Umhlaza weProstate
Inkcazelo emfutshane:
Umhlaza wedlala lobudoda lithumba elibi eliqhelekileyo elidla ngokufunyanwa xa iiseli zomhlaza wedlala lobudoda zikhula kwaye zisasazeka kumzimba oyindoda, kwaye izehlo zayo zonyuka ngokuya ngeminyaka.Nangona ukuxilongwa kwangoko kunye nonyango lubaluleke kakhulu, olunye unyango lusenokunceda ukucothisa ukuqhubeka kwesi sifo kunye nokuphucula izinga lokusinda kwezigulana.Umhlaza wedlala lobudoda unokubakho nakubuphi na ubudala, kodwa udla ngokuba ngowona uxhaphakileyo kumadoda angaphezu kweminyaka engama-60 ubudala. Uninzi lwabaguli abanomhlaza wedlala lesidlala ngamadoda, kodwa kusenokubakho amabhinqa namafanasini.
Unyango lomhlaza wedlala lobudoda luxhomekeke kwizinto ezininzi, kubandakanywa ubungakanani, indawo kunye nenani lamathumba, impilo yesigulana kunye neenjongo zesicwangciso sonyango.
I-Radiotherapy lunyango olusebenzisa i-radiation ukubulala okanye ukucutha ithumba.Ngokuqhelekileyo isetyenziselwa ukunyanga umhlaza wesibeleko sokuqala kunye nomhlaza osasazeka kwezinye iindawo zeprostate.I-Radiotherapy inokwenziwa ngaphandle okanye ngaphakathi.Iradiation yangaphandle iphatha ithumba ngokufaka i-radiopharmaceuticals kwithumba kwaye emva koko ifunxa imitha ngesikhumba.Imitha yemitha yangaphakathi inyangwa ngokufakela amasuntswana eradioactive emzimbeni wesigulana ize idluliselwe egazini iye kwithumba.
I-Chemotherapy lunyango olusebenzisa imichiza ukubulala okanye ukushwabana amathumba.Ngokuqhelekileyo isetyenziselwa ukunyanga umhlaza wesibeleko sokuqala kunye nomhlaza osasazeka kwezinye iindawo zeprostate.Unyango lwamachiza lunokwenziwa ngomlomo okanye ngomthambo.
Utyando yindlela yokuxilongwa kunye nokunyangwa komhlaza wedlala lobudoda ngokuqhafaza okanye nge-biopsy.Olwenziwa ngaphandle okanye ngaphakathi, utyando ludla ngokusetyenziselwa umhlaza wedlala lobudoda kwangoko kunye nomhlaza osasazeka kwezinye iindawo zeprotate.Utyando lomhlaza wedlala lobudoda lubandakanya ukususa idlala lengqula (i-radical prostatectomy), ezinye iithishu ezingqongileyo kunye nee-lymph nodes ezimbalwa.Utyando lukhetho lokunyanga umhlaza ovalelwe kwidlala lengqula.Ngamanye amaxesha isetyenziselwa ukunyanga umhlaza we-prostate ophezulu kunye nolunye unyango.
Sikwanikezela ngezigulane ezine-Ablative therapy, ezinokutshabalalisa izicubu ze-prostate ngokubanda okanye ukushisa.Ukhetho lungabandakanya:
●Umkhenkce kwizicubu zedlala lengqula.I-cryoablation okanye i-cryotherapy yomhlaza we-prostate ibandakanya ukusebenzisa igesi ebanda kakhulu ukukhenkceza izicubu ze-prostate.I-tissue ivunyelwe ukuba inyibilike kwaye inkqubo iyaphinda.Imijikelo yokukhenkceza kunye nokunyibilika ibulala iiseli zomhlaza kunye nezicubu ezisempilweni ezingqongileyo.
●Ukufudumeza izicubu zedlala lengqula.I-high-intensity focused ultrasound (HIFU) unyango isebenzisa amandla agxininisiweyo e-ultrasound ukutshisa i-prostate tissue kwaye ibangele ukuba ife.
Olu nyango lunokuqwalaselwa ukunyanga i-prostate cancers encinci kakhulu xa utyando lungenzeki.Zisenokusetyenziselwa ukunyanga i-prostate cancers ukuba olunye unyango, olufana nonyango lwemitha, aluncedanga.
Abaphandi bafunda ukuba ingaba i-cryotherapy okanye i-HIFU ukunyanga indawo enye ye-prostate inokuba lukhetho lomhlaza ovalelwe kwi-prostate.Kubhekiselwa kulo "njengonyango olujoliso," esi sicwangciso sichonga indawo yedlala lengqula equlethe ezona seli zomhlaza ezinobundlobongela kwaye iphatha loo ndawo kuphela.Uphononongo lufumene ukuba unyango olujoliso lunciphisa umngcipheko weziphumo ebezingalindelekanga.
I-Immunotherapy isebenzisa amajoni akho omzimba ukulwa nomhlaza.Amajoni omzimba wakho alwa nesifo asenokungawuhlaseli umhlaza wakho kuba iiseli zomhlaza zivelisa iiproteni ezizinceda zizifihle kwiiseli zamajoni omzimba.I-Immunotherapy isebenza ngokuphazamisana naloo nkqubo.
●Ubunjineli beeseli zakho ukulwa nomhlaza.Unyango lwe-Sipuleucel-T (Provenge) luthatha ezinye zeeseli zakho zokuzikhusela kwizifo, zizenze injineli ngokwemfuzo kwilabhoratri yokulwa nomhlaza wedlala lesidoda emva koko zitofe iiseli zibuyele emzimbeni wakho ngomthambo.Lukhetho lokunyanga umhlaza wedlala lesinyi ongasaphenduliyo kunyango lwehomoni.
●Ukunceda iiseli zakho zokhuselo lomzimba zichonge iiseli zomhlaza.Amachiza e-Immunotherapy anceda amajoni omzimba ukuba achonge kwaye ahlasele iiseli zomhlaza lukhetho lokunyanga i-prostate cancers engasaphenduliyo kunyango lwehomoni.
Unyango lwamachiza ekujoliswe kulo lujolise kwizinto ezingaqhelekanga ezikhoyo kwiiseli zomhlaza.Ngokuthintela oku kungaqhelekanga, unyango lwechiza ekujoliswe kulo lunokubangela ukuba iiseli zomhlaza zife.Olunye unyango olujoliswe kuyo lusebenza kuphela kubantu abaneeseli zomhlaza ezinotshintsho oluthile lwemfuza.Iiseli zakho zomhlaza zinokuvavanywa elabhoratri ukubona ukuba la machiza anokukunceda na.
Ngamafutshane, umhlaza wedlala lobudoda sisifo esiyingozi, kwaye iindlela ezahlukeneyo zonyango ziyafuneka ukuze kuthotywe ukuqhubela phambili kwesi sifo kunye nokuphucula izinga lokusinda kwezigulana.Kubaluleke kakhulu ukuxilongwa kwangaphambili kunye nonyango, kuba ukuxilongwa kwangaphambili kunye nonyango alukwazi ukunciphisa ukufa kwe-tumor kuphela, kodwa nokunciphisa ubunzima be-tumor kunye nokuphucula umgangatho wobomi.