Dokotala wanu akakuuzani kuti muyenera kuyesedwa, nthawi zina mumamva mantha komanso mantha pang'ono mukamva dzina lake, sichoncho? Makamaka ngati dzinalo ndi lovuta pang'ono. "Transrectal ultrasound" ndi dzina limodzi mwa mayina amenewa. Anthu ambiri, makamaka amuna, amamva kusasangalala pang'ono akamva dzinali. Kotero lero tiyankha mafunso onse ndi mantha omwe muli nawo okhudza mayesowa m'njira yosavuta. Zili ngati mnzanu kapena wachibale akukufotokozerani.
Mwachidule, kodi transrectal ultrasound (TRUS) ndi chiyani?
Chabwino, tiyeni tidule dzinali. Mwina mwamvapo za "ultrasound." Limagwiritsidwa ntchito pojambula mayi wapakati, komanso kuyang'ana mkati mwa matupi athu. Limaphatikizapo kutumiza mafunde amphamvu kwambiri (omwe sitingamve) m'thupi kenako nkuwabwezeretsa kuti apange chithunzi pa kompyuta. Zili ngati momwe mileme imagwiritsira ntchito mafunde awa kuti iwuluke usiku. Silitulutsa cheza chilichonse, kotero ndi njira yotetezeka kwambiri.
Tsopano tiyeni tiwone gawo lotchedwa "transrectal." "Trans" amatanthauza "kudzera." "Rectal" amatanthauza chinthu chogwirizana ndi "rectum." Choncho transrectal ultrasound ndi ultrasound yomwe imachitidwa kudzera mu rectum .
Pankhaniyi, dokotala pang'onopang'ono amaika chipangizo chapadera (probe) chofanana ndi chala chanu mu rectum. Chipangizochi chimatulutsa mafunde a phokoso. Prostate gland mwa amuna ili pafupi kwambiri ndi rectum. Chifukwa chake, ikawunikidwa motere, chithunzi chomveka bwino komanso chatsatanetsatane cha prostate gland chingapezeke. Izi nthawi zina zimatchedwa `(Endorectal ultrasound - ERUS)`.
Ndani nthawi zambiri amafunikira mayeso awa?
Pali zifukwa zingapo zomwe dokotala angakulamulireni mayesowa. Tangoganizirani izi: Mukupita kwa dokotala chifukwa mukuvutika kukodza. Dokotala angakuwunikireni ndikukutumizani kuti mukayesedwe ngati akuona kuti ndikofunikira kufufuza zambiri.
Tiyeni tifotokoze izi mozama mu tebulo ili m'munsimu.
| Chifukwa chotumizira anthu kukayezetsa | Kufotokozera kosavuta |
|---|---|
| Zolakwika pa kafukufuku wa digito wa rectal (DRE) | Dokotala akalowetsa chala kudzera mu rectum kuti akaone prostate gland (izi zimatchedwa DRE), ngati akumva chinachake ngati chotupa kapena kutupa, amachita scan iyi kuti aione bwino. |
| Kukwera kwa PSA | PSA (prostate-specific antigen) ndi mayeso a magazi. Ngati kuchuluka kwa magazi kumeneku kwakwera, kusanthula kumeneku ndikofunikira kwambiri kuti tipeze chomwe chikuyambitsa matendawa. |
| Zizindikiro za khansa ya prostate | Ngati muli ndi zizindikiro monga kuvutika kukodza, kukodza pafupipafupi, kapena magazi mumkodzo wanu, yang'anani ngati chifukwa chake ndi vuto la prostate. |
| Kusabereka | Kuyeza kumeneku nthawi zina kumagwiritsidwa ntchito kupeza chomwe chimayambitsa kusabereka mwa amuna. Kungagwiritsidwenso ntchito pofufuza ziwalo za m'chiuno mwa akazi, ndipo nthawi zina ngati njira zina sizili zoyenera. |
| Kuchiza ndi kusonkhanitsa minofu | Ngati mukukayikira kuti muli ndi khansa ya prostate, scan iyi imagwiritsidwa ntchito ngati chitsogozo chotengera minofu yaying'ono (biopsy) kuchokera m'derali. Imathandizanso kutsogolera njira zina zochiritsira. |
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Iyi si opaleshoni yaikulu, koma imafuna kukonzekera pang'ono kuti mayeso achitike bwino.
