Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer

Izinketho zokwelashwa zokuhlasela kwentamo ye-bladder ku-prostate facerder intamo invasion in umdlavuza we-prostate kanye ne-athikili yezokwelapha etholakalayo kunikeza umdlavuza we-bladder intamo (BNI) kumdlavuza we-bladder, ichaza izinketho ezahlukahlukene zokwelashwa kanye nokucatshangelwa. Sizohlola ukuxilongwa, ukugabha, kanye nokuphathwa kwalolu hlobo lomdlavuza othile lwe-Prostate, kugxile ezindleleni ezenzelwe ubufakazi. Imininingwane enikezwe lapha ngezinjongo zokufundisa futhi akufanele ibhekwe njengezeluleko zezokwelapha. Hlala uthintana ne-Oncologist efanelekayo yokuhlela ukwelashwa okwenziwe ngezifiso.

Ukuqonda kwe-Bladder Neat Invasion (BNI) kumdlavuza we-Prostate

Kuyini ukuhlasela kwentamo ye-bladder?

Ukuhlaselwa kwentamo ye-Bladder kubhekiswa ekusakazeni kwamangqamuzana omdlavuza we-Prostate entanyeni ye-bladder, indawo lapho i-bladder ixhuma khona e-urethra. Lokhu kubhekwa njengesigaba esithuthuke kakhulu somdlavuza we-Prostate, kukhombisa ubungozi obuphakeme bokuphindeka futhi kube nomthelela ekukhetheni ukwelashwa. Ubungako bokuhlasela - ukujula kokungena entanyeni ye-bladder - kuthonya amasu wokwelashwa. Izitayela ezinembile ekubonisweni nase-biopsy zibalulekile ukuze zisebenze Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer.

Ukugoqa nokuxilongwa kwe-BNI

Ukuxilongwa kwe-BNI kuvame ukubandakanya inhlanganisela yezindlela, kufaka phakathi ukuhlolwa kwe-digital rectal (Dre), isivivinyo segazi esikhethekile se-antigen (PSA), i-biopsy, kanye nezifundo ze-MRI noma ze-CT. Isitayela sinquma ubukhulu bomdlavuza ukusabalala, okubandakanya ukuthi umdlavuza uhlasele izakhiwo eziseduzane njengentamo ye-bladder. Lokhu kuqubuka okuqondile kubalulekile ekuholeni Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer Hlela.

Izinketho zokwelashwa ze-BNI kumdlavuza we-Prostate

Okuncono Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer Indlela iya ngokuya ngezinto ezahlukahlukene, kufaka phakathi impilo yesiguli ephelele, isigaba somdlavuza, kanye nokuthandwa ngumuntu.

I-Radical Prostatectomy

I-radical prostatectomy ifaka ukususwa kokuhlinzwa kwe-prostate gland. Ezimweni ze-BNI, udokotela ohlinzayo angasusa nezicubu eziseduze, kufaka phakathi ingxenye yentamo ye-bladder, kuya ngezinga lokuhlasela. Izinga lokuphumelela kulokhu kuhlinzwa liyahlukahluka ngokuya ngezinto eziningana futhi kufanele kuxoxwe ngokucophelela ngodokotela ohlinzayo.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukushabalasa amaseli omdlavuza. Nge-BNI, i-radiation yokwelashwa kwemisebe yangaphandle (i-EBRT) isetshenziswa kakhulu, kwesinye isikhathi ihlangana ne-brachytherapy (imisebe yangaphakathi). Ukukhetha phakathi kwale kanye nomthamo ophelele kuncike ezicini eziningana okufanele kuxoxwe ngazo ne-radiation oncologist.

Chemotherapy

I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli emzimbeni wonke. Imvamisa isetshenziswa lapho umdlavuza usakaze ngale kwendlala yendlala yesinye noma uma umdlavuza usuvule kabusha ngemuva kokuhlinzwa noma ukwelashwa kwemisebe. AmaRegimens athile we-chemotherapy ancike ezicini eziningana okufanele zixoxwe ne-oncologist.

