Ukuhlolwa kwe-digital rectal (DRE) kungase kube omunye wesimo sokuhlola esesabekayo amadoda abhekana nawo, kodwa yingxenye ebalulekile yokutholakala kokuqala kanye nokuxilongwa kwezimo ze-prostate ezifana nomdlavuza wesifo sofuba kanye ne- BPH (i-prostate ekhulisiwe) . Imiphumela yakho yokuhlolwa kwe-digital rectal ingakunika wena nodokotela wakho ulwazi oluningi ngesikhathi esifushane. Kubalulekile ukwazi ukuthi yini imiphumela yokuhlolwa kwakho engase isho.
Ngesikhathi se-DRE, udokotela wakho uzofaka umunwe oqoshiwe, ogqotshiwe emgqeni wakho. Lokhu kuvumela ukuba ahlole i-prostate futhi abone noma yini engavamile, kuhlanganise nesimo, ubukhulu, noma ukuthungwa.
Yini "evamile" futhi "engavamile" ku-DRE
Uma i-prostate itholakala ukuthi "iyinto evamile" ekuhlolweni kwe-digital rectal, iyozizwa igxilile futhi ngeke ibe nezindawo zokukhula kanzima noma ukukhuphuka. Ukwengeza, i-prostate akufanele izwe ikhuliswe ekuhlolweni.
I-prostate ingatholakaliswa "engavamile" ekuhlolweni kwe-digital rectal nganoma yisiphi isibalo sezizathu ezifaka:
- ukuba khona kwendawo yokukhula kanzima
- ukutholakala kwe-nodule noma i-bump
- ukwanda okwenziwe ngobukhulu
- imizwa yokuthintana nokuthinta
Kwenzekani Uma I-DRE Yakho Engavamile
Ukuhlolwa kwe-digital rectal kuyasiza kakhulu uma kuhlanganiswa nokuhlolwa kwe-PSA . Uma i- PSA yakho iphezulu noma ikhula ngokushesha, udokotela wakho cishe uzokhetha ukukuhlola umdlavuza we-prostate kungakhathaliseki ukuthi ukuhlolwa kwe-digital rectal kubonisa yini.
Lokhu kungenxa yokuthi, ngeshwa, amanye amadoda ahlakulela umdlavuza we-prostate ngaphandle kokungajwayelekile okubonakalayo ekuhlolweni kwawo kwama-digital rectal.
Uma i-PSA yakho ijwayelekile, kodwa udokotela wakho uthola indawo yokuqina kanzima noma isicupho, khona-ke cishe uzokhetha ukwenza i- biopsy ngosuku olulandelayo ukuze anqume noma ngabe le ndawo ingumphumela wesifo somdlavuza we-prostate.
I-biopsy kuphela enganquma ngokucacile ukuthi umuntu unomdlavuza wesibeletho.
Uma i-PSA yakho ijwayelekile noma iphakanyisiwe futhi i-prostate yakho ikhuliswa ngaphandle kwendawo yobulukhuni noma udweshu, udokotela wakho angase asho lokhu ukuthi ku-BPH (i-prostate ehloniphekile). Nokho, kungenzeka, afune ukwenza i-biopsy yokulawula umdlavuza we-prostate.
I-prostatitis, ukuvuvukala okwesikhashana kwe-prostate okungewona umdlavuza, kungabangela ukuba i-prostate ivule futhi ibe ithenda ekuhlolweni.
Okubalulekile
Ukuhlolwa kwe-rectal yedijithali inikeza ulwazi oluningi kudokotela wakho mayelana nempilo ye-prostate yakho, kodwa akusivivinyo oluphelele. Uma kuhlangene nokuhlolwa kwe-PSA nolunye ulwazi mayelana nempilo yakho, kungasiza ukuqondisa udokotela wakho ukuba ahlole ukuhlolwa okungaphezulu (njenge-biopsy) ukuze umdlavuza wesicathulo noma ezinye izimo ezibalulekile ze-prostate zingatholakala ngaphambi kwesikhathi.
Umthombo:
Tanagho EA, McAninch JW. U-Smith's General Urology, u-17th Edition.