He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e hana i kahi ultrasound a me ka biopsy o kou prostate. Ke lohe mākou i ka huaʻōlelo "biopsy," holo koke ko mākou manaʻo e kānalua i ka maʻi kanesa. Akā ma mua o ko mākou makaʻu maoli ʻana e pili ana i kēia hoʻāʻo, e hoʻomaopopo pono kākou i ke ʻano o ia mea, no ke aha i hana ʻia ai, a pehea e hana ʻia ai. A laila e pane ʻia nā nīnau he nui āu e noʻonoʻo nei.
ʻO ka mea mua, e nānā kākou, he aha ke kelepa prostate?
I ka ʻōlelo maʻalahi, he ʻōpū liʻiliʻi ka prostate i loaʻa wale i loko o ke kino o ke kāne. I ka pololei, aia ia ma lalo o kou ʻōpū mimi. ʻO ka ʻōmole e lawe ana i ka mimi a me ka sperm i waho o kou kino (urethra) e hele ana ma o kēia ʻōpū. ʻO ka hana nui o kēia ʻōpū, ʻo ia ka hana ʻana i ka wai e loaʻa ana ka sperm, ʻo ia hoʻi, ka semen. No laila, inā he pilikia me kēia ʻōpū, hiki ke loaʻa nā mea e like me ka paʻakikī o ka mimi ʻana a me nā pilikia o ka ejaculation.
No ke aha ʻoe e noi ʻia nei e hana i kēia hoʻokolohua?
ʻElua kumu nui e kauoha ai ke kauka i kēia hoʻokolohua nāu.
1. Nā Pae PSA Kiʻekiʻe: Inā hōʻike kāu hoʻāʻo koko i kahi pae kiʻekiʻe ma mua o ka maʻamau o kahi protein i kapa ʻia ʻo Prostate-Specific Antigen (PSA) . ʻO ka PSA kahi mea i hana ʻia e ka prostate gland. ʻO nā pae kiʻekiʻe o kēia mea e hōʻike paha i ka maʻi kanesa prostate a i ʻole nā maʻi ʻē aʻe.
2. Nā mea ʻē i ka wā o ka hoʻokolokolo kino: Inā ʻike kāu kauka i kahi puʻupuʻu ʻē, pehu, a i ʻole kekahi loli ʻē aʻe i loko o kou gland prostate i ka wā e nānā ana iā ʻoe.
ʻO ka mea nui, no ka mea wale nō he kekahi o kēia mau kumu ʻelua kāu, ʻaʻole hiki iā ʻoe ke ʻōlelo 100% he maʻi kanesa kou. He kānalua wale nō ia. Hana ʻia kēia ultrasound a me ka biopsy e hōʻoia i kēlā kānalua a i ʻole.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo? E nānā kākou i kēlā me kēia ʻanuʻu.
ʻO ke ala maikaʻi loa e lanakila ai i kou makaʻu i kēia hoʻāʻo, ʻo ia ka ʻike i ka mea e manaʻo ai. ʻO ke kaʻina hana holoʻokoʻa he 10 mau minuke wale nō. Hana ʻia e kahi urologist , he kauka loea i nā ʻōnaehana mimi a me ka hānau keiki.
| Nā ʻanuʻu | He wehewehe maʻalahi o ka mea e hana nei |
|---|---|
| 1. Hoʻomākaukau | Ma hope o kou lawe ʻia ʻana i ka lumi hoʻokolokolo, e hāʻawi ʻia ʻoe i kahi lāʻau antibiotic e pale aku i ka maʻi. A laila e noi ʻia ʻoe e moe i lalo ma kekahi ʻaoʻao o ka moena, me kou mau kuli i huki ʻia i luna i kou umauma. |
| 2. Ka mae ʻana o ka ʻāpana | I mea e hōʻemi ai i kekahi ʻeha āu e manaʻo ai, hiki ke hāʻawi ʻia ʻoe i kahi inikini a hoʻopili ʻia paha i kahi gel e hoʻomāno i ka ʻāpana e hoʻāʻo ʻia nei. |
| 3. Nānā ʻana i ka ultrasound | ʻO ka mea aʻe, hoʻokomo ʻia kahi mea hana penikala i lubricated ʻia (ultrasound probe) ma o ka anus. ʻAe kēia i kahi kiʻi maopopo o ka prostate gland e ʻike ʻia ma kahi monitor. ʻO kēia ka mea e kōkua ai i ke kauka e hoʻoholo pono i kahi e lawe ai i nā laʻana ʻiʻo. |
| 4. Ke lawe ʻana i kahi biopsy | I kēia manawa, ua hoʻokomo ʻia kahi nila lahilahi loa ma o ka scanner a ua lawe ʻia kekahi mau laʻana ʻiʻo liʻiliʻi loa (ma kahi o 10-12) mai nā ʻāpana like ʻole o ka prostate gland. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻūmiʻi iki, akā ʻaʻole nui ka ʻeha. |
| 5. Pau ka hoʻāʻo | Ma hope o ka lawe ʻia ʻana o nā hāpana, hoʻouna ʻia lākou i ka hale hana no ka hoʻāʻo hou ʻana. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau. |
Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā aia kekahi mau mea āu e kūkākūkā ai me kāu kauka a loaʻa ka ʻōlelo aʻo.
