Umhlaza weprostate
Inkcazo emfutshane:
Umhlaza weprostate sisifo esibi esixhaphakileyo esidla ngokufumaneka xa iiseli zomhlaza weprostate zikhula kwaye zisasazeka emzimbeni wendoda, kwaye ukwanda kwaso kuyanda ngokuhamba kweminyaka. Nangona ukuxilongwa kwangoko kunye nonyango kubaluleke kakhulu, ezinye iindlela zonyango zisenokunceda ekunciphiseni ukuqhubela phambili kwesi sifo kwaye ziphucule izinga lokusinda kwezigulane. Umhlaza weprostate unokubakho nangaliphi na ixesha, kodwa ngokuqhelekileyo uxhaphake kakhulu kumadoda angaphezu kweminyaka engama-60 ubudala. Uninzi lwezigulane zomhlaza weprostate ngamadoda, kodwa kunokubakho nabafazi kunye nabantu abathandana nabobulili obufanayo.
Unyango lomhlaza weprostate luxhomekeke kwizinto ezininzi, kuquka ubungakanani, indawo kunye nenani lamathumba, impilo yesigulana kunye neenjongo zesicwangciso sonyango.
Unyango lwemisebe lunyango olusebenzisa imitha ukubulala okanye ukunciphisa ithumba. Lusetyenziswa kakhulu ukunyanga umhlaza weprostate wasekuqaleni kunye nomhlaza osasazeka kwezinye iindawo zeprostate. Unyango lwemisebe lungenziwa ngaphandle okanye ngaphakathi. Unyango lwangaphandle lunyanga ithumba ngokusebenzisa i-radiopharmaceuticals kwithumba uze emva koko lufunxe imitha eluswini. Unyango lwangaphakathi lunyangwa ngokufaka amasuntswana e-radioactive emzimbeni wesigulana uze emva koko udlulisele igazi kwithumba.
I-Chemotherapy lunyango olusebenzisa iikhemikhali ukubulala okanye ukunciphisa iithumba. Isetyenziswa kakhulu ukunyanga umhlaza we-prostate wasekuqaleni kunye nomhlaza osasazeka kwezinye iindawo ze-prostate. I-Chemotherapy inokwenziwa ngomlomo okanye ngemithambo.
Utyando yindlela yokuxilonga nonyango lomhlaza weprostate ngokususwa okanye nge-biopsy. Xa lwenziwa ngaphandle okanye ngaphakathi, utyando ludla ngokusetyenziselwa umhlaza weprostate wasekuqaleni kunye nomhlaza osasazeka kwezinye iindawo zeprostate. Utyando lomhlaza weprostate lubandakanya ukususa i-prostate gland (i-radical prostatectomy), ezinye izicwili ezijikelezileyo kunye nee-lymph nodes ezimbalwa. Utyando lukhetho lokunyanga umhlaza okwi-prostate kuphela. Ngamanye amaxesha lusetyenziselwa ukunyanga umhlaza weprostate ophucukileyo kunye nolunye unyango.
Sikwabonelela izigulane ngonyango lwe-Ablative, olunokutshabalalisa izicubu ze-prostate ngenxa yokubanda okanye ubushushu. Ukhetho lungabandakanya:
●Izicubu zeprostate ezibandayo.I-cryoablation okanye i-cryotherapy yomhlaza we-prostate ibandakanya ukusebenzisa igesi ebandayo kakhulu ukukhenkceza izicubu ze-prostate. Izicubu ziyavunyelwa ukuba zinyibilike kwaye inkqubo iphinda-phinde. Imijikelo yokukhenkceza nokunyibilikisa ibulala iiseli zomhlaza kunye nezinye izicubu eziphilileyo ezijikelezileyo.
●Ukufudumeza izicubu zeprostate.Unyango lwe-high-intensity focused ultrasound (HIFU) lusebenzisa amandla e-ultrasound aqinileyo ukufudumeza izicubu ze-prostate kwaye zibangele ukuba zife.
Olu nyango lunokuqwalaselwa ekunyangeni umhlaza we-prostate omncinci kakhulu xa utyando lungenakwenzeka. Lungasetyenziselwa ukunyanga umhlaza we-prostate ophucukileyo ukuba ezinye iindlela zonyango, ezinje ngonyango lwe-radiation, azincedanga.
Abaphandi bafunda ukuba i-cryotherapy okanye i-HIFU yokunyanga inxalenye ethile ye-prostate inokuba lukhetho lomhlaza okwi-prostate kuphela. Ebizwa ngokuba yi-"focal therapy," le ndlela ichonga indawo ye-prostate equlethe iiseli zomhlaza ezihlaselayo kwaye iphatha loo ndawo kuphela. Izifundo zifumanise ukuba unyango olujolise ngqo lunciphisa umngcipheko weziphumo ebezingalindelekanga.
I-immunotherapy isebenzisa inkqubo yakho yomzimba yokulwa nomhlaza. Inkqubo yomzimba wakho yokulwa nezifo isenokungayihlaseli umhlaza wakho kuba iiseli zomhlaza zivelisa iiproteni ezizinceda ukuba zifihle kwiiseli zenkqubo yomzimba. I-immunotherapy isebenza ngokuphazamisa loo nkqubo.
●Yenza iiseli zakho zibe yingcali yokulwa nomhlaza.Unyango lweSipuleucel-T (Provenge) luthatha ezinye zeeseli zakho zomzimba, luzenzele iinjineli zezakhi zofuzo kwilebhu ukulwa nomhlaza weprostate, luze emva koko lufake iiseli emzimbeni wakho ngomthambo. Lukhetho lokunyanga umhlaza weprostate ophucukileyo ongasaphenduliyo kunyango lweehomoni.
●Ukunceda iiseli zakho zomzimba zichonge iiseli zomhlaza.Amayeza e-immunotherapy anceda iiseli zenkqubo yomzimba yokuzikhusela ukuba zichonge kwaye zihlasele iiseli zomhlaza lukhetho lokunyanga umhlaza we-prostate ophucukileyo ongasaphenduliyo kunyango lweehomoni.
Unyango olujoliswe kumayeza lugxila kwizifo ezithile ezikhoyo kwiiseli zomhlaza. Ngokuthintela ezi zifo, unyango olujoliswe kumayeza lunokubangela ukuba iiseli zomhlaza zife. Ezinye iindlela zonyango ezijoliswe kuzo zisebenza kuphela kubantu abaneeseli zomhlaza ezinotshintsho oluthile lwemfuza. Iiseli zakho zomhlaza zinokuvavanywa kwilebhu ukuze kubonwe ukuba la mayeza anokukunceda na.
Ngamafutshane, umhlaza weprostate sisifo esibi kakhulu, kwaye kufuneka unyango olwahlukeneyo ukuze kuncitshiswe ukuqhubela phambili kwesi sifo kunye nokuphucula izinga lokusinda kwezigulane. Kubaluleke kakhulu ekuxilongweni nasekunyangweni kwangethuba, kuba ukuxilongwa kwangethuba kunye nonyango alunakunciphisa kuphela ukufa kwethumba, kodwa lukwanciphisa nobunzima bethumba kwaye luphucule umgangatho wobomi.