I-Prostate biopsy: ukwenziwa nini, kwenziwa kanjani futhi kulungiselelwe kanjani

-Delile

• Lapho kunconywa i-biopsy
• Kwenziwa kanjani i-prostate biopsy
• Ungayilungiselela kanjani i-biopsy
• Uwuqonda kanjani umphumela we-biopsy
• Izinkinga ezingenzeka ze-biopsy
• 1. Ubuhlungu noma ukungaphatheki kahle
• 2. Ukopha
• 3. Ukutheleleka
• 4. Ukugcinwa komchamo
• 5. Ukungasebenzi kahle kwe-Erectile

I-Prostate biopsy ukuphela kwesivivinyo esikwazi ukuqinisekisa ubukhona besifo somdlavuza endlezweni futhi okubandakanya ukususwa kwezingcezu ezincane zendlala ezizohlaziywa elabhoratri ukuze kutholakale ubukhona, noma cha, bamaseli amabi.

Lokhu kuhlolwa kuvame ukwelulekwa udokotela womchamo lapho kusolwa umdlavuza, ikakhulukazi uma inani le-PSA liphakeme, lapho izinguquko ku-prostate zitholakala ngesikhathi sokuhlolwa kwamakholomu edijithali, noma lapho kwenziwa i-resonance ye-prostate ngokutholakala okusolisayo. Bheka izivivinyo ezi-6 ezihlola impilo ye-prostate.

I-prostate biopsy ayilimazi, kepha ingangakhululeki futhi, ngenxa yalesi sizathu, ivame ukwenziwa ngaphansi kwe-anesthesia yendawo noma ukuthambisa okuncane. Ngemuva kokuhlolwa, kungenzeka nokuthi le ndoda izobaselwa esifundeni, kodwa kuzodlula emahoreni ambalwa.

Lapho kunconywa i-biopsy

I-prostate biopsy iboniswa ezimweni ezilandelayo:

• Ukuhlolwa kwe-Prostate rectal kushintshiwe;
• I-PSA ngenhla kwe-2.5 ng / mL kuze kube yiminyaka engu-65;
• I-PSA ngenhla kwe-4.0 ng / mL ngaphezulu kweminyaka engama-65;
• Ubuningi be-PSA ngaphezu kwe-0.15 ng / mL;
• Ijubane lokwanda kwe-PSA ngaphezu kwe-0.75 ng / mL / ngonyaka;
• Ukuphindaphindwa kwama-parameter amaningi we-prostate okuhlukaniswa njenge-Pi Rads 3, 4 noma 5.

Ezimweni eziningi, umdlavuza wendlala yesinye, uma ukhona, ubonakala ngemuva nje kokuhlolwa kokuqala, kepha ukuhlolwa kungaphindwa lapho udokotela enganelisekile ngomphumela we-biopsy yokuqala, ikakhulukazi uma kukhona:

• I-PSA ephikelela ngokuqhubekayo nge-velocity enkulu kune-0.75 ng / mL / ngonyaka;
• I-neoplasia ye-prostatic intraepithelial neoplasia ephezulu (i-PIN);
• Ukwanda okuvamile kwe-acini encane (ASAP).

I-biopsy yesibili kufanele yenziwe emasontweni ayisithupha kuphela ngemuva kokuqala. Uma kudingeka i-biopsy yesithathu noma yesine, kungakuhle ukuthi ulinde okungenani amasonto ayi-8.

Bukela le vidiyo elandelayo bese ufunda ngezinye izivivinyo udokotela angenza zona ukuthola umdlavuza wendlala yabesilisa.

Kwenziwa kanjani i-prostate biopsy

I-biopsy yenziwa ngendoda ilele ngohlangothi, imilenze igobile, ihlezi kahle. Ngemuva kwalokho udokotela wenza ukuhlolwa okuncane kwe-prostate ngokwenza ukuhlolwa kwedijithali yedijithali, futhi ngemuva kwalokhu kuhlola, udokotela wethula umshini we-ultrasound ku-anus, oqondisa inaliti endaweni eseduze ne-prostate.

Le naliti yenza izimbobo ezincane emathunjini ukuthi zifinyelele endlaleni yesinye futhi iqoqe izingcezu eziningana zezicubu endlala, nasezifundeni ezizungezile, ezizohlaziywa elabhoratri, kubhekwe amaseli angaveza ubukhona bomdlavuza.

Ungayilungiselela kanjani i-biopsy

Ukulungiselela i-biopsy kubalulekile ukugwema izinkinga futhi kuvame ukufaka:

• Thatha i-antibiotic enikezwe udokotela, cishe izinsuku ezintathu ngaphambi kokuhlolwa;
• Qedela okusheshayo okuphelele kwamahora angu-6 ngaphambi kokuhlolwa;
• Hlanza amathumbu ngaphambi kokuhlolwa;
• Chama imizuzu embalwa ngaphambi kwenqubo;
• Letha umngane ozokusiza ubuyele ekhaya.

