Kunzima ukusho ngamazwi ukuthi kunjani ukutholwa unomdlavuza wendlala yesitho sangasese sowesilisa. Futhi, umdlavuza awukwazi ukulawulwa ngokwelashwa okujwayelekile, futhi kuyadabukisa nakakhulu ukwazi ukuthi ususakazekele kwezinye izingxenye zomzimba. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, manje sekuvele ukwelashwa okusha nokuphumelelayo kwamacala anzima kangaka. Enye yezindlela zokwelapha ezintsha eziletha ithemba elinjalo ukwelashwa okuqondiswe ku-PSMA. Ake sixoxe ngalokhu kalula namuhla.
Kuyini Ukwelashwa Okuqondiswe Ku-PSMA?
Kalula nje, lokhu kuyindlela yokwelapha ethuthuke kakhulu ehlose futhi ibhubhise amangqamuzana omdlavuza kuphela. I-PSMA kuleli gama imele i -Prostate-Specific Membrane Antigen . Nakuba lokhu kungase kuzwakale kuyinkimbinkimbi kancane ngokwamagama, indlela esebenza ngayo ilula kakhulu.
Cabanga ngamaseli omdlavuza wendlala yesinye njengebutho lezitha. Ngayinye yala masosha esitha inophawu olukhethekile, 'ibheji', eyunifomu yawo. Leyo bheji yi-PSMA. Le phrotheni, ebizwa ngokuthi i-PSMA, ikhona ngobuningi obukhulu ebusweni bamangqamuzana omdlavuza wendlala yesinye.
Ngakho-ke okwenzayo kulokhu kwelashwa ukufaka umuthi emzimbeni osebenza 'njengesikhali esihlakaniphile'. Lo muthi uhamba emzimbeni wonke, uthola kuphela amangqamuzana omdlavuza analeso 'bheji' esikhethekile esibizwa ngokuthi i-PSMA, bese uzinamathisela kuwo. Ngemuva kwalokho, into enomsebe (`Lutetium-177`) emuthini ibhubhisa leso siseli somdlavuza kuphela. Lokhu kubizwa nangokuthi 'ukwelashwa kwe-Lu177-PSMA'. Ngezinye izikhathi uzozwa negama lomkhiqizo elithi 'Pluvicto™'.
Inzuzo enkulu yalokhu ukuthi akufani nokudubula wonke umuntu nje, kodwa kunalokho ukuhlonza isitha esiqondile bese sihlasela bona, ngakho-ke umonakalo kumaseli anempilo nakahle emzimbeni wethu mncane kakhulu.
Iyini i-prostate gland?
Ngesikhathi sisaqhubeka, ake sixoxe kancane ngendlala ye-prostate. Lokhu kutholakala kwabesilisa kuphela. Le ndlala itholakala ngaphansi kwesinye, phambi kwendunu. Ngokuvamile icishe ibe usayizi we-walnut enkulu.
Kuziphi izimo lapho lokhu kwelashwa kusetshenziswa khona?
Lokhu akulona ukwelashwa kwabo bonke abaguli abanomdlavuza we-prostate. Ngokuvamile kunconywa ezimweni ezithuthukile, okusho ukuthi umdlavuza ususakazeke kakhulu ngale kwe-prostate gland (umdlavuza we-prostate osakazeka kalula) . Lokhu kusho ukuthi umdlavuza ususakazeke nakwezinye izingxenye zomzimba, njengamathambo noma ama-lymph node.
Futhi, odokotela bacabangela lokhu kwelashwa lapho umdlavuza ungasalawulwa ngokwelashwa okuvamile njengokuhlinzwa, imisebe, kanye nokwelashwa ngama-hormone.
Ingabe lokhu kwelashwa kungawelapha ngokuphelele umdlavuza?
Lona umbuzo obaluleke kakhulu. Uma ngikhuluma iqiniso, cha. Ukwelashwa okuqondiswe ku-PSMA akulona ikhambi lomdlavuza.
