I-prostate Cancer - Ukwelashwa Kwe-Prostate I-Tumor e-Israel

Umdlavuza we-prostate ungaba nemiphumela emibi emadodeni. Noma kunjalo, ukuphathwa ngempumelelo kakhulu uma kutholakala kusenesikhathi. Amaphesenti angaba ngu-86 azo zonke izimo zesifo somdlavuza we- prostate atholakala ngesikhathi isiguli sitholakala ku- prostate gland. Umdlavuza wokuqala we-prostate awubonakali noma yiziphi izimpawu futhi ungatholakala kuphela ngokuhlolwa kwezidakamizwa udokotela. Lezi zivivinyo zivame ukuthola, noma ukusiza ukulawula umdlavuza wesibeletho. Udokotela angase anikeze izifundo ezengeziwe noma aphakamise ukuphinda ukuhlaziywa kwe-PSA.

I-prostate gland efihla umkhuhlane we-seminal ophethe isidoda esivela emzimbeni ngokusebenzisa i-urethra ngenkathi ejaculation. I-prostate gland ingaphambi kwe-rectum ngaphansi kwesigqila. Umdlavuza we-prostate kwenzeka lapho amangqamuzana ekhula ngokungavamile futhi enza isisu. Izicubu ze-prostate zingakhula ngaphansi kwethonya le-hormone yesilisa, i-testosterone. Amaphesenti angu-70% azo zonke izifo zomdlavuza we-prostate atholakala emadodeni angaphezu kweminyaka engama-65.

Ukuxilongwa komdlavuza we-prostate.

Lapho kutholakala umdlavuza we-prostate kwa-Israyeli, ama-86% azo zonke izigameko zomdlavuza we-prostate ziyatholakala ngenkathi zisendaweni yangakini. Ngakho-ke, ukwelashwa komdlavuza wesi-prostate kwa-Israyeli kunikeza isilinganiso seminyaka emihlanu yokusinda cishe eyi-100%. Amathuluzi amaningana okuhlola: i-antigen ethize (i-PSA) kanye nokuhlolwa kwe- digital rectal (DRE) kubalulekile ekuxilongweni kokuqala, amazinga aphezulu aphezulu we-PSA nokukhula okungavamile, ngokulandelanayo, kubalulekile ukuqhuba ezinye izivivinyo eziningana ukuqinisekisa ukuxilongwa kwe-prostate. Isikhungo somdlavuza kwa-Israyeli cishe sinikela nge-biopsy futhi sisebenzise nezinye ubuchwepheshe bokucabanga njenge-MRI ne-PET CT ukusiza ukuqinisekisa ukuxilongwa nokuthola ukwelashwa okufanele kakhulu komdlavuza wesifo sofuba.

Ukwelashwa komdlavuza omubi wesifo sofuba

Umnyango we-Urologic Oncology unikeza ukwelashwa okuphambili kakhulu komdlavuza wesi-prostate kwa-Israyeli. I-oncologists, i-urologists kanye nama-radiologists basebenza ndawonye ukuze banikeze ukunakekelwa kwezokwelapha eliphezulu. Umtholampilo phesheya unikeza izinhlobo eziningi zokwelapha ezintsha, ngokuvamile ezingatholakali kwamanye amazwe, njengezindlela zokusebenzisa imisakazo ye-stereotactic, ukuvikela izicubu ezinempilo ezizungezile, noma i-prostatectomy ne-robotic da-Vinci system

I-laparoscopic i-prostatectomy robot inikeza izinzuzo eziningi kunokwelashwa okujwayelekile kwesifo somdlavuza wesi-prostate: ukulahleka kwegazi okuncane, ukululama okusheshayo, nokusetshenziswa okuncane kwe-catheter. Ubuchwepheshe obusha busebenzisa izinsimbi zokulinganisa kanye namakhamera amabili wokubukwa okungcono, okukuvumela ukuba usethe umfanekiso wesithathu ngokukhulisa okukhulu, okunikeza abahlinzayo abaphelelise inkululeko yokuhamba, futhi kuhlotshaniswa nokulahlekelwa kwegazi okuncane kakhulu.

Ukusebenza kuyisibonelo esihle sokuhlinzeka ngegazi elingenaso igazi. Ngaphezu kwalokho, ingozi yokukhubazeka ngokobulili nokungahambisani kwamagciwane kunciphisa, ngoba udokotela ohlinzayo unengqondo ecacile ye-anatomy futhi angakwazi ukuqonda ngokunembile izinzwa nezinhlaka ezibhekene nalezi zinkinga. Abanye odokotela abahlinzayo bakholelwa ukuthi kufanele basebenzise umuzwa wabo wokuthinta nokuzizwa ukuze basuse kahle umdlavuza, kodwa kusobala ukuthi lokhu kuyindabakwane. Indlela ye-laparoscopic inikeza izinzuzo ezengeziwe ekwelapheni umdlavuza wesifo sofuba phesheya.

Ukwelashwa kwezidakamizwa kuyindlela yokwelapha umdlavuza we-prostate. Ihlanganisa ukwelashwa kwemisebe yangaphandle (DLT) kanye ne-brachytherapy. Ukwelapha imisebe yasemakhaya ngokuvamile kwenziwa emva kokuhlinzwa, uma kwenzeka kunengozi enkulu yokuphindaphinda. Inikeza ukulawula kwesifo eside isikhathi eside nokuphila okuphezulu. Ukwelashwa kwezidakamizwa kungabangela imiphumela eminingi emibi. Ezinye zazo azibalulekile futhi ziyancipha ngemva kokuphela kokwelapha. Imiphumela emibi ihlanganisa ukukhathala, ukuvuvukala kwesikhumba ezindaweni eziphathwayo, ukuvuthwa okuvamile noma ukuphuma kwamagciwane noma ukucasuka. Ezinye imiphumela emibi, noma kunjalo, zingunaphakade. Imisebenzi yamathumbu ayikwazi ukujwayelekile ngisho nangemva kokuphela kokwelashwa. Ukungaphelelwa amandla kungase kube khona eminyakeni engaba ngu-2 ngemuva kokwelashwa kwezinye iziguli.

I-cryosurgery, i-hormone therapy, i-chemotherapy nezinye izindlela zokwelapha umdlavuza we-prostate ku-Israyeli inganikezwa ngokungeziwe. Uma kunesidingo, isiguli singangena ohlelweni lwezilingo zomtholampilo wezokwelapha zokwelashwa - indlela enhle yokulwa nomdlavuza we-prostate.