Kuwonetsetsa kwa khansa ya prostate

Kuyeza khansa kumatha kukuthandizani kupeza zizindikilo za khansa musanazindikire. Nthawi zambiri, kupeza khansa koyambirira kumathandizira kuchiritsa kapena kuchiza. Komabe, pakadali pano sizikudziwika ngati kuyezetsa khansa ya prostate kumathandiza amuna ambiri. Pachifukwa ichi, muyenera kuyankhulana ndi omwe amakuthandizani musanayese khansa ya prostate.

Mayeso a Prostate-antigen (PSA) ndi kuyezetsa magazi komwe kumafufuza kuchuluka kwa PSA m'magazi anu.

• Nthawi zina, kuchuluka kwa PSA kumatha kutanthauza kuti muli ndi khansa ya prostate.
• Koma zina zimathanso kuyambitsa milingo yayikulu, monga matenda a prostate kapena prostate wokulitsidwa. Mungafunike kuyesedwa kwina kuti mudziwe ngati muli ndi khansa.
• Mayeso ena amwazi kapena ma prostate biopsy atha kuthandiza kupeza khansa ngati mayeso a PSA ali okwera.

Kuyeza kwamayendedwe amtundu wa digito (DRE) ndi mayeso omwe omwe amakupatsirani amalowetsa chala chokutira, chopindika mu rectum yanu. Izi zimapangitsa wothandizirayo kuti ayang'ane prostate ngati ali ndi zotupa kapena malo achilendo. Khansa zambiri sizimveka ndi mayeso amtunduwu, koyambirira kwenikweni.

Nthawi zambiri, PSA ndi DRE zimachitika limodzi.

Kuyesa kuyerekezera, monga ultrasound kapena MRI sizichita ntchito yolondola yowunika khansa ya prostate.

Phindu la kuyesa kuyezetsa khansa ndikupeza khansa koyambirira, pomwe kuli kosavuta kuchiza. Koma kufunsa kwa PSA kuyesa khansa ya prostate kumatsutsana. Palibe yankho limodzi loyenerera amuna onse.

Khansa ya prostate nthawi zambiri imakula pang'onopang'ono. Maseŵera a PSA angayambe kuwuka zaka zambiri khansa isanayambitse zizindikiro kapena mavuto. Ndizofala kwambiri ngati amuna amisinkhu. Nthawi zambiri, khansara siyimabweretsa mavuto kapena kufupikitsa moyo wamwamuna.

Pazifukwa izi, sizikudziwika ngati maubwino owunika nthawi zonse amapitilira zoopsa kapena zoyipa zochiritsidwa khansa ya prostate ikapezeka.

Palinso zifukwa zina zofunika kuziganizira musanayesedwe PSA:

• Nkhawa. Kukwera kwa PSA sikutanthauza kuti muli ndi khansa nthawi zonse. Zotsatira izi komanso kufunika kokayezetsa zina kumatha kubweretsa mantha komanso nkhawa zambiri, ngakhale mulibe khansa ya prostate.
• Zotsatira zoyipa poyesedwa. Ngati mayeso anu a PSA aposa kale, mungafunikire kukhala ndi biopsies imodzi kapena zingapo kuti mudziwe. Biopsy ndiyotetezeka, koma imatha kuyambitsa mavuto monga matenda, kupweteka, malungo, kapena magazi mu umuna kapena mkodzo.
• Kupitilira muyeso. Khansa zambiri za prostate sizingakhudze moyo wanu wabwinobwino. Koma popeza ndizosatheka kudziwa zowonadi, anthu ambiri amafuna kulandira chithandizo. Chithandizo cha khansa chimatha kukhala ndi zovuta zoyipa, kuphatikiza zovuta zakukumana ndi kukodza. Zotsatirazi zimatha kubweretsa zovuta zambiri kuposa khansa yosachiritsidwa.

Kuyeza kuchuluka kwa PSA kumatha kuwonjezera mwayi wopeza khansa ya prostate ikadali koyambirira kwambiri. Koma pali mkangano pazakufunika kwa mayeso a PSA pakuzindikira khansa ya prostate. Palibe yankho limodzi loyenerera amuna onse.

Ngati muli ndi zaka 55 mpaka 69, musanayesedwe, lankhulani ndi omwe amakupatsani mwayi wopeza mayeso a PSA. Funsani za:

• Kaya kuwunika kumachepetsa mwayi wanu wakufa ndi khansa ya prostate.
• Kaya pali vuto lililonse kuchokera pakuwunika khansa ya prostate, monga zoyipa zoyesedwa kapena kuchuluka kwa khansa zikapezeka.
• Kaya muli pachiwopsezo chachikulu cha khansa ya prostate kuposa ena.

Ngati muli ndi zaka 55 kapena zochepa, kuwunika sikulimbikitsidwa. Muyenera kulankhula ndi omwe amakupatsani ngati muli pachiwopsezo chachikulu cha khansa ya prostate. Zowopsa ndi izi:

• Kukhala ndi mbiri yabanja ya khansa ya prostate (makamaka mchimwene kapena bambo)
• Kukhala African American

Kwa amuna azaka zopitilira 70, malingaliro ambiri amatsutsana ndikuwunika.

Kuwonetsetsa kwa khansa ya prostate - PSA; Kuwonetsetsa kwa khansa ya prostate - kuyezetsa magazi kwapadera; Kuwonetsetsa kwa khansa ya prostate - DRE

Wachinyamata HB. Upangiri wa American Urological Association (AUA) wokhudza kuzindikira khansa ya prostate: njira ndi kulingalira. BJU Int. 2013; 112 (5): 543-547. PMID: 23924423 pubed.ncbi.nlm.nih.gov/23924423/.

Tsamba la National Cancer Institute. Kuwonetsa khansa ya Prostate (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/prostate/hp/prostate-screening-pdq#section/all. Idasinthidwa pa Okutobala 29, 2020. Idapezeka Novembala 3, 2020.

Nelson WG, Antonarakis ES, Carter HB, DeMarzo AM, DeWeese TL. Khansa ya prostate. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 81.

Gulu Lankhondo Loteteza ku US, Grossman DC, Curry SJ, et al. Kuunikira khansa ya prostate: Ndemanga ya US Preventive Services Task Force. JAMA. 2018; 319 (18): 1901-1913. [Adasankhidwa] PMID: 29801017 pubed.ncbi.nlm.nih.gov/29801017/.

• Kuyesa Khansa ku Prostate