E nānā kākou i ke olakino o kou ʻōpū prostate. Nā mea āpau e pili ana i ka hoʻāʻo PSA!

Ua lohe paha ʻoe i kēia hoʻāʻo PSA? Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ia mea, a ua lohe paha ʻoe mai kahi hoaaloha mai. He hoʻāʻo koʻikoʻi loa kēia no mākou nā kāne. ʻAʻole ʻike nui ka poʻe he nui e pili ana i ia mea. No laila, e kamaʻilio kākou e pili ana i kēia lā ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo? ʻAʻohe mea e makaʻu ai, ʻo ka mea nui loa, ʻo ia ka makaʻala.

He aha ka hoʻāʻo PSA?

I ka ʻōlelo maʻalahi, ʻo PSA kahi pōkole no ka Prostate-Specific Antigen. He protein kūikawā ia i loko o kou kino. Akā, ʻaʻole ia ma nā wahi āpau. Hana ʻia ia e kou gland prostate. Loaʻa kēia gland i nā kāne wale nō, a aia ia ma lalo pono o ka ʻōpū mimi.

Hoʻopuka ʻia kēia protein i kapa ʻia ʻo PSA e nā ʻiʻo prostate olakino, a me nā hunaola maʻi prostate. Eia nō naʻe, ʻo ka mea nui loa, inā he maʻi prostate, hiki ke hoʻopuka pinepine ʻia kēia pae PSA ma nā nui kiʻekiʻe ma mua o ka maʻamau.

No laila, ʻo ka hoʻāʻo PSA he hoʻāʻo koko maʻalahi ia e ana i ka nui o kēia protein PSA i loko o kou koko. Hiki i kēia ke kōkua iā ʻoe e ʻike inā kiʻekiʻe kou pae PSA. Hana nā kauka i kēia hoʻāʻo e kōkua i ka ʻike mua ʻana i ke kanesa prostate. No ka mea, inā ʻike mua ʻia ke kanesa, ʻoi aku ka nui o ka mālama ʻia a me ka ho'ōla ʻia.

E hana pinepine ke kauka i kahi hoʻokolohua rectal digital (DRE) me ka hoʻāʻo PSA. ʻO kēia ka manawa e nānā ai ke kauka i ka prostate gland me kahi manamana lima i uhi ʻia me ka mīkina lima ma o ka anus. Hiki i kēia ke ʻike i nā puʻupuʻu a i ʻole nā ​​​​loli i loko o ka prostate gland.

He aha ka pae PSA kūpono no kou mau makahiki?

ʻOiaʻiʻo, ʻaʻole like ka pae PSA o kēlā me kēia kanaka. Hoʻololi ia i kou wā ʻelemakule. I kou wā ʻelemakule, he mea maʻamau ka piʻi mālie ʻana o kou pae PSA, ʻoiai inā ʻaʻohe ou maʻi kanesa prostate a i ʻole nā ​​​​pilikia ʻē aʻe. Eia nō naʻe, inā ʻoi aku ke kiʻekiʻe o kou pae PSA ma mua o ka mea i manaʻo ʻia, he hōʻailona liʻiliʻi paha ia e loaʻa paha iā ʻoe ka maʻi kanesa prostate. Akā, ʻaʻole ia he manaʻo he maʻi kanesa ia, ʻeā?

Ana nā kauka i nā pae PSA ma nā ʻāpana i kapa ʻia ʻo nanograms no ka milliliter o ke koko (ng/ml).

I ka manawa hea e hana ʻia ai kahi hoʻokolohua PSA?

He hoʻāʻo maʻamau kēia hoʻāʻo PSA. Inā he prostate kou, ʻōlelo ka hapa nui o nā kauka e loaʻa iā ʻoe kēia hoʻāʻo ma ka liʻiliʻi i kēlā me kēia ʻelua a ʻekolu mau makahiki, e hoʻomaka ana i ka makahiki 50.

E noʻonoʻo ʻoe he ʻano ʻē iki kāu mau hopena hoʻāʻo PSA. No laila, ʻōlelo ke kauka, "E nānā pono kākou i kēia." A laila, haʻi ʻo ia iā ʻoe e hana i ka hoʻāʻo PSA a me nā hoʻāʻo ʻē aʻe i kēlā me kēia 6 mahina, a i ʻole hoʻokahi manawa i ka makahiki.

