Kutheni Ungeke Ube Nomnye Ngaphandle Kwezinye
Xa kuziwa ekuhlolweni kwesifo somhlaza wesifo sesisu , ngamanye amaxesha amadoda angabhalwa ngokufumana uvavanyo lwe- digital rectal (DRE) , inkqubo elula nje apho iminwe ifakwa kwi-rectum. Abanye baya kucela ukuba kutheni ukuhlolwa kwegazi, okubizwa ngokuba yi- prostate-specific antigen ( PSA) , akwanele ukuxilonga imeko.
Ekugqibeleni, akunakwenzeka ukuba ukhethe kwaye ukhethe phakathi kweemviwo ezimbini njengoko nganye isebenza ngenjongo ethile.
Nangona kunjalo kungathandeki kwaye kungakhathazeki, kubonakala ukuba i-DRE isisityebi esibalulekileyo ekuncedeni oogqirha ukuba bafumane ukuxilongwa ngokucacileyo komhlaza.
Ukuqonda i-DRE ne-PSA
Injongo ye-DRE kunye ne-PSA kukubamba umdlavuza we-prostate ngaphambi kokuba iimpawu zivele kwaye zinalo ithuba lokusasaza kwezinye iindawo zomzimba wakho. Ngoxa umhlaza wesifo seprotate usisinye sezona zigugu kakhulu kuzo zonke i-cancer, ukuxilongwa kwangaphambili kukunika ithuba elihle lokuphilisa ngokupheleleyo.
I-DRE (uvavanyo lwama-rectal test) | I-PSA (i-prostate-specific antigen) |
Ugqirha ubeka umlenze ogqityiweyo kwi-rectum ukuze uzive ngeprotate. | Inani elincinci legazi lithathwa kwingalo kwaye ivavanywa kwibhuyibhile. |
I-DRE ihlola i-lumps, ukuvuvukala, isisa, iindawo ezinzima kunye nezinye izinto ezingaqhelekanga ze-prostate gland. | Amanqanaba ephakamileyo e-PSA abonisa ukuba kukho utshintsho kwi-prostate engaba ngumhlaza okanye unobungozi. Amanqanaba ayahluka, ngolu hlobo:
|
Imida yePSA
I-antigen ethile yeprostate yiprotheni eveliswa yi-prostate gland. Amaseli e-prostate anikwe umsebenzi wokugcina isilwanyana kwisimo samanzi ukuze i-sperm ikwazi ukubhukuda. Ukuba iprotrate ineengxaki, amazinga e-PSA aya kuphakama ngokuphendula.
Nangona kubalulekile, uvavanyo lwe-PSA luchaza kuphela ingxaki kunokuba lufumanise enye.
Amanqanaba e-PSA anokuphakanyiswa kunani na unani lezizathu, kwaye abanye abantu abanomdlavuza wesibeletho banokuba nePSA eziphantsi. Ukunyaniseka, umzekelo, unokulahla ukufundwa kwe-PSA njengomntu ogqithiseleyo kunomlinganiselo omkhulu wegazi onokunyusa iphrotheni
Iimpawu ezibuxoki kunye neendlela ezingamanga ziyaziwayo ukuba zenzeke, yingakho i-US Preventive Services Task Force (USPSTF) inikeze uvavanyo lwesikhashana "C", olubonisa ukuba akufanele lusetyenziswe yedwa ukuba luhlolisise umdlavuza wesibeletho.
Indlela i-PSA kunye ne-DRE Uncedo ngayo ichonga i-Prostate Cancer
Cinga nge-PSA njengokuqala ukugubungela emnyango ukuba into ephazamisayo. Esikhundleni sokunqumla ngqo kwi-biopsy okanye ukuqala imithi ongenakuyidinga (okanye ukunyamezela), i-DRE ikunikezela ngendlela encinane yokungazi ukuba kukho ingxaki efuna ukuyiphatha.
Ukuba kwaye kuphela xa kukho, ugqirha wakho unokuqhubeka nokucwangcisa i-biopsy okanye ezinye iinkqubo ezifunekayo ukuphawula isizathu.
Ukuba i-DRE ayiphakamise umdlavuza weprotate, uya kucetyiswa ukuba ube neenkcukacha zokulandelelana rhoqo . Ixesha liza kugqitywa ziziphumo zovavanyo lwegazi lwe-PSA, ngale ndlela:
- I-PSA engaphantsi kwe-2.5 ng / mL icebisa ukuvavanya yonke iminyaka emi-2
- I-PSA ye-2.5 ng / mL okanye ukuphakanyiswa okuphakamileyo ngonyaka
ILizwi
Kuhlala kubalulekile ukuba ulinganise "ukunganakali" kokungena kwi-DRE malunga neenzuzo zokunyamekela kwangoko kunye unyango kufuneka ukuba, ngokwenene, unomdlavuza wesibeletho. Inkqubo ikhawuleza kwaye ilula kwaye inzima kakhulu kunokuba ezinye zikhokelela ekukholweni.
Ekupheleni kosuku, ungavumeli ukuhlazeka okuncane kukugcine ungayihlolisisi uhlobo lomhlaza oqhubekayo luchaphazela ngaphezu kweyesixhenxe kumadoda aseMelika.
> Imithombo
- > Amasebe okuLawula nokuVimbela (iCCDC). "Ziziphi iilingo zokuhlola i-Cancer?" Atlanta, Georgia; hlaziywa ngoJulayi 18, 2015.
- > US Force Prevention Services Force (USPSTF). "I-prostate Cancer: Ukucoca." Rockville, Maryland; Meyi 2012.