Amazwi awakwazi ukuveza imizwa esiyizwayo lapho udokotela ethi umdlavuza. Kodwa ngesikhathi esifanayo, lapho udokotela ethi sidinga ukuqala 'ukwelashwa ngama-hormone', kungenzeka ukuthi uke wezwa namagama athi 'ukususwa kwamakhemikhali'. Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzwa leli gama. Kodwa kuyini lokhu ngempela? Kusho ukuthini lokhu? Ake sixoxe ngalokhu kalula nangokucacile.
Iyini le ndlela yokwelapha ngama-hormone, noma ukuthenwa ngamakhemikhali?
Kalula nje, lokhu kusho ukusebenzisa imithi ethile ukulawula ukukhiqizwa kwama-hormone ocansi emizimbeni yethu.
Cabanga ngemizimba yethu njengenkampani enkulu. Ama-hormone afana nezithunywa ezigijima ngaphakathi kwale nkampani. Yiwona atshela isitho ngasinye ukuthi senzeni nokuthi sisebenze kanjani (isibonelo, ukuphathwa kwamandla, ukukhula, imizwa). Ama-hormone ocansi angamanye ala ma-ejensi akhethekile. Yiwona alawula izinto ezifana nokuthomba kanye nokusebenza kwesistimu yokuzala.
Kodwa amanye amangqamuzana omdlavuza, ikakhulukazi umdlavuza wendlala kanye nezinye izinhlobo zomdlavuza webele , asebenzisa la ma-hormone ocansi ukuze azuze. Ngamanye amazwi, lawa maseli omdlavuza athola 'ukudla' (amandla) awadingayo ukuze akhule futhi asakazeke kula ma-hormone.
Ngakho-ke, okwenziwayo ku-'Chemical Castration' noma ukwelashwa ngama-hormone ukuvimba ama-hormone atholwa yilawa maseli omdlavuza 'ngokuwapha', ngaleyo ndlela elawula ukukhula kwawo. Kufana nokulambisa umdlavuza nokuwenza buthaka.
Lokhu kwaziwa ngamagama amaningana, njenge-'Medical Castration', 'Hormone Therapy', kanye ne-'Androgen Deprivation Therapy'. Konke lokhu kusho into efanayo, okungukunciphisa amazinga ama-hormone ngemithi.
Lolu hlobo lokwelapha lusetshenziselwa ziphi izinhlobo zomdlavuza?
Odokotela basebenzisa le ndlela yokwelapha ikakhulukazi emidlavuzeni encike kuma-hormone ocansi.
Ngomdlavuza wendlala
Iqembu eliyinhloko lama-hormone ocansi akhiqizwa emzimbeni wesilisa libizwa ngokuthi ama-androgens . Elibaluleke kakhulu kulawa yi -testosterone . Le hormone ibalulekile ekukhuleni kwamaseli omdlavuza we-prostate. Ngakho-ke, ukwelashwa ngama-hormone kunciphisa amazinga e-testosterone futhi kulawula ukukhula komdlavuza.
Ngomdlavuza webele
Kukhona nezinhlobo zomdlavuza webele ezincike kuma-hormone i- estrogen ne -progesterone akhiqizwa emizimbeni yabesifazane. Abesifazane abanalezi zinhlobo zomdlavuza bangalawulwa ngokunikeza imithi evimba ukusebenza kwala ma-hormone.
Yini oyenzayo ngaphambi kokuqala ukwelashwa?
Ngaphambi kokunquma ukuthi lokhu kwelashwa kukufanele yini, udokotela wakho kuzodingeka azi uhlobo oluqondile kanye nesigaba somdlavuza wakho. Lokhu kuzodinga ukuhlolwa okuningana.
- Ukuskena kwe-CT
- Ukuskena kwe-PET
- I-Endoscopy
- I-Biopsy - ukuthatha ingcezu yezicubu ukuze ihlolwe
- Ukuhlolwa kwegazi
Udokotela wakho uzoxoxa nawe ngezinye izinketho. Isibonelo, uma udinga ukunciphisa unomphela amazinga akho e-testosterone ngenxa yomdlavuza we-prostate, ungase ucabangele ukususwa kwesende elilodwa noma womabili ngokuhlinzwa (orchiectomy) . Kufanele uxoxe ngalokhu nodokotela wakho ukuze unqume ukuthi yikuphi okungcono kakhulu kuwe.
Ukwelashwa kunikezwa kanjani futhi yimiphi imiphumela emibi?
Lokhu akuyona ukwelashwa okwenziwa kanye kuphela. Lokhu ukwelashwa okuqhubekayo. Indlela yokunikeza umuthi iyahlukahluka kuye ngohlobo.