Eia nō naʻe, inā ʻoe i ka pilikia nui o ka loaʻa ʻana o ke kanesa prostate, hiki i kāu kauka ke ʻōlelo aku i ka hoʻāʻo PSA maʻamau e hoʻomaka ana ma kahi o 40-45 mau makahiki. Hiki paha iā ʻoe ke piʻi aʻe ka pilikia no kēia mau kumu:

• Inā ua loaʻa i kekahi o kou ʻohana, ʻo ia hoʻi, kou makuakāne, he kaikunāne, a i ʻole ʻelua mau hoahānau kekelē mua, ka maʻi ʻaʻai prostate.
• Inā he ʻeleʻele ʻoe. (Ua hōʻike kekahi mau haʻawina i kēia, akā ʻaʻole maʻamau no nā mea āpau, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau.)

Eia kekahi, inā loaʻa iā ʻoe ke kanesa prostate, hoʻohana nā kauka i ka hoʻāʻo PSA e ʻike i ka maikaʻi o kāu hana a e nānā inā ua hoʻi mai ke kanesa.

Nā mea e pono ai ʻoe e ʻike ma mua o ka hoʻāʻo PSA

Ma mua o ka hana ʻana i kahi hoʻāʻo PSA, pono ʻoe e haʻi i kāu kauka i kēia mau mea:

• Inā ʻoe e lawe nei i ka lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo Benign Prostatic Hyperplasia (BPH), no ka laʻana, ʻo Finasteride (Proscar®) a i ʻole Dutasteride (Avodart®).
• Inā ʻoe e lawe nei i nā lāʻau lapaʻau e like me `(Finasteride (Propecia®))` no ka nalowale o ka lauoho.
• Inā ua hana ʻia ʻoe i ke ʻoki kino no BPH, no ka laʻana, he Transurethral Resection (TUR).
• Inā ua loaʻa iā ʻoe kahi biopsy prostate i hala koke nei, ʻo ia hoʻi, i loko o nā pule 6 i hala iho nei.
• Inā ua hoʻohana koke ʻoe i kahi catheter urinary a i ʻole ua hana ʻia kekahi kaʻina hana ʻē aʻe e hoʻopilikia ai i kāu ʻōnaehana urinary.
• Inā he maʻi kou e hoʻopilikia ai i kou ake, e like me ka cirrhosis o ke ake, cystic fibrosis, a i ʻole hepatitis C.
• Inā loaʻa iā ʻoe kahi maʻi ʻōpū mimi (UTI), a i ʻole ua loaʻa iā ʻoe i loko o nā mahina ʻekolu i hala.

Hiki i kēia mau lāʻau lapaʻau a me nā kaʻina hana ke hoʻopilikia i kāu mau pae PSA, e paʻakikī ai i kāu kauka ke ana pololei i kāu pae PSA.

No laila, e hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi i kekahi mau lā ma mua o ka hoʻāʻo ʻana e kōkua iā ʻoe e loaʻa ka hopena pololei loa. Hiki i kēia mau kuhikuhi ke komo pū me:

• E hōʻalo i kekahi hana moekolohe no 48 mau hola ma mua o kāu hoʻāʻo PSA. Hoʻokomo pū kēia i ka masturbation. Hiki i ka ejaculation ke hoʻonui i kāu mau pae PSA no kekahi manawa.
• Mai hoʻoikaika kino no 48 mau hola ma mua o ka hoʻāʻo PSA. Hiki i ka hoʻoikaika kino ikaika, ʻoiai ke holo paikikala, ke hoʻonui i kāu mau pae PSA no kekahi manawa.

He aha ka mea e hana ʻia ke hana ʻia kahi hoʻāʻo PSA?

He mea maʻalahi loa ia. Ua like ka hoʻāʻo PSA me kahi hoʻāʻo koko maʻamau. Eia ka hana a kahi mea lawelawe olakino:

• ʻO ka maʻamau, koho ʻia kahi aʻa koko ma kou lima a hoʻomaʻemaʻe ʻia ka ʻili ma ia wahi me kahi antiseptic.
• A laila, me ka hoʻohana ʻana i kahi nila lahilahi, ua lawe ʻia kahi koko liʻiliʻi mai ke aʻa.
• ʻO ka mea hope loa, ua hoʻouna ʻia kēlā hāpana koko i ka lab no ka hoʻāʻo ʻana.

