Ukuhlolwa komdlavuza wendlala yesinye

Ukuhlolwa umdlavuza kungasiza ekutholeni izimpawu zomdlavuza kusenesikhathi, ngaphambi kokuthi ubone noma yiziphi izimpawu. Ezimweni eziningi, ukuthola umdlavuza kusenesikhathi kwenza kube lula ukuselapha noma ukuselapha. Kodwa-ke, okwamanje akucaci ukuthi ukuhlolwa komdlavuza wendlala yabesilisa kuyasiza yini kwabesilisa abaningi. Ngalesi sizathu, kufanele ukhulume nomhlinzeki wakho wezokunakekelwa kwempilo ngaphambi kokuhlolwa umdlavuza wesinye.

Ukuhlolwa kwe-antigen (PSA) okuyi-Prostate-specific (i-PSA) ukuhlolwa kwegazi okuhlola izinga le-PSA egazini lakho.

• Kwezinye izimo, izinga eliphezulu le-PSA lingasho ukuthi unomdlavuza we-prostate.
• Kepha ezinye izimo zingadala nezinga eliphakeme, njengokutheleleka ku-Prostate noma i-Prostate ekhulisiwe. Ungadinga okunye ukuhlolwa ukuthola ukuthi unomdlavuza yini.
• Okunye ukuhlolwa kwegazi noma i-prostate biopsy kungasiza ukuxilonga umdlavuza uma ukuhlolwa kwe-PSA kuphezulu.

Ukuhlolwa kwamakhompiyutha edijithali (i-DRE) isivivinyo lapho umhlinzeki wakho afaka khona umunwe othanjisiwe, ofakwe igilavu ​​ku-rectum yakho. Lokhu kuvumela umhlinzeki ukuthi abheke i-Prostate ukuthola izigaxa noma izindawo ezingavamile. Iningi lomdlavuza alikwazi ukuzwakala ngalolu hlobo lokuhlolwa, okungenani ezigabeni zokuqala.

Ezimweni eziningi, i-PSA ne-DRE zenziwa ndawonye.

Ukufanekisa izivivinyo, njenge-ultrasound noma i-MRI akwenzi umsebenzi onembile wokuhlola umdlavuza wendlala yabesilisa.

Inzuzo yanoma yikuphi ukuhlolwa kokuhlolwa komdlavuza ukuthola umdlavuza kusenesikhathi, lapho kulula ukuselapha. Kepha kubalwa impikiswano ngokubaluleka kokuhlolwa kwe-PSA ngomdlavuza wesinye. Ayikho impendulo eyodwa elingana wonke amadoda.

Umdlavuza wendlala yesinye uvame ukukhula kancane kakhulu. Amazinga e-PSA angaqala ukukhuphuka iminyaka ngaphambi kokuba umdlavuza ubangele noma yiziphi izimpawu noma izinkinga. Kubuye kuvame kakhulu njengokuguga kwamadoda. Ezimweni eziningi, umdlavuza ngeke ubangele izinkinga noma unciphise isikhathi sokuphila kwendoda.

Ngalezi zizathu, akucaci ukuthi izinzuzo zokuhlolwa okujwayelekile zidlula ubungozi noma imiphumela emibi yokwelashwa komdlavuza wendlala uma usutholakele.

Kunezinye izinto okufanele ucabange ngazo ngaphambi kokuhlolwa kwe-PSA:

• Ukukhathazeka. Izinga eliphakeme le-PSA akusho ukuthi njalo unomdlavuza. Le miphumela kanye nesidingo sokuqhubeka nokuhlolwa kungadala ukwesaba okukhulu nokukhathazeka, noma ngabe awunawo umdlavuza wesinye.
• Imiphumela emibi evela ekuhlolweni okuqhubekayo. Uma ukuhlolwa kwakho kwe-PSA kuphakeme kunokujwayelekile, kungadingeka ukuthi ube ne-biopsies eyodwa noma eziningi ukuthola ngokuqinisekile. I-biopsy iphephile, kepha ingadala izinkinga ezinjengokutheleleka, ubuhlungu, imfiva, noma igazi kusidoda noma emchameni.
• Ukweqisa ngokweqile. Imidlavuza eminingi yesinye ayizukuthinta impilo yakho ejwayelekile. Kepha njengoba kungenakwenzeka ukwazi ngokuqinisekile, abantu abaningi bafuna ukuthola ukwelashwa. Ukwelashwa komdlavuza kungaba nemiphumela emibi kakhulu, kufaka phakathi izinkinga zokuvuswa nokuchama. Le miphumela emibi ingadala izinkinga eziningi kunomdlavuza ongelashwa.

Ukukala izinga le-PSA kungakhuphula ithuba lokuthola umdlavuza wendlala yabesilisa uma kusenesikhathi. Kepha kunempikiswano ngokubaluleka kokuhlolwa kwe-PSA kokuthola umdlavuza wendlala yabesilisa. Ayikho impendulo eyodwa elingana wonke amadoda.

Uma uneminyaka engama-55 kuya kwengama-69 ubudala, ngaphambi kokuhlolwa, khuluma nomhlinzeki wakho mayelana nobuhle nobubi bokuba nokuhlolwa kwe-PSA. Buza mayelana:

• Ukuthi ukuhlolwa kunciphisa amathuba akho okubulawa ngumdlavuza wendlala yesinye.
• Noma ngabe kukhona yini ukulimala ekuhlolweni komdlavuza wesinye, njengemiphumela emibi evela ekuhlolweni noma ekwelashweni komdlavuza lapho kutholakala.
• Ukuthi unengozi enkulu yomdlavuza wesinye kunabanye.

Uma uneminyaka yobudala engama-55 noma ngaphansi, ukuhlolwa kwesincomo akuvame ukunconywa. Kufanele ukhulume nomhlinzeki wakho uma unengozi enkulu yomdlavuza wendlala yabesilisa. Izici zobungozi zifaka:

• Ukuba nomlando womndeni wesifo somdlavuza wesibeletho (ikakhulukazi umzalwane noma ubaba)
• Ukuba yi-African American

Kumadoda amadala kuneminyaka yobudala engama-70, izincomo eziningi ziphikisana nokuhlolwa.

Ukuhlolwa komdlavuza wendlala yesinye - i-PSA; Ukuhlolwa komdlavuza wesibeletho - ukuhlolwa kwamakholomu edijithali; Ukuhlolwa komdlavuza wendlala yesinye - iDRE

UCarter HB. Umhlahlandlela we-American Urological Association (AUA) ekutholeni umdlavuza we-Prostate: inqubo nenhloso. BJU Int. 2013; 112 (5): 543-547. I-PMID: 23924423 pubmed.ncbi.nlm.nih.gov/23924423/.

Iwebhusayithi yeNational Cancer Institute. Ukuhlolwa komdlavuza we-Prostate (PDQ) - inguqulo yezempilo. www.cancer.gov/types/prostate/hp/prostate-screening-pdq#section/all. Kubuyekezwe u-Okthoba 29, 2020. Kufinyelelwe ngoNovemba 3, 2020.

UNelson WG, u-Antonarakis ES, uCarter HB, uDeMarzo AM, uDeWeese TL. Umdlavuza wendlala yesinye. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 81.

I-US Preventive Services Task Force, uGrossman DC, uCurry SJ, et al. Ukuhlolisiswa umdlavuza wendlala yesinye: isitatimende sezincomo se-US Preventive Services Task Force. JAMA. I-2018; 319 (18): 1901-1913. I-PMID: 29801017 pubmed.ncbi.nlm.nih.gov/29801017/.

• Ukuhlolwa Komdlavuza Wendlala Yesinye