Iphela ukuthi ukuphila ucansi komdlavuza wendlala? Indlela silondoloze potency?

Kungakhathaliseki kungenzeka ukulondoloza umsebenzi kubalulekile amadoda nge ukwelashwa komdlavuza wendlala yabesilisa, uthi oncologist onguchwepheshe umdlavuza wendlala yabesilisa, umsunguli we Dokrates Oncology umtholampilo - UProfesa Hlobanisa Ph.D. Timo Joensuu.

Ngokocwaningo North-European, 8 out of 10 abantu badlula wokwelapha isifo somdlavuza banezinkinga ekuphileni ngokocansi (Ucwaningo abathintekayo amadoda angaphezu kuka-7000). Ngo-87% wabaphenduli babenezinkinga ukungasebenzi Erectile, 63% wabaphenduli akhononda nezinye ukungakhululeki.

Omunye Ochwepheshe ehola ekwelapheni umdlavuza wendlala yabesilisa, Timo Joensuu *, induna udokotela Oncology umtholampilo Dokrates uthi ekwelapheni umdlavuza wendlala yabesilisa, kukhona imigqa emibili yokwelashwa: ukuhlinzwa noma ngemisebe. Ngaphandle kokulawula asebenzayo yomdlavuza PSA ngokuvamile it has isikhathi ukusakaza ngaphesheya capsule wendlala yabesilisa, futhi kulesi simo ukususwa kuhlinzwa we wendlala akuqinisekisi ukuthi ngeke babuyela khona.

Kukhethwa ukwelashwa incike emvelweni nasembulungeni nesigaba lesi sifo. Iziguli kufanele kube nokubonisana okunenjongo nodokotela wakho mayelana amafomu kungenzeka yokwelashwa. Ngo ukwelashwa ngemisebe ezingabantu zihlale asele ukulondoloza ukwakhiwa (kuhlanganise HDR-brachytherapy), kunalokho ekwelapheni kuhlinzwa, "kusho uDkt Joensuu.

Iziguli uyajabula imiphumela ngemisebe

Inkinga eyinhloko ekwelapheni kuhlinzwa yomdlavuza wendlala lihlotshaniswa izici yokwakheka wendlala ngokwayo: njengoba umthetho, umdlavuza kwenzeka ngesikhathi umngcele capsule wendlala yabesilisa, ebusweni okuyinto kwalapho banesibopho bavukelwe. Ngokuvamile, umdlavuza has sikhathi ukuze ukhulise ngokusebenzisa lezi izinzwa kanye capsule, kanye kokungenela kuhlinzwa, lezi izinzwa zilinyazwa kalula - okusho ubuthakathaka for amadoda.
"Ukwelapha Kushisa bhé kule ndawo ongaqeda amaseli ngaphezulu umdlavuza kuka ukwelashwa kuhlinzwa, kanye amaseli ngaphandle capsule wendlala. Ngemva radiotherapy ukwakhiwa kungenzeka kancane kancane sibe sibi, kodwa eminyakeni, kunokuba ngokuzumayo, njengoba kwenzeka ngemva kokuhlinzwa. Ungakhohlwa ukuthi umdlavuza wendlala yabesilisa - isifo Amadoda asekhulile abaye ngokwemvelo encishisiwe potency "- uthi Timo Joensuu.

Zonke izindlela ukuxilongwa kanye nokwelashwa ekusebenziseni

Oncology Umtholampilo Dokrates omunye izikhungo ezimbalwa zokwelapha, asebenzisa izindlela yakamuva komdlavuza, isibonelo, multiparametric MRI kanye PET-CT izivivinyo nge radioisotopes ekhethekile. kokutshelwa ngokukhubazeka kwengane kuyadingeka Ochwepheshe ngoba ukuqonda okunembile umdlavuza ulaka kanye nobungako ukusabalala.

Ukuze aphathe ilungelo umdlavuza, sidinga ukwazi lapho ingxenye yomzimba itholakala. Ukusetshenziswa ochwepheshe bethu babe amasu eziphambili kakhulu zokuxilonga ukuthola ulwazi olunembile ngomdlavuza. Ngakho, uma ufuna ukuhlola khona Ukudlulela skeleton in umdlavuza wendlala yabesilisa, sisebenzisa PET-CT luhlolo nge IKhompyuthaYami ekhethekile; Uma kudingekile, hlola nesineke ngamazinga eliphansi PSA ezingeni sisebenzisa PET-CT umaka PSMA, ezimweni ezithile esiziphatha PET-CT ne choline. Ngemva esigabeni ukuxilongwa usuphothuliwe ngudokotela ukuya ukukhuluma isiguli kanye nezihlobo zakhe mayelana izindlela zokwelapha elithola abo kanye nebubi, izingozi kanye nemiphumela "- kusho uDkt Joensuu.

Ngo komtholampilo wethu, ubala zonke izinhlobo eziphambili ukwelashwa komdlavuza wendlala: ngentambo ugongolo ukwelashwa ngemisebe, umthamo ephezulu interstitial HDR-brachytherapy, ukuhlinzwa kunendawo enkulu engahlolwa amarobhothi, imithi izidakamizwa entsha, ukwelashwa radionuclide. Ngakho-ke, ochwepheshe bethu nethuba ngamunye ukuze isiguli ukuba akhethe inkambo engcono ukwelashwa.

"Sihlala nokucabangela ukuthi kungenzeka ukwelashwa ngemisebe, ngoba umkhuba wethu, le ndlela yokwelapha abantu abanomdlavuza ngoba wendlala yabesilisa kuyaphumelela futhi ngesikhathi esifanayo elondoloza izinga lesiguli zokuphila. Umbuzo Akukhona ukuthi ukuhlinza noma ngemisebe ukwelashwa, futhi kanjani nokwandisa ukwelashwa ngemisebe ngendlela akusho ukulimaza isiguli, futhi irradiate zonke izingxenye ezidingekayo. Uma isiguli ekhetha radiotherapy, kunconywa ngesikhatsi ukwelashwa ukuphatha izidakamizwa ukuba balondoloze ukwakhiwa, ngisho uma ningangazisi unezinkinga ukwakhiwa. Lena okuhlukile okukodwa ekuvimbeleni izinkinga urinary, "- kusho uDkt Joensuu.

Ngaphezu ukwelashwa main emtholampilo yethu igcwele Ochwepheshe abanikeza zonke ngosizo oludingekayo kanye nokwesekwa ukuze isiguli ngesikhathi imithi yokwelashwa: uroterapevt, sexologist, owelapha, okunomsoco umdlavuza iziguli kanye nabanye.

* Timo Joensuu - oncologist Finnish, ukwelashwa ngemisebe onguchwepheshe, uProfesa Hlobanisa of Oncology Clinical. Ngo-2006, egameni Association anti-umdlavuza ukhishwa izimpumelelo ekulwisaneni nomdlavuza. Ngo-2010, ngokwemibiko Mediuutiset "I ezinethonya kunazo kwezempilo yomphakathi somNyango wezeMpilo konyaka."
Umthombo: Umdlavuza Umtholampilo Dokrates.