ʻEhia ka lōʻihi o ka hoʻāʻo PSA?

He mau minuke wale nō ka huki ʻana o ke koko. Ma hope o kēlā, e noi paha ke limahana lapaʻau iā ʻoe e hoʻomaha no kekahi mau minuke hou aʻe ma mua o kou ala ʻana a haʻalele.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o ka wehe ʻia ʻana o ke kui, e kau ʻia kahi ʻāpana pulupulu maʻemaʻe a i ʻole gauze ma luna o ka wahi e kōkua ai i ka hoʻōki ʻana i ke kahe ʻana o ke koko. A laila e kau ʻia kahi kāʻei liʻiliʻi.

• Pono ʻoe e hoʻopaʻa i kēlā kāʻei no kekahi mau hola, a mai hoʻokuʻu iā ia e pulu.
• E inu i ka wai nui ma hope o ka hāʻawi ʻana i ke koko.
• Eia kekahi, e pale i ka hoʻoikaika kino no kekahi mau hola ma hope o kāu hoʻāʻo koko, ʻoiai ʻo ka hoʻoikaika kino ma hope o ka hāʻawi ʻana i ke koko e hoʻonui i ka pilikia o kēia mau mea:
• Luhi
• Pōʻino
• Ka mae ʻana
• Ka luaʻi a me ka luaʻi
• Ke kahe ʻana o ke koko
• Nā palapū

Aia kekahi mau pilikia i ka hoʻāʻo PSA?

Aia kekahi mau pilikia liʻiliʻi a i ʻole nā ​​​​pilikia e pili ana me ka hoʻāʻo PSA. E nānā:

• Ma waho aʻe o ke kanesa prostate, hiki i nā kūlana ʻē aʻe ke hoʻonui i nā pae PSA. No ka laʻana, ʻo ka benign prostatic hyperplasia (BPH), prostatitis, a me nā maʻi urinary tract (UTIs). I kekahi manawa hiki i kēia ke hoʻoulu i ka hopohopo pono ʻole a me ka pono no nā hoʻokolohua hou aʻe.
• ʻAʻole hoʻonui kekahi ʻano maʻi kanesa prostate i nā pae PSA. ʻO ke ʻano kēia, inā hōʻike kāu hoʻāʻo PSA he maʻamau kou mau pae, hiki nō iā ʻoe ke loaʻa i ka maʻi kanesa (ʻoiai he mea paʻakikī loa kēia).
• Hiki paha iā ʻoe ke manaʻo i ka luaʻi, ka poniuniu, a i ʻole ka luhi i ka wā a ma hope paha o ke kaha ʻana o ke koko.
• Hiki ke loaʻa kekahi ʻeha a palapū paha ma kahi o ke kui no kekahi mau lā.

He aha nā hopena āu e loaʻa ai? A he aha ke ʻano o ia mau mea?

E like me kā mākou i kūkākūkā ai ma mua, ʻokoʻa nā pae PSA ma muli o kou mau makahiki. Inā ʻoi aku ke kiʻekiʻe o kou pae PSA ma mua o ka mea i manaʻo ʻia no kou hui makahiki, ʻaʻole ia he manaʻo he maʻi kanesa prostate kou. Eia nō naʻe, hiki ke hōʻike i kahi piʻi iki o ka pilikia. Inā pēlā, hiki i kāu kauka ke paipai i kekahi mau hoʻokolohua hou aʻe. Hiki i kēia mau mea ke komo pū me:

• Nā hoʻāʻo kiʻi: Hiki i kahi MRI (Magnetic Resonance Imaging) a i ʻole kahi Transrectal Ultrasound ke kiʻi i nā kiʻi kikoʻī o kou prostate. Inā loaʻa kekahi mau wahi kānalua, hiki i kāu kauka ke kauoha i kahi biopsy.
• ʻO ka Biopsy Prostate: ʻO kēia ka manawa e lawe ai kāu kauka i kahi hāpana liʻiliʻi o ka ʻiʻo mai kou prostate a hoʻāʻo iā ia no nā hunaola kanesa. ʻO kēia wale nō ke ala e ʻike pono ai inā loaʻa iā ʻoe ka maʻi kanesa prostate a hoʻoholo i kona pae.

ʻEhia ka manawa e loaʻa ai nā hopena o ka hoʻokolohua PSA?

