Ngaba ugqirha wakho ukhe warhanela ukuba unengxaki kwi-prostate gland yakho waza wakuxelela ukuba kufuneka wenze i-biopsy (iqhekeza elincinci lesicubu lithathwe lihlolwe kusetyenziswa i-MRI scan) ukuze ufumane impendulo ngokuqinisekileyo? Kuqhelekile ukuziva usoyika kwaye unexhala xa usiva into efana nale. Kodwa xa usazi kakuhle ukuba olu vavanyo luyintoni, lwenziwa njani, kwaye ululungiselela njani, uloyiko lwakho luya kuphela. Masithethe ngale nto ngokulula.
Okokuqala, masibone, yintoni le biopsy yeprostate ekhokelwa yiMRI?
Ngamafutshane, olu luvavanyo olukhethekileyo lokufumanisa umhlaza we-prostate, ukuba kunjalo, ukufumanisa ukuba ungakanani na umgangatho, kunye nokucwangcisa unyango. Oku kubandakanya ukuthatha iisampuli ezincinci kakhulu zezicubu kwi-prostate yakho usebenzisa i-MRI kunye netekhnoloji ye-ultrasound, enika imifanekiso ecacileyo kakhulu . Emva koko ingcali yezifo ihlola ezi sampuli zezicubu phantsi kwe-microscope ukuze ibone ukuba zineeseli zomhlaza okanye azinazo na.
Yintoni i-prostate gland?
I-prostate yakho yinxalenye yenkqubo yakho yokuzala yamadoda kunye nomchamo. Yi-gland enobukhulu be-walnut ephambi kwesinyi sakho. Yenza ulwelo lwesidoda, olu lwelo oluxutywa nesidoda xa ukhupha i-ejaculate. Olu lwelo lunceda ukugcina isidoda siphilile kwaye lukunceda ukuba ukhulelwe.
Umchamo wakho udlula kwi-prostate gland. Xa uchama, umchamo ovela kwisinyi uphuma ngepenis, kwaye xa ukhupha i-ejaculate, imbewu iphuma ngale tube.
Ziziphi iindlela zokwenza le biopsy?
Kukho iindlela ezimbini eziphambili zokufumana iisampulu zezicubu kwi-prostate. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kwimeko yakho.
| Indlela ye-Biopsy | Ingcaciso elula yendlela yokwenza oku |
|---|---|
| I-Transrectal Biopsy | Ngale ndlela, isampuli yethishu ifunyanwa ngokufaka isixhobo esikhethekileyo kwi-rectum yakho uze udlulise inaliti kuyo. |
| I-Transperineal Biopsy | Ngale ndlela, kuthathwa isampuli yethishu ngokufaka inaliti eluswini (perineum) phakathi kwempundu yakho kunye ne-scrotum. |
Masifunde ngezinye iindlela zobuchwepheshe eziphucukileyo.
Kule mihla, kusetyenziswa ubuchwepheshe obuphambili ukwenza olu vavanyo luchaneke ngakumbi.
- I-Multiparametric MRI (mpMRI): Le yindlela ye-MRI ebukhali ngakumbi nephucukileyo kune-MRI eqhelekileyo. Ingabona utshintsho olunomhlaza kwi-prostate gland ngokucacileyo kakhulu kune-MRI eqhelekileyo. Nangona kunjalo, i-mpMRI yodwa ayinakuqiniseka ngokupheleleyo ukuba akukho mhlaza. Ke ngoko, i-biopsy idla ngokuba yimfuneko.
- I-biopsy ye-prostate ekhokelwa yi-Fusion: Le yindlela enomdla kakhulu. Ibandakanya "ukudibanisa" imifanekiso ye-MRI kunye nemifanekiso ye-ultrasound (TRUS - Transrectal Ultrasound) ukwenza umfanekiso omnye. Okokuqala wenza i-MRI. Emva koko, ngexesha le-biopsy, ugqirha usebenzisa isoftware ekhethekileyo ukudibanisa imifanekiso ye-MRI kunye nemifanekiso ye-ultrasound ethathwe ngaxeshanye. Oku kuvumela ugqirha ukuba ajolise ngokuchanekileyo kwiindawo ezirhanelekayo ze-prostate aze athathe iisampulu zezicubu.
Kutheni kuyimfuneko ukwenza uvavanyo olunjalo?
Oogqirha banokuqinisekisa izinto ezininzi ngolu vavanyo.
- Ukuchonga ngokuchanekileyo ukuba unayo na okanye awunayo umhlaza weprostate .
