Ukuba ugqirha ukuxelela wena okanye umntu omaziyo ukuba "unomhlaza we-prostate," yintoni efika engqondweni yakho ngoko nangoko zizinto ezifana notyando, i-chemotherapy, okanye unyango lwe-radiation? Kuqhelekile ngokwenene ukuziva usoyika kwaye uxhalabile xa usiva into enjalo. Kodwa ubusazi na ukuba ayinguye wonke umntu onomhlaza we-prostate omele aqale unyango olunjalo ngoko nangoko? Namhlanje, siza kuthetha ngendlela esetyenziswa kwiimeko ezinjalo, kwaye abantu abaninzi abazi ngayo.
Ngamafutshane, yintoni 'ukubeka esweni okusebenzayo'?
Njengoko igama lisitsho, 'ukubeka esweni okusebenzayo' kuthetha ukujonga umhlaza ngenkuthalo ngaphandle konyango, oko kukuthi, ukuwujonga ngokusondeleyo. Oku akuthethi ukungawunaki umhlaza. Ngokuchanekileyo, kuthetha ukuba umntu onomhlaza weprostate ongengomngcipheko uphantsi, ujongwa rhoqo ukuze kubonwe ukuba uqhuba njani umhlaza ngaphandle konyango olukhawulezileyo, njengotyando.
Cinga ngale ndlela. Kukho inkwenkwana encinci engcolileyo endlwini. Logama nje idlala egumbini, asinangxaki. Kodwa sihlala sijonge ukuba iza kwenza into eyingozi na, okanye iza kuchukumisa umsinga. Kuphela xa izama ukwenza into eyingozi ngolo hlobo, apho singenelela ngokukhawuleza. 'Ukubeka esweni okusebenzayo' yinto enjalo. Silinda de umhlaza ube kwi-prostate , kodwa kuphela xa ibonisa iimpawu zokuba mandundu apho siqala khona unyango.
Eyona njongo iphambili yoku kukulibazisa iziphumo ebezingalindelekanga zezinto ezifana notyando kunye nonyango lwemitha kude kube yimfuneko. Oku kuya kukunceda ugcine umgangatho wobomi ulungile.
Ngubani ofanele kakhulu le ndlela?
Indlela ebizwa ngokuba yi-'active surveillance' ayifanelekanga kuye wonke umntu. Ukuba ugqirha wakho ucebisa le ndlela kuwe, kukho izinto ezininzi ekufuneka zifezekiswe.
- Umhlaza usenokungasasazekanga ngaphandle kwe-prostate gland yakho.
- Umhlaza awunakuba ndlongondlongo. Ukufumanisa oku, oogqirha basebenzisa izinto ezifana ne-'Gleason score', olu luvavanyo oluthatha iiseli zomhlaza luze luzivavanye. Eli nqanaba lifanele libe liphantsi.
- Ithumba kufuneka libe lincinci ngobukhulu.
Ngamafutshane, ukuba unomhlaza kwangethuba, okhula kancinci, kwaye awunobungozi , le ndlela inokuba lukhetho olufanelekileyo kuwe.
Kwenzeka ntoni ngexesha 'lokugada okusebenzayo'?
Awuyi kushiywa wedwa ngeli xesha. Ugqirha wakho womhlaza uza kukujonga ngokusondeleyo. Kukho isicwangciso esithile, okanye 'iprotocol', sokwenza oku. Oku kudla ngokwenzeka ngeli xesha.
| Uvavanyo / Inkqubo | Ixesha eliqhelekileyo |
|---|---|
| Uvavanyo lweDijithali lweRectal | Ngokwesiqhelo kube kanye okanye kabini ngonyaka. |
| Uvavanyo lwegazi lwe-PSA (Uvavanyo lwe-PSA) | Kanye okanye kabini ngonyaka. Oku kunika umbono wempilo ye-prostate gland. |
| I-Prostate Biopsy | Kanye ngonyaka omnye ukuya kwemihlanu. Oku kukujonga naluphi na utshintsho kumhlaza. |
| Iiskeni zeMRI | Ngamanye amaxesha, ugqirha unokucebisa ukuba kwenziwe i-MRI scan ukuze kulandelwe i-biopsy. |
Le shedyuli inokwahluka ngokuxhomekeke kwimeko yakho. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye ungaluphosi naluphi na uvavanyo.
Ziziphi iingenelo kunye neengozi zale ndlela?
Njengakwezinye iinkqubo zonyango, kukho iingenelo kunye neengozi. Kubalulekile ukuqonda zombini ezi ndlela ngaphambi kokuba wenze isigqibo.
