Cov kab lus yuav tham txog PSA ntsuas hauv prostate adenoma. Xws li kev kuaj ntshav yog ua kom tsis suav nrog qhov tsis zoo ntawm cov qog. Yog hais tias cov qog nqaij hlav qog nqaij hlav muaj nyob hauv tus txiv neej lub prostate, ces nws pib ua ke ntau ntawm glycoprotein, uas yog ib qho prostate-specific antigen.
PSA qhov tseem ceeb hauv prostate adenoma nyob ntawm lub hnub nyoog ntawm tus neeg mob. Nws yuav tsum nkag siab tias nws tsis tuaj yeem tsim kom muaj kev kuaj mob kom raug raws li cov txiaj ntsig ntawm ib qho kev tshawb fawb nkaus xwb. Kev sib txawv ntawm tus qauv tsuas yog qhia qhov xav tau rau lwm yam kev kuaj mob: biopsy, MRI, CT.
Qhov tseem ceeb ntawm PSA hauv kev kuaj mob pathology
Ua ntej, vim li cas koj thiaj li yuav tsum pub ntshav rau PSA nrog prostate adenoma.
mob qog noj ntshav, mob, BPH yog cov cim zoo sib xws, yog li nws tsis tuaj yeem txiav txim siab qhov tseeb thiab sau tshuaj kho yam tsis muaj kev kuaj mob zoo. Nrog adenomaprostate, oncology, prostatitis hauv cov txiv neej, cov tsos mob hauv qab no tau sau tseg:
- Kev tsis zoo ntawm cov xwm txheej (insomnia, tsis qab los noj mov, kev nyuaj siab, tsis muaj zog).
- tso zis tawm ntawm noov, streaked nrog ntshav, purulent los yog mucus.
- Kev qaug zog ntawm qhov tsis muaj zog (ntev ejaculation, ejaculation ntxov ntxov, tsis muaj arousal, tsis muaj zog libido).
- tso zis tsis yooj yim nrog kev xav tsis tu ncua.
- mob hauv pliaj, plab plab, hnyav los ntawm erection thiab mus rau chav dej.
Ib lub prostate loj tuaj yeem kuaj pom los ntawm tus kws kho mob urologist thaum kuaj lub qhov quav. Txawm li cas los xij, nws tsis tuaj yeem txiav txim siab seb tus qog muaj dab tsi (benign lossis malignant) los ntawm kev soj ntsuam. Yog li, tus neeg mob tau pom zoo kom pub cov ntshav kuaj rau PSA qib hauv prostate adenoma.
Vim li cas thiaj muaj kev sib txawv me me?
Kev sib txawv me me los ntawm cov txiaj ntsig ib txwm tsis yog qhov ua rau muaj kev txhawj xeeb. Feem ntau qhov no tshwm sim nyob rau hauv kev cuam tshuam ntawm lwm yam: kev ua si lub cev, kev zoo siab, massage, kev sib deev tsis ntev los no. Rov kuaj dua, yog tias qhov ntau dhau tsis tshwm sim los ntawm tus kab mob, yuav pom qhov tshwm sim ib txwm muaj.
Hyperplasia, exacerbation ntawm prostatitis lossis mob qog noj ntshav?
Yog qhov sib txawv loj thiab yog 20-40% saum toj no tus qauv, ces peb tuaj yeem xav tias hyperplasia lossis exacerbation ntawm prostatitis. Ntau dhau (ntau zaus) qhia tau tias yuav muaj tshwm simmob qog noj ntshav.
PSA qib tau txheeb xyuas ua ke nrog lwm cov ntaub ntawv tshawb fawb: biopsy, CT, ultrasound, biochemical kev tshawb fawb ntawm cov zis thiab ntshav kuaj. Tus kws kho mob tshwj xeeb tuaj yeem ua qhov kev kuaj mob zaum kawg nkaus xwb raws li cov txiaj ntsig ntawm kev tshuaj ntsuam xyuas.
Cancer, prostatitis, adenoma nyob rau hauv thawj theem ntawm lawv txoj kev loj hlob, raws li txoj cai, yog asymptomatic, yog li cov txiv neej raug pom zoo kom kuaj los ntawm ib tug urologist thiab xeem PSA txhua txhua xyoo rau kev tiv thaiv. Yog tias ib tus neeg muaj kev pheej hmoo (tom qab irradiation, nrog kev sib deev tsis tu ncua, kev ua haujlwm tsis tu ncua), yuav tsum tau kuaj xyuas kev tiv thaiv txhua txhua rau lub hlis. Feem ntau, cov txiv neej tshaj 50 yuav tsum tau kuaj.
