Prostate biopsy: nguva yekuzviita, zvinoitwa sei uye kugadzirirwa

Zvemukati

• Kana biopsy ichikurudzirwa
• Maitiro eprostate biopsy anoitwa
• Maitiro ekugadzirira biopsy
• Nzira yekunzwisisa iyo biopsy mhedzisiro
• Zvinogona kuitika matambudziko ebiopsy
• 1. Marwadzo kana kusagadzikana
• 2. Kubuda ropa
• 3. Kutapukirwa
• 4. Urinary chengetedzo
• 5. Erectile kusagadzikana

Prostate biopsy ndiyo chete bvunzo inokwanisa kusimbisa kuvepo kwekenza muprostate uye inosanganisira kubviswa kwezvidimbu zvegland kuti zviongororwe murabhoritari kuitira kuti uone kuvepo, kana kwete, kwemasero akaipa.

Kuongorora uku kunowanzo kurairwa nachiremba wezveuropi kana gomarara rikafungidzirwa, kunyanya kana kukosha kwePSA kukwirira, kana shanduko muprostate ichiwanikwa panguva yedhijitari rectal kuongororwa, kana kana prostate resonance ichiitwa pamwe nekufungidzira kutsvaga. Tarisa uone 6 bvunzo dzinoongorora hutano hweprostate.

Prostate biopsy haina kukuvadza, asi inogona kusagadzikana uye, nekuda kweichi chikonzero, inowanzoitwa pasi peanesthesia yemuno kana kunyorova sedation. Mushure mekuongororwa, zvinokwanisika kuti murume achasvirwa mudunhu, asi zvichapfuura mumaawa mashoma.

Kana biopsy ichikurudzirwa

Prostate biopsy inoratidzwa mune inotevera kesi:

• Kuongorora kweprostate rectal kwachinjwa;
• PSA pamusoro pe2,5 ng / mL kusvika makore makumi matanhatu nemashanu;
• PSA pamusoro pe4.0 ng / mL pamusoro pemakore makumi matanhatu nemashanu;
• PSA kuwanda pamusoro pe0.15 ng / mL;
• Kukurumidza kwekuwedzera kwePSA pamusoro pe0.75 ng / mL / gore;
• Multiparametric resonance yeprostate inorondedzerwa sePi Rads 3, 4 kana 5.

Muzviitiko zvakawanda, gomarara reprostate, kana riripo, rinoonekwa mushure mekutanga bhaopsy, asi bvunzo inogona kudzokororwa kana chiremba asina kugutsikana nemhedzisiro ye1 biopsy, kunyanya kana paine:

• Kuramba wakakwira PSA ine velocity yakakura kupfuura 0.75 ng / mL / gore;
• Yakakwira-giredhi yeprostatic intraepithelial neoplasia (PIN);
• Kuwedzera kweatypical kwediki acini (ASAP).

Bhiopsy yechipiri inofanira kuitwa masvondo matanhatu chete mushure mekutanga. Kana yechitatu kana yechina bhaopsy ichidikanwa, zvinokurudzirwa kumirira kweanopfuura masvondo masere.

Tarisa vhidhiyo inotevera uye dzidza nezve mimwe miedzo inogona kuitwa nachiremba kuti azive kenza yeprostate:

Maitiro eprostate biopsy anoitwa

Biopsy inoitwa nemurume akarara nedivi, makumbo ake akakotama, akanyatsogadzika. Ipapo chiremba anoita ongororo pfupi yeprostate nekuita iyo digital rectal bvunzo, uye mushure mekuongorora uku, chiremba anounza chishandiso che ultrasound mune iyo anus, iyo inotungamira tsono kunzvimbo iri padyo neprostate.

Tsono iyi inogadzira zvidimbu zvidiki mudumbu kuti isvike kune prostate gland uye inounganidza zvidimbu zvakati wandei kubva mudumbu, uye kubva kumatunhu akaikomberedza, inozoongororwa murabhoritari, ichitsvaga maseru anogona kuratidza kuvepo kwegomarara.

Maitiro ekugadzirira biopsy

Kugadzirira kwebiopsy kwakakosha kudzivirira matambudziko uye kazhinji kunosanganisira:

• Tora mushonga unorayirwa nachiremba, kwemazuva angangoita matatu usati waongorora;
• Pedzisa yakazara-ye6-awa kutsanya pamberi bvunzo;
• Chenesa ura pamberi pekuongorora;
• Weti maminetsi mashoma usati waitwa;
• Uya nemumwe wako kuti akubatsire kudzoka kumba.

Mushure mekuvhenekwa kweprostate, murume anofanira kutora mishonga inorwisa mabhakitiriya, kudya chikafu chisina kujeka mumaawa ekutanga, kudzivirira kushanda nesimba mumazuva maviri ekutanga uye kuramba uchiita zvepabonde kwemavhiki matatu.

Nzira yekunzwisisa iyo biopsy mhedzisiro

Mhedzisiro yeprostate biopsy inowanzo gadzirira mukati memazuva gumi nemana uye inogona kuve:

• Zvakanaka: inoratidza kuvapo kwekenza iri kukura mudumbu;
• Negative: masero akaunganidzwa haana kuratidza shanduko;
• Kufungira: shanduko yakaonekwa inogona kana inogona kunge isiri cancer.

Kana iyo prostate biopsy mhedzisiro isina kana kufungira, chiremba anogona kukumbira kudzokorora bvunzo kuti asimbise mhedzisiro, kunyanya kana achifungidzira kuti mhedzisiro yacho haina kunaka nekuda kwemimwe miedzo yakaitwa.

Kana mhedzisiro yacho iri yakanaka, zvakakosha kuisa gomarara, izvo zvinobatsira kugadzirisa kurapwa. Ona matanho makuru ekenza yeprostate uye marapirwo anoitwa.

Zvinogona kuitika matambudziko ebiopsy

Sezvo zvichidikanwa kuboora ura uye kubvisa zvidimbu zvidiki zveprostate, pane njodzi yemamwe matambudziko akadai se:

1. Marwadzo kana kusagadzikana

Mushure meiyo biopsy, vamwe varume vanogona kutambura kurwadziwa kana kusagadzikana munzvimbo yeanus, nekuda kwekushaiwa kwetumbo uye prostate. Kana izvi zvikaitika, chiremba anogona kuraira kushandiswa kwevamwe marwadzo ekuderedza maronda, akadai seParacetamol, semuenzaniso. Kazhinji, kusagadzikana kunonyangarika mukati mevhiki rimwe mushure mekunyora.

2. Kubuda ropa

Kuvapo kweropa shoma muzvipfeko zvemukati kana mupepa remuchimbuzi zvakajairika zvachose mukati memavhiki maviri ekutanga, kunyangwe mune urume. Nekudaro, kana huwandu hweropa hwanyanya zvakanyanya kana kunyangarika mushure memasvondo maviri, zvinokurudzirwa kuenda kuna chiremba kuti uone kana paine kubuda ropa.

3. Kutapukirwa

Sezvo iyo biopsy inokonzeresa ronda mumatumbo neprostate, kune njodzi yakawedzera yehutachiona, kunyanya nekuda kwekuvapo kwemhando dzakasiyana dzehutachiona mumatumbo. Neichi chikonzero, mushure meiyo biopsy chiremba anowanzo kuratidza kushandiswa kwemushonga unorwisa mabhakitiriya.

Zvisinei, pane zviitiko apo mushonga unorwisa mabhakitiriya usina kukwana kudzivirira hutachiona uye, nekudaro, kana iwe uine zviratidzo zvakaita sefivhiri iri pamusoro pe37.8 ,C, kurwadziwa kwakanyanya kana weti yakasimba inonhuwa, zvinokurudzirwa kuenda kuchipatara kuti uone kana kuriko chero hutachiona uye anotanga kurapwa kwakakodzera.

4. Urinary chengetedzo

Kunyangwe zvichinyanya kushomeka, vamwe varume vanogona kusangana nekuchengetedza weti mushure meiyo biopsy nekuda kwekuzvimba kweprostate, inokonzerwa nekubviswa kwezvidimbu zenyama. Mumamiriro ezvinhu akadaro, prostate inoguma ichimanikidza iyo urethra, ichiita kuti zviome kuti weti ipfuure.

Kana izvi zvikaitika, iwe unofanirwa kuenda kuchipatara kuti ubvise kuwanda kweiyo weti kubva mudundira, izvo zvinowanzoitwa nekuiswa kweye dundira chubhu. Nzwisisa zvirinani chii chinonzi bladder catheter.

5. Erectile kusagadzikana

Uku ndiko kunetsekana kusingaoneki kwebiopsy asi, painenge ichioneka, inowanzonyangarika mukati memwedzi miviri mushure mekuongorora. Muzviitiko zvakawanda, iyo biopsy haina kupindira nekukwanisa kuve nehukama hwepedyo.