Ngakho-ke kwenzekani ngalokhu? Izinhloso eziyinhloko zalokhu kwelashwa yilezi:
- Ukunciphisa noma ukwenza izimila zibe zincane.
- Ukunciphisa izinga lokukhula komdlavuza okuqhubekayo.
- Ukunciphisa izimpawu ezifana nobuhlungu obubangelwa umdlavuza.
- Ukwandisa isikhathi sokuphila kwesiguli nokuthuthukisa ikhwalithi yokuphila.
Kalula nje, kuyasiza ekulweni nomdlavuza futhi kuwugcine ulawulwa. Ngemva kwalokhu kwelashwa, ungase ube nesikhathi "sokuxolelwa" uma ungenazo izimpawu zomdlavuza futhi lesi sifo singasebenzi. Kodwa-ke, kubalulekile ukuqhubeka nokulandelela nodokotela wakho.
Kwenzekani ngaphambi kokuba ukwelashwa kuqale?
Ngokuvamile, ngaphambi kokuthola lokhu kwelashwa, kungenzeka ukuthi usuvele uthole ezinye izindlela zokwelapha, njengokwelashwa ngamakhemikhali noma ngama-hormone. Udokotela wakho uzoxoxa nawe ngale ndlela kuphela uma lokhu kungazange kube nemiphumela oyifunayo.
Ngaphambi kokuqala ukwelashwa, udokotela wakho uzokuxilonga kahle. Kufanele uxoxe naye ngomlando wakho wezokwelapha ophelele, ukwelashwa kwangaphambilini, kanye nemithi yamanje. Lesi yisikhathi esihle sokubuza noma yimiphi imibuzo ongase ube nayo.
Ngaphezu kwalokho, kuyalwa ukuhlolwa kwegazi okuningana kanye nokuskena okukhethekile. Lokhu kuskena kusetshenziselwa ukuthola ukuthi amangqamuzana omdlavuza akuphi emzimbeni.
| Skena | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| I-CT Scan (i-Computed Tomography) | Lokhu kuveza isithombe esinobukhulu obuthathu (3D) samathambo nezicubu ezithambile ngaphakathi emzimbeni. Lokhu kusiza ukubona ukuthi izimila ezinomdlavuza zikuphi kanye nobukhulu bazo. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Kusetshenziswa omaginethi abakhulu namagagasi omsakazo, kutholakala izithombe ezicacile nezinemininingwane zezicubu ezithambile zomzimba. |
| Ukuskena kwe-PSMA PET | Lesi yiskeni esibaluleke kakhulu salolu hlobo lokwelashwa. Kulokhu, njengasekwelashweni kwangaphambilini, kufakwe into ekhipha imisebe ethola i-PSMA emzimbeni. Kodwa-ke, inhloso yalokhu akukhona ukubhubhisa amangqamuzana omdlavuza, kodwa ukumaka ukuthi akuphi kuskeni. Lokhu kungathola ngokunembile ngisho neseli lomdlavuza elincane kakhulu. |
Ngokuhlanganisa zonke lezi ziskeni, odokotela bakha imephu ephelele yokuthi umdlavuza usakazeke kanjani emzimbeni wakho wonke.
Kwenzekani ngesikhathi sokwelashwa?
Ukunikeza lolu hlobo lokwelashwa akuyona into enzima njengoba ungase ucabange.
- Ngokuvamile, i-cannula encane ifakwa emthanjeni ongalweni yakho, bese umuthi ufakwa emzimbeni wakho ngayo, njengesixazululo sikasawoti.
- Lo mjovo uqukethe into ekhipha imisebe ethi "Lutetium-177" esikhulume ngayo.
- Inqubo yokugoma ithatha imizuzu embalwa kuphela.
- Ungase unikezwe imithi kusenesikhathi ukuze ulawule izinto ezifana nokucanuzela kwenhliziyo nokuhlanza.