Npaj rau kev kawm
Txhawm rau txiav txim siab qhov tseeb ntawm PSA rau tus txiv neej, yuav tsum tau npaj ua ntej ua ntej noj cov khoom siv biomaterial. Distortion ntawm cov txiaj ntsig tuaj yeem tshwm sim yog tias kev kuaj digital ntawm prostate, qhov quav qhov quav tau ua hnub ua ntej. Yog li ntawd, biomaterial yuav tsum tau pub tsawg kawg ib hnub tom qab cov txheej txheem no. Kuj ceeb toom:
- Ua ntej kuaj PSA, koj yuav tsum tsis txhob noj tshuaj tua kab mob, tshuaj hormonal tiv thaiv qog, tshuaj uas tuaj yeem txo qis androgen synthesis rau ob lub lis piam.
- Nws tsis tuaj yeem ua txoj kev tshawb fawb yog tias kis kab mob (tshwj xeeb, kab mob genitourinary) nyob rau theem mob.
- Qib nce ntawm cov tshuaj tiv thaiv tom qab kev kuaj ntshav tsis tu ncua rau 20 hnub. Thaum lub sij hawm no, kuaj ntshav rauprostate-specific antigen ua tsis muaj kev nkag siab.
Ib hnub ua ntej xa khoom ntawm biomaterial, tus txiv neej raug pom zoo kom tso tseg kev sib deev thiab kev ua kis las. Tsis tas li ntawd, kev ntxhov siab thiab kev ntxhov siab yuav tsum zam. Cov zaub mov thaum nruab hnub ua ntej coj mus kuaj ntshav yuav tsum tau noj tsis muaj ntsim thiab tsis muaj rog. Nws yog ib qho tseem ceeb sib npaug rau kev tso dej cawv (txawm tias qaug zog) thiab haus luam yeeb. Lub sijhawm 8 teev ua ntej coj mus kuaj ntshav, tsuas yog dej dawb tsis muaj roj xwb.
Biomaterial pub dawb
Txhawm rau txiav txim siab qib PSA, koj yuav tsum pub ntshav venous. Cov txheej txheem no yuav siv sij hawm tsis tshaj 5 feeb. Tus kws saib xyuas neeg mob thawj zaug siv lub tourniquet rau thaj tsam saum lub luj tshib, tom qab ntawd daim tawv nqaij ntawm qhov chaw txhaj tshuaj yog kho nrog cawv.
ntshav tau noj hauv qhov nyiaj ntawm 3-5 ml. Txoj kev tshawb no nyob rau hauv lub chaw soj nstuam yog nqa tawm nyob rau hnub ntawm biomaterial sampling. Tag kis sawv ntxov, tus neeg mob tuaj yeem tau txais cov txiaj ntsig ntawm kev kawm. Yog tias lub tsev kho mob yog tus kheej, ces rau tus nqi, qhov tshwm sim tuaj yeem tau txais hauv ob peb teev.
Tam sim no txog dab tsi yuav tsum yog PSA qhov tseem ceeb rau prostate adenoma yog ib txwm.
Kev tsis sib haum los ntawm tus qauv
Cov tshuaj tiv thaiv no yog los ntawm prostate. Nws accumulates nyob rau hauv cov ntshav thiab seminal kua. Tus qauv PSA rau prostate adenoma nyob ntawm lub hnub nyoog.
Yog hais tias ib tug txiv neej muaj ib tug pathology, tus nqi ntawm synthesized antigen nce ho. Nyob rau hauv lub chaw soj nstuam, rau lub hom phiaj ntawm kev kuaj mob, biomaterial yog raug rau tej yam manipulations, uas tso cai rau tsis tsuas yog xam cov qib PSA, tab sis kuj.txiav txim siab nyob rau hauv dab tsi proportions nws feem yog tam sim no. Qhov no ua rau nws muaj peev xwm txheeb xyuas cov qib kev pheej hmoo cais rau mob qog noj ntshav, adenoma, prostatitis.
