Ke haʻi aku kāu kauka iā ʻoe e hana i kahi ultrasound transrectal, e makaʻu iki paha ʻoe a ʻoluʻolu ʻole i ka lohe wale ʻana i ka inoa. He mea maʻamau kēlā. Akā he hoʻāʻo maʻamau loa ia, palekana, a ʻaʻohe ʻeha. No laila i kēia lā, e ʻimi kākou i nā pane i kāu mau nīnau āpau e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ka transrectal ultrasound (TRUS)?
He ʻano hana ka Ultrasound no ka hoʻohana ʻana i nā nalu kani e nānā i nā ʻōkana i loko o ko kākou kino. Ua like ia me ka ʻōnaehana sonar o ka moku. ʻAʻole ia e hoʻokuʻu i kekahi kukuna.
ʻO ke ʻano o ka huaʻōlelo transrectal "ma o ka anus." No laila, ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi mea liʻiliʻi, e like me ka manamana lima (probe) ma o kou rectum. Hoʻokuʻi nā nalu leo kiʻekiʻe i hoʻopuka ʻia e kēia probe i nā ʻōpū i loko o kou kino a lele hou. Hoʻololi ʻia nā nalu i hōʻike ʻia i mau kiʻi maopopo ma ka pale kamepiula.
Hoʻohana nui ʻia kēia hoʻāʻo e nānā i ke kelepa prostate i nā kāne. I kekahi manawa hoʻohana ʻia nō hoʻi ia e nānā i ka lua pelvic a me nā ʻōpū hānau hou i nā wahine.
ʻO wai ka mea i ʻōlelo ʻia e lawe i kēia hoʻokolohua?
Hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo ma nā hihia aʻe:
| Kumu | He wehewehe maʻalahi |
|---|---|
| Nā mea ʻē aʻe i ka hoʻokolohua DRE | Inā manaʻo ke kauka i kahi puʻupuʻu kūikawā a i ʻole kahi loli i loko o ka ʻōpū prostate i ka wā o ka hoʻokolokolo rectal digital (DRE). |
| Ke piʻi nei nā pae PSA | Inā ʻoi aku ke kiʻekiʻe o ka protein i kapa ʻia ʻo PSA (Prostate-Specific Antigen) i loko o ke koko ma mua o ka maʻamau. |
| Nā hōʻailona o ka prostate | Inā ʻoe e hōʻike nei i nā hōʻailona o ke kanesa prostate, e like me ka paʻakikī o ka mimi ʻana a i ʻole ka pono pinepine e mimi. |
| Ke mālama nei i kahi kūlana olakino e kū nei | Ma ke ʻano he alakaʻi i ka mālama ʻana i nā kūlana maʻi ʻaʻai a i ʻole nā kūlana ʻaʻole o ka prostate. |
| Ka hānau ʻole ʻana | No ka ʻike ʻana i nā pilikia me ka ʻōnaehana hānau keiki i nā wahine a me nā kāne. |
| ʻIke ʻana i ke kanesa ʻē aʻe | No ka ʻike ʻana i nā kūlana e like me ke kanesa rectal a i ʻole ke kanesa anal. |
Pehea e hana maoli ai ka hoʻāʻo TRUS?
ʻO ka ʻike e pili ana i kēia kaʻina hana e kōkua i ka hōʻoluʻolu ʻana i kou mau makaʻu. E nānā kākou i kēlā me kēia ʻanuʻu.
He aha kāu e hana ai ma mua o ka hoʻokolohua?
E hāʻawi aku kāu kauka iā ʻoe i kekahi mau ʻōlelo kūikawā.
- E haʻi i kāu kauka e pili ana i nā maʻi allergies , maʻi puʻuwai, maʻi māmā, a me nā lāʻau lapaʻau āu e lawe nei.
- E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i ka aspirin a me nā NSAID (e.g., ibuprofen, naproxen) nā lāʻau hoʻomaha ʻeha a me nā lāʻau hoʻokahe koko no kekahi mau lā.
- E noi ʻia ʻoe e hoʻohana i kahi enema i kekahi mau hola ma mua o ka hoʻāʻo ʻana e hoʻomaʻemaʻe i kou rectum a me ka colon lalo. E kōkua kēia i ka loaʻa ʻana o nā kiʻi ʻoi aku ka maopopo.
- Hiki ke noi ʻia paha ʻoe e mimi a hoʻokahe i kou ʻōpū ma mua o ka hoʻāʻo ʻana.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
He hana maʻamau kēia ma lalo o 30 mau minuke.