- Nā lāʻau hoʻokahe koko: Inā ʻoe e lawe ana i nā lāʻau hoʻokahe koko e like me Warfarin, Clopidogrel (Plavix®), Aspirin, a i ʻole Ibuprofen, e hōʻoia e haʻi i kāu kauka . E haʻi aku ʻo ia iā ʻoe i ka nui o nā lā ma mua o ka hoʻāʻo ʻana e pono ai ʻoe e hoʻōki i ka lawe ʻana iā lākou. He mea nui loa kēia, no ka mea hiki ke hoʻonui i ke kahe ʻana o ke koko.
- ʻAi a me ka mea inu: I ka hapanui o nā hihia, ʻaʻohe meaʻai kūikawā e pono ai. Eia nō naʻe, ke ʻōlelo nei kekahi mau kauka e ʻai ʻoe i kahi meaʻai māmā a inu wale i nā wai, e like me ka wai, ma mua o ka hoʻāʻo ʻana. E nīnau pū i kāu kauka e pili ana i kēia.
- Nā kuhikuhi ʻē aʻe: E noi ʻia paha ʻoe e hoʻohana i kahi enema e hoʻomaʻemaʻe i kou rectum ma mua o ka hoʻāʻo ʻana. No laila, e nīnau i ka haukapila i ka lā ma mua o ka hoʻāʻo ʻana e ʻike inā he mau kuhikuhi kūikawā.
He aha kaʻu e hopohopo ai ma hope o ka hoʻokolohua?
Ma hope o ka pau ʻana o ka hoʻāʻo, hiki iā ʻoe ke hoʻomau me kāu mau hana maʻamau. Hiki nō hoʻi iā ʻoe ke ʻai maʻamau, ke ʻole ke aʻo ʻia ʻē aʻe e kāu kauka.
Eia nō naʻe, aia kekahi mau hopena ʻaoʻao maʻamau āu e ʻike ai. Mai hopohopo e pili ana i kēia mau mea, no ka mea, e nalo wale lākou i loko o kekahi mau lā.
- Ke kahe koko ʻana:
- He mea maʻamau ke loaʻa kahi koko liʻiliʻi i loko o kou mimi a me ka ʻōpala no kahi o 3-5 mau lā .
- Hiki paha iā ʻoe ke ʻike i kekahi kahe koko me kāu sperm no 2-3 mau mahina . ʻAʻole kēia he mea ʻino iā ʻoe a i ʻole kāu hoa. E nalo loa ia ma hope o kekahi manawa.
- Ka hāpai kaumaha: No ka hōʻemi ʻana i ka pilikia o ke kahe ʻana o ke koko, e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hana ikaika no 2-3 mau lā ma hope o ka hoʻāʻo ʻana.
- ʻEha: Hiki i kekahi poʻe ke loaʻa i kekahi ʻeha a ʻoluʻolu ʻole paha no kekahi mau lā. He mea maʻamau nō hoʻi kēia.
- Paʻakikī ka mimi ʻana: Loaʻa paha i kekahi poʻe kekahi pilikia i ka mimi ʻana ma hope o ka hoʻāʻo ʻana. Hoʻoholo pinepine ʻia kēia i loko o kekahi mau lā.
Nā hōʻailona hōʻike e makaʻala ai!
He mea kākaʻikahi nā pilikia nui ma hope o kēia hoʻāʻo. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
| I ka manawa e ʻimi koke ai i ke aʻo lapaʻau | |
|---|---|
| 🌡️ Kuni | Inā ʻoi aku ka mahana o ke kino ma mua o 100°F Fahrenheit (37.8°C Celsius). |
| 🥶 Ke anu nei a me ka haʻalulu | Inā manaʻo koke ʻoe i ke anu a me ka haʻalulu. |
| 🩸 Ke kahe nui ʻana o ke koko | Inā he nui ke kahe koko me ka mimi a i ʻole ka ʻōpala. |
| 😖 ʻEha nui | Inā ʻoe e loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui. |
| 🚽 ʻAʻole hiki ke mimi | Inā ʻaʻole hiki iā ʻoe ke mimi iki. |
Inā ʻoe e hele i ka ETU, mai poina e haʻi i nā kauka ma laila ua loaʻa iā ʻoe kahi biopsy prostate.
Ke loaʻa iā ʻoe kāu hōʻike biopsy, e kāhea aku ke kauka iā ʻoe. Ma muli o kēlā hōʻike, e hoʻoholo lākou inā he maʻi kou a ʻaʻole paha, a he aha ka lāʻau hou aʻe, inā he, e pono e hana ʻia.
Leka Lawe-Home
- He mea nui ka Prostate Ultrasound a me ka Biopsy a he hoʻāʻo maʻamau i hana ʻia e hōʻoia i kahi kānalua no ka maʻi prostate a i ʻole nā maʻi ʻē aʻe.
- Ma kahi o 10 mau minuke ka lōʻihi o kēia hoʻāʻo ʻana a ʻaʻole ʻeha loa.
- E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau hoʻokahe koko āu e lawe nei ma mua o ka hoʻāʻo ʻana.
- He mea maʻamau ke loaʻa kahi koko liʻiliʻi i loko o kou mimi, ʻōpala, a i ʻole ka semen ma hope o ka hoʻāʻo ʻana. Mai hopohopo no ia mea.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ke kahe koko nui, a i ʻole ka hiki ʻole ke mimi, e ʻimi koke i ke kōkua lapaʻau .
- Mai makaʻu i kēia hoʻokolohua. He hana koʻikoʻi kēia i ka ʻike pono ʻana i kou olakino.
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