Pane ngozi chaiyo iyo kuongorora kwePSA kunotungamirira pakuwedzererwa. Hurumende, sezvo yakadzidza iyi mamiriro ezvinhu, saka yakakurudzira kurasa PSA kuongorora zvachose. Izvi zvinoratidzika sezvisinganakidzi paunofunga kuti mamiriro ezvinhu epanguva ino anopfuura kuongororwa nevarume 100 000 vane chirwere chegadhise gore negore. Zvidzidzo zvinoratidza kuti makumi manomwe evarume ava naively vanomhanyira mukuvhiya nokukurumidza kana kupenya, kunyange zvazvo zvisingagoni kupedzera upenyu hwavo.
Kunyengedza pfungwa yehurumende yekunyora PSA kuongorora kunorega chokwadi chakanyatsogadziriswa chokuti kuonekwa kwokutanga kwechikoro chepamusoro-grade kunoponesa upenyu. Kuregerera PSA kuongorora zvachose kunongo "kukanda mwana kunze kwebhajiji."
Kenza yakakwana yekenza yeprotected test yaizoona chirwere chepamusoro-chepamusoro apo ichicherechedza zvose zvisingakuvadzi zvinhu zvishoma. Zvinosuruvarisa, iyo yemazuva ano-iyo yekuongorora chero upi hwepi hwePSA husingawanzove nehupamhi-12 hunokosha hwenheyo bhiopsy-inoona zvirwere zvepamusoro-nepamusoro-grade zvakaenzana. Uye zvinosuruvarisa, chirwere chepasi-grade chakange chisingatumidzwi "kenza," kuisa kutya kwekutyisa kuchifamba. Nhoroondo inoratidza kuti chero chinhu chinonzi kanza, pasinei kana ichidanwa "pasi-giredhi," kazhinji chinotungamirira kuvhiiyo kana kuti kupiswa kwemazuva ano kunyange zvisingakoshi.
Kutora Kuchengetedza
Varume vanotanga purogiramu yekuongorora kwePSA, saka, vanoda kutora matanho akawanda ekudzivirira kuti vadzivirire mukusangana nemamiriro ezvinhu asina kunaka, akazara nekutya.
Kutanga, murume anofanira kuziva kuti PSA yake inonguva yakazara kana isingaiti sezvainoenderana nehukuru hwe prostate gland. A PSA yakakwirira inogona kubva kumukenza, asi inogonawo kunge yakakonzerwa ne prostate yakawedzerwa yakawanda. Sezvo varume vachikura, ma prostate avo anowanzova makuru uye anowedzera PSA yakawanda. Kuwedzera kwePSA kubva kune prostate gland yakawedzerwa kunogona kusakanganiswa zvachose nekenza .
Saka kana chiremba achikuudza iwe, "PSA yako yakakwirira, ndinoda kukuendesa kune urologist kuti uone kuita bhiopsy," mhinduro yako inofanirwa inofanira kunge iri, "Ndapota ndimbotaurirei yepamusoro ye 3T miviri yakawanda yeMRI scan kana yakakwirira -kugadzirisa ruvara Doppler ultrasound scan kuti uone ukuru hwe prostate gland yangu. "
Iyo scan ichazivisa huwandu hweprostate mu cubic centimeters kana "cc." Nhamba yePSA inogona kududzirwa se "yakasununguka" kana iine chikamu chimwe chegumi chekukura kweprostate. Somuenzaniso, chirwere chePSA chinowanikwa 50cc-sized prostate gland chichava 5. A normal PSA ye 70cc prostate ndeye 7. PSA inonyanya kukwirira, uchishandisa muenzaniso wemurume ane 50cc prostate, kana 50% kumusoro izvo zvinotarisirwa zvinowanikwa zvakakwana zve 5 , mune mamwe mazwi, kupfuura 7.5. (50% ye5 = 2.5.) Chipiri chechipiri chinowanikwa kuhuwandu hunokosha hwe 5 kuti huve nePSA kukosha kwepamusoro-soro wezvakakosha kune iyo yakawanda yeprotate gland iyo iri munyaya iyi iri 7.5).
