E aʻo kākou e pili ana i ka MRI-Guided Prostate Biopsy?

Ua lohe paha ʻoe i kahi biopsy prostate i alakaʻi ʻia e ka MRI? He inoa paʻakikī paha ia, akā he hoʻāʻo koʻikoʻi loa ia no nā kāne. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka biopsy prostate i alakaʻi ʻia e ka MRI?

I ka ʻōlelo maʻalahi, he hoʻāʻo kūikawā kēia e kōkua i nā kauka e ʻike i ke kanesa prostate, hoʻoholo i kona pae, a hoʻolālā i ka mālama ʻana. Pili kēia i ka lawe ʻana i nā laʻana ʻiʻo liʻiliʻi, i kapa ʻia he biopsy, mai kou prostate me ka hoʻohana ʻana i ka ʻenehana MRI a i kekahi manawa ultrasound. A laila e nānā ʻia kēia laʻana ʻiʻo ma lalo o kahi microscope mana kiʻekiʻe e kahi loea lapaʻau, i kapa ʻia he pathologist, e nānā i nā hunaola kanesa.

He aha kēia ʻano o ka prostate gland?

ʻO ka prostate kekahi ʻāpana o ka ʻōnaehana hānau kāne a me ka mimi. He ʻāpana liʻiliʻi ia e like me ka nui o ka walnut. Aia ia ma ke alo o kou ʻōpū mimi. Hoʻopuka kēia ʻōpū i ka wai seminal. Ke puka ʻoe i waho, hui pū kēia wai me ka sperm. Mālama kēia wai i ka sperm i ke olakino a kūpono no ka hapai ʻana a me ka hāpai ʻana.

Holo ka urethra ma o ka prostate gland. ʻO kēia ʻōmole kekahi ʻāpana o kāu ʻōnaehana mimi. Ke mimi ʻoe, lawe ʻia ka mimi mai ka ʻōpū mimi ma o kēia ʻōmole a i waho o ka penis. ʻO ia nō hoʻi ka ʻōmole e lawe ana i ka wai seminal a me ka sperm ke puka ʻoe.

He aha nā ʻano hana e hana ai i kahi biopsy prostate?

Aia kekahi mau ʻano like ʻole e hana ai i kahi biopsy. E kūkākūkā kāu kauka i kēia mau ʻano me ʻoe a koho i ka mea kūpono loa i kou kūlana. ʻElua mau ʻano nui:

• ʻO ka biopsy transrectal: ʻO kēia kahi e lawe ai ke kauka i kahi hāpana ʻiʻo ma o kou rectum, ʻo ia ka ʻāpana hope loa o kou ʻōpū nui / colon.
• ʻO ka biopsy transperineal: Pili kēia i ka lawe ʻana i kahi hāpana kiko ma o ka perineum, kahi o ka ʻili ma waena o kou anus a me kāu scrotum.

He aha ka biopsy prostate i kōkua ʻia e ka MRI Multiparametric?

Ke hana nei nā kauka i nā hoʻokolohua hou aʻe me ka hoʻohana ʻana i ka ʻenehana MRI a me ka biopsy nila:

• MRI Multiparametric (mpMRI):Maanei, hoʻohālikelike ke kauka i nā hopena o kahi MRI maʻamau me nā hopena o kahi MRI hou. He ʻano koʻikoʻi loa kēia mpMRI. Hiki iā ia ke ʻike i nā wahi maʻi kanesa ma mua o ka MRI maʻamau. Eia nō naʻe, ʻaʻole hiki i ka mpMRI wale nō ke kāpae i ke kanesa prostate. I ka hapa nui o nā hihia, pono ka biopsy prostate.
• ʻO ka biopsy prostate i alakaʻi ʻia e Fusion: Hoʻohui kēia hoʻāʻo, a i ʻole 'fuses', MRI a me nā ʻenehana transrectal ultrasound (TRUS). ʻO ka mea mua, loaʻa iā ʻoe kahi MRI. Kōkua kēia i kāu kauka e ʻike i nā wahi kānalua i loko o kou prostate. A laila, i ka wā o ka biopsy, hoʻohana kāu kauka i kahi probe ultrasound prostate a me nā polokalamu holomua e hoʻohui i nā kiʻi MRI a me ultrasound. ʻAe kēia kiʻi i hui pū ʻia i kāu kauka e lawe i nā laʻana ʻiʻo mai nā wahi kahi e kū pinepine ai nā pilikia.

