Kodi mulingo wanu wa PSA wakweranso? ​​(Mulingo Wokwera wa PSA) Tiyeni tidziwe bwino lomwe kuti ichi ndi chiyani!

Ndizachilendo kumva mantha pang'ono komanso nkhawa dokotala wanu akakuuzani kuti PSA yanu yakwera pang'ono poyesa magazi posachedwapa. Anthu ambiri amaganiza kuti PSA yokwera ndi chizindikiro cha khansa ya prostate. Chifukwa chake sizachilendo kuchita mantha mukaona lipoti lotere. Koma kodi ndi zoonadi? Kodi nthawi zonse khansa ndi yomwe imayambitsa PSA yokwera? Tiyeni tikambirane izi momveka bwino, mosavuta, komanso mwanjira yomwe mungamvetse.

Choyamba, tiyeni tiwone kuti PSA iyi ndi chiyani.

Mwachidule, PSA ndi chidule cha Prostate-Specific Antigen . Iyi ndi puloteni yopangidwa ndi prostate gland ya mwamuna, kachiwalo kakang'ono komwe kali pansi pa chikhodzodzo.

Kawirikawiri, kuchuluka kwa puloteni ya PSA iyi kumasonkhana m'magazi. Koma ngati prostate gland yakhudzidwa ndi matenda, matenda, kapena khansa, gland imayamba kutulutsa PSA yochulukirapo kuposa yachibadwa m'magazi. Madokotala amachita mayeso a PSA kuti ayesere kuchuluka kwa PSA m'magazi mwanu.

Kodi PSA value imaonedwa kuti 'yokwera' pamlingo wotani?

Apa pali chinthu chofunikira kumvetsetsa. Palibe PSA imodzi 'yabwinobwino' yomwe ikugwirizana ndi aliyense. Kale, PSA yoposa 4.0 ng/ml (nanograms ya PSA pa mililita imodzi ya magazi) inkaonedwa ngati chifukwa choyesera kwina.

Koma tsopano madokotala samangoyang'ana kuchuluka kwa PSA. M'malo mwake, amaganiziranso zinthu monga zaka zanu, thanzi lanu lonse, komanso mbiri yachipatala ya m'banja . Mwachitsanzo, pakhoza kukhala kusiyana pakati pa kuchuluka kwa PSA kwa mwamuna wazaka 45 ndi kuchuluka kwabwino kwa mwamuna wazaka 70. Pamene mukukalamba, prostate imakula pang'ono, kotero ndi zachilendo kuti kuchuluka kwa PSA kukwere pang'ono.

Kodi PSA yokwera imatanthauza khansa?

Funso ili ndi lomwe limaopseza anthu ambiri. Yankho lalifupi ndi lakuti, ayi! Kuchuluka kwa PSA kokha sikutsimikizira 100% kuti muli ndi khansa. Kuchuluka kwa PSA ndi chizindikiro chabe chakuti pali chiopsezo cha vuto linalake ndi prostate gland.

Dokotala akamayesa chiopsezo chanu cha khansa, amaganizira zinthu ziwiri zazikulu:

1. Mulingo wa PSA: Mtengo ukakwera, chiopsezo cha khansa chingakhale chachikulu.

2. Kuwonjezeka kosalekeza kwa mtengo:Ngati mtengowo ukupitirira kukwera pa miyezi ingapo yoyezetsa, m'malo mokwera kamodzi kokha, zimawonjezera kukayikira kwambiri za khansa.

Tiyeni tiganizire za chiopsezo. Ichi ndi mwayi chabe.

Monga mukuonera patebulo ili, ngakhale PSA itakhala yoposa 10, pali mwayi wa 50% kuti khansayo ithe. Chifukwa chake, ndikofunikira kuti musachite mantha ndikuchita zinthu zina monga momwe dokotala wanenera.

Ndiye ndi zifukwa zina ziti zomwe zingayambitse PSA kukwera popanda khansa?

Inde, pali zifukwa zina zambiri zomwe sizili za khansa zomwe zimapangitsa kuti PSA ikhale yokwera. Zina mwa izi ndizofala kwambiri.

