Amabali ayinyani: Umhlaza wedlala lobudoda

Umxholo

• Yenza olwakho uphando
• Fumana unyango olulungele wena
• Musa ukunikezela xa umhlaza ubuya

Unyaka ngamnye, ngaphezulu kwamadoda angama-180,000 e-United States afunyaniswa enomhlaza wedlala lobudoda. Ngelixa uhambo lomhlaza wendoda nganye yahlukile, kukho ixabiso ngokwazi ukuba amanye amadoda adlule phi.

Funda ngento eyenziwe ngamadoda amathathu ahlukeneyo emva kokufumanisa isifo kunye nezinto abazifundileyo endleleni.

Yenza olwakho uphando

Inzondelelo kaRon Lewen kwi-Intanethi kunye nophando kuhlawulwe xa efumanisa ukuba unomdlavuza webele. "Ndiyinto enjalo, ngoko ke ndaphanda nje le nto," utsho.

U-Lewen, owayesoloko efumana i-antigen (PSA) yokuhlola rhoqo kuba wayeneminyaka engama-50, wafumanisa ngoJanuwari 2012 ukuba amanqanaba akhe e-PSA ayephezulu kunesiqhelo. “Babedlule ngaphaya kommandla ugqirha wam awayekhululekile kuwo, ke ngoko wayalela ukuba ndithathe iyeza lokubulala iintsholongwane xa kungenzeka ukuba lusulelo. Kwafuneka ndenze olunye uvavanyo emva kweeveki ezimbalwa. ” Isiphumo: Amanqanaba akhe e-PSA anyukile kwakhona. Ugqirha ka-Lewen ngokubanzi wamthumela kwi-urologist eyenza uvavanyo lwe-digital rectal kunye ne-biopsy kwi-prostate yakhe. Ngo-Matshi, wafumanisa ukuba unesifo somhlaza. Uthi: "Amanqaku am eGleason ayephantsi, ngoko ke sasibamba kwangoko," utshilo.

Yilapho i-Lewen ye-intanethi izakhono zokubulala zihlawulwa. Waqala ukuphanda ngonyango alukhethayo. Ngenxa yokuba wayenobunzima obuziikhilogram ezingama-380, utyando lwesintu lwalungazukusebenza. I-radiologist yacebisa nokuba yimitha yesintu okanye unyango lwe-brachytherapy, unyango apho imbewu ye-radioactive ifakwe kwi-prostate ukubulala iiseli zomhlaza. "Ezo zinto bezizakulunga, kodwa ndiqhubekile ndifunda ngonyango lweproton," utshilo.

Ngomdla onomdla, uLewen wafuna isikhungo sonyango lweproton. Azikho iindawo ezininzi zonyango lweproton eUnited States, kodwa enye yenzeke nje ukuba ibe yimizuzu eyi-15 ukusuka kwindlu kaLewen eBatavia, eIllinois. Ngexesha lotyelelo lokuqala, wadibana noogqirha, abongikazi, iingcali zonyango ngemitha, kunye nee-dosimetrists. Uthi: "Benza konke okusemandleni abo ukundenza ndizive ndikhululekile."

Emva kokuthetha kunye nomfazi kunye nokulinganisa zonke iziphumo zonyango olwahlukeneyo, uLewen wagqiba ekubeni asebenzise unyango lweproton ukunyanga umdlavuza wakhe wesibeletho. Olu hlobo lonyango, oogqirha bafaka ibhaluni encinci kwi-rectum ukuze baphakamise iprotrate ukuze imitha ifikelele kwi-Prostate ngaphandle kokuchaphazela amanye amalungu akufutshane kunye nezicubu.

Wagqiba unyango lweproton ngo-Agasti 2012 kwaye wenza iimvavanyo ze-PSA rhoqo kwiinyanga ezintathu zonyaka wokuqala. Ukusukela ngoko, ebetyelelwa minyaka le nogqirha wakhe. Ngokubanzi, uLeben uthi, wayengenakucela amava angcono kunyango. Uthi: "Zimbalwa iziphumo ebezingalindelekanga ebendinazo ngenxa yonyango akuzange kubekho nto indigcina emsebenzini wam okanye ekunandipheni ubomi obuqhelekileyo," utsho.

"Enye yezinto ezintle kakhulu malunga neyeza namhlanje kukuba sinokukhetha ezininzi, kodwa enye yezinto ezimbi kakhulu kukuba sinokukhetha ezininzi," utsho. Inokuba nzima, kodwa kubalulekile ukuqonda ukhetho lwakho. Ndikhe ndathetha nabantu abangama-20 abohlukeneyo ngexesha lophando lwam, kodwa oko kwandinceda ndenza olona khetho ekugqibeleni. ”

Fumana unyango olulungele wena

UHank Curry akabuthathi ubomi elele phantsi. Utsala hay kwaye ukhuphiswano kukhuphiswano lokubamba. Ke xa umhlali waseGardnerville, eNevada kwafunyaniswa ukuba wayenomhlaza wedlala lobudoda ngoDisemba ka-2011, wasebenzisa indlela efanayo yokulwa umhlaza.

