6 izivivinyo zeprostate: zenziwa kanjani, ubudala nokulungiselela

-Delile

• 1. I-PSA - Ukuhlolwa kwegazi
• 2. Ukuhlolwa kwamakholomu edijithali
• 3. I-ultrasound eguquguqukayo
• 4. Kukalwa komchamo womchamo
• 5. Ukuhlolwa komchamo waselebhu
• 6. Isidumbu
• Yisikhathi esingakanani ukuhlolwa kwe-prostate?
• Kungaba yini ukuhlolwa kwe-prostate okushintshiwe

Izivivinyo ezifanele kunazo zonke zokuhlola impilo ye-prostate wukuhlolwa kwamangqamuzana nokuhlaziywa kwegazi kwe-PSA, okumele kwenziwe minyaka yonke ngawo wonke amadoda angaphezu kweminyaka engama-50 ubudala.

Lapho kutholakala ushintsho kolunye lwalezi zivivinyo ezimbili, udokotela anga-oda ezinye, njengokubala kwe-PSA kwabantu, ukuhlolwa komchamo we-PCA3, i-prostate resonance kanye ne-biopsy, okucelwa ngokwezidingo zomuntu ngamunye.

Kulokhu i-podcast UDkt. Rodolfo Favaretto uchaza ukubaluleka kwezivivinyo zesibeletho futhi ucacisa nokunye ukungabaza okuvamile ngempilo yamadoda:

Nakhu okuthe xaxa mayelana nokuhlolwa okuyinhloko okusetshenziselwa ukuhlola indlala yesinye:

1. I-PSA - Ukuhlolwa kwegazi

Kwenziwa ngokuhlolwa kwegazi okujwayelekile okuhlola umaka we-PSA, okuholela kumanani ajwayelekile aphansi kuno-2.5 ​​ng / ml ezigulini ezineminyaka engama-65 ubudala kuze kufike ku-4 ng / ml ngemuva kweminyaka engama-65. Ngakho-ke, lapho leli nani lenyuswa, lingakhombisa izinkinga ezifana nokuvuvukala, ukutheleleka kwendlala noma umdlavuza. Kodwa-ke, leli nani liyakhula futhi ngobudala futhi, ngakho-ke, kubalulekile ukucabangela inani lesethenjwa elebhu. Funda ukuthi ungayiqonda kanjani imiphumela yokuhlolwa kwe-PSA.

Ukulungiselela ukuhlolwa kwegazi: ukwenza ukuhlolwa kwegazi, isiguli siyalwa, emahoreni angama-72 andulela ukuqoqwa, ukuthi sigweme ukuya ocansini, ukugwema ukuhamba ngebhayisikili, ukugibela amahhashi noma ukuhamba ngesithuthuthu futhi singenzi ukuhlolwa kwamangqamuzana, ngoba kungashintsha inani lesilinganiso se-PSA.

2. Ukuhlolwa kwamakholomu edijithali

Olunye uvivinyo olubalulekile lokuhlola indlala yesinye ukuhlolwa kwamakholomu edijithali, okwenziwa ngudokotela ehhovisi, ngesikhathi sokubonisana nodokotela womchamo. Lokhu kuhlolwa kuyashesha kakhulu, kuthatha cishe imizuzwana eyi-10 kuye kwengu-20 futhi akulimazi, noma kungakhathazi. Kulokhu kuhlolwa, udokotela angahlola ukuthi sikhona yini isigaxa, noma ngabe indlala yesinye ibukeka inkulu noma inzima kunokuba kufanele. Qonda ukuthi kwenziwa kanjani ukuhlolwa kwamakhaladi edijithali.

Ukulungiselela ukuhlolwa kwamakholomu edijithali: imvamisa awudingi ukwenza noma yiluphi uhlobo lokulungiselela ukwenza lolu vivinyo.

3. I-ultrasound eguquguqukayo

I-transrectal ultrasound noma i-ultrasound ye-prostate yenziwa ukuhlola ubukhulu bale ndlala nokukhomba ushintsho ekwakhiweni kwayo, okusiza kakhulu ekutholeni umdlavuza wendlala yesinye ekuqaleni kokukhula kwayo. Kepha njengoba kuwukuhlolwa okuhlaselayo, akudingeki ukuthi kwenziwe minyaka yonke, kukhonjiswa kuphela uma kuba nezinguquko ku-PSA nakuhlolo lwedijithali lwedijithali, futhi imvamisa udokotela usebenzisa lolu vivinyo ukuqoqa isampula lokwenza indlala yesinye i-biopsy.

Ukulungiselela i-Ultrasound: kungakhonjiswa ukusebenzisa i-laxative ngaphambi kokuhlolwa ukukhipha amathumbu.

