Test PSA - eqhelekileyo. Indlela ukuba athathe uvavanyo igazi ngenxa PSA, alungiselelwe

somdlavuza wendlala indawo yesithathu 'mawubekeke "nokuyibulala phakathi kwezinye zomhlaza, kwaye ke iqela lamadoda amakhulu yinkokeli. In Russia kuphela, kukho malunga 14,000 amatyala sifo nyaka ngamnye. sifo ngexesha ixesha layo ukuthatha inyathelo kunceda uvavanyo PSA. Yintoni na nendlela ukulungiselela kuba, kangangokuba iziphumo ezichanekileyo?

Kuthetha ukuthini PSA yi acronym?

PSA, okanye PSA - arhente lesinyi ethile na. Kubume bayo, le polypeptide protein eliquka acid ngaphezulu kwama-200. Khupha le kweziyobisi abagulayo iiseli prostate esempilweni, encinane njalo ubukho layo egazini lubonisa uvavanyo PSA. Izinga ukuze iqela ngalinye ubudala amadoda ungumnikazi ukususela yobudala prostate arhente ethile eveliswa ngamanani amakhulu. Xa amadoda esempilweni ngoku, ukongeza igazi ejaculate (isidoda) kwaye yesinye mfihlakalo. Phambi iiseli umhlaza prostate arhente Prostate uqalisa ukuba ziveliswe ininzi kakhulu, nto leyo isetyenziswa izifo yokumakisha impazamo-free. Ngaphandle ekuxilongweni izifo, uhlalutyo lwenziwa ukuze esweni impilo sele baphathwe okanye ngaphantsi unyango kwezigulane umhlaza okanye BPH.

norms yobudala

somdlavuza wendlala - isifo singanyangekiyo kakhulu. Ukuba akukho eshiyekileyo ifunyanwa ngexesha kwaye uqale unyango emva kwexesha, ngoko inika ekhokelela ekufeni. Njengoko kuboniswe manani zempilo, olu hlobo lomhlaza sinxulumana ukutshaya, ukusela utywala, kwaye amandla umsebenzi ngesondo kunye nezifo ezidluliselwa ngeentlobano zesini, oko kukuthi, bayagula wonke umntu. Kungenzeka kuphela ukuba babone ngexesha esi sifo, yaye ngaloo ndlela asindise ubomi bakhe uvavanyo lwegazi PSA. Rate makadlule okwethutyana, nto leyo ehambisana kunye nezifo ezithile. Kwiimeko ezinjalo, phinda uhlalutyo okanye ukuqhuba uphando olongezelelweyo.

Yintoni i "indawo grey"?

Ukuba ufuna ukwenza uphando athathe igazi emthanjeni. Iziphumo zohlalutyo xa amaxabiso ngentla arhente prostate oluqhelekileyo, kodwa musa ukudlula 10 ng / ml, obizwa ngokuba "ummandla grey". Kwiimeko ezinjalo, ugqirha unakho ukumisela i biopsy wendlala. Uphawu esingundoqo ihambo yayo lulwahlulo ekuthiwa-PSA simahla lilonke. Kuyinto ngabantu esempilweni kufuneka ibe ngaphezu-15%. Ekuthiwa-PSA ezamahala kulingwa i kubalwa inani lokungahlawulwa (free) nezo arhente prostatic equlathwe serum. Inyaniso kukuba malunga ne-10 ekhulwini kuphela zonke iintlobo arhente prostate phambi kule meko. I-90 pesenti lu dityanisiwe mhlawumbi α--antichymotrypsin 1 (protease inhibitor) okanye α--macroglobulin 2 (inhibitor of pepsin, plasmin kunye nezinye enzyme). Xa kunye α--macroglobulin 2, PSA phantse uzimisele. iimvavanyo Laboratory kubonisa kuphela inani simahla kwaye ebotshwe ndawonye-arhente α-1-antichymotrypsin prostatic. ixabiso lawo elipheleleyo ibonisa ekuthiwa-uvavanyo lwegazi PSA iyonke. Ukuba somdlavuza wendlala eyindoda, kumzimba α--antichymotrypsin 1 uqala uvelise ezininzi, nto leyo arhente enkulu ezibophelelayo kunye nokwehlisa kuyo kwifom free. Ngenxa yoko, ipesenti ezi ntlobo zimbini lifinyele.

Yintoni na isizathu ngaphezu eqhelekileyo?

Ngomhla score of PSA kwi eesampuli ze-serum igazi lichatshazelwe kakhulu izifo ezithile. Kuyingozi kakhulu kubo - umhlaza yesinye, okt yingozi yesinye, nto ezinxulumene ubudala kwaye anike metastases. Xa ukusola nakancinane umhlaza ebonakaliswa iintlungu ngexesha ukuchama, uziva ngathi esinyini ayikho qongqololo ngokupheleleyo, umnqweno rhoqo kunye ubunzima kunye ukuchama kunye neentlungu perineum, kuyimfuneko ukwenza uvavanyo PSA. UNorma ekuso kubantu abasempilweni, landisa inqanaba inokuba ezi zifo zilandelayo:

- adenoma (ithumba ebubonisayo, loo nto iyakhula);

- ukudumba endlaleni;

- iposi (necrosis ngenxa spasm);

- ischemia (prostate anemia ezinxulumene iingxaki imithambo yegazi);

- ukusilela elibukhali kwezintso.

