Uma udokotela wakho ekutshela ukuthi wenze i-ultrasound eqondile, ungase uzizwe wesaba kancane futhi ungakhululekile ukuzwa igama. Lokho kuvamile. Kodwa empeleni kuwukuhlolwa okuvamile kakhulu, okuphephile, futhi okungenabuhlungu. Ngakho-ke namuhla, ake sithole izimpendulo zayo yonke imibuzo yakho ngakho.
Kalula nje, iyini i-transrectal ultrasound (TRUS)?
I-Ultrasound iyindlela yokusebenzisa amaza omsindo ukubheka izitho ezingaphakathi emizimbeni yethu. Kufana nohlelo lwe-sonar lomkhumbi. Ayikhiphi imisebe.
Igama elithi transrectal lisho ukuthi "ngokusebenzisa i-anus." Ngakho-ke kulolu vivinyo, udokotela ufaka ithuluzi elincane, elingangomunwe (i-probe) nge-rectum yakho. Amaza omsindo aphuma kakhulu akhishwa yi-probe ashaya izitho zomzimba ngaphakathi komzimba wakho bese ebuyela emuva. Amaza abonakalayo aguqulwa abe izithombe ezicacile esikrinini sekhompyutha.
Lokhu kuhlolwa kusetshenziselwa kakhulu ukuhlola indlala ye-prostate kwabesilisa. Ngezinye izikhathi kusetshenziselwa ukuhlola umgodi we-pelvic kanye nezitho zokuzala kwabesifazane.
Ubani onconywayo ukuthi abhale lolu vivinyo?
Udokotela wakho angancoma lokhu kuhlolwa ezimweni ezilandelayo:
| Isizathu | Incazelo elula |
|---|---|
| Ukungahambi kahle ekuhlolweni kwe-DRE | Uma udokotela ezwa iqhubu elingavamile noma ushintsho ku-prostate gland ngesikhathi sokuhlolwa kwe-digital rectal (DRE). |
| Amazinga e-PSA akhuphukayo | Uma izinga leprotheni ebizwa ngokuthi i-PSA (Prostate-Specific Antigen) egazini liphakeme kunejwayelekile. |
| Izimpawu ze-prostate | Uma ubonisa izimpawu zomdlavuza wendlala, njengobunzima bokuchama noma isidingo sokuphuza njalo. |
| Ukwelapha isimo sezokwelapha esikhona kakade | Njengesiqondiso ekwelapheni izimo zomdlavuza noma ezingezona umdlavuza ze-prostate. |
| Ukungazali | Ukuthola izinkinga ngohlelo lokuzala kwabesifazane nabesilisa. |
| Okunye ukutholwa komdlavuza | Ukuthola izifo ezifana nomdlavuza we-rectal noma umdlavuza we-anal. |
Ukuhlolwa kwe-TRUS kusebenza kanjani ngempela?
Ukwazi ngale nqubo kuzokusiza ukunciphisa ukwesaba kwakho. Ake sibheke kancane kancane.
Yini okufanele uyenze ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo ekhethekile.
- Tshela udokotela wakho nganoma yikuphi ukungezwani komzimba , isifo senhliziyo, isifo samaphaphu, kanye nanoma yimiphi imithi oyiphuzayo.
- Ungase ucelwe ukuthi uyeke ukuthatha i-aspirin kanye ne-NSAID (isib., i-ibuprofen, i-naproxen) imithi yokunciphisa ubuhlungu kanye nemithi yokunciphisa igazi izinsuku ezimbalwa.
- Uzocelwa ukuthi usebenzise i-enema emahoreni ambalwa ngaphambi kokuhlolwa ukuze uhlanze i-rectum yakho kanye ne-colon engezansi. Lokhu kuzosiza ukuthola izithombe ezicacile.
- Ungase futhi ucelwe ukuthi uchame futhi ukhiphe isinyi sakho ngaphambi kokuhlolwa.
Kwenzekani ngesikhathi sokuhlolwa?
Lena inqubo evame ukuthatha imizuzu engaphansi kwengu-30.
