Ake sifunde kabanzi ngokuhlolwa kwe-prostate ngaphandle kokwesaba, akunjalo?

Namuhla sikhuluma ngokuhlolwa amadoda amaningi anqikaza ukukhuluma ngakho, kodwa ngokuqinisekile kuyinto okufanele bayazi. Leso yiSivivinyo Se-Prostate. Uma uzwa igama, abanye abantu bazizwa besaba kancane, benamahloni, futhi bengakhululekile. Ungase ucabange, " O, angikwazi ukukwenza lokho." Kodwa uma sazi kahle ukuthi kwenzekani ngempela kulokhu, nokuthi kungani kubaluleke kangaka, konke lokho kwesaba nokungakhululeki kuzonyamalala. Lesi isivivinyo esibaluleke kakhulu esingasiza ekuvikeleni impilo yakho. Ngakho-ke ake sixoxe ngalokhu ngokukhululekile nangokwethembeka.

Kalula nje, kuyini ukuhlolwa kwe-prostate?

Ukuhlolwa kwe-prostate ukuhlolwa okuhlola izimpawu zokuqala zomdlavuza we-prostate. Kufana nokuhlolwa kokuhlolwa esikwenzayo ukuthola isifo ngaphambi kokuba siqale. Kunezingxenye ezimbili eziyinhloko.

1. Ukuhlolwa kwegazi kwe-PSA: Igama eliphelele lalokhu ukuhlolwa kwegazi kwe-``Prostate-Specific Antigen``. I-PSA iyiprotheni ekhiqizwa yi-prostate gland yethu. Lokhu kuhlolwa kulinganisa izinga le-PSA egazini lakho.

2. Ukuhlolwa Kwe-Digital Rectal (DRE): Lokhu yilokho abantu abaningi abakwesabayo. Kulesi sivivinyo, udokotela wakho uzofaka ngokucophelela umunwe ogcotshwe ngegilavu ​​​​e-rectum yakho. Uzozwa ubuso kanye nemiphetho ye-prostate gland yakho. Lokhu kuzomsiza ukuthi azizwele noma yiziphi izigaxa, amaqhubu, noma ubulukhuni obungavamile.

Kufanele ngikwenze nini lokhu kuhlolwa?

Lona umbuzo abantu abaningi abanawo. Ngokusho kwe-American Cancer Society, nansi imingcele yeminyaka yokwenza lokhu kuhlolwa:

Into eyinhloko okufanele uyikhumbule ukuthi kufanele ukhulume nodokotela wakho ngalokhu uma usuneminyaka engu-50. Uzonquma isikhathi esingcono kakhulu kuwe, ngokusekelwe ezicini ezifana nomlando womndeni wakho.

Ingabe ukuhlolwa kwe-prostate kanye ne-colonoscopy kuyinto efanayo? Noma zimbili?

Lokhu futhi kuyiphuzu lapho abantu abaningi bedideka khona. Ngenxa yokuthi zombili izivivinyo zenziwa e-rectum, abanye abantu bacabanga ukuthi ziyafana. Kodwa empeleni, lezi yizivivinyo ezimbili ezihluke ngokuphelele.

Cabanga ngale ndlela: i-DRE ifana nodokotela oza esangweni abheke everanda. Kusho ukufaka umunwe endunu bese uzwa indlala yesinye phambi kwayo.

Kodwa i-colonoscopy ifana nokungena endlini yakho uhlole wonke amakamelo. Kuyo, kufakwa ipayipi eligobekayo elinekhamera enamathiselwe nge-anus bese kuhlolwa lonke udonga lwamathumbu amakhulu. I-colonoscopy ayihloli i-prostate.

Omunye umehluko ukuthi i-DRE yinto engaqedwa ngemizuzwana embalwa ehhovisi likadokotela. Kodwa-ke, i-``(Colonoscopy)'' iwukuhlolwa okuthatha isikhathi eside esibhedlela, lapho unikezwa khona i-IV sedation.

Ingabe udinga noma yikuphi ukulungiselela okukhethekile ngaphambi kokuhlolwa?

Asikho isidingo sokulungiselela okuningi, kodwa kunezinto ezimbalwa ezizokusiza ukuthi uphumelele lolu vivinyo kalula.

Into ebaluleke kakhulu ukwazisa udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo ngaphambi kokuhlolwa. Ikakhulukazi,

• Ama-Hemorrhoids
• Imifantu yendunu
• Izinyembezi zendunu

Uma unezinkinga ezithile, qiniseka ukuthi uyazikhuluma. Ngemuva kwalokho udokotela angenza ukuhlolwa ngokucophelela ngaphandle kokukubangela ubuhlungu noma ukungakhululeki.

Okunye ukuthi, ngezinye izikhathi udokotela uzokutshela ukuthi ugweme ukuya ocansini amahora angu-48 ngaphambi kokuhlolwa.Lokhu kungenxa yokuthi izinga lakho le-PSA lingakhuphuka kancane okwesikhashana ngemva kokukhipha isisu, okungabangela ukuthi imiphumela yokuhlolwa kwegazi ihluke kancane.

"Ingabe kufanele ngizikhulule ngaphambi kokuhlolwa?"

Lokhu kuyinkinga nakubantu abaningi. Cha, akudingeki ushintshe imikhuba yakho evamile. Uma uzizwa udinga ukuzikhulula ngaphambi kokuhlolwa, kulungile ukwenza kanjalo. Kodwa uma ungafuni, ungakhathazeki ngakho. Ngeke uzizwe sengathi udinga ukuzikhulula ngesikhathi sokuhlolwa kwe-DRE.

