Itọju Ẹtọ-Specific Antigen (PSA)

Akoonu
- Kini idanwo antijeni kan pato (PSA)?
- Kini o ti lo fun?
- Kini idi ti Mo nilo idanwo PSA?
- Kini yoo ṣẹlẹ lakoko idanwo PSA kan?
- Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
- Ṣe eyikeyi awọn eewu si idanwo naa?
- Kini awọn abajade tumọ si?
- Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo PSA kan?
- Awọn itọkasi
Kini idanwo antijeni kan pato (PSA)?
Ayẹwo antigen-kan pato (PSA) ṣe wiwọn ipele ti PSA ninu ẹjẹ rẹ. Ẹsẹ-itọ jẹ ẹya ẹṣẹ kekere ti o jẹ apakan ti eto ibisi ọkunrin kan. O wa ni isalẹ àpòòtọ o si ṣe omi ti o jẹ apakan ti irugbin. PSA jẹ nkan ti a ṣe nipasẹ itọ-itọ. Awọn ọkunrin ni deede ni awọn ipele PSA kekere ninu ẹjẹ wọn. Ipele PSA giga le jẹ ami ti akàn pirositeti, akàn ti ko wọpọ ti o wọpọ ti o kan awọn ọkunrin Amẹrika. Ṣugbọn awọn ipele PSA giga tun le tunmọ si awọn ipo panṣaga ti kii ṣe ara, gẹgẹ bi ikolu tabi hyperplasia prostatic alaini, gbooro ailopin ti panṣaga.
Awọn orukọ miiran: lapapọ PSA, PSA ọfẹ
Kini o ti lo fun?
Ayẹwo PSA ni a lo lati ṣe ayẹwo fun iṣan akàn pirositeti. Ṣiṣayẹwo jẹ idanwo ti o wa fun aisan, gẹgẹbi aarun, ni awọn ipele ibẹrẹ rẹ, nigbati o jẹ itọju julọ. Awọn ajo ilera ti o ni akoso, gẹgẹbi American Cancer Society ati Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun (CDC), ko gba lori awọn iṣeduro fun lilo idanwo PSA fun ayẹwo akàn. Awọn idi fun iyapa pẹlu:
- Ọpọlọpọ awọn oriṣi ti arun jejere pirositeti dagba laiyara pupọ. O le gba awọn ọdun sẹhin ṣaaju eyikeyi awọn aami aisan ti o han.
- Itọju ti aarun aarun pirositeti ti o lọra jẹ igbagbogbo ko wulo. Ọpọlọpọ awọn ọkunrin ti o ni arun na n gbe gigun, awọn igbesi aye ni ilera lai mọ pe wọn ni aarun.
- Itọju le fa awọn ipa ẹgbẹ pataki, pẹlu aiṣedede erectile ati aiṣedede ito.
- Aarun pirositeti ti o dagba kiakia ko wọpọ, ṣugbọn o ṣe pataki pupọ ati igbagbogbo ni idẹruba aye. Ọjọ ori, itan-ẹbi, ati awọn nkan miiran le fi ọ sinu eewu ti o ga julọ. Ṣugbọn idanwo PSA nikan ko le sọ iyatọ laarin o lọra ati nyara idagbasoke arun kansa pirositeti.
Lati wa boya idanwo PSA ba tọ fun ọ, ba olupese iṣẹ ilera rẹ sọrọ.
Kini idi ti Mo nilo idanwo PSA?
O le gba idanwo PSA ti o ba ni awọn ifosiwewe eewu kan fun arun kansa pirositeti. Iwọnyi pẹlu:
- Baba tabi arakunrin pẹlu arun jejere pirositeti
- Jije Afirika-Amẹrika. Afọ itọ-itọ jẹ wọpọ julọ ni awọn ọkunrin Amẹrika Amẹrika. Idi fun eyi jẹ aimọ.
- Ọjọ ori rẹ. Afọ itọ-itọ jẹ wọpọ julọ ni awọn ọkunrin ti o ju ọdun 50 lọ.
O tun le gba idanwo PSA ti o ba:
- O ni awọn aami aiṣan bii irora tabi ito loorekoore, ati ibadi ati / tabi irora pada.