1. Uzolaliswa embhedeni, uphendukele ohlangothini olulodwa, amadolo akho edonswe esifubeni sakho .
2. Udokotela uzofaka kancane kancane i-probe egcotshwe ngamafutha, engangomunwe endunu yakho. Kuleli qophelo, uzozwa ingcindezi efana naleyo oyizwayo lapho kufanele uthuthe.
3. Ngemva kokubeka i-probe endaweni efanele, udokotela uzobona izithombe zezitho zakho esikrinini sekhompyutha.
Kuthiwani uma kuthathwa i-biopsy?
Ngokuvamile, phakathi nalolu vivinyo lwe-TRUS, kuthathwa ingxenye encane yezicubu (i-biopsy) endlaleni ye-prostate ukuze kuhlolwe amangqamuzana omdlavuza.
Ungesabi! Indawo izophela amandla ngaphambi kokuba kuthathwe i-biopsy.
- Udokotela uqala ngokufaka umuthi wokubulala izinzwa endlaleni ye-prostate ukuze aqede indawo.
- Ngemuva kwalokho, kufakwa inaliti encane, engenalutho eduze kwe-probe bese kuthathwa amasampula amaningana ezicubu ezivela ku-prostate gland.
Kwenzekani ngemva kokuhlolwa?
Ungaya ekhaya ngalolo suku ngemva kokuhlolwa. Udokotela wakho angase akunikeze ama-antibiotic ukuvimbela ukutheleleka. Isampula ye-biopsy izothunyelwa elabhorethri futhi kungathatha izinsuku ezimbalwa noma isonto ukuthi umbiko ufike. Uma umbiko usutholiwe, udokotela wakho uzokufonela ukuze akuchazele wona.
Yiziphi izinzuzo nezingozi zalokhu?
Izinzuzo:
- Akukho ukuchayeka emisebeni.
- Ingathola izithombe ezicacile zezicubu ezithambile kune-X-ray.
- Ungabuka izithombe ngesikhathi sangempela ngenkathi kwenziwa isivivinyo.
Izingozi:
Azikho izingozi ezaziwayo ezihlobene nokuskena kwe-TRUS. Kodwa-ke, izinkinga zesikhashana ezilandelayo zingase zenzeke uma kwenziwa i-biopsy . Lezi zivame ukuxazululeka ngokuphelele ezinsukwini noma emavikini ambalwa.
- Igazi esidodeni (iHematospermia)
- Igazi emchameni (i-Hematuria)
- Ukopha okuncane kwe-rectal
- Ubuhlungu lapho uchama (i-Dysuria)
- Ubuhlungu nobuhlungu endaweni ehlolwayo
- Ukutheleleka - Ama-antibiotic anikezwa ukuvimbela lokhu.
- Ukungasebenzi Kahle Kwesidoda (ED) - Lesi yisimo esingavamile kakhulu, esivame ukuba sesikhashana.
Ukululama kanye nesikhathi sokubonana nodokotela
Uma uke wenza i-TRUS kuphela ngaphandle kokuhlolwa kwe-biopsy, ungabuyela emisebenzini yakho evamile ngokushesha. Uma uke wenza i-biopsy, kungcono ukuphumula izinsuku ezimbili kuya kwezintathu. Uma ubuhlungu , ukugeza ngamanzi afudumele kungasiza. Phuza izingilazi zamanzi ezingu-6-8 ngosuku izinsuku ezimbalwa.
Shayela udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezilandelayo:
- Imfiva
- Amahlule egazi emchameni
- Ukopha emchameni okungapheli izinsuku eziningana
- Ukungakwazi noma ubunzima obukhulu bokuchama
- Ubuhlungu obukhulu obungalawulwa ngisho nangemithi
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ungangabazi ukuya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- I-transrectal ultrasound (TRUS) iyindlela yokuhlola ephephile, engahlaseli esebenzisa amaza omsindo.
- Lokhu kusetshenziselwa kakhulu ukuxilonga nokwelapha izinkinga ze-prostate kwabesilisa.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokuhlolwa.
- Izingozi ezihambisana nokuhlolwa kuphela uma kwenziwa i-biopsy, futhi ngisho nalokho kuvame ukuba okwesikhashana.
- Uma usenemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho bese uyixazulula.
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