Ngabe udokotela wakho ubheke ukuthini ngesikhathi sokuhlola i-prostate?
Kuye ngempilo yakho jikelele, iminyaka yakho (ngokuvamile eneminyaka engu-50 ubudala nangaphezulu), noma uma unenkinga yokudlula umchamo, udokotela wakho angase anikeze ucwaningo lwe-prostate.
Ungase ukwazi noma ungajwayele inqubo yokuhlola i-prostate uqobo, kodwa wake wazibuza ukuthi yilokho ngempela udokotela ayifunayo?
I-Prostate Screening Exam
Udokotela wakho uzokwenza lezi zinhlobo ezimbili zezivivinyo zokuhlola i-prostate etholakalayo:
- Ukuhlolwa kwegazi lapho umdlavuza we-prostate ungatholakala khona ekuqaleni kokuhlola inani le-prostate-specific antigen (PSA) egazini.
- Ukuhlolwa kwe-digital rectal (DRE) (lapho udokotela ebeka khona umunwe ovulekile, noma "idijithali," engxenyeni ye-rectum ukuze uzizwe i-prostate gland)
Ngokuvamile inqubo ye-DRE eyenza amadoda amaningi alamu. Ukunciphisa izinzwa zakho lapha kukhona ukuphazamiseka kwalokho ukuhlolwa kwe-digital rectal kuhlanganisa.
Yini Ongayilindela Ngesikhathi Se-Digital Rectal Exam (DRE)
- Uzocelwa ukuma ubhekene nombhede wokuhlola, ngezinyawo ngaphandle, umzimba ugijima phambili futhi izingalo zakho noma izigqoko embhedeni. Zizwa ukhululekile ukucela udokotela wakho ukukunika amakhanda ngaphambi kokwenza noma yikuphi ukunyakaza okungazelelwe.
- Egqoke amagilavu wokugqoka, udokotela uzogqoka umunwe ekugcoba.
- Umunwe uzofakwa engxenyeni yakho engxenyeni ephansi. Ungase uzizwe ucindezeleke kancane noma ungakhathazeki kancane, kodwa akufanele ukulimale. Kubalulekile ukuba uphumule futhi uthathe ukuphefumula okujulile futhi uvumele udokotela wazi ngokushesha uma kukhona ubuhlungu.
- Udokotela wakho kungadingeka alinde imizuzwana embalwa ukuze umsila wakho wangaphandle we-sphincter uphumule.
- Udokotela uhambisa umunwe ngesisindo esiyindilinga ukuze abone i-lobes ne-groove ye-prostate gland. Udokotela uhlola:
- Ihla noma ijikeleze i-prostate
- Ukuvuvukala
- Ububele
- Izindawo ezinzima noma ama-bumps (i-gland kufanele ibe bushelelezi)
- Ukungahambi kahle kwi-prostate
- I-prostate evamile ivame ukuphakama ngo-2-4 cm ubude futhi inomumo wesigxathu, ngokugqama okuqinile nokukhwabanisa
- Uma usuqedile, udokotela wakho uzokutshela ukuthi uzosusa umunwe wakhe.
- Ungase unikezwe ezinye izicubu noma usula ukuze uhlanze i-lubricant.
- Yonke inqubo kufanele ithathe imizuzu engaba ngu-5 kusukela ekuqaleni kuya ekugcineni futhi azikho izinyathelo ezikhethekile zokuqapha okudingeka zithathwe ngaphambi kokuhlolwa.
Kwenzekani Okulandelayo: Ngemuva kwe-DRE
Uma kukhona okungajwayelekile okutholakala ngesikhathi se-DRE, udokotela uzobe eyala ukuhlolwa okungaphezulu futhi mhlawumbe uhlele i- prostate biopsy ukubona ukuthi kukhona yini izimpawu zomdlavuza okwamanje.
Uma kungekho zibonakaliso zomdlavuza we-prostate otholakala ngesikhathi sokuhlolwa, imiphumela ye-PSA yokuhlola igazi izokhipha isikhathi phakathi kwekhambi lomdlavuza we-prostate.
- Amazinga e-PSA ngaphansi kwe-2.5 ng / mL angasho ukuthi udinga kuphela ukubuyiswa emuva njalo eminyakeni emibili
- Izinga le-PSA lika 2.5 ng / ml noma izindlela eziphakeme kufanele zihlolwe njalo ngonyaka
Ekugcineni, wena nodokotela wakho uzothatha isinqumo ukuthi kufanele uhlolwe kaningi kangakanani lapho ukudla kwakho, imikhuba yezempilo kanye nendlela yokuphila yikho konke okuhambisana nesikhathi nokuvama kocwaningo lwakho lomdlavuza we-prostate. Qinisekisa ukuxhumana nodokotela wakho uma ubona noma yikuphi ushintsho empilweni yakho.
Umthombo:
> National Cancer Institute. Ukuhlolwa kwesifo se-Prostate (PDQ).
Tanagho EA, McAninch JW. U-Smith's General Urology, u-17th Edition.