Umdlavuza wendlala yabesilisa ngezinga 2nd: Izibuyekezo yokwelashwa. Izimpawu ze-umdlavuza wesinye kwabesilisa. Isibikezelo bempilo

kuphakama umdlavuza wesinye indlala wendlala yabesilisa, etholakala ngezansi kwesinye, futhi yakha ingxenye isidoda. Ngenxa yalesi sifo libhekene ekwandeni amaseli ebulalayo. Bona asidlulisela izicubu eduze, futhi yakha izimila. Uma umdlavuza isikhathi eside is hhayi ziphathwe, kukhona amathuba okusezingeni eliphezulu ukuthi lesi sifo kwezitho eduze, ukunciphisa kakhulu kungenzeka lokhu kwakuyoba nomphumela omuhle.

Uyini umdlavuza wendlala

Zendlala Yesinye Cancer - isimila ezihlobene izimila ama-hormone engaphansi asathuthuka khona amazinga aphezulu testosterone egazini. Kufanele kuqashelwe enkulu inani le hormone ikhiqizwa, aba maningi amathuba izimila.

Ekuqaleni, le umdlavuza kuthinta kuphela amaseli wendlala, kodwa ngokuhamba kwesikhathi isimila zibhebhetheka kwezinye izitho, ukuthola esiteji ezinkulu nakakhulu ukuthuthukiswa. Ukudlulela uqala at esigabeni sesithathu, kodwa abantu abanomdlavuza 2 degrees Ungase futhi iyakhula kwezinye izicubu kanye izitho.

Ngokwe-nokubuyekezwa, ukuphathwa umdlavuza wendlala-2 degrees ube yimpumelelo kakhulu nesicelo yokwelapha kuhlangene, kusukela kulesi sigaba of ukuhluma lamaseli abulalayo ku ezicutshini ezincikene nawo ku-intanethi. Futhi, kukhona cishe akukho metastases e-lymph kanye nenombolo zemizimba elise. Uma isikhathi alinikezi ukwelashwa, imiphumela umdlavuza wendlala Ingaba yinto engathí sina kakhulu, + njengasosukwini lokungivivinya inchubekelembili alandelayo metastases isifo ukuthuthela izitho engumakhelwane nezicubu, okuyinto inkimbinkimbi inqubo yokwelapha.

Izimbangela isifo

Naphezu kwentuthuko yezokwelapha yanamuhla, imbangela esiqondile abulalayo wendlala izimila Namanje akunqunywa ngokugcwele. Nokho, ngesisekelo izifundo ke waboniswa ukuthi isifo singenzeka hhayi kuphela ngemuva kuphazamiseka hormone, kodwa futhi khona nezinye izinto ungalokothi uphuze, ikakhulukazi ezifana:

• sokuguga;
• yofuzo;
• imvelo abampofu;
• ukusebenzisa kabi utshwala, ukubhema ugwayi;
• yokuphazamiseka kwemikhuba yokudla;
• ezingamahlalakhona wendlala isifo.

Ngaphezu kwalokho, lesi sifo kungenzeka esimweni ukusebenza okuqhubekayo ezindaweni eziyingozi nabo futhi amakhemikhali anobuthi.

Izimpawu ze-umdlavuza wendlala

Izimpawu yokuqala umdlavuza wesinye kwabesilisa esigabeni 2 nd ziboniswa hhayi namandla ngokukhethekile. Izici eziyinhloko angabhekwa ukuchama eziyinkimbinkimbi, igazi ukungcola isidoda kanye nomchamo, kanye nezinkinga zobulili. Zonke lezi zimpawu yilezi engaqondile futhi kungase kubonise khona ezinye izifo besilisa uhlelo zokuzala.

Kancane kancane izimpawu umdlavuza wesinye kwabesilisa ziqala zivele nakakhulu lapho isimila iqala ingcindezi odongeni isinye. Kulokhu umuntu ahlangabezana ukuchama kaningi, kodwa umchamo uyaphuma kancane kakhulu.

Ngaphezu kwalokho, zingase zibe khona ezinye izimpawu umdlavuza wendlala yabesilisa, ngokukhethekile, njenge:

• incontinence urinary.
• Ukuvuvukala wemikhawulo aphansi.
• amatshe sezinso.
• igazi umchamo kanye isidoda.
• Ukwephula potency.

Uma kukhona izimpawu umdlavuza wendlala yabesilisa, nawe nakanjani kudingeka ubonane nodokotela ukuqhuba ucwaningo olunzulu nokulandelela ukwelashwa.

ukuhlola

Ngisho ngaphansi izinkinga ezincane kakhulu ukuchama isidingo ngokushesha nje ikheli kungenzeka kudokotela-Urologist. Lesi sici into evamile futhi kungase kubonise okuvela nezinye izifo urogenital endaweni amadoda.

