Ukuhlaziywa kwe-PSA

I-prostate-specific antigen (i-PSA) iphrotheni eyenziwa ngamaseli we- prostate gland. Incazelo yayo yenziwa ebhokisatri. Ukuhlaziywa kwe-PSA kwembula umdlavuza ku-prostate. Ngokuvame ukubizwa ngokuthi i-tumor noma uphawu lwezinto eziphilayo. Noma kunjalo, kufanele kuqashelwe ukuthi ukwanda kwezinga le-antigen akuzona zonke izimo kubonisa inqubo ye-tumor ku-prostate. Ngamanye amazwi, bekungeke kulungile ukubiza ucwaningo lwe-PSA isifo esithile.

I-antigen ijikeleza egazini ngamanani amancane. Lokhu kuyinto evamile. Ukwandisa izinga kungabonisa ukuthuthukiswa kwesisu. Kodwa-ke, ukuhlushwa ngokwayo akusizi ngokwanele ukuxilonga umdlavuza noma ezinye izifo ezitholakala kuyi-prostate. Okuhlukile kungase kube yindlela kuphela ephezulu kakhulu ye-antigen. Ngesikhathi esifanayo, i-PSA ibhekwa njengesibonakaliso esibaluleke kakhulu ekunqumeni izinyathelo zokuhlola kanye nokwenza ukwelashwa okunokwenzeka.

Ukuhlaziywa kwe-PSA kubhekwa njengesigaba sokuphoqeleka, kanye nokuhlolwa kwe-ultrasound kanye ne-rectal finger ukutholakala nomdlavuza wesicathulo. Ngaphezu kwalokho, ukuzimisela kwezinga le-antigen kwenza kube lula ukuhlola ukuphumelela kokwelashwa kubantu abane-tumor etholakale.

Uma ukuhlaziywa kwe-PSA kubonisa ukwenyuka kokuhlushwa, lokhu kungabonisa ukuphindaphinda kwesakhiwo esibi kakhulu ku-prostate. Lokhu "ukuphindaphinda kwezinto eziphilayo", njengombuso, kuqala ngaphambi kokubonakaliswa kwemitholampilo yomdlavuza.

Ngokusho kwezincomo zabaningi, ukuhlaziywa kwe-PSA kufanele kwenziwe kubantu abangaphezu kweminyaka engamashumi amane nanhlanu kuya eminyakeni engamashumi amahlanu unyaka ngamunye. Njengomkhuba wokubonisa, iminyaka yobudala yinto evusa kakhulu kunazo zonke ekuthuthukiseni umdlavuza wesibeletho. Ngaphezu kwalokho, ukugqugquzela ukukhula kwayo kungaba nokudla, ukudla okungalungile nezinto.

Ukuhlaziywa kwe-PSA. Incazelo

Imiphumela ye-test laboratory test blood show izinga le-antigen. Ngosizo lokuhlaziywa okubanzi, ukuhlushwa kwe-antigen ne-common anti-prostate-specific antigen kubonakala. Lezi zimingcele zisetshenziswa odokotela lapho beka isilinganiso.

Imiphumela ye-antigen yeningi ngokuvamile iboniswe ng / ml. Ochwepheshe abaningi bathatha izinga elingezansi kwe 4.0 ng / ml njengendlela evamile. Kumele kuqashelwe ukuthi namuhla alikho idijithali eyodwa efanelwe emhlabeni.

Ngokwesiphakamiso somphakathi wase-Europe we-urologists, ukuchazwa kwe-PSA ukuhlolwa kwegazi kuboniswa ngamagama angama-nomogram. Bahlola ngokujwayelekile i-antigen ngokuphathelene nobukhulu be-prostate kanye nobudala besiguli.

Umphumela wokuhlaziywa kwe-PSA kufanele uxoxwe nodokotela.

Iminye imisebenzi izoxhomeka ezintweni eziningana:

- Imiphumela ye-transrectal ultrasound, i-digital rectal examination;

- izinga lokuthuthukiswa kwe-antigen;

- isifo sezimpawu;

- isimo sempilo;

- ubudala.

Kule ndaba, kukhona amaqhinga amabili wezokwelapha. Esinye silindele, enye isasebenza. Kuqhinga lokuqala (ukubuka okujwayelekile okuvamile), ochwepheshe abavamile ukuwasebenzisa. Njengomthetho, kwenziwa ucwaningo olwengeziwe lokucacisa ukuxilongwa kanye nokwelashwa okusemandleni.

Ukuthola umdlavuza wesi-prostate akusho ngaso sonke isikhathi isidingo semiphumela yokwelapha. Lokhu kubangelwa ukuthi ukubunjwa kwe-tumor kungatholakali kancane kancane, futhi hhayi njalo ngesikhathi esisodwa kukhona isongo empilweni yesiguli. Uma umdlavuza osebenzayo utholakala uma kuthuthukiswa ukwakheka okusheshayo, ukuhlushwa kwe-PSA akugcini kakhudlwana kwanda. Kwezinye izimo, kungase kuhlale kumingcele evamile. Kodwa-ke, kufanele kuqashelwe ukuthi into enjalo ingavamile kakhulu.