Yɛresusuw asɛmti titiriw bi a mmarima pii taa twentwɛn wɔn nan ase sɛ wɔbɛka ho asɛm ho asɛm: prostate gland nhwehwɛmu ( Prostate Exam ). Bere a edin no nkutoo betumi ama ebinom ate nka sɛ wɔn ho yeraw wɔn anaasɛ wɔn ho nyɛ wɔn dɛ no, sɛ wote nea sɔhwɛ yi yɛ, nea enti a ɛho hia, ne nea ohia no ase a, ɛbɛboa wo ma woahu sɛ biribiara nni hɔ a ɛsɛ sɛ wusuro. Momma yɛnka eyi ho asɛm nkɔ akyiri, ɛnte saa?
Dɛn ne prostate nhwehwɛmu?
Sɛ yɛbɛka no tiawa a, prostate nhwehwɛmu yɛ ɔkwan a wɔfa so hwehwɛ prostate kokoram ho kɔkɔbɔ sɛnkyerɛnne ahorow a edi kan . Prostate gland yɛ ntini ketewaa bi a ɛwɔ ɔbarima akisikuru ase pɛɛ. Ɛboa ma wɔyɛ mmadwoa mu nsu no fã bi.
Mpɛn pii no, prostate nhwehwɛmu wɔ afã atitiriw abien:
1. PSA (Prostate-Specific Antigen) mogya mu nhwehwɛmu: Eyi kyerɛ protein pɔtee bi a wɔfrɛ no PSA dodow a ɛwɔ wo mogya mu.
2. Digital Rectal Exam ( DRE ): Wɔ nhwehwɛmu yi mu no, wo duruyɛfo de nsateaa a wɔde nsateaa ahyɛ mu a wɔde srade ahyɛ mu di dwuma de hwehwɛ prostate gland no mu brɛoo fa rectum no mu. Eyi ma wotumi te akuru anaa ɔfe biara a ɛnyɛ ne kwan so nka.
Saa sɔhwɛ ahorow yi mu biara ntumi nka no pen sɛ, "Yiw, wowɔ kokoram." Wobu wɔn sɛ nhwehwɛmu a wɔde hwehwɛ nipadua mu , na ɛnyɛ nhwehwɛmu a wɔde hu yare.
Henanom na ɛsɛ sɛ wɔhwehwɛ wɔn mu, na bere bɛn?
Sɛnea Amerika Kokoram Fekuw kyerɛ no, wɔtaa kamfo kyerɛ sɛ mmarima nsusuw wɔn prostate nhwehwɛmu a edi kan ho bere a wɔadi mfe 50 no.
Nanso, mfe a woadi yi betumi ayɛ soronko a egyina asiane ahorow a ɛwɔ w’ankorankoro mu so:
- Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ prostate kokoram (te sɛ agya anaa onua) a, nyansa wom sɛ wubefi ase ne wo duruyɛfo asusuw nhwehwɛmu a wɔbɛyɛ ho bere a woadi mfe 45 no.
- Bio nso, wɔahu sɛ Abibifo mmarima wɔ asiane kɛse sɛ wobenya prostate kokoram. Enti, nnuruyɛfo pii kamfo kyerɛ sɛ wonfi ase hwehwɛ mu bɛyɛ mfe 45.
Ɔkwan a eye sen biara ne sɛ wo ne wo oduruyɛfo titiriw bɛkasa na wahu bere a ɛfata ma wo.
Mfa prostate nhwehwɛmu ne colonoscopy nfrafra!
Nnipa binom ma sɔhwɛ abien yi yɛ basaa efisɛ abien no nyinaa fa akyi berɛmo no fã ho. Nanso, ɛsono wɔn koraa. Wɔ prostate nhwehwɛmu (titiriw DRE) mu no, oduruyɛfo no de ne nsa rehwɛ prostate no. Nea ɛne eyi bɔ abira no, nea ɛka akyi berɛmo mu nhwehwɛmu hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wom hyɛ mu de hwehwɛ akyi berɛmo no afasu mu. Mpɛn pii no, colonoscopy nhwehwɛ prostate no mu gye sɛ wɔyɛ DRE a ɛyɛ soronko.
Bio nso, prostate nhwehwɛmu yɛ ntɛm na wobetumi ayɛ no wɔ oduruyɛfo adwumayɛbea wɔ simma kakraa bi mu, bere a colonoscopy yɛ adeyɛ a wɔtaa yɛ wɔ ayaresabea a wɔda abɔnten a ɛhwehwɛ sɛ wɔde ntini mu (IV) ma obi dwo. Woahu nsonsonoe a ɛwɔ mu?
