I-prostate Cancer

Ukwelashwa Okungcono Kakhulu Komdlavuza Wendlala e-Hyderabad, e-India

I-Prostate Cancer ibhekisela kumdlavuza owenzeka endaweni ye-prostate. I-prostate isho indlala encane emise okwe-walnut ekhona emzimbeni wesilisa. I-prostate inemisebenzi eminingi ehlukene. Le ndlala isiza ukukhiqiza uketshezi lwesidoda oluthutha futhi londle isidoda. Iphinde ifihle i-prostate-specific antigen (PSA) futhi isiza ekusizeni ukulawula ukuchama. 

Enye yezinhlobo zomdlavuza ezitholakala kakhulu kwabesilisa umdlavuza wendlala yesinye. Izimo eziningi zomdlavuza wendlala yesinye zivamise ukuba nezinga lokukhula kancane kwamangqamuzana angadali monakalo omkhulu. Kodwa-ke, kunezinye izimo lapho umdlavuza wendlala yesinye ungasakazeka ngokushesha futhi ngamandla. 

Umdlavuza wendlala yesinye otholakala kusenesikhathi unethuba eliphezulu lokuthola ukwelashwa okuyimpumelelo. 

Izimbangela Zomdlavuza Wendlala Yesinye

Isizathu esiqondile somdlavuza wendlala yesinye akuqondakali kahle, sifana nezinhlobo eziningi zomdlavuza. Umdlavuza wendlala yesinye uqala lapho amangqamuzana endlala yesinye eqala ukuhlukana ngesivinini, edlula ukukhula okuvamile nokufa kwamangqamuzana. Ngokuphambene namangqamuzana anempilo enza inqubo yemvelo yokufa, amangqamuzana omdlavuza ayakugwema lokhu futhi aqhubeke anda, akhe inqwaba eyaziwa ngokuthi isimila. Uma ziyekwa zinganakiwe, la mangqamuzana angahlukana nesimila futhi adlulele kwezinye izingxenye zomzimba, inqubo ebizwa ngokuthi i-metastasis.

Ngenhlanhla, umdlavuza wendlala yesinye ngokuvamile unezinga lokukhula kancane, futhi uvame ukutholwa ezigabeni zawo zokuqala ngaphambi kokuba udlulele ngale kwendlala yesinye. Ukuxilongwa kusenesikhathi kunenzuzo, njengoba umdlavuza wendlala yesinye uyelapheka kakhulu uma uvalelwe ku-prostate.

Izimpawu Zomdlavuza Wendlala Yesinye

Esikhathini sokuqala somdlavuza wendlala yesinye, kungase kube khona noma kungabi khona izimpawu noma izimpawu umuntu anazo. Kodwa-ke, uma umuntu ehlolwa kunezinguquko ezimbalwa ezingabonakala ezikhombisa umdlavuza wendlala yesinye. Izimpawu ezimbalwa zomdlavuza wendlala yesinye zingabandakanya okulandelayo:

• Inkinga yokuqala kanye nokugcina Ukuchama 

• Isidingo esiqhubekayo sokuchama, ikakhulukazi ebusuku 

• Ukugeleza komchamo okubuthakathaka okuholela ekwehleni kwamandla omchamo 

• Igazi Emchameni 

• Igazi Esidodeni 

• Ukuchama okubuhlungu noma ukuchama 

• Ubuhlungu okhalweni, emuva, noma okhalweni 

• Ubuhlungu ethanjeni

• Ukungasebenzi kwe-Erectile 

• Ukwehla kwesisindo okungalindelekile

• Ukukhathala

Isigaba esithuthukile somdlavuza wendlala yesinye singabandakanya izimpawu nezimpawu ezishiwo ngenhla. Uma ubhekana nanoma yiziphi izimpawu noma izimpawu ezingenhla, qiniseka ukuthi uthintana nodokotela wakho ngokushesha futhi wenze i-aphoyintimenti ukuze uhlolwe. 

