Kum 50 chunglam i ni em? A nih loh leh kum 40 hnuai lam i ni em? Tichuan i doctor chuan PSA test nei turin a ti che a ni mai thei. Mi thenkhat chuan he hming an hriat hian an hlauthawng deuh a, an hlauthawng deuh bawk. "Hei hi prostate cancer check nana test a ni lo maw?" an ngaihtuah a. PSA hi eng nge ni tak tak? He test hian eng nge a zawn? Chu chu i ngaihtuah buai tur em ni? Vawiin hian heng zawng zawng hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
A awlsam zawngin, he PSA test hi eng nge ni?
PSA hi Prostate-Specific Antigen tih tawi a ni. Hei hi kan taksaa protein chi khat a ni. Prostate gland siam a ni a, mipaah chauh hmuh tur a awm. Ngaihtuah teh, he gland hi walnut te tak te ang vel a ni a, kan bladder hnuaiah a awm a ni.
Chuvangin, prostate-a cell hrisel ang bawkin cancer cell pawhin PSA an tih protein an siam bawk. Mahse a pawimawh ber chu, cancer cells hian PSA protein hi a siam tam zawk tlangpui . PSA test hi thisen test awlsam tak a ni. I thisena PSA protein awm zat a teh thin. I thisena PSA level chu a tlangpui aia sang a nih chuan i prostate-ah thil dik lo a awm thei tih a tilang a, cancer vei theihna a awm thei bawk.
Doctor hian PSA test rual hian digital rectal exam (DRE) a ti tlangpui ang. Hei hian prostate gland lian leh te, a pianzia leh a texture te chu a dik lo, lumps ang chi a awm leh awm loh a enfiah thin.
Kum a zirin PSA level ‘normal’ hi a danglam em?
Ni e, a dik tak zet. Hei hi mi tam takin an hriat chian loh tak tak a ni. Mi zawng zawng tan hian hlutna "normal" pakhat a awm lo. Kan tar chhoh zel chuan natna engmah nei lo mah ila, kan prostate gland hi a lian deuh deuh thin. Chuvangin PSA level hi natural takin a sang deuh a ni.
A pawimawh ber chu i doctor chuan i PSA level chu i kum nena inmil em tih emaw, ngaihven ngai level a nih leh nih loh a rel ang.
PSA hi milliliter khatah nanogram (ng/ml) -a teh a ni tlangpui. Kaihhruaina tlangpui angin, kum tehna atana normal value thenkhat chu hetiang hi a ni:
| Kum hrang hrang | PSA level pangngai beisei (ng/ml) 1.1. |
|---|---|
| Kum 40 - 49 inkar a ni | 0 atanga 2.5 thleng a ni |
| Kum 50 - 59 inkar a ni | 0 atanga 3.5 thleng a ni |
| Kum 60 - 69 inkar a ni | 0 atanga 4.5 thleng a ni |
| Kum 70+ a ni tawh | 0 atanga 6.5 thleng a ni |
Hengte hi kaihhruaina tlangpui mai a ni tih hre reng ang che. I PSA hi he limit aia sang deuh a nih vang mai mai hian cancer i nei tihna a ni hauh lo. Chu chu rei lo teah kan sawi leh ang.
Engtikah nge PSA test i neih ang?
Hei pawh hi thil pawimawh tak a ni.
- Chhungkaw zingah prostate cancer vei chak tak i neih loh chuan, doctor-te chuan kum hnih atanga kum thum danah PSA test neih tir an rawt a, a tlangpuiin kum 50 i tlin hnuah .
- Risk sang tak nei te: Risk sang tak i neih chuan i doctor chuan kum 40-45 atanga he test hi tan tir turin a rawt thei ang .
Heng mite hi tute nge risk sang zawk?
- Chhungkaw chanchin: I pa emaw, i unaupa emaw, i fapa emaw chuan prostate cancer a vei tawh a nih chuan, emaw, i chhungkaw member engemaw zatin he natna hi an vei tawh a nih chuan.
- Genetic factors: Research atanga a lan dan chuan African hnam chhuak mipa te hian prostate cancer an vei theihna a sang zawk a, kum naupang zawkah pawh a vei theihna a sang zawk.
Tin, PSA test hi prostate cancer enkawlna hlawhtlinna enfiah nan leh natna a lo lang leh tawh em tih hriat nan hman a ni bawk.
Test hmaa hriat tur thil
Okay, chuti a nih chuan PSA test neih tura ruahman i ni ta ang u. To get an accurate report , test hmaa ngaihtuah tur thil tlemte a awm. Heng thilte hian i PSA value a nghawng thei a ni.
Heng thilte hi i doctor hnenah hrilh rawh:
- Benign Prostatic Hyperplasia (BPH) damdawi (e.g. Finasteride, Dutasteride) i ei a nih chuan.
- Sam tlakchhamna atana damdawi `Finasteride (Propecia®)` ang chi i hman chuan.
- Tun hnaia prostate surgery (TUR) i neih tawh chuan.
- Kar 6 kalta chhunga prostate biopsy i neih tawh chuan.
- Tun hnaia catheter dah i nih chuan.
- Thin natna (`Cirrhosis`, `Hepatitis C` ang chi) i neih chuan.
- Tunah hian urinary tract infection (UTI) i neih emaw, thla 3 kalta chhunga i vei tawh emaw a nih chuan.
Test hma darkar 48 chhungin heng thilte hi ti suh:
- Mipat hmeichhiatna hmanna engmah (masturbation pawh tel) ti suh. Ejaculation hian hun eng emaw chen atan PSA level a tisang thei a ni.
