Xa ugqirha wakho ekuxelela ukuba kufuneka wenze uvavanyo oluthile, ngamanye amaxesha uziva usoyika kwaye unexhala xa usiva igama lalo, akunjalo? Ingakumbi ukuba igama liyinkimbinkimbi kancinci. Igama elithi "i-transrectal ultrasound" lelinye lala magama. Abantu abaninzi, ingakumbi amadoda, baziva bengakhululekanga xa besiva eli gama. Ngoko ke namhlanje siza kuphendula yonke imibuzo kunye noloyiko onalo malunga nolu vavanyo ngendlela elula. Kufana nokuba umhlobo okanye ilungu losapho lichaza oku kuwe.
Ngamafutshane, yintoni i-transrectal ultrasound (TRUS)?
Kulungile, masilihlalutye eli gama. Mhlawumbi ukhe weva nge "ultrasound." Isetyenziswa ukuskena umfazi okhulelweyo, kunye nokujonga ngaphakathi emizimbeni yethu. Ibandakanya ukuthumela amaza esandi anamandla aphezulu (esingawavayo) emzimbeni size siwabuyisele ukuze senze umfanekiso kwiscreen sekhompyutha. Kufana nendlela amalulwane asebenzisa ngayo la maza esandi ukubhabha ebusuku. Ayikhuphi mitha, ngoko ke yindlela ekhuselekileyo kakhulu.
Ngoku makhe sijonge indawo ebizwa ngokuba yi "transrectal." Igama elithi "Trans" lithetha "through." Igama elithi "Rectal" lithetha into enxulumene ne "rectum." Ngoko ke i-transrectal ultrasound luvavanyo lwe-ultrasound olwenziwa nge-rectum .
Kule meko, ugqirha ufaka kancinci isixhobo esikhethekileyo (iprobe) esilingana nobukhulu bomnwe wakho kwi-rectum. Esi sixhobo sikhupha amaza esandi. I-prostate gland kumadoda ikufutshane kakhulu ne-rectum. Ke ngoko, xa ihlolwa ngale ndlela, umfanekiso ocacileyo noneenkcukacha we-prostate gland unokufunyanwa. Oku ngamanye amaxesha kubizwa ngokuba yi-`(Endorectal ultrasound - ERUS)`.
Ngubani odla ngokufuna olu vavanyo?
Kukho izizathu ezahlukeneyo zokuba ugqirha angayalela olu vavanyo. Khawuthelekelele oku: Uya kugqirha kuba unengxaki yokuchama. Ugqirha angakuhlola aze akuthumele kolu vavanyo ukuba ucinga ukuba kuyimfuneko ukuphanda ngakumbi.
Masichaze oku ngakumbi kwitheyibhile engezantsi.
| Isizathu sokuthunyelwa kuvavanyo | Ingcaciso elula |
|---|---|
| Izinto ezingaqhelekanga xa kuhlolwa i-digital rectal examination (DRE) | Xa ugqirha efaka umnwe kwi-rectum ukuze ahlole i-prostate gland (oku kubizwa ngokuba yi-DRE), ukuba uziva into efana neqhuma okanye ukudumba, wenza olu vavanyo ukuze alujonge ngokusondeleyo. |
| Ukunyuka kwamanqanaba e-PSA | I-PSA (i-prostate-specific antigen) luvavanyo lwegazi. Ukuba eli xabiso liphezulu, olu vavanyo lubaluleke kakhulu ukuze kufunyanwe unobangela. |
| Iimpawu zomhlaza weprostate | Ukuba uneempawu ezifana nobunzima bokuchama, ukuchama rhoqo, okanye igazi kumchamo wakho, jonga ukuba unobangela yingxaki yeprostate. |
| Ukungazali | Olu vavanyo ngamanye amaxesha lusetyenziselwa ukufumana unobangela wokungabi nabantwana emadodeni. Lungasetyenziselwa nokuhlola amalungu esinqe kwabasetyhini, kwaye maxa wambi ukuba ezinye iindlela azifanelekanga. |
| Unyango kunye nokuqokelelwa kwezicubu | Ukuba kurhanelwa ukuba umhlaza weprostate, olu vavanyo lusetyenziswa njengesikhokelo sokuthatha isampuli encinci yezicubu (i-biopsy) kuloo ndawo. Lukwanceda ekukhokeleni unyango oluthile. |
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Olu asilotyando olukhulu, kodwa lufuna amalungiselelo amancinci ukuze uvavanyo lwenziwe ngokufanelekileyo.