- Uzani dokotala wanu zonse: Muyenera kuuza dokotala wanu za ziwengo zilizonse, matenda a mtima, matenda a m'mapapo, ndi mankhwala aliwonse omwe mukumwa panopa.
- Mungafunike kusiya kumwa mankhwala ena: Ngati mukumwa mankhwala oletsa magazi kuundana kapena ochepetsa ululu monga aspirin kapena ibuprofen, dokotala wanu adzakuuzani kuti musiye kumwa mankhwalawa masiku angapo mayeso asanachitike. Musasiye kumwa mankhwala aliwonse popanda kufunsa dokotala wanu kaye.
- Kuyeretsa matumbo:Maola ochepa musanayesedwe, mungapemphedwe kuti mugwiritse ntchito enema kuti muyeretse rectum ndi m'mimba mwanu. Izi zithandiza kuti scan ipange chithunzi chomveka bwino.
- Kutulutsa madzi m'chikhodzodzo: Dokotala adzakufunsani kuti mukodze ndi kutulutsa madzi m'chikhodzodzo musanayambe kuyeza.
Malangizo awa angasiyane pang'ono malinga ndi chipatala, choncho ndikofunikira kutsatira malangizo a dokotala wanu molondola.
Kodi chimachitika ndi chiyani kwenikweni panthawi ya mayeso?
Chabwino, tsopano tiyeni tiwone zomwe zidzachitike patsiku la mayeso. Kudziwa izi kudzakuthandizani kuchepetsa mantha anu kwambiri.
1. Kusintha zovala: Mudzapatsidwa diresi la kuchipatala kuti muvale.
2. Malo: Mudzapemphedwa kugona kumanzere kwa bedi, mawondo anu atawerama moyang'anizana ndi chifuwa chanu.
3. Kuyika chipangizocho: Dokotala adzayika pang'onopang'ono chipangizo choyezera ultrasound chomwe chili ndi mafuta m'chimbudzi chanu. Chimakhala cha kukula kwa chala chimodzi. Pa nthawiyi, mungamve ngati mukufunika kuchita chimbudzi. Izi sizachilendo. Sizingakhale zopweteka kwambiri, koma mungamve kusasangalala pang'ono.
4. Kujambula: Chipangizocho chikayikidwa bwino, dokotala amachisuntha pang'onopang'ono uku akuyang'ana mosamala zithunzi za prostate gland zomwe zimawonekera pa kompyuta.
Njira yonseyi nthawi zambiri imatenga mphindi zosakwana 30.
Nanga bwanji ngati biopsy yatengedwa?
Nthawi zina, ngati dokotala awona chinthu chokayikitsa pa scan, angafunike kutenga chidutswa chaching'ono kwambiri cha minofu kuchokera pamalopo kuti akayesedwe. Izi zimatchedwa biopsy . Izi zitha kuchitika nthawi yomweyo ndi TRUS scan.
- Kusanza: Musanachite biopsy, mankhwala oletsa ululu amaikidwa m'dera lozungulira prostate yanu kuti musamve kupweteka kwambiri.
- Kusankha minofu: Kenako, singano yopyapyala kwambiri imayikidwa moyandikana ndi chipangizo chojambulira ndipo zitsanzo zingapo za minofu zimatengedwa kuchokera kumadera okayikitsa. Mungamve kubaya pang'ono singano ikayikidwa.
