Kana kenza yako "yakarongeka," chiremba wako ari kuedza kuisa mutsauko wako pachirwere kubva pane zvawakaita kure. Izvi zvinowanzoitwa mushure mekunge maonekwa kuti mune kenza yeprotate inotevera kuongorora kwePSA kana kumwe kuongorora.
Chikamu chekenza yako ndechimwe chezvinhu zvinokosha zvikuru zvinoshandiswa kana uchitarisa kufara kwako uye kuti kurapwa kusarudzo ndeipi yakanaka kwauri.
Pamusoro pechikamu chikuru, pasi pechitsiko chako, kana kenza yako isati yanyanya kufambira mberi uye zviri nani kutaridzirwa.
Vanenge vese vane chirwere chekenza yeprostate vanotora imwe nzira yekugadzirisa uye zvakakosha kuva nenzwisiso inokosha yekuti izvi zvinoitwa sei.
Mibvunzo yekutanga uye Miedzo
Nhanho yekutanga yekugadzirwa kunoitwa kana chiremba wako achiita chidimbu chema digital rectal (DRE). Inenge vanhu vose vachawana zvishoma izvi muzinga wekugadzirisa. Kakawanda, chiremba anogona kunzwa manzwiro ekukura kwechiremera chacho uye kuti chirwere chacho chinowanikwa mune imwe kana maviri (half or two) ye prostate.
Mhinduro dzaunopa mibvunzo kubva kuna chiremba wako nezvezviratidzo, zvakadai sekurwadziwa kwepfupa (izvo zvinogona kuratidza kuti kenza yakapararira kumapfupa), zvinogona kureva kuti nzvimbo yakakwirira yekenza iripo.
Kufungidzira Miedzo
- Bone Scan
Chirwere cheprostate, kana chichipararira kure neprostate, kazhinji chinopinda mumapfupa. Nemhaka yeizvi, rimwe remapurogiramu anonyanya kufanana ekufungidzira anoshandiswa pakutsvaga kenza yeprotate ndiyo inonzi bone (dzimwe nguva inonzi "radionuclide bone scan").
Kuti uite pfupa , iwe unofanirwa kuva nechikamu chiduku chemvura inonzi radioactive injected into vein. Nyaya idzi dzichapararira mumuviri wose, asi inofanirwa kuenda kune dzimwe nzvimbo mumapfupa apo kenza iripo.
Maawa mashomanana mushure memashoko acho, inorara patafura kana ikamera inoshandiswa iyo inogona kuona kuti zvakasvibiswa sei. Nzvimbo dzomuviri wako nedzimwe nhepfenyuro dzakasvibirira "dzichapenya" pane kamera.
Zvinosuruvarisa, zvimwe zvirwere zvakadai seArthritis zvinogona kukonzera kukanganisa kumapfupa uye "ichasimudza" pane pfupa. Nokuda kweizvi, kana iwe uine nzvimbo dziri pfupa rako rinotarisa chiremba wako, unogona kuwedzera kuongororwa kwenzvimbo idzi kunyatsoona kana kenza iripo kana kwete.
- Computed Tomography Scan (CT Scan kana "CAT" Scan)
A CT scan anoshandisa ma-ray kuti aite mufananidzo wakajeka we mukati memuviri wako. Paunenge uchivata patafura, tafura ichaputira uye ichibuda muhomwe huru inobereka uye inoona x-rays. Mazhinji x-rays anotorwa munguva pfupi uye ipapo anounganidza achishandisa purogiramu yepakombiyuta kuti agadzire "zvimedu" zvinoratidza zvivako mukati memuviri wako. Iwe unogona kana usingadi kuti uve nemusiyano wemvura wakakonzerwa mukati-kati (IV, mumusana) kuitira kuti uwane mufananidzo wakanaka.
CT kuongorora kunobatsira pakucherechedza zviremara zvakakura, zvinotyisa mu prostate kana kune imwe nzvimbo. Zvinowanzobatsira zvikuru pakugadzirisa kana kanzvadzi yako yakawanda yakapararira kune dzimwe nhengo kana kune lymph nodes pedyo ne prostate. Havasi kunyanya kunaka pakunongedza zviduku zviduku zvekenza mumuviri wose.
