Mayesowa akhoza kuona kukula kwa khansa
Mayeso a Prostate Specific Antigen , omwe amadziwikanso kuti PSA velocity, akhala akugwiritsidwa ntchito padziko lonse lapansi kuti aone ndi kuyang'anira khansa ya prostate.
Kwa zaka zambiri, madokotala akhala akugwiritsa ntchito phindu lenileni la PSA kudziwa kuti munthu ali ndi chiopsezo cha khansa ya prostate kapena ngati khansara yayambiranso kapena ikupita patsogolo. Pofika mu 2016, zakhala zikuonekeratu kuti kusintha kwa mlingo wa PSA , kapena PSA velocity, kungakhale kofunika kwambiri monga chiwerengero chofikira chomwecho.
Ntchito Yatsopano ya PSA Velocity
Akatswiri ambiri a kansalu ya prostate tsopano saganizira za PSA mlingo komanso momwe akusinthira mofulumira posankha ngati akuyesa mayesero apadera , nthawi yoyamba mankhwala kapena zomwe angawauze odwala awo.
Kafukufuku wambiri wasonyeza tsopano kuti PSA yochuluka kwambiri (mwachitsanzo nthawi yowonjezera mofulumira ya PSA kapena kuwonjezeka kwa 0.35 ng / mL kapena zambiri pachaka) ikhoza kuwonetsa khansara yofulumira mosasamala kanthu momwe msinkhu wa PSA uliri wapamwamba.
Mwachitsanzo, mwamuna amapita kukayezetsa PSA kuyesa ndipo amabwerera ku 2.0 ng / mL. Ali ndi thanzi labwino ndipo dokotala wake sasamala ndi zotsatira zake kuyambira 2.0 sizinga "mkulu" nthawi zambiri. Koma chaka chatha PSA yake inali 1.0 ng / mL ndipo chaka chisanakhale 0.5 ng / mL.
Kodi izi ziyenera kumudetsa nkhawa kapena dokotala?
Malingana ndi umboni wokwanira, yankho limakhala "inde." Mu chitsanzo ichi, PSA mlingo wa 2.0 wotsika kwambiri ukhoza kuyesedwa ngati "yachibadwa." Komabe, PSA ya munthu uyu yawonjezeka kawiri pachaka kwa zaka ziwiri, kupanga nambalayi kukhala yofunikira ngakhale ikagwa muyeso "yachibadwa".
Izi ndizomwe kusintha kwa PSA (monga mkulu PSA velocity) ndipo zikhoza kusonyeza khansa yofulumira.
Mwachidule, dokotala pa nkhaniyi ayenera kuchita mofulumira kuti wodwala wodwalayo apitirize kuchipatala.
Kukulunga
Choncho, ndizofunika kuti muzitsatira ma PSA anu pa zaka ndikudziwitsa dokotala wanu njira zomwe mumaziwona, makamaka ngati mutasintha madokotala ndipo simukudziwa momwe dokotala wanu watsopano akudziwira ndi mbiri yanu ya zamankhwala.
Madokotala amawona odwala zikwi pa chaka ndipo akhoza kungoiwala kuti PSA yanu yakula mofulumira.
Musazengereze kukafunsa dokotala wanu za zotsatira za PSA velocity kapena kupempha kuyesa kapena kusanthula kwina. Izi zimachitika kawiri ngati muli a gulu loopsa, monga amuna a ku America, kapena muli ndi mbiri ya khansa ya prostate.
Ngati dokotala akukutsutsani ndi mndandanda wa mafunsowa kapena akuwoneka wosakhudzidwa ndi zotsatira za PSA velocity, ngakhale ngati akuwoneka akukwera mofanana monga momwe adachitira pamwambapa, taganizirani kusintha madokotala. Moyo wanu ndi wamtengo wapatali kwambiri kuti ungapange chiopsezo kuti chirichonse ndi chachilendo, pamene ma PSA anu angakhale akuwulula mosiyana. Ngati simukusintha madokotala, mwina ganizirani kupeza kachiwiri kapena kachitatu ka PSA velocity ndi mbiri yachipatala.
Kulimbikira kwa odwala kwasunga miyoyo yambirimbiri.
Zotsatira:
Carter HB, Ferrucci L, Kettermann A, et al. Kuzindikira kansa ya prostate yowopsa yowonongeka ndi prostate-specific antigen velocity pawindo la kupulumuka. Journal of National Cancer Institute 2006; 98 (21): 1521-1527.
Ng MK, Van As N, Thomas K, ndi al. Prostate-specific antigen (PSA) kinetics m'matenda osatetezedwa, omwe ali ndi khansa ya prostate: PSA velocity vs PSA nthawi yobwereza. BJU Int. 2008 Oct 16.