TRUs: uhlobo iimviwo nendlela uwulungele?

Kuyinto ezisitheleyo sesinye sezifo ixhaphakileyo amadoda uthathwa prostatitis. Kodwa ukuze esi sifo nkqubela kwaye ukuba siqhubeka siphe- iziphumo ezibi, ezifana adenoma okanye nenzalo, udinga unyango kuqaliswa ngo kwexesha. Kwaye ukunceda oku kuphela loviwo kuqhutywa uxilongo lomzimba. Kwaye njengoko inkqubela ayikho indawo, ngoko ke ukutshintshwa uphando eziqhelekileyo ultrasound livela amatsha - TRUs (examination transrectal le kwidlala lesinyi).

TRUs: ntoni na?

Ukuze uqonde ukuba yintoni eyenza le saveyi, siqala imvelaphi imvelaphi yakhe, oko kukuthi ultrasound. Ultrasound, okanye njengoko ibizwa ngokuba, sonography, yenza imizimba umfanekiso ibekwe ngaphakathi emzimbeni, esebenzisa oluvela rhoqo wave cuke. A phawu yolu phando ukuba ngokupheleleyo radiation ndingekho. Kufuneka kwakhona kukhunjulwa ukuba, njengoko uphando lwenzeka ngexesha lenene, oko edlulisela ukuba igosa lokubeka esweni iimviwo nje umzimba isakhiwo, kodwa ibonisa intshukumo yegazi udlula imithambo yegazi. Ngoko ke, ingqalelo zonke ngasentla, sinokugqiba TRUs, kuba uvavanyo lonyango ngokupheleleyo non-invasive esiza ukucacisa unobangela sifo, imeko esinobubovu yesinye, yaye, ngokunjalo unyango eyaneleyo kwenkcazo.

buhle

Ukuza kuthi ga ngoku, olu hlobo phando yenye imigangatho engundoqo ultrasound le ingaba wendlala. umahluko wayo ukusuka ultrasound eqhelekileyo kukuba uphenyo iya kuba kufutshane kangangoko kunokwenzeka ukuze umzimba ukuba uya kufumana ulwazi kakhulu ecacileyo noluchanekileyo.

Ukuphendula lo mbuzo: "Survey TRUs - ntoni na," uyakwazi kuzisa iingenelo ezininzi. Ezi ziquka:

• ukubakhona kwayo phezulu kunye nokufumaneka data.
• Security, njengokuba kolu phando iyapheliswa ngokupheleleyo ukusetyenziswa ionizing radiation.
• Ukungabikho phantse epheleleyo Izimo kunye neziphumo ezibi, inokusetyenziswa inani mda amaxesha.

Ukongeza, uphando kusenokwenzeka ukuba enze biopsy, oko kukuthi ukuba athathe isampuli encinane iiseli okuqhubeka nemfundo.

ubungqina

ultrasound Transrectal le prostate ngenxa Okukodwa wayo nazo ingasetyenziswa kwizigulane kunye ngokugqithisileyo amafutha kwindawo esiswini, njengoko uphando ngexesha transabdominal (ngokusebenzisa indawo isisu) iya waphawula iingxaki ezithile ezinxulumene elingaphesheya uphawu ngenxa ijwabu okunamafutha.

Kukho kwakhona yenye ebonisa osetyenziswe for TRUs ziquka:

• Ukumisela ubukho ezimbi kunokwenzeka.
• Ukuzimisela bomhlaza yesinye, nto leyo yenye kubalulekile izinto kuyo iirejimeni olusebenzayo unyango.
• Ekuqhubeni imisebenzi yoxilongo enxulumene ekuchongweni Amahlathi ezingaqhelekanga ngaphakathi endlaleni.
• nenzalo Male.

Ziziphi iimpawu kuba unobangela yolu phando?

TRUs prostate kwakhona ezisetyenziswa kunye ezi mpawu zilandelayo:

• Ekucingelwa ukuba umhlaza wendlala.
• amanqanaba PSA ephakamileyo.
• Kunzima ukuchama.
• imvakalelo rhoqo nenzaliseko lwesinye.
• Izitenxo ezimandundu egazini kunye nomchamo neemvavanyo.
• Iindidi intlungu kummandla isizalo.
• Ukukhangelwa seal endlaleni ibhaqwe ngexesha Ngokucofa yayo.

uviwo TRUs: nokulungiselela kunye namacebiso

Njengoko practice ibonisa, kuba ingcaciso echanekileyo ezifunyenwe le saveyi, kufuneka kuqala ukulungiselela isigulane. Okokuqala kufuneka mabangezi ukudla kwakho ukudla oko kubangele ukwanda ukubunjwa yirhasi. Ezi ziquka iimbotyi, iertyisi, ikhaphetshu, ukubhaka igwele okanye pasta. Ukongeza, kufanele kube lula ukunyina ulwamkelo iziqhamo (iidiliya, nabantwana, ama-apile eluhlaza), kwakunye nezihlwahlwazayo kakhulu kunye notywala. Le ukulungiselela wendlala transrectal yaba epheleleyo, kufuneka sifake zabo menu chicken nyama iphekiweyo, intlanzi, imifuno bepheka, lesuphu kunye isidudu engamanzi.