Ziziphi izinto ezibangela ukwanda yesinye-arhente?

Inani arhente prostate egazini kuchaphazela izinto ezininzi. Ngoko ke, ukuze bafumane uvavanyo PSA oluthembekileyo, yamalungiselelo kufuneka kwenziwe nzulu kakhulu. Kuba kakhulu izithethe eziphembelela:

- ukuchama;

- umyalezo enzulu wendlala;

- biopsy;

- TRUs (prostate ultrasound ethile);

- TURP (iziphumo zoqhaqho kwi endlaleni).

Izinto ukuba zingakuchaphazeli yokufundwa:

- ixesha losuku;

- Ukwaziswa kwe- catheter kulo lwesinyi cystoscopy;

- efakwa (kunye iminwe) ye endlaleni.

Ukulungiselela ukuhlaziya

Isigulana ngasinye kufuneka ukwazi yaye zilandele ngqo neemfuno zoqeqesho phambi kokwenza uvavanyo PSA. norm yayo yonke iminyaka yobudala eyaziwa kakuhle. Level ayikwazi ukuba kwandiswe ngenxa yezifo yesinye, kodwa ngenxa-zokungathotyelwa iimeko ezizodwa. Zezi zilandelayo:

- bangadli i ukuchama iintsuku ezi-2 ubuncinane phambi kohlalutyo;

- ukuhlalutya hayi ngaphambi ngaphezu kweentsuku ezi-3 emva kokuba umyalezo enzulu wendlala;

- ukuba isigulane eyenziwa TRUs, emva kokuba inkqubo phambi kokuba uvavanyo PSA kufuneka kwiintsuku ezi-7 ubuncinane;

- emva yesinye biopsy, nto leyo eyandisa kakhulu isixa arhente egazini, kufuneka kwiiveki ezi-6 phambi kohlalutyo;

- ukuba isigulane yaba resection transurethral, uvavanyo PSA mazenziwe ngaphaya kweenyanga ezi-6 emva kotyando.

Ukongeza, phambi kuhlalutyo, kungakuhle ukuba ayeke ukutshaya, ngaphezu kwesinye imini Musa ukudla ukutya okunamafutha, kuphephe amandla ngokugqithiseleyo ngokwasemzimbeni nangokwasengqondweni.

Xa ufakwe analysis?

Xa eko izifo wesinye kwi unyango yamathumba uchonge uhlalutyo PSA alawulwa. UNorma ekufumaneni unyango kuxhomekeke kudidi lwe unyango. Ngoko ke, emva kokuba ngotyando ukususwa endlaleni (LRP) yedijithali Isalathisi prostate arhente ezithile idla lancitshiswa 0.2 ng / ml, yaye emva konyango radiation - ukuya ku-1 ng / ml. Ezi zikhombisi zihamba kakuhle kakhulu kwaye ukuvumela ukuba nethemba ixesha elide ngaphandle likakade. Ukuba emva kokuba zonke iintlobo kwinqanaba ukunyuka unyango PSA, oko kuchazwe uphuhliso ngakumbi zomhlaza. Noko ke, ngaphezu kwemigangatho PSA azisoloko sithetha somhlaza. Kwiimeko ezinqabe kakhulu, isiphumo iphenjelelwa osemqoka yomguli ngamnye zemiqobo zeethishu. Kukho abantu abaye babe permeability bhetele indlela laphu, arhente prostatic lula ingena egazini, kwaye, ngenxa yoko, imali noko zabaxwa.

Yiyiphi imilinganiselo zenziwa ukuqinisekisa isifo?

Njengoko kukhankanyiwe ngasentla, kunye kweminyaka kukhulisa prostate yomntu ngamnye. Ukunciphisa impembelelo yokunyuka zendalo iziphumo analyses zibalwa PSA mninzi. Le yesalkathisi siqingqwe ngokwahlula-hlula inqaku kulinganiswa umthamo yesinye. Ukuba QUOTIENT afunyenwe ngokwahlula sentla 0,15 ng / ml / cm cc, kukho urhano sokuqala yeenguqu zophendlo lwezifo kwi endlaleni. Kwiimeko ezinjalo, biopsy kwabantu. Olunye uhlobo uphando ukumisela isantya itshintsha PSA ngazo. Ukuba ixabiso index ngasentla 0.75 ng / ml / nyaka, isigulana amathuba aphezulu kakhulu kuphuhliso ithumba. Uhlalutyo Data ukunceda ngokuchanileyo eyaneleyo ukubona ubukho Ukudlulela xa umguli. Ngoko, xa kuboniswe arhente prostate ezithile ngentla 50 ng / ml amathuba aphezulu inkqubo Ukudlulela iqala. A manani angasentla 100 ng / mg ukuqinisekisa ubukho Ukudlulela enzonzobila.