ʻO Biopsy Prostate

ʻO kahi biopsy prostate ka hemo ʻana o nā mea liʻiliʻi o nāʻiʻo prostate e nānā iā ia no nā hōʻailona o ka maʻi ʻaʻai prostate.

ʻO ka prostate he wahi liʻiliʻi ia, aia i ka nui o ka wōnati ma lalo o ka ʻai. Hoʻopili ia a puni ka urethra, ka paipu e lawe i ka mimi mai ke kino. Hana ka prostate i ka semen, ka wai lawe i ka sperm.

ʻEkolu ala nui e hana ai i kahi biopsy prostate.

ʻO Biopsy prostate transrectal - ma o ka pololei. ʻO kēia ka hana maʻamau.

• E noi ʻia ʻoe e moe mālie ma kou ʻaoʻao a kūlou nā kuli.
• E hoʻokomo ka mea mālama ola i kahi kuʻina ultrasound nui i kou lima. Hiki paha iā ʻoe ke hōʻoluʻolu iki a i ʻole kaomi.
• Hāʻawi ka ultrasound i ka mea hāʻawi e ʻike i nā kiʻi o ka prostate. Ke hoʻohana nei i kēia mau kiʻi, e hoʻopili ka mea hāʻawi i kahi lāʻau numbing a puni ka prostate.
• A laila, e hoʻohana ana i ka ultrasound e alakaʻi i ka nila biopsy, e hoʻokomo ka mea hāʻawi i ka nila i loko o ka prostate e lawe i kahi laʻana. Hiki i kēia ke kumu i kahi naʻau huhū pōkole.
• Ma kahi o 10 a 18 mau laʻana e lawe ʻia. E hoʻouna ʻia lākou i ka hale hana no ka hoʻokolokolo ʻana.
• E hana ma ke kaʻina holoʻokoʻa ma kahi o 10 mau minuke.

Hoʻohana ʻia nā hana biopsy prostate, akā ʻaʻole pinepine pinepine. Pākuʻi ʻia kēia mau mea:

Transurethral - ma o ka urethra.

• E loaʻa iā ʻoe ka lāʻau e hiamoe ai ʻoe no laila ʻaʻole ʻoe e ʻeha.
• Hoʻokomo ʻia kahi ʻōmole maʻalahi me kahi kāmela ma ka hopena (cystoscope) ma o ka wehe ʻana o ka urethra ma ka piko o ka peni.
• Hōʻiliʻili ʻia nā laʻana o ka pilina mai ka prostate ma o ka laulā.

Perineal - ma o ka perineum (ka ʻili ma waena o ka anus a me ka scrotum).

• E loaʻa iā ʻoe ka lāʻau e hiamoe ai ʻoe no laila ʻaʻole ʻoe e ʻeha.
• Hoʻokomo ʻia kahi nila i loko o ka perineum e ʻohiʻohi i nāʻiʻo prostate.

E haʻi aku kāu mea hāʻawi iā ʻoe e pili ana i nā pilikia a me nā pono o ka biopsy. E kau inoa paha ʻoe i kahi palapala ʻae.

I kekahi mau lā ma mua o ka biopsy, haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i kekahi:

• ʻO nā Anticoagulants (nā lāʻau hoʻoliʻiliʻi koko) e like me warfarin, (Coumadin, Jantoven), clopidogrel (Plavix), apixaban (Eliquis), dabigatran (Pradaxa), edoxaban (Savaysa), rivaroxaban (Xarelto), a i ʻole aspirin
• Nā NSAID, e like me ka aspirin a me ka ibuprofen
• Pākuʻi lāʻau
• Nā wikamina

E hoʻomau i ka lawe ʻana i nā lāʻau i kēpau ʻia inā ʻaʻole haʻi ʻia kāu mea lawelawe e lawe ʻole iā lākou.

