Prostate biopsy: muyenera kuchita liti, momwe zimachitikira ndikukonzekera

Zamkati

• Pamene biopsy ikulimbikitsidwa
• Momwe prostate biopsy yachitidwira
• Momwe mungakonzekerere biopsy
• Momwe mungamvetsetse zotsatira za biopsy
• Zotheka zovuta za biopsy
• 1. Kupweteka kapena kusapeza bwino
• 2. Kutuluka magazi
• 3. Matenda
• 4. Kusungidwa kwamikodzo
• 5. Kulephera kwa Erectile

Prostate biopsy ndi mayeso okhawo omwe amatha kutsimikizira kupezeka kwa khansa mu prostate ndipo imakhudza kuchotsedwa kwa tizidutswa tating'onoting'ono kuti tiunikidwe mu labotale kuti tizindikire kupezeka, kapena ayi, kwa maselo owopsa.

Kuyesaku nthawi zambiri kumalangizidwa ndi urologist pakafufuzidwa khansa, makamaka pomwe mtengo wa PSA umakhala wokwera, pomwe kusintha kwa prostate kumapezeka pakuwunika kwamakina a digito, kapena ngati kumenyedwa kwa Prostate kumapezeka kokayikitsa. Onani mayesero 6 omwe amawunika zaumoyo wa prostate.

Prostate biopsy siyimapweteka, koma imatha kukhala yovuta ndipo, pachifukwa ichi, imachitika nthawi zambiri pansi pa oesthesia kapena sedation wofatsa. Pambuyo pofufuza, ndizothekanso kuti mwamunayo awotchedwa m'deralo, koma zitha maola ochepa.

Pamene biopsy ikulimbikitsidwa

Prostate biopsy imasonyezedwa pazochitika zotsatirazi:

• Kufufuza kwamatenda a Prostate kumasinthidwa;
• PSA pamwamba pa 2.5 ng / mL mpaka zaka 65;
• PSA pamwamba pa 4.0 ng / mL pazaka 65;
• Kuchuluka kwa PSA pamwamba pa 0,15 ng / mL;
• Kuthamanga kwowonjezeka kwa PSA pamwamba pa 0.75 ng / mL / chaka;
• Mitundu yambiri yamtundu wa Prostate yotchedwa Pi Rads 3, 4 kapena 5.

Nthawi zambiri, khansa ya prostate, ikakhalapo, imadziwika pambuyo poti biopsy yoyamba, koma kuyesaku kumatha kubwerezedwa pomwe dokotala sakukhutira ndi zotsatira za 1st biopsy, makamaka ngati pali:

• PSA yokwera mopitirira ndi liwiro lalikulu kuposa 0,75 ng / mL / chaka;
• Prostatic intraepithelial neoplasia (PIN);
• Kukula kwakanthawi kwamatenda ang'onoang'ono (ASAP).

Biopsy yachiwiri iyenera kuchitika patangotha ​​milungu 6 kuchokera yoyamba. Ngati kafukufuku wachitatu kapena wachinayi ndi wofunikira, ndibwino kudikirira osachepera milungu 8.

Onerani vidiyo yotsatirayi ndikuphunzirani mayesero ena omwe adotolo angachite kuti adziwe khansa ya prostate:

Momwe prostate biopsy yachitidwira

Biopsy imachitika ndi bamboyo atagona chammbali, miyendo yake itapinda, kukhazikika bwino. Kenako adotolo amawunika mwachidule za prostate pomupima ma digito, ndipo atawunikiranso, adotolo adayambitsa chida cha ultrasound mu anus, chomwe chimatsogolera singano kumalo pafupi ndi prostate.

Singano iyi imapanga zotupa zing'onozing'ono m'matumbo kuti zifike ku prostate gland ndikusonkhanitsa zidutswa zingapo zamatendawa, komanso kuchokera kumadera ozungulira, omwe adzafufuzidwe mu labotale, kufunafuna ma cell omwe angawonetse kupezeka kwa khansa.

Momwe mungakonzekerere biopsy

Kukonzekera kwa biopsy ndikofunikira kuti mupewe zovuta ndipo nthawi zambiri zimaphatikizapo:

• Tengani maantibayotiki operekedwa ndi adotolo, kwa masiku atatu asanakayezetse;
• Malizitsani kusala kwathunthu kwa maola 6 musanayese mayeso;
• Sambani matumbo musanayeze mayeso;
• Sungani mphindi zochepa musanachitike;
• Bweretsani mnzanu kuti akuthandizeni kubwerera kwanu.

