Ingabe uneminyaka engaphezu kuka-50? Noma useminyakeni yakho yo-40? Kungenzeka ukuthi udokotela wakho ukutshelile ukuthi wenze ukuhlolwa kwe-PSA. Abanye abantu bayasaba futhi bakhathazeke kancane uma bezwa leli gama. "Akuyona yini le ndlela yokuhlola umdlavuza we-prostate?" bayacabanga. Iyini ngempela i-PSA? Le ndlela yokuhlola ifunani? Ingabe kufanele ukhathazeke ngayo? Namuhla sizokhuluma ngakho konke lokhu kalula, ngendlela ongayiqonda.
BMI Calculator
Know your body mass index (BMI) and weight classification
Kalula nje, kuyini lokhu kuhlolwa kwe-PSA?
I-PSA isifinyezo se -Prostate-Specific Antigen . Lolu uhlobo lweprotheni emizimbeni yethu. Lwenziwa yi -prostate gland, etholakala emadodeni kuphela. Cabanga nje, le gland icishe ibe usayizi we-walnut encane, etholakala ngaphansi kwesinye.
Ngakho-ke, njengamaseli anempilo ku-prostate, amaseli omdlavuza nawo enza iphrotheni ebizwa ngokuthi i-PSA. Kodwa into ebalulekile ukuthi, amaseli omdlavuza avame ukwenza iphrotheni ye-PSA eningi kakhulu . Ukuhlolwa kwe-PSA kuyindlela elula kakhulu yokuhlola igazi. Kulinganisa inani lephrotheni ye-PSA egazini lakho. Uma izinga le-PSA egazini lakho liphakeme kunokujwayelekile, kubonisa ukuthi kungase kube khona okungahambi kahle nge-prostate yakho, okungenzeka kube yingozi yomdlavuza.
Udokotela uvame ukwenza ukuhlolwa kwe-digital rectal (DRE) kanye nokuhlolwa kwe-PSA. Lokhu kuhlola usayizi, ukuma, kanye nokuthungwa kwe-prostate gland ukuze kutholakale noma yikuphi ukukhubazeka, njengezigaxa.
Ingabe izinga le-PSA 'elijwayelekile' liyashintsha ngobudala?
Yebo, impela. Lokhu kuyinto abantu abaningi abangazi ngempela. Akukho lutho "olujwayelekile" olutholakala kuwo wonke umuntu. Njengoba siguga, noma ngabe asinaso isifo, indlala yethu ye-prostate iba nkulu kancane. Ngakho amazinga e-PSA akhuphuka kancane ngokwemvelo.
Into ebaluleke kakhulu ukuthi udokotela wakho uzonquma ukuthi izinga lakho le-PSA lijwayelekile yini ngokweminyaka yakho noma lisezingeni elidinga ukunakwa.
I-PSA ivame ukulinganiswa ngama -nanograms nge-milliliter (ng/ml) . Njengesiqondiso esijwayelekile, nansi amanye amanani ajwayelekile obudala:
| Iqembu lobudala | Izinga le-PSA elijwayelekile elilindelekile (ng/ml) |
|---|---|
| Iminyaka engu-40 - 49 ubudala | 0 kuya ku-2.5 |
| Iminyaka engu-50 - 59 ubudala | 0 kuya ku-3.5 |
| Iminyaka engu-60 - 69 ubudala | 0 kuya ku-4.5 |
| Iminyaka engaphezu kuka-70 | 0 kuya ku-6.5 |
Khumbula ukuthi lezi ziyiziqondiso ezijwayelekile. Ukuthi nje i-PSA yakho iphakeme kancane kunaleli banga akusho ukuthi unomdlavuza. Sizoxoxa ngalokho kamuva.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →Kufanele wenze nini ukuhlolwa kwe-PSA?
Lokhu futhi kuyindaba ebalulekile.
- Labo abasengcupheni evamile: Ngaphandle kokuthi unomlando womndeni oqinile womdlavuza wendlala yesinye, odokotela batusa ukuthi kwenziwe isivivinyo se-PSA njalo eminyakeni emibili kuya kwemithathu, ngokuvamile ngemva kweminyaka engu-50 .
- Labo abasengozini enkulu: Uma usengozini enkulu, udokotela wakho angase akuncome ukuthi uqale lolu vivinyo uneminyaka engu-40-45 .
Bangobani laba bantu abasengozini enkulu?
- Umlando womndeni: Uma ubaba wakho, umfowenu, noma indodana yakho ike yaba nomdlavuza wendlala, noma uma amalungu amaningana omndeni wakho eke aba nalesi sifo.
