Zvinoratidzika isu tine chido chenyika ye prostate biopsies. Vanhu vane mamiriyoni vane chimiro gore negore. Zviuru mazana maviri kubva kwavari zvichaonekwa kuti vane kenza yeprostate uye inenge hafu yeizvi nehosha shoma-njodzi, mamiriro ezvinhu anogona kuchengetedzwa pasina kuchengetedzwa nokukurumidza. Kunyange zvakadaro, inopfuura hafu yevarume ava vane Low-Risk ichakurumidza kukurumidza, kurapwa kwakanyanya.
Zvinosuruvarisa, kutya kwekusarura kwakadzika mumashoko anoshandura "kenza" inotungamirira varume vakawanda kuti vatore matanho nokukurumidza.
Sezvo kuongororwa kwe "kenza" kwakanyanyisa kunongedzera kudzvinyirira, dzimwe nyanzvi dzakaratidza kuti tinongomira kuongororwa kwePSA zvachose. Nenzira iyo, kana varume vasati vaongororwa kuti ivo vachapukunyuka kubva mune zvinotyisa zvehutano hunoita kuti munhu wose ave nekukurumidza kurapwa. Kunyanya kutaura, zvisinei, kudzoka shure kwekushandisa kwePSA yekuongorora hazvizomboitiki. Varwere uye vanachiremba zvakafanana havakwanisi kurega ruzivo rwekutsvaga kwePSA inopa, isina kukwana sezvazvingave.
Kutaura kwechokwadi, vanhu vakangwara vari kutanga kuona kuti kuongorora kwePSA pamusi wega hakusi dambudziko rechokwadi. Dambudziko nderokuti vanachiremba uye varwere vari kunyanya kuora mwoyo kune mashoko ePSA anopa. PSA inoratidzikisa zvachose iyo inogona kukwidziridzwa nekuda kwezvikonzero zvakawanda zvisinganzwisisiki zvakadai sekuwedzera kweprostate, zvekuita zvepabonde zvekare kana kuputika (prostatitis).
Mhinduro yekunyanya kushandiswa kwekodzero yemakirini ndeyekudaro, kwete pasi pfupi kuongororwa kwePSA, asi kune vanoita kuti vashandi vanononoka kuti vadzivirire pasi kukurumidza kuenda pangozi bhiopsy pachiratidzo chekutanga chekuwedzera kwePSA. Isu iye zvino tinoziva kuti hapana chinhu chinokosha pakuongorora mhando dzose dzekenza yekenza yeprostate sezvo vazhinji vavo vasina ngozi zvachose.
Ichokwadi kuti inobatsira kusunungura varume ruzivo rwusingadikanwi kuti vane kemukari isina kukanganisa kanonzi Low-Risk kansa.
Saka ndeipi nzvimbo yepakati pakati penguva pfupi yepamusoro yePSA yokukwirira nekusiya PSA kuongorora uye biopsy zvachose? Asati asarudza kuita bhiopsy, prostate gland inofanira kuyerwa neye ultrasound scan kuti ione kana iri kukura zvisina kukodzera. Kana kuwanda kwePSA kukwirira kunokonzerwa nechiyero chekuwedzera kweprostate, ipapo kukwirira kwePSA kunogona kuonekwa kune chinokonzera chikonzero. Panzvimbo pekuenderera mberi nechimbichimbi pfupi, kuwedzera kwePSA kuongorora nechikwangwani cheOOPK 4K chingaratidzwa. Kubatsira kweAOPKO 4Kscore kupfuura PSA yakakwana ndeyokuti inopa chiratidzo chekuisa kenza yepamusoro yeHat-Risk, iyo inopedzisira yakagadziriswa.
Kana iyo OPKO 4Kscore test uye PSA mashizha inofadza, uyezve kuenderera mberi nekucherechedza nemamwe maitiro ekufungidzira kunopa mamwe yveshuwarisi pamusoro pekushayikwa kuonekwa kwekenza ine utsinye. Mazuva ano 3-Tesla Multiparametric MRI (MP-MRI) uye yakagadziriswa yakasiyana-siyana Doppler ultrasound, asi isina kukwana, inzira dzakarurama dzenzira dzekuona zvirwere zvechisimba.
Saka muchidimbu, bhiopsy isina kumira inofanira kunge iri nhanho yekupedzisira yevarume vane miviri yakadzika yakakwirira yePSA iyo isingagoni kutsanangurwa nehutachiona hwehutachiona, kukanganisa kwe laboratori kana kuita zvepabonde zvekare.
Heano zvimwe zviratidzo zvinoratidza kuti biopsy inogona kudiwa:
1. PSA yakakwirira kubva pakuenzana nehukuru hweganda ravo
2. An OPKO 4Kscore inoratidza huwandu hwakawanda hwekenza yepamusoro yeHat-risk
3. Chimwe chinhu chisinganzwisisiki chakaonekwa padivi rekuongorora mairi
4. Kufungidzira zvidzidzo zvinokurudzira kugadzirisa kenza ine utsinye
PSA ibasa rinoshamisa ratakabatsirwa naro kuti tiongorore kenza yeprotate kubvira kumavambo 1990. Ichokwadi kuti yakashandura utungamiri hwekenza yeprotate mumakore makumi maviri ekupedzisira. Zvisinei, mari yave iri kuwedzera kudarika kwevanhu vanenge 100 000 gore negore.
A PSA yakakwirira, panzvimbo pokugadzirisa purogiramu yakakurumidza, inofanira kutungamirira pakupfuurira mberi sezvakataurwa pamusoro apa. Kumhanyira kunongororwa nekuda kwekuti PSA inokudzwa nguva dzose inotungamirira kukurapa kusina kukodzera nemigumisiro yeupenyu hwose.