Nekuyera kwePSA, zviratidzo zvekenza-zvichida zvinokonzerwa nekusava nekenza zvinokonzera
Google inochengetedza zvinotsvakurudzwa kazhinji. Sezvo kenza yeprotate yakakurumbira, hazvishamisi kuti vanhu vanotsvakurudza aches kana kurwadziwa "pasi uko" muchikamu chezasi chemuviri kutsvaga " zviratidzo zvekenza ye prostate ."
Mubvunzo unowanzokanganiswa nemukati wekenza yeprostate ndeyekuti, "Ndezvipi zviratidzo?" Zvichipa izvo zvinobudiswa paIndaneti, zvakadaro, iwe unofunga kuti kenza yeprotate ine zviratidzo zvemarudzi ose: zvinetso zvekuvhota, marwadzo, zvinetso zvepabonde, kunyange matambudziko emagetsi.
Ichokwadi ndechekuti munguva ino yemazuva ano yekuongorora kwePSA, kenza yeprotate haina zviratidzo zvachose ! Kanzera yeprostate inonyatsoshanda kunze kwekunge yakanyanyisa.
Kucherechedza Kenza yeProstate nePSA Screenings
Iye zvino zvatine kuongorora kwePSA , zvinoreva kuti zvinenge zvisingagoneki nekenza yepamusoro yevasina kuwanikwa inokonzera kusagadzikana, zvinetso zvekuvhota, kunetseka nekugadzirisa, kana zvimwe zviratidzo zvine chokuita nekenza yeprotate. Izvi hazvirevi kuti varume havakwanise kuva nehutachiona zviratidzo kubva kune zvisiri izvo zvinokonzera, zvakadai se prostatitis , bhenign glandular kudzimba, urinary tract infections, kana zvirwere zvepabonde . Asi kuongororwa kwePSA kunogona kuvimbisa kuti zviratidzo chero zvipi zvingave zviripo zvinobva kune chimwe chinhu chisingabviri nekenza yeprostate.
Cancer ishoko rinotyisa zvokuti ndinonzwa ndakamanikidzwa kutaura nezvekupararira kwenhema zvakanyanya kuti kenza yeprotate inokonzera zviratidzo. Saka kana kenza yeprostate inonyatsovimbiswa kuti isina zviratidzo, tichifunga kuti PSA yakaedzwa uye inowanikwa zvakakwana, nei mawebsite achipa ruvara rurefu rwezviratidzo zvinokonzerwa nekenza yeprotate?
Ndezvipi zvingave zvisinganyatsozivikanwa zviripo?
Chaizvoizvo, mawebsite aya anotora nguva yakareba, achitsanangura mamiriro ezvinhu akambovapo kupera kwePSA kwaivepo. Zviratidzo zvinorondedzera, sekurwadziwa kwemapfupa, zvinoshanduka pakuzora, kuneta, kurwadziwa kwepachivi, zvinongowanikwa kune varume vane zvirwere zvakanyanya. Aya mawebsite haasi kubvuma kuti varume vane PSA (uye testosterone) zvakakwana havakwanise kuchengetedza zvirwere zvakapfuura.
Ndinotaura nezve testosterone nokuti imwe mamiriro apo kenza yeprostate inogona kuenderera mberi apo PSA inoramba iri pasi ndeye apo maitiro e testosterone ariwo akaderera. Kuva nechirwere chekupupurirwa kwe testosterone, zvisinei, hazvishamisi. Uye hazvisati zvakakodzera kuti uve neropa rekuziva kuziva kana maitiro e testosterone ari pasi. Nhamba yepamusoro ye testosterone inoita kuti uropi hwemunhu huve nechokuita kumukadzi wechikadzi. Anorega kutarisira zvepabonde zvachose. Kuparara zvachose kwe libido kunowanzoita kuti munhu afunge uye kunomuita kuti atsvake kurapwa kuti aone zviri kuitika.
Sezvo PSA kuongorora zvinenge zvichibvisa mukana wekuongororwa nekenza yepamusoro yeprostate, regai tiongorore chirongwa chepamutemo chekushanda chekuenzanisa kwakakodzera. Chikumbaridzo chePSA "chisina kujairika" chakasiyana, asi kazhinji PSA pamusoro pe 4.0 muvarume vanopfuura 60 inofanira kuongororwa zvakare. Vakomana vaduku vane maPSA mazinga ari pamusoro peka 2.5 vanofanirawo kunge vachiwedzera kuongorora.
Munyika yangu, kushanda sevashandi vekenza yeprostate, zvakaoma kutenda kuti varume vanopfuura makumi mana vanodarika kuongorora PSA gore negore. Zvinoshamisa kuti, zvisinei, nhamba dzinoratidza zvakajeka kuti varume vakawanda vanoita chikanganiso chekusamboongorora nguva dzose PSA yavo.