- Xelela ugqirha wakho yonke into: Ufanele uxelele ugqirha wakho ngayo nayiphi na i-allergies onayo, isifo sentliziyo, isifo semiphunga, kunye nayo nayiphi na imithi oyithathayo ngoku.
- Kusenokufuneka uyeke ukusebenzisa amayeza athile: Ukuba uthatha amayeza okunciphisa igazi okanye amayeza okudambisa iintlungu afana ne-aspirin okanye i-ibuprofen, ugqirha wakho uya kukuxelela ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kovavanyo. Ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kokubuza ugqirha wakho kuqala.
- Ukuhlanjululwa kwamathumbu amakhulu:Kwiiyure ezimbalwa ngaphambi kovavanyo, ungacelwa ukuba usebenzise i-enema ukucoca i-rectum kunye ne-colon esezantsi. Oku kuya kunceda iskeni ivelise umfanekiso ocacileyo.
- Ukukhupha isinyi: Ugqirha uza kukucela ukuba uchame kwaye ukhuphe isinyi sakho ngaphambi kovavanyo.
Le miyalelo inokwahluka kancinci kwisibhedlele ngasinye, ngoko ke kubalulekile ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Kwenzeka ntoni ngokwenene ngexesha lovavanyo?
Kulungile, ngoku makhe sibone ukuba kuza kwenzeka ntoni ngomhla wovavanyo. Ukwazi oku kuya kunceda ekunciphiseni uloyiko lwakho kakhulu.
1. Ukutshintsha impahla: Uza kunikwa ilokhwe yesibhedlele oza kuyinxiba.
2. Indawo: Uza kucelwa ukuba ulale kwicala lasekhohlo lebhedi, amadolo akho agobe esifubeni sakho.
3. Ukufakwa kwesixhobo: Ugqirha uza kufaka kancinci i-ultrasound probe ethanjiswe nge-lubricated kwi-anus yakho. Ilingana nomnwe kuphela. Ngeli xesha, ungaziva ngathi kufuneka ukhuphe indle. Oku kuqhelekile. Akuyi kuba buhlungu kakhulu, kodwa ungaziva ungakhululekanga.
4. Ukuskena: Emva kokuba isixhobo sibekwe kwindawo efanelekileyo, ugqirha usihambisa kancinci kancinci ngelixa ejonga ngononophelo imifanekiso ye-prostate gland ebonakala kwiscreen sekhompyutha.
Le nkqubo yonke idla ngokuthatha ngaphantsi kwemizuzu engama-30.
Kuthekani ukuba kuthathwa i-biopsy?
Ngamanye amaxesha, ukuba ugqirha ubona into ekrokrisayo kwiskeni, unokufuna ukuthatha iqhekeza elincinci kakhulu lethishu kuloo ndawo ukuze livavanywe. Oku kubizwa ngokuba yi-biopsy . Oku kungenziwa ngexesha elinye neskeni ye-TRUS.
- Ubungqindilili: Ngaphambi kokuba kwenziwe i-biopsy, kufakwa i-anesthetic yendawo kwindawo ejikeleze i-prostate yakho ukuze ingabi nantlungu, ukuze ungaziva ntlungu ingako.
- Ukuthathwa kweesampuli zezicubu: Okulandelayo, kufakwa inaliti encinci kakhulu ngaxeshanye nesixhobo sokuskena kwaye kuthathwa iisampuli ezininzi zezicubu kwiindawo ezirhanelekayo. Usenokuva ukuhlaba okuncinci xa kufakwa inaliti.
