MRI Prostate Biopsy tihsak turin an ti bawk che em? (MRI-Guided Prostate Biopsy) Hemi chungchang hi awlsam takin i zir ang u!

I doctor chuan i prostate gland-ah harsatna a awm tih a ringhlel a, chiang taka hriat theih nan biopsy (tissue te tak te MRI scan hmanga lak leh enfiah) i neih a ngai tih a hrilh che em? Hetiang thil i hriat hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse he fiahna hi eng nge a nih, engtin nge a tih tih leh a inbuatsaih dan tur dik tak i hriat hunah chuan i hlauhthawnna chu a bo vek ang. Hemi chungchang hi awlsam takin han sawi ila.

A hmasain, he MRI-guided prostate biopsy hi eng nge ni?

A awlsam zawngin sawi ila, hei hi prostate cancer hriat theihna tur test bik a ni a, a nih chuan eng stage nge a nih tih hriat nan leh enkawl dan tur ruahmanna siam nan a ni. Hei hian MRI leh ultrasound technology hmanga i prostate atanga tissue sample te tak te lak a huam a, chu chuan thlalak chiang tak tak a pe a ni . Chumi hnuah chuan pathologist chuan heng tissue sample te hi microscope hmangin cancer cell a awm leh awm loh a enfiah thin.

Prostate gland hi eng nge ni?

I prostate hi i mipa reproductive leh urinary system-a tel a ni. Walnut ang maia lian gland a ni a, i bladder hmaah a awm a ni. Seminal fluid a siam a, chu chu i ejaculate huna sperm nena inzawm fluid a ni. He tui hian sperm hrisel taka a awm theih nan a pui a, naupai theih nan a pui bawk.

I urethra chu prostate gland kaltlangin a kal a. I zun hian bladder atanga zun chu penis kaltlangin a chhuak a, i ejaculate hian he tube hmang hian semen a chhuak thin.

He biopsy tih dan tur hi engte nge ni?

Prostate atanga tissue sample lak dan tlangpui pahnih a awm a. I doctor chuan i dinhmun atan eng method nge tha ber tih a hrilhfiah ang che.

Technology changkang zawk thenkhat i zir dawn nia.

Tunlai hian he test hi a dik zawk nan technology hmasawn tak tak hman a ni.

• Multiparametric MRI (mpMRI): Hei hi standard MRI aiin MRI hmanraw sensitive zawk leh hmasawn zawk a ni. Standard MRI aiin prostate gland-a cancer natna inthlak danglamna chu chiang zawkin a hmu thei a ni. Mahse, mpMRI ringawt pawh hian cancer a awm lo tih hi 100% in a chiang thei lo. Chuvangin biopsy neih a ngai fo thin.
• Fusion-guided prostate biopsy: Hei hi technique ngaihnawm tak a ni. MRI image leh ultrasound (TRUS - Transrectal Ultrasound) images te chu "fuse" in image pakhat siam a ni. MRI i nei hmasa ang. Tichuan, biopsy an tih lai hian doctor chuan software bik hmangin MRI thlalak leh ultrasound thlalak te chu a ruala lakkhawmte chu a inzawm khawm a ni. Hei hian doctor chuan prostate hmun rinhlelh awmte chu chiang takin a target thei a, tissue sample a la thei bawk.

Engvangin nge hetiang test hi neih a tul?

Doctor ten he test hmang hian thil engemaw zat an nemnghet thei a ni.

• Prostate cancer i neih leh neih loh dik takin enfiah rawh .
• Cancer a awm chuan a grade/aggressiveness chu teh rawh .
• A hmaa enkawl a nih hnuah cancer a lo lang leh tawh em tih enfiah thin ang che.
• A châng chuan, cancer symptoms ang chi, cancer ni lo, dinhmun dang (e.g., gland lian, infection) te chu cancer a nih thu hriatchhuah leh paih chhuah theih a ni.

He test hi tute nge mamawh tlangpui?

I doctor hian he test atan hian a refer theihna tur dinhmun engemaw zat a awm.

• I thisena PSA (Prostate-Specific Antigen) level chu a tlangpui aia sang a nih chuan.
• Digital rectal exam (DRE) neih laiin doctor chuan prostate gland-ah lump emaw, hmun khauh danglam tak emaw a hmuh chuan.
• MRI scan hmasa khan rinhlelh awm tak a awm a nih chuan .
• Ultrasound pangngai hmanga biopsy tih pawhin cancer a hmu lo a nih pawhin i PSA level a sang zel a nih chuan.
• Prostate cancer i vei tih hmuhchhuah a nih tawh a, enkawl loh active surveillance hnuaia awm i nih chuan.

