Me ako tātou mō te MRI-Guided Prostate Biopsy?

Kua rongo kē koe i te kōrero mō te koiora repeure e ārahihia ana e te MRI? Ahakoa he ingoa uaua, he mea tino nui tēnei mō ngā tāne. I tēnei rā, ka kōrerohia e tātou i roto i tētahi huarahi māmā e mārama ai koe.

He aha te koiora repeure e arahina ana e te MRI?

He whakarāpopototanga noa iho tēnei, he whakamātautau motuhake hei āwhina i ngā tākuta ki te tātaritanga i te mate pukupuku repeure, te whakatau i tōna taumata, me te whakamahere maimoatanga. Ko te tikanga o tēnei ko te tango i ngā tauira kiko iti, e kiia nei ko te koiora, mai i tō repeure mā te whakamahi i te hangarau MRI me te ultrasound i ētahi wā. Kātahi ka tirohia tēnei tauira kiko i raro i te karuārai kaha e tētahi tohunga hauora, e kiia nei ko te pathologist, hei tirotiro i ngā pūtau mate pukupuku.

He aha tēnei repe prostate?

Ko te repeure he wāhanga o te pūnaha whakaputa uri me te pūnaha mimi tāne. He repe iti te rahi, he rite ki te nati wōnati. Kei mua i tō pūhā. Ka whakaputahia e tēnei repe te wai purapura. Ina puta te wai, ka konatunatua tēnei wai ki te parāoa. Mā tēnei wai ka ora te parāoa, ā, ka pai mō te haputanga me te hapūtanga.

Ka rere te urethra mā roto i te repe prostate. He wāhanga tēnei ngongo o tō pūnaha mimi. Ina mimi koe, ka haria te mimi mai i te pūkahukahu mā roto i tēnei ngongo ka puta ki waho o te ure. Koinei anō te ngongo e kawe ana i te wai purapura me te parāoa ina puta koe.

He aha ngā tikanga hei whakahaere i te koiora prostate?

He rerekē ngā huarahi hei mahi i te koiora. Ka matapakihia e tō tākuta ēnei tikanga ki a koe, ā, ka whiriwhiria e ia te mea e pai ana mōu. E rua ngā tikanga matua:

• Kohikohi transrectal: Koinei te wāhi e tangohia ai e te tākuta he tauira kiko mā roto i tō rectum, koinei te wāhanga whakamutunga o tō whekau nui/koroni.
• Ko te koiora transperineal: Ko te tango i tētahi tauira kiko mā te perineum, te wāhi kiri i waenganui i tō nono me tō kiriuhi.

He aha te koiora repeure e āwhinahia ana e te MRI maha-parametric?

Kei te whakahaerehia e ngā tākuta ētahi atu whakamātautau mā te whakamahi i te hangarau MRI me te koiora ngira:

• MRI maha-taurite (mpMRI):I konei, ka whakataurite te tākuta i ngā hua o te MRI noa ki ngā hua o tētahi MRI hou. He tino tairongo tēnei mpMRI. Ka taea e ia te kite i ngā wāhi matepukupuku pea he pai ake i te MRI noa. Heoi, kāore e taea e te mpMRI anake te whakakore i te matepukupuku repeure. I te nuinga o te wā, me whai i tētahi koiora repeure.
• Te koiora repeure e ārahihia ana e te whakakotahitanga: Ka whakakotahihia, ka 'whakakotahitia' rānei e tēnei whakamātautau ngā hangarau MRI me te ultrasound transrectal (TRUS). Tuatahi, ka whai MRI koe. Mā tēnei ka āwhina i tō tākuta ki te kimi i ngā wāhi whakapae i roto i tō repeure. Kātahi, i te wā o te koiora, ka whakamahia e tō tākuta he taputapu ultrasound repeure me te pūmanawa matatau hei whakakotahi i ngā whakaahua MRI me te ultrasound. Mā tēnei whakaahua whakakotahi ka taea e tō tākuta te tango tauira kiko mai i ngā wāhi e tino puta ai ngā raruraru.

He aha ngā mea e whakakitea ana e te koiora repeure i āwhinahia e te MRI?

Mā tēnei whakamātautau, ka kitea e ngā tākuta ngā mea e whai ake nei:

• Te mate pukupuku repeure me tōna kaha (taumata/kaha).
• Ko te mate pukupuku repeure e hoki mai ana i muri i te maimoatanga.

