Xa indoda iya kudokotela ukuba ihlolwe rhoqo, inokuhlolwa kwe- PSA , eyenza iprotheni ebizwa ngokuba yi-prostate-specific antigen egazini. Uvavanyo lwe-PSA lusetyenziswa njengesicatshulwa somhlaza wesibeletho, esichaza ukuba siphezulu, singabonisa ukuba umntu unomdlavuza wesibeletho.
Nangona kunjalo, ngamanye amaxesha umphumo we- PSA vavanyo ubuya phezulu, nangona umntu engenawo umhlaza wesifo somhlaza.
Ngamanye amagama, kukho ezinye izizathu ngaphandle komhlaza ukuba kutheni indoda inokuba nePSA ephakamileyo.
Funda kabanzi malunga nendlela yokutolika isiphumo sakho se-PSA, ngezantsi, kwaye kutheni kubalulekile ukuba uxoxe ngokuvavanywa kwakho kunye neziphumo ezikhoyo kunye neziphumo kunye nogqirha wakho.
Yiyiphi Isiphumo sePSA esiPhakamileyo esiya kuThola
Kwakuqhele ukukholelwa ukuba kwindoda enempilo, izinga le- PSA kufuneka libe ngaphantsi kwama-nanogram (ng) nge-milliliter (mL) yegazi. Ngoko, nantoni na ephakamileyo kune-4 yayiza kubonisa ingozi enkulu yokuba umdlavuza weprotate ukhona kwaye i-prostate biopsy iya kucetyiswa.
Ngoku kunjalo, uphando lubonisa ukuba umntu unomdlavuza wesibeletho nangona umgangatho wakhe ungaphantsi kwe-4 ng / mL, kwaye loo madoda amaninzi anamazinga e-PSA aphezulu kune-4.0ng / mL kwaye akanawo umhlaza wesibeletho. Iingcali ziye zafunda nokuba ezinye iinguqu zidlala indima kwinqanaba elingaphambili lePSA njengoluhlanga lomntu okanye ubuhlanga.
Kungako ukutolika uvavanyo lwe-PSA lunokuba yinkqubo enobuqili kwaye ayifuni nje kuphela umbono wegqirha wakho wokunakekela ugqirha kodwa ugqirha ogxininise kwi-prostate (ebizwa ngokuba yi-urologist).
Ngokuqhelekileyo, nangona kunjalo, izinga eliphezulu le-PSA lomntu, amathuba akhe amakhulu kukuba unomdlavuza wesibeletho. Ukongezelela, ukwanda kwePSA yomntu ngokukhawuleza kwexesha kungabonakalisa umhlaza wesibeletho.
Umgangatho ophezulu we-PSA awuzange usoloko utyikitye umdlavuza weProstate
Kwakhona, khumbula ukuba iimvavanyo zePSA ziyaziwayo ngokuvelisa iziphumo ezimbi.
Ngamanye amazwi, iziphumo zokuvavanya zingabuya "ziphakamileyo" xa kungekho mhlaza okhoyo.
Ezinye iimvavanyo ezifana ne-prostate biopsy (xa isampula se-prostate gland isuswa kwaye ihlolwe phantsi kwe-microscope) okanye uvavanyo lwe- digital rectal lungenziwa ukuze uhlolisise umngcipheko we-prostate cancer.
Izinto okanye izimo zempilo ezinokuphakamisa izinga le-PSA ziquka:
Ukuhlutha
Ukunyuka kwegazi kunokunyusa izinga lakho le-PSA, yingakho kulunge ukuba ungabi nendawo engama-24 ubuncinane ngaphambi kokuvavanywa kwegazi, kwaye iiyure ezingama-48 zibe yindwendwe elindileyo. Oko kwathiwa, ukuba unayo i-ejaculation, kungase kube bubulumko ukucela ukuba uvavanyo luhlehliswe kuze kube yilapho ungazifakela igazi lakho ngexesha elifanelekileyo.
Igazi iD rawn Emva kovavanyo lweProstate okanye iNkqubo
Ukufumana igazi lakho emva kwe-digital rectal test, i-prostate biopsy, okanye utyando lwe-prostate lunokuphakamisa izinga le-PSA okwesikhashana. Ngoko, kubalulekile ukuba igazi lakho litsalwe ngaphambi kokuba ubone ugqirha, kungekhona emva koko.
Ukuvuvukala okanye Ukwandiswa kwe-Prostate Gland
Ukuvuvukala kweprotate (ebizwa ngokuba yi-prostatitis) okanye Ukwandiswa kwe-prostate gland (ekuthiwa yi-benign prostatic hyperplasia okanye i-BPH) engabonakaliyo ingabangela ukuba iphakamileyo yePSA iphezulu.
