Tiyeni tiwone thanzi la prostate gland yanu. Zonse zokhudza mayeso a PSA!

Kodi mudamvapo za mayeso a PSA awa? Mwina dokotala wanu wakuuzani za izi, kapena mwina mudamvapo kuchokera kwa mnzanu. Izi ndi mayeso ofunikira kwambiri kwa ife amuna. Anthu ambiri sadziwa zambiri za izi. Chifukwa chake, tiyeni tikambirane za izi lero m'njira yosavuta yomwe mungamvetse? Palibe choopa, chinthu chofunikira kwambiri ndikudziwa.

Kodi mayeso a PSA ndi chiyani?

Mwachidule, PSA ndi chidule cha Prostate-Specific Antigen. Ndi puloteni yapadera m'thupi lanu. Koma siili paliponse. Imapangidwa ndi prostate gland yanu. Gland iyi imapezeka mwa amuna okha, ndipo ili pansi pa chikhodzodzo.

Puloteni iyi yotchedwa PSA imapangidwa ndi minofu yathanzi ya prostate, komanso ndi maselo a khansa ya prostate. Komabe, chofunika kwambiri ndichakuti ngati pali khansa ya prostate, PSA iyi nthawi zambiri imatha kupangidwa mochuluka kuposa masiku onse.

Choncho, mayeso a PSA ndi mayeso osavuta a magazi omwe amayesa kuchuluka kwa mapuloteni a PSA awa m'magazi mwanu. Izi zingakuthandizeni kuona ngati PSA yanu yakwera. Madokotala amachita mayesowa kuti athandize kuzindikira khansa ya prostate msanga. Chifukwa ngati khansa yapezeka msanga, imakhala ndi mwayi waukulu wochiritsidwa ndikuchiritsidwa.

Dokotala nthawi zambiri amachita mayeso a digito a rectal (DRE) pamodzi ndi mayeso a PSA. Apa ndi pamene dokotala amafufuza prostate gland ndi chala chovala magolovesi kudzera mu anus. Izi zimathanso kuzindikira zotupa kapena kusintha kulikonse mu prostate gland.

Kodi mulingo woyenera wa PSA wogwirizana ndi msinkhu wanu ndi uti?

Ndipotu, si mulingo wa PSA wa aliyense womwe uli wofanana. Umasintha mukakula. Mukakula, sizachilendo kuti mulingo wa PSA wanu ukule pang'onopang'ono, ngakhale mutakhala kuti mulibe khansa ya prostate kapena mavuto ena aliwonse. Komabe, ngati mulingo wa PSA wanu uli wokwera kwambiri kuposa momwe mumayembekezera, kungakhale chizindikiro chochepa kuti mwina muli ndi khansa ya prostate. Koma sizikutanthauza kuti ndi khansa, eti?

Madokotala amayesa kuchuluka kwa PSA m'mayunitsi otchedwa nanograms pa milliliter ya magazi (ng/ml).

Kodi mayeso a PSA amachitidwa liti?

Kuyesa kwa PSA kumeneku ndi kofala kwambiri. Ngati muli ndi prostate, madokotala ambiri amalangiza kuti muyesedwe kaye zaka ziwiri kapena zitatu zilizonse, kuyambira muli ndi zaka 50.

Tangoganizani kuti zotsatira za mayeso anu a PSA sizili bwino kwenikweni. Choncho dokotalayo akuti, "Tiyeni tiwone bwino izi." Kenako akukuuzani kuti muchite mayeso a PSA ndi mayeso ena miyezi 6 iliyonse, kapena kamodzi pachaka.

Komabe, ngati muli pachiwopsezo chachikulu chotenga khansa ya prostate, dokotala wanu angakulangizeni kuti muyesedwe PSA nthawi zonse kuyambira ndi zaka 40-45. Mutha kukhala pachiwopsezo chachikulu pazifukwa zotsatirazi:

• Ngati wina m'banja mwanu, kutanthauza abambo anu, mchimwene wanu, kapena achibale awiri oyambirira, ali ndi khansa ya prostate.
• Ngati ndinu wakuda. (Kafukufuku wina wasonyeza izi, koma si zachilendo kwa aliyense, ndi bwino kufunafuna upangiri wa dokotala.)

Komanso, ngati muli kale ndi khansa ya prostate, madokotala amagwiritsa ntchito mayeso a PSA kuti awone momwe chithandizo chanu chikugwirira ntchito komanso kuti awone ngati khansayo yabwerera.