E noi paha kāu mea lawelawe iā ʻoe e:

• ʻAi i nā meaʻai māmā wale nō i ka lā ma mua o ka biopsy.
• Hana i kahi enema ma ka home ma mua o ke kaʻina hana e hoʻomaʻemaʻe i kou pololei.
• E lawe i nā lāʻauʻalopero i ka lā ma mua, ka lā o, a me ka lā ma hope o kāu biopsy.

I ke kaʻina hana hiki iā ʻoe ke manaʻo:

• Hōʻoluʻolu iki ke hoʻokomo ʻia ka probe
• Pākuʻi pōkole ke lawe ʻia kahi laʻana me ka nila biopsy

Ma hope o ke kaʻina hana, loaʻa iā ʻoe:

• ʻOluʻolu i kou kiko
• ʻO nā liʻiliʻi o ke koko i loko o kāu pahu, mimi, a i ʻole ka semen, e mau ana paha i mau lā i mau pule
• Kahe ke kahe mai kou pololei

I mea e pale aku ai i ka maʻi ma hope o ka biopsy, hiki i kāu mea hoʻolako ke kuhikuhi i nā lāʻau ʻaloʻalo e lawe no kekahi mau lā ma hope o ke kaʻina hana. E lawe pono i ka lāʻau piha e like me ke kuhikuhi.

Hana ʻia kahi biopsy e nānā no ka maʻi ʻaʻai prostate.

E ʻōlelo paha kāu mea hāʻawi i kahi biopsy prostate inā:

• Hōʻike kahi hōʻike i ke koko he ʻoi aku kou kiʻekiʻe ma mua o ka maʻamau prostate kikoʻī antigen (PSA) pae
• ʻIke kāu mea hāʻawi i kahi puʻupuʻu a i ʻole ke kūpono ʻole i kāu prostate i ka manawa o kahi hoʻokolohua hoʻokolokolo kikohoʻe

Hōʻike nā hopena maʻamau mai ka biopsy ʻaʻole i loaʻa nā hunaola maʻi ʻaʻai.

ʻO kahi hopena biopsy maikaʻi i ʻike ʻia ua loaʻa nā hunaola maʻi ʻaʻai. E hāʻawi ka lab i nā pūnaewele i kahi papa i kapa ʻia he helu Gleason. Kōkua kēia i ka wānana i ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai. E kamaʻilio kāu kauka iā ʻoe e pili ana i kāu koho lapaʻau.

Hōʻike paha ke biopsy i nā hunaola i nānā ʻole ke ʻano, akā ʻaʻole paha he maʻi ʻaʻai. E kamaʻilio pū kāu mea lawelawe iā ʻoe e pili ana i nā kaʻina hana. Pono ʻoe i kahi biopsy hou aʻe.

ʻO kahi biopsy prostate ka mea maʻamau i palekana. Nā pilikia me:

• ʻO ka maʻi a sepsis paha (ka maʻi nui o ke koko)
• Pilikia i ka hala ʻana i ka mimi
• ʻO ka hopena āpau i nā lāʻau
• Kahe ʻana a i ʻole ka ʻeha ʻana ma ka pūnaewele biopsy

ʻO ka biopsy gland Prostate; ʻO Biopsy prostate transrectal; ʻO ka biopsy o ka nila maikaʻi o ka prostate; ʻO ka biopsy Core o ka prostate; Biopsy prostate i māka ʻia; ʻO Biopsy Prostate - ultrasound transrectal (TRUS); ʻO ka biopsy prostate transperineal Stereotactic (STPB)

• Anatomia hānau kāne

Babayan RK, Katz MH. Biopsy prophylaxis, ʻenehana, nā pilikia, a me nā biopsies hou. I: Mydlo JH, Godec CJ, hua. Ka maʻi ʻaʻai Prostate: ʻEpekema a me ka hoʻomaʻamaʻa lapaʻau. ʻElua ed. Waltham, MA: Elsevier; 2016: chap 9.

Trabulsi EJ, Halpern EJ, Gomella LG. ʻO Biopsy Prostate: nā ʻenehana a me nā kiʻi. I: Partin AW, Dmochowski RR, Kavoussi LR, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2020: chap 150.