Iisampulu zezicubu ezifunyenwe ngolu hlobo zithunyelwa kwilabhoratri ukuze zihlolwe phantsi kwemakroskopu ukuqinisekisa ukuba zikhona na iiseli zomhlaza.
Kwenzeka ntoni emva kovavanyo?
Xa uvavanyo luphelile, ungagoduka ngaloo mini inye.
- Buza ugqirha ukuba ungakwazi na ukuqhuba imoto okanye ufuna umntu wokukuqhuba.
- Ukuba kwenziwe i-biopsy, uza kunikwa amayeza okubulala iintsholongwane ukuthintela usulelo kangangeentsuku ezimbalwa. Kufuneka uwathathe kanye njengoko kuyalelwe.
- Bathi akufanele uthabathe amayeza okunciphisa igazi afana ne-aspirin kangangeentsuku ezimbalwa.
- Sela amanzi amaninzi. Ukusela ubuncinane iiglasi ezi-6-8 zamanzi ngosuku kunceda ukugcina inkqubo yomchamo icocekile.
Kungathatha iintsuku ezimbalwa okanye iveki ukuba iziphumo ze-biopsy zibuye. Xa iziphumo zifikile, ugqirha uza kukufowunela aze amisele ixesha lokuthetha ngayo.
Zithini iingenelo kunye neengozi zolu vavanyo?
Nangona naluphi na uvavanyo lwezonyango luneengenelo kunye neengozi zalo, i-TRUS luvavanyo olukhuselekileyo kakhulu.
| Iingenelo | Iingozi/Iingxaki |
|---|---|
| Akukho mitha (ngokungafaniyo nee-X-ray). | Ukuba une-TRUS scan kuphela: Ngokwazi kwethu, akukho zingozi okanye iingxaki. |
| Imifanekiso ecacileyo kakhulu yezicubu ezithambileyo ingafunyanwa. | Iimeko ezinokwenzeka (zexeshana) ezinokwenzeka ukuba kwenziwe i-biopsy: |
| Ungabona ukusebenza kwamalungu omzimba ngexesha langempela. |
|
Into ebalulekileyo kukuba uninzi lwezi mpawu emva kokuhlolwa kwe-biopsy zezokwexeshana kwaye ziya kuphela ngokupheleleyo kwiintsuku ezimbalwa okanye iveki okanye ezimbini.
Ndifanele ndimbone nini ugqirha emva kovavanyo?
Nangona ngokuqhelekileyo kungeyongxaki inkulu, ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Umkhuhlane ophezulu kunye nokubanda.
- Intlungu ebuhlungu engenakulawuleka nokuba ngamayeza.
- Ukungakwazi ukuchama rhoqo.
- Ukuqhekeka kwegazi kumchamo.
- Ukopha okungapheliyo kwi-urethra okanye kwi-rectum.
Ezi mpawu zibonisa ukuba kukho usulelo okanye enye ingxaki, ngoko ke musa ukuzityeshela.
Umyalezo Wokuya Ekhaya
- I-transrectal ultrasound (TRUS) yindlela ebaluleke kakhulu, ekhuselekileyo, nengenabuhlungu esetyenziselwa ukuhlola i-prostate gland.
- Oku kuquka ukuthumela amaza esandi kwi-rectum ukuze kuthathwe umfanekiso we-prostate gland. Akukho mitha.
- Uvavanyo aluthathi ngaphezu kwemizuzu engama-30. Akukho ntlungu ingako, kodwa akukho ntlungu ingako.
- Ukuba kurhanelwa ukuba kukho umhlaza, i-biopsy (isiqwenga sethishu) inokuthathwa ngexesha elinye nolu vavanyo.
- Kuqhelekile ukuba negazi elincinci kumchamo wakho okanye kwisidoda emva kovavanyo lwe-biopsy, kwaye liza kuphela kwiintsuku ezimbalwa.
- Ukuba unemibuzo, ungoyiki ukubuza ugqirha wakho. Lilungelo lakho.
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