Kuyesa kwa PSA (Prostate-Specific Antigen)

Zamkati

• Kuyesa kwa PSA ndi chiyani?
• Kutsutsana pamayeso a PSA
• Chifukwa chiyani mayeso a PSA amafunikira?
• Kodi ndimakonzekera bwanji mayeso a PSA?
• Kodi mayeso a PSA amayendetsedwa bwanji?
• Kodi kuopsa kwa mayeso a PSA ndi kotani?
• Kodi ndingayembekezere chiyani nditayesedwa PSA?
• Funso:
• Yankho:

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kuyesa kwa PSA ndi chiyani?

Kuyezetsa magazi kwa prostate-antigen (PSA) kumayeza kuchuluka kwa PSA m'mwazi wamunthu. PSA ndi mapuloteni omwe amapangidwa ndi maselo a prostate, kansalu kakang'ono kamene kali pansi pa chikhodzodzo chanu. PSA imazungulira thupi lanu lonse pamlingo wotsika nthawi zonse.

Kuyesa kwa PSA ndikosavuta ndipo kumatha kuzindikira kuchuluka kwa PSA. Maseŵera apamwamba a PSA amatha kulumikizidwa ndi khansa ya prostate asanawonekere zizindikiro zakuthupi. Komabe, kuchuluka kwa PSA kungatanthauzenso kuti simuli ndi khansa yomwe ikukulitsa kuchuluka kwanu kwa PSA.

Malinga ndi a, khansa ya prostate ndi khansa yofala kwambiri pakati pa amuna ku United States, kupatula khansa yapakhungu yopanda khansa ya khansa.

Kuyesa kwa PSA kokha sikumapereka chidziwitso chokwanira kuti dokotala wanu adziwe. Komabe, dokotala wanu akhoza kutenga zotsatira za kuyesedwa kwa PSA poyesa kudziwa ngati zizindikiro zanu ndi zotsatira za mayeso zikuchitika chifukwa cha khansa kapena vuto lina.

Kutsutsana pamayeso a PSA

Kuyesa kwa PSA ndikotsutsana chifukwa madotolo ndi akatswiri sakudziwa ngati maubwino azidziwitso zoyambirira amapitilira kuwopsa kwa kusazindikira. Sizikudziwikanso ngati kuyesa kuyezetsa kumapulumutsa miyoyo.

Chifukwa mayeserowa ndi ovuta kwambiri ndipo amatha kuzindikira kuchuluka kwa manambala a PSA m'malo otsika, atha kuzindikira khansa yomwe ndi yaying'ono kwambiri yomwe siingakhale pachiwopsezo cha moyo. Momwemonso, madokotala ambiri oyang'anira chisamaliro ndi ma urologist amasankha kuyitanitsa PSA ngati mayeso owunikira amuna azaka zopitilira 50.

Izi zimatchedwa overdiagnosis. Amuna ambiri amatha kukumana ndi zovuta komanso zoopsa zamankhwala am'mimba ochepa kuposa momwe angachitire ngati khansa yawo ikadapanda kudziwika.

Ndizokayika kuti khansa zing'onozing'onozi zimatha kuyambitsa zizindikilo zazikulu ndi zovuta chifukwa khansa ya prostate, nthawi zambiri koma osati yonse, ndi khansa yomwe ikukula pang'onopang'ono.

Palibenso gawo linalake la PSA lomwe limawoneka kuti ndi lachilendo kwa amuna onse. M'mbuyomu, madotolo amawona kuti PSA mulingo wa 4.0 nanograms pa mamililita kapena kutsika kuti ndi wabwinobwino, akutero a.

Komabe, kafukufuku waposachedwa wasonyeza kuti amuna ena omwe ali ndi ma PSA ochepa ali ndi khansa ya prostate ndipo amuna ambiri omwe ali ndi ma PSA ambiri alibe khansa. Prostatitis, matenda amkodzo, mankhwala ena, ndi zina zingayambitsenso kuchuluka kwanu kwa PSA.

Mabungwe angapo, kuphatikiza U.S. Preventive Services Task Force, tsopano amalimbikitsa kuti amuna azaka zapakati pa 55 ndi 69 azisankhira okha kukayezetsa PSA, atakambirana ndi adotolo. Kuwunika pambuyo pa zaka 70 sikulimbikitsidwa.

Chifukwa chiyani mayeso a PSA amafunikira?

Amuna onse ali pachiwopsezo cha khansa ya prostate, koma anthu ochepa atha kudwala. Izi zikuphatikiza:

• amuna akulu
• Amuna aku Africa-America
• amuna omwe ali ndi mbiri yapa khansa ya prostate

Dokotala wanu angakulimbikitseni kuyesa kwa PSA kuti muwonetse zizindikiro zoyambirira za khansa ya prostate. Malinga ndi American Cancer Society, inu adotolo mutha kugwiritsanso ntchito mayeso amtundu wama digito kuti muwone ngati zikukula. Pakuyeza uku, adzaika chala chovala mu rectum yanu kuti mumve prostate yanu.