I-Hormone Therapy (Therapy ye-androgen dischivation)

Ukwelashwa kweHormone, noma ukwelashwa kwe-androgen ukwelashwa (i-ADT), kunciphisa amazinga ama-hormone wesilisa (ama-androgens) akhulisa umdlavuza womdlavuza we-prostate. Lokhu kuvame ukusetshenziswa ezigabeni ezithuthukile zomdlavuza we-Prostate noma ngokuhlanganiswa nezinye izindlela zokwelapha. Uhlobo oluthile nobude besikhathi sokwelashwa kwama-hormone kufanele kunqunywe yi-oncologist.

Ama-modalities ahlanganisiwe

Kaningi, inhlanganisela yalezi zindlela zokwelapha, njengokuhlinzwa okulandelwa ukwelashwa kwemisebe noma ye-hormone yokwelapha, kubhekwa ukuthuthukisa ukusebenza kwe Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer. Le ndlela ehlanganisiwe isuselwa kwizici eziyingqayizivele zomdlavuza wesiguli ngamunye.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha isu lokwelashwa elifanele lokwelashwa Ukwelashwa Kwesikebhe Sokuhlasela Kwentamo Yesigcawu Prostate Cancer kudinga ukucubungula ngokucophelela kwezinto ngazinye. Kubalulekile ukuthi kubonise nethimba labachwepheshe bezinhlobonhlobo ezibandakanya ochwepheshe be-urologists, ama-radiation oncologists, izazi ze-oncologists, futhi mhlawumbe nabanye, ukuthuthukisa uhlelo elenzelwe umuntu uqobo. Le ndlela yeqembu iqinisekisa ukuthi zonke izinketho zibhekwa futhi kukhethwe ukwelashwa okufanele kakhulu. Ukuxhumana okuvulekile nomhlinzeki wakho wezokunakekelwa kwezempilo kubalulekile kuyo yonke inqubo. Cabanga ukufuna umbono wesibili wokuqinisekisa ukuthi unolwazi ngokuphelele.

Ukuphathwa isikhathi eside nokulandela

Ngemuva kokuqeda ukwelashwa kokuqala, ukuqokwa okujwayelekile kokulandela kubalulekile ukuqapha noma yikuphi ukuphindaphindwa noma izinkinga. Lokhu kuqokwa kungafaka ukuhlolwa kwe-PSA, izifundo zokucabanga, kanye nokuhlolwa komzimba. Abaphathi besikhathi eside bangafaka ukwelashwa kwe-hormone okuqhubekayo noma okunye ukwelashwa njengoba kudingeka.

Ukwelashwa Inketho	Izinzuzo	Okubi
I-Radical Prostatectomy	Okungaba khona ekwelapheni, kungahlinzeka ngokusinda isikhathi eside kwezifo.	Izingozi Zokuhlinza, Imiphumela Emibi Engaba khona Njengokungasebenzi noma Ukungasebenzi Kwe-Erectile.
Ukwelashwa kwemisebe	Ukuhlaselwa okuncane kunokuhlinzwa, kungahlanganiswa nezinye izindlela zokwelapha.	Imiphumela emibi efana namathumbu noma izinkinga ze-bladder, amathuba ezinkinga zesikhathi eside.
Chemotherapy	Isebenza ngesifo esithuthukile, ingancipha ama-tumors.	Imiphumela emibi ebalulekile, efana ne-nausea, ukukhathala, kanye nokulahleka kwezinwele.
Therapy Hormone	Inganciphisa ukukhula komdlavuza, yenza ngcono izimpawu.	Imiphumela emide yesikhathi eside, njengokukhanya okushisayo, ukulahleka kobuningi bethambo, nokungasebenzi kahle ngokobulili.

Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alwenzi izeluleko zezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.

Ukuthola eminye imininingwane nge-Prostate Cancer Tercer, sicela uvakashele I-Shandong Baafa Cancer Research Institute Iwebhusayithi. Banikeza ukunakekelwa komdlavuza okuphelele kanye nezinketho zokwelashwa ezithuthukile.

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.