Izinhlobo Zomdlavuza Wendlala Yesinye

Izinhlobo zomdlavuza wendlala yesinye zincike kusayizi womdlavuza. Lokhu kungafaka:

• I-Acinar Adenocarcinoma: Lolu hlobo lomdlavuza luvame ukuvela kumaseli egland akleliswe ngaphandle kwe-prostate gland. Lolu ngolunye lwezinhlobo ezivame kakhulu zomdlavuza wendlala yesinye olutholakala emadodeni.
• I-Ductal Adenocarcinoma: I-Ductal Adenocarcinoma uhlobo lomdlavuza wendlala yesinye oluqala emhubheni wendlala yesinye. Lolu hlobo lomdlavuza luvame ukusabalala futhi lukhule ngokushesha uma luqhathaniswa nohlobo lomdlavuza we-acinar adenocarcinoma. 
• Umdlavuza we-Transitional cell (urothelial).: Umdlavuza we-Urothelial usho uhlobo lomdlavuza wendlala yesinye oqala emangqamuzaneni omgudu womchamo. I-Urethra ibhekisela epayipini elisiza ukuthwala umchamo ngaphandle komzimba. Lolu hlobo lomdlavuza ngokuvamile luqala njengomdlavuza wesinye futhi ekugcineni ludlulele endaweni yesinye. Nokho, ezimweni ezithile ezingavamile, lolu hlobo lomdlavuza lungaqala endaweni yesinye futhi lusakazekele esinyeni nakwezinye izicubu eziseduze. 
• I-Squamous Cell Cancer: Lolu hlobo lomdlavuza luqala ngamaseli ayisicaba avala indlala yendlala yesinye. Zivame ukukhula ngokushesha futhi zisakaze ngokushesha uma ziqhathaniswa nohlobo lomdlavuza we-adenocarcinoma. 
• I-Cell Cell Prostate Cancer Encane: Umdlavuza wamangqamuzana amancane we-prostate uhlobo lomdlavuza we-neuroendocrine. Lolu hlobo lomdlavuza ngokuvamile lwakhiwa amangqamuzana ayindilinga amancane. 

Izimo ezinezimpawu ezifanayo njengomdlavuza wendlala yesinye

Akuwona wonke amaqhubu noma ukukhula kwe-prostate okubonisa umdlavuza. Kunezinye izimo ezingabangela izimpawu ezifana nomdlavuza wendlala yesinye, njenge:

• I-Benign Prostatic hyperplasia (BPH): Cishe wonke umuntu one-prostate uzoba ne-benign prostatic hyperplasia (BPH) ngesikhathi esithile. Lesi simo sihilela ukwanda kwendlala yesinye kodwa asinyusi ingozi yokuba nomdlavuza.
• I-Prostatitis: Uma uneminyaka engaphansi kwengama-50 futhi une-prostate ekhulisiwe, kungenzeka ukuthi kungenxa ye-prostatitis. I-Prostatitis yisimo esingenawo umdlavuza esibonakala ngokuvuvukala nokuvuvukala kwendlala yesinye, ngokuvamile okubangelwa izifo ezibangelwa amagciwane.

Izigaba Zomdlavuza Wendlala Yesinye?

Umdlavuza wendlala yesinye uhlelwa ukuchaza ubukhulu besifo kanye nokusiza ekuqondiseni izinqumo zokwelashwa. Isistimu yesiteji esetshenziswa kakhulu yomdlavuza wendlala yesinye uhlelo lwe-TNM, olubheka isimila (T), ukubandakanyeka kwama-lymph nodes aseduze (N), kanye nokuba khona kwe-distasis metastasis (M). Izigaba zisukela ku-I kuye ku-IV, ngezigaba eziphakeme ezikhombisa isifo esithuthuke kakhulu. Nansi ukubuka konke okujwayelekile:

• Isigaba I: Umdlavuza uvalelwe ku-prostate futhi ngokuvamile mncane kakhulu ukuthi ungazwakala ngesikhathi sokuhlolwa kwe-digital rectal (DRE) noma ubonakale ekuhlolweni kwezithombe.
• Isigaba II: Isimila sisengaphakathi kwe-prostate kodwa singase sibe sikhulu kune-Stage I. Singase sizwakale ngesikhathi se-DRE noma sibonakale ekuthwebuleni.
• Isigaba III: Umdlavuza ususakazeke wadlula ungqimba olungaphandle lwesinye futhi ungase uhlanganise izicubu eziseduze, njengama-seminal vesicles.
• Isigaba IV: Umdlavuza ususabalele ezithweni eziseduze noma ama-lymph nodes (Isiteji IVA) noma ezithweni ezikude, njengamathambo noma amaphaphu (Isigaba IVB).

Izingozi Zomdlavuza Wendlala Yesinye

Namanje akwaziwa ukuthi yini ebangela umdlavuza wendlala yesinye. Kodwa-ke, nikeza ngezansi izici ezithile zobungozi ezenza kube maningi amathuba okuthi kutholakale ukuthi unomdlavuza wendlala yesinye:

• Ubudala: Abantu abaneminyaka engaphezu kuka-50 basengozini enkulu yokutholakala nomdlavuza wendlala yesinye. Kuyivelakancane ukuthi amadoda aneminyaka engaphansi kuka-45 atholakale enomdlavuza wendlala yesinye. 
• Ubuzwe noma Uhlanga: Kuyaziwa ukuthi umdlavuza wendlala yesinye ngokuvamile uvame kakhulu kubantu bebala eliMnyama kunabantu abanombala omhlophe. Ngokufanayo, abantu base-Hispanic nabase-Asia banengozi encane yokutholakala nomdlavuza wendlala yesinye uma kuqhathaniswa nabantu abamhlophe noma abamnyama. 
• Umlando womndeni: Umlando womndeni udlala indima enkulu ekuthuthukiseni umdlavuza wendlala yesinye. Uma kukhona isihlobo esiseduze esinomlando womdlavuza wendlala yesinye, maningi amathuba okuthi kutholakale ukuthi sinawo. 
• Izakhi Zofuzo: Izici zofuzo ezifana noshintsho kuzakhi zofuzo ze-BRCA1 kanye ne-BRCA2 zingandisa ingozi yokutholakala nomdlavuza wendlala yesinye. Izinguquko kulezi zakhi zofuzo zingandisa ngisho namathuba okuba nomdlavuza webele. Ngaphandle kwalokhu, abesilisa abazalwa bene-Lynch Syndrome basengcupheni enkulu yokuba ne-prostate kanye nezinye izinhlobo zomdlavuza. 

Ezinye izici ezingase zibe nomthelela engcupheni yokuba nomdlavuza wendlala yesinye zihlanganisa:

• Ukubhema 

• Ukukhuluphala

• Ukusetshenziswa ngokweqile kotshwala

• Ukuchayeka kumakhemikhali afana ne-ejenti ye-herbicide Orange

• Ukuvuvukala kwendlala yesinye 

• Izifo ezithathelwana ngocansi kanye nezifo 

• Ukuhlinzwa Kwe-Vasectomy 

Ukuxilongwa Kwe-Prostate Cancer

Lapho umuntu efinyelela eminyakeni yobudala engama-50, umuntu kufanele ahlolelwe umdlavuza wendlala yesinye. Ngakho-ke, lesi yisinyathelo sokuqala sokuxilonga umdlavuza wendlala yesinye kusenesikhathi. Ukuze wenze ukuhlolwa ukuze uhlole umdlavuza wendlala yesinye, udokotela wakho uzophakamisa ukuhlolwa kwe-digital rectal. Uma kukhona ukungahambi kahle okutholakala ngesikhathi sokuhlolwa, khona-ke ukuxilongwa okulandelayo kuzokwenziwa ukuze kuhlolwe umdlavuza wendlala yesinye:

• ultrasound: I-ultrasound ye-prostate ingenziwa ukuze kuhlolwe i-prostate ngokuningiliziwe. I-probe ifakwa nge-rectum ku-prostate, futhi amagagasi omsindo asetshenziselwa ukwakha isithombe se-prostate gland. Le ndlela ingathola noma yikuphi ukungavamile ku-prostate gland.
• I-Prostate Biopsy: Uma amazinga e-PSA ephakeme kunokuvamile, i-biopsy yezicubu ze-prostate iyenziwa. Uma i-biopsy yembula amangqamuzana omdlavuza, ukutholakala komdlavuza wendlala yesinye kuyaqinisekiswa.

