PSA iyonke: iimpawu kunye nezinga

Prostate-specific iantigens yeyona kweziyobisi igazi lomntu. Ayithandi ingahluka ngokuxhomekeke kuhlobo utshintsho kwi imeko yesinye. Uhlalutyo isetyenziswa ngokubanzi kuphela ekufunyanisweni kwe-umhlaza yesinye, kodwa ukuvavanya ukusebenza konyango esi sifo.

Uvavanyo igazi iintlobo ezimbini:

• PSA jikelele;
• PSA free.

Ngokuqhelekileyo, ugqirha unika yokuqeshwa okokuqala. Kakhulu alufane, ukuze kucaciswe uxilongo, kukho imfuneko ukuchaza kwakhona PSA free. Itotali yonke izinga - sisalathisi ukusuka nanograms kwiqanda ukuya ezine mlligrams nganye. Kodwa testing PSA Kucetyiswa ukuba ixabiso ethile kuqhelekileyo ebantwini iminyaka emashumi mane. Norm - hayi ngaphezulu kwe ezimbini ezinesiqingatha, yaye walawula iminyaka engamashumi amahlanu - hayi ngaphezulu kwe emithathu enesiqingatha.

Kutheni kwenyusa test PSA yi iyonke?

Okokuqala, ukutshintsha ngokuphawulekayo okanye kungabalulekanga salathisi ngenxa komtshiso oko ngenxa prostatitis, okanye enye into, ngenxa yokuba ubukho hyperplasia elihle (adenoma) wendlala.

Okwesibini, ukunyuselwa okwexeshana kuhlalutyo intsebenzo yeli PSA inokuba ngenxa intshukumo yokugaya endlaleni (yokuthanjiswa, biopsy, cystoscopy, katetrizatsiya njalo njalo).

Okwesithathu, abawayo uzinzo enkulu kunye nokwanda waphawula ekuhlalutyeni somdlavuza wendlala.

Imithetho ngokungqongqo ukuze babonwe xa PSA iyonke kufuneka:

• Swi nga ha endleka kwangoko emva kwesidlo, kungcono ukuba uyenze ungatyanga.
• Yenza kucetyiswa iiveki ezimbini emva kokuba nempembelelo ngoomatshini (prostate yokuthanjiswa, cystoscopy, okanye catheterization, isinyi), yaye emva prostate biopsy kuphela ngenyanga.
• Qiniseka ukuba ukwazisa ugqirha wakho malunga nayiphi na amayeza athathwe, kwakunye ukubakhona kwezifo bezichaziwe ngaphambili ze endlaleni (prostatitis kunye BPH).

Kudla kukho iimeko apho kukho imfuneko yokuba enze ngakumbi Uhlalutyo - free. Isalathiso oko kunika ugqirha xa PSA iyonke zokhahlamba parameters ukusuka nanograms ezine ukuya ezilishumi mlligrams nganye kwaye kukho amathandabuzo ukuba kuyimfuneko ukwenza a biopsy wendlala. Ngenxa yokuba i index nanograms ngaphezu kweshumi mlligrams of PSA uvavanyo simahla nganye alinikwa ukuqeshwa kunye nesigulana wathumela ngoko nangoko ukuba biopsy.

Ezi nketho zilandelayo ukususela imithetho ezingundoqo kufuneka sihlale engqondweni.

Okokuqala, kukho kungenzeka ukuba kukho umhlaza yesinye, naxa PSA oyintsobi eqhelekileyo ngezantsi ngongoma zine. Kudla ukuba unesifo ugqirha xa kukho seal endlaleni, uzimisele kuphela ngokusebenzisa isikali ngabantu, kunye ubudala kwiminyaka engaphezu kwamashumi amahlanu.

Okwesibini, kukho ukwanda iyonke Isalathisi PSA kunye zamanzi kulo endlaleni. Kodwa oku akusoloko kubonisa ngokupheleleyo ukuba kukho umhlaza.

Okwesithathu, ukuba imeko kakhulu rhoqo xa PSA iyonke unalo eliphezulu kunye biopsy alubonisi ubukho somdlavuza wendlala. Into yokuba uhlalutyo wokugqibela ayisoloko zityhila ubukho ubungakanani encinane nethumba. Ngoko ke, kwiinyanga ezintathu ukuze uqinisekise ukuba ukuphinda-biopsy. Yaye ke njengesiqhelo, kodwa esebenzisa kuphela isikhokelo ultrasound, okuyinto "ekujoliswe" isixhobo kwindawo efunekayo ngokuchanileyo ngaphezu ngomnwe eqhelekileyo. Kwimeko enjalo indibanisela lwezibonisi (PSA iyonke kunye biopsy ezizodwa) silungile kakhulu zokufumanis somdlavuza wendlala.

Okwesine, ukuqeshwa lonyango kwamadlala umhlaza prostate kuwenza Kucetyiswa ukuba ulawulo cut-off, oko kukuthi, i-PSA iyonke ubuncinane kanye ngeenyanga ezintathu.

Ngokuqhelekileyo, ezi bokuqonda kufuneka ithathelwe ingqalelo kwinkqubo loxilongo kunye nonyango zonke izifo endlaleni.

Hlala uphilile!