Kukhona ingozi yangempela ukuthi ukuhlolwa kwe-PSA kuzoholela ekutheni ukwedlulele ngokweqile. Uhulumeni, lapho efunde lesi simo, uye wancoma ukuyeka ukuhlolwa kwe-PSA ngokuphelele. Lesi siphakamiso asibonakali sihle kakhulu uma ucabanga ukuthi uhlelo lwamanje lungaphezu kokuxilonga amadoda angama-100,000 anesifo esiphansi sezinga eliphansi minyaka yonke. Ucwaningo lubonisa ukuthi abangu-70 000 kulaba bantu bavame ukugijimela ekuhlinzekeni okusheshayo noma ukushisa imisebe, nakuba kungeke kukhulise ukuphila kwabo.
Ukunciphisa umbono kahulumeni wokuhlola i-PSA ukungaqapheli iqiniso elimisiwe lokuthi ukutholakala kokuqala kwesifo esiphakeme kulesisindo kusindisa izimpilo. Ukubuka ukuhlolwa kwe-PSA ngokugcwele kumane nje "ukuphonsa umntwana ngaphandle kwamanzi okugeza."
Ukuhlolwa komdlavuza wokuhlola i-prostate kuyothola izifo eziphezulu kakhulu ngenkathi zibheke zonke izinto ezingenabungozi eziphansi. Ngeshwa, uhlelo lwamanje-lokulinganisa noma yikuphi ukungajwayelekile kwe-PSA nge-12-core core random nucleal biopsy-ihlola izifo eziphezulu neziphansi ezilinganayo. Futhi ngeshwa, isifo esiphansi sezinga elibizwe ngokuthi "umdlavuza," ukubeka ukwesaba okukhulu kwesibindi. Okuhlangenwe nakho kubonisa ukuthi noma yini ebizwa ngokuthi umdlavuza, kungakhathaliseki ukuthi ibizwa ngokuthi "ibanga eliphansi," kuvame ukuholela ekuhlinzeni ngokushesha noma emisebeni noma kungadingekile.
Ukuthatha Ukuqapha
Amadoda aqala uhlelo lokuhlolwa kwe-PSA, ngakho-ke, kudingeka athathe izinyathelo eziningana zokuqapha ukuze avimbele ukulandelwa kule simo esibi, esesabekayo.
Okokuqala, indoda kufanele ikwazi ukuthi i-PSA yakhe ijwayelekile noma ayijwayelekile njengoba ihlobene nobukhulu be-prostate gland. I-PSA ephezulu ingaba ngumdlavuza, kodwa ingase ibe ngenxa yesifo esibucayi se-prostate gland. Njengoba amadoda ekhula, ama-prostates awo avame ukukhula futhi akhiqize iPSA eyengeziwe. Ukunyuka kwe-PSA kusuka ku-prostate gland ekhulisiwe kungabhekana ngokuphelele nomdlavuza .
Ngakho uma udokotela ekutshela ukuthi, "I-PSA yakho iphezulu, ngifuna ukukudlulisela ku-urologist ukuthi ucabangele ukwenza i-biopsy," impendulo yakho efanele kufanele ibe, "Ngicela ungibheke nge-3M ye-3T multiparametric scan ephakeme noma ngaphezulu Umbala we-Doppler ultrasound ukuskena ukukala ubukhulu be-prostate gland yami. "
I-scan izobika ubukhulu be-prostate ngamasentimitha angu-cubic noma "cc." Izinga le-PSA lingase lihunyushwe ngokuthi "elivamile" uma liyingxenye yeshumi yesayizi ye-prostate. Isibonelo, i-PSA evamile nge-50cc-size prostate gland ingaba ngu-5 PSA evamile ye-70cc prostate yi-7. I-PSA iphezulu ngokungavamile , isebenzisa isibonelo somuntu onama-50cc prostate, uma u- 50% ngaphezulu inani elindelekile elivamile elingu-5 , ngamanye amazwi, ngaphezu kwe-7.5. (50% ye-5 = 2.5. Inani le-2.5 lengezwe inani elijwayelekile le-5 ukukhiqiza inani le-PSA ngomkhawulo ophezulu wokujwayelekile we-prostate gland oyisikhulu esivela ku-7.5).