Ukwelashwa Kwe-Prostate Cancer

Ukwelashwa komdlavuza wendlala yesinye kungancika esigabeni somdlavuza. Ezinye zezindlela zokwelapha ezivame kakhulu ezihlinzekwa yi-CARE Hospitals zihlanganisa:

• I-Radical Prostatectomy Surgery : Indlala yesinye kanye nezicubu ezizungezile, okuhlanganisa ama-seminal vesicles nama-lymph node ambalwa aseduze, akhishwa ngesikhathi sokuhlinzwa kwe-prostatectomy okunamandla. Ukuhlinzwa kwe-Radical Prostatectomy kubalulekile kubantu abanomdlavuza wendlala yesinye ngoba kusiza ukunqanda umdlavuza ukuthi usabalele kwezinye izingxenye zomzimba. Odokotela basezibhedlela ze-CARE bazohlola okuningi ngaphambi kwenqubo ye-radical prostatectomy ukuze bahlonze isimo seziguli. Lezi zivivinyo zingabandakanya izikena ze-MRI, izikena ze-CT, izikena zamathambo, ama-biopsies, nokunye.
• Ukwelashwa Kwemisebe: Lokhu kuhlanganisa ukusebenzisa imisebe ukukhipha amangqamuzana omdlavuza noma ukuwavimbela ukuthi angakhuli ngokuqhubekayo. Kunezinhlobo ezimbili ze-radiation therapy ezenziwe:

  • Ukwelashwa Kwemisebe Yangaphandle 

  • Ukwelashwa Kwemisebe Yangaphakathi

• Ukwelashwa kwamaHormonal: Amahomoni wesilisa aziwa ngokuthi ama-androgens. Ama-androgens amabili abaluleke kakhulu yi-testosterone ne-dihydrotestosterone. Ukumisa noma ukunciphisa ukwanda kwamangqamuzana omdlavuza kubonakala kungenzeka ngokuvimba noma ngokunciphisa la mahomoni. Okunye ongakwenza wukukhipha amasende, akhiqiza amahomoni amaningi omzimba. Imithi ehlukahlukene ingaba nenzuzo. 

Zingasiza Kanjani Izibhedlela Ze-CARE?

Ukwelashwa komdlavuza kungaba nzima, kube nzima, futhi kudle isikhathi kudokotela nesiguli. Ukuze kuqinisekiswe ukuthi indlela isebenza kahle futhi kutholwa imiphumela engcono kakhulu kuphela, idinga ukuhlela okuhlangene, okuhlangene nokunembayo. Izibhedlela ze-CARE zinikeza izinsizakalo zokuxilonga ezithuthuke kakhulu emkhakheni we-oncology. Sisebenzisa ubuchwepheshe obusezingeni eliphezulu kanye nemishini. Sinikeza nokunakekelwa komtholampilo okusezingeni lomhlaba ngentengo ethengekayo. Phakathi nenkathi yangemva kokuhlinzwa, abasebenzi bethu abaqeqeshwe kahle bazonikeza usizo nokunakekelwa okufanele kuzo zonke iziguli zayo. Abasebenzi bethu bahlale befinyeleleka ukuze bakusize futhi baphendule yonke imibuzo ongase ube nayo. Izindlela zesimanje nezintsha zokuhlinza ezibhedlela ze-CARE zizokusiza uthuthukise izinga lakho lempilo. 

Ukuze ufunde kabanzi mayelana nezindleko zale nqubo, Chofoza lapha.