Uma udokotela wakho ekutshela ukuthi udinga ukuhlolwa okuthile, ngezinye izikhathi uzizwa wesaba futhi wethukile kancane uma uzwa igama lalo, akunjalo? Ikakhulukazi uma igama liyinkimbinkimbi kancane. Igama elithi "i-transrectal ultrasound" lingenye yalezo zinhlobo. Abantu abaningi, ikakhulukazi amadoda, bazizwa bengakhululekile kancane uma bezwa leli gama. Ngakho-ke namuhla sizophendula yonke imibuzo nokwesaba onakho mayelana nalolu vivinyo ngendlela elula. Kunjengokungathi umngane noma ilungu lomndeni liyakuchazela.
Kalula nje, iyini i-transrectal ultrasound (TRUS)?
Kulungile, ake sichaze leli gama. Cishe uke wezwa nge-"ultrasound." Lisetshenziswa ukuskena owesifazane okhulelwe, kanye nokubuka ingaphakathi lemizimba yethu. Lihilela ukuthumela amaza omsindo anamandla aphezulu (esingawazwa) emzimbeni bese siwabuyisela emuva ukuze sakhe isithombe esikrinini sekhompyutha. Kufana nendlela amalulwane asebenzisa ngayo lawa maza omsindo ukundiza ebusuku. Alikhiphi imisebe, ngakho-ke kuyindlela ephephile kakhulu.
Manje ake sibheke ingxenye ebizwa ngokuthi "i-transrectal." Igama elithi "Trans" lisho "ngokusebenzisa." Igama elithi "Rectal" lisho okuthile okuhlobene "ne-rectum." Ngakho-ke i-transrectal ultrasound ukuhlolwa kwe-ultrasound okwenziwa nge-rectum .
Kulokhu, udokotela ufaka kancane kancane idivayisi ekhethekile (i-probe) elingana nomunwe wakho e-rectum. Le divayisi ikhipha amaza omsindo. I-prostate gland emadodeni iseduze kakhulu ne-rectum. Ngakho-ke, uma ihlolwa ngale ndlela, isithombe esicacile nesiningiliziwe se-prostate gland singatholakala. Lokhu ngezinye izikhathi kubizwa ngokuthi `(Endorectal ultrasound - ERUS)`.
Ubani ovame ukudinga lokhu kuhlolwa?
Kunezizathu eziningana ezenza udokotela angase acele lokhu kuhlolwa. Cabanga ngalokhu: Uya kudokotela ngoba unenkinga yokuchama. Udokotela angase akuhlole futhi akuthumele kulolu vivinyo uma ebona ukuthi kuyadingeka ukuphenya kabanzi.
Ake sichaze lokhu kabanzi kuthebula elingezansi.
| Isizathu sokudluliselwa kokuhlolwa | Incazelo elula |
|---|---|
| Ukukhubazeka ekuhlolweni kwe-digital rectal (DRE) | Uma udokotela efaka umunwe nge-rectum ukuze ahlole i-prostate gland (lokhu kubizwa ngokuthi i-DRE), uma ezwa okuthile okufana neqhubu noma ukuvuvukala, wenza lokhu kuskena ukuze akubheke eduze. |
| Amazinga e-PSA akhuphukayo | I-PSA (i-prostate-specific antigen) ukuhlolwa kwegazi. Uma leli nani liphakeme, lokhu kuskena kubaluleke kakhulu ukuthola imbangela. |
| Izimpawu zomdlavuza wendlala | Uma unezimpawu ezifana nobunzima bokuchama, ukuchama njalo, noma igazi emchameni wakho, hlola ukuthi imbangela iyinkinga ye-prostate. |
| Ukungazali | Lokhu kuhlolwa ngezinye izikhathi kusetshenziselwa ukuthola imbangela yokungazali kwabesilisa. Kungasetshenziswa futhi ukuhlola izitho zangasese kwabesifazane, futhi akuvamile uma ezinye izindlela zingafaneleki. |
| Ukwelashwa kanye nokuqoqwa kwezicubu | Uma kusolwa ukuthi umdlavuza wendlala yesinye, lokhu kuskena kusetshenziswa njengomhlahlandlela wokuthatha isampula encane yezicubu (i-biopsy) endaweni. Kuphinde kusize ekuqondiseni ukwelashwa okuthile. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu akuyona ukuhlinzwa okukhulu, kodwa kudinga ukulungiselela okuncane ukuze kwenziwe ukuhlolwa kahle.
