Ukuba ugqirha ukuxelela okanye umntu omaziyo ukuba "unesifo somhlaza wendlala," kuyinto eqhelekileyo ukuziva uloyiko olukhulu kunye nokothuka xa usiva loo mazwi. Xa sisiva igama elithi "umhlaza," sicinga ngezinto ezifana notyando, i-chemotherapy, kunye nonyango lwemitha. Kodwa ubusazi na ukuba ayizizo zonke iintlobo zomhlaza wendlala ezifuna unyango olukhulu kangaka ngoko nangoko? Namhlanje, siza kuthetha ngendlela ekhethekileyo esetyenziswa kwiimeko ezinjalo.
Ngamafutshane, yintoni i-Active Surveillance?
"Ukubeka esweni okusebenzayo" kuthetha nje "ukubeka esweni okusebenzayo." Oko kukuthi, ngaphandle kokuqala kwangoko utyando okanye unyango lwemitha yomhlaza weprostate, kodwa ukuhlala ubeka esweni indlela oziphatha ngayo umhlaza phantsi kweliso elibukhali likagqirha.
Injongo ephambili yoku kukulibazisa ukuqala konyango ide ifuneke ngokwenene. Le ndlela isetyenziswa kuphela kubantu abanomngcipheko omncinci , oko kukuthi, abantu abanomhlaza okhula kancinci, abakwinqanaba lokuqala. Uphononongo lwakutshanje lubonise ukuba amadoda ama-6 kwali-10 anomhlaza weprostate onobungozi obuphantsi aphantsi kwale ndlela yokujonga i-Active Surveillance. Oku kuthetha ukuba le ngoku yindlela esetyenziswa kakhulu neyamkelekileyo.
Ngubani ofanele le ndlela yokujonga ngokuSebenzayo?
Le asiyondlela ifanelekileyo kuzo zonke iintlobo. Ukuze ugqirha wakho akucebise ngale ndlela, umhlaza wakho kufuneka ube nezi mpawu zilandelayo:
- Umhlaza awukasasazeki ngaphandle kwe-prostate gland.
- Umhlaza usenokungabi ndlongondlongo , kuxhomekeke kubukhulu bethumba, izinga lokukhula kwalo, kunye nenqaku lakho leGleason (indlela ekhethekileyo esetyenziselwa ukulinganisa ukuba iiseli zomhlaza zindlongondlongo kangakanani emva kokuhlolwa kwe-biopsy).
Xa ufumanisa ukuba unomhlaza, kuyinto eqhelekileyo ukuziva ngathi, ‘Owu, kufuneka ndinyangwe ndize ndiwugqibe ngokukhawuleza lo mhlaza.’ Musa ukoyika ukuthetha ngokukhululekileyo ngale nto nogqirha wakho.
Kwenzeka ntoni ngexesha lokuhlolwa okusebenzayo?
Phantsi kwale nkqubo, awuhlali nje ekhaya. Ugqirha wakho womhlaza uza kukujonga rhoqo. Njengokuba elungisa imoto, uza kukujonga imeko yomzimba wakho rhoqo.
| Uvavanyo | Kangaphi? (Ukuphindaphinda) |
|---|---|
| Uvavanyo lweDijithali lweRectal (DRE) | Ngokwesiqhelo kube kanye okanye kabini ngonyaka |
| Uvavanyo lwegazi lwe-PSA (Uvavanyo lwe-PSA) | Ngokwesiqhelo kube kanye okanye kabini ngonyaka |
| I-Prostate Ultrasound kunye neBiopsy | Rhoqo emva kweminyaka eli-1-5 (njengoko kumiselwe ngugqirha) |
| I-biopsy ekhokelwa yi-MRI | Kwezinye iimeko, ugqirha unokucebisa. |
Olu vavanyo luza kunceda ugqirha wakho ukuba ajonge umhlaza wakho ukuze abone ukuba uyakhula okanye usasazeka. Ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba uvavanyo lwakho lubonisa ukuba umhlaza wakho uyakhula, ugqirha wakho uza kuthetha nawe aze ayeke ukuJongwa ngokuSebenzayo, aze akuthumelele unyango olufanelekileyo.