Kuongorora kwePSA ndiyo chete nzira inobatsira yekuona kenza yeprotate panguva yepakutanga (munwe uri mu rectum test ine kukosha, asi kwete zvakawanda).
Iyo Nuts and Bolts yePSA Screening
Dare reDAA risati rabvumirwa nekuongororwa kwePSA muna 1987 (pamwe chete nesarate prostate biopsy gore iroro), mufambiro wekenza yekenza yeprostate yekutanga-yakanga yakazara zvisingazivikanwi. Iye zvino, vanachiremba vanocherechedza uye vanofananidza kenza yemukomana wekare-state uye inowedzera kuwedzera.
Zvimwe PSA Doro kunze kwekuongorora Screening
Kuvhiringidzika pamusoro pePSA kunogona kubuda nekuti inogona kushandiswa kune zvimwe zvinangwa kunze kwekuongorora. Kuongorora ndechimwe chinhu chinonyanya kuzivikanwa uye chinhu chikuru.
Vanopfuura 200 000 varume vanoongororwa gore negore nekuda kwePSA kuongorora . Zvisinei, pane zvimwe zvinoshandiswa. Imwe muenzaniso ndeyekuti PSA inobatsira sei kutsanangura chikwata chekenza mushure mekunge kenza yeprotate inowanikwa. Muvarume vane kenza chirwere chePSA pasi pe10 chinosanganiswa nemhando inonyanyisa yekenza ye prostate. Ukuwo, rumwe rutivi rwePSA rwemashure makumi maviri nemakumi maviri rwunhu hunoratidzira rwechirwere chinotyisa che prostate. PSA inotorawo basa rinokosha pakuongorora kenza kunotsvaga kubudirira kwemishonga yakasiyana-siyana.
Kukonzerana Nekushandisa PSA yeProstate Cancer Screening
Kunonoka kuongororwa kwekenza yeprostate kunowedzera mukana wekenza kupararira. Ko zvino, munhu angakwanisa sei kupikisa PSA kuongorora? Ko kuongorora kwepakutanga kwekenza kunogona kuipa here? Zvinotoshamisa kuti zvakaitika zvinoratidza kuti PSA yakanyanyisa , uye inotungamirira kusingafungidzirwi kuongororwa kwevarume 100 000 gore negore vane zvirwere zvakadai zvisingatambudziki zvepachirwere izvo zvavari pangozi yekuti inopararira.
Izvi zvingasava dambudziko kana chirongwa chekurapa chakanga chagadzirirwa kuongororere aya makondombera asina ngozi. Zvinosuruvarisa, pamusana pezvidiki zviduku zvechirwere zvinonzi "kenza," vanachiremba nevarwere vanokanganisa zvakanyanya uye vanomhanyira mukurwara kusina kufanira, vachikanganisa zvinetso zvinotambudza zvepabonde nekugadzira.
Kutaura zvazviri, kudzvinyirirwa kwekenza yeprostate isina kukuvadza kwave kwakava dambudziko rakaoma kudaro muna 2011, boka rehurumende rinotsigirwa nehurumende, reU.S. Preventative Services Task Force , rakapa nyevero inokurudzira kurumbidza kuti kuongorora PSA kuongorora kunofanira kupera. Iri boka reboka rakagumisa kuti mari inotyisa yevarume vakawanda vachikuvadzwa nekurapa kusingakoshi kunofanirwa kubatsirwa kwehupenyu hunochengetedzwa nekuonekwa kwokutanga. Vazhinji vanachiremba vekuchengetedza kwepamusoro vakatora hurumende iyi kukurudzira uye vakasarudza kusiya tsika yegore negore yekuongorora PSA sezvo vachifunga kuti ichikonzera kukuvadza kupfuura kunaka.
Multi-Parametric MRI Scans: The Salvation of PSA Screening
Panzvimbo pokudzivisa kuongororwa kwePSA, pane nzira iri nani yekudzikisa kudarika. Kunyange zvazvo PSA yakakwirira ichiratidza kuti chimwe chinhu chakashata ne prostate, haritauri zvakananga kuti dambudziko rinosangana nekenza. Zvimwe zvinokonzera kukwirira kwePSA kunze kwekenza ndekuwedzera kweprostate nekuda kwekwegura, kunonzi benign prostatic hypertrophy, uye kuputika kweprostate, kunonzi prostatitis. Hapana yemamiriro aya ane chokuita nekenza yeprotate.
PSA Kurema Kubva Kukuru KwemaGlands
Big prostate glands inobereka PSA yakawanda kupfuura zviduku zvepfate. Nzira yakanakisisa yekuyera kukosha kweprotate ndeyokushandisa scan. Kuwana gland rakakura kunogona kuva nhau dzakanaka, kupa tsananguro inobata uye inokurudzira yekuti nei PSA yakakwirira. PSA "inowanzo" apo huwandu hweprostate mu cubic centimeters hunenge ka10 pane dzakawanda kupfuura PSA.
