Ngiyaqonda ukuthi kungaba nzima kangakanani ukuthola ukuthi wena noma othandekayo wakho unomdlavuza wendlala yesitho sangasese sowesilisa. Ikakhulukazi uma umdlavuza ususakazeke (usakazeka) kwezinye izingxenye zomzimba futhi ungasabeli kahle ekwelashweni okujwayelekile, ukwesaba nokukhathazeka kukhulu nakakhulu. Kodwa ungakhathazeki. Ngokuthuthuka kwesayensi yezokwelapha, manje sekukhona ukwelashwa okuqondile, okuqondiswe kakhulu kulezi zinhlobo zamacala. Namuhla sizokhuluma ngenye yezindlela zokwelapha ezintsha nezibaluleke kakhulu. Leyo yi-PSMA-Targeted Therapy.
Iyini le ndlela yokwelapha eqondiswe ku-PSMA?
Kalula nje, lokhu kuyindlela yokwelapha esezingeni eliphezulu kakhulu ehlose futhi ibhubhise amangqamuzana omdlavuza kuphela.
Cabanga ukuthi amangqamuzana omdlavuza wendlala yesitho sangasese sowesilisa ane-'antenna' ekhethekile ngaphandle ekwazi ukuwabona. Le antenna yilokho esikubiza ngokuthi i-PSMA , noma i-Prostate-specific membrane antigen, kwezokwelapha. Lena yiprotheni etholakala ngobuningi ebusweni bamangqamuzana omdlavuza wendlala yesitho sangasese sowesifazane.
Kulokhu kwelashwa, sisebenzisa into esebenza njenge-'missile'. Le 'missile' ingathola i-antenna ye-PSMA kumaseli omdlavuza bese inamathela kuyo. Le missile ayisuki nje kuphela, ithatha i-radioactive tracer nayo. Ukuze kube sobala, iyi-substance ebizwa ngokuthi i-Lutetium-177 . Ngakho-ke uma le missile inamathela engqamuzaneni lomdlavuza, leyo missile ihlasela futhi ibhubhise ingqamuzana lomdlavuza kuphela.
Inzuzo enkulu yalokhu kwelashwa ukuthi kuya ngqo kumaseli omdlavuza, ngakho-ke umonakalo kwamanye amaseli anempilo emzimbeni mncane kakhulu.
Kukuziphi izimo lapho lokhu kwelashwa kunikezwa khona?
Ukwelashwa kwe-PSMA kuvame ukusetshenziselwa umdlavuza we-prostate othuthukile , ikakhulukazi:
- Uma ingasabeli ekwelashweni okuyisisekelo njengokuhlinzwa noma ngemisebe.
- Uma umdlavuza ususakazekele kwezinye izingxenye zomzimba, isibonelo, emathanjeni (umdlavuza we-prostate osakazekayo).
- Udokotela wakho angase akuncome lokhu kwelashwa lapho ezinye izindlela zokwelapha, njengokwelashwa ngama-hormone noma ngamakhemikhali, zingasakwazi ukulawula umdlavuza.
Ingabe ukwelashwa kwe-PSMA kuyawelapha ngokuphelele umdlavuza?
Lokhu kuyinto sonke okudingeka siyiqonde kahle. Ukwelashwa kwe-PSMA akuyona ikhambi lomdlavuza. Imigomo eyinhloko yile:
- Ukunciphisa usayizi wezimila.
- Ukulawula izinga lokukhula komdlavuza.
- Ukunciphisa izimpawu ezifana nobuhlungu obubangelwa umdlavuza.
- Ukwandisa isikhathi sokuphila kwesiguli nokuthuthukisa ikhwalithi yokuphila.
'Ukwelashwa' kusho ukuthi umdlavuza ngeke uphinde ubuye. Kodwa-ke, ngemva kwalokhu kwelashwa, isiguli singanikwa isikhathi lapho kungekho zimpawu futhi umdlavuza ungasebenzi, okubizwa ngokuthi isikhathi sokukhululwa .
Yini okufanele ngiyenze ngaphambi kokwelashwa?
Ngaphambi kokuqala lokhu kwelashwa, udokotela wakho uzokuxilonga ngokucophelela. Kubalulekile ukumazisa ngomlando wakho ophelele wezokwelapha, ukwelashwa kwangaphambilini, kanye nemithi yamanje. Futhi, lesi yisikhathi esihle sokubuza noma yimiphi imibuzo ongase ube nayo.
Ngaphezu kwalokho, kudingeka kwenziwe izivivinyo ezilandelayo.
| Ukuhlolwa | Kalula nje... |
|---|---|
| Ukuhlolwa Kwegazi | Ukuze uthole umbono wempilo yomzimba iyonke kanye nomsebenzi womdlavuza. |
| I-CT Scan | Inikeza isithombe esinezinhlangothi ezintathu (3D) sezicubu ezithambile namathambo ngaphakathi komzimba. |
| Iskeni se-MRI | Isebenzisa omaginethi namagagasi omsakazo ukuthatha izithombe ezicacile zezicubu ezithambile. |
| Iskena se-PSMA PET | Lokhu kubaluleke kakhulu. Lapha, kufakwa into enemisebe efana nokwelashwa emzimbeni bese kubhalwa indawo eqondile yamaseli omdlavuza. |
Ngokuhlanganisa zonke lezi zivivinyo, odokotela banquma ukuthi amangqamuzana omdlavuza akuphi emzimbeni wakho nokuthi lokhu kwelashwa kufaneleke kangakanani kuwe.
