Ke haʻi aku kāu kauka iā ʻoe e pono ʻoe e loaʻa i kahi hoʻāʻo, i kekahi manawa manaʻo iki ʻoe i ka makaʻu a me ka hopohopo ke lohe ʻoe i ka inoa o ia mea, ʻeā? ʻOiai inā he paʻakikī iki ka inoa. ʻO "Transrectal ultrasound" kekahi inoa. Nui ka poʻe, ʻoi aku hoʻi nā kāne, e manaʻo iki i ka ʻoluʻolu ʻole ke lohe lākou i kēia inoa. No laila i kēia lā e pane mākou i nā nīnau a me nā makaʻu āu e pili ana i kēia hoʻāʻo ma ke ʻano maʻalahi. Me he mea lā he hoaaloha a ʻohana paha e wehewehe ana iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka transrectal ultrasound (TRUS)?
ʻAe, e wehewehe kākou i kēia inoa. Ua lohe paha ʻoe i ka "ultrasound." Hoʻohana ʻia ia e scan i kahi wahine hāpai, a me ka nānā ʻana i loko o ko mākou kino. Pili ia i ka hoʻouna ʻana i nā nalu leo ikaika (ʻaʻole hiki iā mākou ke lohe) i loko o ke kino a laila e hoʻihoʻi iā lākou e hana i kiʻi ma kahi pale kamepiula. Ua like ia me ke ʻano o ka hoʻohana ʻana o nā ʻōpeʻapeʻa i kēia mau nalu leo e lele ai i ka pō. ʻAʻole ia e hoʻokuʻu i kekahi radiation, no laila he ʻano palekana loa ia.
I kēia manawa, e nānā kākou i ka ʻāpana i kapa ʻia ʻo "transrectal." ʻO ke ʻano o "Trans" ʻo ia hoʻi "ma o." ʻO "Rectal" ʻo ia hoʻi kekahi mea e pili ana i ka "rectum." No laila, ʻo ka ultrasound transrectal he hoʻokolokolo ultrasound i hana ʻia ma o ka rectum .
Ma kēia, hoʻokomo mālie ke kauka i kahi mea hana kūikawā (probe) e like me ka nui o kou manamana lima i loko o ka rectum. Hoʻopuka kēia mea hana i nā nalu kani. Aia ka prostate gland i nā kāne ma kahi kokoke loa i ka rectum. No laila, i ka nānā ʻana ma kēia ʻano, hiki ke loaʻa kahi kiʻi maopopo loa a kikoʻī o ka prostate gland. I kekahi manawa ua kapa ʻia kēia he `(Endorectal ultrasound - ERUS)`.
ʻO wai ka mea maʻamau e pono ai kēia hoʻokolohua?
Aia kekahi mau kumu e kauoha ai ke kauka i kēia hoʻāʻo. E noʻonoʻo i kēia: Hele ʻoe e ʻike i ke kauka no ka mea ke pilikia nei ʻoe i ka mimi. Hiki i ke kauka ke nānā iā ʻoe a kuhikuhi iā ʻoe no kēia hoʻāʻo inā manaʻo ʻo ia he mea pono e noiʻi hou aku.
E wehewehe hou aku kākou i kēia ma ka papa ma lalo nei.
| Ke kumu no ka hoʻouna ʻana no ka hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| Nā mea ʻē aʻe ma ka hoʻokolokolo rectal digital (DRE) | Ke hoʻokomo ke kauka i kahi manamana lima ma o ka rectum e nānā i ke kelepa prostate (ua kapa ʻia kēia he DRE), inā manaʻo ʻo ia i kahi mea e like me kahi puʻupuʻu a pehu paha, hana ʻo ia i kēia scan e nānā pono iā ia. |
| Ke piʻi nei nā pae PSA | He hoʻāʻo koko ka PSA (prostate-specific antigen). Inā kiʻekiʻe kēia waiwai, he mea nui loa kēia scan e ʻike ai i ke kumu. |
| Nā hōʻailona o ke kanesa prostate | Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka mimi ʻana, ka mimi pinepine ʻana, a i ʻole ke koko i loko o kou mimi, e nānā e ʻike inā he pilikia prostate ke kumu. |
| Ka hānau ʻole ʻana | Hoʻohana ʻia kēia hoʻāʻo i kekahi manawa e ʻike ai i ke kumu o ka hānau ʻole ʻana o nā kāne. Hiki ke hoʻohana ʻia hoʻi e nānā i nā ʻōpū pelvic i nā wahine, a kākaʻikahi inā ʻaʻole kūpono nā ʻano hana ʻē aʻe. |
| Ka mālama ʻana a me ka hōʻiliʻili ʻana i nā ʻiʻo | Inā kānalua ʻia ke kanesa prostate, hoʻohana ʻia kēia scan ma ke ʻano he alakaʻi e lawe i kahi laʻana liʻiliʻi o nā ʻiʻo (biopsy) mai ka wahi. Kōkua pū ia i ke alakaʻi ʻana i kekahi mau lāʻau lapaʻau. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
ʻAʻole kēia he hana ʻoki kino nui, akā pono ia i kahi hoʻomākaukau iki e hana pono ai i ka hoʻokolohua.