He aha ka mea e hōʻike ʻia ai kahi biopsy prostate i kōkua ʻia e MRI?

Me kēia hoʻāʻo, hiki i nā kauka ke ʻike i kēia mau mea:

• ʻO ke kanesa prostate a me kona koʻikoʻi (grade/aggressiveness).
• ʻO ke kanesa prostate e hoʻi hou mai ana, ʻo ia ke kanesa prostate e hoʻi hou mai ma hope o ka mālama ʻia ʻana.

He aha nā mea ʻē aʻe e hoʻohana ai nā kauka i ka biopsy prostate i alakaʻi ʻia e MRI?

Inā loaʻa iā ʻoe ka maʻi prostate, e kōkua kēia mau hopena biopsy i kāu kauka e hana i ka hoʻolālā lapaʻau kūpono loa nāu.

Hiki iā ia ke ʻike i nā kūlana ʻaʻole cancerous/benign e hōʻike ana i nā hōʻailona like me ke kanesa prostate (no ka laʻana, kahi hoʻāʻo koko PSA kiʻekiʻe). ʻO ia mau kūlana:

• Ka prostate i hoʻonui ʻia (ka hoʻonui benign prostatic/hyperplasia a i ʻole BPE/BPH).
• ʻO ka prostatitis - ka mumū, ka ʻeha a me ka maʻi prostate.

ʻO wai ka mea e pono ai kahi biopsy prostate i kōkua ʻia e ka MRI?

Inā kiʻekiʻe kou pae PSA (prostate-specific antigen) i loko o kahi hoʻāʻo koko, hiki i kāu kauka ke hana i kahi biopsy prostate, i hana ʻia me ke kōkua o kahi MRI. Hiki i kāu kauka ke hana i kahi biopsy prostate inā manaʻo kāu kauka i kahi puʻupuʻu a paʻa paha i loko o kou prostate i ka wā o kahi hoʻokolokolo rectal digital (DRE), a inā hōʻike kāu MRI i kekahi mea kānalua. Hiki i kēia mau loli ke lilo i hōʻailona o ka maʻi kanesa prostate a i ʻole kahi pilikia ʻaʻole cancerous.

Pono paha ʻoe i kahi biopsy prostate i kōkua ʻia e ka MRI i kēia mau hihia:

• Inā ʻaʻole loaʻa ka maʻi kanesa i kahi biopsy prostate i alakaʻi ʻia e ka ultrasound, akā e hoʻomau ka piʻi ʻana o kāu pae PSA.
• Inā ua ʻike mua ʻia ʻoe me ke kanesa prostate a ke nānā nei kāu kauka iā ia (nānā ikaika).
• Inā ua ʻike ʻia ʻoe he maʻi ʻaʻai prostate a ke noʻonoʻo nei ʻoe i kekahi mau lāʻau lapaʻau koʻikoʻi.

He aha nā pōmaikaʻi o kahi biopsy i kōkua ʻia e ka MRI?

Ke hoʻohālikelike ʻia me ka ultrasound, hiki i kahi MRI ke hana i nā kiʻi maopopo a kikoʻī o ka prostate. Hiki i kēia ke kōkua i ke kuhikuhi ʻana i nā wahi kahi e loaʻa ai ke kanesa, kahi e pono ai nā laʻana biopsy, a me kahi e pono ai ka mālama ʻana. Hiki i kahi mpMRI ke hōʻemi i ka helu o nā biopsies āu e pono ai. Hiki iā ia ke ʻike i ke kanesa prostate me ka ʻoi aku ka maikaʻi ma mua o ka MRI maʻamau.

