Ua piʻi aʻe anei kou pae PSA? (Pae PSA kiʻekiʻe) E ʻike kākou i ke ʻano o kēia!

He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe ua kiʻekiʻe iki kou pae PSA i kahi hoʻāʻo koko hou. Manaʻo ka poʻe he nui he hōʻailona ka pae PSA kiʻekiʻe o ka maʻi kanesa prostate. No laila, ʻaʻole ia he mea maʻamau ke hopohopo ke ʻike ʻoe i kahi hōʻike e like me kēia. Akā, ʻo ia maoli anei ke ʻano? ʻO ke kanesa mau anei ke kumu o ka PSA kiʻekiʻe? E kamaʻilio kākou e pili ana i kēia me ka maopopo, maʻalahi, a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

ʻO ka mea mua, e nānā kākou i ke ʻano o kēia PSA.

I ka ʻōlelo maʻalahi, ʻo PSA ka pōkole no ka Prostate-Specific Antigen . He protein kēia i hana ʻia e ka prostate gland o ke kāne, kahi gland liʻiliʻi e waiho ana ma lalo o ka ʻōpū mimi.

ʻO ka maʻamau, hōʻiliʻili kahi nui o kēia protein PSA i loko o ke koko. Akā inā pilikia ka gland prostate i kahi maʻi, ka maʻi ʻaʻai, a i ʻole ke kanesa, hoʻomaka ka gland e hoʻokuʻu i ka PSA ma mua o ka maʻamau i loko o ke koko. Hana nā kauka i kahi hoʻāʻo koko PSA e ana i ka pae o ka PSA i loko o kou koko.

Ma ka pae hea e manaʻo ʻia ai kahi waiwai PSA he "kiʻekiʻe"?

Eia kekahi mea nui e hoʻomaopopo ai. ʻAʻohe waiwai PSA 'maʻamau' hoʻokahi e kūpono i nā mea āpau. I ka wā ma mua, ua manaʻo ʻia nā waiwai PSA ma luna o 4.0 ng/ml (nanograms o PSA no ka milliliter o ke koko) he mea hoʻoulu no ka hoʻāʻo hou aku.

Akā i kēia manawa, ʻaʻole nānā wale nā ​​kauka i ka pae PSA. Akā, noʻonoʻo pū lākou i nā mea e like me kou makahiki, ke olakino holoʻokoʻa, a me ka mōʻaukala olakino ʻohana . No ka laʻana, aia paha he ʻokoʻa ma waena o ka pae PSA maʻamau o ke kāne 45 makahiki a me ka pae maʻamau o ke kāne 70 makahiki. I kou wā ʻelemakule, e ulu iki ana ka prostate, no laila he mea maʻamau ke piʻi iki aʻe ka pae PSA.

Ke manaʻo nei anei ka PSA kiʻekiʻe i ka maʻi kanesa?

ʻO kēia ka nīnau e hopohopo nei i nā poʻe he nui. ʻO ka pane pōkole, ʻaʻole! ʻAʻole hōʻoia 100% ka pae PSA kiʻekiʻe wale nō he maʻi kanesa kou. ʻO ka pae PSA kiʻekiʻe he hōʻailona wale nō ia aia kahi pilikia o kekahi pilikia me ka prostate gland.

Ke loiloi ke kauka i kou pilikia o ka maʻi kanesa, e nānā ana lākou i ʻelua mau mea nui:

1. Pae PSA: ʻO ke kiʻekiʻe o ka waiwai, ʻo ke kiʻekiʻe paha o ka pilikia o ka maʻi ʻaʻai.

2. Ka hoʻonui mau ʻana o ka waiwai:Inā hoʻomau ka piʻi ʻana o ka waiwai ma luna o kekahi mau mahina o ka hoʻāʻo ʻana, ma mua o ka hoʻonui hoʻokahi manawa, hoʻonui ia i kahi kānalua kiʻekiʻe o ka maʻi kanesa.

E noʻonoʻo kākou i ka pilikia. He mea hiki wale nō kēia.

E like me kāu e ʻike ai mai kēia papa, ʻoiai inā ʻoi aku ka nui o ka PSA ma mua o 10, aia nō ma kahi o 50% ka manawa e nalowale ai ke kanesa. No laila, he mea nui e pale aku i ka hopohopo a lawe i nā hana aʻe e like me ka ʻōlelo a ke kauka.

No laila he aha nā kumu ʻē aʻe e hiki ai ke piʻi aʻe ka PSA me ka ʻole o ka maʻi kanesa?

ʻAe, aia kekahi mau kumu ʻē aʻe ʻaʻole maʻi kanesa o nā pae PSA kiʻekiʻe. He mea maʻamau kekahi o kēia.

