Indlela Yokufeza Umphumela Ongcono
Unyaka ngamunye, kutholakala ukuthi amadoda angama-200 000 ane-cancer yomzimba. Ukudideka mayelana nokwelashwa okuphelele kuyenzeka. Odokotela baze baphinde baphendule iziguli zabo bethi, "Njengoba kungcono ngempilo yokuphila, isinqumo sokuthi ukwelashwa okufanele usebenzise kuyini kuwe." Ngombono wami, lokhu kungukungabikho komsebenzi wemithwalo yempilo. Noma kunjalo, yilokho iziguli zomdlavuza we-prostate zibhekana nazo.
Nazi izinhlahlandlela eziyishumi ezilula zokusiza ukuphatha lo mthwalo osindayo.
Thola Abafundi
Ukwelashwa okuphelele kuncike ekutholeni imithombo ethembekile yolwazi. Ngokujabulisayo, zonke izinhlobo zolwazi ziyatholakala kwi-intanethi. Kodwa azithembekile ngokulinganayo. Eqinisweni, izinsiza eziningi ze-intanethi zihlonyelwe endaweni eyodwa noma enye. Iqiniso lingatholakala, kodwa udinga ukuthola amadokhumenti omthombo-izifundo zokuqala lapho izincomo zezokwelapha zisekelwe khona. Insimu yezokwelapha ikhiwe phezu kwezifundo zokuhlola ezenziwe ngeziguli eziphathwa ngezindlela ezehlukene bese zigcinwa ngokuhamba kwesikhathi ukucaca umphumela wazo wesikhathi eside.
Uma ubukeza izifundo, inselelo ukuthola lezo ezihambisana nesimo sakho esithile. Uma udokotela wakho ethi, " Ukushiswa kwemithi kungcono kunokuhlinzwa," mcele ukuthi anikeze isifundo sokuqala lapho lesi simangalo sisekelwe khona. Funda isifundo nale mibuzo elandelayo engqondweni:
- Ingabe lezi ziguli zinezinga elifanayo lomdlavuza wesicathulo njengami?
- Kungenani amaqembu amabili iziguli eziqhathaniswa na?
- Ingabe izikhungo eziningi zisebenzisana ngokucwaninga?
- Ingabe in encwadini yokuqala enjengeNew England Journal of Medicine ?
Uma udokotela oxoxisana naye kuphela uhlobo oluthile lwezokwelapha, njengoba ngokuvamile kuvame odokotela abaningi bomdlavuza we-prostate, kufanele akwazi ukukunikeza isifundo esisanda kushicilelwa, esicindezelayo esenza isiphakamiso sakhe.
Shiya Imicabango Eyandulele Emnyango
Inqubo yemfundo yesifo somdlavuza we-prostate kumele iqale kabusha. Iziguli ngokuvamile ziletha ukucabanga okungalungile ekubonisaneni kwabo kokuqala. I-cancer iyinkulumo enamandla kangaka futhi iba yinto engathandeki engqondweni yethu ukuthi imizwelo ephumelayo yenza ukucabanga okucacile akunakwenzeka. Ukuba nesisusa sokulondoloza impilo yakho futhi ushukumiselelwe ukuthola ukwelashwa okunonya kuyakulungele ngokuphelele uma impilo yakho isengozini esiseduze . Kodwa ngomdlavuza we-prostate, lokhu akuvamile neze kuyiqiniso. Njengoba usuqhubeka ufunda isimo, uzoqala ukuqaphela ukuthi usongo olukhulu kunesimo sakho sempilo . Ukufa kweminye imikhakha yomdlavuza akuphikisiwe. Kodwa ungangeni esicupheni sokucabanga ukuthi umdlavuza wesifo sofuba unjengezinye izinhlobo zomdlavuza. Akunjalo.
Ungahambi Kodwa
Letha umlingani kukho konke ukubonisana. Amakhanda amabili angcono kuneyodwa. Amathathu angcono nakakhulu kunamabili. Abantu ababili bakhumbula okuningi futhi baqonde kangcono. Kule migqa, cabanga ukuletha i-tape recorder ekubonisaneni kwakho. Isazi esazi kahle singasusa izibalo kanye nolwazi ngenani elifuthekayo. Ulwazi oluyigugu lungalahleka. Uma ungakwazi ukuletha umuntu onokwelapha, njengomhlengikazi noma udokotela, ekuqokweni kwakho okungcono nakakhulu.
Ukuba nomuntu wesibili ekamelweni nakho kuyinzuzo yokusekelwa ngokomzwelo. Inqubo yokufunda mayelana nendlela yokwelapha umdlavuza wesibeletho ingasabisa futhi idonsa. Ochwepheshe bangabonisa imibono yabo ngesifiso esikhulu. Ukubonisana okuningi kungadingeka. Ukukhuthazela kuyadingeka; ngakho ukwazi ukuhlanganyela umthwalo kulo lonke uhlelo lokufunda kuyinhlangano enkulu.