- Izici zofuzo: Ucwaningo luthole ukuthi amadoda angozalo lwase-Afrika asengozini enkulu yokuba nomdlavuza wendlala kanye nokukhula kwawo esemncane.
Ngaphezu kwalokho, ukuhlolwa kwe-PSA kusetshenziselwa ukuqapha impumelelo yokwelashwa komdlavuza wendlala kanye nokunquma ukuthi lesi sifo sesiphinde sabuya yini.
Izinto okufanele uzazi ngaphambi kokuhlolwa
Kulungile, ake sithi uhlelelwe ukuhlolwa kwe-PSA. Ukuze uthole umbiko onembile , kunezinto ezimbalwa okudingeka uzicabangele ngaphambi kokuhlolwa. Lezi zinto zingathinta inani lakho le-PSA.
Tshela udokotela wakho ngalezi zinto:
- Uma uthatha imithi ye-Benign Prostatic Hyperplasia (BPH) (isib. i-Finasteride, i-Dutasteride).
- Uma usebenzisa imithi efana ne-Finasteride (Propecia®) yokulahlekelwa izinwele.
- Uma usanda kwenziwa ukuhlinzwa kwe-prostate (TUR).
- Uma uke wahlolwa i-prostate biopsy emavikini ayisithupha edlule.
- Uma usanda kufakwa i-catheter.
- Uma unesifo sesibindi (njenge-'Cirrhosis', 'Hepatitis C').
- Uma okwamanje unesifo somgudu womchamo (UTI) noma uke waba naso ezinyangeni ezintathu ezedlule.
Ungazenzi lezi zinto emahoreni angu-48 ngaphambi kokuhlolwa:
- Ungazibandakanyi kunoma yimuphi umsebenzi wocansi (kufaka phakathi ukushaya indlwabu). Ukukhipha i-ejaculation kungakhuphula amazinga e-PSA okwesikhashana.
- Gwema ukuvivinya umzimba okunzima, ikakhulukazi izinto ezifana nokugibela ibhayisikili, okungakhuphula amazinga e-PSA okwesikhashana.
Kuphela ngokulandela le miyalelo ngqo lapho sizokwazi ukukala khona izinga lakho langempela le-PSA.
Ingabe izinga eliphezulu le-PSA lisho umdlavuza?
Cha. Lutho neze . Lena yinto ebaluleke kakhulu okufanele wonke umuntu ayikhumbule. Ungesabi uma umbiko wakho we-PSA uthi iphezulu. Kusho ukuthi kukhona okwenzekayo ku-prostate gland yakho futhi kudingeka kuhlolwe kabanzi.
Izinga le-PSA eliphakeme 'liwukukhanya okubomvu' komdlavuza, hhayi 'isiqinisekiso' sokuthi umdlavuza.
Ngaphandle komdlavuza, nazi ezinye izizathu zokuthi amazinga e-PSA angakhushulwa:
- I-Benign Prostatic Hyperplasia (BPH): Lokhu akuwona umdlavuza. Yisimo esivamile esithinta amadoda amaningi njengoba ekhula.
- I-Prostatitis: I-PSA inganda ngenxa yokutheleleka kanye nokuvuvukala kwendlala ye-prostate .
- Ukutheleleka Kwendlela Yomchamo (UTI): Ukutheleleka kwendlela yomchamo nakho kungabangela ukwanda kwamazinga e-PSA.
- Izinqubo zokwelapha zakamuva: Ngenxa yezinto ezifana nokuhlolwa kwegazi kanye nokufakwa kwe-catheter esikhulume ngazo ngaphambilini.
- Ukuzivocavoca okunamandla kanye nomsebenzi wocansi: Lokhu kungandisa i-PSA okwesikhashana uma kwenziwa eduze kokuhlolwa.
Uma inani le-PSA liphezulu, kuzokwenzekani ngokulandelayo?
Uma izinga lakho le-PSA liphezulu ngokweminyaka yakho, udokotela wakho ngeke esabe, kodwa uzohlela izinyathelo zakho ezilandelayo ngokufanele.
Ngokuvamile, uma inani le-PSA liphakathi kuka -4 no-10 (ng/ml) , amathuba okuba nomdlavuza wendlala cishe angama-25%. Uma inani lingaphezu kuka-10 , amathuba angaba ngaphezu kuka-50%.
Ngakho-ke, udokotela angancoma ukuhlolwa okufana nalokhu:
- Okunye ukuhlolwa kwe-PSA: Mhlawumbe wenze okunye ukuhlolwa ezinyangeni ezimbalwa ukuze ubone ukuthi inani lisaphezulu yini.
