Test PSA for wendlala: eqhelekileyo, ingakumbi uqeqesho nokhokelo

Protein PSA imele prostate iantigens ezithile, ukuveliswa apho nezihlunu endlaleni. Le iproteni ifunelwa yokunyibilika isidoda eyindoda. Kubalulekile ukuphawula ukuba yamathumba yingozi cell ukuba iimali ezinkulu kweziyobisi. Kungenxa yoko le nto PSA lisetyenziswa marker ithumba umhlaza wendlala. Kulo mzekelo, inani protein eveliswa zingachaphazela nayiphi na inkqubo yezifo. Ngoko ke, uvavanyo PSA for wendlala kufuneka aqhutywe. Uya kutyhila Oncology okanye adenoma.

Kutheni izinga protein ukwanda

Ukuqinisekisa inqanaba protein, kuya kubakho uvavanyo lwegazi PSA yinto eqhelekileyo in prostatitis. rate Isilwa ayikho ngaphezulu kwe-4 ng / ml. Kuveliswe le protini kwandisa kakhulu ekubunjweni iiseli amabi. Ke ezinye ukunyuka kwemveliso iantigens ngenxa kwezinye izinto:

1. Amanqanaba PSA ukuze kunyuswa ngenxa zizifo, sikhatshwa ukudumba. Kule meko kukho kukwaphula imisebenzi umqobo izicwili, evumela iziyobisi ukugqobhoza ngcembe kungena egazini.
2. I protein ibe ngenkuthalo ngenisa igazi ukuba inyama ayegqunyelelwe kwi hyperplasia ebubonisayo prostatic kuqala ukubeka uxinzelelo yonke inyama yomzimba.

Kufuneka kuqatshelwe ukuba uvavanyo PSA for wendlala Chonga naluphi na utyeshelo kunye izitenxo kwi endlaleni. Uninzi zamadoda kuphawula kwenqanaba iantigens, akahlupheki ngumhlaza. Protein xi nga kwanda ngenxa yokungenelela zoqhaqho esinyini okanye yesinye biopsy, kwakunye nangexesha ukuchama kunye imithwalo elide.

Xa beqeqeshwe analysis

Akuphelelanga endlaleni kuyimfuneko ukuba athathe uvavanyo PSA. Olu phando laboratory ababelwe:

1. Ukuze iliso indlela inzuzo zomhlaza wendlala. Oko kwenza ukuba ukuvavanya ukusebenza kwanonyango elinikiweyo.
2. Ukuba ukrokrela ukuba ukuyilwa yamathumba wendlala. Oku kwenzeka ngenxa nezinye izifundo: ultrasound, iimviwo digital efakwa njalo njalo.
3. Ukuvimbela. Olo Uhlalutyo umiselwa abantu abangaphezu kwe-40 ukuya ukubona ekukhuleni PSA.
4. Emva kokuba unyango somhlaza, leyo kuthwalelwa phandle emva ekufumanekeni somhlaza wendlala. Emva kokuba unyango Kucetyiswa ukuba afumane iimviwo abanjalo qho emva kweenyanga ezi-3.

Ukulungiselela ukuhlaziya

Ukuze uphumelele uvavanyo PSA ngenxa yesinye, kuyimfuneko ukuba bacebe kakuhle na. Kungenjalo, izalathisi kwinqanaba protein iya kuba engachanekanga. Iingcali sincoma:

1. 8 iiyure ngaphambi ukunikela igazi ukuba bayeke ukutya ukutya, kubandakanywa ukusetyenziswa kotywala akuvumelekanga, ikofu, iti kunye juice.
2. Ukusuka neentlobano zesini kufuneka uyeke iintsuku 5-7 phambi kokuba unikezelo yokuhlaziya.
3. Thatha uvavanyo kufuneka kwiintsuku 12-14 kamva, emva kotyelelo uhlolo womchamo okanye yincutshe elinikiweyo.
4. Ukuba kubanjwe prostate yokuthanjiswa, ultrasonography transrectal, catheterization esinyini okanye cystoscopy, uviwo yedijithali efakwa okanye ezinye iziphumo mechanical kwi endlaleni, uhlalutyo kufuneka athathe kwiiveki ezi-2 emva zindlela uphando, kwaye emva kokuba biopsy wendlala inyama - emva kwenyanga 1.

Uphononongo elabhoratri usuku olunye. Oku kufuna ukuba isigulane ukubhala ulwalathiso gqirha khona, ukuba ukulungisa kunye ukuze unikele ngegazi ukusuka apho iphuma khona. Kwezinye iimeko, inkcazelo okanye PSA iyonke okanye iantigens free. Oku kufuneka ukuxilongwa.

Indlela ukuqonda iziphumo

Uhlalutyo PSA ukuba wendlala Inokuchazwa ngeendlela ezininzi. amanqanaba Isilwa ngokuqhelekileyo kulinganiswa xa nanograms milliliter legazi 1 nganye. Noko ke, ezinye iingcali zithi, ekufuneka kuncitshiswa ukuba isinyuko ubuncinane 2.5 ng / mg. Kakade ke, kuya kuvumela ukufumana izifo wendlala ngakumbi. Noko ke, kukho i-risk yokuba oogqirha ngenxa uvavanyo uya kunyanga umhlaza, oko kukuthi ngokwezonyango awungeni ndawo. Ekwenzeni uxilongo kuthathela ingqalelo zonke zontathu iindidi kwiproteni:

1. prostate Free Isilwa ethile. Ifumaneka egazini kwaye%-20 kuphela ye-PSA iyonke.
2. A protein ehambisana A2-macroglobulin okanye A1-antichymotrypsin. Kuphela uhlobo yokugqibela iantigens nga kumiselwa elebhu.
3. Iyonke isalathisi PSA - indibanisela iproteni ayidlayo egazini.

prostatitis olubonisa

Prostatitis, enyanisweni, kungekhona yobubi. Ngapha koko, akazange nokuba ukwandisa amathuba wokuhlaselwa ngumhlaza womlomo wendlala. Noko ke, iliso PSA rhoqo yenza umqhubi ukunyenyisa ngokuchanekileyo uthomalaliso ukuphelisa komtshiso oko.

