Lapho umuntu eya kudokotela ukuze ahlole, angase ahlole ukuhlolwa kwe- PSA , okulinganisa iphrotheni ebizwa ngokuthi i-prostate-specific antigen egazini. Ukuhlolwa kwe-PSA kusetshenziswa njengethuluzi lokuhlola lomdlavuza wesicathulo, okusho ukuthi liphakeme, lingabonisa ukuthi indoda inomdlavuza wesibeletho.
Noma kunjalo, ngezinye izikhathi umphumela we- PSA test uphindela phezulu, ngisho noma umuntu engenawo umdlavuza wesicathulo.
Ngamanye amazwi, kunezinye izizathu ngaphandle komdlavuza ukuthi kungani indoda ingaba ne-PSA ephakeme.
Funda kabanzi mayelana nokuthi ungayichaza kanjani imiphumela yakho ye-PSA, ngezansi, nokuthi kungani kubalulekile ukuxoxa ngesilingo sakho nemiphumela yayo engenzeka futhi yangempela nodokotela wakho.
Yeka ukuthi imiphumela ephezulu yokuhlola ye-PSA ingasho ukuthini
Kwakuvame ukukholelwa ukuthi kumuntu onempilo, izinga le- PSA kufanele libe ngaphansi kwama-nanogram (4) nge-milliliter (mL) wegazi. Ngakho-ke, noma yini engaphezu kwezingu-4 ingabonisa ingozi ekhulayo yokuthi umdlavuza we-prostate ukhona futhi kungenzeka ukuthi kunconywa i-prostate biopsy.
Kodwa-ke, manje ucwaningo lubonisa ukuthi indoda ingaba nomdlavuza we-prostate ngisho noma izinga lakhe lingaphansi kuka-4 ng / mL, futhi lawo madoda amaningi anamazinga e-PSA aphezulu kune-4.0ng / mL futhi akanawo umdlavuza wesi-prostate. Ochwepheshe baye bafunda nokuthi ezinye izinguquko zidlala indima kulokho okuyizinga elihle le-PSA njengohlanga lomuntu noma ubuhlanga.
Yingakho ukuhumusha ukuhlolwa kwakho kwe-PSA kungaba yinkinga ekhohlisayo futhi kungadingeki nje kuphela umbono wodokotela wakho wokunakekela oyinhloko kodwa udokotela obhekene ne-prostate (obizwa ngokuthi i-urologist).
Kodwa-ke, ngokuvamile, izinga lePSA lomuntu liphakeme, amathuba akhe amakhulu ukuthi unomdlavuza wesicathulo. Ngaphezu kwalokho, ukwanda kwe-PSA yomuntu ngokuhamba kwesikhathi kungase kube uphawu lomdlavuza we-prostate.
I-PSA Level Aphezulu Ayibonakali Njalo I-Cancer Prostate
Futhi, khumbula ukuthi ukuhlolwa kwe-PSA kudume kakhulu ngokukhiqiza imiphumela emibi emibi.
Ngamanye amazwi, imiphumela yokuhlolwa ingabuya ngokuthi "phezulu" uma kungekho mdlavuza okhona.
Ezinye izivivinyo ezifana ne-prostate biopsy (uma isampula yesisindo se-prostate gland isuswa futhi ihlolwe ngaphansi kwe-microscope) noma ukuhlolwa kwe-digital rectal kungenziwa ukuze kuqhutshekwe ukuhlola ingozi yakho yomdlavuza we-prostate.
Izimo noma izimo zezempilo ezingakhuphula izinga le-PSA zifaka:
Ukujula
Ukwehliswa komzimba kungakhuphula izinga lakho le-PSA, yingakho kungcono ukuthi ungakhanjanga okungenani amahora angu-24 ngaphambi kokuhlolwa kwegazi lakho, namahora angu-48 angase abe iwindi eliqaphile kakhulu. Lokho kusho ukuthi, uma uke waba ne-ejaculation, kungase kube ukuhlakanipha ukucela ukuba uvivinyo luhlehliswe kuze kube yilapho ungakhipha igazi lakho ngesikhathi esifanele.
Igazi le-D emva kokuhlolwa kweProstate noma indlela yokusebenza
Ukuthola igazi lakho elidonsa ngemuva kokuhlolwa kwe-digital rectal, i-prostate biopsy, noma ukuhlinzwa kwesifo sofuba kungakhulisa izinga le-PSA okwesikhashana. Ngakho-ke, kubalulekile ukuba igazi lakho lidonsa ngaphambi kokubona udokotela, hhayi kamuva.