- Lena inqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi awudingi ukuhlala esibhedlela. Uzoqashwa amahora ambalwa ngemva kokwelashwa bese ubuyela ekhaya uma isimo sakho sesizinzile.
Kuthatha isikhathi esingakanani lokhu kwelashwa?
Lokhu kwelashwa kuvame ukuhlelwa njalo emavikini ayisithupha . Imijikelezo yokwelashwa enjalo eyisithupha kumele iqedwe. Lokhu kusho ukuthi isikhathi sokwelashwa sisonke singaba yizinyanga eziyi-8 (amasonto angama-36).
Ngemva komjikelezo owodwa wokwelashwa nangaphambi kolandelayo, udokotela wakho uzokwenza ukuhlolwa kwegazi ukuze abone ukuthi umzimba wakho usabela kanjani ekwelashweni futhi aqaphe imiphumela emibi.
Ziyini izinzuzo zalokhu kwelashwa?
Inzuzo eyinhloko yalokhu kwelashwa ukuthi kungalawula umdlavuza we-prostate osezingeni eliphezulu ongasabeli kwezinye izindlela zokwelapha, kunciphise izimpawu, futhi kunciphise ukusabalala kwalesi sifo.
Enye inzuzo enkulu yalokhu ukuthi ihlasela futhi ibhubhise ngqo iphrotheni ye-PSMA emaseli omdlavuza, ngakho-ke kunomonakalo omncane kakhulu emaseli anempilo emzimbeni. Lokhu kufana nokuhlasela okuqondiswe kakhulu.
Ingabe ikhona imiphumela emibi? Yiziphi izingozi?
Njenganoma yikuphi ukwelashwa komdlavuza, kunemiphumela emibi engaba khona. Kodwa-ke, akuwona wonke umuntu obhekana nayo ngendlela efanayo. Abanye abantu bangase babhekane nayo kaningi.
| Imiphumela emibi evamile | Incazelo encane ngalokho. |
|---|---|
| Umlomo owomile | Lomuthi ungase ube nomthelela othile ezindlaleni zamathe, ngakho ungase uzizwe sengathi umlomo wakho ugcwele amathe. |
| Amehlo omile | Ukukhiqizwa kwezinyembezi emehlweni kungathinteka, okubangela ukuba amehlo azizwe omile futhi enamabala. |
| Ukukhathala | Ukuzizwa ukhathele kakhulu. Lokhu kuvamile ekwelashweni okuningi komdlavuza. |
| Isicanucanu nokuhlanza | Udokotela uzokunikeza imithi yokulawula lesi simo. |
| Isifiso sokudla | Isifiso sokudla kanye nesifiso sokudla singase sinciphe. |
| Amaseli egazi anciphile | Amazinga e-hemoglobin nama-platelet egazini angase abe phansi kancane. Yingakho ukuhlolwa kwegazi kwenziwa njalo. |
Ungakhathazeki ngale miphumela emibi. Iningi layo lingalawulwa. Kubalulekile ukukhuluma nodokotela wakho nganoma yikuphi ukungakhululeki okuzwayo.
Izinto ongazenza ukuze ukwelashwa kwakho kube lula
Ukuphila nomdlavuza nokuthola ukwelashwa akulula. Lezi zinto zizokusiza ukuthi lokhu kube lula kuwe.
Phumula kahle.
Uma uthola ukuthi unomdlavuza, ukucindezeleka kokucabanga ngokwelashwa kungenza kube nzima ukulala. Kodwa umzimba wakho udinga ngempela ukuphumula. Ukungalali kahle akugcini nje ngokuphazamisa imizwa yakho, kodwa kungenza kube nzima nokubhekana nokucindezeleka kokwelashwa.
- Gwema ukudla okunzima, ikhofi, notshwala ngaphambi kokulala.
- Izinto ezifana nokuzindla kanye nokubhala phansi kungakusiza ukuthi ukhulule imicabango yakho futhi uphumule ingqondo yakho.