Semuenzaniso, murume ane PSA wevatatu anofanira kuva nepamusoro pe 30cc prostate; apo PSA iri 5 gland inofanira kunge yakapoteredza 50cc. PSA inongogara isina kukwana kana iine 50 muzana yakakwirira kudarika yaizotarisirwa, zvichienderana nehukuru hweprostate. Semuenzaniso, "kusina kujairika" PSA kumunhu ane 30cc prostate iri 4.5 kana pamusoro. Abnormal PSA ye 50cc prostate inopfuura 7.5. Kune munhu ane 100cc gland , PSA inoda kuva pamusoro pe15 yekufungira.
Kusvikira munguva pfupi yapfuura, nzira chete yekugadzirisa kuburikidza nematambudziko ose aya ndeyekuvhara prostate 12 nguva neine nenyuchi bhiopsy kubvisa zvigunwe zvezviko zvekuongorora pasi pe microscope. Nokuda kwekutya kwakanyanya kwekenza inoshayikwa, vanachiremba vakawanda vakurudzira kushandura bhiopsy chero nguva apo PSA yakasimudzirwa. Mamiriyoni evanhu varume vari kuUnited States gore negore. Uyu hutsinye hunogona kunge hwakakosha apo biopsy ndiyo nzira chete yekuwana kenza.
Iye zvino tava kuziva, zvisinei, kuti kuongorora kushandiswa kwema-multi-parametric magnetic resonance imaging (MP-MRI) yakajeka. Runako rwekushandisa shanduro nderokuti varume chete vane chishuvo chisingafungidziki chinowanikwa neMRI vanofanira kuve nechaopsy . Uye zvinokosha, biopsy inogona kutarirwa. Inongova chete kana maviri mapiro anodiwa. Hapanazve kubata hove kuburikidza nezvose zvese gland nemapapiro emasero! Varume vane mavara akajeka vanogona kudzivisa biopsy zvachose. Kushandura mutemo kubva kunotsvaga kwepamuviri kuenda kune MP-MRI kunogadzirisa dambudziko rekuperevedzwa kwevarume vane PSA yakakwirira.
A Kukurudzira PSA Screening Protocol
Zvinonzwisisika kutanga kutarisa PSA gore negore muvarume vanopfuura makore makumi mashanu. Varume vane nhoroondo yemhuri yekenza yeprostate kana varume variAfrica -America vanofanira kutanga kuongororwa gore negore pamakore makumi mana. Varume vanopfuura makore makumi manomwe avo vane utano hwakanaka vanofanira kupfuurira kuongorora .
Saka, chii chinokonzera hutsika hwePSA iyo inofanira kutungamira pakuita scan? Sezvakataurwa pamusoro apa, varume vaduku vane zvinyorwa zvishoma zve prostate (huwandu hweprostate hunogona kuongororwa nechiremba achiita kuongororwa kwemunwe) anofungidzire kuedza kuverenga kana PSA inopfuura 2.5. Mune murume akwegura, zvikurukuru kana prostate gland yakasarudzwa nemunwe kuongorora yakawanda, PSA pamusoro pechina 4.0 inzvimbo yakakodzera yekuwana imaging (kana chigunzwa chichinzwa, kupfuurira kuongorora kunofanirwa kunyange kana PSA inowanzo). PSA chirwere cheropa chakanyanya kudarika hope dzesango dzechiremba dzakazviwana. Kufanana nechimwe chinhu chine simba, zvisinei, kusashandisa zvisina kunaka kunogona kukonzera kuwandisa uye kukuvadza kusingakoshi.
Zvose zvisiri izvo pamusoro peInternet zvinoreva kuti zvese zvinorwadza, kurwadziwa, kana dambudziko riri pedyo neprostate zvinogona kukonzerwa nekenza. Ichokwadi kuti mubvunzo unowanzobvunzwa unobatana nekenza yeprotate ndeyezviratidzo zvekenza yeprotate inoratidza kuti vanhu vari kutungamirirwa mumhando dzose dzisina kufanira kuzvidya mwoyo. Ziva izvi: Chero bedzi iyo PSA iri muhutano hwakakwana, varume vanogona kuvimba kuti chero zviratidzo zvine chokuita neprostate zvavari kutaridzika zvinofanira kunge zvichibva kune chimwe chisingawirirani nekenza. Kuongorora kwePSA kunoona kenza yepirate yepakutanga, saka kuvimba kuti kana PSA yakajairika, munhu anogona kuva nechokwadi chokuti chero zviratidzo zvine chokuita neprostate zvinokonzerwa nezvimwe zvikonzero.