Izinketho zokwelashwa komdlavuza we-Prostate wasendaweni

Umdlavuza we-Prostate wasendaweni othuthukisiwe (lapc) uletha izinselelo ezihlukile ekuhlelweni kokwelashwa. Lo mhlahlandlela ophelele uhlola izinketho ezahlukahlukene zokwelashwa ezitholakalayo, ezigxile entuthukweni yakamuva futhi zikusize uqonde izici ezithonya izinqumo zokwelashwa. Sizomboza izindlela zokuhlinza, izindlela zokwelapha imisebe, ukwelashwa kwama-hormone, nokusamukela ukwelashwa okusha. Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lube ngaphansi kwezeluleko zokwelashwa eziqeqeshiwe. Hlala uthintana nodokotela wakho we-oncologist ukuthola inkambo engcono kakhulu yesenzo sakho.

Ukuqonda umdlavuza we-Prostate wasendaweni yangakini

Ukuchazwa komdlavuza we-Prostate wasendaweni yangakini

Ukwelashwa okuthuthukile komdlavuza we-prostate idinga ukuqonda okuqondile kwesifo. I-LAPC ichazwa ngezinga layo: Umdlavuza uvalelwe kwi-gland ye-prostate kodwa unezici eziphakamisa ubungozi obuphezulu bokusakazeka noma ukuphindeka. Lezi zici zivame ukufaka amaphuzu akhazimulayo aphezulu, ivolumu emikhulu yemithi, kanye / noma ukubandakanyeka kwama-vesicles asesinane. Isigaba somdlavuza-imvamisa i-T3 noma i-T4-futhi ikhombisa ukuthuthuka kwalo kwasekhaya.

Ukuxilongwa kanye nokuqina

Ukuxilongwa okunembile kubalulekile ukuze kusebenze ukwelashwa okuthuthukile komdlavuza we-prostate. Lokhu kufaka phakathi ukuhlolwa kwe-digital rectal (DRE), isivivinyo segazi esikhethekile se-antigen (PSA), i-biopsy, kanye nezifundo zokucabanga njenge-MRI noma i-CT Scans. Isitayela sisiza ekuboneni ubukhulu bokusatshalaliswa komdlavuza kanye nokuqondisa amasu wokwelashwa.

Ukusondela kokwelashwa komdlavuza we-Prostate wasendaweni yangakini

Ukuhlinzwa: I-Radical Prostatectomy

I-radical prostatectomy ifaka ukususwa kokuhlinzwa kwe-prostate gland kanye nezicubu ezizungezile. Le yinqubo ebalulekile ngezinkinga ezingaba khona, kepha ingaba inketho esebenza kahle kakhulu kwamanye amadoda nge-LAPC. Izinga lempumelelo lincike ezicini ezahlukahlukene kufaka phakathi isigaba somdlavuza kanye nobungcweti be-Surgeon. Isikhathi sokuvuselela ngemuva kokuhlinzwa singahluka kakhulu.

Ukwelashwa kwemisebe: imisebe yangaphandle ye-beam kanye ne-brachytherapy

Ukwelashwa kwemisebe kungenye itshe legumbi le ukwelashwa okuthuthukile komdlavuza we-prostate. Ukwelashwa kwemisebe yangaphandle yangaphandle (EBRT) kusebenzisa imishayo ephezulu yamandla ukuqondisa amaseli omdlavuza. I-Brachytherapy ifaka ukubeka imbewu enemisebe ngqo kwi-gland ye-prostate. Zombili lezi zindlela zihlose ukubulala amaseli womdlavuza ngenkathi zinciphisa ukulimala kwezicubu ezinempilo ezizungezile. Ukukhetha phakathi kwe-EBRT ne-Brachytherapy, noma inhlanganisela yakho yomibili, kuya ngezici ngazinye.

I-Hormone Therapy (Therapy ye-androgen dischivation - adt)

Ukwelashwa kwama-hormone, owaziwa nangokuthi i-androgen dischivation therapy (adt), isebenza ngokunciphisa amazinga ama-androgens - ama-hormone wesilisa - lokho kukhula komdlavuza womdlavuza wendlala yesinye. I-ADT ivame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha ze-LAPC, kungaba ngaphambi noma ngemuva kokuhlinzwa noma ngemuva kwemisebe, ukusiza ukuvimbela ukuphindeka. Imiphumela emibi ye-ADT ingafaka ukukhanya okushisayo, inzuzo yesisindo, futhi kwehlile i-libido.

Ukwelashwa okusakhula kanye nezilingo zemitholampilo

Isimo se- ukwelashwa okuthuthukile komdlavuza we-prostate uhlala evela. Izindlela zokwelapha ezintsha, ezinjengokuthi ze-Im-i-Im-i-Im-i-Im-i-Therapy kanye nokwelashwa okuhlosiwe, zibonisa isithembiso ekulingweni kwemitholampilo. Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kokutholwa kokwelashwa okusikayo futhi kufaka isandla entuthukweni ekunakekelweni komdlavuza. Xoxa ngethuba lokuvivinywa kwemitholampilo nge-Oncologist yakho.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha okuphelele ukwelashwa okuthuthukile komdlavuza we-prostate Uhlelo luyinqubo ekhethekile kakhulu. Isazi se-oncologist yakho sizodingida izinto eziningana kufaka phakathi impilo yakho yonke, isigaba nezimpawu zomdlavuza wakho, kanye nezinto ozithandayo. Bazoxoxa ngezinzuzo ezingaba khona kanye nobungozi benketho yokwelashwa ngakunye ukukusiza wenze isinqumo esinolwazi. Lokhu kungafaka indlela yethimba leqembu elithile, kufaka ubuchwepheshe be-urologists, ama-radiation oncologists, ama-oncologists wezokwelapha, kanye nabanye ochwepheshe. Ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile kuyo yonke inqubo.

Ukuphathwa isikhathi eside nokunakekelwa kokulandela

Ukulandela ukwelashwa kwe-LAPC, ukuqokwa okujwayelekile kokulandela okubalulekile kubalulekile ekuqapheleni impilo yakho nokuthola noma yikuphi ukuphindwaphindwa okungaba khona. Lokhu kuqokwa kungafaka izivivinyo ze-PSA, izivivinyo zomzimba, kanye nezifundo zokucabanga. Ukuguqulwa kwendlela yokuphila, njengokudla okunempilo nokuzivocavoca umzimba njalo, kungadlala indima enkulu enhlalakahleni yesikhathi eside. Ngemithombo eyengeziwe kanye nokusekelwa, cabanga ngokuhlola izinhlangano ezifana ne-Prostate Cancer Foundation.

Ngeminye imininingwane nezinketho zokwelashwa ezithuthukile, cabanga ngokuxhumana I-Shandong Baafa Cancer Research Institute. Banikeza ucwaningo olunqenqemeni nokunakekelwa okuphelele komdlavuza we-Prostate.

^{Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.}