Okunye ukuthi, ungabi namahloni ngalokho okuzokwenzeka uma uthola isihlalo esincane eglavu lakho ngesikhathi sokuhlolwa. Lezi yizinto ezivamile kakhulu, ezivamile kodokotela. Zingaki izivivinyo abazenzayo ngosuku? Ngakho cabanga nje ngenduduzo yakho.

Yini ongayilindela ngesikhathi sokuhlolwa?

Njengoba sikhulume ngakho ngaphambili, kunezingxenye ezimbili kulokhu.

1. Ukuhlolwa kwegazi kwe-PSA

Lokhu kulula kakhulu. Njengokuhlolwa kwegazi okuvamile, isampula yegazi ithathwa engalweni yakho bese ithunyelwa elabhorethri ukuze ihlolwe. Lokhu kuzolinganisa izinga le-PSA egazini lakho.

2. Ukuhlolwa kwe-rectal ngedijithali (DRE)

Kulokhu, udokotela uzokutshela ukuthi uphendukele etafuleni lokuhlolwa bese ugcina amadolo akho eduze kwesifuba sakho. Noma ungase ucelwe ukuthi ugobe phambili ubeke izandla zakho etafuleni.

Ngemuva kwalokho, udokotela uzofaka umunwe ogibele kahle, ogcotshwe kahle e-rectum yakho bese ethinta i-prostate gland yakho. Njengoba umdlavuza kungenzeka ukuthi uvele ngemuva kwe-gland, lena yindlela engcono kakhulu yokuhlola leyo ndawo. Udokotela uzobheka ubukhulu, ukuma, kanye nokuthungwa kwe-gland. Okusho ukuthi, ingabe ibushelelezi, noma inamaqhubu, amaqhubu, noma yini engavamile?

"Ingabe lokhu kubuhlungu kakhulu?"

Uma ngikhuluma iqiniso, ukuhlolwa kwe-DRE ngokuvamile akubuhlungu. Kodwa ungase uzizwe ungakhululekile futhi unomuzwa ongajwayelekile. Kodwa kuyaphela ngemizuzwana embalwa. Ngakho-ke asikho isizathu sokwesaba. Khumbula, uma unesifo esifana nama-hemorrhoids, tshela udokotela wakho kusengaphambili. Khona-ke uzobe eqaphela kakhulu.

Ithini imiphumela yokuhlolwa?

Ungathola imiphumela yokuhlolwa kwe-DRE ngokushesha. Udokotela uzokutshela ngokushesha ngemva kokuhlolwa ukuthi konke kujwayelekile noma ukuthi kukhona yini okungajwayelekile okuzwiwe.

Ngokuvamile kuthatha cishe usuku ukuthi imiphumela yokuhlolwa kwegazi kwe-PSA ibuye. Uma imiphumela isifikile, udokotela wakho uzokushayela ucingo ukuze akwazise uma kudingeka ukuhlolwa okwengeziwe.

Amazinga e-PSA angashintsha ngokuhamba kwesikhathi ngezizathu ezahlukahlukene. Amazinga e-PSA angakhushulwa ngisho nangaphandle komdlavuza. Isibonelo,

• Ukukhipha indle
• Eminye imithi
• I-Benign Prostatic Hyperplasia (BPH)

Amazinga e-PSA angakhuphuka ngenxa yalezi zizathu. Ngakho-ke, uma izinga lakho le-PSA liphakeme kancane kunokuvamile, udokotela wakho angakutshela ukuthi wenze olunye ukuhlolwa kwe-PSA cishe ezinyangeni eziyisithupha.

Kuthiwani uma izinga le-PSA liphezulu kakhulu?

Uma izinga lakho le-PSA liphezulu kakhulu, udokotela wakho uzokudlulisela kudokotela wezifo zomchamo (udokotela ochwepheshe ohlelweni lomchamo) . Uzokwenza ezinye izivivinyo ukuze athole imbangela. Lokhu kungafaka phakathi i-MRI scan noma i-prostate biopsy, okuhlanganisa ukuthatha ingxenye encane yezicubu ezivela ku-prostate gland.

Kufanele ubonane nini nodokotela?

• Ngisho noma uneminyaka engaphezu kwengu-50 , uma ungakahlolwa i-prostate, qiniseka ukuthi ubona udokotela wakho bese uhlela i-aphoyintimenti.
• Uma ungoweqembu elisengozini enkulu (okungukuthi, uma othile emndenini wakho enalo mdlavuza), kufanele ucabangele lokhu kuhlolwa lapho uneminyaka engu-45.
• Ngaphezu kwalokho, uma uhlangabezana nanoma yikuphi ubunzima bokuchama , njengokugeleza kancane, isidingo sokuphuza njalo, noma umuzwa wokuthi kufanele uchame ngemva kokuqeda, bona udokotela ngokushesha. Lokhu kungaba izimpawu ze-benign prostatic hyperplasia (BPH).

Kuvamile ukuthi abantu abaningi besabe ukuhlolwa kwabo kokuqala kwe-prostate. Kodwa uma usunolwazi oluphelele ngenqubo, lokho kwesaba kunganqotshwa. Khuluma ngokukhululekile nodokotela wakho ngakho. Lokhu kuhlolwa kuyisinyathelo sokuqala nesingcono kakhulu sokuthola umdlavuza we-prostate kusenesikhathi. Ukutholwa kusenesikhathi kuyisihluthulelo esingcono kakhulu sokwelashwa okuphumelelayo.