- Imijovo kanye ngenyanga, njalo ezinyangeni ezintathu, noma njalo ezinyangeni eziyisithupha.
- Njengezinto ezincane (izimila) ezibekwa ngaphansi kwesikhumba .
- Kuthathwa nsuku zonke njengamaphilisi .
Phakathi nalokhu kwelashwa, kungase kube nemiphumela emibi. Lokhu kungenxa yokuthi sishintsha amazinga emvelo ama-hormone emzimbeni. Akuwona wonke umuntu ozobhekana nakho konke lokhu, kodwa ithebula elingezansi libonisa eminye yemiphumela evame kakhulu.
| Umphumela Ongemuhle | Incazelo elula |
|---|---|
| Isifiso sobulili esiphansi | Ukuncipha kwesifiso nemicabango yezenzo zocansi. |
| Ukushisa okukhulu | Ukuzwa ukushisa okukhulu ebusweni, entanyeni nasesifubeni ngokuzumayo, kulandele ukujuluka. |
| I-Osteoporosis | Ngokuhamba kwesikhathi, amathambo aba mancane futhi aphuke kalula. |
| Ukuncipha kwemisipha | Ukuncipha kwamandla nobukhulu bemisipha yomzimba. |
| Ukucindezeleka kanye nokushintshashintsha kwemizwelo | Imizwa yokukhathazeka, ukudabuka, nokulahlekelwa isithakazelo kunoma yini. |
| Okunye | Ingozi yesifo senhliziyo, i-anemia, izinguquko ekumisweni kwamafutha emzimbeni. |
Ungesabi lezi zimpawu. Kunezindlela zokuzilawula. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho nganoma yikuphi ukungakhululeki okuzwayo.
Iyini inzuzo enkulu yalokhu kwelashwa?
Inzuzo eyinhloko nebaluleke kakhulu yalokhu kwelashwa ukuthi kuyalungiseka.
Lokhu kusho ukuthi ngemva kokuyeka ukwelashwa, umzimba wakho uzoqala ukukhiqiza ama-hormone ngendlela evamile futhi. Imiphumela eminingi emibi izophela kancane kancane. Isifiso sakho socansi sizobuyela ezingeni laso langaphambilini.
Lona umehluko omkhulu kakhulu ekususweni kwesidoda ngokuhlinzwa . Uma amasende noma ama-ovari esuswa ngesikhathi sokuhlinzwa, kuba yinto yaphakade. Kodwa lokhu kwelashwa ngemithi kungokwesikhashana.
Futhi, lena yindlela ephumelela kakhulu yokulawula amangqamuzana omdlavuza.
Ingabe lokhu kuyi-vasectomy?
Cha. Lutho neze. I-vasectomy inqubo yokuvimbela inzalo yabesilisa. Imisa kuphela ukuphuma kwesidoda. I-vasectomy ayinawo umthelela emazingeni akho ama-hormone, isifiso sobulili, noma ukusebenza kahle. I-Chemical Castration iyindlela yokwelapha ehluke ngokuphelele yomdlavuza.
Kunini lapho udinga ukubonana nodokotela?
Ngesikhathi sokwelashwa, uma uba nanoma yiziphi izimpawu ezintsha, uma uphawu olukhona luba lubi kakhulu, noma uma unenkinga, tshela udokotela wakho ngokushesha. Ungagcini lutho kuwe. Ukwelulekwa ngesikhathi sokwelashwa kungaba usizo olukhulu lokuhlala uqinile engqondweni.
Umlayezo Wokuya Nawe Ekhaya
- Ungesabi igama elithi 'Chemical Castration'. Libhekisela endleleni yokwelapha esebenzisa izidakamizwa ukulawula amazinga ama-hormone nokulawula ukukhula kwamaseli omdlavuza ancike kuma-hormone.
- Inzuzo enkulu yalokhu kwelashwa ukuthi akuhlali isikhathi eside futhi kuyashintshashintsha. Umzimba ubuyela esimweni sawo esijwayelekile ngemva kokumiswa kokwelashwa.
- Ngesikhathi sokwelashwa, ungase ube nemiphumela emibi njengokuncipha kwesifiso socansi kanye nomuzwa wokufudumala emzimbeni. Khuluma nodokotela wakho ngalokhu ngokukhululekile.
- Lokhu akuyona i-vasectomy, futhi akuyona ukususwa unomphela kokuhlinzwa.
- Kubalulekile ukukhuluma nodokotela wakho nganoma yikuphi ukungakhululeki okuzwayo. Khumbula ukuthi awuwedwa kulolu hambo.
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