Pali njira ziwiri zosiyana zogwiritsira ntchito prostate . Chizoloŵezi chosaoneka bwino cha prostate 12 ndi choyimira ndipo chagwiritsidwa ntchito kwa zaka zoposa 25. Tsopano, popeza kujambula kwa MRI kwasintha bwino, chiwerengero cha sayansi ya singano chikhoza kuchepetsedwa kwambiri. Mitundu ingapo imatha kulunjika pakhungu limodzi. Pali zowonjezera ndi zowonongeka ndi zovuta zotsatiridwa.
Choyamba chodetsa nkhaŵa ndi chakuti mwina 10% ya khansa yaing'ono, yapamwamba imatha kusowa ndi kuyesa zamakono. Chachiwiri, kulumikizana ndi prostate lesion kumatenga luso ndi zodziwa; sayansiyi ndi yatsopano ndipo madokotala ena adakali pamaphunziro ophunzirira.
Zolondola za Biopsies
Kuwonjezera pa zovuta izi, amuna ambiri amasankha chiwerengero chimodzi chowongolera osati kumangotenga nthawi 12. Kuonjezera apo, chiwopsezo chosasokonekera chili ndi vuto lina lalikulu-ndilopweteka kwambiri pa matenda a khansa ya grade 6 . Kalasi ya 6 ndi khansa ya prostate yofala kwambiri. Sichikusowa chithandizo koma mwatsoka nthawi zambiri amachiritsidwa. Kafukufuku akusonyeza kuti amuna ambiri akupeza chithandizo cha khansa yopanda vuto. Mwachidziwikire, kodi sizomveka kuti amuna ambiri akupezeka ? Kuzindikira "khansara" yomwe sikufuna mankhwala ndi yovulaza, osati yothandiza.
Palibe chidziwitso chosasinthika kapena chithunzithunzi chololedwa ndi 100% molondola.
Chiwombankhanga chosasintha chingathe kuphonya khansa yapamwamba 15 peresenti ya nthawiyo. Funso lenileni ndilo, "Kodi tikufunikiradi kukhala ndi ubwino wotani?" Aliyense amavomereza kuti ngati zinthu zikuyima, pogwiritsira ntchito dongosolo lomwe likupezeka lachidziwitso, timatha kuganizira kwambiri za khansa ya prostate pokhapokha. Choncho, tiyenera kuyang'ana njira zina zowonjezera kuti tipewe chiwerengero cha amuna omwe ali ndi chiopsezo.
Prostate MRI ya 3-Tesla Multi-parametric
Inde, tiyeni tikhale omveka bwino. Sayansi yoyenera ndi anthu abwino ogwiritsa ntchito lusoli amayenera kupeza mafano odalirika. Othandiza abwino amafunika kuti ayese bwino. Madokotala omwe amawerengera ma scans amafunikanso kuphunzitsidwa mwakuwerenga kuwerenga 3-Tesla multi-parametric scate scans. Mwamwayi, madokotala ena m'dera lanu akuchita izi, koma alibe chodziwitso choti athe kuwamasulira molondola. Odwala ayenera kugwiritsa ntchito malo odziwa bwino ntchito. Apo ayi, lipotili lidzakhala lokayikitsa. Ndikofunika kwambiri kugwiritsa ntchito malo ovomerezeka - malo olemekezeka omwe amadziwa momwe angagwiritsire ntchito mankhwala a 3-Tesla omwe amachititsa kuti prostate ikhale yabwino.
Mfundo yofunikira ndiyomwe tingathe kulekerera kuti machitidwe abwino omwe ali nawo ali ndi mwayi wa 10% wokhala ndi kansa ya prostate yapamwamba. Khansa yomwe idzaphonya idzakhala yochepa. Ngati chotupa chaching'ono, koma chofunika kwambiri m'thupi chimasowa pawunikira yoyamba, kanthaniyo ikhoza kubwerezedwa mu miyezi 6-12. Mwakutanthauzira, kuti chotupa chikhale chofunikira kwambiri kuchipatala, chiyenera kukula. Nkhani yabwino ndi yakuti khansa ya prostate sichitha kufalikira kufikira itafika kukula.
Kuyezetsa koyenera kumayenera kukhala kokwanira kuti apeze chotupa chachikulu chomwe chimatulutsa nthawi yayitali komanso kuchira. Komano, ngati palibe chomwe chikuwoneka patatha zaka zingapo zowonongeka, mwayi woti pali khansa yaikulu ya prostate, ikuchepa kwambiri ngati sichichotsedwa.
Maganizo Otseka
Kugwiritsira ntchito ndondomeko yowunikira amuna omwe ali ndi miyezo yapamwamba ya PSA , m'malo mochita chidziwitso chosasintha, ndiko kusintha kwakukulu. Amuna oposa milioni amatha kusokonezeka mosavuta chaka chilichonse. Tsopano njira yowunikirayi yowonjezera ili bwino, ndi nthawi yoyamba kuyankhula za kusiya zochitika zotsutsana kuchokera pa chithunzi chonse.
M'malo mochita zachiwerewere, amuna ayenera kukhala ndi MRI ya 3-Tesla yotsatizanatsatiridwa ndi biopsy. Njira imeneyi ingathandize kuchepetsa kupsa mtima kuntchito zomwe zimafala kwambiri ku United States. Ngati amuna angathe kupewa kulembedwa ndi "khansara," palibe chiyeso choti iwo azichita opaleshoni yochuluka kapena ma radiation.