- Phumula lapho umzimba wakho ukutshela ukuthi wenze kanjalo, hhayi lapho ungakwazi.
Shukumisa umzimba wakho kancane uma ukwazi.
Uma uzizwa ukhathele, kuwumqondo omuhle ukwenza ukuzivocavoca okulula. Ngisho nokuhamba ngezinyawo kungasiza ukugcina inhliziyo namaphaphu akho esebenza kahle, kuqinise imisipha yakho, kusize amasosha omzimba wakho, futhi kunciphise ukukhathala nokucindezeleka.
Kodwa khumbula, ngaphambi kokuqala noma yikuphi ukuvivinya umzimba, kubaluleke kakhulu ukubonisana nodokotela wakho.
Yidla ukudla okunempilo.
Ukucanuzela kwenhliziyo nokulahlekelwa yisifiso sokudla kunganciphisa isifiso sakho sokudla, kodwa kubaluleke kakhulu ukunikeza umzimba ukudla okunomsoco okudingekayo phakathi nalesi sikhathi.
- Amaprotheni anamafutha aphansi (inhlanzi, inkukhu)
- Imifino nezithelo
- Okusanhlamvu okuphelele
- Ukudla kobisi okunamafutha aphansi
Faka izinto ezinjengalezi ekudleni kwakho. Khuluma nodokotela wakho ngalokhu. Angakudlulisela kudokotela wezokudla oqinisekisiwe yi-oncology.
Thola ukwesekwa okudingayo.
Awuwedwa kulolu hambo. Ukukhuluma ngokwesaba kwakho, ukudabuka, nokukhathazeka kwakho nelungu lomndeni noma umngane oseduze kungaba umthombo omkhulu wenduduzo. Ungabuza nodokotela wakho ngamaqembu okusekelana lapho abanye abaye baba nokuhlangenwe nakho okufanayo bangaya khona, noma ngomeluleki wezempilo yengqondo.
Ingabe lolu hlobo lokwelashwa luyatholakala eSri Lanka?
Ukwelashwa okuqondiswe ku-PSMA kuyindlela yokwelapha evunyelwe futhi yamukelwa yizikhungo zomhlaba wonke njenge-FDA e-United States. ESri Lanka, izibhedlela ezinkulu ezelapha umdlavuza nazo zinekhono lokuthola izindlela zokwelapha ezithuthukisiwe kangaka.
Kodwa-ke, indlela engcono kakhulu newukuphela kwayo yokuthola ulwazi olunembile nolucacile mayelana nokuthi lokhu kulungile yini kuwe, ukuthi ungakuthola kuphi lokhu kwelashwa eSri Lanka, nokuthi kubiza malini ukukhuluma ngqo nodokotela wakho womdlavuza. Uzosihlola kahle isimo sakho futhi akuqondise ekwelashweni okufanele kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa okuqondiswe ku-PSMA kuyindlela yokwelapha ethuthukisiwe yomdlavuza wendlala yesinye osusakazeke kuwo wonke umzimba futhi awulawulwa ezinye izindlela zokwelapha.
- Nakuba lokhu kungesona ukwelashwa okwelapha umdlavuza ngokuphelele, kuyasiza kakhulu ekulawuleni lesi sifo, ekunciphiseni izimpawu, nasekuthuthukiseni ikhwalithi yokuphila.
- Enye yezinzuzo ezinkulu zalokhu ukuthi ihlose amangqamuzana omdlavuza kuphela, inciphisa umonakalo kumaseli anempilo.
- Imiphumela emibi efana nomlomo owomile nokukhathala ingase ivele, kodwa kunezindlela zokuyilawula.
- Kubalulekile ukukhuluma ngokukhululekile nodokotela wakho mayelana nalokhu kwelashwa noma yikuphi ukungakhululeki okungenzeka ukuthi ubhekene nakho. Khumbula njalo ukuthi awuwedwa kulolu hambo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho