Kodi inunso mwapemphedwa kuti muyesedwe MRI Prostate Biopsy? (MRI-Guided Prostate Biopsy) Tiyeni tiphunzire izi mosavuta!

Kodi dokotala wanu akukayikira kuti muli ndi vuto ndi prostate gland yanu ndipo wakuuzani kuti muyenera kuchitidwa biopsy (kachidutswa kakang'ono ka minofu ndikuwunika pogwiritsa ntchito MRI scan) kuti mudziwe bwino? Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva chinthu chonga ichi. Koma mukadziwa bwino lomwe kuti mayesowa ndi otani, momwe amachitikira, komanso momwe mungakonzekerere, mantha anu adzatha. Tiyeni tikambirane izi mosavuta.

Choyamba, tiyeni tiwone, kodi biopsy ya prostate yotsogozedwa ndi MRI ndi chiyani?

Mwachidule, iyi ndi njira yapadera yodziwira khansa ya prostate, ngati ndi choncho, kuti mudziwe momwe ilili, ndikukonzekera chithandizo. Izi zimaphatikizapo kutenga zitsanzo zazing'ono kwambiri za minofu ya prostate yanu pogwiritsa ntchito MRI ndi ukadaulo wa ultrasound, zomwe zimapereka zithunzi zomveka bwino . Kenako katswiri wa matenda amafufuza zitsanzo za minofu iyi pansi pa maikulosikopu kuti adziwe ngati ili ndi maselo a khansa kapena ayi.

Kodi prostate gland ndi chiyani?

Prostate yanu ndi gawo la njira yanu yoberekera ya amuna ndi mkodzo. Ndi gland yofanana ndi mtedza yomwe ili patsogolo pa chikhodzodzo chanu. Imapanga madzi a umuna, omwe ndi madzi omwe amasakanikirana ndi umuna mukamatulutsa umuna. Madzi awa amathandiza kuti umuna ukhale wathanzi komanso umakuthandizani kutenga pakati.

Mkodzo wanu umadutsa mu prostate gland. Mukakodza, mkodzo wochokera m'chikhodzodzo umatuluka kudzera mu mbolo, ndipo mukatulutsa umuna, umuna umatuluka kudzera mu chubu ichi.

Kodi njira zochitira biopsy iyi ndi ziti?

Pali njira ziwiri zazikulu zopezera zitsanzo za minofu kuchokera ku prostate. Dokotala wanu adzakufotokozerani njira yoyenera kwambiri pa vuto lanu.

Tiyeni tiphunzire za ukadaulo wina wapamwamba kwambiri.

Masiku ano, ukadaulo wapamwamba ukugwiritsidwa ntchito kuti mayesowa akhale olondola kwambiri.

• Multiparametric MRI (mpMRI): Iyi ndi njira ya MRI yodziwika bwino komanso yapamwamba kuposa MRI yodziwika bwino. Imatha kuzindikira kusintha kwa khansa mu prostate gland momveka bwino kuposa MRI yodziwika bwino. Komabe, mpMRI yokha siyingakhale yotsimikiza 100% kuti palibe khansa. Chifukwa chake, nthawi zambiri ndikofunikira kuchita biopsy.
• Kufufuza kwa prostate kotsogozedwa ndi fusion: Iyi ndi njira yosangalatsa kwambiri. Ikuphatikizapo "kuphatikiza" zithunzi za MRI ndi zithunzi za ultrasound (TRUS - Transrectal Ultrasound) pamodzi kuti apange chithunzi chimodzi. Choyamba mumachita MRI. Kenako, panthawi ya biopsy, dokotalayo amagwiritsa ntchito mapulogalamu apadera kuphatikiza zithunzi za MRI ndi zithunzi za ultrasound zomwe zidatengedwa nthawi imodzi. Izi zimathandiza dokotalayo kuti azitha kuyang'ana bwino malo okayikitsa a prostate ndikutenga zitsanzo za minofu.

N’chifukwa chiyani kuli kofunikira kuchita mayeso otere?

Madokotala angatsimikizire zinthu zingapo kudzera mu mayeso awa.

• Dziwani molondola ngati muli ndi khansa ya prostate kapena ayi.
• Ngati pali khansa, dziwani kuchuluka kwake/kuopsa kwake .
• Yang'anani ngati khansa yabwereranso pambuyo poti yathandizidwa kale.
• Nthawi zina, matenda ena omwe ali ofanana ndi zizindikiro za khansa koma osati khansa (monga kukula kwa glands, matenda) amatha kuzindikirika ndikuchotsedwa ngati khansa.

Ndani nthawi zambiri amafunikira mayeso awa?

Pali zochitika zingapo zomwe dokotala wanu angakutumizireni kuti mukayesedwe.