Ngemuva kokuhlolwa kwe-prostate, le ndoda kufanele futhi iphuze ama-antibiotic anqunyiwe, idle ukudla okulula emahoreni okuqala, igweme ukuzikhandla ngokomzimba ezinsukwini ezimbili zokuqala futhi igcine ukungayi ocansini amasonto amathathu.

Uwuqonda kanjani umphumela we-biopsy

Imiphumela ye-prostate biopsy ivame ukulunga zingakapheli izinsuku eziyi-14 futhi ingaba:

• Oqondile: ikhombisa ukuba khona komdlavuza okhulayo ku-gland;
• Okubi: amaseli aqoqiwe awakhombisanga shintsho;
• Umsolwa: kutholakale ushintsho olungahle lube ngumdlavuza noma cha.

Lapho imiphumela ye-prostate biopsy ingeyinhle noma isolisa, udokotela angacela ukuphinda isivivinyo ukuze aqinisekise imiphumela, ikakhulukazi lapho esola ukuthi umphumela awulungile ngenxa yezinye izivivinyo ezenziwe.

Uma umphumela ulungile, kubalulekile ukubeka umdlavuza esiteji, okuzosiza ukulungisa ukwelashwa. Bona izigaba eziyinhloko zomdlavuza wendlala yabesilisa nokuthi ukwelashwa kwenziwa kanjani.

Izinkinga ezingenzeka ze-biopsy

Njengoba kunesidingo sokubhoboza amathumbu futhi ususe izingcezu ezincane ze-Prostate, kunengozi yezinkinga ezithile ezifana nalezi:

1. Ubuhlungu noma ukungaphatheki kahle

Ngemuva kwe-biopsy, amanye amadoda angathola ubuhlungu noma ukungakhululeki esifundeni se-anus, ngenxa yokushwabana kwamathumbu kanye ne-prostate. Uma lokhu kwenzeka, udokotela angaluleka ukuthi kusetshenziswe ezinye izinto ezithobisa izinhlungu, njengeParacetamol, isibonelo. Imvamisa, ukungakhululeki kuyanyamalala kungakapheli isonto eli-1 ngemuva kokuhlolwa.

2. Ukopha

Ukuba khona kokopha okuncane ezingutsheni zangaphansi noma ephepheni lendlu yangasese kuyinto ejwayelekile ngokuphelele phakathi namasonto amabili okuqala, ngisho nasembewini. Kodwa-ke, uma inani legazi liphezulu kakhulu noma linyamalala ngemuva kwamasonto ama-2, kungakuhle ukuthi uye kudokotela ukuze ubone ukuthi akukho yini ukopha.

3. Ukutheleleka

Njengoba i-biopsy ibangela isilonda emathunjini nase-prostate, kunengozi eyengeziwe yokutheleleka, ikakhulukazi ngenxa yokuba khona kwezinhlobo ezahlukahlukene zamagciwane emathunjini. Ngalesi sizathu, ngemuva kwe-biopsy udokotela uvame ukukhombisa ukusetshenziswa kwe-antibiotic.

Kodwa-ke, kunezimo lapho i-antibiotic inganele ukuvimbela ukutheleleka futhi, ngakho-ke, uma unezimpawu ezinjengomkhuhlane ongaphezu kuka-37.8ºC, ubuhlungu obukhulu noma umchamo onuka kakhulu, kuyalulekwa ukuya esibhedlela ukukhomba ukuthi ukhona yini noma yikuphi ukutheleleka bese uqala ukwelashwa okufanele.

4. Ukugcinwa komchamo

Yize kungavamile kakhulu, amanye amadoda angathola ukugcinwa komchamo ngemuva kwe-biopsy ngenxa yokuvuvukala kwe-prostate, okubangelwa ukususwa kwezicucu zezicubu. Ezimweni ezinjalo, i-prostate igcina icindezele i-urethra, yenze kube nzima ngomchamo ukudlula.

Uma lokhu kwenzeka, kufanele uye esibhedlela ukuze ususe ukunqwabelana komchamo esinyeni, okuvame ukwenziwa ngokubekwa kwepayipi lesinye. Qonda kangcono ukuthi iyini ipayipi lesinye.

5. Ukungasebenzi kahle kwe-Erectile

Lesi yisinkinga esiyivelakancane se-biopsy kepha, lapho sivela, kuvame ukunyamalala ezinyangeni ezimbili ngemuva kokuhlolwa. Ezimweni eziningi, i-biopsy ayiphazamisi amandla okuxhumana obuseduze.