ʻO Biopsy Prostate: ke manawa e hana ai ia, pehea e hana ai a hoʻomākaukau ai

Anter

• Ke koi ʻia ka biopsy
• Pehea e hana ai i ka biopsy prostate
• Pehea e hoʻomākaukau ai no ka biopsy
• Pehea e maopopo ai i ka hopena biopsy
• Nā pilikia kūpono o ka biopsy
• 1. Paʻi a hōʻoluʻolu paha
• 2. Kaʻa koko
• 3. Ka maʻi maʻi
• 4. paʻa mimi
• 5. ʻO ke kīnā ʻole o Erectile

ʻO ka biopsy Prostate wale nō ka hōʻike e hiki ke hōʻoia i ke kū ʻana o ka maʻi ʻaʻai i loko o ka prostate a pili i ka lawe ʻana i nā ʻāpana liʻiliʻi o ke gland e kālailai ʻia i loko o ke keʻena hoʻokolohua i mea e ʻike ai i ke alo, a i ʻole, o nā hunaola malignant.

Kūkā pinepine ʻia kēia hoʻokolohua e ka urologist ke kuhi ʻia ka maʻi ʻaʻai, keu hoʻi ke kiʻekiʻe ka PSA waiwai, ke loaʻa nā loli i ka prostate i ka manawa o ka hoʻokolokolo hoʻokolohua kikoʻī, a i ʻole ke hana ʻia kahi resonance prostate me nā hopena kānalua. E nānā i nā hoʻokolohua 6 e loiloi i ke olakino prostate.

ʻAʻole ʻeha ka biopsy Prostate, akā hiki ke hōʻoluʻolu ʻole a, no kēia kumu, hana mau ʻia ma lalo o ka anesthesia kūloko a i ʻole ka hoʻohaʻahaʻa haʻahaʻa. Ma hope o ka hoʻokolokolo ʻana, hiki nō paha i ke kāne ke hoʻā i kekahi kuni i ka ʻāina, akā hala ia i kekahi mau hola.

Ke koi ʻia ka biopsy

Hōʻike ʻia ka biopsy Prostate i nā hihia aʻe:

• Ua hoʻololi ʻia ka hoʻokolokolo hoʻokolohua Prostate;
• PSA ma luna o 2.5 ng / mL a hiki i ka makahiki 65;
• PSA ma luna o 4.0 ng / mL ma kahi o 65 mau makahiki;
• ʻO ke ana o PSA ma luna o 0.15 ng / mL;
• Ka wikiwiki o ka hoʻonui i PSA ma luna o 0.75 ng / mL / makahiki;
• ʻO ka resonance Multiparametric o ka prostate i hoʻokaʻawale ʻia e like me Pi Rads 3, 4 a i ʻole 5.

I ka hapanui o nā hihia, ʻike ʻia ka maʻi ʻaʻai prostate, ke loaʻa, ma hope pono o ka biopsy mua, akā hiki ke hana hou ʻia ka hōʻoia inā ʻaʻole māʻona ke kauka i ka hopena o ka biopsy 1st, keu hoʻi inā

• E hoʻomau i ke kiʻekiʻe PSA me ka wikiwiki i ʻoi aku ma mua o 0.75 ng / mL / makahiki;
• Neoplasia intraepithelial prostatic kiʻekiʻe (PIN);
• Hoʻohālikelike atypical o acini liʻiliʻi (ASAP).

Pono e hana i ka biopsy ʻelua wale nō pule ma hope o ka mua. Inā pono kahi biopsy 3 a 4 paha, pono e kali ma ka liʻiliʻi he 8 mau pule.

E nānā i kēia wikiō aʻe a aʻo e pili ana i nā hoʻokolohua ʻē aʻe i hiki i ke kauka ke hana e ʻike ai i ka maʻi ʻaʻai prostate:

Pehea e hana ai i ka biopsy prostate

Hana ʻia ka biopsy me ke kāne e moe ana ma kona ʻaoʻao, me ke kūlou ʻana o kona mau wāwae, a hoʻōla pono ʻia. A laila hana ke kauka i kahi loiloi pōkole o ka prostate ma o ka hana ʻana i ka ninaninau digital rectal, a ma hope o kēia loiloi, hoʻolauna ke kauka i kahi mea ultrasound i loko o ka anus, ka mea e alakaʻi i kahi nila i kahi kokoke i ka prostate.

Hana kēia nila i nā puka liʻiliʻi i loko o ka ʻōpū e hiki i ka gland prostate a ʻohiʻohi i nā ʻāpana o ke kiko mai ka gland, a mai nā wahi a puni ia, e nānā ʻia i loko o ka hale hana, e ʻimi ana i nā pūnaewele e hōʻike ai i ke kū ʻana o ka maʻi ʻaʻai.

Pehea e hoʻomākaukau ai no ka biopsy

He mea nui ka hoʻomākaukau ʻana o ka biopsy e hōʻalo i nā pilikia a loaʻa pū i loko:

• Lawe i ka lāʻau antibiotic i kuhikuhi ʻia e ke kauka, ma kahi o 3 mau lā ma mua o ka hōʻike;
• Hoʻopiha i kahi wikiwiki 6 mau hola ma mua o ka hoʻokolohua;
• E hoʻomaʻemaʻe i ka ʻōpū ma mua o ka hōʻike;
• E mimi i kekahi mau minuke ma mua o ke kaʻina hana;
• Lawe mai i kahi hoa e kōkua iā ʻoe e hoʻi i ka home.