Qhov taw qhia tseem ceeb yog qhov feem pua ntawm PSA dawb thiab tshwj xeeb hauv cov ntshav. Xws li cov npe muaj antigen xeev. Tej zaum nws yuav raug khi rau alpha-1 antichymotrypsin lossis lwm cov plasma protein, lossis tej zaum yuav nyob dawb. Nrog ib tug nruab nrab tshaj, ib tug benign qog ntawm prostate feem ntau yog kuaj. Yog tias pom muaj PSA siab heev hauv prostate adenoma, ces qhov tshwm sim ntawm cov qog nqaij hlav neoplasm nce. Muab qhov piv ntawm cov feem ntau rau cov theem dav dav, tus kws kho mob tuaj yeem txiav txim siab qhov feem pua ntawm qhov tshwm sim ntawm kev tsim cov adenoma lossis oncology.
PSA qhov tseem ceeb rau BPH los ntawm hnub nyoog
Nyob rau hauv tus txheej txheem ntawm kev txiav txim siab cov txiaj ntsig, tus kws tshaj lij, ua ntej ntawm tag nrho, yuav siv ob lub ntsiab lus qhia: qhov piv ntawm txhua PSA feem rau nws cov theem dav dav, nrog rau kev sib piv nrog cov hnub nyoog. Txhawm rau txiav txim siab qhov kawg, qhov ntsuas tag nrho PSA tau siv rau cov txiv neej:
- 19-40 xyoo - 1.4 ng/mL;
- 40-59 - 2.5 ng/mL;
- 60-69 xyoo - 3.5 ng/mL;
- from 70 xyoo - 6.5 ng/ml.
Qhov yuav muaj mob qog noj ntshav thiab benign prostatic hyperplasia tuaj yeem raug cais tawm yog tias qhov concentration ntawm PSA dawb tshaj li qib PSA tag nrho los ntawm 26%. Yog hais tias qhov kev txwv tsis pub muaj nyob hauv thaj tsam ntawm 10-26%, ces qhov tshwm sim ntawm adenoma lossis prostatitis yog qhov siab heev. Ntawmoncological pathologies, daim duab no tsawg dua 10%.
Nce PSA hauv prostate adenoma los ntawm 0, 2-1 cov ntsiab lus los ntawm cov qauv yuav qhia tau tias qhov tshwm sim ntawm kev tsim cov kab mob prostate, tab sis qhov tshwm sim no tsuas yog 8%. Yog tias qhov ntsuas tau dhau los ntawm 3-4 cov ntsiab lus, tus neeg mob yuav luag muaj kab mob urological (70% - qhov no yog hyperplasia lossis prostatitis, 30% - oncology). Qhov ntau tshaj 4 ntsiab lus (qhov no yog 80%) qhia tias mob qog noj ntshav feem ntau yuav tshwm sim. Qhov ntsuas phem tshaj plaws yog PSA qhov tshwm sim ntau dua 30 ng / ml - qhov tshwm sim ntawm kev mob qog noj ntshav yog 94% lossis ntau dua.
Kev qhia meej meej
txhawm rau txiav txim siab qhov laj thawj tseeb rau qhov nce hauv qhov concentration ntawm antigen hauv cov ntshav, tus neeg mob tau muab cov kev tshawb fawb qhia meej. Nws muaj peev xwm sib txawv ntawm cov qog nqaij hlav thiab adenoma siv TRUS, CT, MRI, biopsy ntawm cov ntaub so ntswg prostate. Tom qab tau txais cov txiaj ntsig ntawm tag nrho cov txheej txheem kuaj mob, tus kws kho mob tshuaj xyuas qhov kev vam khom ntawm PSA ntawm qhov loj thiab qhov mob ntawm prostate, txiav txim siab qhov kev kuaj mob thiab sau cov kev kho uas tsim nyog: kev tiv thaiv kev saib xyuas, tshuaj kho mob, kho lub cev, phais.
Post prostatectomy
Yog tias tus neeg mob tau phais prostate (tshwj xeeb yog prostatectomy), lawv yuav tsum tau kuaj ntshav tsis tu ncua. Qhov no yog qhov yuav tsum tau rau kev tshawb pom raws sijhawm ntawm kev rov tshwm sim ntawm pathology (kwv yees li 40% ntawm cov neeg mob uas tau mob RP rov qab, thiab hauv 95% ntawm cov neeg mob - hauv 5 xyoo tom ntej tom qab kev phais kho mob).