• ʻO ka Benign Prostatic Hyperplasia (BPH): ʻAʻole kēia he maʻi kanesa. I ka wā e ʻelemakule ai nā kāne, e hoʻonui maoli ʻia ko lākou prostate. He kūlana maʻamau loa kēia. I ka wā e hoʻonui ai ke kelepaʻi, e piʻi pū ka nui o ka PSA āna e hana ai.
• Prostatitis: Hiki ke hoʻonui koke ʻia ka piʻi ʻana o nā pae PSA e kahi maʻi bacteria a i ʻole kekahi pehu a i ʻole ka mumū o ka ʻōpū prostate.
• Nā Maʻi ʻAla Urinary (UTIs): Hiki ke hoʻonui ʻia nā pae PSA no kekahi manawa inā he maʻi ʻala urinary.
• Loaʻa kahi catheter urinary: Inā loaʻa iā ʻoe kahi catheter urinary no kekahi kumu, hiki iā ia ke hoʻonāukiuki i ka ʻōpū prostate a hoʻonui i nā pae PSA.
• ʻO kekahi mau hoʻokolohua lapaʻau a i ʻole nā ​​​​kaʻina hana: Hiki ke hoʻonui ʻia nā pae PSA no kekahi manawa ma hope o kekahi mau hoʻokolohua pili i ka prostate.
• ʻO kekahi mau lāʻau lapaʻau:ʻO kekahi mau lāʻau lapaʻau, e like me ka hormone therapy e like me ka testosterone, hiki ke hana i nā loli i nā pae PSA.

He aha ka hana a ke kauka ke piʻi aʻe ka PSA?

Inā kiʻekiʻe kou pae PSA, ʻaʻole e hopohopo kāu kauka a hana koke i nā hoʻoholo nui. ʻO ka mea mua e hana ai, ʻo ia ka hoʻāʻo e ʻimi i ke kumu. Hiki iā ʻoe ke hahai i kēia mau ʻanuʻu e hana ai pēlā.

1. E hana hou i ka hoʻāʻo PSA: I kekahi manawa hana hou ʻia ka hoʻāʻo PSA i loko o kekahi mau pule a i ʻole mau mahina e ʻike ai inā ua emi ka waiwai, ua noho like, a i ʻole ua piʻi hou aʻe.

2. Hoʻokolohua Rectal Digital (DRE): Hoʻokomo ke kauka i kahi manamana lima i loko o ka rectum a pā i ke kelepa prostate. Hiki i kēia hoʻokolohua ke hāʻawi i kahi manaʻo maʻamau inā he mau puʻupuʻu kūpono ʻole, hoʻonui ʻia, a i ʻole nā ​​​​loli ʻē aʻe i loko o ke kelepa.

3. Nā hoʻokolohua ʻē aʻe: Inā pono, hiki ke kauoha ʻia nā hoʻokolohua kiʻi e like me ka MRI scan a i ʻole ka Transrectal Ultrasound scan.

4. Prostate Biopsy: Hana ʻia kēia hoʻāʻo inā he kānalua nui no ka maʻi kanesa ma hope o nā hoʻāʻo ma luna. Maanei, lawe ʻia kekahi mau ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka prostate a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa. ʻO kēia wale nō ke ala e maopopo ai he 100% inā he kanesa.

He aha ka mea e hana ai inā ua hōʻoia ʻia ka maʻi kanesa?

ʻOiai inā ua ʻike ʻia ʻoe he maʻi kanesa, mai hopohopo. ʻO ka hapa nui o nā maʻi kanesa prostate e ulu mālie loa. I kekahi manawa, ʻaʻohe pono o ka lāʻau lapaʻau, ʻo ka nānā wale nō. Inā pono ka lāʻau lapaʻau, aia nā koho like ʻole, e like me ke ʻoki kino (`Prostatectomy`), ka radiation therapy (`Radiation Therapy`), a me ka hormone therapy. E kūkākūkā kāu kauka me ʻoe i ka lāʻau lapaʻau maikaʻi loa nāu.

Aia kekahi mau mea e hiki iā mākou ke hana e kāohi i nā pae PSA?

Ua hōʻike kekahi mau noiʻi e hiki i ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona a me ka ʻai ke kōkua i ka kaohi ʻana i nā pae PSA i kekahi ʻano. Eia nō naʻe, ʻaʻole kēia he pani no ka lāʻau lapaʻau, akā he mau mea kōkua wale nō.

• Nā meaʻai waiwai i ka lycopene: ʻO nā hua ʻulaʻula/ʻulaʻula e like me nā tōmato, ka wai meli, a me ka guava he waiwai nui i kēia meaʻai. Ua manaʻoʻiʻo ʻia kēia mau mea e kōkua i ka kaohi ʻana i ka ulu ʻana o nā hunaola kanesa.
• ʻO ka ʻai momona i nā mea kanu a me nā huaʻai: ʻO ka hoʻoikaika ʻana i nā meaʻai mea kanu e hoʻomaikaʻi i ka pale ʻana o ke kino.
• Hoʻoikaika kino: ʻO ka hoʻokomo ʻana i nā hoʻoikaika kino e like me ka hele wāwae a me ka hāpai kaumaha e hiki ke kōkua i ka hoʻemi ʻana i nā pae PSA.
• Wikamina D: Hoʻoikaika ka Wikamina D i ka ʻōnaehana pale. Hiki ke loaʻa iā ia ma o ka ʻike ʻana i ka lā, nā meaʻai e like me ka waiū a me ka wai ʻalani, a inā pono, ma o nā mea hoʻohui ma ke ʻōlelo aʻoaʻo a ke kauka.