Zvechokwadi, zvimwe zvikonzero kunze kwehutachiona hukuru zvingada kuonekwa kana uchidudzira PSA. Prostate zvirwere, mabhii ebasa uye kuita zvepabonde munguva pfupi zvese zvinogona kukonzera kuwedzera kwenguva pfupi muzinga rePSA. Nhanho yokutanga inonzwisisika, kunyange usati waita prostate scan, ndeye kungomirira nekudzorera zvakare PSA muvhiki.
Kukwirira kweSpanish uye kwenguva isingatsanangurwi inoitika nguva dzose uye vanowanzodzoka kudzokera kune yekutanga asi pasina kupindira zvachose.
Pane humwe humwe hufumi hwekuita prostate imaging ne MRI Multiparametric kana kuti Doppler ultrasound muvaravara panzvimbo yekuita zvisinganzwisisiki 12-core nenyuchi biopsy.
- Apo nzvimbo iyo inoshusha yekenza yepamusoro-grade inowanikwa, chinangwa chinonzi biopsy chinogona kuitwa. Izvi zvinoreva imwe chete kana maviri senzeni samples inowanikwa panzvimbo yekuita gumi nevaviri. Izvi zvinoderedza kusagadzikana uye njodzi yehutachiona zvakanyanya.
- Kana chironda chinenge chichifungidzirwa chikaonekwa kuti pane zvingasarudzwa zviviri zvinogona kufungwa nezvazvo: Chilonda chinoshungurudza chinogona kutaridzirwa nenyuchi inonzi biopsy, kana, varwere vanogona kungofunga kuongorora mamiriro acho ezvinhu nekudzokorora kuongorora mumwedzi mitanhatu kuti vaone kana chironda chiri kukura kana kuchinja .
- Varume vane zvikwereti zvisingabatsiri (uye PSA mazinga anowanzoshandisa tsanangudzo yePSA inotsanangurwa pamusoro apa) inogona kukonzera biopsy zvachose uye inongoramba ichidzokorora shure kwegore rimwe.
Prostate Imaging
Chirongwa cheprostate chinhu chinoshamisa kubudirira asi teknolojia ndiyo itsva uye kwete nzvimbo dzose dzekufungidzira dzinokwanisa kuwana zvakaenzana zvakakwirira zvibereko. Iyo PSA yekuongorora protocol inotsigirwa munyaya ino, uchishandisa simbo-ye-ye-scans scans sechinotsiva kuita 12-core biomous biopsy, inotsigira pane zvinotevera:
- Iko kufungidzira kunoitwa nehurumende yemamiriro ezvinhu.
- Kuongorora kunoshandiswa nevadzidzisi vakanyatsodzidziswa.
- Mifananidzo yakagadzirwa kubva pajecha inotsanangurwa nemasayendisiti ane ruzivo.
- Mashoko aya anopiwa nenyaya yekuongorora yakaitwa neanyanzvi mukenza yeprostate.
Kusagadzikana mune chero imwe yenzvimbo idzi kunogona kugadzirisa zvakagadzirirwa kubva pakuona nheyo dzinotsausa uye dzisina kutendeka.
Isu takapera kwenguva yakareba kune imwe nzira yakanaka kune dzimwe nguva 12-core nhengo biopsies. Kufananidza kweprostate, kutora kuti yakanyatsoitwa, kunyatsonzwisiswa uye kunyatsorongedzwa kunounza kuponeswa kwakamirira kwenguva refu. Nhanho inotevera ichave ichine hutano huzhinji hwekufungidzira nzvimbo uye nekuzvidira kune vanakadzidza kudzidza nezvekugadzirisa hutaneti hutsva.