Pambuyo pa prostate biopsy, mwamunayo amayeneranso kumwa maantibayotiki oyenera, kudya zakudya zopepuka m'maola oyamba, kupewa kuyesetsa mwamphamvu m'masiku awiri oyambilira ndikudziletsa pakatha milungu itatu.

Momwe mungamvetsetse zotsatira za biopsy

Zotsatira za prostate biopsy nthawi zambiri zimakhala zokonzeka m'masiku 14 ndipo zitha kukhala:

• Zabwino: imasonyeza kupezeka kwa khansa yomwe ikukula;
• Zosayenera: maselo osonkhanitsidwa sanawonetse kusintha;
• Wokayikira: kusintha kwadziwika komwe kungakhale kapena kutha kukhala khansa.

Zotsatira za prostate biopsy ndizosavomerezeka kapena zokayikitsa, adokotala atha kufunsa kuti abwereze mayeso kuti atsimikizire zotsatira zake, makamaka akaganiza kuti zotsatira zake sizolondola chifukwa cha mayeso ena omwe adachitidwa.

Zotsatira zake ndi zabwino, ndikofunikira kukhazikitsa khansa, yomwe ingathandize kusintha mankhwalawo. Onani magawo akulu a khansa ya prostate ndi momwe amathandizira.

Zotheka zovuta za biopsy

Popeza ndikofunikira kuboola matumbo ndikuchotsa zidutswa zazing'ono za prostate, pali zovuta zina monga:

1. Kupweteka kapena kusapeza bwino

Pambuyo pa biopsy, amuna ena amatha kumva kupweteka pang'ono kapena kusapeza bwino m'dera la anus, chifukwa chakumaso kwa matumbo ndi prostate. Izi zikachitika, adokotala amalangiza kugwiritsa ntchito mankhwala ochepetsa kupweteka pang'ono, monga Paracetamol, mwachitsanzo. Nthawi zambiri, kusapeza kumatha pakatha sabata limodzi kuchokera mayeso.

2. Kutuluka magazi

Kupezeka kwa magazi ochepa mu kabudula wamkati kapena papepala la kuchimbudzi kumakhala kwachilendo pamasabata awiri oyamba, ngakhale umuna. Komabe, ngati kuchuluka kwa magazi ndikochuluka kwambiri kapena kutha pakatha milungu iwiri, ndibwino kuti mupite kwa dokotala kukawona ngati pali magazi.

3. Matenda

Popeza biopsy imayambitsa chilonda m'matumbo ndi prostate, pamakhala chiopsezo chowonjezereka cha matenda, makamaka chifukwa chakupezeka kwa mitundu yosiyanasiyana ya mabakiteriya m'matumbo. Pachifukwa ichi, biopsy atatha, dokotala nthawi zambiri amawonetsa kugwiritsa ntchito maantibayotiki.

Komabe, pali zochitika zina zomwe maantibayotiki samakwanira kuti angatenge matendawa, chifukwa chake, ngati muli ndi zizindikilo monga kutentha thupi pamwamba pa 37.8ºC, kupweteka kwambiri kapena mkodzo wamphamvu, ndibwino kuti mupite kuchipatala kukazindikira ngati pali ali ndi matenda aliwonse ndikuyambitsa chithandizo choyenera.

4. Kusungidwa kwamikodzo

Ngakhale ndizosowa kwambiri, amuna ena amatha kusungidwa mkodzo pambuyo pa biopsy chifukwa chotupa kwa prostate, yoyambitsidwa ndi kuchotsa zidutswa za minofu. Zikatero, prostate imatha kupondereza mtsempha wa mkodzo, zomwe zimapangitsa kuti mkodzo ukhale wovuta kudutsa.

Izi zikachitika, muyenera kupita kuchipatala kuti mukachotsere mkodzo kuchokera mu chikhodzodzo, zomwe nthawi zambiri zimachitika ndikukhazikitsa chikhodzodzo cha chikhodzodzo. Mvetsetsani bwino chomwe catheter ya chikhodzodzo ili.

5. Kulephera kwa Erectile

Izi ndizovuta kwambiri pazomwe zimachitika koma, zikawonekera, zimasowa pakadutsa miyezi iwiri mayeso atachitika. Nthawi zambiri, zomwe zimachitika pamwambowu sizimasokoneza mwayi wolumikizana.