Oogqirha bakaCurry bamkhuthaza ukuba enze utyando. Emva kwayo yonke loo nto, umhlaza wawuphambili kakhulu. Xa wayene-biopsy, oogqirha bajonga iindawo ezili-16 kwiprostate ukuba kukho umhlaza. Bonke abali-16 babuya nethemba. "Bavile ukuba kukho ithuba elihle lokuba umhlaza usasazeke ngokwangaphandle kunye nakwisisu sam esiswini. Bandixelele ukuba singayisusa, kodwa kwakungekho siqinisekiso sokuba bazokuyifumana yonke, ”utshilo. "Ukuba utyhubela inkathazo kunye notyando kunye neentlungu zokwenza olo tyando kwaye isenokungawuphelisi umhlaza, ndiye ndabona ukuba ayilotyando olo kum."

Endaweni yoko, iCurry yafumana iiveki ezilithoba zemitha, iintsuku ezintlanu ngeveki. Uye emva koko wafumana i-Lupron (i-hormone yabasetyhini) inaliti ukugcina umzimba wakhe uvelisa i-testosterone enokubangela ukuba umhlaza wakhe uphinde uphinde. Waqala amayeza akhe ngoJanuwari 2012 kwaye wawagqiba kwiinyanga ezisibhozo kamva ngo-Agasti.

Ngexesha lonyango, uCurry wagcina irejimeni yomzimba yesiqhelo, watya kamnandi, kwaye wazama ukugcina umzimba wakhe ukwimo ephezulu. Oku kwamnceda ukuba abuye namandla kwaye aqhubeke nokutsala hay kwakhe. "Andiziva ngathi ndisisidenge okanye nantoni na."

Musa ukunikezela xa umhlaza ubuya

Xa u-Alfred Diggs wafunyaniswa ukuba wayenomhlaza eneminyaka engama-55, wanyula ukuba abe ne-prostatectomy. "Andizange ndibe nazimpawu ezinxulumene nomhlaza wesibeletho, kodwa ndandifumana ii-PSAs ixesha elide," utshilo owayengusokhemesti kunye noochwephesha kwezempilo ovela eConcord, California. Njengomntu wase-Afrika-waseMelika, iiDiggs zazisazi ukuba amathuba akhe omhlaza ayephezulu- njengoko yayiyingozi eyayiza kubuya.

"I-PSA yam iphindaphindwe kabini ngonyaka, kwaye i-biopsy ibonakalise ukuba ndinomhlaza wedlala lobuchwephe kwii-lobes ezininzi zeprostate," utshilo. "Itekhnoloji entsha ibikhona, kodwa kufuneka ibekhona iminyaka eli-10 ubuncinci ngaphambi kokuba ndiyenze."

"Emva kotyando, ndineenyanga ezintathu okanye ezine zokungasebenzi kakuhle komchamo - kodwa ayisiyonto ingaqhelekanga leyo," utshilo. Ii-Diggs nazo zazingasebenzi kakuhle ngenxa yonyango, kodwa wakwazi ukuyinyanga ngamayeza.

Wayengenazimpawu kwiminyaka eli-11 elandelayo, kodwa umhlaza wabuya ekuqaleni kuka-2011. Ndabona oogqirha abaliqela, kwaye bonke bandixelele into enye- ndifuna imitha.

Ii-Diggs zifumene unyango lwe-35 radiation kwiiveki ezisixhenxe. Ngo-Okthobha u-2011, wagqitywa ngemitha yakhe, kwaye iinombolo zakhe ze-PSA zazibuyela esiqhelweni kwakhona.

Ke ubuya njani umhlaza wedlala lobudoda xa kungasekho prostate? “Ukuba umhlaza wedlala lobudoda uqulethwe ngokupheleleyo kwiprostate, imalunga neepesenti ezili-100 enyangekayo. Ukuba iiseli zomhlaza zihlasela ibhedi yeprostate [izicubu ezijikeleze iprotrate], kukho ithuba lokuba umhlaza ungabuya, "utshilo uDiggs.

"Xa umhlaza ubuya, kwakungekho kubi ngokweemvakalelo," utshilo. “Khange ibenempembelelo efanayo yemvakalelo. Ndicinga nje 'Nanku ke siphinda sihambe!' ”

Ukuba ufumanisa isifo, iiDiggs ziphakamisa ukuba ufikelele kwamanye amadoda athe afumana isifo kunye nonyango. "Kulula, banokukuxelela izinto ugqirha angenako ukuzenza."