Ma hope o kahi biopsy prostate, pono pū ke kāne i nā lāʻau antibiotic i kuhikuhi ʻia, ʻai i ka papaʻai māmā i nā hola mua, pale i ka hoʻoikaika kino i nā lā 2 mua a mālama i ka moe kolohe no 3 mau pule.

Pehea e maopopo ai i ka hopena biopsy

Mākaukau nā hopena o ka biopsy prostate ma loko o 14 mau lā a hiki i:

• Maikaʻi: Kuhi i ka loaʻa ʻana o ka maʻi ʻaʻai e ulu ana i ka momona;
• Maikaʻi ʻole: ʻaʻole i hoʻololi iki nā pūnaewele i ʻohiʻohi ʻia.
• Kaha manaʻo: ua ʻike ʻia kahi loli e hiki ai i ka maʻi ʻaʻai paha.

Ke maikaʻi ʻole a kānalua paha ka hopena biopsy prostate, hiki i ke kauka ke noi e hana hou i ka hōʻoia e hōʻoia i nā hopena, keu hoʻi ke kānalua ʻo ia ʻaʻole pololei ka hopena ma muli o nā hōʻike ʻē aʻe i hana ʻia.

Inā maikaʻi ka hopena, he mea nui e hoʻokū i ka maʻi ʻaʻai, nāna e kōkua e hoʻoponopono i ka lāʻau. E ʻike i nā pae nui o ka maʻi ʻaʻai prostate a pehea e hana ai i ka lāʻau.

Nā pilikia kūpono o ka biopsy

Ma muli o ka pono e hou i ka ʻōpū a hemo i nā ʻāpana liʻiliʻi o ka prostate, aia kekahi pilikia o kekahi mau pilikia e like me:

1. Paʻi a hōʻoluʻolu paha

Ma hope o ka biopsy, ʻike paha kekahi mau kāne i ka ʻeha a i ʻole ka hōʻoluʻolu ʻole ma ka ʻaoʻao anus, ma muli o ka scarring o ka ʻōpū a me ka prostate. Inā kū kēia, hiki i ke kauka ke ʻōlelo i ka hoʻohana ʻana i kekahi mau mea ʻeha ʻoluʻolu, e like me Paracetamol, no ka laʻana. ʻO ka maʻamau, nalo ka makaʻu ma waena o 1 pule ma hope o ka hōʻike.

2. Kaʻa koko

ʻO ke kū ʻana o kahi kahe liʻiliʻi i loko o ka lole komo a i loko o ka pepa lua paha he mea maʻamau ia i loko o nā pule 2 mua, ʻoiai i ka semen. Eia nō naʻe, inā kiʻekiʻe ka nui o ke koko a nalo paha ma hope o 2 mau pule, pono e hele i ke kauka e ʻike inā he kahe kekahi.

3. Ka maʻi maʻi

Ma muli o ke kumu o ka biopsy e hōʻeha ai i ka ʻōpū a me ka prostate, nui ka hopena o ka maʻi, ʻoiai no ke kū ʻana o nā ʻano bacteria i loko o ka ʻōpū. No kēia kumu, ma hope o ka biopsy hōʻike pinepine ke kauka i ka hoʻohana ʻana o kahi antibiotic.

Eia nō naʻe, aia kekahi mau hihia kahi ʻaʻole lawa ka antibiotic e pale aku ai i ka maʻi a, no laila, inā loaʻa iā ʻoe nā ʻōuli e like me ke kuni ma luna o 37.8ºC, ʻehaʻeha a i ʻole mimiki ikaika, ʻōlelo maikaʻi ʻia e hele i ka haukapila e ʻike inā aia kekahi maʻi maʻi a hoʻomaka i ka lāʻau kūpono.

4. paʻa mimi

ʻOiai he mea liʻiliʻi loa ia, ʻike paha kekahi mau kāne i ka paʻa ʻana o ka urinary ma hope o ka biopsy ma muli o ka mumū o ka prostate, ma muli o ka hemo ʻana o nā ʻāpana. I nā hihia like, hoʻopau ka prostate i ke kaomi ʻana i ka urethra, e paʻakikī ana i ka hele ʻana o ka mimi.

Inā kū kēia, pono ʻoe e hele i ka haukapila e hoʻoneʻe i ka hōʻiliʻili ʻana o ka mimi mai ka pāpaʻi, i hana mau ʻia me ke kau ʻana o kahi pūnana bladder. E hoʻomaopopo maikaʻi i ke ʻano o ka catheter bladder.

5. ʻO ke kīnā ʻole o Erectile

ʻO kēia ka paʻakikī paʻakikī loa o ka biopsy akā, ke ʻike ʻia, nalo maʻamau ia i loko o 2 mau mahina ma hope o ka hōʻike. I ka hapanui o nā hihia, ʻaʻole hoʻopilikia ka biopsy i ka hiki ke loaʻa ka pilina pilikino.