1. E hoʻomoe ʻia ʻoe ma luna o kahi moe, e huli ʻia i kekahi ʻaoʻao, me kou mau kuli e huki ʻia i luna i kou umauma .
2. E hoʻokomo mālie ke kauka i kahi mea i hoʻoluʻu ʻia, e like me ka nui o ka manamana lima i loko o kou anus. I kēia manawa, e ʻike ʻoe i kahi kaomi e like me kou manaʻo i ka wā e pono ai ʻoe e neʻe i ka ʻōpū.
3. Ma hope o ke kau ʻana i ka probe ma ke kūlana kūpono, e nānā ke kauka i nā kiʻi o kou mau kino ma ka pale kamepiula.
He aha inā e lawe ʻia kahi biopsy?
I ka manawa pinepine, i ka wā o kēia hoʻāʻo TRUS, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka prostate gland e nānā i nā hunaola kanesa.
Mai makaʻu! E mae maoli nō ka ʻāpana ma mua o ka lawe ʻia ʻana o kahi biopsy.
- Hoʻokomo mua ke kauka i kahi anesthetic i loko o ka prostate gland e hoʻomāno i ka wahi.
- A laila, hoʻokomo ʻia kahi nila lahilahi a hakahaka ma ka ʻaoʻao o ka probe a lawe ʻia kekahi mau laʻana o nā ʻiʻo mai ka prostate gland.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka hoʻāʻo ʻana. Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e pale aku i ka maʻi. E hoʻouna ʻia ka hāpana biopsy i ka lab a hiki ke hala i kekahi mau lā a i ʻole hoʻokahi pule no ka hōʻea ʻana o ka hōʻike. Ke loaʻa ka hōʻike, e kāhea aku kāu kauka iā ʻoe e wehewehe.
He aha nā pōmaikaʻi a me nā pilikia o kēia?
Nā Pōmaikaʻi:
- ʻAʻohe pilikia i ka radiation.
- Hiki iā ia ke kiʻi i nā kiʻi ʻoi aku ka maopopo o nā ʻiʻo palupalu ma mua o ka X-ray.
- Hiki iā ʻoe ke nānā i nā kiʻi i ka manawa maoli i ka wā e hana ʻia ai ka hoʻāʻo.
Nā Pōʻino:
ʻAʻohe pilikia i ʻike ʻia e pili ana i kahi scan TRUS. Eia nō naʻe, hiki ke loaʻa nā pilikia manawa pōkole inā hana ʻia kahi biopsy . Hoʻopau loa kēia mau mea i loko o kekahi mau lā a i ʻole mau pule.
- Koko i loko o ka semen (Hematospermia)
- Ke koko i loko o ka mimi (Hematuria)
- Ke kahe koko iki ʻana o ka rectum
- ʻEha i ka wā e mimi ai (Dysuria)
- ʻEha a me ka ʻeha ma ka wahi e nānā ʻia ana
- Nā maʻi - Hāʻawi ʻia nā lāʻau antibiotic e pale aku i kēia.
- ʻO ka Erectile Dysfunction (ED) - He maʻi kakaikahi loa kēia, he manawa pōkole wale nō.
Hoʻōla hou a me ka wā e ʻike ai i ke kauka
Inā loaʻa iā ʻoe kahi TRUS wale nō me ka ʻole o kahi biopsy, hiki iā ʻoe ke hoʻi koke i kāu mau hana maʻamau. Inā ua loaʻa iā ʻoe kahi biopsy, ʻoi aku ka maikaʻi o ka hoʻomaha no ʻelua a ʻekolu mau lā. Inā ʻeha ʻoe , hiki i ka ʻauʻau mehana ke kōkua. E inu i 6-8 mau aniani wai i ka lā no kekahi mau lā.
E kāhea koke aku i kāu kauka inā loaʻa iā ʻoe nā hōʻailona penei:
- kuni
- Nā ʻūpā koko i loko o ka mimi
- Ke kahe ʻana o ke koko i loko o ka mimi i pau ʻole no kekahi mau lā
- ʻAʻole hiki a paʻakikī paha ka mimi ʻana
- ʻEha nui hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai kānalua e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- He hoʻāʻo palekana ka Transrectal ultrasound (TRUS) a ʻaʻole invasive e hoʻohana ana i nā nalu kani.
- Hoʻohana nui ʻia kēia no ka ʻike a me ka mālama ʻana i nā pilikia prostate i nā kāne.
- E hahai pono i nā ʻōlelo a kāu kauka ma mua a ma hope o ka hoʻāʻo ʻana.
- ʻO nā pilikia wale nō e pili ana me ka hoʻāʻo ʻana inā hana ʻia kahi biopsy, a ʻo ia hoʻi he manawa pōkole wale nō.
- Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e kamaʻilio me kāu kauka a hoʻoponopono iā lākou.











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