Yu dɔktɔ dɔn sɔprayz se yu gɛt prɔblɛm wit yu prɔstat gland ɛn tɛl yu se yu nid fɔ gɛt bayɔpsi (smɔl smɔl tisu we dɛn tek ɛn chɛk bay we dɛn yuz MRI skan) fɔ no fɔ tru? Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri sɔntin lɛk dis. Bɔt we yu no gud gud wan wetin na dis tɛst, aw dɛn kin du am, ɛn aw fɔ rɛdi fɔ am, yu fred go dɔn. Lɛ wi tɔk bɔt dis simpul wan.
Fɔs, lɛ wi si, wetin na dis MRI-gayd prɔstat bayɔpsi?
Fɔ tɔk am simpul wan, dis na spɛshal tɛst fɔ no di prɔstat kansa, if na so, fɔ no us stej i de, ɛn fɔ plan tritmɛnt. Dis involv fɔ tek rili smɔl tisu sɛmpul dɛn frɔm yu prɔstat yuz MRI ɛn ɔltra saund teknɔlɔji, we de gi rili klia pikchɔ dɛn . Dɔn wan dɔktɔ we de stɔdi bɔt sik dɛn kin chɛk dɛn tisu sɛmpul dɛn ya ɔnda maykroskɔp fɔ no if dɛn gɛt kansa sɛl dɛn ɔ nɔ gɛt dɛn.
Wetin na di prɔstat gland?
Yu prɔstat na pat pan yu man riprodaktiv ɛn urinary sistɛm. Na wan gland we gɛt sayz lɛk walnut we de bifo yu blad. i de mek seminal fluid, we na di wata we de miks wit sεl we yu de ejakul. dis wata de εp fכ kip di sεl dεm hεlth εn i de εp yu fכ bεlε.
Yu urethra de rɔn tru di prɔstat gland. we yu de pis, di urine we de kכmכt na di blad de kכmכt tru di penis, εn we yu de ejakul, di sεmεn de kכmכt tru dis tכb.
Wetin na di we dɛn fɔ du dis bayɔpsi?
tu men we dεn de fכ gεt tisu sεmpl frכm di prכstat. Yu dɔktɔ go ɛksplen to yu us we fɔ du am fayn fɔ yu sityueshɔn.
| Di we aw dɛn kin du bayɔpsi | Wan simpul ɛksplen bɔt aw fɔ du am |
|---|---|
| Transrεktal Bayopsi | insay dis mכtכd, dεn kin gεt tisu sεmpl bay we dεn put spεshal instrכmεnt tru yu rεktum εn pas nidul tru am. |
| Transperineal Bayopsi we dɛn kin du | insay dis mכtכd, dεn de tek tisu sεmpl bay we dεn de put nidul tru di skin (pεriniכm) bitwin yu an εn skrotum. |
Lɛ wi lan bɔt sɔm mɔ advans tɛknɔlɔji dɛn.
Naw, dɛn de yuz advans tɛknɔlɔji dɛn fɔ mek dis tɛst kɔrɛkt mɔ.
- Multiparametric MRI (mpMRI): Dis na mכr sεnsitiv εn advans MRI mεtכd pas standad MRI. I kin no di chenj we kansa de chenj na di prɔstat gland klia wan pas wan standad MRI. כltu, mpMRI nכmכ nכ kin bi 100% sכri se kεnsar nכ de. So, bɔku tɛm, i kin nid fɔ tek bayɔpsi.
- Fusion-guided prostate biopsy: Dis na wan we we rili intrestin. i involv fכ "fuz" MRI imej dεm εn ultrasound (TRUS - Transrectal Ultrasound) imej dεm tכgeda fכ mek wan imej. Yu fɔs gɛt MRI. Dɔn, we dɛn de du di bayɔpsi, di dɔktɔ kin yuz spɛshal softwe fɔ jɔyn di MRI pikchɔ dɛn ɛn di ɔltra saund pikchɔ dɛn we dɛn tek di sem tɛm. Dis kin mek di dɔktɔ ebul fɔ tɔch di say dɛn we dɛn kin tink se na di prɔstat ɛn tek di tisu sɛmpul dɛn.
Wetin mek i nid fɔ du dis kayn tɛst?
Dɔktɔ dɛn kin kɔnfɔm sɔm tin dɛn tru dis tɛst.
- Fɔ no kɔrɛkt wan if yu gɛt prɔstat kansa ɔ yu nɔ gɛt am .