He aha atu ngā mahi ka whakamahia e ngā tākuta te koiora repeure e arahina ana e te MRI?

Mena he matepukupuku repeure tōu, mā ēnei hua o te koiora e āwhina tō tākuta ki te waihanga i te mahere maimoatanga tino whai hua māu.

Ka taea hoki e ia te kite i ngā āhuatanga kore-matepukupuku/pai e whakaatu ana i ngā tohu rite ki te matepukupuku repeure (hei tauira, he whakamātautau toto PSA teitei). Ko ēnei āhuatanga ko:

• Te nui haere o te repeure (te whakanui/te whakanuinga pai o te repeure, te BPE/BPH rānei).
• Prostatitis - he mate pāwera, he mumura me te mamae i roto i te repe prostate.

Ko wai e hiahia ana ki te koiora repeure mā te MRI?

Mena ka teitei ake tō taumata PSA (prostate-specific antigen) i roto i te whakamātautau toto, ka taea e tō tākuta te mahi i tētahi koiora prostate, ka mahia mā te āwhina o tētahi MRI. Ka taea hoki e tō tākuta te mahi i tētahi koiora prostate mena ka kite tō tākuta i tētahi puku, i tētahi mārō rānei i roto i tō prostate i te wā o tētahi whakamātautau matihiko rectum (DRE), ki te whakaatu rānei tō MRI i tētahi mea whakapae. Tērā pea he tohu ēnei huringa o te mate pukupuku prostate, o tētahi raruraru kore-mate pukupuku rānei.

Tērā pea ka hiahiatia he koiora prostate āwhina-MRI i roto i ēnei take:

• Mena kāore e kitea te mate pukupuku i roto i te koiora repeure e arahina ana e te ultrasound, engari kei te piki tonu tō taumata PSA.
• Mena kua kitea kētia tō mate pukupuku repeure, ā, kei te tirotirohia e tō tākuta (aroturuki kaha).
• Mena kua tāpaetia kei te mate pukupuku repeure koe, ā, kei te whakaaro koe ki ētahi maimoatanga arotahi.

He aha ngā painga o te koiora ā-MRI?

Ki te whakatauritea ki te ultrasound, ka taea e te MRI te whakaputa i ngā whakaahua mārama ake, taipitopito ake o te prostate. Ka taea e tēnei te āwhina ki te tautuhi i ngā wāhi kei reira pea te mate pukupuku, kei hea pea e hiahiatia ana ngā tauira koiora, me ngā wāhi e hiahiatia ana te maimoatanga. Ka taea hoki e te mpMRI te whakaiti i te maha o ngā koiora e hiahiatia ana. Ka taea hoki e ia te kite i te mate pukupuku prostate me te whai hua ake i te MRI noa.

He aha ngā mea ka tū i mua i te tango i te kopa repeure mā te MRI?

Hei whakarite mō te tango i te kopa o te repeure, me whai koe i ngā tohutohu a tō tākuta. Me mahi e koe ēnei e whai ake nei:

• I mua i te MRI, me kōrero ki tō tākuta mō ngā taputapu whakarewa kua whakatōkia (hei tauira, ngā taputapu whakatere, ngā taputapu whakakapi hononga).
• Whakawāteahia ō puku. E taunaki ana ētahi tākuta kia whakamahia he enema i mua i te tango i te koiora, engari kāore e tika ana tēnei i ngā wā katoa.
• Kati te tango i ngā rongoā pēnei i ngā rongoā anti-inflammatory kore-steroidal (NSAID) me ngā rongoā whakangawari toto. Ka taea e ētahi rongoā te whakanui ake i te mōrearea o te toto me te marō.
• Hei whakaiti i te mōrearea o te mate, ka hoatu pea he paturopi ki a koe i mua atu, i muri mai hoki i te whakamātautau. Heoi, i te nuinga o te wā, kāore e hiahiatia he paturopi mō te koiora repeure transperineal nā te mea he iti te mōrearea o te mate.

He aha ngā mea ka tupu i te wā e whakahaerehia ana te koiora repeure mā te MRI?

Tuatahi, ka whiwhi koe i tētahi MRI. I te wā o te MRI, ka hoatu pea he wai motuhake e kiia nei ko te tae rerekē mā roto i tētahi IV (mā roto i tō uaua) kia mārama ake ai ngā pikitia. Tērā pea ka mātao koe ina tukuna te IV ki roto.