Yazi Okubalulekile Kakho
Yebo, Yebo ufuna ukuhlala! Noma kunjalo, ukukhetha ukwelashwa komdlavuza we-prostate kuhilela i-tradeoffs. Ngezinye izikhathi, ukwelashwa okuncane okunonya kunjengoba kuphephile futhi kuyingozi kakhulu. Izinga lokubaluleka kokuphila lihluka phakathi kweziguli.
Amanye amadoda, njengoba ekhulile, ayasebenza futhi angakhathazeki ngokulahlekelwa amandla. Ngakolunye uhlangothi, ukulondoloza umsebenzi wezocansi ngokuvamile kuyinto ebalulekile kubantu abasha (uma ukukhathazeka ngokuphila kushiwo). Imigomo yokwelapha idinga ukulungiswa ngokuhambisana nomsebenzi womuntu ngamunye okhona ngaphambili kanye nemigomo yokuphila yonke.
Yazisa ukuthi umdlavuza we-prostate uyiBhizinisi
Kukhona inhloso enamandla yokuzuza emdlalweni we- prostate emhlabeni. Le njala yenzuzo idinga ukugcinwa engqondweni lapho izikhungo zokubonisana ezihlotshaniswa ngolunye uhlobo lwezokwelapha. Ngisho noma ungase uhlangabezane nendlela ethengisayo yokuthengisa, qaphela ukuthi leli phuzu lihlonishwe ngokucophelela ukuze kuzuzwe umthelela omkhulu. Kuyinto engacabangi kakhulu ukukholelwa ukuthi isikhungo sokuhlinzeka singanikeza ulwazi olulinganiselayo mayelana nemisebe.
Ngokuphambene nalokho, kuyiqiniso futhi. Izikhungo zokwelapha iProteton zizoba zivivi kakhulu mayelana nokusebenza nokufaneleka kokuhlinzwa. Lokhu akusho ukuthi lezi zikhungo ezahlukene azizibonakali njengabachwepheshe abanomgomo abazama ukukunikeza iseluleko esingakhethi. Akungabazeki ukuthi iningi labodokotela ozobhekana nabo banomusa wemvelo kanye nokukhathazeka, kodwa umgomo wabo oyinhloko ngukuthi ngandlela-thile baqinisekise ukuthi ukwelashwa kwabo kungcono kakhulu.
Hlola ukuchithwa kwama-Scans, Biopsies, kanye nemibiko yeLab
Kuze kube manje, sesikhuluma ngokuthola ulwazi olungcono kakhulu lwekhwalithi. Omunye wemithombo ebaluleke kakhulu yolwazi yidatha eyisisekelo yezokwelapha echaza icala lakho-imiphumela ye-biopsy nemibiko yokuskena eyanikezwa ukuxilongwa kwakho kokuqala. Iningi leziguli aziqapheli ukuthi odokotela abenza le mibiko bahlukahluka emakhono kanye nesipiliyoni. Amaphutha angenziwa esabelweni se- Gleason score noma izinga lomdlavuza kubikwa ngokuskena. Isabelo esifanele sesigaba sesifo sisekelwe ekuhloleni okunembile nangolwazi lwe-biopsy. Amaphutha aholela emiphumeleni emibi. Iningi leyunivesithi linikeza imibono yesibili ukuqinisekisa (noma ukuphikisa) umbiko wokuqala.
Qaphela i-prostate Cancer is a Umbrella Term
Uma ukuchithwa kokuqala kokuthola ulwazi nolwazi lwe-biopsy kuqinisekisiwe, isinyathelo esilandelayo ukunikeza isigaba esifanele kumdlavuza wakho we-prostate. I-Prostate Cancer Research Institute (i-PCRI) inikeza indlela yokuhlukanisa umdlavuza wesibeletho osanda kutholakala ube yizigaba ezinhlanu ezihlukene; ngamunye wabelwa u-Shade ohlukile weBlue. Izigaba ezintathu zokuqala zichaza izinga lomngcipheko wamadoda anezifo ezisanda kutholakala: Iphansi = I-Sky, Intermediate = Teal and High = I-Azure.
- Iziguli zase- Sky zinesifo sesifo esingenabungozi futhi asisakazeki. La madoda angabhekwa ngaphandle kokwelashwa.
- Iziguli ze- Azure zisengozini yokufa eminyakeni eyishumi ezayo futhi inhlanganisela yokwelapha ivame ukuhamba kahle.
- Iziguli ze- teal ziphakathi kwalezi zinto ezimbili ezidlulele futhi ngokuvamile kufanele ziphathwe, kodwa ngendlela enamandla kakhulu, engacindezeli.
Ama-shades amabili wokugcina yi- Indigo neRoyal . I-Indigo imelela amadoda anomdlavuza ophinde abuyele ngemva kokuhlinzwa kwangaphambilini noma imisebe. I-Royal inikezela abantu abanezifo ezitholakalayo zesifo se-metastatic noma abaye balwa nokuphikisana kwama-hormonal. Izinto eziyinkimbinkimbi ezihlobene nokuphatha igunya le-Indigo neRoyal ngokubonisana nomchwepheshe wesifo somdlavuza, okungukuthi i-oncologist yezokwelapha.