He aha ka mea e hana ʻia ma mua o kahi biopsy prostate i kōkua ʻia e ka MRI?

No ka hoʻomākaukau ʻana no ka biopsy prostate, pono ʻoe e hahai pololei i nā ʻōlelo a kāu kauka. Pono ʻoe e hana i kēia mau mea:

• Ma mua o ka MRI, e haʻi i kāu kauka e pili ana i nā mea hao i hoʻokomo ʻia (e laʻa, nā pacemaker, nā pani hono).
• E hoʻokahe i kou ʻōpū. Paipai kekahi mau kauka e hoʻohana i kahi enema ma mua o kahi biopsy, akā ʻaʻole pono kēia i nā manawa a pau.
• E ho'ōki i ka lawe ʻana i nā lāʻau lapaʻau e like me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a me nā lāʻau hoʻokahe koko. Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko a me ka palapū.
• I mea e hōʻemi ai i ka pilikia o ka maʻi, hiki ke hāʻawi ʻia iā ʻoe nā antibiotics ma mua a ma hope o ka hoʻāʻo. Eia nō naʻe, i ka hapanui o nā hihia, ʻaʻole pono nā antibiotics no kahi biopsy prostate transperineal no ka mea he haʻahaʻa ka pilikia o ka maʻi.

He aha ka mea e hana ʻia i ka wā o kahi biopsy prostate i kōkua ʻia e MRI?

ʻO ka mea mua, e loaʻa iā ʻoe kahi MRI. I ka wā o ka MRI, hiki ke hāʻawi ʻia iā ʻoe kahi wai kūikawā i kapa ʻia he dye contrast ma o kahi IV (ma o kou aʻa) e kiʻi i nā kiʻi ʻoi aku ka maopopo. Hiki iā ʻoe ke manaʻo i kahi anu iki ke hoʻokomo ʻia ka IV.

I kekahi manawa, loaʻa paha iā ʻoe kahi hopena maʻi i ka wai i hāʻawi ʻia i loko o kāu IV. Loaʻa paha iā ʻoe nā hives (urticaria) a me ka pehu (angioedema), a i ʻole e manaʻo paha ʻoe i ka luaʻi. Hoʻomaka pinepine kēia mau hopena ma hope koke o ka hāʻawi ʻia ʻana o ka IV. Hiki i kāu kauka ke mālama koke i kēia.

ʻO ka biopsy maʻamau he hana outpatient i hana ʻia ma ke keʻena o ke kauka, ke keʻena lapaʻau, a i ʻole ka haukapila. E hāʻawi ʻia ʻoe i kahi anesthetic kūloko e hoʻomāʻū i ka wahi i loaʻa ai ka prostate. I kekahi manawa, hāʻawi ʻia paha ʻoe i kahi sedative akahai i ka wā o ka biopsy. E hoʻi ʻoe i ka home i ka lā hoʻokahi. Inā ʻaʻole ʻoe i hāʻawi ʻia i kahi sedative, ʻaʻole paha ʻoe e pono i kekahi e lawe iā ʻoe. Eia nō naʻe, he manaʻo maikaʻi ke loaʻa ʻana o kekahi me ʻoe, inā wale nō.

Lawe ka hapa nui o nā kauka ma kahi o 12 a 16 mau laʻana ʻiʻo (cores) mai nā ʻāpana like ʻole o kou prostate. Hiki paha iā ʻoe ke manaʻo i kahi ʻūmiʻi i ka wā o ka biopsy. Hiki ke ʻoluʻolu iki ka hoʻāʻo, akā ʻaʻole ia e ʻeha.

He aha ka mea e hana ʻia i ka wā o kahi biopsy prostate i alakaʻi ʻia e ka MRI transrectal?