- If kansa de, no di gred/agresiv we i gɛt .
- Chek fɔ si if di kansa dɔn kam bak afta dɛn dɔn trit am bifo tɛm.
- Sɔntɛnde, dɛn kin no ɔda kɔndishɔn dɛn we fiba di kansa bɔt nɔto kansa (e.g., di gland dɛn we dɔn big, infɛkshɔn) ɛn dɛn kin pul am se na kansa.
If yu gɛt ay PSA blɔd tɛst rizɔlt nɔ min se yu gɛt kansa. I kin bi bak bikɔs ɔf di prɔstat we dɔn big (BPH - Benign Prostatic Hyperplasia) ɔ infεkshɔn (Prostatitis). Dis tɛst kin ɛp fɔ no difrɛns bitwin dɛn kayn tin ya.
Udat dɛn kin nid dis tɛst?
Bɔku tin dɛn de we yu dɔktɔ kin rifer yu fɔ dis tɛst.
- If di PSA (Prostate-Specific Antigen) lɛvɛl na yu blɔd ay pas aw i fɔ bi.
- If di dɔktɔ si wan lump ɔ wan say we nɔ kin at na di prɔstat gland we dɛn de du dijital rɛktal ɛgzam (DRE).
- If wan MRI skan we dɛn bin dɔn du bifo dis tɛm sho ɛnitin we dɛn nɔ biliv .
- If yu PSA lɛvɛl kɔntinyu fɔ go ɔp pan ɔl we bayɔpsi we dɛn du wit ɔltrasɔund ɔltɛm nɔ de fɛn kansa.
- If dɛn dɔn ɔlrɛdi no se yu gɛt prɔstat kansa ɛn dɛn de ɔnda aktif sɔvɛlayshɔn we dɛn nɔ gɛt tritmɛnt.
Aw yu fɔ pripia bifo di tɛst?
Dis rili impɔtant. Yu nid fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Bɔku tɛm, na dis dɛn kin tɛl yu fɔ du.
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Notis bɔt mɛtal divays dɛn | If yu gɛt pesmɛka ɔ ɛni mɛtal tin insay yu bɔdi, lɛk atifishal jɔyn, mek shɔ se yu tɛl yu dɔktɔ bifo dɛn du di MRI. |
| Fɔ klin di kɔlɔn | Sɔntɛnde dɛn kin aks yu fɔ yuz inɛma fɔ klin yu bɔdi bifo dɛn du di bayɔpsi. Nɔto ɔltɛm dis kin nid fɔ apin. |
| Fɔ stɔp sɔm mɛrɛsin dɛn | Dɛn kin nid fɔ stɔp di mɛrɛsin dɛn we de mek yu blɔd tan ɛn di mɛrɛsin dɛn we de mek yu fil pen lɛk NSAID fɔ sɔm dez lɛk aw yu dɔktɔ tɛl yu. Dɛn tin ya kin mek yu gɛt mɔ blɔd. |
| Fɔ tek antibayɔtiks | Fɔ mek yu nɔ gɛt di sik, dɛn kin gi yu wan antibayɔtik fɔ tek bifo ɛn afta di tɛst. dis kin nכ nid biכs di risk fכ infεkshכn de lכs wit di transperineal mεtכd. |
Wetin kin apin we dɛn de du di tɛst?
Yu go nid fɔ du MRI skan fɔs. Dɛn kin gi yu spɛshal wata (kɔntrast day) tru wan vein na yu an fɔ mek yu gɛt klia pikchɔ dɛn.
Dɛn kin du di bayɔpsi pan ɔutpeshɛnt. Dis min se yu kin go na os di sem de. Dɛn kin injɛkt wan lokal anestetik na di say we de rawnd di prɔstat gland. Dis go ɛp yu fɔ lɛ yu nɔ fil pen. Dɛn kin gi yu bak wan mɛrɛsin we nɔ de mek yu fil fayn fɔ ɛp yu fɔ rilaks. So, i fayn fɔ mek sɔmbɔdi drayv yu go na os if sɔntin nɔ apin.
Di dɔktɔ kin tek lɛk 12 to 16 tisu sɛmpul dɛn frɔm difrɛn pat dɛn na di prɔstat. Yu kin fil smɔl prɛshɔn dis tɛm, bɔt yu nɔ fɔ fil ɛni big pen.