Zitsanzo za minofu zomwe zapezeka mwanjira imeneyi zimatumizidwa ku labotale kuti zikayang'aniridwe pogwiritsa ntchito maikulosikopu kuti zitsimikizire ngati maselo a khansa alipo kapena ayi.
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mayeso akatha, mutha kupita kunyumba tsiku lomwelo.
- Funsani dokotala ngati mungathe kuyendetsa galimoto kapena ngati mukufuna wina woti akuyendetseni.
- Ngati mwachita biopsy, mudzapatsidwa maantibayotiki kuti mupewe matenda kwa masiku angapo. Muyenera kuwamwa monga momwe mwalangizidwira.
- Amati simuyenera kumwa mankhwala ochepetsa magazi monga aspirin kwa masiku angapo.
- Imwani madzi ambiri. Kumwa magalasi osachepera 6-8 a madzi patsiku kumathandiza kuti mkodzo ukhale woyera.
Zingatenge masiku angapo kapena sabata kuti zotsatira za biopsy zibwerere. Zotsatira zake zikapezeka, dokotala adzakuyimbirani foni ndikukonza nthawi yokambirana za izi.
Kodi ubwino ndi zoopsa za mayesowa ndi ziti?
Ngakhale mayeso aliwonse azachipatala ali ndi ubwino ndi zoopsa zake, TRUS ndi mayeso otetezeka kwambiri.
| Ubwino | Zoopsa/Zovuta |
|---|---|
| Palibe ma radiation (mosiyana ndi ma X-ray). | Ngati muli ndi TRUS scan yokha: Monga momwe tikudziwira, palibe zoopsa kapena zovuta zomwe zingachitike. |
| Zithunzi zomveka bwino za minofu yofewa zingapezeke. | Zinthu zomwe zingatheke (zakanthawi) zomwe zingachitike ngati biopsy ichitika: |
| Mukhoza kuona momwe ziwalo zimagwirira ntchito nthawi yomweyo. |
|
Chofunika kwambiri ndichakuti zizindikiro zambiri izi zikachitika pambuyo pofufuza ndi zakanthawi kochepa ndipo zimatha kwathunthu mkati mwa masiku ochepa kapena sabata imodzi kapena ziwiri.
Kodi ndiyenera kupita kwa dokotala liti nthawi yomweyo ndikatha kuyezetsa?
Ngakhale kuti nthawi zambiri si vuto lalikulu, ngati mukukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala.
- Malungo ndi kuzizira kwambiri.
- Ululu waukulu womwe sungathetsedwe ngakhale ndi mankhwala.
- Kulephera kukodza nthawi zonse.
- Magazi amaundana mu mkodzo.
- Kutuluka magazi kosalekeza kuchokera mu mkodzo kapena m'matumbo.
Zizindikiro zimenezi zimasonyeza kuti pali matenda kapena vuto lina, choncho musanyalanyaze.
Uthenga Wopita Nawo Kunyumba
- Njira yowunikira ya transrectal ultrasound (TRUS) ndi yofunika kwambiri, yotetezeka, komanso yopanda ululu yomwe imagwiritsidwa ntchito pofufuza prostate gland.
- Izi zimaphatikizapo kutumiza mafunde a phokoso kudzera mu rectum kuti ajambule chithunzi cha prostate gland. Palibe kuwala kwa dzuwa.
- Kuyesaku sikutenga mphindi zoposa 30. Pali kusasangalala pang'ono, koma palibe kupweteka kwambiri.
- Ngati mukukayikira kuti muli ndi khansa, biopsy (chidutswa cha minofu) ingatengedwe nthawi yomweyo ndi mayeso awa.
- Ndizachilendo kukhala ndi magazi pang'ono mu mkodzo kapena umuna wanu mutachita biopsy, ndipo amatha pakatha masiku angapo.
- Ngati muli ndi mafunso aliwonse, musaope kufunsa dokotala wanu. Ndi ufulu wanu.
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