He onge pea, ka pāngia koe e te mate pāwera ki te wai i tukuna ki roto i tō IV. Tērā pea ka pāngia koe e te whewhe (urticaria) me te pupuhi (angioedema), ka whakapairuaki rānei koe. He maha ngā wā ka puta ēnei tauhohenga i muri tonu i te tukunga o te IV. Ka taea e tō tākuta te rongoā tonu i tēnei.

Ko te koiora he tikanga tirotiro ā-waho e mahia ana i roto i te tari o te tākuta, i te whare hauora, i te hōhipera rānei. Ka hoatu he rongoā whakamoe ā-rohe ki a koe hei whakangāwari i te wāhi kei reira te repeure. I ētahi wā, ka hoatu pea he rongoā whakamoe ngawari ki a koe i te wā o te koiora. Ka hoki koe ki te kāinga i taua rā anō. Ki te kore koe e hoatu he rongoā whakamoe, kāore pea koe e hiahia ki tētahi hei kawe i a koe. Heoi, he mea pai kia whai hoa koe, hei ārai noa iho.

Ka tangohia e te nuinga o ngā tākuta te 12 ki te 16 tauira kiko (ngā matua) mai i ngā wāhanga rerekē o tō repeure. Tērā pea ka rongo koe i te ngau i te wā o te koiora. Tērā pea ka ahua kore whakamarie te whakamātautau, engari kaua e mamae.

He aha ngā mea ka tupu i te wā e whakahaerehia ana te koiora repeure e te MRI transrectal?

I te wā o te koiora transrectal, kei te takoto koe ki tō taha. I te wā o te whakamātautau, ka:

• I muri i te paninga o te hinu whakahinuhinu, ka āta whakaurua te taputapu koiora ki roto i tō pūkahukahu.
• Mā te whakamahi i tētahi mokowā ārahi i runga i te taputapu kohi pūtau, ka werohia te ngira hei hoatu i te rongoā whakamoe ā-rohe, ā, ka tangohia te kohi pūtau.
• Mā te whakamahi i ngā pūmanawa matatau me ngā whakaahua i tangohia mai i te MRI, ka arahina te ngira, ā, ka tangohia he tauira kiko.

He aha ngā mea ka tupu i te wā e whakahaerehia ana te koiora repeure e te MRI transperineal?

I te wā o te tirotiro i te perineal biopsy, ka takoto anga koe ki runga, me ō waewae i roto i ngā stirrups. I te wā o te tirotiro, ka:

• Ka whakauruhia he taputapu ultrasound ki roto i tō pūkahukahu.
• Kua whakangoikoretia tō kiri me tō repeure ki te rongoā whakamoe ā-rohe.
• Mā te whakamahi i ngā pūmanawa matatau me ngā whakaahua i tangohia mai i te MRI, ka arahina te ngira, ā, ka tangohia he tauira kiko.

He aha ngā mea ka tupu i muri i te tango i te kopa o te repeure mā te MRI?

Kia ora ake koe, ā, kia pai hoki ō tohu ora, ka taea e koe te hoki ki te kāinga. Tērā pea ka pāngia koe e ēnei āhuatanga:

• Tērā pea ka pāngia koe e te toto mai i te wāhi i whakamātauria ai, me te mamae ngawari, te kore rānei e pai .
• Me tango pea e koe ngā paturopi hei ārai i te mate.
• Tērā pea ka kite koe i te iti o te toto i roto i tō mimi (hematuria) i te toto rānei i roto i tō purapura (hematospermia) mō ētahi rā i muri i te whakamātautau. Mēnā i tangohia he koiora repeure transrectal i a koe, tērā pea he iti anō te toto i roto i tō rectum.

Āhea ka puta mai ngā hua o te koiora?

Ka tukuna e te tākuta te tauira kiko ki te taiwhanga. Tērā pea ka roa te wiki, i ētahi wā ka roa ake, kia puta ai ngā hua.

He aha ngā kōrero a ngā hua o te koiora?

