Izindaba Eziyiqiniso: Umdlavuza Wendlala Yesinye

-Delile

• Zenzele olwakho ucwaningo
• Thola umuthi ofanele wena
• Ungapheli amandla uma umdlavuza ubuya

Unyaka ngamunye, amadoda angaphezu kwe-180,000 e-United States atholakala enomdlavuza we-prostate. Yize uhambo lomdlavuza wendoda ngayinye luhlukile, kunokubaluleka kokwazi ukuthi amanye amadoda adlule kuphi.

Funda ngalokho okwenziwa ngamadoda amathathu ahlukene ngemuva kokufunda ngokutholakala kwawo nokuthi yiziphi izifundo abazifundile endleleni.

Zenzele olwakho ucwaningo

Intshiseko kaRon Lewen nge-Intanethi nocwaningo kwaba nezithelo lapho ethola ukuthi unomdlavuza wesinye. "Ngingu-geek onjalo, ngakho-ke ngivele ngacwaninga ukungabikho kwalokhu," esho.

U-Lewen, obelokhu ethola ukuhlolwa okujwayelekile kwe-prostate-specific antigen (PSA) kusukela eneminyaka engaba ngu-50, uthole ngoJanuwari 2012 ukuthi amazinga akhe e-PSA abephakeme kunokujwayelekile. “Babedlule umkhawulo udokotela wami ayenethezekile kuwo, ngakho-ke wathi angiphuze imithi elwa namagciwane uma kungenzeka ukuthi iyisifo. Bekufanele ngenze olunye uvivinyo emasontweni ambalwa kamuva. ” Umphumela: Amazinga akhe e-PSA ayesekhuphuke futhi. Udokotela ojwayelekile kaLewen wamthumela kudokotela we-urologist owenza ukuhlolwa kwe-digital rectal kanye ne-biopsy ku-prostate yakhe. Ngo-Mashi, waxilongwa: umdlavuza wendlala yesinye. Uthi: “Amaphuzu ami eGleason ayephansi, ngakho-ke sawuthola kusenesikhathi.

Yilapho amakhono okubulala we-Inthanethi kaLewen athola khona. Uqale ukucwaninga ngezindlela zakhe zokwelashwa. Ngenxa yokuthi wayenesisindo esingamakhilogremu angama-380, ukuhlinza kwendabuko kwakungeke kusebenze. Isazi semisebe ye-radiologist sincome noma imisebe yendabuko noma i-brachytherapy, ukwelashwa lapho imbewu efakwa emisebeni efakwa endlezaneni ukuze ibulale amaseli omdlavuza. "Lezi zinketho ngabe zilungile, kepha ngaqhubeka ngifunda ngokwelashwa kwe-proton," usho njalo.

Ngenzalo ekhishwe, uLewen wafuna isikhungo sokwelapha i-proton. Azikho kangako izikhungo eziningi zokwelashwa kwama-proton e-United States, kodwa esisodwa sivele saba yimizuzu eyi-15 ukusuka endlini kaLewen eBatavia, e-Illinois. Ekuhambeleni kwakhe kokuqala, wahlangana nodokotela, abahlengikazi, abasebenza ngemisebe, kanye nama-dosimetrists. Uthi: “Benza konke okusemandleni abo ukuze ngenze ngikhululeke.

Ngemuva kokukhuluma ngayo nomkakhe futhi enesisindo sayo yonke imiphumela yokwelashwa okuhlukile, uLewen wanquma ukusebenzisa i-proton therapy ukwelapha umdlavuza wakhe wesinye. Ngalolu hlobo lokwelashwa, odokotela bafaka ibhaluni elincane kunxande ukuze baphakamise indlala yesinye ukuze imisebe ikwazi ukufinyelela kangcono endlezweni ngaphandle kokuthinta ezinye izitho nezicubu eziseduze.

Uqede imishanguzo yakhe ye-proton ngo-Agasti 2012 futhi wenza izivivinyo ze-PSA njalo ezinyangeni ezintathu zonyaka wokuqala. Kusukela lapho, ubevakashelwa minyaka yonke nodokotela wakhe. Sekukonke, uLewen uthi, wayengeke acele ulwazi olungcono lokwelashwa. Uthi: “Yimiphi imiphumela engemihle engaba nayo ngenxa yokwelashwa eyayingeyona neze into eyayingivimba emsebenzini wami noma yokujabulela impilo ejwayelekile,” kusho yena.

"Enye yezinto ezinhle ngempela ngomuthi namuhla ukuthi sinezinketho eziningi, kodwa enye yezinto ezimbi kakhulu ukuthi sinezinketho eziningi," usho kanje. “Kungaba nzima, kodwa kubalulekile ukuqonda izinketho zakho. Mhlawumbe ngikhulume nabantu abahlukene abangama-20 ngenkathi ngenza ucwaningo lwami, kodwa kwangisiza ukwenza ukukhetha okuhle ekugcineni. ”

Thola umuthi ofanele wena

UHank Curry akayithathi impilo elele phansi. Udonsa utshani futhi ancintisane emincintiswaneni yokubopha izintambo. Ngakho-ke kwathi lapho isakhamuzi saseGardnerville, eNevada kutholakala ukuthi sinomdlavuza wendlala yabesilisa ngoDisemba 2011, wasebenzisa indlela efanayo yokulwa nomdlavuza.

