Kunezindlela ezimbili ezahlukene zokwenza i- prostate biopsy - okuhlosiwe futhi okungahleliwe. I-12-core prostate biopsy engahleliwe isilinganiselwe futhi isetshenziswe iminyaka engaphezu kwengu-25. Manje, njengoba ukucabanga kwe-MRI kuye kwaphuthuka kakhulu, inani lezinyosi ze-needle lingancishiswa kakhulu. Izinhlamvu ezimbalwa zingaqondiswa kwelitshe elilodwa ngaphakathi kwegland. Kukhona izinzuzo nezindleko nge-biopsy ehlosiwe.
Ukukhathazeka kokuqala ukuthi mhlawumbe amaphesenti angu-10% ezincane zamakhansela aphezulu angaphuthelwa ukuskena kwansuku zonke. Okwesibili, ukubhekela i-prostate lesion kuthatha ikhono nesipiliyoni; ubuchwepheshe busha futhi abanye odokotela basesendleleni yokufunda.
Ukunemba kwezinto eziphilayo
Ngaphandle kwalokhu okukhathazayo, iningi lamadoda lingathanda ukuhlaziywa okukodwa okuhlosiwe kunokuba ibe ngezikhathi ezingu-12 ngezikhathi ezithile. Ngaphezu kwalokho, i-biopsy engahleliwe inomunye umonakalo omkhulu- ithola kakhulu-ihlolisisa umdlavuza ongenabungozi, ebangeni lesithupha . Ibanga lesi-6 yilona uhlobo oluvame kakhulu lomdlavuza we-prostate. Akudingi ukwelashwa kodwa ngeshwa ngokuvamile utholashwa. Ucwaningo lubonisa ukuthi amadoda amaningi kakhulu athola ukwelashwa kwamabhansela angenalutho angenabungozi. Ngokusobala, akucaci yini ukuthi amadoda amaningi atholakala ? Ukubona "umdlavuza" ongadingi ukwelashwa kuyingozi, akusizi usizo.
Ayikho i-biopsy engahleliwe noma i-biopsy ehlosiwe inembile eyi-100%.
I-biopsy engahleliwe ingaphuthelwa umdlavuza wezinga eliphezulu 15% wesikhathi. Umbuzo wangempela uwukuthi, "Kuhle kangakanani ukuthi sibe njalo?" Wonke umuntu uyavumelana ukuthi njengoba izinto zimi, besebenzisa uhlelo olukhona lwe-biopsy engahleliwe, sisuke sibheke kakhulu ukuhlolisisa umdlavuza wesibeletho ngenani elifuthekayo. Ngakho-ke, kufanele sibheke noma iyiphi enye indlela enengqondo yokunciphisa inani lamadoda aqhutshwa yi-biopsy.
I-3-Tesla Multi-parametric Prostate MRI
Yiqiniso, masibe sobala ngokuphelele. Ubuchwepheshe obulungile kanye nabantu abalungile abasebenzisa ubuchwepheshe badingeka ukuthola izithombe ezinokwethenjelwa. Ochwepheshe abalungile bayadingeka ukwenza izikrini kahle. Odokotela abafunda ama-scans nabo badinga ukuqeqeshwa ngokuqondile ekufundeni izilinganiso ze-3-Tesla multi-parametric prostate. Ngeshwa, abanye odokotela emphakathini benza lezi zilinganiso, kodwa abanalo ulwazi okwamanje lokuzihumusha ngokunembile. Iziguli zidinga ukusebenzisa izikhungo ezinolwazi. Uma kungenjalo, umbiko weskena uzoba ngokunemba okungaqondakali. Kubaluleke kakhulu ukusebenzisa izakhiwo ezivunyiwe - izikhungo zobuhle ezikwazi ukwenza kahle i-3-Tesla multi-parametric prostate i-MRI kahle.
Ngezansi singakwazi ukubekezelela ukuthi izikrini ezenziwe kahle zinezithuba ezingu-10% zokulahlekelwa umdlavuza we-prostate high-grade. Amanqamu angeke aphuthelwe ayomelwe abe amancane. Uma i-tumor encane, kodwa emitholampilo ephulukisiwe engaphuthelwa ekuqaleni, ukuskena kungabuyekezwa ezinyangeni ezingu-6-12. Ngencazelo, ukuze isisu sibe semqoka emtholampilo, kufanele sikhule. Izindaba ezinhle ukuthi i-prostate khancer ngokuvamile ayifaki ukusakazeka aze afinyelele esayizi elithile.
Ukuskena okulinganayo kufanele kube nokwanele ukuthola isifo se-high-grade tumor ngenkathi sisesekuqaleni futhi sinyango. Ngakolunye uhlangothi, uma kungabikho lutho olubonakala ngemva kweminyaka embalwa yokuskena, ithuba lokuthi kunomdlavuza we-prostate obaluleke kakhulu emtholampilo, kunciphisa kakhulu uma kungenjalo kuqedwe.
Imicabango yokuvala
Ukusebenzisa inqubomgomo yokuskena amadoda anezinga eliphezulu le-PSA , kunokuba wenze i-biopsy engahleliwe, ukuthuthukiswa okukhulu. Amadoda angaphezu kwesigidi awela nge-biopsy okungahleliwe unyaka ngamunye. Manje ukuthi ubuchwepheshe bokuskena buphuthukisiwe, sekuyisikhathi sokuqala ukukhuluma ngokushiya i-biopsy engahleliwe esithombeni ngokuphelele.
Esikhundleni sokusebenzisa i-biopsy engahleliwe, amadoda kufanele abe ne-MRI e-3-Tesla ehlukahlukene elandelwa yi-biopsy ehlosiwe. Le ndlela izokusiza ukuyeka ukukhwabanisa ukuqhutshwa ngokweqile okuvame kakhulu e-United States. Uma amadoda angagwema ukubhala nge "umdlavuza," akukho isilingo sokuba bahlinzekwe ngokugcwele noma imisebe.