Tērā pea ka pēnei te āhua o ō hua koiora:

• Kino `(Kino)`:Kāore he pūtau matepukupuku. Heoi, i ētahi wā ka puta he hua kino-hē. Ko te tikanga o tēnei he matepukupuku pea tōu ahakoa kāore i te whakaatuhia i roto i te whakamātautau. Mena he teitei tō taumata PSA, he tohu kē atu rānei kei a koe mō te matepukupuku repeure, ka tono pea tō tākuta i tētahi atu koiora i roto i ētahi marama.
• Pai: Kei reira ngā pūtau matepukupuku. Ko te tikanga tēnei he matepukupuku repeure tōu. Ka kōrero te tākuta ki a koe mō ngā mahi hei whai ake, pērā i te maimoatanga, te aroturuki rānei.
• Whakahē: He rerekē ngā hua, ā, kāore i te tino mārama kei te kitea te mate pukupuku. Tērā pea ka tūtohu te tākuta kia whakamātauria anō, kia tangohia rānei tētahi atu koiora i roto i ētahi marama.

Me pēhea te whakatau i te kaha o te mate pukupuku prostate mai i ngā hua o te koiora?

Ki te kitea e te tākuta mate pukupuku ngā pūtau matepukupuku, ka hoatu e rātou he māka mai i te 1 ki te 5 i runga i te āhua rerekē o aua pūtau. Kātahi ka tāpirihia ngā māka teitei e rua hei hanga i tētahi kaute Gleason (mai i te 6 ki te 10). Ko tētahi atu huarahi hei whakaahua i tēnei kaute ko te tauine Rōpū Māka (1 ki te 5).

Ko ngā mate pukupuku taumata teitei ake (Rōpū Taumata 5) he nui ake te tūponotanga ka kaha ake te horapa me te horapa (metastasize) i ngā mate pukupuku taumata iti ake (Rōpū Taumata 1). Mā tēnei rōpū taumata ka āwhina tō tākuta ki te whiriwhiri i te maimoatanga pai rawa atu māu.

Āhea ahau me kite i te tākuta?

Ki te puta mai ngā tohu o te mate urutā, pērā i te kirika me te makariri, i muri i te tango i te koiora, me whakapā atu koe ki tō tākuta.

Waihoki, ki te mea kei a koe ngā tohumate o te matepukupuku repeure, ētahi atu rānei o ēnei raruraru, me kōrero koe ki tō tākuta:

• Toto i roto i tō mimi, i tō purapura rānei.
• Te ngoikore o te ure.
• Te kore e taea te whakahaere i ngā nekehanga o te puku (Te kore e taea te pupuri i te mimi i roto i te paru).
• Te mimi pinepine i te pō (nocturia).
• Te mimi mamae (dysuria) te putanga wai rānei.
• Te kore e taea te pupuri i te mimi, he ngoikore, he mutu rānei te rere o te mimi.

Mena kei te whakaatu ētahi whakamātautau kei a koe te mate pukupuku repeure, ka taea e tō tākuta te mahi i tētahi koiora repeure, ka mahia mā te MRI. Ka āwhina te MRI i tō tākuta ki te kimi me te arotahi i ngā wāhi whakapae i roto i tō repeure. Ka taea hoki e tō tākuta te mahi i tētahi koiora ārahi-whakakotahi, e whakakotahi ana i te MRI me te ultrasound. Mena ka whakaūhia e ngā hua o te koiora kei a koe te mate pukupuku repeure, ka taea e tō tākuta te kōrero ki a koe mō ngā kōwhiringa maimoatanga.

Karere Tangohia ki te Kāinga

Āe, kua mārama ake koe ināianei he aha te tikanga o te MRI-assisted prostate biopsy. Ahakoa he kupu whakamataku pea, he whakamātautau matatau tonu tēnei hei āwhina i te kite wawe i ngā āhuatanga pēnei i te matepukupuku prostate.

Ko te mea nui, mēnā ka tūtohu tō tākuta i tēnei whakamātautau, me tino mōhio koe, ā, kaua e wehi ki te whakahaere tonu. Mēnā he āwangawanga āu, kōrero noa ki tō tākuta mō ēnei mea. Kia maumahara, ko te kitenga wawe te huarahi pai ki te angitu o te maimoatanga.

Mena he nui ake te taumata PSA, he tohumate rānei kei a koe, kaua e warewarehia . Tirohia te tākuta tonu mō ētahi tohutohu. Ka taea e tātou katoa te noho ora!

` Te kohi ira o te repeure, te kohi ira o te MRI, te matepukupuku repeure, te whakamātautau PSA, te hauora o ngā tāne, te whakamātautau kohi ira, te tautuhi i te matepukupuku