Yintoni Oyenzayo Ukuba Yandwendwela?
Njengoko iteknoloji iqhubela phambili, ukuqonda kwethu kuphuculwe kukuphucula. Kwixesha elidlulileyo, besithi "umhlaza" uthetha konke. Kwakuthetha ukuba umntu ufa. Ngombulelo, oku kuguqulwa kwaye sichaza ukuxela komntu othile ngokubhekiselele apho awela khona ngaphakathi. Amaninzi amanqaku achaza ukuxela okuquka ukukhulula, indawo, kunye nebanga le-tumor. Nazi ezinye iingcamango ezisisiseko malunga nommandla womhlaza kunye nendlela ehambelana ngayo kunye nokukhethwa kwonyango.
Ukufumanisa umdlavuza weProstate
Ngaphambi kokuphuhliswa kwe-MRI ye-3 ye-Tesla ye-multi-parametric, i-extra-capsular prostate cancer yafunyanwa kuphela xa ugqirha evakalelwa engafaniyo ngaphandle kwe-gland ngokuhlolwa kwe- digital rectal . Ngoku, i-imaging yamanje kunye ne-biopsy iteknoloji inceda sikwazi ukufumana amanqanaba amancinci omhlaza osasazeka kwi-capsule. I-Cancer isasazeka nje ngaphandle kwe-capsule ye-gland okanye kwi-vesicles ye-seminal, xa i-CT kunye ne-scan scan ithile ngokucacileyo, kuthiwa "iqhutywe phambili." Nangona umdlavuza usasazeka ngaphaya kwe-capsule ye-gland, i-radiation yamanje kunye ne-IMRT, rhoqo ukuxhobisa i-brachytherapy, kunokusebenza kakuhle ekulawuleni i-tumor yokuqala.
I-Cancer isenokunyanga xa iqhutyelwa phambili kwendawo nje ukuba i-tumor ihlala ivalwe kummandla jikelele ngokukhawuleza ujikeleze iprotate. Amava abonisa ukuba umdlavuza weprotate ophezulu ngokuqhelekileyo uza kudibaniswa kunye ne-microscopic metastases kwi-lymph nodes.
Imizila yepropylactic ye-pelvic kunye ne-testosterone inactivation pharmaceuticals (TIP) kufuneka ithathelwe ingqalelo njengento yokuthintela.
Emva kokuqala kwesiteji kunye ne-CT okanye i-scan scan, ngamanye amaxesha omnye okanye ezimbini i-metastases ziyafunyanwa. Isimo se-metastatic nge-5 okanye i-metastase ebizwa ngokuba yi-oligometastases (i-oligo ngesiGrike isho "ezimbalwa").
I-loctic heritage lore ithi ukuba nayiphi na i- metastases ebonakalayo "yintsika ye-iceberg," nokuba i-metastasis enye ibonisa ukuba i-metastase eyongezelelweyo ikhona kwezinye iindawo zomzimba. Le nkolelo yavela kwixesha elidlulileyo xa izicatshulwa zingenanto kwaye i-metastasis enkulu kuphela ingabonwa.
Izinyango Zonyango
Ngoku, ithuba lokuphilisa amadoda kunye ne-oligometastases kunye nemisebe ekujoliswe kuyo akufanelekanga. Ukusukela unyango olusenokuba lunokuphelisa phantse lubakhokelela ekuqhubekeni kweminye imitha ephantsi komgca. Kubuhlungu xa unyango oluchanekileyo olunjenge-radiation kwi-lymph node okanye i-metastasis yamathambo egcinwe kuphela ngenxa yokwesaba okungenakucinga ukuba "ayiyi kusebenza." Xa i-oligometastase iphathwa nge-radiation, unyango olongezelelweyo lweTIP, kwaye mhlawumbi ne-Taxotere kufuneka ziqwalaselwe ngamandla.
Xa i-bone ihlola okanye i-CT i-scans ibonisa inani elongezelelweyo le-metastase, imisebe ejwayelekile ayifanelekiyo kuba imisebe eya ezindaweni ezininzi zethambo iyonakalisa umongo wethambo. I-TIP yinkqubo yokuqala yokunyanga kwamadoda ane-boneastases yamathambo amaninzi. Kukho ubungqina obuqinileyo bokuthi ukongeza i-taxotere chemotherapy kwi-TIP ngokukhawuleza kwandisa ixesha lokuphila kunye nokuphucula amazinga okulawula umhlaza.
Ukongeza, i-arhente exhasa inkxaso efana no-Xgeva okanye i-Zometa nayo kufuneka ilawulwe. Ifomu evunyiweyo ye-FDA ye-injection ebizwa ngokuba yi-Xofigo nayo iboniswe ukuba ilinde ixesha lokusinda kwaye ilawula kakuhle intlungu yethambo.
Ngokuqhelekileyo, ngokuqhelekileyo kwizigaba eziphambili kakhulu isifo somhlaza wesifo se-prostate singasasazeka kumpompo okanye esibindi. Amadoda aneemiphunga zamaphaphu ahlala esabela kakuhle kwiindlela ezahlukeneyo zonyango. Ubungqina bezilwanyana ezinobungozi bunobungozi kwaye buncinci ukuba baphendule unyango lwe-hormone. Xa i-metastases yesibindi ikhona, i-chemotherapy esheshayo ibonisiwe. Ndiye ndafumanisa ukukhutshwa okubalulekileyo kwimbindi yesifo kunye nesonyango esiyi-FDA-evunyelwe umhlaza wekolon obizwa ngokuba yi " SIR-Spheres ," uhlobo lonyango lwamayeza olufakelwa kwigazi elibanjelwe esibindi.
Umhlaza wesifo seprotate ubonisa iindlela ezahlukeneyo. Ulawulo oluchanekileyo ludinga ukuchaneka ngokuchanekileyo kunye nesicwangciso sonyango. Iziphumo ezilungileyo, izigulana kufuneka zisebenzise unyango olusisigxina kwixesha eliphangaleleyo xa isalathisi sibonisa ukuba umdlavuza usasazeka ngaphandle kweprotate.