Ukuba xi iantigens ephakathi-4 ukuya ku-10 ng / ml, oku kubonisa uphuhliso zifo zilandelayo:

• prostatitis;
• hyperplasia ebubonisayo le ingaba wendlala;
• prostate Oncology, kule meko uxilongo umngcipheko wokuba ukunyuka sifo nge-25%.

Kubalulekile ukuphawula ukuba umlinganiselo iingcali PSA loo kuthiwa ummandla hina. Ukuba xi iantigens kuyenyuka ngaphezu kwe-10 ng / ml, amathuba zokuphuhlisa inkqubo umhlaza ukunyuka nge-67%.

Ngokufuthi, inqanaba PSA iyonke ixhomekeke ezahlukeneyo sifo wendlala. Uhlalutyo olunjalo idla ngokusetyenziswa moshilongo umahluko.

Indlela ukufumanisa isifo

Xa ucalulo zizonke PSA igazi wendlala kuqhutywa ngokuchanekileyo, kwaye inqanaba iproteni ayikho ngaphantsi kwe-4 ng / ml kwaye hayi ngaphezulu kwe-10 ng / ml, oogqirha ekufumaniseni ujonge amaqhezu protein ilandelayo kunye nobudlelwane zabo:

1. Ukuncitshiswa ezamahala iantigens xi kwandisa ingozi yokuba nomhlaza. Oku kungenxa yokuba iiseli yingozi kuvelisa izixa elikhulu A1-atihimotripsina. Oku kwandisa ngendlela wabopha xi protini.
2. Ukwandisa uyazikhomba iantigens ezamahala, ngokuchaseneyo, lunciphisa ubungozi bomhlaza. Ngaloo sisalathisi onjalo kubonisa ubukho prostatitis ezigulo ezondeleyo.

iinkcukacha ezongezelelweyo

test igazi PSA ngenxa yesinye jikelele, ixabiso apho kucacisiwe eklinikhi, umntu uyacetyiswa ukuba la madoda ukuya kwiminyaka-50 nyaka ngamnye. Kolu vavanyo ziingcali ukuphucula izalathi ezongezelelweyo zaye zaziswa, ukuvumela ukuba bacinge iiprothini ngokungqinelana ezahlukeneyo parameters.

Kuhlalutyo, PSA ukuxinana ezifanelekileyo kuthatyathelwa ingqalelo. Oku kwenza kube lula ukuvelisa izibalo iantigens yoxinaniso ngokunxulumene ubungakanani endlaleni, ekuye kwagqitywa nge ultrasonography transrectal. Ukuxinana aphantsi protein nga kubonisa ukuba esona sizathu siphambili nokukhula wayo kuphuhliso prostatitis.

Kwakhona kuthathelwa ingqalelo kunye PSA Velocity. Le Uthelekiso iantigens ixesha elithile. Ukuba ukunyuka izinga ngokukhawuleza, ugqirha nga nokuxilonga prostatitis etsolo uhlobo nokuba i lokuqala lomhlaza.

amanqanaba protein kufuneka ukulandelela

Track inqanaba iproteni ivumela kuphela igazi uvavanyo PSA ngenxa yesinye jikelele. Iimpawu uvavanyo kufuneka wazi ngqo ingcali. Umzekelo, uphononongo olwenziwe kutshanje lubonisa ukuba prostatitis kunokukhokelela kumanqanaba serum of iantigens. kufuneka athathe uvavanyo, nakumatyala xa kungekho zimpawu nangokurhala, iimviwo digital efakwa akazange phendla naziphi mgaqweni, nokwandisa uyondelelwano lwee- PSA Velocity linyukile.

izenzakalo ezinjalo becala abonisa ukuba umzimba omkhulu kwenkqubo sokuzala ukuze isebenze eziqhuba kakubi ngenxa ukwaphulwa ezithile. Ukuba ngaba wehlelwa utshintsho ngesiquphe lwezalathisi, izazi bacebisa:

1. Ukuba ngaba amanqanaba protein linyuke kakhulu, kufuneka ujonge iimpawu wendlala kunye nosulelo genitourinary.
2. Emva unyango prostatitis okanye izifo wokuchama kufuneka kuliwe uvavanyo PSA.

Nokuba uthe wafunyaniswa prostatitis, ngoko wenze olunye uvavanyo iantigens bukule nto. Ukuba inqanaba protein ihlala phezulu, ugqirha zinga-odola biopsy. Oku kuya kuvumela mhlawumbi ukuphelisa okanye ukuqinisekisa uphuhliso umhlaza.

Ekupheleni

Yimalini uvavanyo PSA for wendlala? Ixabiso enjalo uluhlu uvavanyo ukususela engange-600 nangaphezulu. Ngelo xesha linye kwezinye iikliniki isigulane kufuneka ahlawule ingqokelela eyongezelelweyo igazi emthanjeni. Ixabiso ngqo nga kulungisiswa elebhu.

Kubalulekile ukuqaphela ukuba akukho bungqina ngqo ukuba endlaleni kukhokelela somdlavuza wendlala. Oku akusoloko iiseli elinobuhlungu kwakheka. Noko ke, histological iimpawu prostatitis amaninzi zifumaneka ziingcali kufundwa somhlaza prostate kwithishyu. Ngoko ke, isifundo kwegazi isixa-PSA kufuneka wenziwe rhoqo.