Zinthu Zomwe Muyenera Kudziwa Musanayambe Kuyesedwa kwa PSA

Musanayambe mayeso a PSA, muyenera kuuza dokotala wanu zinthu izi:

• Ngati mukumwa mankhwala a matenda otchedwa Benign Prostatic Hyperplasia (BPH), mwachitsanzo, Finasteride (Proscar®) kapena Dutasteride (Avodart®)
• Ngati mukumwa mankhwala monga `(Finasteride (Propecia®))` ochepetsa tsitsi.
• Ngati mwachitidwa opaleshoni ya BPH, mwachitsanzo, opaleshoni ya Transurethral Resection (TUR).
• Ngati mwangochita opaleshoni ya prostate biopsy posachedwapa, ndiye kuti, mkati mwa masabata 6 apitawa.
• Ngati mwagwiritsa ntchito catheter ya mkodzo posachedwapa kapena mwachitapo opaleshoni ina iliyonse yomwe imakhudza dongosolo lanu la mkodzo.
• Ngati muli ndi matenda omwe amakhudza chiwindi chanu, monga matenda a chiwindi, cystic fibrosis, kapena hepatitis C.
• Ngati panopa muli ndi matenda a mkodzo (UTI), kapena mwakhala nawo m'miyezi itatu yapitayi.

Mankhwala ndi njira zimenezi zingakhudze kuchuluka kwa PSA yanu, zomwe zimapangitsa kuti zikhale zovuta kwa dokotala wanu kuyeza molondola kuchuluka kwa PSA yanu.

Choncho, dokotala wanu adzakupatsani malangizo masiku angapo mayeso asanachitike kuti akuthandizeni kupeza zotsatira zolondola kwambiri. Malangizo awa angaphatikizepo:

• Pewani kuchita chilichonse chogonana kwa maola 48 musanayambe mayeso a PSA. Izi zikuphatikizapo kudziseweretsa maliseche. Kutulutsa umuna kungapangitse kuti PSA yanu iwonjezere kwakanthawi.
• Pewani kuchita masewera olimbitsa thupi kwa maola 48 musanayambe mayeso a PSA. Kuchita masewera olimbitsa thupi mwamphamvu, makamaka kukwera njinga, kungapangitse kuti PSA yanu ikhale yokwera kwakanthawi.

Kodi chimachitika ndi chiyani mayeso a PSA akachitika?

Ndi zophweka kwambiri. Kuyezetsa kwa PSA kuli ngati kuyezetsa magazi nthawi zonse. Izi ndi zomwe dokotala wa zaumoyo amachita:

• Kawirikawiri, mtsempha umasankhidwa pa mkono wanu ndipo khungu lomwe lili pamalopo limatsukidwa ndi mankhwala opha tizilombo toyambitsa matenda.
• Kenako, pogwiritsa ntchito singano yopyapyala, magazi ochepa amatengedwa kuchokera mumtsempha.
• Pomaliza, chitsanzo cha magazicho chimatumizidwa ku labu kuti chikawunikidwe.

Kodi mayeso a PSA amatenga nthawi yayitali bwanji?

Kutenga magazi kumatenga mphindi zochepa zokha. Pambuyo pake, ogwira ntchito zachipatala angakupempheni kuti mupumule kwa mphindi zingapo musanadzuke ndikuchoka.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Singano ikachotsedwa, chidutswa choyera cha thonje kapena gauze chimayikidwa pamalopo kuti magazi asiye kutuluka. Kenako bandeji yaying'ono imayikidwa.

• Muyenera kuvala bandeji imeneyo kwa maola angapo, ndipo musalole kuti inyowe.
• Imwani madzi ambiri mukatha kupereka magazi.
• Komanso, pewani kuchita masewera olimbitsa thupi kwa maola angapo mutatha kuyezetsa magazi, chifukwa kuchita masewera olimbitsa thupi mukatha kupereka magazi kumawonjezera chiopsezo cha zotsatirazi:
• Kutopa
• Chizungulire
• Kukomoka
• Kusanza ndi kusanza
• Kutuluka magazi
• Mikwingwirima

Kodi pali zoopsa zilizonse pa mayeso a PSA?

