Luyini uvivinyo lwe-PCA 3?

-Delile

• Yenzelwe ini
• Lapho kukhonjiswa
• Kwenziwa kanjani

Ukuhlolwa kwe-PCA 3, okumele iGene 3 yomdlavuza wendlala yesinye, ukuhlolwa komchamo okuhlose ukuxilonga umdlavuza wendlala yabesilisa ngempumelelo, futhi akudingekile ukwenza ukuhlolwa kwe-PSA, i-transrectal ultrasound noma i-prostate biopsy ukuze kutholakale lolu hlobo lomdlavuza .

Ngaphezu kokuvumela ukuxilongwa komdlavuza wendlala yabesilisa, ukuhlolwa kwe-PCA 3 kuyakwazi ukunikeza imininingwane ngobucayi balolu hlobo lomdlavuza, okulusizo ku-urologist ukukhombisa indlela engcono kakhulu yokwelashwa.

Yenzelwe ini

Ukuhlolwa kwe-PCA 3 kuyacelwa ukuthi kusize ekutholeni umdlavuza we-prostate. Njengamanje, ukuxilongwa komdlavuza wendlala yesinye kwenziwa ngokuya ngemiphumela yezivivinyo ze-PSA, i-transrectal ultrasound kanye ne-biopsy yezicubu zomzimba, kepha ukwanda kwe-PSA akuhlali kukhombisa umdlavuza, futhi kungakhombisa ukukhuliswa kwe-prostate okuhle. Bona ukuthi ungawuqonda kanjani umphumela we-PSA.

Ngakho-ke, ukuhlolwa kwe-PCA 3 kunikeza umphumela onembe kakhudlwana uma kukhulunywa ngokutholakala komdlavuza wendlala yabesilisa. Ngaphezu kwalokho, iyakwazi ukuhlinzeka ngolwazi mayelana nobukhulu besifo somdlavuza: lapho kukhula kakhulu imiphumela ye-PCA 3, aba maningi amathuba okuthi i-prostate biopsy ibe nethemba.

I-PCA 3 nayo ingasetshenziselwa ukuqapha impendulo yesiguli ekwelashweni komdlavuza, ukutshela udokotela ukuthi ngabe ukwelashwa kuyasebenza noma cha. Imvamisa, lapho amazinga e-PCA 3 eqhubeka nokwanda ngisho nangemva kokuqala kokwelashwa, kusho ukuthi ukwelashwa akusebenzi, futhi ezinye izinhlobo zokwelashwa, njengokuhlinzwa noma i-chemotherapy, ngokwesibonelo, zivame ukunconywa.

Lapho kukhonjiswa

Lokhu kuhlolwa kukhonjiswa kuwo wonke amadoda, kepha ikakhulukazi kulabo abasola i-PSA, imiphumela ye-transrectal ultrasound noma imiphumela yokuhlolwa kwamakhompiyutha edijithali, kanye nomlando womndeni, noma ngabe azikho izimpawu. Lokhu kuhlolwa kungabuye ku-odwe ngaphambi kokuba kwenziwe i-biopsy, futhi kungakhishwa uma i-PCA 3 itholakala ezindaweni ezinkulu, noma lapho i-prostate biopsy yenziwa kanye noma kaningana kepha asikho isiphetho sokuxilonga.

I-PCA 3 ingacelwa futhi ngudokotela ezigulini ezine-prostate biopsy positive yomdlavuza, ekhonjisiwe kulezi zimo ukubheka ubucayi bomdlavuza wendlala yabesilisa, okukhombisa indlela engcono kakhulu yokwelashwa.

Lokhu kuhlolwa kaningi akudingeki kwabesilisa abasebenzisa imithi ephazamisa ukugxila kwe-PSA egazini, njengeFinasteride, ngokwesibonelo.

Kwenziwa kanjani

Ukuhlolwa kwe-PCA 3 kwenziwa ngokuqoqa umchamo ngemuva kokuhlolwa kwamakhompiyutha edijithali, ngoba kuyadingeka ukuthi ukwenziwa kwe-prostate massage kwenzeke ukuze lolu hlobo lukhishelwe emchameni. Lokhu kuhlolwa kucaciswe kakhulu ngomdlavuza wesibeletho kune-PSA, ngokwesibonelo, njengoba kungathonywa ezinye izifo ezingelona umdlavuza noma ukukhuliswa kwe-prostate.

Ngemuva kokuhlolwa kwamakhompiyutha edijithali, umchamo kufanele uqoqwe esitsheni esifanele bese uthunyelwa elabhorethri ukuyohlolwa, lapho kwenziwa khona ukuhlolwa kwamangqamuzana ukukhomba ubukhona nokugxila kwalesi sakhi emchameni, kungakhombisi umdlavuza wendlala yesinye kuphela, kodwa futhi ubunzima, okungaphakamisa indlela enhle yokwelashwa. Ukuhlolwa kwamakholomu edijithali kubalulekile ukuze kukhishwe lesi sakhi emchameni, ngaphandle kwalokho imiphumela yokuhlolwa ngeke ilunge. Qonda ukuthi kwenziwa kanjani ukuhlolwa kwamakhaladi edijithali.

Ngaphezu kokunikeza izivivinyo ezithile zomdlavuza wendlala yabesilisa, lokhu kuhlolwa kuyakwazi ukuqeda isidingo se-prostate biopsy, okuvame ukuba kubi emacaleni angaba ngu-75% lapho i-PSA yanda futhi ukuhlolwa kwamakholomu edijithali kukhombisa indlala eyandisiwe.