Ukuvuvukala noma Ukwandiswa kwe-Prostate Gland
Ukuvuvukala kwe-prostate (okuthiwa i-prostatitis) noma a Ukwandiswa kwe-prostate gland (okubizwa ngokuthi i-benign prostatic hyperplasia noma i-BPH) okungabonakali kungabangela izinga eliphezulu le-PSA.
Izindaba ezinhle ukuthi zombili lezi zimo zingaphathwa ngemithi, futhi abukho ubufakazi bokuthi bangela noma baxhunyaniswe nomdlavuza wesicathulo.
Kodwa kubalulekile ukukhumbula ukuthi umuntu angaba nomdlavuza wesibili wesicathulo kanye ne-prostatitis noma i-BPH. Kulesi simo, ukuhlolwa kwe-PSA kungaba yinkimbinkimbi ukuhumusha nokuthi kungani ezinye izivivinyo zidinga udokotela wakho ukubeka isithombe sonke ndawonye futhi enze ukuhlonza kahle.
Isinqumo Sakho Sokuhlolwa KwePSA
Ungase uzibuze ukuthi ingozi engakanani yokuhlolwa kwe-PSA. Cabanga ngalokhu ngale ndlela. Uma unesiphakamiso se-PSA ephakeme, kungase kudingeke ukuba uhlolwe ngokuqhubekayo njenge-prostate biopsy ephethe ingozi encane yokuzwa ubuhlungu, ukutheleleka nokugaya. Khona-ke, uma ugcina ungenayo umdlavuza, (ngenkathi kulungile), ukukhathazeka okungadingekile, izindleko, kanye nesikhathi esithintekayo kungalimaza.
Ngaphezu kwalokho, ungase umangale uma ufunda ukuthi ukuthola umdlavuza wesifo sofuba kungase kungabi nzuzo kubo bonke abantu. Lokhu kungenxa yokuthi ezinye i-prostate khancer zikhula kancane kancane kangangokuthi azibangeli izinkinga futhi aziyona ingozi yokuphila. Kodwa ukuwaphatha ngokuhlinzwa kanye nemisebe kungabangela izinkinga ngokuvuthwa, ukuhamba komzimba, nokusebenza kocansi.
Yingakho odokotela abaningi manje bexoxa ngezingozi nezinzuzo zokuhlolwa kwe-PSA ngeziguli zabo ngabanye. Lokhu kuhluke kakhulu kulokho okwenziwa odokotela esikhathini esidlule, okwakuzokwenyusa ukuhlolwa kwabesilisa abesilisa abaneminyaka engama-50 ubudala.
Uma unquma ukuthi uzohlolwa yini i-PSA nokuthi ungakanani ubudala, udokotela uzobheka izinto ezifana nomlando womndeni wakho womdlavuza we-prostate, izimpawu zakho nokuhlolwa komzimba, nomncintiswano wakho. Ngokwesibonelo, amadoda ase-Afrika namaMelika asengozini enkulu yokuthuthukisa umdlavuza we-prostate, ngakho-ke ezinye izinhlangano zezokwelapha zincoma ukuthi zihlolwe ngaphambili, njengeneminyaka engu-45.
Izwi elivela
Ekugcineni, ukuvivinywa kwe-PSA kufana nokufana nenkemba ephindwe kabili. Ngesikhathi ukuhlolwa kungase kutholakale umdlavuza oyingozi wesifo sofuba bese usindisa ukuphila komuntu, ukuhlolwa kungashukumisela umuntu ngendlela engafanele ngenxa yezizathu ezintathu:
- Amanga amanga: Izinga le-PSA liphakeme kodwana akukho mdlavuza we-prostate.
- Amanga amanga: Izinga le-PSA aliphezulu, kodwa umuntu unomdlavuza wesicathulo.
- I-Cancer ikhona, kodwa ikhula kancane futhi ingeke ibangele izinkinga (kodwa odokotela ngokuvamile abazi ukuthi yini esongela impilo futhi engekho).
Yingakho kubalulekile ukuba nengxoxo enengqondo nodokotela wakho lapho unquma ukuhlolwa kwePSA. Kunengqondo futhi ukufunda i-American Cancer Society Izincomo Ze-Prostate Cancer Early Detection.
> Imithombo:
> I-American Cancer Society. (2016). I-Prostate Cancer Prevention and Detection Early.
> Carter HB et al. Ukutholakala kokuqala komdlavuza wesi-prostate: Isiqondiso se-AUA. J Urol . 2013 Aug; 190 (2): 419-26.
> National Cancer Institute. (2012). Ukuhlolwa kwe-Prostate-Specific Antigen (PSA).