Test hmain engtin nge i inbuatsaih ang?

Hei hi a pawimawh hle. Doctor thupek dik tak i zawm a ngai a ni. A tlangpuiin hei hi ti turin an hrilh che a ni.

Test neih chhung hian eng nge thleng?

MRI scan i neih hmasak a ngai ang. I kut chhunga vein kaltlangin special liquid (contrast dye) pek i ni thei a, chu chuan image chiang zawk a hmu thei ang.

Biopsy hi outpatient basis-a tih a ni tlangpui. Chumi ni vek chuan in lamah i haw thei tihna a ni. Prostate gland chhehvelah hian local anesthetic an inject a . Hei hian natna i hriat loh nan a pui ang. I rilru hahdam theih nan mild sedative pawh pek i ni thei bawk. Chuvangin thil dik lo a awm palh hlauh chuan in lama hruai tur che neih hi a tha ber.

Doctor hian prostate hmun hrang hrang atangin tissue sample 12 atanga 16 vel a la tlangpui. Hetih lai hian pressure tlem i nei thei a, mahse natna lian tham i nei tur a ni lo.

Test zawhah eng nge beisei tur?

Test zawh darkar engemaw zat hnuah in lamah i haw thei ang. Heng thilte hi ni engemaw zat lo awm tur atan chuan thil pangngai a ni.

• Biopsy hmunah hian thisen chhuah leh natna tlem a awm thei bawk.
• Ni engemaw zat chhung chu i zun (hematuria) emaw, semen (hematospermia) emaw ah thisen tlem i nei thei. Hei hi thil pangngai a ni a, lungngai suh.
• Doctor in a pek angin antibiotics i ei a ngai a ni .

A result hriat nan eng chen nge hun a duh?

I hnen atanga tissue sample lak chu lab-ah thawn a ni ang. It usually takes about a week , a châng chuan rei vak lo, result hmuh theih nân.

Results hi chi thum a awm thei a, chungte chu:

• Negative: Cancer cell hmuh tur a awm lo. Mahse, a tlem hle a, false-negatives a awm thei a, chutah chuan test hian cancer awm mahse a miss a ni. I PSA level a la sang a nih chuan i doctor chuan thla engemaw zat hnuah test leh turin a ti thei che a ni.
• Positive: Cancer cells hmuhchhuah a ni tawh. Hei hian prostate cancer a awm tihna a ni. Doctor chuan a hnuaia hmalakna tur te, enkawl dan tur te, a nih loh leh enkawl dan tur te a sawipui ang che.
• Ringhlelhawm: A result chu a pangngai lo a, mahse cancer a awm leh awm loh erawh a chiang lo. Hetiang hunah hian test dang emaw, thla engemaw zat hnuah biopsy tih nawn leh emaw a tha thei ang.

Engtin nge cancer nasat dan hi an teh thin?

Test-naah hian cancer cell hmuh a nih chuan pathologist chuan an hmel a zirin grade 1 atanga 5 thleng a pe ang. Tichuan, grade hman tlanglawn ber pahnih chu an dah khawm a, Gleason score an tih value an pe a (hei hi 6 atanga 10 thleng a ni thei). Gleason score sang (e.g., 8, 9, 10) nei cancer te hi score hniam (e.g., 6) nei cancer te aiin an darh (metastasize) zawk. He score hian i doctor chu i tan enkawlna tha ber thlang turin a pui thei a ni.

Doctor i hmuh tur hunah

Biopsy i tih zawhah natna hrik kai theihna chhinchhiahna, khawsik leh khawsik , i neih chuan i doctor i ko nghal tur a ni.

Tin, a hnuaia symptoms te hi a la awm reng emaw, a na zual emaw a nih chuan doctor lam pan ngei ngei tur a ni.

• Zun emaw semen emaw ah thisen awm.
• Erectile dysfunction a awm thin.
• Zanah zun chhuah a ngai fo thin (nocturia).
• Zun emaw, zun chhuah lai emawa natna.
• Zun control harsa, zun chhuah chak lo emaw, tihbuai emaw.