Indlela Yokukwazi Uma I-Cancer Yakho I-prostate ibuyile nokuthi kufanele ukwenze ngani.
Ukuphindaphindiwe komdlavuza we- prostate kwenzeka lapho umdlavuza ubuya ngemuva kokuba ukwelashwa kokuqala sekuphelile. Umdlavuza we-prostate ungabuyela endaweni yangakini (endaweni eseduze kakhulu ne-prostate) noma kude (noma ikuphi emzimbeni).
Ngemuva kokuhlinzwa noma imisebe yomdlavuza wesifo sofuba esivinjelwe ku-prostate nama-tissu aseduzane, amazinga we - prostate specific antigen (PSA) avame ukuhlahlela noma athile .
Izinga le-PSA kufanele lihlale lizinzile kulelizinga eliphansi kakhulu kulandela ukwelashwa.
Izinga le- PSA kufanele lilandelwe eduze ngemva kokwelashwa kokuqala. Uma i-PSA iqala ukuvuka ngemva kokuba iye yehla noma isondela ku-zero, lokhu kungase kubonakale ukuthi umdlavuza we-prostate ubuyele emuva.
Ngokuvamile kuthatha ukuhlolwa kwe-PSA okungaphezu kweyodwa ukucacisa ukuthi umdlavuza we-prostate ubuye. Ngenxa yokuthi izinto eziningi zingabangela iqhaza eliphezulu le-PSA , odokotela abaningi bafuna ukubona okungenani ukunyuka okulandelanayo kokubili ku-PSA ngaphambi kokuba bethi kunethuba elihle lokuthi umdlavuza we-prostate usubuyele.
Ngubani okungenzeka ukuthi ube ne-Cancer Prostate Recurrence?
Ngokuvamile, ngokuqhubekayo umdlavuza wakho usakaze futhi ulaka kakhulu, kungenzeka ukuthi kubuyelwe. Izici ezithile zihlanganisa:
- Usayizi wesisu - Ngokuvamile, i-tumor enkulu, kungenzeka ukuthi ibuye iphinde ibuye.
- Isaphulelo se-Gleason - Isilinganiso se-Gleason esiphezulu sisho umdlavuza ohlukumeza futhi izinga eliphakeme lokuphindaphindiwe.
- Isiteji se-Cancer - Ukubheja phambili kubhekisela ekutheni umdlavuza usakaze kangakanani. Amagciwane ephakeme asezingeni eliphezulu asakaze kakhulu ekwelashweni kokuqala futhi anamazinga aphezulu okuphindaphindiwe.
- Ukubandakanyeka kwama-lymph nodes - Umdlavuza we-prostate oye wangena emagqumeni angama-lymph ngaphambi kokwelashwa kungenzeka ukuthi ubuyeke.
Yini Engenziwa Ngomdlavuza We-Prostate Ngemuva Kokuphindaphindiwe?
Uma umdlavuza wakho we-prostate usubuyele emuva, udokotela wakho cishe uzohlehlisa ukuhlolwa kwe-imaging ukuze kunqume kangcono ukuthi kuphi emzimbeni wakho umdlavuza ubuye.
I-Bone scans , i- CT scans , ne- MRIs yizona zivivinyo ezivame kakhulu ezihlelwe ukuthi zithole lapho umdlavuza womzimba wesifo sofuba ubuye waphinda.
Izinketho eziningi zokwelapha ziyatholakala kumdlavuza wesi-prostate obuyele emuva. Lokho wena nodokotela wakho ukhetha kuncike ezintweni ezithile ezifana nokuthi yikuphi ukwelashwa osekutholile kakade, lapho emzimbeni umdlavuza wakho we-prostate ubuyele, indlela umdlavuza wakho usakaze ngayo, impilo yakho jikelele, kanye neminyaka yakho.
Uma ngabe umdlavuza wakho we-prostate ucatshangelwa ukuthi uvele endaweni encane kuphela futhi awusakazeki kwezinye izingxenye zomzimba, ukwelapha imishanguzo kule ndawo kungaba yindlela yokukhetha.
Uma umdlavuza wakho we-prostate usakazeka ezindaweni eziningi zomzimba, ukwelashwa kwe-hormone kungenzeka kube yindlela yokukhetha. I-Chemotherapy ingasetshenziswa kaningi emdlalweni wesi-prostate, kodwa ingasetshenziswa nalapho umdlavuza usakaze ezindaweni eziningi.
Imithombo:
> Geller J. Basis for management hormonal of umdlavuza ophezulu we-prostate. I-Cancer. 1993 Feb 1; 71 (3 Suppl): 1039-45.
> Kupelian PA, Buchsbaum JC, u-Elshaikh M, et al. Izinto ezithinta amazinga okuphindaphindiwe ngemuva kwesifo se-prostatectomy noma i-radiotherapy ezigulini ze-prostate carcinoma zendawo ene-biopsy Gleason score 8 noma ngenhla. I-Cancer. 2002 Dec 1; 95 (11): 2302-7.
> Vickers AJ, Bianco FJ Jr, uBoorjian S, et al. Ingabe ukulibaziseka phakathi kokuxilongwa kanye ne-prostatectomy enkulu kunandisa ingozi yokuphindwa kwesifo? I-Cancer. 2006 Feb 1; 106 (3): 576-80.