- O ti ṣe ayẹwo tẹlẹ pẹlu akàn pirositeti. Idanwo PSA le ṣe iranlọwọ lati ṣetọju awọn ipa ti itọju rẹ.
Kini yoo ṣẹlẹ lakoko idanwo PSA kan?
Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.
Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
Iwọ yoo nilo lati yago fun nini ibalopọ tabi ifiokoaraenisere fun awọn wakati 24 ṣaaju idanwo PSA rẹ, bi itusilẹ itusilẹ le gbe awọn ipele PSA rẹ.
Ṣe eyikeyi awọn eewu si idanwo naa?
Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.
Kini awọn abajade tumọ si?
Awọn ipele PSA giga le tumọ si akàn tabi ipo aiṣedede gẹgẹbi arun panṣaga, eyiti o le ṣe itọju pẹlu awọn egboogi. Ti awọn ipele PSA rẹ ba ga ju deede, olupese iṣẹ ilera rẹ le paṣẹ awọn idanwo diẹ sii, pẹlu:
- A rectal kẹhìn. Fun idanwo yii, olupese iṣẹ ilera rẹ yoo fi ika ika kan sinu itọ rẹ lati ni itara itọ rẹ.
- A biopsy. Eyi jẹ ilana iṣẹ abẹ kekere, nibiti olupese kan yoo mu apẹẹrẹ kekere ti awọn sẹẹli paneti fun idanwo.
Ti o ba ni awọn ibeere nipa awọn abajade rẹ, sọrọ si olupese iṣẹ ilera rẹ.
Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.
Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo PSA kan?
Awọn oniwadi n wa awọn ọna lati ṣe imudara idanwo PSA. Aṣeyọri ni lati ni idanwo kan ti o ṣe iṣẹ ti o dara julọ lati sọ iyatọ laarin aiṣe pataki, awọn aarun pirositeti ti o lọra ati awọn aarun ti o nyara ni iyara ati ti eewu aye.
Awọn itọkasi
- American Cancer Society [Intanẹẹti]. Atlanta: American Cancer Society Inc.; c2018. Idanwo fun Alakan Ẹjẹ; 2017 May [toka si 2018 Jan 2]; [nipa iboju 2]. Wa lati: https://www.cancer.org/content/dam/cancer-org/cancer-control/en/booklets-flyers/testing-for-prostate-cancer-handout.pdf
- Ẹgbẹ Urological Amẹrika [Intanẹẹti]. Linthicum (MD): Ẹgbẹ Urological Amẹrika; c2019. Iwari ni kutukutu ti Aarun itọ-itọ [ti a tọka si 2019 Oṣu kejila 28]; [nipa iboju 3]. Wa lati: https://www.auanet.org/guidelines/prostate-cancer-early-detection-guideline
- Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun [Intanẹẹti]. Atlanta: Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Imọ Ẹjẹ Alailẹgbẹ [imudojuiwọn 2017 Oṣu Kẹsan 21; toka si 2018 Jan 2]; [nipa iboju 3]. Wa lati: https://www.cdc.gov/cancer/dcpc/resources/features/prostatecancer/index.htm
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- Johns Hopkins Oogun [Intanẹẹti]. Ile-ẹkọ giga Johns Hopkins; Awọn nkan & Awọn idahun: Aarun itọ-itọ: Awọn ilosiwaju ni Ṣiṣayẹwo; [toka si 2018 Jan 2]; [nipa iboju 3]. Wa lati: https://www.hopkinsmedicine.org/health/articles-and-answers/discovery/prostate-cancer-advancements-in-screenings
- Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Ẹgbẹ Amẹrika fun Kemistri Iwosan; c2001–2018. Ẹtọ Specific Speigen (PSA); [imudojuiwọn 2018 Jan 2; toka si 2018 Jan 2]; [nipa iboju 2]. Wa lati: https://labtestsonline.org/tests/prostate-specific-antigen-psa
- Ile-iwosan Mayo [Intanẹẹti]. Foundation Mayo fun Ẹkọ Iṣoogun ati Iwadi; c1998–2018. Idanwo onigun oni; [toka si 2018 Jan 2]; [nipa iboju 3]. Wa lati: https://www.mayoclinic.org/diseases-condition/prostate-cancer/multimedia/digital-rectal-exam/img-20006434
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Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.