I ka wā o ka biopsy transrectal, e moe ana ʻoe ma kou ʻaoʻao. I ka wā o ka hoʻokolokolo ʻana, ke kauka:

• Ma hope o ke kau ʻana i kahi lubricant, e hoʻokomo mālie ʻia ka mea hana biopsy i loko o kou rectum.
• Me ka hoʻohana ʻana i kahi puka alakaʻi ma ka mea hana biopsy, hoʻokomo ʻia ka nila e hoʻokomo i ka anesthetic kūloko a lawe i ka biopsy.
• Me ka hoʻohana ʻana i nā polokalamu holomua a me nā kiʻi i lawe ʻia mai ka MRI, alakaʻi ʻia ka nila a lawe ʻia nā laʻana o nā ʻiʻo.

He aha ka mea e hana ʻia i ka wā o kahi biopsy prostate i alakaʻi ʻia e ka MRI transperineal?

I ka wā o ka biopsy perineal, e moe ana ʻoe i luna me kou mau wāwae i loko o nā stirrups. I ka wā o ka hoʻokolokolo ʻana, e hana ke kauka:

• Hoʻokomo ʻia kahi ʻōnaehana ultrasound i loko o kou rectum.
• Ua hoʻomānoʻino ʻia kou ʻili a me kou prostate me kahi anesthetic kūloko.
• Me ka hoʻohana ʻana i nā polokalamu holomua a me nā kiʻi i lawe ʻia mai ka MRI, alakaʻi ʻia ka nila a lawe ʻia nā laʻana o nā ʻiʻo.

He aha ka mea e hana ʻia ma hope o kahi biopsy prostate i kōkua ʻia e ka MRI?

Ke hoʻōla ʻia ʻoe a maikaʻi kou mau hōʻailona ola, hiki iā ʻoe ke hoʻi i ka home. Hiki iā ʻoe ke ʻike i kēia mau mea:

• Hiki paha iā ʻoe ke loaʻa kekahi kahe koko mai kahi hoʻāʻo, me ka ʻeha iki a i ʻole ka ʻoluʻolu ʻole .
• Pono paha ʻoe e lawe i nā antibiotics e pale aku i ka maʻi.
• E ʻike paha ʻoe i kahi koko liʻiliʻi i loko o kou mimi (hematuria) a i ʻole ke koko i loko o kou semen (hematospermia) no kekahi mau lā ma hope o ka hoʻāʻo ʻana. Inā loaʻa iā ʻoe kahi biopsy prostate transrectal, hiki nō hoʻi iā ʻoe ke loaʻa kahi koko liʻiliʻi i loko o kou rectum.

Āhea e loaʻa ai nā hopena o ka biopsy?

Hoʻouna ke kauka i ka hāpana ʻiʻo i kahi keʻena hoʻokolohua. Hiki ke hala ma kahi o hoʻokahi pule, i kekahi manawa ʻoi aku ka lōʻihi, e loaʻa ai nā hopena.

He aha ka ʻōlelo a nā hopena biopsy?

Eia paha ke ʻano o kāu mau hopena biopsy:

• Maikaʻi ʻole `(Maikaʻi ʻole)`:ʻAʻohe mau hunaola kanesa. Eia nō naʻe, i kekahi manawa hiki ke loaʻa kahi hopena wahaheʻe-maikaʻi ʻole. ʻO ke ʻano kēia he loaʻa paha iā ʻoe ka maʻi kanesa ʻoiai ʻaʻole hōʻike ka hoʻāʻo. Inā kiʻekiʻe kou pae PSA a i ʻole he mau hōʻailona ʻē aʻe kāu o ke kanesa prostate, hiki i kāu kauka ke kauoha i kahi biopsy ʻē aʻe i loko o kekahi mau mahina.
• Maikaʻi: Aia nā hunaola kanesa. ʻO ke ʻano kēia ua loaʻa iā ʻoe ka maʻi kanesa prostate. E kamaʻilio ke kauka me ʻoe e pili ana i ka mea e hana ai ma hope, e like me ka mālama ʻana a i ʻole ka nānā ʻana.
• Kānalua: He ʻano ʻē nā hopena a ʻaʻole maopopo ka loaʻa ʻana o ke kanesa. Hiki i ke kauka ke paipai i ka hoʻāʻo hou aʻe a i ʻole kahi biopsy ʻē aʻe i loko o kekahi mau mahina.