- Magnetic Resonance Imaging (MRI) Scan
MRI inoongorora haishandisi x-rays se CT scan. Pane kudaro, vanoshandisa mafungu eredhiyo kuti abudise mufananidzo wakajeka wemuviri. Mifananidzo yakasikwa neMRI scan ndiyo "zvigunwe" zvemuviri zvinogonawo kusanganiswa mu 3D model. Iwe unofanirwa kurara patafura iyo inofanirwa kupinda muhombe huru yekuongorora uku. MRI inoongorora inotora nguva yakareba kwenguva yakareba kupfuura CT yekuongorora kuti upedze uye iwe unorayirirwa kuti ureve zvachose mukuongorora. Dzimwe nguva, kufanana neC CT scans, chinhu chakasiyana-siyana chemvura chinodiwa kuitira kuti tive nomufananidzo wakanaka.
MRI inoongorora inokwanisa kupa mifananidzo yakajeka yezvinyama zviduku zvakadai se-lymph nodes, prostate, nezvimwe zvivako zvakapoteredza seminal vesicles uye chikafu.
- ProstaScint Scan
ProstaScint scan inoshandiswa zvitsva inoshandisa nzira yakafanana neyese pfupa. Chinhu chiduku chezvinhu zvinokonzerwa neRacactive injected muvaini yako. Nyaya iyi, zvisinei, yakagadzirirwa kutarisa kune nzvimbo mukati memuviri umo maitiro ekenza yeprostate akapararira. Ikamera yakakosha inoshandiswa kugadzira chimiro chemuviri wako newemasayiti ekenza yekenza yeprostate. Izvi zvinonyanya kubatsira paunenge uchiedza kuziva kana zvinyoro zvishoma (kwete mapfupa) mumuviri wose zvave zvichitambudzwa nemasero ekenza yeprotate.
Miedzo inopinda
Dzimwe nguva, kuedza kwekutanga nekufungidzirwa kwekufungidzira hazvina kukwana kupa mamiriro akakodzera emukenza wako. Kuongororwa kwakawanda kunowanzodiwa.
- Lymph Node Chirwere Panguva Yokuvhiya
Apo prostatectomy yakakura (iyo inowanzozivikanwa yekenza-kubvisa chirwere chekenza yeprotate) inoitwa, chiremba anovhiya anokwanisa kubvisa lymph nodes iri pedyo ne prostate. Izvi zvipembenene mapepa ndeimwe nzvimbo dzekutanga kare iyo kenza inogona kupararira.
Kana chiremba wacho achifungira zvikuru kuti kenza yako ingangopararira (nemhaka yepamusoro yakakwirira yePSA kana kuti yakakwirira yeGleason chikwata ), iye zvino achabvisa lymph nodes panguva yekuvhiyiwa uye kuti vaongororwe kamwe kamwe nehutano hwehutano hweuchapupu hwekenza . Kana pasina kenza inowanikwa, chirwere chacho zvino chinopedzwa sezvazvakarongwa. Kana kenza inowanikwa mumakirinikodhi, zvisinei, saka kazhinji chirwere chacho chinomiswa pasina kubvisa prostate. Izvi zvinokonzerwa nekuti kana kenza yakatopararira kunze kweprostate, kubviswa kweprostate kunowedzera zvishoma kubatsiri kumurwere.
- Lymph Node Biopsy Pasina Kuvhiya
Varume vanosarudza kusaita chirwere kuti vabvise prostate yavo (nokuti, somuenzaniso, vanoda kushandisa shanduko yeaida ), mumamiriro asingawanzo, vanoramba vachiine lymph nodes yavo yakaongororwa nokuda kwekuvapo kwekenza. Zvose izvi zvinotevera zvinoshandiswa dzimwe nguva. - Laparoscopic Biopsy
Nokuda kweiyo nzira, chiremba chiremba haaiti chero nguva yakareba inenge ichinyanya mudumbu. Panzvimbo pacho, anonyora mabako maduku mumimba kuburikidza nemidziyo yakareba, yakaonda (kusanganisira duku kamera) inowanikwa. Izvi zvinogona kushandiswa nechiremba chiremba kuti abvise lymph nodes dzakakomberedza prostate. I-lymph nodes inotumirwa kuti iongororwe. - Nyeredzi Nyore Aspiration (FNA)
Nokuda kweiyo nzira, inonzi radiologist inopindira (uyo anodzidziswa zvakananga kuita zvirongwa zvakadai seFNA), anoisa nheyo refu mukati meganda uye mune chero ipi zvayo yakakura yakareba pedyo neprostate. Chimwe chiduku chiduku che lymph node chinobva chabudiswa uye chinotumirwa kuti chiongororwe.
> Kwakabva:
> Trabulsi EJ, Merriam WG, Gomella LG. Maitiro matsva ekufungidzira mukenza yeprostate. Curr Urol Rep. 2006 May; 7 (3): 175-80. Kudzokorora.