6 iimvavanyo zeprostate: zenziwa njani, ubudala kunye nokulungiselela

Umxholo

• 1. PSA - Uvavanyo lwegazi
• 2. Uviwo lwe-rectal rectal
• 3. Ukutshintshwa kwe-ultrasound
• 4. Ukulinganisa umjelo womchamo
• 5. Uvavanyo lomchamo waselebhu
• 6. Uvuko lwesifo
• Mdala kangakanani uvavanyo lweprostate?
• Yintoni enokuba luvavanyo lweprostate

Olona vavanyo lufanelekileyo lokuvavanya impilo ye-Prostate luvavanyo lwe-rectal kunye nohlalutyo lwegazi lwe-PSA, ekufuneka lwenziwe minyaka le ngawo onke amadoda angaphezu kweminyaka engama-50 ubudala.

Xa utshintsho lufunyenwe kolunye lwezi mviwo zimbini, ugqirha unokuyalela ezinye, ezinje ngokubalwa koxinano lwe-PSA, uvavanyo lwe-PCA3 yomchamo, i-prostate resonance kunye ne-biopsy, eceliweyo ngokweemfuno zendoda nganye.

Kule ipodcast UGqr. Rodolfo Favaretto ucacisa ukubaluleka kweemviwo zeprotate kwaye ucacisa amanye amathandabuzo aqhelekileyo ngempilo yamadoda:

Nantsi enye into malunga neemvavanyo eziphambili ezisetyenziselwa ukuvavanya iprotrate:

1. PSA - Uvavanyo lwegazi

Yenziwe kuvavanyo lwegazi oluqhelekileyo oluvavanya umakishi we-PSA, obangela amaxabiso aqhelekileyo angaphantsi kwe-2.5 ng / ml kwizigulana ukuya kuthi ga kwiminyaka eyi-65 ukuya kuthi ga kwi-4 ng / ml emva kweminyaka engama-65. Ke, xa eli xabiso lonyukile, linokubonisa iingxaki ezinje ngokudumba, usulelo lweprostate okanye umhlaza. Nangona kunjalo, eli xabiso liyonyuka kunye nobudala kwaye, ke ngoko, kubalulekile ukuba kuthathelwe ingqalelo ixabiso lesalathiso selabhoratri. Funda indlela yokuqonda iziphumo zovavanyo lwePSA.

Ukulungiselela uvavanyo lwegazi: ukwenza uvavanyo lwegazi, isigulana siyalelwa, kwiiyure ezingama-72 ezandulela ingqokelela, ukunqanda ukulala nomntu, ukunqanda ukuhamba ngebhayisikile, ukukhwela ihashe okanye ukuhamba ngesithuthuthu kwaye ungenzi uviwo lwe-rectal, njengoko kunokutshintsha ixabiso le-PSA.

2. Uviwo lwe-rectal rectal

Olunye uvavanyo oluyimfuneko lokuvavanya iprostate luvavanyo lwe-digital rectal, olwenziwa ngugqirha eofisini, ngexesha lokubonisana nogqirha womchamo. Olu viwo luyakhawuleza kakhulu, luthatha malunga nemizuzwana eli-10 ukuya kwengama-20 kwaye alonzakalisi, nangona lusenokungonwabisi. Kolu vavanyo, ugqirha unokuvavanya ukuba ngaba sikhona na isibumba, nokuba idlala lobudoda libonakala likhulu okanye lilukhuni kunokuba kufanelekile. Qonda ukuba lwenziwa njani uvavanyo lwe-rectal rectal.

Amalungiselelo oviwo lwe-digital rectal examination: Ngokwesiqhelo akudingeki wenze naluphi na uhlobo lokulungiselela ukwenza olu vavanyo.

3. Ukutshintshwa kwe-ultrasound

Ukutshintshwa kwe-ultrasound okanye i-ultrasound yeprostate kwenziwa ukuvavanya ubungakanani beli dlala kunye nokuchonga utshintsho kulwakhiwo lwayo, oluluncedo kakhulu ekuchongeni umhlaza wedlala lobuchwephesha kwangaphambi kokukhula kwalo. Kodwa njengoko luvavanyo olungenayo, aludingi ukwenziwa minyaka le, luboniswa kuphela xa kukho utshintsho kwi-PSA kunye noviwo lwe-digital rectal, kwaye ngesiqhelo ugqirha usebenzisa olu vavanyo ukuqokelela isampulu yokwenza i-Prostate. ingcaciso.

Ukulungiswa kwe-Ultrasound: ingabonakaliswa ukuba isebenzise i-laxative ngaphambi kovavanyo ukukhupha amathumbu.

