Indlela yokukwazi ukuba i-Cancer yakho ibuyele kwaye Yintoni ongayenza ngayo.
Ukuphindaphinda komdlavuza wesibeletho kwenzeka xa umhlaza uphinda ubuya emva kokuba unyango lokuqala lugqityiwe. Umhlaza wesifo seprotate ungaphinda uhlale kwindawo (kwindawo esele ijikeleze iprotate) okanye kude (naphi na kwenye emzimbeni).
Emva kokuhlinzwa okanye i-radiation yomhlaza wesifo seprotate egcinwe kwi-prostate kunye nama-tissue asondeleyo, i- prostate i-anti -gen (PSA) yamanqanaba ngokuqhelekileyo iya kwi-zero okanye iphantse.
Inqanaba le-PSA kufuneka lihlale lizinzile kweli nqanaba eliphantsi kakhulu emva kwonyango.
Inqanaba le- PSA kufuneka lilandelwe ngokufutshane emva kokuqala unyango. Ukuba i-PSA iqala ukuvuka kwakhona emva kokuhla ukuya kwi-zero okanye kufuphi ne-zero, oku kungabonisa ukuba umdlavuza weprotate ubuyile.
Ngokuqhelekileyo kuthatha uvavanyo oluphakamileyo lwe-PSA oluphakanyisiweyo ukucacisa ukuba umdlavuza weprotate ubuyele. Ngenxa yokuba izinto ezininzi zinokufaka isandla kwizinga lePSA eliphakamileyo , amaninzi agqirha afuna ukubona ubuncinane ukunyuka okulandelelanayo kwi-PSA ngaphambi kokuba bathethe ithuba lokuba umdlavuza weprotate uphindele.
Ngubani othe wathanda ukuba ne-prostate Cancer Recurrence?
Ngokuqhelekileyo, ukuqhubela phambili umhlaza wakho usasazeke kwaye unobundlobongela, kungakumbi ukubuyela kwakhona. Izinto ezithile ziquka:
- Ubungakanani be-tumor - Ngokuqhelekileyo, i-tumor ekhudlwana, kungenzeka ukuba ibuye kwakhona.
- Umgca weGleason - amanqaku aphezulu aseGleason athetha umdlavuza okhuselekileyo kunye nomlinganiselo ophezulu wokuphindaphinda.
- Isiteji sogqirha - Ukubhekiselele kubhekisela kumgama ongakanani umhlaza osasazeka ngawo. Isigaba esiphezulu se-cancer sisasazeka ngakumbi kunyango lokuqala kwaye sinamazinga aphezulu okuphindaphinda.
- Ukubandakanywa kwama-lymph nodes - Umhlaza wesifo seprotate oye wangena kwi-lymph nodes ngaphambi kokuba unyango lubuyeke kwakhona.
Yintoni Enokwenziwa Ngomdlavuza WeProstate Emva Kokuphindaphindiwe?
Ukuba umdlavuza wakho weprotate uye waphinda, ugqirha wakho uya kudala ukuhlola iimvavanyo ezithile ukuze ubone kakuhle apho emzimbeni wakho umhlaza ubuyele khona.
I-Bone scans , i- CT , kunye ne- MRIs ziyizona zivivinyana eziqhelekileyo eziyalelwe ukuba zifumene apho umdlavuza womzimba wesifo somzimba wesifo somhlaza wesifo se-prostate uye waphinda.
Zininzi iindlela zokonyango zifumaneke kumhlaza womhlaza wesifo seprotate esibuyile. Lowo wena nodokotela wakho ukhetha kuxhomekeke kwimibandela efana neyiphi unyango osufumene ngayo, apho emzimbeni wakho umhlaza wesibeletho ubuyile, indlela umhlaza wakho usasaze ngayo, impilo yakho jikelele kunye nobudala bakho.
Ukuba umdlavuza wakho weprotate ucingelwa ukuba uye wabuyela kwindawo encinane kwaye awusasazekanga kwezinye iindawo zomzimba, ngoko ke unyango lwe-radiation kuloo ndawo lunokuba lukhetho.
Ukuba umdlavuza wakho weprotate usenokwenzeka ukuba usasazeka kwiindawo ezininzi zomzimba, ngoko ke unyango lwe-hormones luya kuba lukhetho. I-Chemotherapy ayisetyenziswa ngokuqhelekileyo kumhlaza wesibeletho, kodwa ingasetyenziswa xa umdlavuza usasazeke kwiindawo ezininzi.
Imithombo:
> Geller J. Basis ngokulawulwa kwe-hormonal ye-prostate cancer ephambili. Cancer. 1993 Feb 1; 71 (3 Suppl): 1039-45.
> Kupelian PA, Buchsbaum JC, uElshaikh M, et al. Izinto ezichaphazela amazinga okuphindaphinda emva kwe-prostatectomy okanye i-radiotherapy kwizigulane ze-prostate carcinoma zengingqi ye-biopsy iGleason 8 okanye ngaphezulu. Cancer. 2002 Dec 1; 95 (11): 2302-7.
> Vickers AJ, Bianco FJ Jr, Boorjian S, et al. Ngaba ukulibaziseka phakathi kokuxilongwa kunye ne-prostitectomy enkulu kunandisa ingozi yokuphindaphinda kwesifo? Cancer. 2006 Feb 1; 106 (3): 576-80.