Uma udokotela ekutshela noma othile omaziyo ukuthi “une-prostate cancer,” kuvamile ukuzizwa wesaba kakhulu futhi ushaqekile uma uzwa lawo mazwi. Uma sizwa igama elithi “cancer,” sicabanga ngezinto ezifana nokuhlinzwa, i-chemotherapy, kanye nokwelashwa ngemisebe. Kodwa bewazi ukuthi akuwona wonke umdlavuza we-prostate odinga ukwelashwa okukhulu kangaka ngokushesha? Namuhla, sizokhuluma ngendlela ekhethekile esetshenziswa ezimweni ezinjalo.
Kalula nje, kuyini ukuqapha okusebenzayo?
"Ukuqapha Okusebenzayo" kusho nje "ukubheka okusebenzayo." Okusho ukuthi, ngaphandle kokuqala ngokushesha ukuhlinzwa noma ukwelashwa ngemisebe yomdlavuza wendlala, kodwa ukuqapha njalo ukuziphatha komdlavuza ngaphansi kokuqashwa okuseduze kukadokotela.
Umgomo oyinhloko walokhu ukulibazisa ukuqala kokwelashwa kuze kube yilapho kudingeka ngempela. Le ndlela isetshenziswa kuphela kubantu abanomdlavuza we - prostate okhula kancane, osesigabeni sokuqala. Ucwaningo lwamuva lubonise ukuthi amadoda ayi-6 kwangu-10 anomdlavuza we-prostate onobungozi obuncane angaphansi kwale ndlela ye-Active Surveillance. Lokhu kusho ukuthi lena manje seyindlela esetshenziswa kabanzi futhi eyamukelekayo.
Le ndlela yokuqapha esebenzayo ifanelekela bani?
Lena akuyona indlela eyodwa efanelana nazo zonke. Ukuze udokotela wakho akuncomele le ndlela, umdlavuza wakho kumele ube nalezi zici:
- Umdlavuza awukasabalali ngaphandle kwendlala yesinye.
- Umdlavuza ungase ungabi nolaka , kuye ngobukhulu besimila, izinga lokukhula kwaso, kanye nesilinganiso sakho se-Gleason (indlela ekhethekile esetshenziselwa ukukala ukuthi amangqamuzana omdlavuza anolaka kangakanani ngemva kokuhlolwa kwe-biopsy).
Uma uthola ukuthi unomdlavuza, kuyinto evamile ukuzizwa sengathi, ‘O, ngidinga ukwelashwa futhi ngiqede lokhu ngokushesha.’ Ungesabi ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
Kwenzekani ngesikhathi sokuqapha okusebenzayo?
Ngaphansi kwalolu hlelo, awuhlali nje ekhaya. Udokotela wakho womdlavuza uzokuhlola njalo. Njengokulungisa imoto, uzohlola isimo somzimba wakho njalo.
| Ukuhlolwa | Kangaki? (Imvamisa) |
|---|---|
| Ukuhlolwa Kwe-Digital Rectal (DRE) | Ngokuvamile kanye noma kabili ngonyaka |
| Ukuhlolwa kwegazi kwe-PSA (Ukuhlolwa kwe-PSA) | Ngokuvamile kanye noma kabili ngonyaka |
| I-Ultrasound ye-Prostate kanye ne-Biopsy | Njalo eminyakeni eyi-1-5 (njengoba kunqunywe udokotela) |
| I-biopsy eqondiswa yi-MRI | Kwezinye izimo, udokotela angase akuncome. |
Lezi zivivinyo zizosiza udokotela wakho ukuthi aqaphe umdlavuza wakho ukuze abone ukuthi uyakhula noma uyasakazeka. Uma uthola noma yiziphi izimpawu ezintsha noma uma izivivinyo zakho zibonisa ukuthi umdlavuza wakho uyakhula, udokotela wakho uzokhuluma nawe futhi ayeke ukuqapha okusebenzayo, futhi akuthumele ekwelashweni okufanele.