- Tshela udokotela wakho konke: Kufanele utshele udokotela wakho nganoma yikuphi ukungezwani komzimba onakho, isifo senhliziyo, isifo samaphaphu, kanye nanoma yimiphi imithi oyithathayo njengamanje.
- Kungase kudingeke uyeke ukuphuza imithi ethile: Uma uthatha imithi yokunciphisa ukugabha kwegazi noma imithi yokunciphisa ubuhlungu efana ne-aspirin noma i-ibuprofen, udokotela wakho uzokutshela ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Ungalokothi uyeke ukuphuza noma yimuphi umuthi ngaphandle kokubuza udokotela wakho kuqala.
- Ukuhlanzwa kwamathumbu amakhulu:Emahoreni ambalwa ngaphambi kokuhlolwa, ungase ucelwe ukuthi usebenzise i-enema ukuhlanza i-rectum yakho kanye ne-colon engezansi. Lokhu kuzosiza ukuskena kuveze isithombe esicacile.
- Ukukhipha indle esinyini: Udokotela uzokucela ukuthi uchame futhi ukhiphe indle esinyini sakho ngaphambi kokuhlolwa.
Le miyalelo ingahluka kancane kuye ngesibhedlela, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.
Kwenzekani ngempela ngesikhathi sokuhlolwa?
Kulungile, manje ake sibone ukuthi kuzokwenzekani ngosuku lokuhlolwa. Ukwazi lokhu kuzokusiza ukunciphisa ukwesaba kwakho kakhulu.
1. Ukushintsha izingubo: Uzonikezwa ingubo yasesibhedlela ozoyigqoka.
2. Isimo: Uzocelwa ukuba ulale ngakwesobunxele sombhede, amadolo akho agobe esifubeni sakho.
3. Ukufakwa kwedivayisi: Udokotela uzobe esefaka kancane kancane i-ultrasound probe egcotshwe nge-anus yakho. Ingangomunwe kuphela. Kuleli qophelo, ungase uzizwe sengathi udinga ukuyokhipha indle. Lokhu kuvamile. Ngeke kube buhlungu kakhulu, kodwa ungase uzizwe ungakhululekile.
4. Ukuskena: Ngemva kokuba idivayisi ibekwe kahle, udokotela uyihambisa kancane kancane ngenkathi ebuka ngokucophelela izithombe zendlala yesinye ezibonakala esikrinini sekhompyutha.
Le nqubo yonke ivame ukuthatha imizuzu engaphansi kwengu-30.
Kuthiwani uma kuthathwa i-biopsy?
Ngezinye izikhathi, uma udokotela ebona okuthile okusolisayo ku-scan, kungase kudingeke athathe ingxenye encane kakhulu yezicubu kuleyo ndawo ukuze ihlolwe. Lokhu kubizwa ngokuthi i-biopsy . Lokhu kungenziwa ngesikhathi esifanayo ne-TRUS scan.
- Ukuba ndikindiki: Ngaphambi kokuhlolwa kwe-biopsy, kufakwa umuthi wokubulala izinzwa endaweni ezungeze i-prostate yakho ukuze uyindindishise, ukuze ungazizwa ubuhlungu obukhulu.
- Ukuthatha isampula yezicubu: Okulandelayo, kufakwa inalithi encane kakhulu eduze kwedivayisi yokuskena bese kuthathwa amasampula amaningana ezicubu ezindaweni ezisolisayo. Ungase uzwe ukugwazwa okuncane lapho kufakwa inalithi.