Kubaluleke nangakumbi ukuya ulwamkelo isidlo sangokuhlwa ungadlulanga owe-18 Ngaphezu koko, emva kokuba seyure okanye Kwathi, icarbon luvuliwe kufuneka kuthathwe, bokubala imali ngokusekelwe 1 tab. 10 kg ubunzima. Ukuba oyifunayo, endaweni sorbents carbon yasebenza sebenzisa namandla (iziyobisi "Polyphepanum", "Polysorb") ekufuneka athathwe ngqo ngokwemiyalelo.

Ukongeza, ukulungiselela TRUs sikuko wenza enema yokuhlanjululwa. Kwakhona wabalasela kusasa Akuvunyelwe ngokungqongqo ukuba sidle, indawo ndandirhabula ezimbalwa amanzi avunyelwe. Zilungiselele ngenxa yokuba ugqirha ukuze ukukucela ukuba umhlise nani kuwo iimviwo ikhondom, eliza uthenge okuhle transrectal ultrasound.

Njengoko yokusebenza ibonisa, inkoliso yabantu kufuneka uqeqesho olulodwa ngokwasengqondweni-iimvakalelo. Ngapha koko, angqiniweyo ngokwezenzululwazi, ukuba nawuphi na umoya nangokweemvakalelo, ezifana noloyiko, ezinokudala ubuhlungu kakhulu ngexesha nkqubo lonke. Ngoko ke, ukuba akakwazi ukuhlala phantsi ngendlela zemveli, unako ukuthatha amachiza-kwanexhala. Njengoko umzekelo inokuba yindlela "Persian" okanye "Novopassit".

wenza njani isixhobo zokwenza TRUs

Ukuze siqonde ngcono indlela yokwenza TRUs, cinga indlela ekhangeleka ngayo ifowuni. Scanner ngokwalo kuquka console, equka ikhompyutha, ividiyo ikhusi, kwaye woluvo ngokwayo ukuba isetyenziselwa iimviwo amalungu angaphakathi kunye imithambo yegazi. Kwakhona enye yeendima ezibalulekileyo zesi sixhobo yi samaza, ukuthumela amaza isandi ezineqondo omkhulu ebengena umzimba ezifumene umva. umfanekiso ultrasound kungabonwa kwikhusi, ebekwe ecaleni yaye imbonakalo ufana TV screen.

Njani yisaveyi?

Njengomgaqo, TRUs - iimviwo, nto leyo awutsali ngaphezu kwemizuzu eyi-15-20. Iqala nesibakala sokuba isigulana ucelwa ukuba lala ngecala lakho lasekhohlo, qhelisa amadolo yakho esifubeni sakho uze uzame ukuba ukhululeke. Emva koko, lo gqirha ubeka ikhondom olumayelana transrectal kwaye lubricates gel yakhe. Ngaphezu koko, wavelisa ngenyameko kakhulu kwi isikali. Ubunzulu ephezulu inokuba ukuya ku-7 cm, kodwa ngokuqhelekileyo isigulane ndingekhoyo ngokupheleleyo okanye intlungu.

Ngexesha isivamvo prostate TRUs udonga isikali zithunyelwa iimpawu ezizodwa elandelayo kwintembeko imifanekiso ayisuse. Iinkxalabo kufuneka abize iimpawu zibonisa ukuba prostate kakhulu ngazo kangakanani, isiphathele isakhiwo owahlukeneyo kwaye nenzaliseko ezincinane okanye mithambo. Zonke ngomahluko echaziweyo protocol sifundo kunye nokudluliselwa ngakumbi gqirha khona.

Emva kokuba igqityiwe Prostate TRUs, yingcali wayeqhuba ukufunda vesicles ZakwaLizwi Zehlabathi. Ngokuqhelekileyo, bamele babe isakhiwo efanayo kunye echogenicity (ebizwa ngokuba yi-tissue umthamo ezibonisa izandi). Ukongeza, uloyiko kunokubangela amaqamza kunye nokwandiswa sayo, kodwa isenzeko ibonakala kwimeko kokuzila ukudla ixesha elide, elide. Ngako oko, isigulane kufuneka uqinisekise okanye aphikise le ngongoma.

ukuze ibe yintoni ngayo ngexesha le nkqubo?

Njengoko yokusebenza ibonisa, zonke iimviwo ultrasound ukuba awusebenzisi kwindawo evulekileyo lomzimba, phantse musa esingenakubangela naliphi na ukuphazamiseka. Ngoko ke, ukuba akukho mfuneko biopsy, ngoko imvakalelo ngokubamba TRUs iza kuba efanayo inkqubo ultrasound eqhelekileyo. Ukuba kukho imfuneko biopsy, zibe nobunzima kancinane, kodwa bona badla shwaka ngokukhawuleza.

Kwezinye iimeko, umntu TRUs contraindicated

Sele ke leyo uviwo transrectal, ukuba ukufunda phantse elula. Kodwa apha kukho izithintelo ezithile ezenza kube nzima ukuqhuba. Phantsi kolu didi kuwa yindoda isikali ekude, nto leyo ebangela ubunzima elithile ukuqaliswa probe. Ukongeza, le nkqubo akukhuthazwa ukuba izigulane kunye hemorrhoids kwisigaba oyingozi. Ke lona ukuba ipesenti yabantu nale ngxaki lincinane kakhulu, sinako ngokukhuselekileyo ukuba akukho Izimo ukuba ayisekho TRUs.