Njengoba amadoda esekhulile, cishe wonke ahlakulele ukukhuliswa kwesicathulo. Ngokungahambi kahle, i-PSA ikhuphuka njengomphumela. I-PSA ivela kokubili kusukela ku-prostate gland futhi kungenzeka, kwezinye izimo, isifo somdlavuza we-prostate. Lokhu okudidanisa izinto. I-PSA ingavela kumbili umdlavuza kanye ne-benign prostate gland. Ngakho uma uhlola i-PSA, umbuzo akufanele ube njalo, "Ingabe ingaphezu kwesibalo esingeke sichazwe njengesi-2.5 noma i-4.0?" Umbuzo kufanele ube, "Ingabe i-PSA iphakanyisiwe ngenhla okufanele ilindeleke ngokusekelwe ngobukhulu be-prostate?"
Ubukhulu bendlala yesilisa bungalinganiselwa ngokuhlolwa kwe-digital rectal ngudokotela oqeqeshwe kahle. Nokho, ekuhlangenwe nakho kwami, bambalwa kakhulu odokotela abanamakhono ekulinganiseni ubungako be-prostate ngokuhlolwa kwe-digital. Ngakho-ke, ezimweni eziningi ubukhulu be-prostate bungatholakala kuphela ngokulinganisa nge-ultrasound noma i-MRI. I-Ultrasoundcan yenziwa ehhovisi likadokotela ngudokotela we-urologist. I-MRI ivame ukuqhutshwa esikhungweni esikhethekile sokucabanga. I-Modern prostate ye-imaging technology, ebizwa ngokuthi i-MRI e-3-T ehlukahlukene, isukela ekuthandeni futhi iyatholakala kabanzi.
Uma ubukhulu be-prostate gland buye kwaboniswa ukucabanga, i-PSA evamile kulindeleke ukuba ibalwe. Ngokuvamile, i-PSA iphakamisa iphuzu elilodwa ngamamentimitha ayi-cubic angu-10 (cc) wevolumu ye-prostate. Ngakho-ke, ifomula yokubala ukuthi i-PSA ihlobene kanjani nobukhulu be-prostate kumuntu ovamile isebenza ngokuhlukanisa ivolumu ye-prostate ngo-10.
Ngokwesibonelo, ngoba i-30cc prostate ejwayelekile I-PSA kufanele ibe ngu-3; for prostate 50cc, azungeze 5. Indoda ene-100cc prostate izoba ne-a evamile I-PSA engaba ngu-10.
Izinga le-PSA lingajwayelekile uma li-50% liphakeme kunalokho okulindelwe - ngokususelwa usayizi we-prostate. Isibonelo, i-PSA "engavamile" yendoda ene-30cc prostate ingu-4.5 noma ngenhla.
I-PSA engavamile ye-50cc prostate ingaphezulu kwe-7.5. Ukuze uthole i-100cc gland, i-PSA ingadingeka ibe ngaphezu kuka-15 ukudala ukukhathazeka. Ezincwadini zezokwelapha lokhu isilinganiso sesisindo se-prostate gland kuya ku-PSA kuthiwa i- PSA density . Kuze kube yilapho unquma ubukhulu be-prostate gland, ngaphandle uma izinga le-PSA livala amashadi, tshela ngaphezu kuka-20, awukwazi ukudweba noma yiziphi iziphetho mayelana nokuthi i-PSA ingaba kanjani engozini yomdlavuza wesifo sofuba.
Kunamanye amathuba okuchaza ukuthi kungani i-PSA ingaphakanyiswa ngaphandle komdlavuza noma i-prostate gland ekhulisiwe. Ukunyuka kwesikhashana kungenzeka emisebenzini yamuva yobulili, ukugibela kwebhayisikili isikhathi eside nokuvela ngaphandle kwe-prostatitis. Amazinga we-PSA avela phezulu ngokungalindelekile kufanele aphindwe njalo angaqinisekiswa ngaphambi kokuqala ukusebenza okuqhubekayo.
I-non-specific, i-subclinical prostatitis iyimbangela evamile kakhulu yokuphakama kwe-PSA kumuntu jikelele wesilisa. Izifo ze-prostate gland ezinzima ngokwanele zokwenza abantu bazizwe begula ubuhlungu be-pelvic kanye nomkhuhlane, obizwa nangokuthi i-prostatitis, akuyona into engavamile. Kodwa-ke, ukutheleleka kwamagciwane e-prostate gland, isimo esingaziwa ngabantu ngokuvamile, kwenzeka cishe wonke amadoda esikhathini esithile empilweni yabo. Abanye ochwepheshe bacabanga ukuthi lezi zifo ezingaphansi kwamagciwane ziyisisusa esiyinhloko sokukhulisa i-prostate kodwa lokhu kuxhumana akuzange kusungulwe ngokuqiniseka.
Into ebalulekile mayelana ne-prostatitis ukwazi ukuthi le nqubo yokuvuvukala engathuli ngokuvamile idala amazinga e-PSA ukuphakamisa, ekwakheni zonke izinhlobo zezingxabano nokucindezeleka mayelana nokuthi kungenzeka yini umdlavuza wesifo sofuba. Ngeshwa, imithi elula ukuthembeka ekunciphiseni ukuvuvukala ayikho. Ngezinye izikhathi ama-antibiotics avivinywa kodwa kaningi ayisebenzi noma ukuhla kwe-PSA kungokwengqayizivele. Ucwaningo olwengeziwe luyadingeka ukuze uthole ukuthi ungayiphatha kanjani kahle le nkinga evamile.
Ngokucabangela i-prostate nokunquma ngokunembile ubungako bayo, singafaka i-PSA kumongo onenjongo.
I-PSA ibilokhu ivivinyo eliwusizo kakhulu, kodwa ngeshwa, ukukhohlwa ukuthi ukuhlukahluka okuningi okulingana nobukhulu bezintambo ze-prostate zamadoda ngokuvamile kuvame ukuholela ku- biopsy engahleliwe engadingekile. Njengoba amazinga e-PSA ethinteka ngobukhulu be-prostate, ukuthola i-gland eyinhloko kungaba izindaba ezinhle. Inikeza incazelo ecacile yokuthi kungani izinga le-PSA liphezulu futhi lisiza ukunciphisa isidingo sokwenza i-biopsy.