Ekuqaleni, udokotela ehlola indlela palpation neluhlolo rectal we ingemuva. Le ndlela kubhekwa elula kakhulu futhi ikuvumela ukuba kutholakale khona umdlavuza. Nokho, uma isimila okungase kuthintwe kakade, ngakho isifo sokugcina.

Uma umdlavuza akunakwenzeka ukuba kuphenywe, isiguli inikezwe cwaningo eduze kocingo ku ukuhlolwa igazi for the ukuthola antigen wendlala eqondene. Ukuze izifo olucacile ultrasound wasabela x-reyi, tomography.

Imiphumela yaloku kuhlola okungenhla yokugcina zingenziwa emva biopsy wendlala. Ukuze wenze lokhu, kocingo Kwenziwa ngenaliti ekhethekile ngokusebenzisa perineum noma ingemuva ingxenye encane le ndlala.

ukunakekelwa kwezidingo

Iziguli eziningi bayazibuza ukuthi kungenzeka ukwelapha umdlavuza wendlala 2 degrees nalokho amasu asetshenziselwa le njongo. Ukuqhuba wendlala Uchwepheshe akhethiwe kuye ngokuthi isiphi isigaba lesi sifo, yobudala isiguli khona iziyaluyalu concomitant. Ngaphezu kwalokho, futhi uyakucabangela nezinye izinto eziningi. Izindlela eziyinhloko zokwelapha, njengoba kulandela:

• prostatectomy olukhulu;
• ukwelashwa ngemisebe;
• cryotherapy;
• Ukwelapha i-hormone.

Ukwelashwa ngamakhemikhali nokushiswa e izimila abulalayo degree 2nd eyenziwa kakhulu kuyaqabukela futhi kuphela yokwelapha eziyinkimbinkimbi nezinye izindlela. Kukhona ezinye izindlela zokwelashwa, Nokho, ukuqagela yimpumelelo kuphela ngesikhathi izigaba sokuqala lesi sifo.

kokungenela steel

Ukuhlinzwa umdlavuza wendlala yabesilisa grade 2 - indlela olukhulu ekulweni nesifo. Phakathi ukusebenza isimila is excised kanye onesifo wendlala indlala. Izinqubo zanamuhla esekelwe ukusetshenziswa kohlelo ezenzakalelayo.

Kwezinye izimo, laparoscopy, okuyinto kubhekwa inketho eqine kakhulu. Ngesikhathi esifanayo esiswini is wazigcaba ezimbili ezincane adingekayo ukwethulwa amakhamera amathuluzi okuhlinza. Yonke inqubo yokusebenza kwenziwe ngaphansi kokuqondisa ochwepheshe. Le nqubo kuba ephephile, ukuze kuncishiswe ingozi yokuthola futhi kuvimbele ukwehluleka kwesikhashana.

Ngaphezu kwalokho, ukwelashwa ngemisebe umdlavuza wendlala yabesilisa 2 degrees, uma contraindicated nezinye izinhlobo kokungenela kuhlinzwa. It libonisa ngemisebe ye-prostate ngosizo kumadivayisi ekhethekile. Le nqubo akakubangeli igazi ekunqandeni futhi akuphazamisi esimiso senhliziyo nemithambo yegazi. Isilinganiso sobude umhlahlo ukuphila kulokhu ngempela evumayo.

Njengoba nokubuyekezwa, ekwelapheni umdlavuza wendlala 2 degrees usebenzisa RP kungenzeka. Phakathi ukuhlinzwa, kungenzeka ukususa isimila wendlala ngaphandle kokuphazamisa inyama ephilile. Nokho, ngemva kokuhlinzwa kungabonakala nasemkhakheni incontinence naqhubeka ka ukwakhiwa.

Ethwele nokwelashwa ngamakhemikhali

Ukwelashwa nokuvikelwa umdlavuza wendlala Kwenziwa nokwelashwa ngamakhemikhali, okuyinto inikezwa ngokuhlanganyela namanye amacebo. Le ndlela ukusetshenziswa kwezidakamizwa ne ezinobuthi, ukulalela amaseli okubulalayo nokuhlala eyeka division yabo.

Tablets Zendlala Yesinye Cancer Ukwelashwa 2 kusho iziqu izidakamizwa isinyathelo emgodleni kanye core amaseli abulalayo, okubangela ukubhujiswa kwazo. Nokho, kufanele sikhumbule ukuthi le ndlela yokwelapha inemiphumela eminingi engemihle, ezivame kakhulu zazo kubhekwe nezinwele, ubuthakathaka, isicanucanu, ukutubeka komzimba okukhulu. Izidakamizwa ezivamile ezibhekwa, njenge:

• "Mitoxantrone";
• "Doxorubicin";
• "Paclitaxel";
• "Ekstramustina phosphate".

