Umdlavuza Wendlala Yesinye
Incazelo emfushane:
Umdlavuza wendlala yesinye isimila esiyingozi esivamile esivame ukutholakala lapho amangqamuzana omdlavuza wendlala yesinye ekhula futhi asakazeka emzimbeni wesilisa, futhi izigameko zawo zikhula ngokuya ngeminyaka.Nakuba ukuxilonga kusenesikhathi nokwelashwa kubaluleke kakhulu, ezinye izindlela zokwelapha zisengasiza ekubambezeleni ukuqhubeka kwesifo futhi kuthuthukise izinga lokusinda leziguli.Umdlavuza wendlala yesinye ungenzeka kunoma ibuphi ubudala, kodwa ngokuvamile uvame kakhulu kwabesilisa abaneminyaka engaphezu kuka-60. Iningi leziguli ezinomdlavuza wendlala yowesilisa ngamadoda, kodwa kungase kube nabesifazane nongqingili.
Ukwelashwa komdlavuza wendlala yesinye kuncike ezintweni eziningi, okuhlanganisa ubukhulu, indawo kanye nenani lezimila, impilo yesiguli kanye nemigomo yohlelo lokwelapha.
I-Radiotherapy yindlela yokwelapha esebenzisa imisebe ukuze ibulale noma ishwabanise isimila.Ngokuvamile isetshenziselwa ukwelapha umdlavuza wendlala yesinye kanye nomdlavuza osabalele kwezinye izingxenye ze-prostate.I-Radiotherapy ingenziwa ngaphandle noma ngaphakathi.Imisebe yangaphandle yelapha isimila ngokusebenzisa imishanguzo ye-radiopharmaceutical esimila bese imunca imisebe esikhumbeni.Imisebe yangaphakathi yelashwa ngokufaka izinhlayiya ezikhipha imisebe emzimbeni wesiguli bese idlulela egazini iye esimila.
I-Chemotherapy yindlela yokwelapha esebenzisa amakhemikhali ukuze kubulawe noma kushwabane izimila.Ngokuvamile isetshenziselwa ukwelapha umdlavuza wendlala yesinye kanye nomdlavuza osabalele kwezinye izingxenye ze-prostate.I-Chemotherapy ingenziwa ngomlomo noma ngomjovo.
Ukuhlinzwa kuyindlela yokuxilongwa nokwelashwa komdlavuza wendlala yesinye ngokusikhipha kabusha noma nge-biopsy.Okwenziwa ngaphandle noma ngaphakathi, ukuhlinzwa kuvame ukusetshenziselwa umdlavuza wendlala yesinye kanye nomdlavuza osabalele kwezinye izingxenye ze-prostate.Ukuhlinzwa komdlavuza wendlala yesinye kuhilela ukukhipha indlala yendlala yesinye (i-radical prostatectomy), izicubu ezizungezile kanye nama-lymph node ambalwa.Ukuhlinzwa kuyindlela yokwelapha umdlavuza otholakala ku-prostate kuphela.Ngezinye izikhathi isetshenziselwa ukwelapha umdlavuza we-prostate osezingeni eliphezulu ngokuhambisana nezinye izindlela zokwelapha.
Siphinde sinikeze iziguli ngemithi yokwelapha i-Ablative, engabhubhisa izicubu ze-prostate ngokubanda noma ukushisa.Izinketho zingabandakanya:
●Ukuqandisa izicubu ze-prostate.I-cryoablation noma i-cryotherapy yomdlavuza we-prostate ihlanganisa ukusebenzisa igesi ebanda kakhulu ukumisa izicubu ze-prostate.Izicubu zivunyelwe ukuncibilika futhi inqubo iphinda.Imijikelezo yokuqandisa nokuncibilika ibulala amangqamuzana omdlavuza nezinye izicubu ezinempilo ezizungezile.
●Ukushisa izicubu ze-prostate.Ukwelashwa kwe-high-intensity focused ultrasound (HIFU) kusebenzisa amandla e-ultrasound agxilile ukushisa izicubu ze-prostate futhi kubangele ukuba ife.
Lezi zindlela zokwelapha zingase zicatshangelwe ukwelapha ama-cancer amancane kakhulu e-prostate lapho ukuhlinzwa kungenakwenzeka.Zingase futhi zisetshenziselwe ukwelapha umdlavuza wendlala yesinye oseqophelweni eliphezulu uma ezinye izindlela zokwelapha, njengokwelashwa ngemisebe, zingakusizanga.
Abacwaningi bacwaninga ukuthi ingabe i-cryotherapy noma i-HIFU yokwelapha ingxenye eyodwa ye-prostate ingaba inketho yomdlavuza ovalelwe ku-prostate.Okubizwa ngokuthi "ukwelapha okugxilwe kukho," leli su lihlonza indawo ye-prostate equkethe amaseli omdlavuza anolaka futhi yelapha leyo ndawo kuphela.Ucwaningo luthole ukuthi i-focal therapy inciphisa ingozi yemiphumela engemihle.
I-Immunotherapy isebenzisa amasosha omzimba wakho ukulwa nomdlavuza.Amasosha omzimba alwa nesifo angase angawuhlaseli umdlavuza wakho ngoba amangqamuzana omdlavuza akhiqiza amaprotheni awasiza ukuba acashe kumaseli amasosha omzimba.I-Immunotherapy isebenza ngokuphazamisa leyo nqubo.
●Yenza amangqamuzana akho alwe nomdlavuza.Ukwelashwa kwe-Sipuleucel-T (Provenge) kuthatha amanye amangqamuzana omzimba wakho wokuzivikela komzimba, kuwenza ulibofuzo abe ngonjiniyela elabhorethri ukuze alwe nomdlavuza wendlala yesinye bese ejova amangqamuzana abuyele emzimbeni wakho ngomthambo.Kuyinketho yokwelapha umdlavuza wendlala yesinye osezingeni eliphezulu ongasaphenduli ekwelashweni kwamahomoni.
●Ukusiza amaseli amasosha omzimba wakho ukukhomba amaseli omdlavuza.Izidakamizwa ze-Immunotherapy ezisiza amangqamuzana amasosha omzimba ukuthi akhombe futhi ahlasele amangqamuzana omdlavuza ayindlela yokwelapha umdlavuza we-prostate osezingeni eliphezulu ongasaphenduli ekwelashweni kwamahomoni.
Ukwelashwa kwezidakamizwa okuhlosiwe kugxile kokungajwayelekile okuthile okukhona kumaseli omdlavuza.Ngokuvimbela lokhu okungahambi kahle, ukwelashwa kwezidakamizwa okuhlosiwe kungabangela ukuthi amangqamuzana omdlavuza afe.Ezinye izindlela zokwelapha ezihlosiwe zisebenza kuphela kubantu amangqamuzana omdlavuza anezinguquko ezithile zofuzo.Amaseli akho omdlavuza angase ahlolwe elabhorethri ukubona ukuthi le mithi ingase ikusize yini.
Ngamafuphi, umdlavuza wendlala yesinye yisifo esibi kakhulu, futhi kudingeka izindlela zokwelapha ezihlukahlukene ukuze kuncishiswe ukuqhubeka kwesifo futhi kuthuthukiswe izinga lokusinda kweziguli.Kubaluleke kakhulu ukuxilongwa kusenesikhathi nokwelashwa, ngoba ukuxilongwa kusenesikhathi kanye nokwelashwa akukwazi nje ukunciphisa ukufa kwe-tumor, kodwa futhi kunciphise ukuqina kwesimila futhi kuthuthukise izinga lokuphila.