Kwenziwa kanjani ukwelashwa? Kuthatha isikhathi esingakanani?
Lokhu akuyona indlela enkulu yokuhlinzwa. Ngokuvamile, i-cannula encane ifakwa emthanjeni engalweni yakho, bese umuthi ufakwa emzimbeni wakho ngayo. Lokhu kuthatha imizuzu embalwa. Ungase futhi unikezwe umuthi wokuvimbela izinto ezifana nokucanuzela.
Ngemva kokwelashwa, uzoba ngaphansi kokuqashwa kwezokwelapha amahora ambalwa bese ubuyela ekhaya ngalolo suku . Lokhu kusho ukuthi ngeke kudingeke uhlale esibhedlela.
Ngokuvamile, ukwelashwa okungu-6 kunikezwa ngezikhawu zamasonto angu-6 . Lokhu kusho ukuthi isikhathi sokwelashwa sisonke singaba yizinyanga ezingu-8. Phakathi nesikhathi ngasinye sokwelashwa, kwenziwa ukuhlolwa kwegazi ukuze kuhlolwe impendulo yomzimba wakho ekwelashweni kanye nanoma yimiphi imiphumela emibi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yikuphi ukwelashwa komdlavuza, kuneminye imiphumela emibi engaba khona. Kodwa-ke, lokhu kuvame ukuba okwesikhashana. Imiphumela emibi evame kakhulu yile:
- Umlomo namehlo omile: Lokhu kuvamile ngoba izindlala zamathe nazo ziqukethe inani elincane leprotheni ye-PSMA.
- Ukukhathala: Ukuzizwa ukhathele emzimbeni.
- Isicanucanu nokuhlanza: Kunikezwa imithi yokulawula lokhu.
- Ukulahlekelwa yisifiso sokudla
- Ukwehla kwenani lamaseli egazi: Amazinga e-hemoglobin nama-platelet egazini, ikakhulukazi, angase ehle okwesikhashana.
Le miphumela emibi ingahluka kumuntu nomuntu, ngakho-ke kubalulekile ukwazisa udokotela wakho nganoma yikuphi ukungakhululeki okutholayo.
Yini ongayenza ukuze uthole impumuzo ngesikhathi sokwelashwa?
Ukwelashwa komdlavuza kungaba isikhathi esinzima, ngokomzimba nangokwengqondo. Kunezinto ezimbalwa ongazenza ukuze wenze lesi sikhathi sibe lula kancane.
Phumula kahle.
Phumula lapho umzimba wakho uzizwa ukhathele. Zama ukulala kahle ebusuku. Gwema i-caffeine notshwala ngaphambi kokulala. Ukuzilolonga noma ukuzindla kungakusiza uphumule.
Yenza ukuzivocavoca okulula uma uzizwa uphilile.
Uma ungakhathele, ukuzivocavoca okulula, njengokuhamba, kungaba yindlela enhle yokuvuselela umzimba nengqondo yakho. Kodwa-ke, kufanele uhlale uthintana nodokotela wakho ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca .
Yidla ukudla okunempilo.
Izinto ezifana nokucanuzela kwenhliziyo nokulahlekelwa yisifiso sokudla zinganciphisa isifiso sakho sokudla. Kodwa kubalulekile ukuthola ukudla okunomsoco okudingwa ngumzimba wakho. Faka amaprotheni angenamafutha amaningi, imifino, izithelo, okusanhlamvu okuphelele, kanye nobisi olunamafutha aphansi ekudleni kwakho. Ungathola iseluleko kudokotela wakho noma kuchwepheshe wezokudla ngalokhu.
Thola ukwesekwa kwengqondo okudingayo.
Akudingeki ukuthi udlule kulolu hambo wedwa. Ukukhuluma ngemizwa yakho, ukwesaba kwakho, kanye nokukhathazeka kwakho nomngane omethembayo noma ilungu lomndeni kungaba impumuzo enkulu.
Futhi, buza udokotela wakho ngezinsizakalo zokwelulekwa noma amaqembu okusekela alolu hlobo lweziguli. Ukukhuluma nabantu abaye baba nokuhlangenwe nakho okufanayo kungaba umthombo omkhulu wamandla.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa okuqondiswe ku-PSMA kuyindlela ethile yokwelapha esetshenziselwa umdlavuza we-prostate osusakazekele kwezinye izingxenye zomzimba.
- Nakuba lokhu kungesona ukwelashwa okwelapha umdlavuza ngokuphelele, kuyasiza kakhulu ekulawuleni umdlavuza, ekunciphiseni izimpawu, nasekuthuthukiseni ikhwalithi yokuphila.
- Lokhu kuhlose amangqamuzana omdlavuza kuphela, ngakho-ke umonakalo kumaseli aphilile mncane kakhulu.
- Imiphumela emibi efana nomlomo owomile nokukhathala ingase ivele, kodwa ngokuvamile ingalawulwa.
- Kubaluleke kakhulu ukusebenzisana eduze nodokotela wakho phakathi nesikhathi sokwelashwa futhi umazise nganoma yikuphi ukungakhululeki okutholayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho