PSA yokuhlola wendlala: evamile, ikakhulukazi ukuqeqeshwa nesiqondiso

Amaphrotheni PSA limelela wendlala antigen athile, ukukhiqizwa okuyinto izicubu wendlala. Lokhu amaprotheni iyadingeka ukuze liquefaction kwesidoda besilisa. Kuyaphawuleka ukuthi izimila abulalayo secrete esiningi ketshezi. Yingakho PSA isetshenziswa njengendlela marker isimila umdlavuza wendlala yabesilisa. Kulokhu, inani amaprotheni kwaveza kungangena noma inqubo sokugembula. Ngakho-ke, ukuhlola PSA I-wendlala kumele iqhutshwe. Uzosambulela Oncology noma adenoma.

Kungani kukhuphuke namazinga amaprotheni

Ukuze kutholakale izinga amaprotheni, kuyakuba ukuhlolwa igazi PSA kuvamile e prostatitis. Antigen izinga akuyona ezingaphezu kuka 4 ng / ml. Ukukhiqizwa lokhu amaprotheni kwandisa kwetinhlavu amaseli abulalayo kakhulu. Ezinye izindaba zika-inyuka ukukhiqizwa antigen ngenxa nezinye izinto:

1. amazinga PSA kungase iyokhushulwa ngenxa yokungenwa yizifo ezithathelwanayo, okuyinto kuhambisana ukuvuvukala. Kulokhu kukhona ukwephulwa kwalo mngcele imisebenzi kwezicubu, okuvumela ketshezi ukungena kancane kancane ingene egazini.
2. I amaprotheni kungaba izikhandle kakhudlwana ekufuneni faka igazi uma izicubu yene e ingozi Hyperplasia Prostatic oqala ngaso ukubeka ingcindezi lonke izicubu zomzimba.

Kufanele kuqashelwe ukuthi i-PSA I-wendlala Thola iyiphi ngeziphambeko futhi ukushayisana kwe wendlala. Iningi lawo madoda ziye zaphawula lizinga lelitfutfukile antigen, akahlupheki ngenxa yomdlavuza. Amaphrotheni lokuhlushwa kungase kwandise ngenxa kokungenela kuhlinzwa esinyeni noma wendlala biopsy, kanye ngesikhathi ejaculation okuseqophelweni eside.

Lapho iqondiswa ukuhlaziywa

Akukona nje kuphela wendlala kuyadingeka ukuthatha isivivinyo PSA. Lolu cwaningo laboratory babelwe:

1. Ukuqapha ukuthi ukuqhutshwa umdlavuza wendlala. Lokho ikuvumela ukuba avivinye ukusebenza kwe yokwelapha inikezwe.
2. Uma usola ukuthi ukwakheka wendlala izimila. Lokhu kungenzeka ngenxa nezinye izifundo: ultrasound, digital luhlolo rectal nokunye.
3. Ukuze lokuvikela. azihlole omiselwe amadoda abaneminyaka engama-40 ukuze ithole ukukhula PSA.
4. Ngemva ukwelashwa komdlavuza, okuyinto kwenziwa emva ukuthola umdlavuza wendlala. Ngemva ezifana ukwelashwa Kunconywa ukuthola izivivinyo ezifana njalo ezinyangeni 3.

Ukulungiselela i-ukuhlaziywa

Ukuze aphumelele kulesi sivivinyo PSA I-wendlala, kubalulekile ukulungiselela ngokucophelela. Kungenjalo, izinkomba amaprotheni kutawentiwa ingalungile. Ochwepheshe batusa:

1. 8 amahora ngaphambi blood donation ukunikeza ukudla ukudla, kuhlanganise utshwala ayivunyelwe, ikhofi, itiye kanye juice.
2. Sexual kufanele uyeke izinsuku 5-7 ngaphambi kokubeletha yokuhlaziya.
3. Funda lokhu okulandelayo uzihlole kufanele kube ngemva kwezinsuku 12-14, emva ukuhlolwa ukuvakashela Urologist noma onguchwepheshe inikezwe.
4. Uma labetibambile wendlala massage, ultrasonography transrectal, isinye catheterization noma cystoscopy, digital luhlolo rectal noma eminye imiphumela mechanical phezu wendlala yabesilisa, ukuhlaziya kumele uthathe 2 amaviki ngemva zindlela uphenyo, futhi ngemva biopsy ka wendlala izicubu - emva 1 inyanga.

Ucwaningo lwase-laboratory usuku olulodwa. Lokhu kudinga isiguli ukubhala kokuqondisa udokotela ukuba khona, ukulungiselela bese ngegazi kusukela emthanjeni. Kwezinye izimo, incazelo noma PSA Imininingwane noma antigen khulula. Lokhu kuyadingeka ukuze i ukusazi ngokunembile isifo esikuphethe.

Kanjani ukuqonda Imiphumela

Ukuhlaziya PSA I-wendlala kungahunyushwa ngezindlela eziningana. amazinga antigen ngokuvamile kulinganiswa e nanograms ngemililitha legazi 1 ngayinye. Nokho, abanye ochwepheshe bathi le, okumele sehliselwe kombundu ubuncane 2.5 ng / mg. Yiqiniso, kuzokuvumela ukuthola izifo wendlala ngaphezulu. Nokho, kukhona ingozi ukuthi odokotela ngenxa novivinyo olunjalo uyokwelapha umdlavuza, okungukuthi emtholampilo asihlobene. Lapho efeza uphethwe uyakucabangela zonke izinhlobo ezintathu amaprotheni:

1. Mahhala wendlala antigen athile. Sitholakala egazini futhi% 20 kuphela PSA Imininingwane.
2. A amaprotheni elihlobene ne A2-macroglobulin noma nge a1-antichymotrypsin. Kuphela uhlobo yokugcina antigen kungaba azimisele egunjini lokucwaninga esibhedlela.
3. Ubude PSA Inkomba - inhlanganisela iprotheni ingena egazini.

Olubonisa prostatitis

Prostatitis, eqinisweni, hhayi umdlavuza. Phela, wayengabi nayo ngisho kwandiswe amathuba nomdlavuza wendlala. Nokho, njalo ukuqapha PSA kwenza opharetha ngokunembile ulungise yokwelapha ukuqeda ukuvuvukala.

Uma emakamu antigen esiphakathi 4 kuya ku-10 ng / ml, lokhu kungase kubonise ukuthuthukiswa lezi zifo ezilandelayo:

• prostatitis;
• Hyperplasia ingozi ye endlaleni engasesinyeni;
• wendlala Oncology, kulesi simo uphethwe ingozi lokhu kwanda isifo ngo-25%.

Kuyaphawuleka ukuthi isilinganiso PSA ochwepheshe ezifana ngokuthi grey zone. Uma emakamu antigen kunqoba 10 ng / ml, ematfuba ekuthuthukiseni inqubo umdlavuza inyuka ngo-67%.

Ngokuvamile, izinga PSA Imininingwane kuncike ezihlukahlukene isifo wendlala. Ukuhlaziya okunjalo ngokuvamile esetshenziselwa ukuxilongwa umehluko.

Indlela ukucacisa isifo

Uma ukuhlaziya Imininingwane igazi PSA I-wendlala olwenziwa kahle, futhi izinga amaprotheni akuyona esingaphansi 4 ng / ml hhayi ngaphezulu kuka-10 ng / ml, odokotela ukuxilongwa ebuka amaprotheni amafraktjhini elandelayo nobuhlobo babo:

1. Ukuncishiswa khulula antigen lokuhlushwa kwandisa ingozi yomdlavuza. Lokhu kungenxa yokuthi amaseli abulalayo ukukhiqiza esiningi a1-atihimotripsina. Lokhu kwandisa ngefomu eholela emakamu amaprotheni.
2. Ukwandisa lokuhlushwa antigen khulula Ngokuphambene, ngoba kunciphisa ingozi yomdlavuza. Ngakho inkomba ezinjalo kungase kubonise khona prostatitis ezingamahlalakhona.

idatha eyengeziwe

PSA igazi yokuhlola wendlala jikelele, ukubaluleka okuyinto elicacisiwe emtholampilo, kutuswa ukuthatha amadoda kuya eminyakeni engu-50 njalo ngonyaka. Kulesi test ngochwepheshe ukuthuthukisa izinkomba ezengeziwe kwangena, okuvumela ukuba sicabangele amaprotheni ngokuhambisana nemingcele ezahlukene.

Ekuhlaziyeni, PSA ukuminyana is kucutshungulwe. Lokhu kwenza kube nokwenzeka ukukhiqiza izibalo antigen lokuhlushwa maqondana ubukhulu wendlala yabesilisa, okuyinto zinqunywa ngokusebenzisa ultrasonography transrectal. I kwabantu eliphansi amaprotheni kungase kubonise ukuthi isizathu esiyinhloko ekukhuleni kwayo ungaphakathi ukuthuthukiswa prostatitis.

Futhi kubhekelwe futhi PSA velocity. Lokhu kuqhathanisa we antigen isikhathi esithile. Uma izinga inyuka ngokushesha, udokotela angaba ukuxilonga prostatitis acute indlela yekwenta i esigabeni sokuqala umdlavuza.

amazinga amaprotheni kudingeka ukulandelela

Landelela ezingeni amaprotheni ivumela PSA igazi yokuhlola wendlala ezijwayelekile kuphela. Izici yokuhlola kumele wazi kahle uchwepheshe. Ngokwesibonelo, ucwaningo lwamuva luye lwabonisa ukuthi prostatitis kungaholela anda amazinga serum ka antigen. kufanele athathe ukuhlolwa, ngisho ezimweni lapho azikho izimpawu nokuvuvukala, futhi digital luhlolo rectal akalushongo yimuphi okungahambi ngendlela kanjalo, futhi ukwandisa lokuhlushwa PSA Isivinini anda.

imihlola enjalo ngokuyinhloko zibonisa ukuthi umzimba omkhulu kwesimiso sokuzala ukusebenza kahle kokwenza ngenxa yokwephula ezithile. Uma uhlangabezana kweso izinkomba, ochwepheshe batusa lokhu:

1. Uma amazinga amaprotheni ikhuphuke kakhulu, kufanele uhlole izimpawu wendlala kanye nezifo genitourinary.
2. Ngemva ekwelapheni prostatitis noma izifo urinary kufanele thatha futhi bamba futhi isivivinyo PSA.

Ngisho noma wayengabhekiseli ukuthi nginesifo prostatitis, bese wenza nolunye uvivinyo antigen sisenjalo namanje. Uma izinga amaprotheni sisalokhu siphakeme, udokotela angase oda biopsy. Lokhu kuzovumela noma ukususa noma uqinisekise emdlavuzeni.

Ekupheleni

Yeka ukuthi kuyinto isivivinyo PSA I-wendlala? Intengo ezinjalo ezahlukene ukuhlolwa ruble 600 nangaphezulu. Ngesikhathi esifanayo ngo eminye imitholampilo isiguli kumele akhokhe iqoqo ezengeziwe igazi emthanjeni. Intengo ngqo kungenziwa elicwengisiswe egunjini lokucwaninga esibhedlela.

Kuyaphawuleka ukuthi abukho ubufakazi ngqo ukuthi wendlala kuholela umdlavuza wendlala. It is hhayi njalo amaseli abulalayo akhiwa. Nokho, histological izimpawu prostatitis Avame ukutholakala ngochwepheshe isifundo esiphathelene izicubu umdlavuza wendlala. Ngakho-ke, ukutadisha igazi ku inani PSA kumele kwenziwe njalo.