Chidziwitso cha prostate

Prostate biopsy ndikutulutsa tating'onoting'ono tating'onoting'ono ta prostate kuti tiwunike ngati tili ndi khansa.

Prostate ndi kansalu kakang'ono, kakang'ono ka mtedza kamene kali pansi pa chikhodzodzo. Amakulunga mkodzo, chubu chomwe chimatulutsa mkodzo m'thupi. Prostate imapanga umuna, madzimadzi omwe amanyamula umuna.

Pali njira zitatu zazikulu zopangira prostate biopsy.

Kusintha kwa prostate biopsy - kudzera m'matumbo. Iyi ndiyo njira yofala kwambiri.

• Mudzafunsidwa kuti mugone chammbali ndi mawondo anu mutapindika.
• Wopereka chithandizo chamankhwala adzaikapo kafukufuku wofufuza za zala zazing'ono m'kamwa mwanu. Mutha kukhala osasangalala kapena kukakamizidwa.
• Ultrasound imalola woperekayo kuti awone zithunzi za prostate. Pogwiritsa ntchito zithunzizi, woperekayo adzabaya mankhwala ozunguza bongo pafupi ndi prostate.
• Kenako, pogwiritsa ntchito ultrasound kutsogolera singano ya biopsy, woperekayo amalowetsa singano mu prostate kuti atenge chitsanzo. Izi zitha kupangitsa kumva kupweteka kwakanthawi.
• Pafupifupi zitsanzo 10 mpaka 18 zidzatengedwa. Adzatumizidwa ku labu kukayesedwa.
• Njira yonseyi itenga pafupifupi mphindi 10.

Njira zina za prostate biopsy zimagwiritsidwa ntchito, koma osati pafupipafupi. Izi zikuphatikiza:

Kudutsa - kudzera mkodzo.

• Mudzalandira mankhwala oti akugoneni kuti musamve kuwawa.
• Chubu chosinthasintha chokhala ndi kamera kumapeto (cystoscope) imalowetsedwa kudzera potsegulira mkodzo kumapeto kwa mbolo.
• Zitsanzo zamatenda zimasonkhanitsidwa kuchokera ku prostate kudzera pamalowo.

Zowonjezera - kudzera mu perineum (khungu pakati pa anus ndi scrotum).

• Mudzalandira mankhwala oti akugoneni kuti musamve kuwawa.
• Singano imayikidwa mu perineum kuti itenge minofu ya prostate.

Wothandizira anu azikudziwitsani za kuopsa ndi zabwino za biopsy. Muyenera kusaina fomu yovomerezeka.

Masiku angapo kusanachitike, woperekayo angakuuzeni kuti musiye kutenga chilichonse:

• Anticoagulants (mankhwala ochepetsa magazi) monga warfarin, (Coumadin, Jantoven), clopidogrel (Plavix), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban powder (Xarelto), kapena aspirin
• NSAID, monga aspirin ndi ibuprofen
• Mankhwala azitsamba
• Mavitamini

Pitirizani kumwa mankhwala akuchipatala pokhapokha omwe akukupatsani atakuwuzani kuti musamwe.

Wopereka wanu akhoza kukupemphani kuti:

• Idyani chakudya chochepa chabe tsiku lomwelo lisanachitike.
• Chitani mankhwala kunyumba musanayese njira yoyeretsera thumbo lanu.
• Tengani maantibayotiki tsiku lomwelo, tsiku la, komanso tsiku lotsatira.

Mukamachita izi mutha kumva:

• Kusapeza pang'ono pomwe kafukufukuyu amalowetsedwa
• Mbola mwachidule pomwe nyemba ikutengedwa ndi singano ya biopsy

Pambuyo pake, mutha kukhala ndi:

• Kudziimba m'thupi lanu
• Magazi ochepa m'matumba anu, mkodzo, kapena umuna, omwe amatha masiku angapo mpaka milungu
• Kutuluka magazi pang'ono kuchokera kumatumbo anu

Pofuna kupewa matenda pambuyo polemba, woperekayo akhoza kukupatsani maantibayotiki kuti atenge kwa masiku angapo chitachitika. Onetsetsani kuti mumamwa mokwanira monga mwauzidwa.

Biopsy yachitika kuti awone ngati ali ndi khansa ya prostate.

Wopezayo angakulimbikitseni za prostate biopsy ngati:

• Kuyezetsa magazi kumawonetsa kuti muli ndi mulingo wokwera kuposa prostate wapadera antigen (PSA)
• Omwe amakupatsani mwayi amatulukira chotupa kapena zina zapadera mu prostate yanu mukamayesedwa

Zotsatira zabwinobwino zimanena kuti palibe maselo a khansa omwe apezeka.

Zotsatira zabwino za biopsy zikutanthauza kuti maselo a khansa apezeka. Labu ipatsa ma cell kalasi lotchedwa Gleason. Izi zimathandizira kudziwa momwe khansara ikula msanga. Dokotala wanu adzakambirana nanu za zomwe mungachite.

Biopsy imatha kuwonetsanso maselo omwe amawoneka achilendo, koma atha kukhala kapena sangakhale khansa. Wothandizira anu adzakambirana nanu za zomwe mungachite. Mungafune biopsy ina.

Prostate biopsy nthawi zambiri imakhala yotetezeka. Zowopsa ndi izi:

• Kutenga kapena sepsis (matenda akulu amwazi)
• Kuvuta kudutsa mkodzo
• Matupi awo sagwirizana mankhwala
• Kuthira magazi kapena kuvulaza pamalo obisika

Chiwerewere cha prostate; Kusintha kwa prostate biopsy; Chida chabwino cha singano cha prostate; Chiyero chachikulu cha prostate; Cholinga cha prostate biopsy; Prostate biopsy - transrectal ultrasound (TRUS); Stereotactic transperineal Prostate biopsy (STPB)

• Kutengera kwamwamuna kubereka

Babayan RK, Katz MH. Biopsy prophylaxis, maluso, zovuta, ndi kubwereza biopsies. Mu: Mydlo JH, Godec CJ, olemba. Khansa ya Prostate: Sayansi ndi Kuchita Zamankhwala. Wachiwiri ed. Waltham, MA: Zotsalira; 2016: chap 9.

Trabulsi EJ, Halpern EJ, Gomella LG. Prostate biopsy: maluso ndi kulingalira. Mu: Partin AW, Dmochowski RR, Kavoussi LR, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2020: chap 150.