Izinketho zokwelashwa ze-Psma-Positive Prostate Cancer

Le ndatshana ihlinzeka ngesibukezo esibanzi sezinketho zokwelashwa kweziguli zomdlavuza we-Prostate ngesifo se-PSMA. Sihlola izindlela zokwelapha ezahlukahlukene, ukusebenza kwazo, nemiphumela emibi emibi, kanye nokucatshangelwa kokukhetha indlela engcono kakhulu ngokususelwa ezintweni ezithile zeziguli. Ukuqonda lezi zinketho kubalulekile ekuthatheni izinqumo okunolwazi ekutholeni lesi sifo esiyinkimbinkimbi.

Ukuqonda umdlavuza we-prostate we-prostate omuhle

Yini i-PSMA?

I-Demostate-Stried Antigen (PSMA) iyiprotheni etholakala ebusweni be-Prostate Cancer cell. Izinga eliphakeme le-PSMA livame ukuhlotshaniswa nezindlela ezinolaka komdlavuza we-Prostate. Ukuba khona kwe-PSMA kuvumela ukwelashwa okuhlosiwe okuthola amaseli umdlavuza ngenkathi kunciphisa ukulimala kwezicubu ezinempilo. Ukuthola umdlavuza wePSma-Positive Prostate kuvame ukwenziwa nge-PSMA PETSAIL SCKS, okungasiza ekuboneni ubukhulu bokusakazwa komdlavuza.

Ukuhlonza i-PSMA-Positive Prostate Cancer

Ukuxilongwa kwe Umdlavuza wePSma-Positive Prostate Imvamisa kubandakanya inhlanganisela yokuhlolwa kufaka phakathi ukuhlolwa kwe-rectal (DRE), isivivinyo segazi esikhethekile se-Antigen (PSA), i-biopsy, kanye nezifundo zokucabanga ezinjenge-Psma Pet Scans. I-PSMA PET SCAN idlala indima ebalulekile ekuhlonzeni indawo nobukhulu besifo, ukusiza abakholelwa kudokotela ukuthi bahlele okusebenzayo kakhulu ukwelapha Isu.

Izinketho zokwelashwa ze-Psma-Positive Prostate Cancer

Ukwelashwa okuhlosiwe

Ithuba elilodwa elithile lesifo se-PSMA-kahle ukutholakala kwezindlela zokwelapha ezihlosiwe. Lezi zindlela zokwelapha zisebenzisa i-PSMA njengelitshe ukuletha izidakamizwa ngqo kumaseli womdlavuza. Izindlela zokwelapha eziningana ze-PSMA ezihlosiwe ziyatholakala, kufaka phakathi i-radioligand eqondiswa yi-radioligand therapy (RLT). Lezi zindlela zokwelapha zibonisa isithembiso ekwenzeni ngcono imiphumela yeziguli ezinama-metastatic umdlavuza we-Prostate. OKUKHULULWA OKUXHENDULA kuyaqhubeka ukuhlola izindlela ezahlukahlukene kanye nezinhlanganisela ukwenza ngcono imiphumela. Hlala uthintana ne-Oncologist yakho ukuthola indlela engcono kakhulu yesimo sakho.

Therapy Hormone

Ukwelashwa kweHormone, eyaziwa nangokuthi i-Androgen Dischivation Therapy (ADT), ihlala iwukwelashwa kwegumbi amadoda amaningi anomdlavuza wendlala yesinye, kubandakanya nalabo abanesifo se-PSMA-esine. Lokhu kwelashwa kusebenza ngokunciphisa amazinga ama-hormone akhulisa umdlavuza womdlavuza we-prostate Prostate. Ingasetshenziswa yedwa noma ihlanganiswe nezinye izindlela zokwelapha ezifana nokwelashwa kwemisebe noma i-chemotherapy. Ukusebenza kahle kokwelashwa kwama-hormone kuyehlukahluka ngokuya ngesigaba somdlavuza kanye nempilo yesiguli ephelele.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kungenye enye inketho yokwelashwa evamile ye Umdlavuza wePSma-Positive Prostate. Ingasetshenziswa ukuqondisa nokubhubhisa amaseli womdlavuza. Kunezinhlobo ezahlukene zokwelashwa kwemisebe, kufaka phakathi ukwelashwa kwemisebe yangaphandle (EBRT) kanye ne-Brachytherapy (ukwelashwa kwemisebe yangaphakathi). Ukukhethwa kokwelashwa kwemisebe kuncike ezicini eziningana, kufaka phakathi indawo nobungako bomdlavuza.

Chemotherapy

I-Chemotherapy ingahle isetshenziswe emacaleni athuthukile we umdlavuza we-Prostate lapho ezinye izindlela zokwelapha zingaphumelelanga. Isebenzisa izidakamizwa ezinamandla ukubulala amaseli womdlavuza, kepha ingafika nemiphumela emibi ebalulekile. Isinqumo sokusebenzisa i-chemotherapy senziwa ngesisekelo secala, ngokubheka impilo yesiguli sonke kanye nesigaba salesi sifo.

Indawo kadokotela

Izinketho zokuhlinza, njenge-prostatectomy (ukususwa kwendlala ye-prostate), kungahle kubhekwe mahhala umdlavuza we-Prostate. Isinqumo sokuhlinzwa sisuselwa ezintweni ezinjengesigaba somdlavuza, impilo yesiguli ephelele, kanye nezinzuzo ezingaba khona kanye nezingozi zokuhlinzwa. Kubalulekile ukuxoxa ngalezi zinketho kahle nomhlinzeki wakho wezokunakekelwa kwempilo.

Ukukhetha uhlelo lokulashwa olufanele

Okulungile ukwelapha Isu Umdlavuza wePSma-Positive Prostate Kunqunywa ngokusekelwe ezicini eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli, kanye nokuthandwa ngumuntu. Kubalulekile ukuba nezingxoxo ezivulekile nezithembekile ne-Oncologist yakho ukwenza izinqumo ezinolwazi futhi uthuthukise uhlelo lokwelashwa oluqondene nomuntu ohambisana nezidingo nezinhloso zakho. Ukuqokwa okujwayelekile kokulandela kanye nokuqapha okuqhubekayo kubalulekile ekuhlolweni kokusebenza kahle kokwelashwa nokwenza ushintsho oludingekayo.

Izilingo Zomtholampilo

Ukubamba iqhaza ezivivinyweni zemitholampilo kunikeza ukufinyelela kwezindlela zokwelapha ezintsha futhi kunomthelela entuthukweni kuyo umdlavuza we-Prostate Cwaninga. Lezi zivivinyo zihlola izindlela zokwelapha ezintsha kanye nenhlanganisela yokwelashwa, ukuhlinzeka ngamathuba okugula iziguli ukuthola ukunakekelwa okunqenqemeni. Buza nomhlinzeki wakho wezokunakekelwa kwezempilo ukuhlola ukuthi kungenzeka ukubamba iqhaza esivivinyweni esifanele sokwelashwa. Ngeminye imininingwane ngovivinyo lwezomtholampilo, ungavakashela iwebhusayithi yeNational Cancer Institute (https:/www.cancer.gov/).

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.