Iinzuzo
Inzuzo ephambili lithuba lokuphepha okanye ukulibazisa iziphumo ebezingalindelekanga ezinokwenzeka kwizinto ezifana notyando kunye nonyango lwemitha. Umzekelo:
- Ubunzima bokulawula umchamo (ukungakwazi ukuzibamba komchamo)
- Ukungasebenzi kakuhle kwe-erectile
- Iintsholongwane kunye nentlungu
Yinto entle kakhulu ukukwazi ukuphila ubomi bakho ngendlela eqhelekileyo, ngaphandle kwezinto ezinje.
Iingozi
Ingozi ephambili kukuba umhlaza uya kukhula kwaye usasazeke (ukwanda kwe-metastasize) ngeli xesha silindileyo.Ukuba oku kuyenzeka, unyango olulandelayo lunokuba nzima ngakumbi. Nangona kunjalo, le ngozi inokulawulwa kakhulu ngokuhlolwa rhoqo.
Kuqhelekile ukuziva usoyika kwaye uxhalabile ngokungafumani unyango lomhlaza nangona usazi ukuba unalo. Usenokucinga, "Owu, andazi ukuba oku kuza kukhula ngaphakathi kum." Ukuba uvakalelwa ngaloo ndlela, thetha nogqirha wakho ngayo ngokukhululekileyo. Uza kuyiqonda indlela ovakalelwa ngayo.
Yintoni umahluko phakathi 'kokujonga okusebenzayo' kunye 'nokulinda okulindileyo'?
Abantu abaninzi bayawabhidanisa la magama mabini kuba afana kancinci. Nangona kunjalo, kukho umahluko omkhulu phakathi kwezi ndlela zimbini.
| Uphawu | 'Ukubeka esweni okusebenzayo' | 'Ukulinda Ngokucophelela' |
|---|---|---|
| Injongo ephambili | Silinde ixesha elifanelekileyo lokuqala unyango, ngenjongo yokunyanga umhlaza. | Injongo asikokunyanga umhlaza, kodwa kukulawula iimpawu nokugcina umgangatho wobomi ulungile. |
| Uvavanyo | Uvavanyo olufana ne-PSA kunye ne-biopsy lwenziwa rhoqo . | Uvavanyo oluqhelekileyo alwenziwa kwaye iimpawu zinyangwa kuphela xa zibonakala. |
| Eyona ifanelekileyo | Kwabo baselula, abasempilweni, nabanokulindelwa ukuba baphile ubomi obude. | Kwabantu abadala, abo banezinye izifo ezinzulu, kunye nabo banengxaki yokunyamezela iziphumo ebezingalindelekanga zonyango. |
Ngamafutshane, 'Ukubeka esweni ngokusebenzayo' kuthetha ukuba qwa kwaye ulinde unyango. 'Ukulinda ngononophelo' kuthetha ukunganyangi iimpawu kwaye uzinyange kuphela xa zisenzeka.
Ndifanele ndithethe nogqirha nini?
Ngexesha 'lokugada ngokusebenzayo', kubaluleke kakhulu ukuba uqaphele utshintsho emzimbeni wakho. Ukuba ufumana naziphi na iimpawu ezintsha, okanye ukuba uvakalelwa kukuba uphawu olukhoyo luya lusiba mandundu, yazisa ugqirha wakho ngoko nangoko .
Umzekelo,
- Ubunzima obungaphezulu kunesiqhelo xa uchama
- Ukudinga rhoqo ukuchama
- Intlungu yomqolo okanye yethambo
Lumka ngezinto ezinje: Ungaze woyike ukubuza ugqirha wakho ngayo nayiphi na imibuzo onayo, nokuba mincinci kangakanani na. Ukwadlala indima enkulu ekwenzeni izigqibo malunga nonyango lwakho.
Umyalezo Wokuya Ekhaya
- 'Ukujonga Ngokusebenzayo' yindlela yokulawula esetyenziselwa umhlaza weprostate ongonakalisiyo, okhula kancinci.
- Injongo apha asikokungawunanzi umhlaza, kodwa kukulibazisa iziphumo ebezingalindelekanga zonyango kude kube yimfuneko.
- Ngeli xesha, kwenziwa uvavanyo lwezonyango rhoqo (i-PSA, i-biopsy) ukuze kujongwe ngokusondeleyo indlela umhlaza oziphatha ngayo.
- Kuqhelekile ukuziva usoyika okanye uxhalabile ngokuba ungenawo umhlaza kwaye unganyangwa. Kubalulekile ukuthetha ngokukhululekileyo ngale nto nogqirha wakho.
- Oku kwahlukile kwindlela ebizwa ngokuba 'kukulinda ngononophelo'. Injongo 'yokubeka esweni okusebenzayo' kukunyanga nokunyanga isifo ukuba kuyimfuneko.
- Ngaphambi kokuba wenze isigqibo sokugqibela, xoxa ngononophelo ngeenzuzo, iingozi, kunye nokuba le ndlela ikulungele na nogqirha wakho.
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