Odokotela bakaCurry bamkhuthaza ukuthi ahlinzwe. Ngemuva kwakho konke, umdlavuza wawusuthuthuke impela. Lapho enza i-biopsy, odokotela bahlola izindawo eziyi-16 kwi-prostate ukuthola umdlavuza. Bonke abangu-16 babuya benesimo esihle. “Bathe babona kunethuba elihle lokuthi umdlavuza usabalale endlaleni yesinye uqobo lwaya esiswini sami. Bangitshele ukuthi singayisusa, kodwa asikho isiqinisekiso sokuthi bazoyithola yonke, ”usho kanje. "Uma ubhekene nokuphazamiseka nokuhlinzwa nobuhlungu bokuba nalokhu kuhlinzwa futhi kusenokwenzeka ukuthi akuwuqedi umdlavuza, ngabona ukuthi kwakungekhona ukuhlinzwa kwami."

Esikhundleni salokho, uCurry wadlula amasonto ayisishiyagalolunye emisebe, izinsuku ezinhlanu ngesonto. Wabe esethola imijovo iLupron (i-hormone yabesifazane) ukugcina umzimba wakhe ungakhiqizi i-testosterone engabhebhethekisa umdlavuza wakhe. Waqala imishanguzo yakhe ngoJanuwari 2012 wayiqeda ezinyangeni eziyisishiyagalombili kamuva ngo-Agasti.

Ngesikhathi sokwelashwa kwakhe, uCurry wagcina uhlobo lomzimba olujwayelekile, wadla kahle, futhi wazama ukugcina umzimba wakhe usesimweni esiphezulu. Lokhu kumsizile ukuthi abuyise amandla akhe futhi aqhubeke nokudonsa kwakhe utshani. "Angizizwa sengathi ngiyisidlakela noma yini."

Ungapheli amandla uma umdlavuza ubuya

Lapho u-Alfred Diggs etholakala ukuthi unomdlavuza eneminyaka engama-55, wakhetha ukuba ne-prostatectomy enkulu. "Ngangingenazo izimpawu ezihlobene nomdlavuza wendlala yesinye, kodwa ngangilokhu ngithola ama-PSAs isikhathi eside," kusho owayengusokhemisi nonguchwepheshe wezempilo waseConcord, eCalifornia. Njengomuntu wase-Afrika-waseMelika, uDiggs wayazi ukuthi amathuba akhe omdlavuza ayephakeme - njengoba kwakuyingozi eyayizobuya.

"I-PSA yami yaphindeka ngaphezu kokuphindwe kabili ngonyaka owodwa, kanti ukuhlolwa kwe-biopsy kukhombisile ukuthi nginomdlavuza wendlala yesinye kuma-lobes amaningi endlala yami," esho. "Ubuchwepheshe obusha bebukhona, kepha kufanele bube khona okungenani iminyaka eyi-10 ngaphambi kokuthi ngibenze."

"Ngemuva kokuhlinzwa, ngaba nezinyanga ezintathu noma ezine zokungasebenzi komchamo - kepha lokho akujwayelekile," esho. Ama-Diggs nawo ayengasebenzi kahle ngenxa yokwelashwa, kepha wakwazi ukuwelapha ngomuthi.

Wayengenazimpawu eminyakeni engu-11 eyalandela, kepha umdlavuza wabuya ngasekuqaleni kuka-2011. “I-PSA yami yaqala ukukhuphuka kancane kancane, futhi uma unomdlavuza ophindaphindekile wendlala, okuwukuphela kodokotela benkomba yomtholampilo i-PSA yakho,” usho kanje. "Ngabona odokotela abaningana, futhi bonke bangitshela into efanayo - ngangidinga imisebe."

Ama-Diggs athola ukwelashwa ngemisebe engama-35 ngaphezu kwamasonto ayisikhombisa. Ngo-Okthoba 2011, wayeqedile ngemisebe yakhe, futhi izinombolo zakhe ze-PSA zase zibuyela kwesejwayelekile futhi.

Ngakho-ke ubuya kanjani umdlavuza wendlala yesinye lapho kungasekho i-prostate? “Uma umdlavuza wendlala yesinye uqukethwe ngokuphelele endlezweni, welapheka cishe ngamaphesenti ayikhulu. Uma amangqamuzana omdlavuza ehlasela umbhede wendlala yesikhumba [izicubu ezizungeze i-prostate], kunethuba lokuthi umdlavuza ungabuya, ”kusho uDiggs.

"Lapho umdlavuza ubuya, kwakungekubi kangako ngokomzwelo," usho kanje. “Akuzange kube nomthelela ofanayo ngokomzwelo. Ngivele ngacabanga ukuthi 'Nakhu futhi!' ”

Uma uthola ukuxilongwa, ama-Diggs asikisela ukufinyelela kwamanye amadoda adlule ekuhlolweni nasekwelashweni. "Kalula nje, bangakutshela izinto udokotela angakwazi."