Njengoko amadoda ekhula, phantse bonke bahlakulele ukwandiswa kwe-prostate. Ngokungahambi kakuhle, i-PSA iphakanyiswa ngenxa yoko. I-PSA ivela zombini kwi-prostate gland kwaye mhlawumbi, ngezinye iimeko, kwi-cancer yeprotate. Oku kudibanisa izinto. I-PSA inokuvela kumdlavuza womabili kunye ne-prostate gland gland. Ngoko xa uhlola i-PSA, umbuzo akufanele ube njalo, "Ngaba ungaphezu kwembombo engabonakaliyo njengesi-2.5 okanye 4.0?" Umbuzo kufuneka ukuba, "Ngaba i-PSA iphakanyisiwe ngaphezu kweyinto ekumele ilindeleke ngokusekelwe kubukhulu beprostate?"
Ubungakanani beprotate yomntu bunokuqikelelwa ngokuhlolwa kobugcisa bedijithali ngugqirha oqeqeshiwe kakuhle. Nangona kunjalo, kumava am, bambalwa kakhulu oogqirha abanezakhono ekuqikeleleni ubungakanani beprotate ngokuhlolwa kwe-digital. Ngoko ke, kwiimeko ezininzi ubukhulu beprotate bunokumiselwa kuphela ngokulinganisa nge-ultrasound okanye i-MRI. I-Ultrasoundcan yenziwe kwiofisi yegqirha yi-urologist. I-MRI ivame ukuqhutyelwa kwiziko elikhethekileyo lokucinga. Ubuchwephesha bokwenza ubugcisa be-IRRI yesimangalo, ebizwa ngokuba yi-MRI ye-3-T eyahlukeneyo, iyafumaneka ekuthandeni kwaye iyafumaneka ngokubanzi.
Xa ubukhulu beprotrate gland sele bufunyenwe ngumbono, i-PSA evamile kulindeleke ukuba ibalwe. Ngokuqhelekileyo, i-PSA iphakamisa enye ingongoma nganye kwi-cubic centimeters nganye (cc) yevolith volume. Ngoko ke, umlinganiselo wokubala indlela iPSA ephathelele ngayo ubungakanani beprotro kumntu oqhelekileyo usebenza ngokuhlula umqulu weprotate ngo-10.
Umzekelo, for i-30cc prostate eqhelekileyo I-PSA kufuneka ibe malunga ne-3; kwi-prostitute ye-50cc, malunga ne-5. Indoda ene-prostate ye-100cc iya kuba nayo eziqhelekileyo I-PSA malunga nama-10.
Inqanaba le-PSA lingaqhelekanga xa li-50% liphezulu kunokuba lindelwe ntoni-ngokusekelwe kubukhulu beprotate. Umzekelo, i-PSA "engavamile" yindoda ene-30cc prostate yi-4.5 okanye ngaphezulu.
I-PSA engaqhelekanga ye-50cc prostate ingaphezulu kwe-7.5. Kwi-100cc gland, iPSA iya kufuneka ibe ngaphezu kwe-15 ukudala inkxalabo. Kwiincwadi zonyango le ndlela yesilinganiselo sobukhulu be-prostate ubukhulu be-PSA kuthiwa yi- PSA . Kuze unqume ubungakanani be-prostate gland, ngaphandle kokuba inqanaba le-PSA likhuphe iitshathi, zithi ngaphaya kwe-20, awukwazi ukufumana nayiphi na izigqibo malunga nendlela iPSA inokubhekisele ngayo umngcipheko wesifo somhlaza wesibeletho.
Kukho namanye amathuba okuchaza isizathu sokuba i-PSA iphakanyiswe ngaphandle komhlaza okanye i-prostate gland. Ukunyuka okwethutyana kunokuvela kwimisebenzi yentshukumo yesondo yangoku, ukuhamba kwebhayisikile kunye ne-prophytic prostatitis. Amanqanaba e-PSA abonakala ephakame ngokungalindelekanga kufuneka ahlale ephindaphindiweyo angaqinisekiswa ngaphambi kokuqalisa ukusebenza.
I-non-specific, i-subclinical prostatitis yinto ebalulekileyo kakhulu yokuphakama kwe-PSA kwindoda ebanzi. Izifo ze-prostate gland ezinzulu ngokwaneleyo zokubangela ukuba abantu bazive begula ngenxa yentlungu ye-pelvic kunye nomkhuhlane, obizwa ngokuba yi-prostatitis, akunjalo. Nangona kunjalo, ukusuleleka kwintsholongwane ye-prostate gland, imeko abantu abangaqhelekanga ngayo, ivela phantse bonke abantu ngexesha elithile ebomini babo. Ezinye iingcali zisola ukuba le ntsholongwane yintlupheko iyisisiseko esandisiweyo sokwandiswa kweprothetesi kodwa olu xhumo aluzange lubekwe ngokuqinisekileyo.
Into ebalulekileyo malunga neprotatitis ukuba uyazi ukuba le nkqubo yokuthukuthela engabonakaliyo ibangela ukuba amazinga e-PSA akhulise, adala zonke iintlobo zokudideka kunye nokuxhalaba malunga nokuba nomdlavuza wesibeletho. Ngelishwa, unyango olulula ukuthembela ekunciphiseni ukuvuvukala alukho. Maxa wambi amayeza anqatshelwe kodwa amaxesha amaninzi angasebenzi okanye ukuhla kwe-PSA kwangexeshana. Uphando olungakumbi lufunekayo ukuze ubone indlela yokuphatha kakuhle le ngxaki.
Ngokucinga nge-prostate nokuchonga ngokuchanekileyo ubungakanani bayo, sinokubeka i-PSA kwisimo esinentsingiselo.
I-PSA ibone uvavanyo oluncedo kakhulu, kodwa ngelanga, ukulibala ukuhluka kobuninzi bobukhulu beendlovu ze-prostate zidla ngokukhokelela kwi -biopsy engafunekiyo . Ekubeni amazinga e-PSA achaphazelekayo ngobukhulu beprotrate, ukufumana intsimbi ephezulu kunokuba yiindaba ezilungileyo. Inika inkcazo enobungqina bokuba kutheni inqanaba lePSA liphezulu kwaye linceda ukunciphisa imfuno yokwenza i-biopsy.