Isakhiwo esiseduze ne-gland esengozini yomdlavuza isakazeka
Umbhede we-prostate uyisakhiwo esikhwameni sesilisa esisendaweni esingaphansi kwesikhumba lapho i- prostate gland ihlala khona. Leli gama lisetshenziswe kaningi kumongo wenqubo yokuhlinzwa ebizwa ngokuthi i- prostatectomy eqinile lapho i-prostate gland isuswa khona emadodeni athola umdlavuza we-prostate.
Ngenxa yendawo eseduze, umbhede we-prostate ubhekene nengozi ikakhulu ekusakazeni umdlavuza.
Ngenxa yalokhu, umbhede we-prostate (owaziwa nangokuthi i-prostatic fossa) uvame ukubheka ukwelashwa komdlavuza wesibili.
Lapho i-prostatectomy ephawulekayo iboniswa
Ukuhlinzwa kuvame ukusetshenziselwa ukwelapha umdlavuza wesifo sofuba uma ungakaze usakaze ( unomzimba ) ngaphandle kwe-prostate gland uqobo. I-prostatectomy ekhululekile yilona uhlobo oluyinhloko lohlinzekwa olwenziwe. Kuhilela ukususwa kwayo yonke i-prostate gland kanye nezicubu ezizungezile, kuhlanganise nama -vesicles omzimba (izitho ezifaka uketshezi okwenza umuthi). Ama-lymph nodes aseduze nawo angasuswa.
Ku-prostatectomy enkulu, i-prostate gland ingafinyelelwa ngezindlela eziningi ezahlukene:
- Nge-incision kwisisu esingaphansi (i-retropubic)
- Nge-incision phakathi kwe-anus ne-scrotum (perineal)
- Ngokucubungula kwe-keyhole besebenzisa ithuluzi elincane elincane elihlinzekwayo elibizwa ngokuthi i-laparoscope (laparoscopic)
Ukuzikhethela kokuhlinza kuxhomeke ikakhulukazi emigomweni yokwelapha.
I-prostatectomy ye-retropubic ivame ukusetshenziswa kakhulu uma odokotela bekholelwa ukuthi umdlavuza usakaze ema-lymph nodes. I-prostatectomy ye-laparoscopic iyingcosana kakhulu kepha ifuna udokotela ohlinzayo onekhono (futhi angeke ihlinzekwe kuyo yonke imitholampilo).
Kulezi zintathu, i-prostineectomy ye-perineal ingasetshenziswa kakhulu ngoba cishe ingabangela ukulimala kwesibindi okubangelwa izinkinga zokulungisa.
I-Prostate Bed in Treatment Cancer
Umbhede we-prostate uyindawo ebalulekile yokugxila emadodeni abhekene ne-prostatectomy. Yilapho amangqamuzana anomdlavuza avame ukutholakala ngemva kokuba iglovu isusiwe. Futhi kuyindawo lapho umdlavuza uvame ukuphindela khona kubantu abaye baphathwa ngaphambili ngenxa yokulimala.
Ngenxa yalesi sizathu, ukwelashwa kwemisebe ye-adjuvant (secondary) ingasetshenziswa ukuqinisekisa ukuthi wonke amangqamuzana omdlavuza aqedwe. Okwamanje, noma yisiphi isiphakamiso sokuphindaphinda sizofaka uphenyo lobhede lwe-prostate nama-tissue azungezile.
I-Adjuvant Radiation Therapy kanye neBest Prostate
Ngemuva kokuba kwenziwe i-prostatectomy enkulu, udokotela uzofuna ukuqapha njalo isimo sakho ngokuhlolwa kwegazi okuthiwa i-prostate-specific antigen (PSA). I-PSA isetshenziselwa ukubona ukuvuvukala kwe-prostate gland. Ngemuva kokuthi iglovu isusiwe, i-PSA kufanele ihlehlele ezingeni elingabonakali phakathi nenyanga noma ngaphezulu.
Kodwa-ke, uma i-PSA iqala ukukhuphuka, udokotela wakho angase akhombise inqubo ebizwa ngokuthi i- external radiation therapy radiation . Lokhu kuhlinzeka ngemisebe ehlosiwe ngqo embhedeni wesibeletho kanye nezicubu ezizungezile. Ngezinye izikhathi kwenziwa ngokuhlanganyela ne- hormone therapy ukuze kuthuthukiswe amazinga okuphulukisa.
Ukwelashwa kwemisebe ye-Adjuvant kungase futhi kunconywe kumadoda abhekwa njengengozi ephakeme yokuphindaphinda. Inqubo yenziwa ngokushesha ngemuva kokuba i-prostatectomy iqinisekise ukuthi yonke imithi yomdlavuza ibulawe. Amaphesenti angama-60 wamadoda abhekana ne-prostatectomy ekhululekile kungenzeka ukuthi aphinde abuyele.
Kwabesilisa abathola ukuphindaphinda endaweni yebhede le-prostate, kodwa ngaphandle kwemetastasis , ukwelashwa kwemisebe ye-salvage kungabekwa. Umgomo we-salvage therapy ukulawula (esikhundleni sokuphulukisa) umdlavuza nokuwuvimbela ekusebenziseni imishanguzo ngaphandle kwendawo eseduze. Akufanelekile izifo ze-metastatic.
Imithelela emibi evela emitholampilo ye-radiation ingashintsha ngokuya ngokuthi indawo yakini noma isakazwa kabanzi kanjani umdlavuza. Qinisekisa ukuthi uxoxe nodokotela wakho ukuthi yini ongayilindela ngokufanele ngaphambi kokunquma ngesifundo se-radiation therapy.
> Imithombo:
> Barkati, M .; Simard, D .; Taussky, D. et al. "Ukucabangela kwamagnetic resonance embhedeni we-prostate ukuhlelwa kwe-radiotherapy: Ukutadisha okungahleliwe ngaphakathi nangaphakathi." I-Journal ye-Medical Imaging ne-Radiation Oncology . 2015; I-Epub ngaphambi kokuphrinta).
> UHerrera, F. noBerldld, D. "Ukwelashwa Kwemithi Emva Kwe-Radical Prostatectomy: Imiphumela Yabahlengikazi." Imingcele e-Oncology. 2016; 6: 117.