So wo duruyɛfo asusuw sɛ ɔhaw bi wɔ wo prostate gland no mu na waka akyerɛ wo sɛ ɛsɛ sɛ woyɛ biopsy (ntini ketewaa bi a wɔfa na wɔde MRI scan hwehwɛ mu) na ama woahu no yiye? Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu kakra nka bere a wote biribi a ɛte sɛɛ no. Nanso sɛ wunim nea sɔhwɛ yi yɛ ankasa, sɛnea wɔyɛ no, ne sɛnea wusiesie wo ho ma no a, wo suro no befi hɔ. Momma yɛnka eyi ho asɛm tiawa.
Nea edi kan no, ma yɛnhwɛ, dɛn ne saa prostate biopsy a MRI kyerɛ kwan yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ titiriw a wɔde hu prostate kokoram, sɛ ɛte saa a, de hu ɔfã a ɛwɔ, na wɔyɛ ayaresa ho nhyehyɛe. Eyi hwehwɛ sɛ wode MRI ne ultrasound mfiridwuma a ɛma mfonini ahorow a emu da hɔ yiye bɛfa ntini nketenkete paa afi wo prostate mu . Afei ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini ahorow yi mu hwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaasɛ enni mu.
Dɛn ne prostate gland no?
Wo prostate yɛ wo mmarima awo ne wo nsu mu nhyehyɛe no fã. Ɛyɛ ntini a ne kɛse te sɛ walnut a ɛwɔ wo akisikuru anim. Ɛma mmadwoa mu nsu, a ɛyɛ nsu a ɛne mmadwoa fra bere a worebɔ wo ho ban no. Saa nsu yi boa ma mmadwoa nya apɔwmuden na ɛboa ma wunyinsɛn.
Wo urethra no fa prostate gland no mu. Sɛ wotow nsu a, nsu a efi akisikuru no mu fa ɔbarima no akyi fi adi, na sɛ woto wo ho a, mmadwoa fa saa afiri yi mu fi adi.
Akwan bɛn na wɔfa so yɛ saa biopsy yi?
Akwan atitiriw abien na ɛwɔ hɔ a wɔfa so nya ntini nhwɛsode fi prostate no mu. Wo duruyɛfo bɛkyerɛkyerɛ ɔkwan a eye ma wo tebea no mu akyerɛ wo.
| Ɔkwan a wɔfa so yɛ biopsy | Sɛnea wɔyɛ no ho nkyerɛkyerɛmu tiawa |
|---|---|
| Transrectal Biopsy a Wɔde Yɛ Nneɛma | Wɔ saa kwan yi so no, wonya ntini nhwɛsode denam adwinnade titiriw bi a wɔde fa wo akyi berɛmo mu na wɔde ade bi fa mu so. |
| Transperineal Biopsy a Wɔde Yɛ Adwuma | Wɔ saa kwan yi so no, wɔfa ntini bi denam ade a wɔde fa honam ani (perineum) a ɛda wo akyi berɛmo ne wo awotwaa ntam no so. |
Momma yensua mfiridwuma mu nneɛma bi a ɛkɔ akyiri ho ade.
Mprempren, wɔde mfiridwuma mu nneɛma a ɛkɔ anim di dwuma de ma sɔhwɛ yi yɛ pɛpɛɛpɛ.
- Multiparametric MRI (mpMRI): Eyi yɛ MRI kwan a ɛyɛ mmerɛw na ɛkɔ akyiri sen MRI a wɔtaa de di dwuma. Etumi hu nsakrae a ɛba kokoram mu wɔ prostate gland no mu pefee sen MRI a wɔtaa de di dwuma no. Nanso, mpMRI nkutoo ntumi nsi pi 100% sɛ kokoram biara nni hɔ. Enti, mpɛn pii no, ɛho hia sɛ wɔyɛ nipadua mu nhwehwɛmu.
- Fusion-guided prostate biopsy: Eyi yɛ ɔkwan a ɛyɛ anigye yiye. Ɛfa "fusing" MRI mfonini ne ultrasound (TRUS - Transrectal Ultrasound) mfonini ahorow bom de yɛ mfonini biako. Wodi kan yɛ MRI. Afei, bere a wɔreyɛ biopsy no, oduruyɛfo no de software soronko bi di dwuma de ka MRI mfonini ahorow ne ultrasound mfonini ahorow a wɔatwa bere koro mu no bom. Eyi ma oduruyɛfo no tumi de n’ani si prostate no mmeae a ɛyɛ adwenem naayɛ so pɛpɛɛpɛ na ɔfa ntini ahorow.
Dɛn nti na ɛho hia sɛ yɛyɛ sɔhwɛ a ɛte saa?
Nnuruyɛfo betumi afa sɔhwɛ yi so asi nneɛma pii so dua.
