ʻO ka hōʻike PSA: he aha ia, he aha ia a pehea e maopopo ai i ka hopena

Anter

• No ke aha ia
• Pehea e maopopo ai i ka hopena hōʻike
• He aha ka PSA manuahi?
• PSA kiʻekiʻena a me ka wikiwiki

ʻO PSA, i kapa ʻia ʻo Prostatic Specific Antigen, kahi enzyme i hana ʻia e nā hunaola prostate nāna ka hoʻonui ʻana i ka noʻonoʻo e hōʻike i nā loli i ka prostate, e like me ka prostatitis, hypertrophy prostatic prostatic a i ʻole ka maʻi ʻaʻai prostate.

Hōʻike pinepine ʻia kahi hōʻike koko PSA ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki i nā kāne āpau ma mua o 45 mau makahiki, akā hiki ke hoʻohana ʻia i kēlā me kēia manawa ke kānalua ʻia nā ʻano urinary a prostate paha. He maʻalahi a maʻi ʻole ka hoʻāʻo PSA a hana ʻia i ka hale hana ma ka hōʻiliʻili ʻana i kahi hāpana koko liʻiliʻi.

ʻO ka maʻamau, loaʻa i nā kāne olakino ka nui o nā waiwai PSA ma lalo o 2.5 ng / ml, ma mua o ka makahiki 65, a ma lalo o 4.0 no / ml, ma luna o 65 mau makahiki. ʻO ka hoʻonui ʻana i ka nui o ka noʻonoʻo PSA ʻaʻole hōʻike mau i ka maʻi ʻaʻai prostate, a pono hou nā hoʻokolohua e hōʻoia i ka ʻike.

Eia nō naʻe, i ka hihia o ka maʻi ʻaʻai prostate, hoʻomau ka maʻamau o ka waiwai PSA a, no laila, e hōʻoia mau ʻia ka kānalua o ka maʻi ʻaʻai me nā hōʻike diagnostic ʻē aʻe, e like me ka hoʻokolokolo hoʻokolohua kikoʻī, MRI a me ka biopsy.

No ke aha ia

I ka hapanui o nā hihia, kauoha ʻia ke kauka PSA e ke kauka e nānā i ka hiki ʻana o kahi pilikia prostate e like me:

• ʻO ka hoʻowahāwahā o ka prostate, i ʻike ʻia ʻo prostatitis (koʻikoʻi a i ʻole mau);
• Benign prostatic hypertrophy, ʻike ʻia ʻo BPH;
• Maʻi ʻaʻai Prostate.

Eia nō naʻe, hiki ke hoʻonui ʻia ka waiwai PSA ma muli o kekahi maʻi maʻi urinary, ka paʻa ʻana o ka mimi a i ʻole ma muli o nā kaʻina hana olakino hou o kēia wahi, e like me cystoscopy, ninaninau digital rectal, biopsy, prostate surgery or trans-urethral resection of the prostate No laila, he mea nui e loiloi ʻia ka hopena hōʻike e ke kauka nāna i noi mai.

Ma waho o kēia mau kumu maʻamau, hoʻonui i ka makahiki, paikikala a me ka hoʻohana ʻana i kekahi mau lāʻau, e like me nā homone kāne, hiki ke hoʻonui i ka PSA.

Pehea e maopopo ai i ka hopena hōʻike

Ke loaʻa ka nui o ka waiwai PSA o ke kāne ma mua o 4.0 ng / ml, koi ʻia e hana hou i ka hoʻokolohua e hōʻoia i ka waiwai, a inā e mālama ʻia ia mea nui e hana i nā hoʻokolohua ʻē aʻe e hōʻoia i ke kuhi a ʻike i ke kumu. E ʻike i nā hoʻokolohua ʻē aʻe e loiloi i ka prostate.

I ka hapanui o nā hihia, ʻo ke kiʻekiʻe o ka nui o ka waiwai PSA, ʻoi aku ka nui o ka maʻi ʻaʻai prostate a no laila, ke ʻoi aku ka nui ma mua o 10 ng / ml, ʻo 50% ka manawa o ka hoʻomōhala ʻana i ka maʻi ʻaʻai prostate. Hiki ke hoʻololi i ka waiwai PSA me ka makahiki, nā maʻa o ka poʻe a me ka hale hana kahi e hana ai ka hōʻike. Ma ka laulaha, ʻo nā helu kuhikuhi PSA:

• Hiki i 65 mau makahiki: Huina PSA a hiki i 2.5 ng / mL;
• Ma luna o 65 mau makahiki: Huina PSA a hiki i 4 ng / mL.

ʻO nā kāne me kahi PSA i manaʻo ʻia he mea maʻamau a me nā nodule ma ka hoʻokolokolo hoʻokolohua ʻoi aku ka nui o ka makaʻu o ka maʻi ʻaʻai prostate ma mua o nā kāne i loaʻa ka waiwai PSA kiʻekiʻe loa.

I mea e ʻike maoli ai inā he loli i ka prostate, paipai ka mea meahana e hana i ke ana o PSA manuahi a me ka pilina ma waena o PSA manuahi a me PSA piha, a he mea nui ia no ka hōʻoia ʻana i ka maʻi ʻaʻai prostate.

He aha ka PSA manuahi?

Ke loaʻa ka nui o ka PSA o ke kāne ma luna o ka maʻamau, hōʻike ka urologist i ka ʻike o PSA manuahi, e hoʻomaʻemaʻe i ka hoʻokolokolo ʻana o ka maʻi ʻaʻai prostate. Ma muli o ka hopena o ka PSA manuahi a me ka huina, hana ʻia ka pilina ma waena o kēia mau hopena ʻelua e hōʻoia ai inā paha he maikaʻi a hoʻololi paha ka loli o ka prostate, a laila e koi ʻia kahi biopsy prostate.

Ke ʻoi aku ka lakio ma waena o ka PSA manuahi a me ka huina ma mua o 15%, he hōʻailona ia he benign ka prostate hoʻonui ʻia, i hōʻike ʻia e ulu nei nā maʻi maikaʻi, e like me ka hypertrophy prostatic hypertrophy a i ʻole ka maʻi urinary tract, no ka laʻana. Eia naʻe, ke emi kēia lakio ma mua o 15%, hōʻike pinepine ia no ka maʻi ʻaʻai prostate, a koi ʻia kahi biopsy prostate e hōʻoia i ka ʻike a hoʻomaka ka lāʻau. Hoʻomaopopo pehea e hana ai ka biopsy prostate.

PSA kiʻekiʻena a me ka wikiwiki

Hiki i ka urologist ke loiloi i ka nui a me ka wikiwiki o PSA, ʻo ka nui o ka PSA, ʻo ka nui o ka kānalua o ka loaʻa ʻana o ka maʻi ʻaʻai prostate a, i ka hihia o ka wikiwiki o PSA, hoʻonui ʻia ma mua o 0.75 ng / ml per makahiki a hoʻonui wikiwiki paha he mea nui e hana hou i nā hoʻokolohua, no ka mea e hōʻike ʻia i ka maʻi ʻaʻai.