4. Ukulinganisa umjelo womchamo

I-Urmetmetryry yonyango luvavanyo oluyalelwe ngugqirha ukuvavanya amandla e-jet kunye nomthamo womchamo kumchamo ngamnye, kuba xa utshintsho kwi-Prostate lwenzeka, i-jet iye icothe kwaye ibuthathaka, ibonisa utshintsho. Olu vavanyo alwenziwa njengoxilongo oluthile lomhlaza wedlala lobudoda, kodwa luluncedo kwimeko yomhlaza wedlala lobudoda esele ifunyenwe kulandelelo lwakho kuba iyanceda ukuqonda ifuthe layo kwisinyi nakwindlela urethra esebenze ngayo.

Ukulungiselela i-flowmetry: Kuya kufuneka ube nesinyi esipheleleyo kwaye uzive ngathi uchama, kubalulekile ukuba usele ubuncinci i-1 L yamanzi ngaphambi koviwo, okwenziwa ngokuchama komntu ngamnye kwisitya esithile esiqhagamshelwe kwikhompyuter, erekhoda ixesha kunye nomthamo womthamo.

5. Uvavanyo lomchamo waselebhu

Ugqirha womchamo unokuyalela kuvavanyo lomchamo, olubizwa ngokuba yi-PCA3, oluchaza ngokuthe ngqo ukuba ngaba ukhona na umhlaza wedlala lobudoda, kuba uvavanyo alubonisi ezinye iinguqulelo, ezinje ngeprostatic hyperplasia. Olu vavanyo lomchamo lukwabonisa ukuba ndlongondlongo kwethumba, kuluncedo ekukhetheni unyango olufanelekileyo.

Ukulungiselela uvavanyo lomchamo: Ukuqokelelwa komchamo kufuneka kwenziwe kwakamsinya emva koviwo lwedijithali lwee-rectal kwiiklinikhi ezizodwa.

6. Uvuko lwesifo

I-prostate biopsy yenziwa ukuqinisekisa ukuxilongwa kotshintsho kule ndlala, njengomhlaza okanye izicubu ezinobungozi, kwaye kufuneka kususwe iqhekeza elincinci leli dlala ukuze lithunyelwe elabhoratri ukuze lihlalutywe. Olu viwo luhlala lusenziwa ngokudibeneyo ne-Prostate ultrasound, yokuboniswa okungcono kwezakhiwo. Jonga ukuba yenziwa njani iProstate Biopsy.

Ukulungiselela i-Prostate biopsy: kuhlala kuyimfuneko ukuthatha iyeza lokubulala iintsholongwane elimiselwe ngugqirha malunga neentsuku ezi-3, ukukhawuleza iiyure ezi-6 kwaye uthathe laxative ukucoca amathumbu.

Bukela le vidiyo ilandelayo kwaye uqonde ukuba zenziwa njani ezi mviwo:

Mdala kangakanani uvavanyo lweprostate?

Uvavanyo lokuqonda isifo, olunjenge-PSA kunye novavanyo lwe-digital rectal, kuyacetyiswa emva kweminyaka engama-50, kodwa xa indoda inezidanga zokuqala ezinesifo somhlaza webele, okanye inemvelaphi yaseAfrika, kuyacetyiswa ukuba kwenziwe iimviwo emva kweminyaka engama-45 ubudala ubudala. Ezi mviwo zibini zisisiseko kwaye kufuneka ziphindwe kanye ngonyaka.

Kodwa xa umntu sele enesifo se-prostatic hyperplasia, ezi mvavanyo kufuneka ziphindwe rhoqo ngonyaka, nokuba ungakanani na. Xa ugqirha efumana utshintsho kwezi mviwo zisisi-2, ucela abanye xa kufuneka njalo.

Yintoni enokuba luvavanyo lweprostate

Iimviwo zinokutshintsha iziphumo xa iingxaki ezinje:

• Ukukhula kweprostate, okwaziwa njenge-benign prostate tumor;
• Ubukho bebacteria kwiprostate, ekwabizwa ngokuba yi-prostatitis;
• Ukuthatha amayeza, anjenge-diuretics, i-steroids okanye i-aspirin;
• Ukuqhuba iinkqubo zonyango kwi-bladder, njenge-biopsy okanye i-cystoscopy, kunokunyusa amanqanaba e-PSA kancinci.

Ukongeza, ngokuguga, amanqanaba ovavanyo lwegazi we-PSA anokunyuka kwaye awuthethi ukugula. Bona ezinye izinto ezibangela ukwanda kweprostate e: Kwandisiwe iprostate, esona sifo sesidlangalaleni siqhelekileyo.