Wetin fɔ ɛkspɛkt afta di tɛst?
Yu kin go na os sɔm awa afta di tɛst. Dɛn tin ya na nɔmal tin fɔ di nɛks sɔm dez.
- Sɔm blɔd kin de ɛn smɔl pen kin de na di say we dɛn tek di bayɔpsi.
- Yu kin gɛt smɔl blɔd na yu urine (hematuria) ɔ semen (hematospermia) fɔ sɔm dez. Dis na nɔmal tin, nɔ wɔri.
- Yu nid fɔ tek di antibayɔtik we di dɔktɔ tɛl yu lɛk aw dɛn tɛl yu fɔ tek .
Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?
Di tisu sampul we dɛn tek frɔm yu go sɛn to lab. Bɔrku tɛm, i kin tek lɛk wan wik , sɔmtɛm i kin tek smɔl tɛm fɔ gɛt di rizɔlt.
Tri men kayn rizulyt kin de:
- Negativ: Dɛn nɔ bin fɛn ɛni kansa sɛl. Bɔt, na smɔl tɛm nɔmɔ, lay lay-nɛgitiv kin de, usay di tɛst kin mis kansa pan ɔl we i de. If yu PSA lɛvɛl stil ay, yu dɔktɔ kin aks yu fɔ du tɛst bak insay sɔm mɔnt.
- Pozitiv: Dɛn dɔn fɛn kansa sɛl dɛn. Dis min se prɔstat kansa de. Di dɔktɔ go tɔk to yu bɔt di nɛks tin dɛn we yu fɔ du, di tritmɛnt we yu go pik, ɔ aw fɔ wach yu.
- Sɔspɛkt: Di tin dɛn we kin kɔmɔt frɔm am nɔrmal, bɔt i nɔr kin shɔ if kansa de ɔ nɔr de. na dis tεm, dεn kin rεkomεnd fכ du mכr tεst כ fכ ripit bayopsi insay fכ mכnt.
Aw dɛn kin no aw pɔsin kin gɛt kansa?
If dɛn fɛn kansa sɛl dɛn na di tɛst, di pɔsin we de stɔdi bɔt di sik go gi di sɛl dɛn gred frɔm 1 to 5 bay aw dɛn luk. Dɔn, dɛn kin ad di tu gred dɛn we dɛn kin yuz mɔ fɔ gi wan valyu we dɛn kɔl Gleason skɔ (dis kin kɔmɔt frɔm 6 to 10). Kansa dεm we gεt hכy Gleason skכl (e.g., 8, 9, 10) kin spred (mεtastasize) pas kansa dεm we gεt lכw skכl (e.g., 6). Dis mak kin ɛp yu dɔktɔ fɔ pik di bɛst tritmɛnt fɔ yu.
We yu fɔ go to dɔktɔ
If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva ɛn kol , afta yu dɔn du di bayɔpsi, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm.
Dɔn bak, if dɛn sik ya kɔntinyu ɔ wɔs, mek shɔ se yu go to dɔktɔ.
- Prɛzɛns fɔ blɔd na di urine ɔ semen.
- Erectile dysfunction we nɔ de wok fayn.
- I nid fɔ pis bɔku tɛm na nɛt (nocturia).
- Pen we yu de pis ɔ we yu de pul wata.
- I nɔ izi fɔ kɔntrol di urinate, wik ɔ intarapt urine stream.
Mɛsej we dɛn kin kɛr go na os
- MRI-guided prostate biopsy na wan tɛst we rili kɔrɛkt ɛn we dɔn go bifo fɔ no if pɔsin gɛt prɔstat kansa.
- Dɛn kin advays fɔ du dis tɛst if yu PSA lɛvɛl go ɔp ɔ if dɛn si wan lump we dɛn de du DRE tɛst.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn (lɛk fɔ stɔp fɔ tek mɛrɛsin, fɔ tek antibayɔtik) jɔs bifo di tɛst.
- I nɔmal fɔ si smɔl blɔd de kɔmɔt na yu urine ɛn simen fɔ sɔm dez afta di tɛst, so nɔ wɔri bɔt am.
- If yu gɛt sayn dɛm fɔ infekshɔn lɛk fiva ɛn kol, go to dɔktɔ wantɛm wantɛm.
- Ilɛk wetin go apin, tek tɛm tɔk bɔt am wit yu dɔktɔ ɛn disayd bɔt di nɛks tin dɛn we yu fɔ du.
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