Kubonakala sengathi sinesifiso sikazwelonke se-prostate biopsies. Amadoda ayisigidi ahlelwe njalo ngonyaka. Izinkulungwane ezingamakhulu amabili zazo zizohlolwa ukuthi unesifo somdlavuza we-prostate futhi cishe ingxenye yesiguli esinesifo esincane, isimo esingasetshenziswa ngokuphepha ngaphandle kokwelapha ngokushesha. Noma kunjalo, ngaphezu kwengxenye yala madoda ane-Low-Risk izoqhubeka ngokushesha, ukwelashwa okukhulu.
Ngokudabukisayo, ukwesaba okungenangqondo okugxilwe egameni elivuthayo "umdlavuza" kwenza amadoda amaningi athathe isinyathelo ngokushesha.
Njengoba ukuxilongwa "komdlavuza" ngokweqile kubonisa ukuthi kunezifo eziningi, ezinye izazi ziye zaphakamisa ukuthi simane nje siyeke ukuhlolwa kwe-PSA ngokuphelele. Ngaleyo ndlela, uma abantu bengatholakali ukuthi bayosindiswa ohlelweni lwezokwelapha oludabukisayo olwenza wonke umuntu abe nokwelapha ngokushesha. Nokho, ukukhuluma ngokuphindaphindiwe ekusetshenzisweni kwe-PSA yokuhlola ngeke kwenzeke. Iziguli nodokotela ngokufanayo abazimisele ukulahla ulwazi oluhlolwayo lwe-PSA, olungaphelele njengoba kungenzeka.
Eqinisweni, abantu abahlakaniphile baqala ukuqaphela ukuthi ukuhlolwa kwe-PSA ngayinye akuyona inkinga yangempela. Inkinga yukuthi odokotela neziguli bayaphatha kabi ulwazi olunikezwa yi-PSA. I-PSA iyinkomba engaphelelanga ngokuphelele engakwazi ukuphakanyiswa ngenxa yezizathu eziningi ezingenakuqhathanisa ezifana nokukhulisa izidakamizwa, izenzo zamuva zocansi noma ukuvuvukala (prostatitis).
Isixazululo embonini yezokwelapha esithakazelisayo, ngakho-ke, hhayi ukuhlolwa kwe-PSA okungavamile, kodwa kunalokho odokotela abanokwethenjelwa ukunciphisa ukugijimela ukuqhuma kwe-biopsy okungahleliwe ngesikhathi sokuqala kokunyuka okuncane ku-PSA. Manje siyazi ukuthi akukho nzuzo ekuhloleni zonke izinkinga ezilodwa zesifo somdlavuza we-prostate njengoba eziningi zazo zingenabungozi ngokuphelele.
Empeleni kunenzuzo yokulondoloza abantu ulwazi olungadingekile ukuthi banomdlavuza wesifo sofuba esingasongeli.
Ngakho uphi umhlabathi ophakathi phakathi kwe-biopsy ngokushesha yonke ukuphakama kwe-PSA nokulahla i-PSA ukuhlolwa kanye ne-biopsy ngokuphelele? Ngaphambi kokunquma ukwenza i-biopsy, i-prostate gland kufanele ilinganiswe ne-scanning ye-ultrasound ukuze inqume ukuthi iyakwandiswa ngendlela engavamile. Uma inani lokuphakama kwe-PSA lilingana nesilinganiso sokukhulisa i-prostate, khona-ke ukuphakama kwe-PSA kungenziwa kubangelwa imbangela enobungozi. Esikhundleni sokuqhubeka ne-biopsy esheshayo, ukuhlolwa kwe-PSA eyengeziwe nge score OPKO 4K kungaboniswa. Inzuzo ye-PSA ye-OPKO engu-4Kscore ejwayelekile kakhulu ukuthi ihlinzeka ngengozi yokuba nomdlavuza we-prostate High-Risk, iphuzu lokugcina elifanele kakhulu emtholampilo.
Uma ukuhlolwa kwe-OPKO 4Kscore no-PSA kwabantu behle, ukuqapha okuqhubekayo ngenye indlela ye-imaging inikeza umshuwalense owengeziwe ngokungahambi kahle ukuxilongwa komdlavuza ononya. I-Modern 3-Tesla Multiparametric MRI (MP-MRI) nombala ophezulu wokulungisa i-Doppler ultrasound, ngenkathi ingaphelele, yizindlela ezinembile zokuthola amacansana anonya.
Ngakho-ke ngokufingqa, i-biopsy engahleliwe kufanele ibe isinyathelo sokugcina samadoda anezinga eliphansi le-PSA elingenakuchazwa ngesifo se-prostate, iphutha le-laboratory noma umsebenzi wamuva wezocansi.
Nazi ezinye izimpawu ukuthi i-biopsy ingadingeka:
1. Ukuphakama kwe-PSA ngaphandle kokulingana nobukhulu bendlala yabo
2. I-OPKO 4Kscore ekhombisa ukuthi kunomdlavuza omkhulu we-prostate
3. Ukungafani okuzwakalayo ekuhlolweni kwe-digital rectal
4. Ukucubungula ukuhlola okusikisela umdlavuza ohlukumezayo
I-PSA iyithuluzi eliphawulekayo esiye laxhomekeka ekuxilongeni umdlavuza wesi-prostate kusukela ekuqaleni kwawo-1990. Ngokuqinisekile kuye kwashintsha ukuphathwa komdlavuza wesifo sofuba eminyakeni engu-20 edlule. Kodwa-ke, izindleko kuye kwaba ukudlwengula okudlulele kwamadoda angaba ngu-100 000 ngonyaka.
I-PSA ephezulu, kunokuba idale i-biopsy ngokushesha, kufanele iholele ekuphenyweni okuqhubekayo njengoba kuchaziwe ngenhla. Ukugijimela ekwenzeni i-biopsy nje ngoba i-PSA iphakanyisiwe njalo kuholela ekwelapheni okungadingekile kwemiphumela emibi yempilo yonke.