Vuto Ndi PSA Kuyeza kwa Khansa ya Prostate

Pali ngozi yeniyeni kuti kuyang'ana kwa PSA kudzatsogolere kuntchito. Boma, pokhala ataphunzira izi, idapangitsa kuti PSA iwonetseredwe kwathunthu. Cholinga chimenechi sichikuwoneka ngati chovuta kwambiri pamene mukuganiza kuti dongosololi likuposa 100,000 amuna omwe ali ndi matenda ochepa chaka chilichonse. Kafukufuku akuwonetsa kuti amuna 70,000 mwa iwo amatha kuthamangira ku opaleshoni yomweyo kapena ma radiation, ngakhale kuti sangapitirize miyoyo yawo.

Kuwongolera maganizo a boma pankhani yowunikira PSA kuyesa kumatsutsa mfundo zomveka bwino kuti kuzindikira koyambirira kwa matenda apamwamba kumapulumutsa miyoyo. Kupewera kuyang'ana PSA kwathunthu kumangokhala "kutaya mwanayo ndi madzi osamba."

Kuyeza kansa ya kansa ya prostate kudzazindikira matenda apamwamba pamene ikuyang'ana zinthu zonse zopanda vuto. Mwamwayi, dongosolo lino-loyesa kuperewera kwa PSA kulikonse ndi nthendayi yachitsulo yachitsulo 12 -yomwe imapangitsa kuti pakhale nthenda ya singano-imatengera matenda apamwamba ndi otsika omwe ali ndifupipafupi. Ndipo mwatsoka, matenda ochepa kwambiri adatchulidwa "khansa," ndikuyika mantha aakulu. Zochitika zimasonyeza kuti chirichonse chomwe chimatchedwa khansara, mosasamala kanthu ngati chimatchedwa "kuchepetsa," nthawi zambiri chimapangitsa opaleshoni yomweyo kapena kutentha kwa dzuwa ngakhale kuti sikofunikira.

Kusamala

Amuna omwe ayambitsa pulogalamu ya PSA kuyang'ana, ayenera kuchitapo kanthu kuti atetezedwe ku zochitika zosautsazi.

Choyamba, mwamuna ayenera kudziwa kuti PSA yake ndi yachilendo kapena yachilendo mofanana ndi kukula kwake kwa prostate gland. PSA yapamwamba ikhoza kukhala ndi khansara, koma ikhozanso chifukwa cha prostate gland yowonongeka. Amuna akamakula, ma prostate awo amakula kwambiri ndipo amapanga PSA zambiri. Kuwonjezeka kwa PSA ku prostate gland yowonjezereka kungakhale kosagwirizana kwathunthu ndi khansa .

Kotero pamene dokotala akukuuzani, "PSA yanu ili pamwamba, ndikufuna ndikulozereni kwa waudokotala kuti muganizire kuti mukuchita bwino," yankho lanu loyenera liyenera kukhala, "Chonde ndiloleni ndilembereni MRI yapamwamba ya 3T yambiri kapena yapamwamba -masinthidwe a mtundu wa Doppler ultrasound scan kuti ayese kukula kwake kwa prostate gland. "

Kujambula kudzafotokozera kukula kwa prostate mu masentimita masentimita kapena "cc". Mzere wa PSA ukhoza kutanthauziridwa ngati "wamba" ngati uli pafupi gawo limodzi la magawo khumi la kukula kwa prostate. Mwachitsanzo, PSA yachibadwa yokwanira 50cc-size prostate gland idzakhala 5. PSA yachibadwa kwa 70cc prostate ndi 7. PSA ndi yapamwamba kwambiri, pogwiritsa ntchito chitsanzo cha munthu ndi 50cc prostate, pamene 50% pamwamba mtengo woyembekezeka wa 5 , mwa kuyankhula kwina, pamwamba pa 7.5. (50% ya 5 = 2.5) Chiwerengero cha 2.5 chiwonjezeredwa ku mtengo wapatali wa 5 kuti apange mtengo wa PSA wokhala ndi chiwerengero chokwanira cha prostate gland yomwe ilipo 7.5).

Inde, zina zowonjezera kupatula kukula kwa prostate zingafunikire kuganiziridwa potanthauzira PSA. Mavuto a prostatu, zolakwika za labu komanso zochitika zokhudzana ndi kugonana zitha kugwiritsidwa ntchito pang'onopang'ono ku PSA. Gawo loyamba loyenera, ngakhale musanayambe kujambulira prostate, ndikungodikirira ndi kubwezeretsanso PSA mu sabata.

Kukwera kwa PSA kosakhalitsa ndi kosadziwika kumachitika nthawi zonse ndipo nthawi zambiri amabwereranso ku maziko osasunthika konse.

Pali zowonjezera zowonjezera kuchita ma prostate imaging ndi MRI yambirimbiri kapena mtundu wa Doppler ultrasound mmalo mochita mwangozi 12-core corele biopsy.

1. Ngati malo omwe akukayikira kuti khansa yapamwamba imadziwika, biopsy yowunikira ikhoza kuchitidwa. Izi zikutanthauza zitsanzo imodzi zokha za singano zomwe zimapezeka m'malo mwa khumi ndi awiri. Izi zimachepetsa vutoli komanso chiopsezo chotenga kachilombo ka HIV.
2. Ngati chilonda chodandaula chimazindikira kuti pali zinthu ziwiri zomwe mungasankhe zingaganizidwe: Zilonda zokayikitsa zingakhale zogwiritsidwa ntchito ndi singano ya singano, kapena, odwala angaganizire kungoyang'ana ndondomekoyi mobwerezabwereza miyezi isanu ndi umodzi kuti awone ngati chikuku chikukula kapena kusintha .

1. Amuna omwe ali ndi zilembo zapamwamba (ndi ma PSA omwe ali ozoloŵera pogwiritsa ntchito ndondomeko ya PSA yomwe yafotokozedwa pamwambapa) akhoza kusiya biopsy kwathunthu ndikungoyambiranso kufufuza chaka chimodzi.

Kujambula kwa Prostate

Chithunzi cha prostate ndi chitukuko chodabwitsa koma teknoloji ndi malo atsopano osati malo onse olingalira amatha kupeza zotsatira zofanana zapamwamba. Ndondomeko ya kufufuza PSA yomwe ikugwiritsidwa ntchito m'nkhani ino, pogwiritsira ntchito zolemba zapamwamba zowonjezereka monga chotsatira chochita zinthu 12 zosavuta, zimadalira mfundo zotsatirazi:

1. Chithunzichi chikuchitidwa ndi zipangizo zamakono.
2. Kusinthana kumachitidwa ndi akatswiri ophunzitsidwa bwino.
3. Zithunzi zomwe zimapezeka pajambulizi zimatanthauziridwa ndi radiologists odziwa bwino ntchito.
4. Zomwe zimaperekedwa ndi lipoti lajambulidwa ndi katswiri wa kansa ya prostate.

Kulephera kulikonse mwazinthu izi kungaganizire zochokera pofufuza zolemba zosochera ndi zosakhulupirika.

Ife takhala tikutha zaka zambiri kuti tipeze njira zabwino zosawerengeka zokhala ndi zinthu 12 zosafunikira za singano. Kujambula kwa prostate, kuganiza kuti kwachitidwa bwino, kutanthauziridwa bwino ndi kusamala bwino kumabweretsa chiwombolo ichi chodikiridwa kwa nthaŵi yaitali. Gawo lotsatira lidzakhala kulikulitsa malo abwino owonetsera komanso kukhumba kwa madotolo kuti aphunzire ndi kusintha kwa teknoloji yatsopanoyi.