Sɛnea wobesiesie wɔn ho ama sɔhwɛ no
Ahosiesie titiriw biara nni hɔ, nanso ɛho hia sɛ woma wo duruyɛfo hu sɛ woanya:
- Akisikuru a ɛma obi ho yɛ hyew
- Anal mu mpaapaemu
- Anal nusu a ɛba
Esiane sɛ tebea horow yi betumi ama DRE ayɛ nea ɛnyɛ dɛ nti, sɛ wudi kan bɔ wo duruyɛfo amanneɛ a, ɛboa. Bio nso, ebia wo duruyɛfo bɛka akyerɛ wo sɛ kwati nna mu dwumadi nnɔnhwerew 48 ansa na wɔayɛ nhwehwɛmu no, efisɛ ɔbarima ne ɔbea nna a wobɛtɔ no betumi ama wo PSA dodow akɔ soro bere tiaa bi na aka nea efi mu ba no.
So ɛsɛ sɛ meyɛ me dwensɔtwaa ansa na wɔayɛ sɔhwɛ no?
Dabi, ɛho nhia sɛ wosakra wo aguaree su a wotaa yɛ no. Sɛ wote nka sɛ ɛsɛ sɛ wokɔ wo dwensɔtwaa mu ansa na woayɛ sɔhwɛ a, ɛyɛ papa koraa. Prostate nhwehwɛmu no ankasa remma wo nkɔ wo dwensɔtwaa mu. Mma w’ani nnwu wɔ sɛnea ebetumi aba sɛ nsu a ɛyɛ fĩ bɛba no ho; wɔatete nnuruyɛfo ma wɔayɛ nhwehwɛmu ahorow yi wɔ ɔkwan a ɛyɛ adwumaden so na wɔbɛhwɛ ahu sɛ wo ho bɛtɔ wo sɛnea wubetumi.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Sɛnea yɛaka no, nnuruyɛfo de PSA mogya mu nhwehwɛmu ne DRE nyinaa di dwuma. Bere a wɔtaa bu PSA mogya mu nhwehwɛmu no sɛ etu mpɔn kɛse wɔ nhwehwɛmu a edi kan mu no, DRE nkutoo na wohu prostate tebea horow bi. Enti, nnuruyɛfo pii kamfo abien no nyinaa kyerɛ.
PSA (Prostate-Specific Antigen) mogya mu nhwehwɛmu
Eyi yɛ mmerɛw yiye. Wɔfa mogya bi na wɔde kɔ aduruyɛdan mu kɔhwɛ sɛnea PSA protein no te. "Ctoff score" biako biara nni hɔ a ɛkyerɛ kokoram. Wɔde nea efi mu ba yi di dwuma de boa ma wosi gyinae sɛ ebia sɔhwɛ foforo ho hia anaa.
Sɛ wo PSA dodow kɔ soro a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo prostate biopsy, MRI scan, anaa nhwehwɛmu afoforo a wɔde hu sɛ wobɛhwehwɛ mu bio.
Digitals Rectal Sɔhwɛ (DRE) .
Wɔ DRE mu no, oduruyɛfo no de nsateaa a wɔde srade ahyɛ mu a wɔde nsateaa ahyɛ mu di dwuma de te prostate gland (beae a kokoram pii fi) no akyi nka sɛ ebia akuru anaa nea ɛnteɛ biara nni hɔ. Eyi gye sikani kakraa bi pɛ.
So sɔhwɛ no yɛ yaw?
Bere a ebinom hu sɛ DRE no nyɛ dɛ kakra no, mpɛn pii no ɛnyɛ yaw na ɛkyɛ sikɔne kakraa bi pɛ. Sɛ wowɔ tebea horow te sɛ akisikuru a, di kan ka kyerɛ wo duruyɛfo sɛnea ɛbɛyɛ a obetumi ama osuahu no ayɛ brɛoo sɛnea obetumi. Nya awerɛhyem sɛ w’aduruyɛfo kuw no ani gye wo ahotɔ ho kɛse.
Dɛn na nea efi mu ba no kyerɛ?
