Ukuqonda ukwengezwa kwe-extracaplarur ekuphathweni komdlavuza we-Prostate

Le ndatshana ihlinzeka ngesibukezo esibanzi se-exteracaplerar Extension (ECE) kumdlavuza we-Prostate, ichaza imiphumela yayo yokuxilongwa, izitebhisi, kanye nezinketho zokwelashwa. Sizohlola izindlela ezahlukahlukene zokwelashwa futhi sixoxe ngezinto ezinethonya izinqumo zokwelashwa. Funda ngentuthuko yakamuva ekuphatheni umdlavuza we-Prostate nge-ECE.

Yini eyengeziwe eyengeziwe (i-ECE) kumdlavuza we-Prostate?

Ukunwetshwa kwe-Extracapsapler (ECE) kubhekiswa ekusakazweni komdlavuza wendlala yesinyelverst from the capsule yangaphandle ye-prostate gland. Lokhu kungukuthola okuthe xaxa kwi-Prostate Cancer Stagiging, njengoba kukhombisa isimo esithuthuke kakhulu futhi esinolaka salesi sifo. Ukuba khona kwe-ECE Kuthonya Ukukhetha Ukwelashwa Kokulashwa Nokuqonda. Ukutholwa kusenesikhathi nokuphathwa okufanele kubalulekile ekuthuthukiseni imiphumela yeziguli.

Izitebhisi kanye nokuxilongwa komdlavuza we-Prostate nge-ECE

I-ECE ithathwe ngokujwayelekile ngokuhlanganiswa kokuhlolwa kokuxilonga, kufaka phakathi ukuhlolwa kwe-digital rectal (Dre), isivivinyo segazi esikhethekile se-antigen (PSA), ne-biopsy. Amasu wokulingisa afana nokucabanga kwamandla kazibuthe Isitekisi esiqondile sibucayi ekunqumeni okufanele Ukwelashwa kwe-Extracaplerar Extension Protate Cancer Terfer Isu.

Izinketho zokwelashwa zomdlavuza we-Prostate nge-ECE

Le khasi Ukwelashwa kwe-Extracaplerar Extension Protate Cancer Terfer Isu lomdlavuza we-Prostate nge-ECE luyahlukahluka ngokuya ngezinto eziningana, kufaka phakathi impilo yesiguli ephelele, isigaba somdlavuza, kanye nokuba khona kwezinye izici zobungozi. Izinketho zokwelashwa ezijwayelekile zifaka:

Indawo kadokotela

I-Radical Prostatectomy, inqubo yokuhlinzwa yokususa indlala ye-prostate, imvamisa icatshangelwa umdlavuza we-prostate wasendaweni nge-ECE. Ubungako bokuhlinzwa bungahluka ngokuya ngendawo nobungako be-ECE. I-Laparotic-isize i-Laparoscopic Prostatectomy iyindlela encane yokuzihlasela esetshenziswa ezimweni eziningi.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe yangaphandle yangaphandle (EBRT) kanye ne-Brachytherapy (Therapy Yangaphakathi Yokwelapha) yizinketho zokwelapha umdlavuza we-Prostate nge-ECE. I-EBRT ihambisa imisebe evela ngaphandle komzimba, ngenkathi i-brachytherapy ifaka ukubeka imbewu ethokozelayo ngqo kwi-prostate. Imvamisa, inhlanganisela ye-EBRT ne-hormone yokwelapha iyasebenza.

Therapy Hormone

I-Hormone Therapy, eyaziwa nangokuthi i-Androgen Dischivation Therapy (ADT), ihlose ukunciphisa amazinga e-testosterone, okunganciphisa ukukhula kwamangqamuzana omdlavuza we-Prostate. Isetshenziswa njalo ngokuhlangana nezinye izindlela zokwelapha umdlavuza we-Prostate othuthukile nge-ECE.

Chemotherapy

I-Chemotherapy ukwelashwa okuhlelekile okusebenzisa izidakamizwa ukubulala amaseli womdlavuza emzimbeni wonke. Ngokuvamile ibekelwe amacala omdlavuza we-metastatic prostate (lapho umdlavuza asakaze khona kwezinye izingxenye zomzimba) noma lapho ezinye izindlela zokwelapha zingasebenzi. I-Shandong Bandoong BacceCancer Research Institute (https://www.baofahospital.com/) Izinsizakalo eziphelele ze-Oncology Services, kufaka phakathi ama-regimens athuthukile we-chemotherapy.

Izici ezithonya izinqumo zokwelashwa

Izinto eziningana zithonya ukukhetha kwe Ukwelashwa kwe-Extracaplerar Extension Protate Cancer Terfer, kufaka phakathi:

• Isigaba nebanga lomdlavuza
• Ubudala besiguli kanye nempilo yonke
• Ukuba khona kwezinye izimo zezokwelapha
• Izintandokazi zomuntu kanye namanani

Ukunakekelwa kanye nokunakekelwa kokulandela

I-Prognosis yomdlavuza we-Prostate nge-ECE iyahlukahluka ngokuya ngezimo zomuntu ngamunye kanye nokusebenza kahle kokwelashwa. Ukuqokwa okujwayelekile kokulandela, okubandakanya ukuhlolwa kwe-PSA kanye nezifundo ze-PSA kanye nezifundo zokucabanga, kubalulekile ukuqapha ukuqhubeka komdlavuza nokuthola noma yikuphi ukuphindaphindwa. Ukubhekwa okusebenzayo kungaba inketho kwezinye iziguli ezinesifo esisezingeni eliphansi.

Izinketho zokwelashwa ezithuthukile

Ucwaningo oluqhubekayo luyaqhubeka ukuqhubekisela phambili izinketho zokwelashwa komdlavuza we-Prostate nge-ECE. Izindlela ezintsha zokwelapha ezihlosiwe kanye nama-acmUNnoSapies athuthukiswa, anikeza izinzuzo ezingaba khona ezigulini ezinesifo esithuthukile. Xhumana ne-Oncologist yakho ukuze uxoxe ngohlelo olufanele lokwelashwa esimweni sakho esisodwa.

Ucwaningo Nokulingwa Kwemitholampilo

Ukuhlala unolwazi mayelana nocwaningo lwakamuva kanye nokulingwa kwakamuva kubalulekile ezigulini nasemindenini yazo. INational Cancer Institute (https:/www.cancer.gov/) Futhi nezinye izinhlangano zinikeza izinsizakusebenza ezibalulekile kanye nolwazi ngocwaningo oluqhubekayo ngokuphathwa komdlavuza we-Prostate.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nodokotela wakho noma ochwepheshe bezokunakekelwa kwezempilo ofanelekayo nganoma yiziphi izinkathazo zezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.