Ndiyaqonda ukuba kunokuba nzima kangakanani ukwazi ukuba wena okanye umntu omthandayo unomhlaza weprostate. Ingakumbi xa umhlaza usasazeke (usasazeka) kwezinye iindawo zomzimba kwaye ungasabeli kakuhle kunyango oluqhelekileyo, uloyiko kunye nexhala zikhula ngakumbi. Kodwa ungakhathazeki. Ngokuhambela phambili kwesayensi yezonyango, ngoku kukho unyango oluthile, olujolise kakhulu kwezi ntlobo zeemeko. Namhlanje siza kuthetha ngolunye lonyango olutsha nolubaluleke kakhulu. Olu yi-PSMA-Targeted Therapy.
Luluphi olu nyango lujoliswe kwi-PSMA?
Ngamafutshane, olu lunyango oluphambili kakhulu olujolise kwaye lutshabalalise iiseli zomhlaza kuphela.
Khawuthelekelele ukuba iiseli zomhlaza weprostate zine-'antenna' ekhethekileyo ngaphandle enokuzibona. Le antenna yinto esiyibiza ngokuba yi -PSMA , okanye i-Prostate-specific membrane antigen, kwezonyango. Le yiproteni efumaneka ngobuninzi phezu kweeseli zomhlaza weprostate.
Kolu nyango, sisebenzisa into esebenza njenge-'missile'. Le 'missile' inokufumana i-antenna ye-PSMA kwiiseli zomhlaza ize inamathele kuyo. Le missile ayisuki nje, ithatha i-radioactive tracer kunye nayo. Ngokuchanekileyo, yinto ebizwa ngokuba yiLutetium-177 . Ngoko ke xa le missile inamathela kwiseli yomhlaza, loo nto ine-radioactive ijolise kwaye itshabalalise iseli yomhlaza kuphela.
Eyona nzuzo inkulu yolu nyango kukuba luya ngqo kwiiseli zomhlaza, ngoko ke umonakalo kwezinye iiseli eziphilileyo emzimbeni mncinci kakhulu.
Kuxa kutheni apho olu nyango lunikwa khona?
Unyango lwe-PSMA ludla ngokusetyenziswa kumhlaza we-prostate ophucukileyo , ngakumbi:
- Xa ingaphenduli kunyango oluphambili olufana notyando okanye imitha.
- Xa umhlaza usasazeke kwamanye amalungu omzimba, umzekelo, emathanjeni (umhlaza we-prostate osasazekayo).
- Ugqirha wakho angacebisa olu nyango xa ezinye iindlela zonyango, ezinje ngonyango lweehomoni okanye i-chemotherapy, zingasakwazi ukulawula umhlaza.
Ngaba unyango lwe-PSMA luyawunyanga ngokupheleleyo umhlaza?
Le yinto sonke ekufuneka siyiqonde ngokucacileyo. Unyango lwe-PSMA alulonyango lomhlaza. Iinjongo eziphambili zezi:
- Ukunciphisa ubukhulu beethumba.
- Ukulawula izinga lokukhula komhlaza.
- Ukunciphisa iimpawu ezifana neentlungu ezibangelwa ngumhlaza.
- Ukwandisa ubomi besigulana kunye nokuphucula umgangatho wobomi.
'Unyango' luthetha ukuba umhlaza awusayi kuze ubuye. Nangona kunjalo, emva kolu nyango, isigulana sinokunikwa ixesha apho kungekho zimpawu kwaye umhlaza ungasebenzi, elibizwa ngokuba lixesha lokuxolelwa .
Ndingenza ntoni ngaphambi kokuba ndifumane unyango?
Ngaphambi kokuba uqale olu nyango, ugqirha wakho uza kukuxilonga ngononophelo. Kubalulekile ukumxelela ngembali yakho epheleleyo yezonyango, unyango lwangaphambili, kunye namayeza angoku. Kwakhona, eli lixesha elifanelekileyo lokubuza nayiphi na imibuzo onokuba unayo.
Ukongeza, kufuneka kwenziwe ezi mvavanyo zilandelayo.
| Uvavanyo | Kalula nje... |
|---|---|
| Uvavanyo lwegazi | Ukuze ufumane umbono ngempilo yomzimba iyonke kunye nomsebenzi womhlaza. |
| Iskena se-CT | Ibonelela ngomfanekiso onemilinganiselo emithathu (3D) wezicubu ezithambileyo kunye namathambo ngaphakathi emzimbeni. |
| Iskeni yeMRI | Isebenzisa iimagnethi kunye namaza erediyo ukuthatha imifanekiso ecacileyo yezicubu ezithambileyo. |
| Iskena se-PSMA PET | Oku kubaluleke kakhulu. Apha, kufakwa into enemisebe efana nonyango emzimbeni kwaye indawo echanekileyo ezikuyo iiseli zomhlaza idweliswa. |
Ngokudibanisa zonke ezi mvavanyo, oogqirha bafumanisa ukuba iiseli zomhlaza ziphi emzimbeni wakho kwaye olu nyango lufanelekile kangakanani kuwe.