Okukushoyo kokuthola Yiqiniso ngamakhemikhali uhhafu nokusebenzisa izindlela indlela ngefomu ithebhulethi noma ngesimo imijovo.

ukwelashwa ngemisebe

Radiotherapy kusho nethonya umdlavuza-X-ray, retarding isimila ukukhula. It lucwaningo radiotherapy usebenzisa namafutha yomugqa, elithengiswa ukuba isimila nendlala okuthiwa i lymph node ukuvimbela ukusakazeka kwalo kanye ukusabalala amangqamuzana omdlavuza wonke umzimba.

ukwelashwa ngemisebe luyisifundo izinsuku 5 ngesonto of izinyanga 2. Inqubo kukodwa kobuhlungu ngokuphelele futhi kuthatha imizuzu embalwa nje, kodwa ngemva ubambe isiguli belulekwa ukuba baphumule amahora 2-3. It inikezwa eziqala esigabeni 2 umdlavuza wendlala yabesilisa, njengoba ngemisebe kungathinta amaseli eziphilile, okubangela okuvela amathuba okuba nemiphumela engemihle.

brachytherapy

Indlela ehlukile ekwelapheni umdlavuza wendlala at esiteji 2 sifo brachytherapy. Ingqikithi le ndlela itholakala lokuthi ukuthi ngaphansi ultrasound kudivayisi phakathi endlaleni engasesinyeni wenziwa ukugxusha iodinated elimbudumbudu nge ngezinga eliphezulu radioactivity. Ngenxa yalokho, ngo-izimila elakhiwe emisebeni anda nezicubu elise emhlabeni isimila cishe ayiphazamiseki.

Brachytherapy libhekene okumbalwa kakhulu side effects ngenxa umthelela yayo iphuzu. izinto Radioactive yethulwe kuphela wesinye kuthinte isimila nje ngaphandle kokuphazamisa amaseli enempilo eliseduze. Lokhu kwandisa nekusebenta inqubo futhi kwenza intuthwane engemihle.

Izibikezelo yokuphila kanye neminyaka okulindeleke

Ubude bempilo umdlavuza wendlala yabesilisa grade 2 ebalelwa ko 10-15, Nokho, lezi zibalo zingase ohlangothini amaningana amakhulu namancane. Naphezu kweqiniso lokuthi wonke uma lesi sifo ngabanye, onalesi sifo kuyinto ngempela evumayo, izinga sokusinda iziguli iminyaka emihlanu isifo satholakala cishe 100%.

Iminyaka yokuphila kwabantu ngoba wendlala umdlavuza 2 degree kuncike kakhulu lempumelelo yokwelapha, ubudala lesiguli kanye khona comorbidities. Iziguli eziningi ukuphatha ukuze siphinde sithole ngokuphelele, kodwa lokhu kudinga abanekhono ndlela ephelele yokubhekana yokuxazulula le nkinga iyabheda.

Ukudla neoplasm ebulalayo of wendlala

Ucwaningo luye lwabonisa ukuthi umsoco ofanele e umdlavuza wendlala 2 degrees nokulandela isimiso esinzima sokudla kungasiza kancane ukuqhubeka kwesifo. Abesilisa esadla amafutha zemifino kuphela, babephila isikhathi eside impela. Lokhu kungenxa ukungabi khona metastases. Kulokhu, amandla kufakwe uwoyela main in salads namantongomane.

Ukudla Special ukwehlisa ingozi ukuqhubekela phambili kwesifo, kusho ukukhishwa kusukela ekudleni nelayisi elimhlophe isinkwa kanye namakhekhe. Udinga ukudla ukudla nati, izinhlanzi, imikhiqizo emabhontjisi. Ukudla kumele ibhalansiswe, njalo futhi ayingxenye.

Ukudla okunomsoco kuhlangene iziphuzo enempilo, iziphuzo caffeine kufanele indiva.

Izibuyekezo iziguli emva kokwelashwa

Izibuyekezo ekwelapheni umdlavuza wendlala-2 ngamazinga ahlukene, konke kuncike indlela esetshenziswa ukuqhuba yokwelapha. Izimpendulo omuhle kakhulu kithi zihlobene prostatectomy kakhulu impela nje, njengoba indlela enjalo esebenza kahle kakhulu uma ziqhathaniswa yokwelapha hormone nemisebe eyingozi. Kufanele kuqashelwe ukuthi ngesikhathi ukusebenza amaseli enempilo engabathinti, futhi lo dokotela inquma ngokunembe izindawo wendlala ehlaselwe amaseli ebulalayo.

Izibuyekezo ezingezinhle mayelana nokwelashwa umdlavuza wendlala 2 degrees ngokuyinhloko elihlobene ne inkinga wokunciphisa ukwakhiwa kanye incontinence urinary. Nge ukuthola esifike izinkinga futhi ukufeza ukwelashwa eziyinkimbinkimbi Izibikezelo kuyinto ngempela evumayo, ngoba ungakwazi ngokushesha balahle lesi sifo futhi kuvimbele kokushelela.