I-prostate biopsy

I-prostate biopsy ukususwa kwamasampula amancane wezicubu ze-prostate ukuyihlola izimpawu zomdlavuza we-prostate.

Indlala yesinye iyindlala encane, engange-walnut ngaphansi nje kwesinye. Isonga i-urethra, ishubhu elikhipha umchamo emzimbeni. Indlala yesibeletho yenza isidoda, uketshezi oluthwala isidoda.

Kunezindlela ezintathu eziyinhloko zokwenza i-prostate biopsy.

Inguquko ye-prostate biopsy - ngokusebenzisa i-rectum. Le yindlela ejwayelekile kakhulu.

• Uzocelwa ukuthi ulale uzinze ngohlangothi uguqe ngamadolo.
• Umhlinzeki wezokunakekelwa kwempilo uzofaka iphenyo elilingana nomunwe ku-rectum yakho. Ungase uzizwe ungakhululekile noma ucindezelwa kancane.
• I-ultrasound ivumela umhlinzeki ukuthi abone izithombe ze-prostate. Usebenzisa lezi zithombe, umhlinzeki uzojova umuthi onikayo ezungeze i-prostate.
• Ngemuva kwalokho, kusetshenziswa i-ultrasound ukuqondisa inaliti ye-biopsy, umhlinzeki uzofaka inaliti ku-prostate ukuze athathe isampula. Lokhu kungadala ukuzwa okuhlabayo okufushane.
• Cishe amasampuli ayi-10 kuye kwali-18 azothathwa. Bazothunyelwa elebhu ukuyohlolwa.
• Inqubo yonke izothatha cishe imizuzu eyi-10.

Ezinye izindlela ze-prostate biopsy ziyasetshenziswa, kepha hhayi kakhulu. Lokhu kufaka phakathi:

I-Transurethral - ngokusebenzisa umchamo.

• Uzothola umuthi wokukwenza uzele ukuze ungabuzwa ubuhlungu.
• Ishubhu eliguquguqukayo elinekhamera ekugcineni (i-cystoscope) lifakwa ngokuvuleka komchamo emaphethelweni endoda.
• Amasampula amathishu aqoqwe kusuka endlaleni yendlala esikalini.

Okungcwele - nge-perineum (isikhumba esiphakathi kwe-anus ne-scrotum).

• Uzothola umuthi wokukwenza uzele ukuze ungabuzwa ubuhlungu.
• Kufakwa inaliti ku-perineum ukuqoqa izicubu ze-prostate.

Umhlinzeki wakho uzokwazisa ngobungozi nezinzuzo ze-biopsy. Kungadingeka ukuthi usayine ifomu lokuvuma.

Ezinsukwini ezimbalwa ngaphambi kwe-biopsy, umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha noma yikuphi:

• Ama-anticoagulants (izidakamizwa zokuncipha kwegazi) njenge-warfarin, (Coumadin, Jantoven), clopidogrel (Plavix), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban powder (Xarelto), noma i-aspirin
• Ama-NSAID, afana ne-aspirin ne-ibuprofen
• Izithako zemithi
• Amavithamini

Qhubeka nokuthatha noma yimiphi imithi kadokotela ngaphandle uma umhlinzeki wakho ekutshela ukuthi ungayithathi.

Umhlinzeki wakho angakucela ukuthi:

• Yidla ukudla okulula kuphela ngosuku olwandulela ukuhlolwa kwe-biopsy.
• Yenza i-enema ekhaya ngaphambi kwenqubo yokuhlanza i-rectum yakho.
• Thatha ama-antibiotic ngayizolo, usuku, nangosuku olulandelayo ngemuva kokuhlolwa komzimba wakho.

Ngesikhathi senqubo ungazizwa:

• Ukungakhululeki okuncane ngenkathi kufakwa uphenyo
• Ubuhlungu obufushane lapho isampula ithathwa ngenaliti ye-biopsy

Ngemuva kwenqubo, ungahle ube:

• Ubuhlungu ku-rectum yakho
• Amanani amancane egazi ezindlini zakho, umchamo, noma isidoda, okungahlala izinsuku kuye emasontweni
• Ukopha okuncane kusuka engxenyeni yakho

Ukuvimbela ukutheleleka ngemuva kwe-biopsy, umhlinzeki wakho angahle anikeze ama-antibiotics ukuthi athathe izinsuku ezimbalwa ngemuva kwenqubo. Qiniseka ukuthi uthatha umthamo ophelele njengoba uqondisiwe.

I-biopsy yenziwa ukuhlola umdlavuza we-prostate.

Umhlinzeki wakho angancoma i-prostate biopsy uma:

• Ukuhlolwa kwegazi kukhombisa ukuthi unezinga eliphakeme kunelejwayelekile lendlala ye-antigen (PSA)
• Umhlinzeki wakho uthola isigaxa noma ukungajwayelekile ku-prostate yakho ngesikhathi sokuhlolwa kwedijithali yedijithali

Imiphumela ejwayelekile evela ku-biopsy iphakamisa ukuthi awekho amangqamuzana omdlavuza atholakele.

Umphumela omuhle we-biopsy usho ukuthi kutholakale amaseli womdlavuza. Ilebhu izonikeza amaseli ibanga elibizwa ngokuthi yisikolo seGleason. Lokhu kusiza ukubikezela ukuthi umdlavuza uzokhula ngokushesha kangakanani. Udokotela wakho uzokhuluma nawe ngezinketho zakho zokwelashwa.

I-biopsy ingakhombisa namaseli abukeka angajwayelekile, kepha kungenzeka noma angabi ngumdlavuza. Umhlinzeki wakho uzokhuluma nawe mayelana nokuthi yiziphi izinyathelo okufanele uzithathe. Ungadinga enye i-biopsy.

I-prostate biopsy ngokuvamile iphephile. Izingozi zifaka:

• Ukutheleleka noma i-sepsis (ukutheleleka okunzima kwegazi)
• Inkinga yokudlulisa umchamo
• Ukusabela okweqile emithini
• Ukopha noma ukulimaza esizeni se-biopsy

I-prostate gland biopsy; Ukuguquguquka kwe-prostate biopsy; I-biopsy yenaliti enhle ye-prostate; I-biopsy eyinhloko ye-prostate; Okuhlosiwe kwe-prostate biopsy; I-prostate biopsy - i-transrectal ultrasound (i-TRUS); I-stereotactic transperineal prostate biopsy (STPB)

• I-anatomy yokuzala yowesilisa

I-Babayan RK, Katz MH. I-Biopsy prophylaxis, inqubo, ubunzima, nokuphinda ama-biopsies. Ku: Mydlo JH, Godec CJ, ama-eds. I-Prostate Cancer: Isayensi Nokuzijwayeza Komtholampilo. Okwesibili. I-Waltham, MA: Elsevier; 2016: isahluko 9.

UTrabulsi EJ, uHalpern EJ, uGomella LG. I-Prostate biopsy: amasu nokucabanga. Ku: Partin AW, Dmochowski RR, Kavoussi LR, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2020: isahluko 150.