- Ukuskena kwe-MRI: Ukuskena kwe-MRI (Magnetic Resonance Imaging) kungenziwa ukuze kuthathwe izithombe ezinemininingwane ze-prostate futhi kuhlolwe noma yiziphi izindawo ezisolisayo.
- Ukuhlolwa Kwe-Prostate Biopsy: Okuwukuphela kwendlela yokwazi ngokuqinisekile ukuthi unomdlavuza we-prostate yini ukusebenzisa i-biopsy. Lokhu kuhilela ukuthatha isampula encane yezicubu ezivela ku-prostate bese uyihlola ngaphansi kwe-microscope ukuze ubone ukuthi akhona yini amangqamuzana omdlavuza.
Ziyini izimpawu zomdlavuza wendlala?
Lokhu kubaluleke kakhulu futhi. Ezigabeni zokuqala zomdlavuza wendlala, ngokuvamile azikho izimpawu . Yingakho ukuhlolwa okufana ne-PSA kubalulekile. Njengoba lesi sifo siqhubeka, izimpawu ezifana nalezi:
- Ubunzima bomchamo: Ukuchama njalo, ukugeleza komchamo obuthakathaka, ukushisa noma ubuhlungu lapho uchama (i-Dysuria), ubunzima bokulawula umchamo.
- Ukopha ngomchamo noma ngesidoda.
- Ubuhlungu obuvamile emhlane, esinqeni, noma esifubeni: (Lokhu kusho ukuthi umdlavuza kungenzeka ukuthi ususakazekele emathanjeni).
- Ukwehlisa isisindo ngaphandle kwesizathu.
- Ukungasebenzi kahle kwe-erectile noma ubuhlungu ngesikhathi sokukhipha isisu.
Uma unalezi zimpawu, akusho ukuthi unomdlavuza. Kodwa-ke, uma unalezi zimpawu, kubalulekile ukubona udokotela wakho ngokushesha okukhulu ukuze uthole iseluleko.
Ingabe kukhona izinto esingazenza ukulawula amazinga e-PSA?
Ayikho ifomula yomlingo enganciphisa amazinga e-PSA ngobusuku obubodwa. Kodwa-ke, ucwaningo oluthile lubonisa ukuthi ukugcina indlela yokuphila enempilo kanye nokudla okunempilo kungasiza ekugcineni impilo ye-prostate nokulawula amazinga e-PSA.
| Iseluleko | Incazelo |
|---|---|
| Ukudla okucebile nge-lycopene | Lesi sakhamzimba, esitholakala ezithelweni nasemifinoni ebomvu/epinki njengotamatisi, ikhabe, igwava, namagilebhisi, singasiza ekulawuleni ukukhula kwamangqamuzana omdlavuza. |
| Ukudla okusekelwe ezitshalweni | Ukudla okucebile ngemifino, izithelo namantongomane kuthuthukisa amasosha omzimba. |
| I-Vitamin D | I-Vitamin D itholakala elangeni, enhlanzini enamafutha, nasebisini. Uma kudingeka, ungathatha isithasiselo se-vitamin D ngeseluleko sikadokotela wakho. |
| Ukuzivocavoca njalo | Ukuzilolonga okufana nokuhamba ngokushesha, ukugijima, kanye nokuphakamisa izinsimbi kungasiza ekwehliseni amazinga e-PSA. (Kodwa hhayi ezinsukwini ezimbili ngaphambi kokuhlolwa!) |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-PSA kuyindlela ebalulekile yokuhlola impilo ye-prostate, hhayi ukuhlolwa okuqinisekisa umdlavuza.
- Uma izinga lakho le-PSA liphezulu, kunezinye izimbangela eziningi ezingewona umdlavuza. Ungesabi nhlobo.
- Uma uneminyaka engaphezu kwengu-50 ubudala (noma uneminyaka engaphezu kwengu-40 uma usengozini enkulu), khuluma nodokotela wakho mayelana nokuhlolwa kwe-PSA njalo.
- Landela imiyalelo kadokotela (akukho ukuzivocavoca, akukho ukwenza ucansi) ngaphambi nje kokuhlolwa. Kulapho-ke kuphela lapho uzothola khona umphumela onembile kakhulu.
- Uma unemibuzo noma ukungabaza, buza udokotela wakho ngakho bese ucaciselwa ngakho. Ungesabi noma ube namahloni.
No comments yet. Be the first to share your question or experience below.