Unyango lwenziwa njani? Luthatha ixesha elingakanani?
Olu asilotyando olukhulu. Ngokwesiqhelo, i-cannula encinci ifakwa emthanjeni engalweni yakho, kwaye iyeza lifakwa emzimbeni wakho ngalo. Oku kuthatha imizuzu embalwa. Unganikwa amayeza okuthintela izinto ezifana nokucaphuka.
Emva konyango, uza kuba phantsi kweliso likagqirha iiyure ezimbalwa uze emva koko ugoduke ngaloo mini inye . Oku kuthetha ukuba akuyi kufuneka uhlale esibhedlele.
Ngokwesiqhelo, unyango olu-6 lunikwa emva kweeveki ezi-6 . Oku kuthetha ukuba ixesha lonyango lilonke limalunga neenyanga ezi-8. Ngexesha ngalinye lonyango, kwenziwa uvavanyo lwegazi ukuze kuvavanywe indlela umzimba wakho osabela ngayo kunyango kunye nazo naziphi na iziphumo ebezingalindelekanga.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengakwezinye iindlela zonyango lomhlaza, kukho ezinye iziphumo ebezingalindelekanga ezinokubakho. Nangona kunjalo, ezi zihlala zizezexeshana. Ezona ziphumo bezingalindelekanga zixhaphakileyo zezi:
- Umlomo namehlo omileyo: Oku kuqhelekile kuba amathe aqulethe neproteni yePSMA encinci.
- Ukudinwa: Ukuziva udiniwe emzimbeni.
- Isicaphucaphu nokuhlanza: Kunikwa amayeza okulawula oku.
- Ukulahlekelwa ngumdla wokutya
- Ukwehla kwenani leeseli zegazi: Amanqanaba e-hemoglobin kunye neeplatelets egazini, ngakumbi, anokwehla okwethutyana.
Ezi ziphumo ebezingalindelekanga zingahluka kumntu nomntu, ngoko ke kubalulekile ukwazisa ugqirha wakho ngayo nayiphi na ingxaki oyifumanayo.
Yintoni onokuyenza ukuze ufumane isiqabu ngexesha lonyango?
Unyango lomhlaza lunokuba lixesha elinzima, ngokwasemzimbeni nangokwengqondo. Zimbalwa izinto onokuzenza ukuze eli xesha libe lula kancinci.
Phumla kakuhle.
Phumla xa umzimba wakho udiniwe. Zama ukulala kamnandi ebusuku. Kuphephe i-caffeine kunye notywala ngaphambi kokuba ulale. Ukuzilolonga okanye ukucamngca kunokukunceda uphumle.
Yenza umthambo omncinci xa uziva uphilile.
Ukuba awudinwa, ukwenza umthambo olula, njengokuhamba, kunokuba yindlela elungileyo yokuhlaziya umzimba nengqondo yakho. Nangona kunjalo, kufuneka uhlale uqhagamshelana nogqirha wakho ngaphambi kokuba uqalise nayiphi na inkqubo yokuzilolonga .
Yitya ukutya okunesondlo.
Izinto ezifana nokucaphuka kunye nokuphelelwa ngumdla wokutya zinokunciphisa umdla wokutya. Kodwa kubalulekile ukufumana izondlo ezifunwa ngumzimba wakho. Faka iiproteni ezingenamafutha amaninzi, imifuno, iziqhamo, iinkozo ezipheleleyo, kunye nobisi olunamafutha aphantsi ekutyeni kwakho. Ungafumana ingcebiso kugqirha wakho okanye kwingcali yokutya malunga noku.
Fumana inkxaso yengqondo oyifunayo.
Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Ukuthetha ngeemvakalelo zakho, uloyiko lwakho, kunye nokuxhalaba kwakho nomhlobo okanye ilungu losapho oluthembekileyo kunokuba luncedo kakhulu.
Kwakhona, buza ugqirha wakho ngeenkonzo zokunika iingcebiso okanye amaqela enkxaso kwezi ntlobo zezigulana. Ukuthetha nabantu abaye baba namava afanayo kunokuba ngumthombo omkhulu wamandla.
Umyalezo Wokuya Ekhaya
- Unyango olujoliswe kwi-PSMA lunyango oluthile olusetyenziselwa umhlaza we-prostate oqhubele phambili osasazeke kwamanye amalungu omzimba.
- Nangona olu nyango lungelulo unyango oluphilisa umhlaza ngokupheleleyo, luluncedo kakhulu ekulawuleni umhlaza, ukunciphisa iimpawu, kunye nokuphucula umgangatho wobomi.
- Oku kujoliswe kwiiseli zomhlaza kuphela, ngoko ke umonakalo kwiiseli ezisempilweni mncinci kakhulu.
- Iziphumo ezingalindelekanga ezifana nomlomo owomileyo kunye nokudinwa zinokubakho, kodwa zihlala zilawulwa.
- Kubaluleke kakhulu ukusebenzisana ngokusondeleyo nogqirha wakho kulo lonke ixesha lonyango kwaye umazise ngayo nayiphi na ingxaki oyifumanayo.











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