- Ukuba kukho umhlaza, qinisekisa ukuba ungakanani na/ubukhali bawo.
- Jonga ukuba umhlaza uphinde wabuya na emva kokuba unyangiwe ngaphambili.
- Ngamanye amaxesha, ezinye iimeko ezifana neempawu zomhlaza kodwa ezingezizo umhlaza (umz., ukwanda kwamadlala, usulelo) zinokuchongwa kwaye zingabi ngumhlaza.
Iziphumo zovavanyo lwegazi oluphezulu lwe-PSA akuthethi ukuba ngumhlaza. Ingabangelwa kukwanda kweprostate (BPH - Benign Prostatic Hyperplasia) okanye usulelo (Prostatitis). Olu vavanyo lunokunceda ukwahlula phakathi kwezi meko.
Ngubani odla ngokufuna olu vavanyo?
Kukho iimeko ezininzi apho ugqirha wakho anokukuthumela khona kolu vavanyo.
- Ukuba inqanaba le-PSA (Prostate-Specific Antigen) egazini lakho liphezulu kunesiqhelo.
- Ukuba ugqirha ufumana iqhuma okanye indawo eqinileyo ngokungaqhelekanga kwi-prostate gland ngexesha lovavanyo lwe-digital rectal (DRE).
- Ukuba i-MRI scan yangaphambili ibonise into ekrokrisayo .
- Ukuba inqanaba lakho le-PSA liyaqhubeka nokunyuka nangona i-biopsy eyenziwe nge-ultrasound eqhelekileyo ingafumani mhlaza.
- Ukuba sele ufunyenwe unomhlaza weprostate kwaye uphantsi kweliso elibukhali ngaphandle konyango.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Oku kubaluleke kakhulu. Kufuneka ulandele imiyalelo kagqirha ngqo. Ngokwesiqhelo, le yinto abakuxelela yona.
| Kwenziwe ntoni | Kutheni kunjalo? |
|---|---|
| Isaziso malunga nezixhobo zesinyithi | Ukuba une-pacemaker okanye nayiphi na into yesinyithi emzimbeni wakho, njengelungu elenziweyo, qiniseka ukuba wazise ugqirha wakho ngaphambi kokuba wenze i-MRI. |
| Ukucocwa kwamathumbu amakhulu | Ngamanye amaxesha unokucelwa ukuba usebenzise i-enema ukucoca amathumbu akho ngaphambi kokuba kwenziwe i-biopsy. Oku akusoloko kuyimfuneko. |
| Ukuyeka amanye amayeza | Izithambisi-gazi ezinciphisa igazi kunye neentlungu ezifana neeNSAIDs kusenokufuneka ziyekwe kangangeentsuku ezimbalwa njengoko ugqirha wakho ekuyalele. Ezi zinokunyusa umngcipheko wokopha. |
| Ukuthatha amayeza okubulala iintsholongwane | Ukunciphisa umngcipheko wokosuleleka, unokunikwa i-antibiotic ukuba uyithathe ngaphambi nasemva kovavanyo. Oku kusenokungabi yimfuneko kuba umngcipheko wokosuleleka uphantsi ngendlela ye-transperineal. |
Kwenzeka ntoni ngexesha lovavanyo?
Kuya kufuneka uqale wenze i-MRI scan. Usenokunikwa ulwelo olukhethekileyo (idayi engafaniyo) ngemithambo esengalweni yakho ukuze ufumane imifanekiso ecacileyo.
I-biopsy idla ngokwenziwa ngumntu ongaphandle kwesibhedlele. Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye. I-anesthetic yendawo ifakwa kwindawo ejikeleze i-prostate gland. Oku kuya kukunceda uzive iintlungu ezincinci. Usenokunikwa ne-sedative encinci ukukunceda uphumle. Ngoko ke, licebo elihle ukuba umntu akuqhubele ekhaya xa kukho into engahambi kakuhle.
Ugqirha udla ngokuthatha malunga neesampuli zezicubu ezili-12 ukuya kwezili-16 kwiindawo ezahlukeneyo zeprostate. Usenokuziva uxinezelekile kancinci ngeli xesha, kodwa akufanele uve ntlungu ingako.
Yintoni onokuyilindela emva kovavanyo?
Ungagoduka emva kweeyure ezimbalwa emva kovavanyo. Ezi zinto ziqhelekile kwiintsuku ezimbalwa ezizayo.