• Ngati mulingo wa PSA (Prostate-Specific Antigen) m'magazi mwanu uli wokwera kuposa wabwinobwino.
• Ngati dokotala apeza chotupa kapena malo olimba kwambiri mu prostate gland panthawi yoyezetsa rectal (DRE).
• Ngati MRI scan yapitayi yawonetsa chilichonse chokayikitsa .
• Ngati mulingo wanu wa PSA ukupitirira kukwera ngakhale kuti biopsy yochitidwa ndi ultrasound yokhazikika siipeza khansa.
• Ngati mwapezeka kale ndi khansa ya prostate ndipo mukuyang'aniridwa popanda chithandizo.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Izi ndizofunikira kwambiri. Muyenera kutsatira malangizo a dokotala molondola. Nthawi zambiri, izi ndi zomwe amakuuzani kuti muchite.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Choyamba muyenera kuyesedwa ndi MRI. Mungapatsidwe madzi apadera (utoto wosiyana) kudzera m'mitsempha yomwe ili m'dzanja lanu kuti mupeze zithunzi zomveka bwino.

Kuyezetsa magazi nthawi zambiri kumachitika munthu asanapite kuchipatala. Izi zikutanthauza kuti mutha kupita kunyumba tsiku lomwelo. Mankhwala oletsa ululu amaikidwa m'dera lozungulira prostate gland. Izi zikuthandizani kuti musamamve kupweteka kwambiri. Mungapatsidwenso mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Chifukwa chake, ndi bwino kuti wina akutengereni kunyumba ngati chinachake chalakwika.

Dokotala nthawi zambiri amatenga zitsanzo za minofu pafupifupi 12 mpaka 16 kuchokera ku ziwalo zosiyanasiyana za prostate. Mutha kumva kupanikizika pang'ono panthawiyi, koma simuyenera kumva kupweteka kulikonse.

Kodi mungayembekezere chiyani pambuyo pa mayeso?

Mukhoza kupita kunyumba maola angapo mutatha mayeso. Zinthu izi ndi zachilendo kwa masiku angapo otsatira.

• Pakhoza kukhala kutuluka magazi pang'ono komanso kupweteka pang'ono pamalo oyezetsera magazi.
• Mungakhale ndi magazi pang'ono mu mkodzo wanu (hematuria) kapena umuna (hematospermia) kwa masiku angapo. Izi ndi zachilendo, musadandaule.
• Muyenera kumwa mankhwala opha tizilombo omwe dokotala wakupatsani monga mwalangizira .

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Chitsanzo cha minofu chomwe chatengedwa kuchokera kwa inu chidzatumizidwa ku labu. Nthawi zambiri zimatenga pafupifupi sabata imodzi , nthawi zina nthawi yayitali pang'ono, kuti mupeze zotsatira.

Pakhoza kukhala mitundu itatu ikuluikulu ya zotsatira:

• Negative: Palibe maselo a khansa omwe adapezeka. Komabe, nthawi zambiri, pamakhala zolakwika zabodza, pomwe mayesowo amalephera kupeza khansa ngakhale itakhalapo. Ngati mulingo wanu wa PSA ukadali wokwera, dokotala wanu angakupempheni kuti mukayesedwenso pakatha miyezi ingapo.
• Zabwino: Maselo a khansa apezeka. Izi zikutanthauza kuti pali khansa ya prostate. Dokotala adzakambirana nanu za njira zotsatila, njira zochiritsira, kapena kuyang'anira.
• Zokayikitsa: Zotsatira zake sizachilendo, koma sizikudziwika ngati khansa ilipo kapena ayi. Pakadali pano, kuyezetsa kwina kapena kubwerezabwereza kwa biopsy pakatha miyezi ingapo kungalimbikitsidwe.

Kodi kuopsa kwa khansa kumayesedwa bwanji?

Ngati maselo a khansa apezeka mu mayesowo, katswiri wa matenda adzapatsa maselowo giredi kuyambira 1 mpaka 5 kutengera mawonekedwe awo. Kenako, ma giredi awiri odziwika bwino amawonjezedwa pamodzi kuti apereke mtengo wotchedwa Gleason score (izi zitha kuyambira 6 mpaka 10). Khansa zomwe zili ndi giredi yapamwamba ya Gleason (monga 8, 9, 10) zimakhala zosavuta kufalikira (metastasize) kuposa khansa zomwe zili ndi giredi yochepa (monga 6). Zigoli izi zingathandize dokotala wanu kusankha chithandizo chabwino kwambiri kwa inu.

Nthawi yomwe muyenera kupita kwa dokotala

Ngati mukupeza zizindikiro za matenda, monga kutentha thupi ndi kuzizira , mutatha kuchitidwa biopsy, muyenera kuyimbira dokotala nthawi yomweyo.

Komanso, ngati zizindikiro zotsatirazi zikupitirira kapena zikuipiraipira, onetsetsani kuti mwapeza upangiri wa dokotala.

• Kupezeka kwa magazi mu mkodzo kapena umuna.
• Kulephera kugwira ntchito kwa erectile.
• Kufuna kukodza pafupipafupi usiku (nocturia).
• Ululu pokodza kapena kutulutsa umuna.
• Kuvuta kulamulira kukodza, kufooka kapena kusokonezeka kwa mkodzo.