4. Kukalwa komchamo womchamo

I-urmetmetmetry yokuhlola ukuhlolwa okuyalelwe ngudokotela ukuhlola amandla endiza kanye nenani lomchamo ekuchameni ngakunye, ngoba lapho kwenzeka ushintsho endlaleni yendlala, indiza iba buthakathaka futhi ibe buthakathaka, okukhombisa ushintsho. Lokhu kuhlolwa akwenziwa njengokuxilongwa okuthile komdlavuza wendlala yabesilisa, kepha kuyasiza uma kwenzeka umdlavuza wendlala yesinye usuvele utholakele ekulandeleleni kwakho ngoba kuyasiza ukuqonda umthelela wayo esinyeni naserethilini.

Ukulungiselela i-flowmetry: kufanele ube nesinye esigcwele futhi uzizwe uthanda ukuchama, kubalulekile ukuphuza okungenani u-1 L wamanzi ngaphambi kokuhlolwa, okwenziwa ngokuchama komuntu ngamunye esitsheni esithile esixhunywe kwikhompyutha, okurekhoda isikhathi nomthamo wevolumu.

5. Ukuhlolwa komchamo waselebhu

I-urologist nayo ingayalela ukuhlolwa komchamo, okubizwa nge-PCA3, okucacile ekuhloleni ukuthi ngabe kukhona yini umdlavuza wendlala yabesilisa, ngoba ukuhlolwa akubonisi ezinye izinguquko, njenge-prostatic hyperplasia. Lokhu kuhlolwa komchamo kukhombisa nolaka lwesimila, kuba wusizo ekukhetheni ukwelashwa okufanele.

Ukulungiselela ukuhlolwa komchamo: ukuqoqwa komchamo kufanele kwenziwe ngemuva nje kokuhlolwa kwedijithali emitholampilo ekhethekile.

6. Isidumbu

I-prostate biopsy yenziwa ukuqinisekisa ukuxilongwa kwezinguquko kule ndlala, njengomdlavuza noma izicubu ezinobungozi, futhi kuyadingeka ukuthi kususwe ucezu oluncane lwale ndlala ukuze luthunyelwe elabhorethri luyohlolwa. Lokhu kuhlolwa kuhlala kwenziwa ngokubambisana ne-prostate ultrasound, ukuze kubonakale kangcono izakhiwo. Bona ukuthi kwenziwa kanjani i-Prostate Biopsy.

Ukulungiselela i-prostate biopsy: imvamisa kuyadingeka ukuthatha i-antibiotic enikezwe udokotela cishe izinsuku ezintathu, uzila ukudla amahora ayisithupha bese uphuza i-laxative ukuhlanza amathumbu.

Buka le vidiyo elandelayo futhi uqonde ukuthi lezi zivivinyo zenziwa kanjani:

Yisikhathi esingakanani ukuhlolwa kwe-prostate?

Ukuhlolwa kokuxilongwa, okufana ne-PSA nokuhlolwa kwamakholomu edijithali, kuyanconywa ngemuva kweminyaka engama-50, kepha lapho indoda inezihlobo zokuqala ezinomdlavuza wendlala yesinye, noma ingowokuzalwa kwase-Afrika, kunconywa ukwenza izivivinyo ngemuva kweminyaka engama-45 ubudala ubudala. Lezi zivivinyo ezi-2 ziyisisekelo futhi kufanele ziphindwe kanye ngonyaka.

Kepha lapho indoda isivele ine-benign prostatic hyperplasia, lezi zivivinyo kufanele ziphindwe minyaka yonke, kungakhathalekile ukuthi uneminyaka emingaki. Lapho udokotela ethola ushintsho kulezi zivivinyo eziyisisekelo ezimbili, ucela ezinye njengoba kudingeka.

Kungaba yini ukuhlolwa kwe-prostate okushintshiwe

Ukuhlolwa kungaba nemiphumela eguqukile lapho izinkinga ezinjengalezi:

• Ukukhula kwe-prostate, okwaziwa ngokuthi yi-benign prostate tumor;
• Ukuba khona kwamagciwane ku-prostate, okwaziwa nangokuthi i-prostatitis;
• Ukuthatha imishanguzo, njenge-diuretics, i-steroids noma i-aspirin;
• Ukwenza izinqubo zokwelashwa esinyeni, njenge-biopsy noma i-cystoscopy, kungakhuphula kancane amazinga e-PSA.

Ngaphezu kwalokho, ngokuguga, amazinga wokuhlolwa kwegazi e-PSA angakhuphuka futhi akusho ukugula. Bona ezinye izimbangela ze-prostate enwetshiwe ku: I-prostate ekhulisiwe, isifo esivame kakhulu se-prostate.