- Hwɛ pɛpɛɛpɛ sɛ ebia wowɔ prostate kokoram anaasɛ wunni bi .
- Sɛ kokoram wɔ hɔ a, kyerɛ ne grade/aggressive .
- Hwɛ sɛ kokoram no asan aba bio bere a wɔadi kan asa no akyi anaa.
- Ɛtɔ da bi a, wobetumi ahu tebea afoforo a ɛte sɛ kokoram ho sɛnkyerɛnne nanso ɛnyɛ kokoram (e.g., ntini a ayɛ kɛse, ɔyare mmoawa) na wɔapow sɛ ɛyɛ kokoram.
PSA mogya mu nhwehwɛmu a ɛkɔ soro no nkyerɛ ankasa sɛ obi wɔ kokoram. Ebetumi nso afi prostate a ayɛ kɛse (BPH - Benign Prostatic Hyperplasia) anaasɛ ɔyare mmoawa (Prostatitis) mu. Saa sɔhwɛ yi betumi aboa ma wɔahu nsonsonoe a ɛda tebea horow yi ntam.
Henanom na wɔtaa hia sɔhwɛ yi?
Tebea horow pii wɔ hɔ a ebia wo duruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu yi.
- Sɛ PSA (Prostate-Specific Antigen) dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa a.
- Sɛ oduruyɛfo no hu akuru anaa baabi a ɛyɛ den soronko wɔ prostate gland no mu bere a ɔreyɛ digital rectal exam (DRE) a.
- Sɛ MRI scan a atwam no kyerɛ biribi a ɛyɛ adwenem naayɛ a .
- Sɛ wo PSA dodow kɔ so kɔ soro ɛwom mpo sɛ biopsy a wɔde ultrasound yɛ daa no nhu kokoram de.
- Sɛ wɔahu sɛ wowɔ prostate kokoram dedaw na wɔhwɛ wo so denneennen a wonni ayaresa a.
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?
Eyi ho hia paa. Ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Mpɛn pii no, eyi ne nea wɔka kyerɛ wo sɛ yɛ.
| Nea ɛsɛ sɛ wɔyɛ | Dɛn nti na ɛte saa? |
|---|---|
| Amanneɛbɔ a ɛfa dade mfiri ho | Sɛ wowɔ pacemaker anaa dade biara a ɛwɔ wo nipadua mu, te sɛ nkwaa a wɔde ayɛ a, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ ansa na wɔayɛ MRI. |
| Colon a wɔde tew ho | Ɛtɔ mmere bi a wobetumi aka akyerɛ wo sɛ fa enema tew wo dwensɔtwaa ho ansa na wɔayɛ biopsy. Ɛnyɛ bere nyinaa na eyi ho hia. |
| Nnuru bi a wobegyae | Ebia ɛho behia sɛ wugyae nnuru a ɛma mogya tu ne nnuru a wɔde kum ɛyaw te sɛ NSAID nna kakraa bi sɛnea wo duruyɛfo akyerɛ wo no. Eyinom betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse. |
| Nnuru a ekum ɔyare mmoawa a wɔnom | Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so atew no, wobetumi ama wo aduru bi a ekum ɔyare mmoawa a wobɛnom ansa na woayɛ nhwehwɛmu no ne bere a woawie no. Ebia eyi ho renhia efisɛ asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no sua wɔ ɔkwan a wɔfa so fa akyi berɛmo mu no so. |
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Ɛho behia sɛ wodi kan yɛ MRI scan. Ebia wɔbɛma wo nsu titiriw bi (contrast dye) afa ntini bi a ɛwɔ wo basa mu mu na ama woanya mfonini ahorow a emu da hɔ.
Wɔtaa yɛ biopsy no wɔ ayarefo a wɔda abɔnten so. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara. Wɔde aduru bi a ɛma obi dwensɔ gu baabi a atwa prostate gland no ho ahyia no. Eyi bɛboa wo ma wote ɛyaw nka kɛse. Ebia wɔbɛma wo aduru a ɛnyɛ den a ɛma wo ho dwo nso na aboa wo ma woagye w’ahome. Enti, ɛyɛ papa sɛ wobɛma obi de wo akɔ fie sɛ ebia biribi ankɔ yiye a.
Oduruyɛfo no taa gye ntini bɛyɛ 12 kosi 16 fi prostate no afã horow. Ebia wobɛte nhyɛso kakra nka saa bere yi, nanso ɛnsɛ sɛ wote ɛyaw a ɛho hia biara nka.
Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?
Wubetumi akɔ fie wɔ sɔhwɛ no akyi nnɔnhwerew kakraa bi. Saa nneɛma yi yɛ nea ɛfata wɔ nna kakraa a edi hɔ no mu.
- Ebia mogya bi bɛtɔ ne ɛyaw kakra wɔ baabi a wɔyɛɛ biopsy no.
