazo zonke yokuphatha isigaba 3 umdlavuza we-Prostate.

Ukuphatha imiphumela emibi

Izindlela eziningi zokwelapha umdlavuza we-Prostate angaba nemiphumela emibi. Kubalulekile ukuxoxa ngalokhu nethimba lakho lezokunakekelwa kwezempilo futhi kuthuthukise amasu okuwaphatha. Amaqembu okusekela nokwelulekwa nakho kungasiza.

Izinsizakusebenza nokusekelwa

Izinhlangano eziningi zinikeza izinsiza kanye nokusekelwa kwabantu abane umdlavuza we-Prostate. Lezi zinhlangano zinikeza imininingwane ngezinketho zokwelashwa, ukubhekana namasu, nosizo lwezezimali. Ngokwesibonelo, I-American Cancer Society Inikeza izinsizakusebenza eziphelele nokusekelwa kweziguli ezinomdlavuza nemindeni yazo. Cabanga ukufuna ukwesekwa kulezi zinhlangano kulo lonke uhambo lwakho lokwelashwa.

Kokunakekelwa okwenziwe ngezifiso nezinketho zokwelashwa ezithuthukile, cabanga ukuxhumana ne I-Shandong Baafa Cancer Research Institute. Bazinikezele ekuhlinzekeni ukunakekelwa okuphelele nokusikwa kokucwaninga ngomuthi womdlavuza.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma yokwelashwa.