ʻO ka maʻamauPono ʻoe e loaʻa i kāu mau hopena hoʻāʻo PSA i loko o hoʻokahi pule . Hiki i kāu kauka ke kāhea aku iā ʻoe a noi iā ʻoe e hoʻonohonoho i kahi manawa e kūkākūkā ai i nā hopena.

He aha ka pae PSA e hōʻike ana i ka maʻi kanesa?

ʻAʻole manaʻo ka pae PSA kiʻekiʻe he maʻi kanesa prostate kou. ʻAʻohe pae PSA kikoʻī e hiki ke haʻi iā ʻoe inā he maʻi kanesa kou a ʻaʻole paha. ʻO ke ala wale nō e ʻike pono ai inā he maʻi kanesa prostate kou, ʻo ia ka hana ʻana i kahi biopsy prostate.

Akā, eia kēia:

• Inā ma waena o 4 a me 10 (ng/ml) kou pae PSA, ʻoi aku ka nui o kou manawa kūpono e loaʻa ai ka maʻi ʻaʻai prostate ma mua o 25% .
• Inā ʻoi aku kou pae PSA ma mua o 10 (ng/ml) , ʻoi aku ma mua o 50% ka manawa kūpono e loaʻa ai ka maʻi ʻaʻai prostate.

Inā aia kāu pae PSA i kēia mau pae, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i kahi biopsy prostate.

I ka manawa hea e ʻike ai i ke kauka

E kamaʻilio me ke kauka e pili ana i kahi hoʻāʻo PSA inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• Inā he prostate kou a he 50 mau makahiki a ʻoi paha (ʻōlelo kekahi mau ʻōlelo aʻoaʻo ma hope o 45).
• Inā ʻoe i ka piʻi ʻana o ka pilikia o ka loaʻa ʻana o ke kanesa prostate. (Hiki ke kiʻekiʻe aʻe kou pilikia inā ua loaʻa kekahi o kou ʻohana i ke kanesa prostate, a inā he ʻeleʻele ʻoe. E kamaʻilio me kāu kauka e pili ana i kēia.)
• Inā he mau hōʻailona kou o ke kanesa prostate.

He aha ka pae PSA e pono ai ʻoe e nānā?

ʻO ka maʻamau, ʻo ka pae PSA ma luna o 10 ng/ml e hōʻike ana i kahi kiʻekiʻe o ka pilikia o ka maʻi kanesa prostate. Eia nō naʻe, ʻoiai ma nā pae haʻahaʻa, hiki i kāu kauka ke ʻōlelo aku i nā hoʻāʻo hou aʻe ma muli o nā kumu ʻē aʻe.

He aha nā hōʻailona o ke kanesa prostate pae 1?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ka maʻi kanesa prostate i kekahi mau hōʻailona i kona mau pae mua. ʻO ia ke kumu he mea nui nā hoʻokolohua e like me ka hoʻāʻo PSA.

Nā hōʻailona hōʻailona o ke kanesa prostate

I ka holomua ʻana o ke kanesa prostate, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• Nā loli o ka mimi: Hiki i kēia ke komo pū me ka hoʻōki ʻole o ka mimi, ka nāwaliwali o ke kahe o ka mimi, ka ʻeha a i ʻole ke kuni i ka wā e mimi ai (dysuria), a me ka pono e mimi pinepine (ʻoi aku hoʻi i ka pō).
• ʻEha ma ka ʻōpū lalo, nā pūhaka, a i ʻole ka umauma: ʻO ke ʻano paha kēia ua pālahalaha ka maʻi kanesa prostate i nā ʻāpana ʻē aʻe o ke kino.
• Koko i loko o ka mimi a i ʻole ka semen: Hiki i ka maʻi ʻaʻai prostate ke hoʻopilikia i nā ʻāpana o nā ʻōnaehana urinary a me ka hānau ʻana, hiki ke hoʻoulu i ke koko i loko o ka mimi (hematuria) a i ʻole ke koko i loko o ka semen (hematospermia).
• ʻEha iwi: Ke pālahalaha ka maʻi kanesa (ka maʻi kanesa prostate holomua), hiki iā ia ke pālahalaha i nā iwi a hōʻeha i ka ʻeha.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: ʻO ka pohō kaumaha me ka ʻole o ka hoʻoikaika ʻana hiki ke lilo i hōʻailona o ka maʻi kanesa.
• ʻO ka hana ʻino ʻana o ka erectile a me ka ʻeha i ka wā ejaculation (Dysorgasmia a i ʻole Orgasmalgia): Hiki i ka maʻi ʻaʻai prostate ke paʻakikī i ka hoʻokō ʻana a me ka mālama ʻana i kahi erectile i ka wā o ka moekolohe. Hiki iā ia ke hana i ka ʻeha i ka wā ejaculation.

Pehea e hiki ai iaʻu ke hoʻohaʻahaʻa koke i koʻu pae PSA?

ʻAʻohe ala maopopo e hoʻohaʻahaʻa i kāu mau pae PSA. Eia nō naʻe, ua hōʻike kekahi mau noiʻi e hiki i ka hana ʻana i kekahi mau hoʻololi i kou nohona a me kāu meaʻai ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu mau pae PSA. Eia kekahi mau ʻōlelo aʻoaʻo:

• E ʻai i nā meaʻai waiwai i ka lycopene: ʻO Lycopene kahi kemika e hāʻawi ana i kekahi mau huaʻai a me nā mea kanu i ko lākou kala poni a ʻulaʻula paha. Ua manaʻo ʻia he mau waiwai anti-cancer. ʻO nā tōmato (ʻoi aku ka tōmato i moʻa ʻia), ka wai meli, nā ʻapelika, ka grapefruit ʻulaʻula, a me ka guava poni he waiwai nui i ka lycopene.
• E noʻonoʻo i kahi papaʻai mea kanu: ʻO kahi papaʻai waiwai i nā mea kanu, nā huaʻai, a me nā legumes hiki ke hoʻoikaika i kou palekana a pale i ka ulu ʻana o nā hunaola maʻi ʻaʻai.
• E lawe i ka Wikamina D: Kōkua ka Wikamina D i ke kūkulu ʻana a me ka mālama ʻana i nā iwi ikaika, a hoʻoikaika pū ia i ka ʻōnaehana pale. Hana kou kino i ka wikamina D ke hōʻike ʻia ʻoe i ka lā i ke kakahiaka. Loaʻa i nā meaʻai e like me ka iʻa ʻaila, ka waiū i hoʻoikaika ʻia, ka waiū mea kanu, ka wai ʻalani, ka cereal, a me ka oatmeal ka wikamina D. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i nā mea hoʻohui wikamina D.
• Hoʻonui i ka hana kino: Hiki i ka hoʻoikaika kino waena a ikaika ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu mau pae PSA. Hoʻokomo pū kēia me ka hele wāwae i kēlā me kēia lā, ka holo wikiwiki ʻana, ka hāpai kaumaha, a me nā haʻuki leʻaleʻa.

ʻAʻohe o kēia mau mea i hōʻoia ʻia he 100% e hoʻohaʻahaʻa i nā pae PSA, akā he mea maikaʻi lākou no ke olakino holoʻokoʻa. He mea naʻauao ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka hana ʻana i kekahi hoʻololi ʻana i ka meaʻai a i ʻole ka hoʻomaka ʻana i kekahi papa hana hoʻoikaika kino.

Nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

He mea hana waiwai nui ka hoʻāʻo antigen prostate-specific (PSA) no ka loiloi ʻana i ke olakino o kou prostate. He manaʻo maikaʻi e loaʻa i kahi hoʻāʻo PSA maʻamau ke hiki ʻoe i 50 (a i ʻole 40-45 inā he mau kumu pilikia kou). Eia nō naʻe, inā he maʻi pilikia kiʻekiʻe kou, e kamaʻilio me kāu kauka e pili ana i ka loaʻa ʻana o kahi hoʻāʻo PSA ma mua. No ka loaʻa ʻana o nā hopena pololei loa, e hahai pono i nā ʻōlelo a kāu kauka ma mua o ka hoʻāʻo ʻana. Inā he mau nīnau kāu e pili ana i kēia, aia kāu kauka ma laila e pane iā lākou.

Mai makaʻu, ʻo ka mea nui ka makaʻala. Hiki i ka ʻike mua ʻana ke hana i kahi ʻokoʻa nui!

ʻO ka prostate, ka hoʻāʻo PSA, ka maʻi kanesa prostate, ke olakino o nā kāne, ka pae PSA, nā hoʻāʻo kanesa, ka hoʻāʻo koko