- Exercise hahthlak tak tak, a bik takin cycle khalh ang chi thil te chu pumpelh la , hei hian hun eng emaw chen atan PSA level a tisang thei a ni.
Heng thupekte hi dik taka zawm chauhvin i PSA level tak tak chu kan teh thei ang.
PSA level sang hian cancer a kawk tak tak em?
No. A ni lo tak zet. Hei hi mi zawng zawng hriat reng tur pawimawh ber a ni. I PSA report-in a sang tih a sawi chuan hlauthawng suh. I prostate gland-ah thil a thleng a, chhui chian belh a ngai tihna chauh a ni.
PSA level sang hi cancer tan chuan ‘red light’ a ni a, cancer a nihzia ‘confirmation’ a ni lo.
Cancer bakah hian PSA level tihsan theih chhan dang thenkhat chu hetiang hi a ni:
- Benign Prostatic Hyperplasia (BPH): Hei hi cancer a ni lo. Mipa tam tak kum upat deuh deuha tuar thin, natna tlanglawn tak a ni.
- Prostatitis: Prostate gland infection leh swelling vangin PSA a pung thei .
- Urinary Tract Infection (UTI): Zun kawng infection hian PSA level a tisang thei bawk.
- Tun hnaia damdawi lam kalphung: A hmaa kan sawi tawh biopsies leh catheterization ang chi thil avang hian.
- Exercise chak tak leh mipat hmeichhiatna hman: Hengte hi test hnaih taka tih a nih chuan hun eng emaw chen atan PSA a tipung thei a ni.
PSA value a sang a nih chuan eng nge thleng leh ang?
I PSA level chu i kum a zirin a sang a nih chuan i doctor chuan a hlauthawng lo ang a, mahse chutiang chuan i hmabak tur a ruahman ang.
A tlangpuiin PSA value hi 4 leh 10 (ng/ml) inkar a nih chuan prostate cancer vei theihna chance chu 25% vel a ni. Value chu 10 aia tam a nih chuan probability chu 50% aia tam a ni thei.
Chuvangin, doctor chuan hetiang test hi a rawt thei ang:
- PSA test dang: Thla engemaw zat hnuah test dang tih leh la, a value a la sang em tih en mai thei.
- MRI scan: MRI (Magnetic Resonance Imaging) scan hmangin prostate thlalak chipchiar tak tak lak theih a ni a, rinhlelhna hmun a awm leh awm loh enfiah theih a ni.
- Prostate Biopsy: Prostate cancer i vei leh neih loh chiang taka hriat theihna awmchhun chu biopsy hmanga tih a ni. Hei hian prostate atanga tissue sample tlemte lak a, microscope hmanga enfiah a, cancer cell a awm leh awm loh enfiah a ni.
Prostate cancer natna lan chhuah dan chu engte nge ni?
Hei pawh hi a pawimawh hle. Prostate cancer hmasa berah chuan a lan chhuah dan a awm lo tlangpui . Chuvang chuan PSA ang test hi a pawimawh hle. Natna a zual zel chuan a lan chhuah dan te chu:
- Zun harsatna: Zun tam, zun luang chak lo, zun laiin kang emaw, na emaw (Dysuria), zun thunun harsa.
- Zun emaw semen emaw hmanga thisen chhuah.
- Hnung, hip, emaw rilru na fo thin: (Cancer hi ruh thlengin a darh tawh mai thei tihna a ni).
- Chhan awm lovin taksa rihna tihtlem.
- Erectile dysfunction emaw, ejaculation laiin natna emaw.
Heng symptoms te hi i neih chuan cancer i vei tihna a ni hauh lo. Mahse, heng symptoms te hi i neih chuan a rang thei ang bera doctor pan a, thurawn lak a pawimawh.
PSA level control nan hian kan tih theih tur a awm em?
Zan khat chhunga PSA level tihhniam thei tur magic formula a awm lo. Mahse, zirchianna thenkhatah chuan nunphung leh ei leh in hrisel neih hian prostate hriselna a vawng reng thei a, PSA level a control thei bawk.
| Thurawn | Hrilhfiahna |
|---|---|
| Lycopene tamna ei tur | He nutrient hi thei leh thlai sen/pink, tomato, watermelon, guava, leh grape-a awm hian cancer cells te than dan tur a control thei a ni. |
| Thlai atanga siam ei leh in | Thlai, thei leh thlai chi hrang hrang tamna ei hian taksa invenna a tichak a. |
| Vitamin D a ni | Vitamin D hi ni êng, sangha hriak leh bawnghnute aṭanga hmuh a ni. A tul chuan doctor thurawn angin vitamin D supplement i ei thei bawk. |
| Exercise neih fo thin | Exercise, brisk walking, running, leh weight lifting te hian PSA level a tihhniam theih nan a pui thei a ni. (Mahse, test hma ni hnih ni lo!) |
Take-Home Thuchah a ni
- PSA test hi prostate hriselna atana screening test pawimawh tak a ni a, cancer finfiahna test a ni lo.
- I PSA level a san chuan cancer ni lo chhan dang engemaw zat a awm bawk. Hlauthawng suh.
- Kum 50 aia upa i nih chuan (a nih loh leh risk sang zawk i nih chuan kum 40 chunglam i nih chuan) i doctor nen PSA test neih fo chungchang sawipui rawh.
- Test hmain doctor thupek (exercise neih loh, mipat hmeichhiatna hman loh) ang chiah hian zawm tur a ni. Chumi hnuah chauh chuan result dik ber i hmu ang.
- Ringhlelna emaw zawhna emaw i neih chuan i doctor hnenah zawt la, chiang takin hrilh rawh. Hlauthawng leh mualpho suh.
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