Pehea e hoʻoholo ʻia ai ke koʻikoʻi o ke kanesa prostate mai nā hopena o ka biopsy?

Inā loaʻa i ke kauka maʻi nā hunaola kanesa, hāʻawi lākou iā lākou i kahi māka mai 1 a 5 ma muli o ko lākou ʻano ʻē. A laila hoʻohui lākou i nā māka kiʻekiʻe ʻelua e hana i kahi helu Gleason (aia mai 6 a 10). ʻO kekahi ala e wehewehe ai i kēia helu ʻo ia ka unahi Papa Pūʻulu (1 a 5).

ʻOi aku ka nui o ka hoʻouka kaua a me ka laha ʻana o nā maʻi kanesa kiʻekiʻe (Grade Group 5) ma mua o nā maʻi kanesa haʻahaʻa (Grade Group 1). Kōkua kēia hui pae i kāu kauka e koho i ka lāʻau lapaʻau maikaʻi loa nāu.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni a me ke anu, ma hope o ka biopsy, pono ʻoe e hoʻokaʻaʻike aku i kāu kauka.

Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi prostate a i ʻole kekahi o kēia mau pilikia, pono ʻoe e kamaʻilio me kāu kauka:

• Ke koko i loko o kou mimi a i ʻole ka semen.
• Ka hana ʻino o ka erectile.
• ʻAʻole hiki ke kāohi i ka neʻe ʻana o ka ʻōpū (Fecal (bowel) incontinence).
• Ka mimi pinepine ʻana i ka pō (nocturia).
• ʻO ka mimi ʻeha (dysuria) a i ʻole ka ejaculation.
• ʻO ka hoʻōki ʻole o ka mimi, he kahe mimi nāwaliwali a i ʻole i pau.

Inā hōʻike kekahi mau hoʻokolohua he maʻi ʻaʻai prostate kou, hiki i kāu kauka ke hana i kahi biopsy prostate, i hana ʻia me ke kōkua o kahi MRI. Kōkua ka MRI i kāu kauka e ʻike a kuhikuhi i nā wahi kānalua i loko o kou prostate. Hiki i kāu kauka ke hana i kahi biopsy i alakaʻi ʻia e ka fusion, kahi e hoʻohui pū ai i ka MRI a me ka ultrasound. Inā hōʻoia nā hopena biopsy he maʻi ʻaʻai prostate kou, hiki i kāu kauka ke kamaʻilio me ʻoe e pili ana i nā koho lapaʻau.

Leka Lawe-Home

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe no ke ʻano o ka biopsy prostate i kōkua ʻia e ka MRI. ʻOiai ke kani nei paha he huaʻōlelo weliweli, he hoʻāʻo holomua maoli ia e hiki ke kōkua i ka ʻike ʻana i nā maʻi e like me ke kanesa prostate i ka wā mua.

ʻO ka mea nui loa, inā ʻōlelo kāu kauka i kēia hoʻokolohua, pono ʻoe e hoʻomaopopo piha a ʻaʻole makaʻu e hana me ia. Inā he mau hopohopo kāu, e kamaʻilio ākea me kāu kauka e pili ana iā lākou. E hoʻomanaʻo, ʻo ka ʻike mua ʻana ke ala maikaʻi loa i ka mālama holomua.

Inā loaʻa iā ʻoe kahi pae PSA kiʻekiʻe a i ʻole nā ​​​​hōʻailona ʻē aʻe, mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka no ka ʻōlelo aʻo. Hiki iā kākou āpau ke ola i kahi ola olakino!

ʻO ka prostate, ka biopsy MRI, ke kanesa prostate, ka hoʻāʻo PSA, ke olakino o nā kāne, ka hoʻāʻo biopsy, ka ʻike ʻana i ke kanesa