- Ebia mogya kakra bɛba wo nsu mu (hematuria) anaa mmadwoa (hematospermia) nna kakraa bi. Eyi yɛ ade a ɛfata, mma ɛnhaw wo.
- Ɛsɛ sɛ wonom nnuru a ekum ɔyare mmoawa a oduruyɛfo no akyerɛw ama wo no sɛnea wɔakyerɛ wo no .
Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?
Wɔde tissue sample a wɔagye afi wo nsam no bɛkɔ lab. Mpɛn pii no, egye bɛyɛ dapɛn biako , ɛtɔ mmere bi a ɛkyɛ kakra ansa na wɔanya nea efi mu ba.
Nneɛma atitiriw abiɛsa betumi afi mu aba:
- Nea enye: Wɔanhu kokoram nkwammoaa biara. Nanso, ɛntaa mma koraa sɛ atoro-asɛm a enye betumi aba, baabi a nhwehwɛmu no ayera kokoram ɛwom mpo sɛ ɛwɔ hɔ de. Sɛ wo PSA dodow da so ara yɛ kɛse a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ wosan nkɔyɛ nhwehwɛmu bio wɔ asram kakraa bi akyi.
- Adepa: Wɔahu kokoram nkwammoaa. Eyi kyerɛ sɛ prostate kokoram wɔ hɔ. Oduruyɛfo no ne wo bɛkasa afa anammɔn a edi hɔ, ayaresa a wobɛpaw, anaa sɛnea wobɛhwɛ so ho.
- Akyinnyegye: Nea efi mu ba no nyɛ nea ɛfata, nanso wontumi nsi pi sɛ kokoram wɔ hɔ anaasɛ enni hɔ. Saa bere yi de, wobetumi akamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo anaasɛ wɔnyɛ biopsy bio wɔ asram kakraa bi mu.
Ɔkwan bɛn so na wosusuw sɛnea kokoram no mu yɛ den?
Sɛ wohu kokoram nkwammoaa wɔ sɔhwɛ no mu a, ɔyare ho ɔbenfo no bɛma nkwammoaa no abasobɔde fi 1 kosi 5 a egyina sɛnea ɛte so. Afei, wɔde abasobɔde abien a wɔtaa de ma no bom ma wonya bo a wɔfrɛ no Gleason nkontaahyɛde (eyi betumi afi 6 kosi 10). Kokoram a ɛwɔ Gleason nkontabuo a ɛkorɔn (e.g., 8, 9, 10) no taa trɛw (metastasize) sen kokoram a ɛwɔ nkontabuo a ɛba fam (e.g., 6). Saa nkontabuo yi betumi aboa wo duruyɛfo ma wapaw ayaresa a eye sen biara ama wo.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ ɔyare mmoawa, te sɛ atiridiinini ne atiridiinini , bere a wɔayɛ wo nipadua mu nhwehwɛmu no akyi a, ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara.
Afei nso, sɛ sɛnkyerɛnne ahorow a edidi so yi kɔ so anaasɛ ɛyɛ kɛse a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
- Mogya a ɛwɔ nsu anaa mmadwoa mu.
- Ɔbarima ne ɔbea nna a ɛnyɛ adwuma yiye.
- Ɛho hia sɛ wɔtaa tow nsu anadwo (nocturia).
- Ɛyaw a ɛba bere a obi reto nsu anaasɛ ɔreto ne ho.
- Ɛyɛ den sɛ wobedi nsu a wɔtow, nsu a ɛyɛ mmerɛw anaasɛ ɛtwam.
Nkrasɛm a Wɔde Kɔ Fie
- MRI-guided prostate biopsy yɛ sɔhwɛ a ɛyɛ pɛpɛɛpɛ na ɛkɔ akyiri a wɔde hu prostate kokoram.
- Wobetumi akamfo nhwehwɛmu yi akyerɛ sɛ wo PSA dodow kɔ soro anaasɛ wohu akuru bi wɔ DRE nhwehwɛmu mu a.
- Ɛho hia yiye sɛ wudi oduruyɛfo no akwankyerɛ akyi (te sɛ nnuru a wubegyae, nnuru a ekum ɔyare mmoawa a wobɛnom) ansa na wɔayɛ nhwehwɛmu no pɛpɛɛpɛ.
- Ɛyɛ ade a ɛfata sɛ wubehu mogya kakra a ɛretu wo nsu ne wo mmadwoa mu nna kakraa bi wɔ nhwehwɛmu no akyi, enti mma ɛnhaw wo.
- Sɛ wunya ɔyare no ho sɛnkyerɛnne te sɛ atiridiinini ne atiridiinini a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Ɛmfa ho nea ebefi mu aba biara no, wo ne wo duruyɛfo nsusuw ho yiye na si nneɛma a edi hɔ a ɛsɛ sɛ woyɛ ho gyinae.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho