Iprostate biopsy: uyenza nini, yenziwa njani kwaye ilungisiwe

Umxholo

• Xa i-biopsy icetyiswa
• Yenziwa njani i-prostate biopsy
• Uyilungiselela njani i-biopsy
• Usiqonda njani isiphumo se-biopsy
• Ubunzima obunokubakho kwi-biopsy
• 1. Ubuhlungu okanye ukungonwabi
• 2. Ukopha
• 3. Usulelo
• 4. Ukugcinwa komchamo
• 5. Ukungasebenzi kakuhle kwe-Erectile

I-Prostate biopsy lolona vavanyo kuphela olunakho ukuqinisekisa ubukho besifo somhlaza kwiprostate kwaye kubandakanya ukususwa kwamalungu amancinci endlala ukuze ahlalutyiwe elebhu ukuze kuchongwe ubukho, okanye hayi, beeseli ezimbi.

Olu vavanyo luhlala lucetyiswa ngugqirha womchamo xa kurhanelwa umhlaza, ngakumbi xa ixabiso le-PSA liphezulu, xa utshintsho kwi-Prostate lufunyanwa ngexesha loviwo lwe-digital rectal, okanye xa kusenziwa i-resonance ye-Prostate ngeziphumo ezikrokrisayo. Jonga iimvavanyo ezi-6 ezivavanya impilo yeprostate.

Iprostate biopsy ayonzakalisi, kodwa inokungonwabi kwaye, ngenxa yesi sizathu, ihlala isenziwa phantsi kwe-anesthesia yendawo okanye ukuthomalalisa kancinci. Emva koviwo, kunokwenzeka ukuba indoda iyakutshiswa kwingingqi, kodwa iya kudlula kwiiyure ezimbalwa.

Xa i-biopsy icetyiswa

Iprostate biopsy ibonakalisiwe kwezi meko zilandelayo:

• Uvavanyo lwe-Prostate rectal lutshintshiwe;
• I-PSA ngaphezulu kwe-2.5 ng / mL de kube yiminyaka engama-65;
• I-PSA ngaphezulu kwe-4.0 ng / mL ngaphezulu kweminyaka engama-65;
• Ukuxinana kwe-PSA ngaphezulu kwe-0.15 ng / mL;
• Isantya sonyuso kwi-PSA ngaphezulu kwe-0.75 ng / mL / ngonyaka;
• Ukuphindaphindeka kwamapharamitha e-Prostate ahlelwe njengePi Rads 3, 4 okanye 5.

Kwiimeko ezininzi, umhlaza wedlala lobudoda, xa ukho, uchongwa kanye emva kokuvavanywa okokuqala, kodwa uvavanyo lunokuphindwa xa ugqirha engonelisekanga sisiphumo se-biopsy yokuqala, ngakumbi ukuba kukho:

• Ukuqhubeka nokuphakama kwe-PSA ngesantya esingaphezulu kwe-0.75 ng / mL / ngonyaka;
• Amanqanaba aphezulu e-prostatic intraepithelial neoplasia (PIN);
• Ukwanda kweatypical yeacini encinci (ASAP).

I-biopsy yesibini kufuneka yenziwe kuphela kwiiveki ezi-6 emva kweyokuqala. Ukuba i-biopsy yesi-3 okanye yesi-4 iyimfuneko, kuyacetyiswa ukuba ulinde ubuncinci iiveki ezisibhozo.

Bukela le vidiyo ilandelayo kwaye ufunde ngezinye iimvavanyo ezinokwenziwa ngugqirha ukufumanisa umhlaza wedlala lobudoda:

Yenziwa njani i-prostate biopsy

I-biopsy yenziwe ngendoda ilele ngecala, imilenze igobile, ihleli kakuhle. Emva koko ugqirha wenza uvavanyo olufutshane lweprostate ngokwenza uvavanyo lwe-digital rectal, kwaye emva kolu vavanyo, ugqirha wazisa isixhobo se-ultrasound kwi-anus, ekhokelela inaliti kwindawo ekufutshane neprotate.

Le naliti yenza ukubola okuncinci emathunjini ukufikelela kwi-prostate gland kunye nokuqokelela iziqwenga zethishu kwincindi, nakwimimandla eyijikelezileyo, eza kuthi ihlalutyiwe elebhu, ikhangele iiseli ezinokubonisa ubukho bomhlaza.

Uyilungiselela njani i-biopsy

Ukulungiselela i-biopsy kubalulekile ukuthintela iingxaki kwaye kuhlala kubandakanya:

• Thatha iyeza lokubulala iintsholongwane elimiselwe ngugqirha, kangangeentsuku ezi-3 phambi kovavanyo;
• Gcwalisa ngokukhawuleza iiyure ezingama-6 ngaphambi koviwo;
• Coca amathumbu phambi koviwo;
• Ukuchama imizuzu embalwa ngaphambi kwenkqubo;
• Yiza nomlingane oza kukunceda ubuyele ekhaya.

Emva kwe-prostate biopsy, indoda kufuneka nayo ithathe i-antibiotics ebekiweyo, itye ukutya okulula kwiiyure zokuqala, thintela umgudu womzimba kwiintsuku ezi-2 zokuqala kwaye ugcine ukuyeka ngokwesondo kwiiveki ezi-3.

Usiqonda njani isiphumo se-biopsy

Iziphumo zeprostate biopsy zihlala zilungile kwiintsuku ezili-14 kwaye zinokuba:

• Kulungile: ibonisa ubukho besifo somhlaza kwindlala;
• Okubi: iiseli eziqokelelweyo azibonisanga tshintsho;
• Umrhanelwa: Utshintsho luchongiwe olunokuba okanye lungangumhlaza.

Xa isiphumo se-prostate biopsy singekho okanye sikrokrela, ugqirha unokucela ukuphinda uvavanyo ukuze aqinisekise iziphumo, ngakumbi xa ekrokrela ukuba iziphumo azichanekanga ngenxa yolunye uvavanyo olwenziweyo.

Ukuba iziphumo ziqinisekile, kubalulekile ukubeka umhlaza kwinqanaba, eliza kunceda ukulungelelanisa unyango. Jonga awona manqanaba aphambili omhlaza wedlala lendlala kunye nendlela olwenziwa ngayo unyango.

Ubunzima obunokubakho kwi-biopsy

Kuba kunyanzelekile ukuba ugqobhoze amathumbu kwaye ususe amancinci amancinci, kukho umngcipheko wezinye iingxaki ezinje:

1. Ubuhlungu okanye ukungonwabi

Emva kwe-biopsy, amanye amadoda anokufumana iintlungu okanye ukungonwabi kwingingqi ye-anus, ngenxa yokunqaba kwamathumbu kunye neprostate. Ukuba oku kuyenzeka, ugqirha unokucebisa ukuba kusetyenziswe ezinye izinto ezithomalalisayo iintlungu, ezinje ngeParacetamol, umzekelo. Ngokwesiqhelo, ukungakhululeki kuyanyamalala kwiveki e-1 emva koviwo.

2. Ukopha

Ubukho begazi elincinci kwimpahla yangaphantsi okanye kwiphepha langasese liqhelekile ngokupheleleyo kwiiveki ezimbini zokuqala, nkqu kwimbewu yobudoda. Nangona kunjalo, ukuba inani legazi liphezulu kakhulu okanye liyanyamalala emva kweeveki ezi-2, kuyacetyiswa ukuba uye kwagqirha ujonge ukuba akukho kuphuma gazi na.

3. Usulelo

Kuba i-biopsy ibangela inxeba emathunjini nakwi-Prostate, kukho umngcipheko okhulayo wosulelo, ngakumbi ngenxa yobukho beentlobo zebacteria emathunjini. Ngesi sizathu, emva kokwenza i-biopsy ugqirha uhlala ebonisa ukusetyenziswa kwesibulali zintsholongwane.

Nangona kunjalo, kukho iimeko apho isibulala-zintsholongwane asonelanga ukuthintela usulelo kwaye, ke ngoko, ukuba uneempawu ezinje ngomkhuhlane ongaphezulu kwama-37.8ºC, iintlungu eziqatha okanye umchamo onukayo, kuyacetyiswa ukuba uye esibhedlele uyokuchonga ukuba ukhona Nasiphi na isifo kwaye uqalise ngonyango olufanelekileyo.

4. Ukugcinwa komchamo

Nangona kunqabile ngakumbi, amanye amadoda anokufumana ukugcinwa komchamo emva kwe-biopsy ngenxa yokudumba kweprostate, okubangelwa kukususwa kwezicwili zomzimba. Kwiimeko ezinjalo, iprotrate iphelisa uxinzelelo lwe-urethra, nto leyo eyenza kube nzima ukuba kudlule umchamo.

Ukuba oku kuyenzeka, kuya kufuneka uye esibhedlele ukuze ususe ukuqokelela umchamo kwisinyi, nto leyo edla ngokwenziwa ngokubekwa kwetyhubhu yesinyi. Qonda ngcono ukuba yintoni icatheter yesinyi.

5. Ukungasebenzi kakuhle kwe-Erectile

Esi sisisombululo esinqabileyo se-biopsy kodwa, xa ibonakala, ihlala inyamalala kwiinyanga ezi-2 emva koviwo. Kwiimeko ezininzi, i-biopsy ayiphazamisi ukubanakho ukuba nonxibelelwano olusondeleyo.