Izvo Zviratidzo zveProstate Zvichitiudza Uye Hazvitiudze
Varume vakawanda vakwegura vachazoziva chirwere che prostate-specific antigen (PSA) iyo vanachiremba vanowanzoshandisa kuratidza kenza yeprostate. Kunyange zvazvo vanhu vakawanda vachizozvitaura se "prostate test test," hazviwanikidzi kenza asi pane kuputika kwegeni pachako.
PSA ipuroteni chaiyo yakagadzirwa ne prostate gland.
Kana pane chero kusakosha kana utachiona hweglandu, kuputika kunokonzera kuchaita kuti kusunungurwa kwemamwe maantigen. Iyo yakakwirira yePSA level, yakanyanya kupisa.
Chirwere cheprostate chinongova chimwe chezvinhu izvo chirongwa chePSA chinogona kubatsira kuongorora. Kunyange zvazvo PSA yakakwirira ingave inofananidzira kuipa, muedzo chete haugone kupa hutano. Nokuda kweizvi, mamwe maedzo ekuongorora uye kuongororwa kwaizodiwa.
Kwete-Kanzira Inokonzerwa nePPP
Kuongorora kwePSA kwakatanga kugamuchirwa neU.S. Food and Drug Administration muna 1986 kuti iongorore kufambira mberi kwekenza yeprostate muvarume vakawana chirwere chacho. Pakazosvika gore ra1994, zvakave pachena kuti kuedza kwaivewo kwakakosha pakucherechedza prostatic kutura mune dzimwe zviratidzo-pasina varume.
Kunyange zvazvo kenza yeprotate iri pachena inonyanya kukoshesa kunetseka, zvimwe zvisingave nekenza zvinogona kuita kuti PSA iwedzere. Yakawanda pane iyi ndeye prostatitis (kuputika kwe prostate gland).
Iko, chaizvoizvo, chikonzero chinonyanya kukosha chezvinetso zveprostate muvarume pasi pe50 uye zvinogona kutora maitiro akasiyana-siyana:
- Acute bacterial prostatitis, kazhinji inokonzerwa kana mabhakitiriya achidonha kubva pamugwagwa wemuguta kuenda ku prostate gland
- Chronic bacterial prostatitis, inoratidzirwa nekuputika kunoramba kuripo
- Nguva isiri iyo inonzi prostatitis, iyo inogona kunge ine zviratidzo asi hapana chakazivikanwa chinokonzera
- Chronic asymptomatic prostatitis, iyo kuputika kuripo asi pasina zviratidzo
Chimwe chikonzero chepamusoro yePSA mazinga ndeye benign prostatic hyperplasia (BPH) , chiitiko icho gland pacharo inowedzera. BPH inonyanya kuonekwa muvarume vakuru uye inogona kukonzera kusanzwisisika zviratidzo zvekuvhota, kusanganisira kuora kwehutano hwemvura. Nepo zvisingave zvakanyatsojekesa zvinokonzera BPH, vazhinji vanozvitenda kuti zvine chokuita nekuchinja kwemashure evanhukadzi kana varume vachikura.
BPH haisi kenza kana kuratidza kenza. Zvisinei, zvakakosha kuongororwa uye kubata sezvo zvinogona kutungamirira kune zvinetso zvakadai sehutachiona hwehutachiona (UTIs) , matombo echikanya, kuora kwechiropa, uye kuora kwepvo.
Kucherechedza Kenza yeProstate
Munguva yakapfuura, vanachiremba vainyanya kufunga nezvePSA mazinga e 4.0 kana pasi apa kuti ave akaenzana. Kana mazinga akanga ari pamusoro pe 4.0, vanachiremba vaizofunga kuti iyo ichange iri mutsvuku mutsva wekenza uye pakarepo inoronga bhizinesi.
Mumakore achangopfuura, zvakadaro, vanachiremba vauya kuzonzwisisa kuti hakuna "chaiyo" PSA kukosha. Kutaura zvazviri, varume vane PSA shoma vanogona kuguma vane kenza, asi avo vane PSAs kumusoro kwe 4.0 vanogona kunge vasina kenza zvachose.
Sezvo zvakadaro, mazano ezvino ari kuratidza kushandiswa kwePSA pamwe nekuongorora kwema digital rectal (DRE) sechikamu chekuzvipira kwekenza yekuzvidira kwekenza.
Iyo DRE ndiyo kuongorora kwemuviri umo munwe unowanikwa mukati re rectum kuongorora ukuru uye kusagadzikana kweglandu. Inoitwa pasinei nemitemo yePSA uye inogona kubatsira pakuona chero kusakanganiswa kusina kuonekwa nePSA test.
Kuyera kwePSA uye DRE inokurudzirwa kune varume vanopfuura makumi mashanu uyewo avo vari pakati pemakore makumi mana ne49 avo hama kana baba vane kenza yeprostate. Kubva pamigumisiro yezviedzo, zvinotevera zvinowanzoitika:
- Kana iyo PSA isingasimudzi uye DRE inowanzoitika, chiremba angakurudzira imwezve kuongorora mugore.
- Kana PSA ichikwiridzirwa asi hapana zviratidzo kana kusakanganisika, chiremba angakurudzira imwe imwe PSA kuedza kugadzirisa mhinduro. Kana ichiri kukwirira, chiremba angangoda kuongorora mamiriro ezvinhu nguva dzose kuti aone chero kuchinja kupi zvako.
- Kana iyo PSA ichinge yakakwirira uye kune chikafu chinoshungurudza, chiremba anogona kukurudzira miedzo yakawedzerwa kusanganisira urine test (kuedza UTI), X-rays, transrectal ultrasound , kana cystoscopy . Kana kenza yeprotate inofungidzirwa, bhiopsy ingakurudzirwa.
> Sources:
> National Cancer Institute: National Institutes of Health. "Testiso yeProstate-Specific Antigen (PSA)." Bethesda, Maryland; yakarongedzwa musi waOctober 4, 2017.
> Pinsky, P .; Prorok, P .; uye Kramer, B. "Prostate Cancer Screening - Mhedziso paNyika Ino yeUchapupu." N Eng J Med. 2017; 376: 1285-89. DOI: 10.1056 / NEJMsb1616281.