Cov neeg mob tom qab phais tau zoo li qubPSA qhov tseem ceeb txawv ntawm PSA qhov tseem ceeb hauv cov txiv neej noj qab haus huv. Nws yog ib qho tsim nyog yuav tsum tau soj ntsuam tsawg kawg ib thiab ib nrab lub hlis tom qab kev phais (nws tsis muaj kev nkag siab los ua qhov kev tshawb fawb ntxov tshaj li lub sijhawm no - qhov tshwm sim yuav cuam tshuam). Tom qab prostatectomy, qhov zoo tshaj plaws ntim ntawm antigen synthesis yuav tsum tsis pub tshaj 0.2 ng / ml yog tias tus txiv neej muaj hnub nyoog qis dua 60 xyoo, thiab 0.5-0.7 ng / ml yog tias tus neeg mob muaj hnub nyoog tshaj 60 xyoo.
Nrog kev tshem tawm ntawm prostate kom tiav
Thaum tus txiv neej lub prostate tau raug tshem tawm tag nrho (radical prostatectomy), tus nqi PSA yuav tsum nyob ntawm 0 ng / ml. Ib qho kev sib txawv ntawm qhov qhia tau hais tias yuav muaj kev mob qog noj ntshav: ntau dua 0.2 ng / ml - qhov tshwm sim yog 25%, ntau dua 0.5 ng / ml - 78%.
Yuav ua li cas txo PSA hauv prostate adenoma yuav tau tham hauv qab no.
Txoj hauv kev kom txo qis PSA qib
Muaj ntau txoj hauv kev los txo qhov concentration ntawm antigen hauv cov ntshav. Txawm li cas los xij, nws yuav tsum nco ntsoov tias cov txheej txheem no tso cai rau koj kom tau txais cov txiaj ntsig luv luv uas kav ntev li ob peb hnub. Tom qab ntawd, PSA concentration rov qab los rau nws tus nqi dhau los.
Koj tuaj yeem txo cov tshuaj tiv thaiv los ntawm kev noj qee yam khoom noj thaum nruab hnub: tshuaj yej ntsuab, zaub paj, txiv lws suav, pomegranate. Hauv qhov no, PSA concentration yuav txo qis los ntawm 0.2-0.4 cov ntsiab lus. Tsis tas li ntawd, cov tshuaj antigen tuaj yeem txo qis los ntawm kev siv thiazide diuretics thiab cov tshuaj txo cov roj cholesterol.
Txoj kev piav qhia yuav tsum tsis txhob coj los ua kev kho mob. Qhov no yog vim lub fact tias rau ib tug ruaj khov txo nyob rau hauv cov theem ntawm PSA, kev tshem tawm ntawm prostate adenoma yog tsim nyog. Qhov no antigen tsuas yog ib qho qhia txog pathology. Nws tshem tawm kuj ua rau normalization ntawm glycoprotein qib.
Yog li, yuav ua li cas txo PSA hauv prostate adenoma? Txoj hauv kev zoo tshaj los kho adenoma yog phais.
Tshuaj tsuas tuaj yeem nres qhov kev loj hlob ntawm prostate. Rau lub hom phiaj no, cov tshuaj uas inhibit 5-alpha reductase, androgenic tshuaj, piv txwv li, Testosterone Propionate, Raveron, Methyltestosterone, tuaj yeem siv. Qee cov kev kho mob pej xeem kuj tuaj yeem tiv thaiv kev loj hlob ntawm adenoma, kev siv uas yuav tsum tau pom zoo nrog tus kws kho mob:
- Asparagus thiab taub dag noob. Txoj hauv kev tsim BPH poob los ntawm 20% yog tias koj noj cov zaub mov no tsawg kawg 3-4 zaug hauv ib lub lis piam.
- Infusion ua nrog txiv qaub peels thiab qej. Ua kom cov khoom, ncuav ib nrab ib liter dej nrog zest ntawm 1 txiv qaub thiab 10 cloves ntawm qej. Koj yuav tsum haus cov tshuaj ib hnub ib zaug rau 20 ml.
- Gush ntawm walnuts thiab zib mu. Koj yuav tsum noj 2 tablespoons ntawm cov khoom txhua hnub.
Zoo kawg
Nws yog ib qho tseem ceeb kom nkag siab tias kev kho tus kheej ntawm tus kab mob tuaj yeem tsis tsuas yog tsis muaj txiaj ntsig, tab sis kuj ua rau muaj teeb meem. Hauv qhov no, koj yuav tsum tau kuaj xyuas kev tiv thaiv ib ntus los ntawm tus kws kho mob urologist thiab ua qhov kev ntsuam xyuas tsim nyog raws sijhawm. Txoj kev nkaus xwbNws yuav muaj peev xwm tswj tau qhov xav tau ntawm PSA hauv tus txiv neej ntawm txhua lub hnub nyoog uas muaj prostate adenoma.