• Benign Prostatic Hyperplasia (BPH): Iyi si khansa. Amuna akamakula, prostate yawo imakula mwachibadwa. Imeneyi ndi vuto lofala kwambiri. Pamene prostate ikukula, kuchuluka kwa PSA komwe imapanga kumawonjezekanso.
• Prostatitis: Kuwonjezeka kwadzidzidzi kwa PSA kungayambitsidwenso ndi matenda a bakiteriya kapena kutupa kwina kapena kutupa kwa prostate gland.
• Matenda a Mkodzo (UTIs): Miyezo ya PSA imatha kukwera kwakanthawi ngakhale patakhala matenda a mkodzo.
• Kukhala ndi catheter ya mkodzo: Ngati muli ndi catheter ya mkodzo pazifukwa zilizonse, ikhoza kukwiyitsa prostate gland ndikupangitsa kuti PSA ichuluke.
• Mayeso kapena njira zina zachipatala: Ma PSA angakwerenso kwakanthawi pambuyo pa mayeso ena okhudzana ndi prostate.
• Mankhwala ena:Mankhwala ena, monga mankhwala a mahomoni monga testosterone, angayambitsenso kusintha kwa PSA.

Kodi dokotala amachita chiyani pambuyo pake PSA ikakwera kwambiri?

Ngati mulingo wa PSA wanu uli wokwera, dokotala wanu sadzachita mantha ndi kupanga zisankho zazikulu nthawi yomweyo. Choyamba muyenera kuyesa kupeza chomwe chikuyambitsa. Mutha kutsatira njira izi kuti muchite zimenezo.

1. Kubwereza mayeso a PSA: Nthawi zina mayeso a PSA amabwerezedwa pakatha milungu ingapo kapena miyezi ingapo kuti aone ngati mtengo wake watsika, wakhalabe womwewo, kapena wakwera kwambiri.

2. Kuyezetsa kwa digito kwa rectal (DRE): Dokotala amaika chala chovala magolovesi mu rectum ndikukhudza prostate gland. Kuyezetsa kumeneku kungapereke chithunzithunzi chodziwikiratu ngati pali ziphuphu zosazolowereka, kukula, kapena kusintha kwina mu gland.

3. Mayeso ena: Ngati kuli kofunikira, mayeso ojambulira zithunzi monga MRI scan kapena Transrectal Ultrasound scan angaperekedwe.

4. Kuyeza kwa Prostate Biopsy: Kuyeza kumeneku kumachitika pokhapokha ngati pali kukayikira kwakukulu kwa khansa pambuyo pa mayeso omwe ali pamwambapa. Apa, tinthu tating'onoting'ono ta minofu timatengedwa kuchokera ku prostate ndikuwunikidwa pansi pa maikulosikopu kuti tiwone ngati pali maselo a khansa. Iyi ndiyo njira yokhayo yodziwira 100% ngati pali khansa kapena ayi.

Kodi mumatani ngati mwapezeka ndi khansa?

Ngakhale mutapezeka ndi khansa, musachite mantha. Khansa zambiri za prostate zimakula pang'onopang'ono. Nthawi zina, palibe chithandizo chomwe chikufunika, kungoyang'aniridwa mwachangu. Ngati chithandizo chikufunika, pali njira zosiyanasiyana, monga opaleshoni (`Prostatectomy`), chithandizo cha radiation (`Radiation Therapy`), ndi chithandizo cha mahomoni. Dokotala wanu adzakambirana nanu chithandizo chabwino kwambiri kwa inu.

Kodi pali zinthu zomwe tingachite kuti tichepetse kuchuluka kwa PSA m'magazi?

Kafukufuku wina wasonyeza kuti kusintha moyo ndi zakudya zina kungathandize kuwongolera kuchuluka kwa PSA pamlingo winawake. Komabe, izi sizilowa m'malo mwa chithandizo chamankhwala, koma ndi chithandizo chowonjezera.

• Zakudya zokhala ndi lycopene yambiri: Zipatso zofiira/zofiirira monga tomato, mavwende, ndi guava zili ndi michere yambiri iyi. Amakhulupirira kuti izi zimathandiza kuwongolera kukula kwa maselo a khansa.
• Zakudya zokhala ndi ndiwo zamasamba ndi zipatso zambiri: Kuika patsogolo zakudya zochokera ku zomera kumawonjezera chitetezo cha mthupi.
• Kuchita masewera olimbitsa thupi: Kuchita masewera olimbitsa thupi monga kuyenda ndi kunyamula zolemera kungathandize kuchepetsa kuchuluka kwa PSA.
• Vitamini D: Vitamini D imalimbitsa chitetezo chamthupi. Imapezeka mwa kukhala padzuwa, zakudya monga mkaka ndi madzi a lalanje, ndipo ngati pakufunika, kudzera mu zowonjezera zomwe dokotala wakupatsani.