Amasampula ezicubu atholwe ngale ndlela athunyelwa elabhorethri ukuze ahlolwe ngaphansi kwe-microscope ukuqinisekisa ukuthi akhona yini amangqamuzana omdlavuza noma cha.
Kwenzekani ngemva kokuhlolwa?
Uma isivivinyo sesiphelile, ungaya ekhaya ngalolo suku.
- Buza udokotela ukuthi ungakwazi yini ukushayela noma udinga umuntu ozokushayela.
- Uma kwenziwa i-biopsy, uzonikezwa ama-antibiotic ukuvimbela ukutheleleka izinsuku ezimbalwa. Udinga ukuwaphuza njengoba nje kuqondiswe.
- Bathi akufanele uphuze imithi yokunciphisa igazi njenge-aspirin izinsuku ezimbalwa.
- Phuza amanzi amaningi. Ukuphuza okungenani izingilazi zamanzi ezingu-6-8 ngosuku kusiza ekugcineni uhlelo lomchamo luhlanzekile.
Kungathatha izinsuku ezimbalwa noma isonto ukuthi imiphumela ye-biopsy ibuye. Uma imiphumela isifikile, udokotela uzokufonela bese ehlela isikhathi sokukhuluma ngakho.
Yiziphi izinzuzo nezingozi zalolu vivinyo?
Nakuba noma yikuphi ukuhlolwa kwezokwelapha kunezinzuzo nezingozi zako, i-TRUS ukuhlolwa okuphephile kakhulu.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Akukho misebe (ngokungafani nemisebe ye-X). | Uma une-TRUS scan kuphela: Ngokwazi kwethu, azikho izingozi noma izinkinga. |
| Izithombe ezicacile kakhulu zezicubu ezithambile zingatholakala. | Izimo ezingaba khona (zesikhashana) ezingase zenzeke uma kwenziwa i-biopsy: |
| Ungabona ukusebenza kwezitho ngesikhathi sangempela. |
|
Into ebalulekile ukuthi iningi lalezi zimpawu ngemva kokuhlolwa kwe-biopsy zingezesikhashana futhi zizonyamalala ngokuphelele zingakapheli izinsuku ezimbalwa noma isonto noma amabili.
Kufanele ngimbone nini udokotela ngokushesha ngemva kokuhlolwa?
Nakuba ngokuvamile kungeyona inkinga enkulu, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Umkhuhlane omkhulu kanye nokubanda.
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi.
- Ukungakwazi ukuchama njalo.
- Ukuqhekeka kwegazi emchameni.
- Ukopha okuqhubekayo okuvela e-urethra noma e-rectum.
Lezi zimpawu zibonisa ukuthi kungenzeka kube nokutheleleka noma enye inkinga, ngakho ungazinaki.
Umlayezo Wokuya Nawe Ekhaya
- I-transrectal ultrasound (TRUS) iyindlela ebaluleke kakhulu, ephephile, futhi engenabuhlungu esetshenziswa ukuhlola indlala ye-prostate.
- Lokhu kuhilela ukuthumela amaza omsindo nge-rectum ukuze kuthathwe isithombe se-prostate gland. Akukho misebe.
- Ukuhlolwa akuthathi imizuzu engaphezu kwengu-30. Kukhona ukungakhululeki okuthile, kodwa akukho ubuhlungu obukhulu.
- Uma kusolwa ukuthi umdlavuza ukhona, i-biopsy (ucezu lwezicubu) ingathathwa ngesikhathi esifanayo nalesi sivivinyo.
- Kujwayelekile ukuba negazi elincane emchameni wakho noma esidoda ngemva kokuhlolwa kwegazi, futhi lizophela ezinsukwini ezimbalwa.
- Uma unemibuzo, ungesabi ukubuza udokotela wakho. Kuyilungelo lakho.
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