Ziziphi iingenelo kunye neengozi zale ndlela?
Inzuzo ephambili
Eyona nzuzo inkulu yoku kukuba ungaphila ngaphandle kwemiphumo emibi yonyango. Utyando kunye nonyango lwemitha yomhlaza we-prostate kunokubangela izinto ezinje ngobunzima bokuchama kunye nokungasebenzi kakuhle ngokwesondo. Ukubeka esweni okusebenzayo kunokugcina umgangatho wobomi bakho ngokulibazisa olu nyango lude lufuneke ngokwenene.
Umngcipheko
Umngcipheko ophambili kukuba ukuba umhlaza uqala ukukhula, kunokubakho ukulibaziseka kokuqala unyango. Ngamanye amaxesha umhlaza ungakhula uze usasazeke kwezinye iindawo zomzimba (i-metastasize). Nangona kunjalo, ukuba uvavanywa ngexesha elifanelekileyo, lo mngcipheko ungancitshiswa kakhulu. Yiyo loo nto oku kubizwa ngokuba yi-"active surveillance".
Yintoni umahluko phakathi kokubeka esweni okusebenzayo nokulinda ngononophelo?
La magama mabini afana kancinci, nto leyo enokubangela abanye abantu badideke. Nangona omabini la magama eyindlela "yokubukela", kukho umahluko omkhulu phakathi kwawo.
| Uphawu | Uhlolo Olusebenzayo | Ukulinda Ngokucothayo |
|---|---|---|
| Injongo ephambili | Ukubeka esweni indlela oziphatha ngayo umhlaza ukuze kuqalwe unyango ngexesha elifanelekileyo, ngenjongo yokunyanga umhlaza. | Endaweni yokunyanga umhlaza, kukulawula iimpawu ezenzekayo. Unyango lunikwa kuphela xa kuvela iimpawu. |
| Uvavanyo olwenziweyo | Uvavanyo olufana ne-PSA, i-DRE, kunye ne-Biopsy lwenziwa ngokweshedyuli emiselweyo. | Akukho vavanyo lucwangcisiweyo lwenziwayo. Izigulana zivavanywa kuphela xa zineempawu. |
| Ifanelekile kubani? | Kwabo banempilo ende, abaphila ixesha elide kwaye abasengozini ephantsi yomhlaza. | Kwabo bakhulileyo, abanezinye izifo ezinzulu, kwaye baphila ubomi obufutshane. |
Ndifanele ndimbone nini ugqirha?
Ukuba usebenzisa i-Active Surveillance, ukuba ubonakalisa iimpawu ezintsha (umz., ubunzima bokuchama, iintlungu zamathambo) okanye ukuba iimpawu zakho ziyaqhubeka nokuba mandundu, yazisa ugqirha wakho ngoko nangoko. Kwakhona, qiniseka ukuba uyaya kwiindibano zakho ezicwangcisiweyo zekliniki.
Umyalezo Wokuya Ekhaya
- Uvavanyo Olusebenzayo yindlela yokulawula esetyenziselwa umhlaza weprostate okhula kancinci nongenabungozi bungako .
- Eyona njongo iphambili apha kukuphepha iziphumo ebezingalindelekanga zonyango nokugcina umgangatho wobomi,Ukulibazisa unyango kude kube lixesha olufunekayo.
- Le asiyonkqubo yokulinda nje kuphela, kodwa yinkqubo apho iimvavanyo ezifana ne-PSA, i-DRE, kunye ne-biopsy zenziwa rhoqo phantsi kweliso elibukhali likagqirha .
- Ukuba kuvela iimpawu zokukhula komhlaza, ugqirha uza kuqala unyango ngoko nangoko.
- Esi sisigqibo ekufanele nisenze kunye nogqirha wakho. Xoxani ngazo zonke izinto ezikuxhalabisayo nezoyikisayo nogqirha wakho, nize nenze esi sigqibo ngokuqonda ngokupheleleyo.
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