Yiziphi izinzuzo nezingozi zale ndlela?
Inzuzo eyinhloko
Inzuzo enkulu yalokhu ukuthi ungaphila ngaphandle kwemiphumela emibi yokwelashwa. Ukuhlinzwa kanye nokwelashwa ngemisebe yomdlavuza we-prostate kungabangela izinto ezifana nobunzima bokuchama kanye nokungasebenzi kahle kocansi. Ukuqapha okusebenzayo kungalondoloza ikhwalithi yempilo yakho ngokubambezela lokhu kwelashwa kuze kube yilapho kudingeka ngempela.
Ingozi
Ingozi enkulu ukuthi uma umdlavuza uqala ukukhula, kungase kube nokubambezeleka kokuqala ukwelashwa. Ngezinye izikhathi umdlavuza ungakhula futhi usakazekele kwezinye izingxenye zomzimba (i-metastasize). Kodwa-ke, uma uhlolwa ngesikhathi esifanele, le ngozi ingancishiswa kakhulu. Yingakho lokhu kubizwa ngokuthi "ukuqapha okusebenzayo."
Uyini umehluko phakathi kokuqapha okusebenzayo nokulinda ngokuqaphela?
La magama amabili afana kancane, okungenza abanye abantu badideke. Nakuba womabili ayizindlela "zokubukela", kunomehluko omkhulu phakathi kwawo.
| Isici | Ukuqapha Okusebenzayo | Ukulinda Okuqaphile |
|---|---|---|
| Inhloso eyinhloko | Ukuqapha ukuziphatha komdlavuza ukuze kuqalwe ukwelashwa ngesikhathi esifanele, ngenhloso yokwelapha umdlavuza. | Kunokuba kwelashwe umdlavuza, kumayelana nokulawula izimpawu ezenzekayo. Ukwelashwa kunikezwa kuphela uma kuvela izimpawu. |
| Ukuhlolwa okwenziwe | Ukuhlolwa okufana ne-PSA, i-DRE, kanye ne-Biopsy kwenziwa ngendlela ehlelekile ngokwesimiso esibekiwe. | Akukho ukuhlolwa okuhleliwe okwenziwayo. Iziguli zihlolwa kuphela uma zithola izimpawu. |
| Ifanelekela bani? | Kulabo abanempilo, abaphila isikhathi eside futhi abasengozini encane yomdlavuza. | Kulabo asebekhulile, abanezinye izifo ezinkulu, futhi abaphila isikhathi esifushane. |
Kufanele ngimbone nini udokotela?
Uma usebenzisa i-Active Surveillance, uma uthola izimpawu ezintsha (isib. ubunzima bokuchama, ubuhlungu bamathambo) noma uma izimpawu zakho ezikhona ziba zimbi kakhulu, yazisa udokotela wakho ngokushesha. Futhi, qiniseka ukuthi uya khona emihlanganweni yakho ehleliwe yasemtholampilo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqapha Okusebenzayo kuyindlela yokuphatha esetshenziselwa umdlavuza we-prostate okhula kancane futhi onobungozi obuncane .
- Umgomo oyinhloko lapha ukugwema imiphumela emibi yokwelashwa nokugcina ikhwalithi yokuphila,Ukulibazisa ukwelashwa kuze kube yilapho kudingeka.
- Lena akuyona nje inqubo yokulinda bese ubona, kodwa inqubo lapho ukuhlolwa okufana ne-PSA, i-DRE, kanye ne-biopsy kwenziwa khona njalo ngaphansi kokuqashwa okuseduze kukadokotela .
- Uma kuvela izimpawu zokukhula komdlavuza, udokotela uzoqala ukwelashwa ngokushesha.
- Lesi yisinqumo okufanele wena nodokotela wakho nisenze ndawonye. Xoxani ngazo zonke izinto ezikukhathazayo kanye nokwesaba kwenu nodokotela wakho, bese nithatha lesi sinqumo ngokuqonda okugcwele.
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