- Kusenokubakho ukopha kunye nentlungu encinci kwindawo yovavanyo lwe-biopsy.
- Usenokuba negazi elincinci kumchamo wakho (hematuria) okanye isidoda (hematospermia) kangangeentsuku ezimbalwa. Oku kuqhelekile, ungakhathazeki.
- Ufanele uthathe amayeza okubulala iintsholongwane achazwe ngugqirha njengoko eyalelwe .
Kuthatha ixesha elingakanani ukwazi iziphumo?
Isampuli yethishu ethathwe kuwe iya kuthunyelwa kwilebhu. Idla ngokuthatha malunga neveki , ngamanye amaxesha ixesha elide kancinci, ukufumana iziphumo.
Kunokubakho iintlobo ezintathu eziphambili zeziphumo:
- I-Negative: Akukho ziseli zomhlaza ezifunyenweyo. Nangona kunjalo, kunqabile kakhulu, kunokuba ne-false-negative, apho uvavanyo lungayifumani umhlaza nangona ukhona. Ukuba inqanaba lakho le-PSA lisephezulu, ugqirha wakho unokukucela ukuba uphinde uvavanywe kwakhona kwiinyanga ezimbalwa.
- I-Positive: Kufunyenwe iiseli zomhlaza. Oku kuthetha ukuba kukho umhlaza we-prostate. Ugqirha uza kuthetha nawe ngamanyathelo alandelayo, iindlela zonyango, okanye ukujonga.
- Okurhanelekayo: Iziphumo aziqhelekanga, kodwa akuqinisekwanga ukuba umhlaza ukhona okanye awukho. Okwangoku, uvavanyo olongezelelweyo okanye i-biopsy ephindaphindwayo kwiinyanga ezimbalwa inokucetyiswa.
Bulinganiswa njani ubunzima bomhlaza?
Ukuba kufunyenwe iiseli zomhlaza kuvavanyo, ingcali yezifo iya kunika iiseli inqanaba ukusuka ku-1 ukuya ku-5 ngokusekelwe kwimbonakalo yazo. Emva koko, amanqanaba amabini aqhelekileyo adityaniswe kunye ukunika ixabiso elibizwa ngokuba yi-Gleason score (oku kunokusukela kwi-6 ukuya kwi-10). Umhlaza onamanqaku aphezulu e-Gleason (umz., 8, 9, 10) unokwenzeka ukuba usasazeke (ukwanda kwe-metastasize) kuneemhlaza ezinamanqaku aphantsi (umz., 6). La manqaku anokunceda ugqirha wakho ukuba akhethe unyango olungcono kuwe.
Xa kufuneka ubone ugqirha
Ukuba ubonakalisa iimpawu zosulelo, ezinje ngomkhuhlane kunye nokubanda , emva kovavanyo lwe-biopsy, kufuneka ufowunele ugqirha wakho ngoko nangoko.
Kwakhona, ukuba ezi mpawu zilandelayo ziyaqhubeka okanye ziyanda, qiniseka ukuba ufuna ingcebiso kagqirha.
- Ukubakho kwegazi kumchamo okanye kwimbewu yesidoda.
- Ukungasebenzi kakuhle kwe-erectile.
- Ukufuna ukuchama rhoqo ebusuku (i-nocturia).
- Intlungu ngexesha lokuchama okanye ukukhupha umchamo.
- Ubunzima bokulawula ukuchama, ubuthathaka okanye ukuphazamiseka komchamo.
Umyalezo Wokuya Ekhaya
- I-MRI-guided prostate biopsy luvavanyo oluchanekileyo noluphucukileyo lokufumanisa umhlaza we-prostate.
- Olu vavanyo lunokucetyiswa ukuba inqanaba lakho le-PSA liphezulu okanye ukuba kufunyenwe iqhuma ngexesha lovavanyo lwe-DRE.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (njengokuyeka amayeza, ukuthatha amayeza okubulala iintsholongwane) ngaphambi kovavanyo.
- Kuqhelekile ukubona ukopha okuncinci kumchamo wakho nakwisidoda sakho kangangeentsuku ezimbalwa emva kovavanyo, ngoko ungakhathazeki ngaloo nto.
- Ukuba ubonakalisa iimpawu zosulelo ezifana nomkhuhlane kunye nokubanda, funa ingcebiso kagqirha ngoko nangoko.
- Nokuba iziphumo zithini na, xoxa ngazo ngononophelo nogqirha wakho uze wenze isigqibo ngamanyathelo alandelayo oza kuwathatha.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho