Okwenza Ungenakukwazi Ukuba Nomunye Ngaphandle Kokunye
Uma kuziwa ekuhlolweni kwesifo somdlavuza we-prostate , amadoda ngezinye izikhathi angaba ne-squeamish ngokuthola ukuhlolwa kwe-digital rectal (DRE) , inqubo elula lapho umunwe ungeniswa khona emgqeni. Abanye baze babuze ukuthi kungani ukuhlolwa kwegazi, okuthiwa i- prostate-specific antigen ( PSA) , akwanele ukuxilonga lesi simo.
Ekugcineni, akunakwenzeka ukuba ukhethe futhi ukhethe phakathi kwezivivinyo ezimbili njengoba ngamunye ukhonza inhloso yakhe siqu.
Kodwa kungabonakali futhi kungakhululekile kungase kubonakale, i-DRE isalokhu ithuluzi elibalulekile ekusizeni odokotela ukuthola ukuhlaziya okuqondile komdlavuza.
Ukuqonda i-DRE ne-PSA
Inhloso ye-DRE ne-PSA ukubamba umdlavuza we-prostate kusenesikhathi ngaphambi kokuba izimpawu zivele futhi zinalo lelo thuba lokusabalalisa kwezinye izingxenye zomzimba wakho. Nakuba umdlavuza we-prostate uhlala ungenye yezokwelapha eziningi, ukuxilongwa kwangaphambili kukunikeza ithuba elihle lokuthola ukwelashwa okuphelele.
I-DRE (ukuhlolwa kwe-rectal digital) | I-PSA (i-prostate-specific antigen) |
Udokotela ubeka umunwe ogobile emgodleni ukuze uzizwe i-prostate gland. | Inani elincane legazi lidonsa engalweni futhi lihlolwe ebhodini. |
I-DRE ihlola izibani, ukuvuvukala, isisa, izindawo ezinzima, nezinye izinto ezingavamile ze-prostate gland. | Amazinga e-PSA aphakanyisiwe abonisa ukuthi kukhona izinguquko ku-prostate okungaba nomdlavuza noma onobungozi. Amazinga angahluka, kanje:
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Ukulinganiselwa kwe-PSA
I-antigen eqondene neprostate iyiprotheni ekhiqizwa yi-prostate gland. Amaseli e-prostate anikezwe umsebenzi wokugcina umsila esimweni segazi ukuze imbewu ikwazi ukubhukuda. Uma i-prostate inezinkinga, amazinga e-PSA azophakama ekuphenduleni.
Nakuba kuyigugu, ukuhlolwa kwe-PSA kuveza kuphela inkinga kunokuba ihlolwe eyodwa.
Amazinga e-PSA angaphakanyiswa nganoma yisiphi isibalo sezizathu, futhi amanye amadoda ane umdlavuza we-prostate angase abe nama-PSA aphansi. Ukukhuluphala, isibonelo, kungaphonsa ukufundwa kwe-PSA njengomuntu onamandla kakhulu kunemiphetho yegazi emikhulu engahlenga iphrotheni
Amathuba amanga kanye nokungahambi kahle kwamanga ayaziwa futhi, ngakho-ke i-US Preventive Services Task Force (USPSTF) inikeze uhlolo "isilinganiso" se-C, esichaza ukuthi akufanele sisetshenziswe yedwa ukuhlolisisa umdlavuza we-prostate.
Indlela i-PSA ne-DRE Help Help Diagnose Cancer Prostate
Cabanga nge-PSA njengokuqala kokushaya emnyango ukuthi kukhona okukhathazayo. Esikhundleni sokudlulela ngqo kwi-biopsy noma ukuqala ukwelashwa okungase kungadingeki (noma ukubekezelela), i-DRE ikunikeza indlela encane yokungazi ukuthi kunenkinga edinga ukuphatha.
Uma futhi kuphela uma kukhona, udokotela wakho angaqhubeka nokuhlela i-biopsy noma ezinye izinqubo ezidingekayo ukukhomba imbangela.
Uma i-DRE ingaphakamisi umdlavuza wesifo sofuba, uzokwaziswa ukuthi ube nokuhlolwa okujwayelekile okulandelwayo . Ukuvama kuzothathwa ngemiphumela yokuhlolwa kwegazi le-PSA, kanje:
- i-PSA engaphansi kuka 2.5 ng / mL isincoma ukuhlola njalo eminyakeni emibili
- i-PSA ye-2.5 ng / mL noma ukuphakamisa okuphezulu ukuhlolwa konyaka
Izwi elivela
Kuhlale kubalulekile ukuthi ulinganise "ukungakhululeki" kokuthola i-DRE ngokumelene nezinzuzo zokunakekelwa kokuqala kanye nokwelashwa uma kufanele ube nomdlavuza wesifo sofuba. Inqubo iyashesha futhi ilula futhi inzima kakhulu kunokuba abanye bangakuholela ekukholweni.
Ekupheleni kosuku, ungavumeli ukuhlazeka okuncane kukuvimbele ekuhloleni uhlobo lomdlavuza oqhubekayo kuthinta abangaphezu kweyodwa kumadoda ayisikhombisa aseMelika.
> Imithombo
- > Amasevisi Okulawula Nokuvimbela Izifo (CDC). "Iziphi Izivivinyo Zokuhlola Ezikhona I-Cancer Prostate?" I-Atlanta, Georgia; ibuyekezwe ngoJulayi 18, 2015.
- > I-US Preventive Services Task Force (USPSTF). "I-Cancer ye-Prostate: Ukuhlolwa." I-Rockville, e-Maryland; Meyi 2012.