- E haʻi i kāu kauka i nā mea āpau: Pono ʻoe e haʻi i kāu kauka e pili ana i nā maʻi āpau āu e loaʻa ai, nā maʻi puʻuwai, nā maʻi māmā, a me nā lāʻau lapaʻau āu e lawe nei.
- Pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau: Inā ʻoe e lawe ana i nā anticoagulants a i ʻole nā mea hoʻomaha ʻeha e like me ka aspirin a i ʻole ibuprofen, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ka hoʻāʻo. Mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i kāu kauka.
- Ka hoʻomaʻemaʻe ʻana i ka kolona:He mau hola ma mua o ka hoʻāʻo ʻana, e noi ʻia paha ʻoe e hoʻohana i kahi enema e hoʻomaʻemaʻe i kou rectum a me ka colon lalo. E kōkua kēia i ke scan e hana i kahi kiʻi maopopo aʻe.
- Ka hoʻokahe ʻana i ka ʻōpū mimi: E noi ke kauka iā ʻoe e mimi a hoʻokahe i kāu ʻōpū mimi ma mua o ka hoʻāʻo ʻana.
Hiki ke ʻokoʻa iki kēia mau kuhikuhi mai kēlā haukapila a kēia haukapila, no laila he mea nui e hahai pololei i nā kuhikuhi a kāu kauka.
He aha ka mea e hana maoli ana i ka wā o ka hoʻāʻo?
ʻAe, e nānā kākou i ka mea e hana ʻia ana i ka lā o ka hoʻokolohua. ʻO ka ʻike ʻana i kēia e kōkua nui i ka hōʻemi ʻana i kou makaʻu.
1. Ke hoʻololi ʻana i nā lole: E hāʻawi ʻia ʻoe i kahi lole haukapila e ʻaʻahu ai.
2. Kūlana: E noi ʻia ʻoe e moe ma ka ʻaoʻao hema o kahi moe, me kou mau kuli e kūlou ana i kou umauma.
3. Hoʻokomo ʻana i ka hāmeʻa: A laila e hoʻokomo mālie ke kauka i ka probe ultrasound lubricated i loko o kou anus. He nui wale nō ia o ka manamana lima. I kēia manawa, e manaʻo paha ʻoe i kahi manaʻo e like me ka pono e kiola. He mea maʻamau kēia. ʻAʻole ia e ʻeha loa, akā e manaʻo paha ʻoe i kahi ʻoluʻolu ʻole.
4. Ke nānā ʻana: Ma hope o ke kau pono ʻana o ka hāmeʻa, neʻe mālie ke kauka iā ia a puni me ka nānā pono ʻana i nā kiʻi o ka ʻōpū prostate e kū mai ana ma ka pale kamepiula.
ʻO ka maʻamau, ʻaʻole ma mua o 30 mau minuke ka lōʻihi o kēia kaʻina hana holoʻokoʻa.
He aha inā e lawe ʻia kahi biopsy?
I kekahi manawa, inā ʻike ke kauka i kahi mea kānalua ma ke kiʻi ʻana, pono paha ʻo ia e lawe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ia wahi no ka hoʻāʻo ʻana. Ua kapa ʻia kēia he biopsy . Hiki ke hana ʻia kēia i ka manawa like me ke kiʻi ʻana o TRUS.
- ʻO ka naʻaupō: Ma mua o ka biopsy, hoʻokomo ʻia kahi anesthetic kūloko i loko o ka ʻāpana a puni kou prostate e hoʻopō ai, no laila ʻaʻole ʻoe e ʻeha nui.
- Laʻana ʻiʻo: A laila, hoʻokomo ʻia kahi nila lahilahi loa ma ka ʻaoʻao o ka hāmeʻa scan a lawe ʻia kekahi mau laʻana ʻiʻo mai nā wahi kānalua. Hiki iā ʻoe ke manaʻo i kahi kui iki ke hoʻokomo ʻia ka nila.
