Prostate-yakatarwa antigen (PSA) kuongororwa kweropa

Prostate-yakatarwa antigen (PSA) ipuroteni inogadzirwa nemasero eprostate.

Iyo PSA bvunzo inoitwa kubatsira screen uye yekutevera kenza yeprostate mune varume.

Muenzaniso weropa unodiwa.

Ita shuwa kuti mupi wako wezvehutano anoziva mishonga yese yauri kutora. Mimwe mishonga inokonzeresa yako PSA nhanho kuve yekunyepera pasi.

Muzviitiko zvakawanda, hapana mamwe matanho akakosha anodiwa kugadzirira bvunzo iyi. Iwe haufanire kunge uine PSA bvunzo munguva pfupi mushure mekuita weti yehutachiona hutachiona kana kuita maitiro kana kuvhiya kunosanganisira iyo weti system. Kumbira mupiki wako kuti unofanira kumirira kwenguva yakareba sei.

Unogona kunzwa kurwadziwa zvishoma kana kubaya kana tsono yaiswa. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Zvikonzero zvePSA bvunzo:

• Bvunzo iyi inogona kuitirwa kuongorora kenza yeprostate.
• Inoshandiswa zvakare kutevera vanhu mushure mekurapwa gomarara reprostate kuti uone kana gomarara radzoka.
• Kana mupi achinzwa iyo gland yeprostate haina kujairika panguva yemuviri bvunzo.

ZVIMWE PAMUSORO PAKUEDZESA KWEZVIMWE CHEMAHARA

Kuyera iyo PSA nhanho kunogona kuwedzera mukana wekuwana gomarara reprostate pachiri kutanga kwazvo. Asi pane gakava pamusoro pekukosha kwePSA bvunzo yekuona gomarara reprostate. Hapana mhinduro imwe inokwana varume vese.

Kune vamwe varume makore makumi mashanu neshanu kusvika makumi matanhatu nemapfumbamwe ekuberekwa, kuongororwa kunogona kubatsira kudzikisa mukana wekufa nekenza yeprostate. Nekudaro, kune varume vazhinji, kuongorora uye kurapwa kunogona kuve kunokuvadza pane kubatsira.

Usati waita bvunzo, taura nemupi wako nezvezvakanaka nezvayakaipira kuve nePSA bvunzo. Bvunza nezve:

• Kunyangwe kuongorora kunodzora mukana wako wekufa nekenza yeprostate
• Kunyangwe paine chero kukuvara kubva kuprostate cancer kuongororwa, senge mhedzisiro-mhedzisiro kubva pakuyedzwa kana kunyanyisa kurapwa kwekenza kana yawanikwa

Varume vadiki pane zera makumi mashanu nemashanu vane mukana wakakura wekuvandudza gomarara reprostate uye vanofanirwa kutaura nemupi wavo nezvePSA kuongorora kana ivo:

• Iva nenhoroondo yemhuri yekenza yeprostate (kunyanya hama kana baba)
• Ndo African American

Iyo PSA bvunzo mhedzisiro haigone kuongorora kenza yeprostate. Chete prostate biopsy ndiyo inokwanisa kuongorora gomarara iri.

Wako mupi anotarisa yako PSA mhedzisiro uye otarisa zera rako, dzinza, mishonga yauri kutora, uye zvimwe zvinhu kusarudza kuti yako PSA yakajairika uye kana uchida mimwe bvunzo.

Iyo yakajairwa PSA nhanho inoonekwa se 4.0 nanograms pamamirilita (ng / mL) eropa, asi izvi zvinosiyana nezera:

• Kune varume vari muma50s kana mudiki, iyo PSA nhanho inofanira kunge iri pazasi pe2,5 kazhinji.
• Varume vakuru vanowanzove neanokwirira zvishoma PSA mazinga kupfuura varume vadiki.

Iyo yakakwira PSA nhanho yakabatanidzwa kune yakawedzera mukana wekuve nekenza yeprostate.

Kuongorora kwePSA chishandiso chakakosha chekuona gomarara reprostate, asi haisi yeupenzi. Mimwe mamiriro ezvinhu anogona kukonzera kukwira muPSA, kusanganisira:

• Prostate yakakura
• Utachiona hweprostate (prostatitis)
• Urinary turakiti hutachiona
• Ongororo dzichangoburwa pane rako dundira (cystoscopy) kana prostate (biopsy)
• Catheter chubhu nguva pfupi yadarika yakaiswa mudundira rako kuti ubudise weti
• Nguva pfupi yapfuura kusangana kana ejaculation
• Ichangopfuura colonoscopy

Wako mupi anozotarisa zvinotevera zvinhu kana achisarudza padanho rinotevera:

• Zera rako
• Dai iwe uine PSA bvunzo munguva yakapfuura uye yakawanda sei uye nekukurumidza sei PSA yako nhanho yachinja
• Kana bundu reprostate rakawanikwa panguva yekuongorora kwako
• Zvimwe zviratidzo iwe unogona kunge uine
• Zvimwe zvinokonzerwa nenjodzi yekenza yeprostate, senge dzinza uye nhoroondo yemhuri

Varume vari panjodzi huru vangangoda kuongororwa kwakawanda. Izvi zvinogona kusanganisira:

• Kudzokorora yako PSA bvunzo, kazhinji imwe nguva mukati memwedzi mitatu. Iwe unogona kutanga kurapwa kwehutachiona hweprostate kutanga.
• Prostate biopsy ichaitwa kana iyo yekutanga PSA nhanho yakakwira, kana kana iyo nhanho ichiramba ichikwira apo iyo PSA inoyerwa zvakare.
• Chiyero chekutevera-chinonzi PSA yemahara (fPSA). Izvi zvinoyera chikamu chePSA muropa rako chisina kusungirwa kune mamwe mapuroteni. Iyo yakaderera iyo chikamu cheiyi bvunzo, iyo ingangoita iri iyo iyo Prostate cancer iripo.

Mimwe bvunzo inogona kuitwawo. Basa chairo remiyedzo iyi mukufunga nezvekurapa harina kujeka.

• Chiyero cheweti chinonzi PCA-3.
• MRI yeprostate inogona kubatsira kuziva kenza munzvimbo yeprostate iyo yakaoma kusvika panguva yebiopsy.

Kana iwe wakarapwa kenza yeprostate, iyo PSA level inogona kuratidza kana kurapwa kuri kushanda kana kana gomarara radzoka. Kazhinji, PSA inokwira pasati paine chero zviratidzo. Izvi zvinogona kuitika mwedzi kana makore zvisati zvaitika.

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu kuenda kune mumwe, uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe. Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Akawanda punctures ekutsvaga mutsinga
• Kufenda kana kunzwa kushaya musoro
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Prostate-yakatarisana antigen; Kuongorora gomarara reprostate; PSA

• Prostate brachytherapy - kubuda

• Kuongorora ropa

Morgan TM, Palapattu GS, Partin AW, Wei JT. Kenza yeprostate cancer mamaki. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 108.

National Cancer Institute webhusaiti. Prostate cancer yekuongorora (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/prostate/hp/prostate-screening-pdq#section/all. Yakagadziridzwa Gumiguru 18, 2019. Yakasvika munaNdira 24, 2020.

Diki EJ. Kenza yeprostate. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 191.

US Preventive Services Task Force; Grossman DC, Curry SJ, et al. Kuongorora kenza yeprostate: US Preventive Services Task Force kukurudzira chirevo. JAMA. 2018; 319 (18): 1901-1913. PMID: 29801017 www.ncbi.nlm.nih.gov/pubmed/29801017.