Wo duruyɛfo bɛkyerɛkyerɛ wo PSA aba mu ne sɛ ebia ɛho hia sɛ wɔyɛ nhwehwɛmu a edi akyi anaa. PSA dodow betumi asakra esiane nneɛma bi a ɛne kokoram nni abusuabɔ nti, te sɛ ɔbarima ne ɔbea nna a wɔtow, nnuru bi, anaasɛ prostate (BPH) a ɛtrɛw ara kwa. Sɛ wo PSA no kɔ soro kakra (ɔhye so) a, ebia wo duruyɛfo no bɛhyɛ nyansa kɛkɛ sɛ wɔnsan nyɛ nhwehwɛmu bio wɔ bɛyɛ asram asia mu.
Sɛ PSA dodow no kɔ soro a, dɛn na ɛba?
Sɛ wo PSA dodow kɔ soro kɛse a, ɛda adi sɛ wo duruyɛfo de wo bɛkɔ oduruyɛfo a ɔhwɛ ntini mu yare nkyɛn ma wayɛ nhwehwɛmu titiriw ne nhwehwɛmu foforo de ahu anammɔn a edi hɔ a wobɛfa so.
Bere tenten ahe na nea efi mu ba no gye?
Mpɛn pii no, nea efi PSA mogya mu nhwehwɛmu mu ba no gye bɛyɛ da koro. Wɔ DRE ho no, oduruyɛfo no betumi aka nea wɔahu no ho asɛm ntɛm ara bere a wɔreyɛ nhwehwɛmu no.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Ma nsɛntitiriw yi ntra w’adwenem:
- Sɛ woadi mfe 50 na woannyɛ wo prostate nhwehwɛmu a edi kan a, kɔ wo duruyɛfo nkyɛn na ɔnyɛ nhyehyɛe bi.
- Sɛ wowɔ kuw a asiane kɛse wom mu (Abibifo mmarima anaa abusua abakɔsɛm) a, fi ase yɛ nhwehwɛmu bere a woadi mfe 45.
- Sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nsu a ɛkɔ wo nsu mu no asiw (sɛ nhwɛso no, ɛyɛ den sɛ wobɛtow wo ho, wo taa pɛ sɛ woto nsu, anaasɛ wote nka sɛ wo dwonku mu da mpan) a, bɔ wo duruyɛfo amanneɛ ntɛm ara. Eyinom betumi ayɛ prostate a ayɛ kɛse (BPH) anaasɛ Urinary Tract Infection (UTI) ho sɛnkyerɛnne.
Nea ɛho hia: Mpɛn pii no, prostate kokoram nkyerɛ sɛnkyerɛnne biara kosi sɛ ebedu baabi a ɛkɔ akyiri. Ɛno nti na ɛho hia sɛ wɔyɛ nhwehwɛmu sɛnea nhyehyɛe a wɔkamfo kyerɛ no kyerɛ sen sɛ wobɛtwɛn ma yare no ho sɛnkyerɛnne ahorow ada adi no.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra wɔ wo prostate nhwehwɛmu a edi kan no ho. Nanso, nimdeɛ yɛ tumi. Wo ne wo duruyɛfo nsusuw akwan horow yi ho pefee. Prostate nhwehwɛmu ne ade a edi kan a ɛbɛma wɔahu no ntɛm —na ntɛm a wobehu no ne ade titiriw a ɛbɛma wɔatumi ayɛ ayaresa!
Nkrasɛm a wɔde kɔ fie no
- Nsuro: Ɛyɛ aduruyɛ mu adeyɛ a wɔahyɛ da ayɛ, a wɔyɛ no daa.
- Yɛ ade ntɛm:Fa wo mfe a woadi ne asiane ahorow a ɛwɔ hɔ so yɛ wo nhwehwɛmu ho nhyehyɛe.
- Wo ne wo duruyɛfo nkasa: Di nsɛmmisa anaa dadwen biara a wo ne w’akwahosan ho ɔyaresafo no ho dwuma.
- Sɛ wohu no ntɛm a, egye nkwa: Sɛ wohu prostate kokoram ntɛm a, ɛma ayaresa no mu nkonimdi tu mpɔn kɛse.
Mma w’ani nnye eyi ho. Fa w'akwahosan ho dwuma . Yɛwɔ anidaso sɛ wuhui sɛ saa nsɛm yi boa wo!
Nsɛmfua titiriw: Prostate, Prostate nhwehwɛmu, PSA sɔhwɛ, DRE, Mmarima akwahosan, Kokoram nhwehwɛmu, Prostate kokoram