Pali zoopsa kapena zovuta zina zazing'ono zokhudzana ndi mayeso a PSA. Onani:

• Kuwonjezera pa khansa ya prostate, matenda ena angayambitse kuchuluka kwa PSA. Mwachitsanzo, benign prostatic hyperplasia (BPH), prostatitis, ndi matenda a mkodzo (UTIs). Izi nthawi zina zingayambitse nkhawa zosafunikira komanso kufunikira mayeso ena.
• Mitundu ina ya khansa ya prostate siimapangitsa kuti PSA ikwere. Izi zikutanthauza kuti ngakhale mayeso anu a PSA atasonyeza kuti muli ndi milingo yabwinobwino, mungakhalebe ndi khansa (ngakhale kuti izi sizingatheke).
• Mungamve nseru, chizungulire, kapena kutopa mukatenga magazi kapena mutatenga magazi.
• Pakhoza kukhala ululu kapena mabala pamalo pomwe paikidwa singano kwa masiku angapo.

Kodi zotsatira zake ndi ziti? Ndipo zikutanthauza chiyani?

Monga tafotokozera kale, kuchuluka kwa PSA kumasiyana malinga ndi zaka zanu. Ngati kuchuluka kwa PSA yanu kuli kokwera kuposa momwe mumayembekezera pa gulu lanu la zaka, sizitanthauza kuti muli ndi khansa ya prostate. Komabe, izi zitha kusonyeza kuti chiopsezo chanu chikuwonjezeka pang'ono. Ngati ndi choncho, dokotala wanu angakulangizeni mayeso ena angapo. Izi zingaphatikizepo:

• Mayeso ojambulira: MRI (Magnetic Resonance Imaging) kapena Transrectal Ultrasound imatha kujambula zithunzi za prostate yanu mwatsatanetsatane. Ngati pali malo okayikitsa, dokotala wanu angakupatseni biopsy.
• Kufufuza kwa Kansa ya Prostate: Apa ndi pamene dokotala wanu amatenga tinthu tating'onoting'ono ta minofu kuchokera ku prostate yanu ndikuyesa maselo a khansa. Iyi ndiyo njira yokhayo yodziwira ngati muli ndi khansa ya prostate ndikudziwa momwe imachitikira.

Kodi zimatenga nthawi yayitali bwanji kuti mupeze zotsatira za mayeso a PSA?

KawirikawiriMuyenera kulandira zotsatira za mayeso anu a PSA mkati mwa sabata imodzi . Dokotala wanu mwina adzakuyimbirani foni ndikukupemphani kuti mukonze nthawi yoti mukambirane zotsatira zake.

Kodi PSA imasonyeza bwanji khansa?

Kuchuluka kwa PSA sikutanthauza kuti muli ndi khansa ya prostate. Palibe PSA yeniyeni yomwe ingakuuzeni ngati muli ndi khansa kapena ayi. Njira yokhayo yodziwira ngati muli ndi khansa ya prostate ndikuchita biopsy ya prostate.

Koma, pali izi:

• Ngati mulingo wa PSA wanu uli pakati pa 4 ndi 10 (ng/ml) , muli ndi mwayi woposa 25% woti mudwale khansa ya prostate.
• Ngati mulingo wa PSA wanu uli pamwamba pa 10 (ng/ml) , muli ndi mwayi woposa 50% woti mudwale khansa ya prostate.

Ngati mulingo wanu wa PSA uli m'magulu awa, ndikofunikira kwambiri kulankhula ndi dokotala wanu za biopsy ya prostate.

Nthawi yoti mukaonane ndi dokotala

Lankhulani ndi dokotala za mayeso a PSA ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi prostate ndipo muli ndi zaka 50 kapena kuposerapo (malangizo ena amati mutatha zaka 45).
• Ngati muli pachiopsezo chachikulu chotenga khansa ya prostate. (Chiopsezo chanu chingakhale chachikulu ngati wina m'banja mwanu wakhala ndi khansa ya prostate, kapena ngati ndinu wakuda. Lankhulani ndi dokotala wanu za izi.)
• Ngati muli ndi zizindikiro za khansa ya prostate.

Kodi ndi mulingo wa PSA uti womwe muyenera kusamala nawo?

Kawirikawiri, mulingo wa PSA woposa 10 ng/ml umasonyeza chiopsezo chachikulu cha khansa ya prostate. Komabe, ngakhale pamlingo wotsika, dokotala wanu angakulangizeni kuti mupitirize kuyezetsa magazi kutengera zinthu zina.

Kodi zizindikiro za khansa ya prostate ya gawo 1 ndi ziti?

Nthawi zambiri, khansa ya prostate siionetsa zizindikiro zilizonse kumayambiriro kwake. Ichi ndichifukwa chake mayeso monga mayeso a PSA ndi ofunikira kwambiri.