Hoʻouna ʻia nā hāpana ʻiʻo i loaʻa ma kēia ʻano i ka hale hana hoʻokolohua e nānā ʻia ma lalo o kahi microscope e hōʻoia inā loaʻa nā hunaola kanesa a ʻaʻole paha.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
A pau ka hoʻāʻo, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
- E nīnau i ke kauka inā hiki iā ʻoe ke hoʻokele a inā makemake ʻoe i kekahi e hoʻokele iā ʻoe.
- Inā hana ʻia kahi biopsy, e hāʻawi ʻia ʻoe i nā lāʻau antibiotic e pale aku i ka maʻi no kekahi mau lā. Pono ʻoe e lawe iā lākou e like me ke kuhikuhi ʻana.
- ʻŌlelo lākou ʻaʻole ʻoe e lawe i nā lāʻau hoʻokahe koko e like me ka aspirin no kekahi mau lā.
- E inu i ka wai he nui. ʻO ka inu ʻana ma ka liʻiliʻi he 6-8 mau aniani wai i ka lā e kōkua i ka mālama ʻana i ka ʻōnaehana mimi i maʻemaʻe.
Hiki ke hala kekahi mau lā a i ʻole hoʻokahi pule no ka hoʻi ʻana mai o nā hopena biopsy. Ke hiki mai nā hopena, e kāhea aku ke kauka iā ʻoe a hoʻonohonoho i kahi manawa e kamaʻilio ai e pili ana i ia mea.
He aha nā pono a me nā pilikia o kēia hoʻokolohua?
E like me nā hoʻokolohua lapaʻau āpau, aia nā pilikia a me nā pono, akā he hoʻokolohua palekana loa ʻo TRUS.
| Nā Pōmaikaʻi | Nā Pōʻino/Nā Pilikia |
|---|---|
| ʻAʻohe radiation (ʻaʻole e like me nā X-ray). | Inā ʻo ka TRUS scan wale nō kāu: Ma kā mākou ʻike, ʻaʻohe pilikia a pilikia paha. |
| Hiki ke loaʻa nā kiʻi maopopo loa o nā ʻiʻo palupalu. | Nā kūlana hiki (manawa pōkole) e hiki mai ana inā hana ʻia kahi biopsy: |
| Hiki iā ʻoe ke ʻike i ka hana o nā ʻōpū i ka manawa maoli. |
|
ʻO ka mea nui, ʻo ka hapa nui o kēia mau hōʻailona ma hope o kahi biopsy he manawa pōkole a e nalo loa i loko o kekahi mau lā a i ʻole hoʻokahi a ʻelua paha pule.
Āhea wau e ʻike koke ai i ke kauka ma hope o ka hoʻāʻo ʻana?
ʻOiai ʻaʻole ia he pilikia nui, 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.
- Ke kuni nui a me ke anu.
- ʻEha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
- ʻO ka hiki ʻole ke mimi mau.
- Nā ʻūpā koko i loko o ka mimi.
- Ke kahe mau nei ke koko mai ka urethra a i ʻole ka rectum.
Hōʻike kēia mau hōʻailona e loaʻa paha kahi maʻi a i ʻole kekahi pilikia ʻē aʻe, no laila mai hoʻowahāwahā iā lākou.
Leka Lawe-Home
- He mea nui loa ka ultrasound Transrectal (TRUS), palekana, a ʻeha ʻole hoʻi i hoʻohana ʻia e nānā i ka prostate gland.
- Hoʻokomo kēia i ka hoʻouna ʻana i nā nalu kani ma o ka rectum e kiʻi i ke kiʻi o ka prostate gland. ʻAʻohe radiation.
- ʻAʻole ʻoi aku ka lōʻihi o ka hoʻāʻo ʻana ma mua o 30 mau minuke. Aia kekahi ʻoluʻolu ʻole, akā ʻaʻole nui ka ʻeha.
- Inā kānalua ʻia ka maʻi ʻaʻai, hiki ke lawe ʻia kahi biopsy (kahi ʻāpana o ka ʻiʻo) i ka manawa like me kēia hoʻāʻo.
- He mea maʻamau ke loaʻa kahi koko liʻiliʻi i loko o kou mimi a i ʻole ka semen ma hope o kahi biopsy, a e nalo aku ia i loko o kekahi mau lā.
- Inā he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka. ʻO kou kuleana ia.
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