Iindaba ezilungileyo kukuba ezi zimbini ziyakwazi ukulawulwa ngamachiza, kwaye akukho bungqina bokuba bangela okanye badibaniswa nomdlavuza wesibeletho.
Kodwa kubalulekile ukugcina engqondweni ukuba umntu unokufumana umdlavuza wesibeleko kunye ne-prostatitis okanye i-BPH. Kule meko, uvavanyo lwe-PSA lunokuba lukhohlisayo ukutolika kwaye kutheni ezinye iimvavanyo zifuneka ukuba ugqirha wakho abeke yonke loo mfanekiso kunye kunye nokwenza i-diagnostic.
Isigqibo Sakho Sokuhlolwa kwePSA
Unokuzibuza ukuba yintoni umngcipheko we-PSA uvavanyo. Ewe, cinga ngale ndlela. Ukuba unesiphakamiso sePSA ephakamileyo, unokufuna ukuhlolwa okungakumbi njenge-prostate biopsy enomngcipheko omncinci weentlungu, ukusuleleka, nokukhupha. Emva koko, ukuba ugqiba ungenayo umdlavuza, (ngexesha elungileyo), ukukhathazeka okungadingekile, indleko kunye nexesha elichaphazelekayo kunokuba yingozi.
Ukongezelela, unokumangaliswa xa ufumanisa ukuba ukufumana umdlavuza we-prostate kusenokwenzeka ukuba akunakunceda bonke abantu. Oku kungenxa yokuba ezinye ii-prostate zonyango zikhula ngokukhawuleza kangangokuthi azibangele naziphi na iingxaki kwaye aziyikusongela ubomi. Kodwa ukubaphatha ngokuhlinzwa kunye nemisebe ye-radiation kunokubangela iingxaki zokuvuthwa, ukuba neentshukumo zokuhamba, kunye nomsebenzi wesondo.
Yingakho ogqirha abaninzi ngoku baxoxa ngeengozi kunye neenzuzo zokuhlolwa kovavanyo lwe-PSA kunye nezigulane zabo. Oku kwahluke kakhulu kwinto ogqirha abayenzayo ngaphambili, okwakungenjongo yokucebisa bonke abafana abavela kwiminyaka engama-50 ubudala.
Xa usenza isigqibo sokuba ngaba uvavanyo lwe-PSA kwaye ungakanani ubudala, ugqirha uya kujonga izinto ezinjengeembali zakho zentsapho yomhlaza wesifo seprotate, iimpawu zakho kunye nokuhlolwa koqobo, kunye nohlanga lwakho. Ngokomzekelo, amadoda ase-Afrika aseMelika asemngciphekweni omkhulu wokuba nomdlavuza wesibeletho, ngoko ezinye iinkonzo zonyango zicebisa ukuba zivavanywe kwangaphambili, ezineminyaka engama-45.
ILizwi
Ekugqibeleni, uvavanyo lwe-PSA luhlobo olufana nekrele eliphindwe kabini. Nangona uvavanyo luyakwazi ukufumana umdlavuza weprotate oyingozi kusasa kwaye ulondoloze ubomi bomntu, uvavanyo luyakwazi ukukhokelela umntu ngendlela engafanelekanga ngezizathu ezintathu:
- Ubuxoki bobuxoki: Inqanaba le-PSA liphakamileyo kodwa akukho mdlavuza wesibeletho.
- Amanqaku amanga: Inqanaba le-PSA aliphezulu, kodwa umntu unomdlavuza wesibeletho.
- I-Cancer ikhona, kodwa ikhula ngokukhawuleza kwaye ayizange ibangele nayiphi na ingxaki (kodwa oogqirha abaqhelekanga ukuba yiziphi izinto ezisongela ubomi kwaye ezingekho).
Yingakho kubaluleke kakhulu ukuba ube nengxoxo enengqiqo kunye nogqirha wakho xa ugqiba ukufumana uvavanyo lwe-PSA. Kwakhona kunengqiqo ukufunda i-American Cancer Society Recommendations for Cancer Procerate Detection.
> Imithombo:
> I-American Cancer Society. (2016). Ukukhusela umdlavuza weProstate kunye nokuQaphela kwangaphambili.
> UCarter HB et al. Ukufunyanwa kwangaphambili komhlaza wesifo somhlaza: i-AUA. J Urol . Ngo-Agasti wama-2013; 190 (2): 419-26.
> INational Cancer Institute. (2012). Uvavanyo lwe-Prostate-Specific Antigen (PSA).