Khetha inhlobo yokwelashwa
Ukukhetha ukwelashwa kuncike ekubaleni imiphumela emibi ngezinga elibikezelwe ukwelapha. Omunye angacabanga ukuthi noma yiliphi inani lingamukeleka ekwelapheni umdlavuza, ngoba umdlavuza ungabulala. Kodwa-ke, kuye kwafakazela ukuthi izinhlobo eziningi zomdlavuza we-prostate ziyizinkinga ezingenabungozi futhi zikhulu kakhulu ngaphansi kwalezo zimo azivezi nhlobo.
Yiqiniso, kukhona phakathi, izinhlobo zokuguquguquka komdlavuza wesifo sofuba (ngokuvamile esigabeni seTeal), lapho ingozi yokufa iphansi kakhulu kodwa hhayi neze zero. Lezi zixazululiwe ngendlela enokulinganisela ngokusebenzisa ukwelashwa okuncane okugcina ingozi yemiphumela emibi kakhulu, kepha isengayiphulukisa lesi sifo. Ngakho-ke, yisigaba sesifo esithonya elikhulu ekukhetheni ukwelashwa. Kodwa-ke, izinkinga ezengeziwe okudingeka zifakwe kuzo yizinhloso zomuntu siqu zesiguli mayelana nokulondoloza umsebenzi wezocansi, izinga lokufinyelela kudokotela wekhwalithi yokwenza ukwelashwa, nokulinda kwesikhathi sokuphila.
Khetha uDokotela Ofanele Ukwenza Ukwelashwa
Bonke odokotela abadalwa ngokulinganayo. Udinga i-superstar? Yebo! Inselelo kanye nokuyinkimbinkimbi yokwelapha ngokwe-prostate kufana nokuhlinzekwa kobuchopho. Isisindo esisodwa kanye nezinkinga ezingavumeleki zocansi, zokuvuthwa, kanye nama-rectal zingenzeka. Uthola kanjani i-superstar? Iziguli azifanelekile ngokuphelele ukwahlulela amakhono odokotela. Udokotela okwelapha kufanele akhethwe njalo ngodokotela. Sebenzisa udokotela oyedwa ukukusiza ukhethe ukwelashwa nodokotela ohlukile ukwenza ukwelashwa. Kulezi ziguli ezinezinsiza, kuvame ukuhamba ukuya kwelinye idolobha bese uthintana nochwepheshe owaziwayo wesifuba, owazi kahle insimu futhi angakwazi ukubona ama-superstars ngesiqinisekiso. Njengoba kunamaphilisi amaningi omdlavuza we-prostate, kukhona ithuba elilodwa lokuthola ilungelo futhi ukuba nodokotela ongcono kakhulu owenza ukwelashwa kubalulekile.
Yamukela ukuthi uhlelo olukhona aluhle kunalutho
Ukunakekelwa kwezokwelapha zanamuhla kusekelwe ekuqalisweni kwezibalo ezivela kwizifundo zesikhathi eside ezigulini eziningi. Kodwa-ke, kukhona into engalindelekile kuyo yonke inqubo yokukhethwa komdlavuza wesicathulo. Abantu bangenza izinqumo ezifanele futhi banamiphumela emibi. Ngezinyathelo ezinengqondo ngesinyathelo ekukhetheni ukwelashwa, abantu abaningi bayoba nemiphumela efana nalokho okwabikezelwa ngaphambi kokwelashwa.
Ekugcineni, Nokho, ayikho ibhola le-crystal elingakwazi ukubikezela ngokuzayo ikusasa. Imiphumela emibi engalindelekile ingenzeka. Lesi yisici esesabekayo nesesabekayo kakhulu somdlavuza we-prostate emhlabeni. Abanye abantu bacishe baphele amandla yizinqumo ezinkulu ezingenakuphikiswa ezihambisana nenqubo yokukhetha ukwelashwa . Kubalulekile ukuhlanganisa isibindi esithile ngoba ngesinye isikhathi, kuzodingeka kwenziwe isinqumo futhi leso sinqumo siyovame ukuxhomeka kolwazi oluthile futhi olungaphansi kwesilinganiso.
Izwi elivela
Yebo, iziguli ezinomdlavuza we-prostate zibhekene nenselele enkulu ekukhetheni inkambo yabo yokwelashwa. Izigxobo ziphakeme kakhulu, zithinta kokubili ukusinda kanye nekhwalithi yokuphila. Ngokuvamile imithombo yolwazi ayinakulinganisela noma ayilungile. Kodwa-ke, inqubo elandelanayo yesinyathelo esilandelayo eqondisa ngokucophelela ukunemba kolwazi kanye nokunemba kwemithombo yolwazi (okungukuthi, odokotela abahlinzeka iseluleko) kubalulekile njengoba kubalulekile. Ukubamba iqhaza nomngane noma ilunga lomndeni ukukusiza kulolu hlelo kubalulekile. Iziguli ezizimisele ukwenza umsebenzi onzima, zifaka amahora adingekayo okutadisha, futhi ukuzindla ngokucophelela ngalokho abazokufunda kuzokwenza umphumela omuhle kakhulu.