Ulwakhiwo olusondeleyo kwintsimbi ejongene nesifo somhlaza
Ibhedi yeprotate iyisakhiwo kwintlawu yendoda ehlala phantsi kwebhula apho i- prostate gland ihlala khona. Eli gama liqhelekileyo lisetyenziswe kwimeko yenkqubo yokuhlinzwa ebizwa ngokuba yi -rastal .prostatectomy apho i-prostate gland isuswa kumadoda afunyanwe ngumhlaza wesifo somhlaza.
Ngenxa yendawo esondeleyo, ibhedi yeprotate iyingozi kakhulu ekusabalaleni komhlaza.
Ngenxa yoko, i-prostate bed (eyaziwa nangokuthi i-prostatic fossa) ngokuqhelekileyo igxininisa unyango lomhlaza wesibini.
Xa iprostatectomy ephezulu ikhonjiswa
Uphando luvame ukusetyenziswa ukuphilisa umdlavuza weprotate ukuba awuzange usasaze (i- metastasized ) ngaphaya kwe-prostate gland ngokwayo. I-prostatectomy enkulu kakhulu yindlela yokupasa eyenziwa. Kubandakanywa ukususwa kwe-prostate gland kunye nezicubu ezizungezile, kubandakanywa ne- vesicles vesicles (izitho ezithe zenza i-fluid ezenza i-semen). I-lymph nodes eziseduze zingasuswa.
Kwi-prostatectomy enkulu, i-prostate gland inokufikelela kwiindlela ezahlukeneyo:
- Ngokufakela kwisisu esezantsi (i-retropubic)
- Ngokuzibandakanya phakathi kwe-anus kunye ne-scrotum (perineal)
- Ngokusebenzisa isixhobo sokuqhafaza usebenzisa isicatshulwa sokucoca esincinci, esinezinto ezibizwa ngokuba yi-laparoscope (laparoscopic)
Ukhetho lotyando luxhomeke kakhulu kwiinjongo zonyango.
I-prosttectomy i-retropubic isetyenziswa ngokuqhelekileyo ukuba oogqirha bakholelwa ukuba umhlaza usasazeke kwi-lymph nodes. I-laparoscopic prostatectomy iyancipha kakhulu kodwa ifuna udokotela ogqirha (ongenakho ukunikezelwa kuzo zonke iiklinikhi).
Kwezi zintathu, i-prostineticomy ye-parineal ingasetyenziswa kakhulu ngenxa yokuba kunokwenzeka ukuba ibangele umonakalo weentsimbi ezibangelwa iingxaki zokulungisa.
Ibhedi yeprostate kwiCreatcer Treatment
Ibhedi yeprotate yindawo ebalulekileyo ekujoliswe kuyo kwindoda eqhuba i-prostatectomy. Yilapho iiseli zomhlaza zifunyenwe rhoqo emva kokuba igrafu isuswe. Kwakhona isayithi apho umhlaza uphindela kwakhona kubantu abaye baphathwa ngaphambili.
Ngenxa yezi zizathu, i-adjuvant (secondary) yonyango ingasetyenziselwa ukuqinisekisa ukuba zonke iiseli zomhlaza ziye zachithwa. Okwangoku, naziphi na iziphakamiso zokuphindaphinda ziya kubandakanya uphando lobhedi lweprotate kunye nezicubu ezijikelezayo.
I-Adjuvant Radiation Therapy kunye neBhethi yeProstate
Emva kokuba i-prostatectomy ekhuselekileyo yenziwe, ugqirha uya kufuna ukubeka iliso rhoqo imeko yakho kunye novavanyo lwegazi olubizwa ngokuba yi-prostate-specific antigen (PSA). I-PSA isetyenziselwa ukufumanisa ukuvuvukala kwe-prostate gland. Emva kokuba igrafu isusiwe, i-PSA kufuneka idike kwizinga elingabonakaliyo ngenyanga okanye njalo.
Nangona kunjalo, ukuba i-PSA iqala ukunyuka, ugqirha wakho angakuchaza inkqubo ebizwa ngokuba yipilisi ye-radiation yangaphandle . Oku kunika imirhumo ejoliswe ngqo kwi-bed prostate kunye nezicubu ezijikelezayo. Ngamanye amaxesha lenziwa ngokubambisana ne- hormone unyango ukuphucula amazinga okunyanga.
Iyeza lonyango le-adjuvant liyakunconywa kumadoda abhekwe njengengozi ephezulu yokuphindaphinda. Inqubo yenziwa ngokukhawuleza emva kokuba i-prostatectomy iqinisekise ukuba yonke impawu zomhlaza zibulawa. Amanqaku angama-60 ekhulwini abesenza i-prostatectomy enamandla kakhulu anokuphindaphinda.
Kubantu abafumana ukuphindaphinda kwindawo ye-prostate bed, kodwa ngaphandle kwe- metastasis , unyango lwe-radiation lunokumiselwa. Injongo yokwelapha i-salvage kukulawula (kunokuba yiphilise) umhlaza kwaye uyakukhusela ekubeni uhlalutye ngaphandle kwendawo esondeleyo. Akulungele izifo zesistim.
Imiphumo emibi evela kwipilisi ye-radiation iyakwazi ukuhluka ngokusekelwe kwindlela ohlala kuyo okanye ngokubanzi isasazwa ngumhlaza. Qiniseka ukuba uxoxe nodokotela wakho into onokuyilindela ngokufanelekileyo ngaphambi kokuthatha isigqibo malunga nekhosi yeyeza.
> Imithombo:
> Barkati, M .; Simard, D .; Taussky, D. et al. "Ukucatshulwa kwe-magnetic imagination for bed prostate ukucwangciswa kwe-radiotherapy: Ucwaningo lwangaphakathi kunye nolwangaphakathi. Umbhalo we-Medical Imaging kunye ne-Radiation Oncology . 2015; Epub ngaphambi kokushicilela).
> UHerrera, F. noBerldld, D. "Ulwaphulo lweMitha emva kweRestal Prostatectomy: Impembelelo kwiiKlinikhi." Imida kwi-Oncology. 2016; 6: 117.