Kuphatikiza pa kuyesa khansa ya prostate, dokotala wanu amathanso kuyitanitsa mayeso a PSA:

• kuti mudziwe chomwe chikuyambitsa kusowa kwa thupi kwa prostate yanu yomwe imapezeka poyesa thupi
• kuthandiza kusankha nthawi yoyambira chithandizo, ngati mwapezeka kuti muli ndi khansa ya prostate
• kuwunika chithandizo cha khansa yanu

Kodi ndimakonzekera bwanji mayeso a PSA?

Ngati dokotala akufunsani kuti mukayezetse PSA, onetsetsani kuti akudziwa mankhwala aliwonse kapena mankhwala owonjezera, mavitamini, kapena zowonjezera zomwe mumamwa. Mankhwala ena amatha kupangitsa zotsatira zoyeserera kukhala zotsika pang'ono.

Ngati dokotala akuganiza kuti mankhwala anu atha kusokoneza zotsatira zake, atha kusankha kupempha mayeso ena kapena angakufunseni kuti mupewe kumwa mankhwala anu masiku angapo kuti zotsatira zanu zizikhala zolondola.

Kodi mayeso a PSA amayendetsedwa bwanji?

Kachitsanzo ka magazi anu kamatumizidwa ku labotale kuti akawunikenso. Kuti atulutse magazi pamtsempha kapena mumtsempha, wothandizira zaumoyo nthawi zambiri amalowetsa singano mkati mwa chigongono chanu.Mutha kumva kupweteka, kuboola kapena kuluma pang'ono pamene singano imalowetsedwa mumtsinje wanu.

Akasonkhanitsa magazi okwanira pachitsanzo, amachotsa singanoyo ndikukakamiza pamalopo kuti magazi asiye kutuluka. Kenako aika bandeji yomatira pamalo olowera kuti muthe magazi ambiri.

Magazi anu adzatumizidwa ku labotale kukayesedwa ndi kusanthula. Funsani dokotala ngati angakutsatireni za zotsatira zanu, kapena ngati mungapange nthawi yoti mudzabwere kudzakambirana za zotsatira zanu.

Kuyesa kwa PSA kutha kuchitidwanso ndi chida choyesera kunyumba. Mutha kugula zida zoyesera pa intaneti kuchokera ku LetsGetChecked Pano.

Kodi kuopsa kwa mayeso a PSA ndi kotani?

Kukoka magazi kumaonedwa kuti ndi kotetezeka. Komabe, chifukwa mitsempha ndi mitsempha imasiyana kukula ndi kuya kwake, kupeza magazi magazi sikophweka nthawi zonse.

Wopereka chithandizo chamankhwala amene amakoka magazi anu amayenera kuyesa mitsempha zingapo m'malo angapo mthupi lanu asanapeze imodzi yomwe imawalola kupeza magazi okwanira.

Kukoka magazi kulinso ndi zoopsa zina zingapo. Izi zikuphatikizapo chiopsezo cha:

• kukomoka
• kutaya magazi kwambiri
• kumverera mopepuka kapena wamisala
• matenda pamalo obowola
• hematoma, kapena magazi omwe amasonkhanitsidwa pansi pa khungu, pamalo ophulikira

Kuyesa kwa PSA kumatulutsanso zotsatira zabodza. Dokotala wanu atha kukayikira kuti muli ndi khansa ya prostate ndikukulimbikitsani kuti mupange prostate pomwe mulibe khansa.

Kodi ndingayembekezere chiyani nditayesedwa PSA?

Ngati milingo yanu ya PSA yakwera, mungafunike kuyesedwa kowonjezera kuti mudziwe chifukwa chake. Zina osati khansa ya prostate, zifukwa zomwe zingayambitse PSA ndizo:

• Kuyika kwaposachedwa kwa chubu ya catheter mu chikhodzodzo chanu kuti muthandize kukodza mkodzo
• kuyesa kwaposachedwa pa chikhodzodzo kapena prostate
• Matenda a mkodzo
• prostatitis, kapena prostate yotupa
• Prostate yemwe ali ndi kachilombo
• benign prostatic hyperplasia (BPH), kapena prostate wokulitsa

Ngati muli ndi chiopsezo chachikulu cha khansa ya prostate kapena dokotala akukayikira kuti mwina muli ndi khansa ya prostate, mayeso a PSA atha kugwiritsidwa ntchito ngati gawo lalikulu la mayeso kuti mupeze khansa ya prostate. Mayesero ena omwe mungafunike ndi awa:

• kuyesa kwamakina a digito
• mayeso aulere a PSA (fPSA)
• mayesero obwereza a PSA
• kachilombo ka prostate

Funso:

Kodi ndizizindikiro ziti zodziwika bwino za khansa ya prostate zomwe ndiyenera kuyang'anira?

Yankho:

Ngakhale magawo oyamba a khansa ya Prostate nthawi zambiri samakhala ndi zizindikilo, zizindikilo zamankhwala zimayamba kukula khansara ikukula. Zina mwazizindikiro zofala kwambiri zimaphatikizapo: kuvuta pokodza (mwachitsanzo, kuzengereza kapena kuyendetsa, kusayenda bwino kwa mkodzo); magazi mu umuna; magazi mkodzo (hematuria); malo am'chiuno kapena am'mbali; ndi kuwonongeka kwa erectile (ED).