Zizindikiro zochenjeza za khansa ya prostate

Pamene khansa ya prostate ikupita patsogolo, mungakumane ndi zizindikiro monga izi:

• Kusintha kwa mkodzo: Izi zingaphatikizepo kusadziletsa kwa mkodzo, kufooka kwa mkodzo, kupweteka kapena kutentha pamene mukukodza (dysuria), komanso kufunikira kukodza pafupipafupi (makamaka usiku).
• Kupweteka m'mimba, m'chiuno, kapena pachifuwa: Izi zikutanthauza kuti khansa ya prostate yafalikira ku ziwalo zina za thupi.
• Magazi mu mkodzo kapena umuna: Khansa ya prostate ingakhudze mbali zina za mkodzo ndi ziwalo zoberekera, zomwe zingayambitse magazi mu mkodzo (hematuria) kapena magazi mu umuna (hematospermia).
• Kupweteka kwa mafupa: Khansa ikafalikira (khansa ya prostate), imatha kufalikira mpaka ku mafupa ndikupangitsa ululu.
• Kuchepetsa thupi mosadziwika: Kuchepetsa thupi popanda khama lililonse kungakhale chizindikiro cha khansa.
• Kulephera kugwira ntchito kwa chiberekero ndi kupweteka panthawi yotulutsa umuna (Dysorgasmia kapena Orgasmalgia): Khansa ya prostate ingapangitse kuti zikhale zovuta kupeza ndi kusunga chiberekero panthawi yogonana. Ingayambitsenso ululu panthawi yotulutsa umuna.

Kodi ndingachepetse bwanji PSA yanga mwachangu?

Palibe njira yotsimikizika yochepetsera PSA yanu. Komabe, kafukufuku wina akusonyeza kuti kusintha zina pa moyo wanu ndi zakudya zanu kungathandize kuchepetsa PSA yanu. Nazi malangizo ena:

• Idyani zakudya zambiri zokhala ndi lycopene: Lycopene ndi mankhwala omwe amapatsa zipatso ndi ndiwo zamasamba mtundu wawo wa pinki kapena wofiira. Akuti imateteza khansa. Tomato (makamaka tomato wophikidwa), mavwende, maapricot, mapeyala ofiira, ndi magwava apinki ali ndi lycopene yambiri.
• Ganizirani zakudya zochokera ku zomera: Zakudya zokhala ndi ndiwo zamasamba, zipatso, ndi nyemba zambiri zimatha kulimbitsa chitetezo cha mthupi lanu ndikuletsa kukula kwa maselo a khansa.
• Imwani Vitamini D: Vitamini D imathandiza kumanga ndi kusunga mafupa olimba, komanso imalimbitsa chitetezo chamthupi. Thupi lanu limapanga vitamini D mukamakumana ndi dzuwa m'mawa. Zakudya monga nsomba zamafuta, mkaka wothira mafuta, mkaka wochokera ku zomera, madzi a lalanje, chimanga, ndi oatmeal zili ndi vitamini D. Dokotala wanu angakulangizeninso kuti mumwe mankhwala owonjezera a vitamini D.
• Wonjezerani zochita zolimbitsa thupi: Kuchita masewera olimbitsa thupi pang'ono mpaka mwamphamvu kungathandize kuchepetsa PSA yanu. Izi zikuphatikizapo kuyenda tsiku ndi tsiku, kuthamanga, kunyamula zolemera, ndi masewera osangalatsa.

Palibe chilichonse mwa izi chomwe chili chotsimikizika 100% kuti chimachepetsa PSA, koma ndi chothandiza pa thanzi lonse. Ndi bwino kufunsa upangiri wa dokotala musanasinthe zakudya kapena kuyamba kuchita masewera olimbitsa thupi.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kuyesa kwa prostate-specific antigen (PSA) ndi chida chofunikira kwambiri poyesa thanzi la prostate yanu. Ndibwino kuti muyesedwe PSA nthawi zonse mukakwanitsa zaka 50 (kapena 40-45 ngati muli ndi zinthu zomwe zingakuike pachiwopsezo). Komabe, ngati muli ndi vuto lalikulu, lankhulani ndi dokotala wanu za kuyezetsa PSA msanga. Kuti mupeze zotsatira zolondola kwambiri, tsatirani malangizo a dokotala wanu mosamala musanayese. Ngati muli ndi mafunso okhudza izi, dokotala wanu alipo kuti ayankhe.

Musachite mantha, chofunika kwambiri ndikudziwa. Kuzindikira msanga kungapangitse kusiyana kwakukulu!

` Kuyezetsa kwa Prostate, mayeso a PSA, khansa ya prostate, thanzi la amuna, mulingo wa PSA, mayeso a khansa, kuyezetsa magazi