Yiqiniso, izici ezengeziwe ngaphandle kobukhulu be-prostate zingadinga ukucatshangelwa lapho zihumusha i-PSA. Izifo ze-prostate, amaphutha webhubhu kanye nomsebenzi wamuva wezocansi kungabangela ukwanda kwesikhashana ezingeni le-PSA. Isinyathelo sokuqala esinengqondo, ngisho nangaphambi kokwenza isithwebuli se-prostate, ukumane ulinde futhi ubuyekeze i-PSA ngesonto.
Ukuphakama okwesikhashana nokungaqondakali kwe-PSA kwenzeka ngaso sonke isikhathi futhi bavame ukubuyela emuva kokuqala ngaphandle kokungenelela nhlobo.
Kunezinzuzo ezengeziwe zokwenza i-prostate imaging nge-MRI multiparametric noma umbala we-Doppler ultrasound kunokuba wenze i-biopsy eyi-12-core core.
- Uma indawo esolisayo yomdlavuza wezinga eliphezulu itholakele, i-biopsy ehlosiwe ingenziwa. Lokhu kusho ukuthi isampula esisodwa noma amabili esilinganisweni siyatholakala kunokuba wenze okuyishumi nambili. Lokhu kunciphisa ukungakhululeki kanye nengozi yokutheleleka kakhulu.
- Uma i-lesion esolisayo isitholakala izinketho ezimbili zingacatshangwa: I-lesion esolisayo ingabhekiswa nge-biopsy yenaliti, noma, iziguli zingacabanga ngokumane ziqaphe isimo ngokuphindaphinda izinyanga eziyisithupha ukuze zibone ukuthi i-lesion ikhula noma ishintsha .
- Amadoda anezilonda ezincane eziphansi (namazinga e-PSA ajwayelekile ngokuchaza incazelo ye-PSA echazwe ngenhla) angakwazi ukuhlaziya ngokugcwele futhi aphinde ahlole futhi emva konyaka owodwa.
Ukufaniswa kwe-Prostate
I-imaging yama-prostate iyintuthuko emnandi kodwa ubuchwepheshe bubuchwepheshe futhi akuzona zonke izikhungo zokucabanga ezikwazi ukufeza imiphumela ephakeme ngokulinganayo. I-PSA yokuhlola i-protocol ephakanyisiwe kulesi sihloko, besebenzisa ukuhlolwa kwe-state-of-the-art njengoba esikhundleni sokwenza i-biopsy engama-12 okungahleliwe okungahleliwe, incike ekucabangeni okulandelayo:
- I-imaging yenziwa ngemishini ye-state-of-the-art.
- Ukuskena kwenzelwa ochwepheshe abaqeqeshwe kahle.
- Izithombe ezitholakala kuyi-scan zihunyushwa yi-radiologists abanolwazi.
- Ulwazi olunikezwa umbiko weskena lwenziwa yisazi sekhanda lomdlavuza.
Ukungahambi kahle kunoma iyiphi yalezi zindawo kungenza iziphetho ezithathwe embikweni wokuskena edukisayo futhi engathembeki.
Siphelelwe yisikhathi isikhathi esingcono sokunye okunye okungahle kwenzeke ku-12-core coreal biopsies. Ukucabanga nge-prostate, ukucabanga ukuthi kwenziwe kahle, ukuqondiswa kahle nokuqondiswa kahle kuletha ukukhululwa okulinde isikhathi eside. Isinyathelo esilandelayo sizobe sithuthukisa izikhungo ezingcono ze-imaging kanye nokuzimisela okukhulu odokotela ukuze bafunde futhi bavumelane nalobu buchwepheshe obusha.