He aha ka Prostate Biopsy? Ke Kumu, ke Kaʻina Hana & Nā Hōʻike

ʻO ka prostate biopsy he hana lapaʻau kahi e lawe ai kāu kauka i nā laʻana liʻiliʻi o ka ʻiʻo mai kou ʻōpū prostate e nānā iā lākou ma lalo o ka microscope. Kōkua kēia hoʻokolohua i ka hoʻoholo ʻana inā loaʻa nā pūnaewele maʻi maʻi i loko o kou prostate, e hāʻawi ana iā ʻoe a me kāu hui mālama ola i nā pane maopopo e pono ai ʻoe e neʻe i mua me ka hilinaʻi.

ʻOiai e manaʻo paha ka huaʻōlelo

Hiki ke piʻi nā pae PSA no nā kumu he nui ma waho o ka maʻi ʻaʻai, me ka hyperplasia prostatic benign (he prostate nui), prostatitis (inflammation), a i ʻole ka hana kino hou. Eia naʻe, ke kiʻekiʻe mau nā pae PSA a i ʻole e piʻi ana i ka manawa, kōkua ka biopsy i ka hoʻoholo ʻana i ke kumu pololei.

I kekahi manawa, ʻōlelo nā kauka i nā biopsies ke hōʻike nā hoʻokolohua kiʻi e like me MRI i nā wahi kānalua i ka prostate. Eia kekahi, inā he moʻolelo ʻohana kou o ka maʻi ʻaʻai prostate a i ʻole e lawe i kekahi mau loli genetic, hiki i kāu kauka ke ʻōlelo aku i ka nānā pinepine ʻana e hiki ke komo i nā biopsies.

I nā hihia kakaikahi, hiki i nā kauka ke ʻōlelo aku i kahi biopsy hou inā ʻaʻole i maopopo nā hopena mua a i ʻole inā ua loaʻa iā lākou nā cell atypical e pono ai ka noiʻi hou.

He aha ke kaʻina hana no ka biopsy prostate?

ʻO ke ala maʻamau he biopsy alakaʻi ultrasound transrectal, kahi e hoʻohana ai kāu kauka i kahi probe ultrasound i hoʻokomo ʻia ma kou rectum e alakaʻi i ke kau ʻana o ka nila. E moe ana ʻoe ma kou ʻaoʻao i kēia kaʻina hana 15-20 mau minuke.

E hana mua kāu kauka i kahi ultrasound e ʻike i kou prostate a ʻike i nā wahi maikaʻi loa no ka laʻana. A laila e hoʻohana lākou i kahi pū biopsy i hoʻouka ʻia i ka puna e hōʻiliʻili koke i nā laʻana ʻiʻo, e hana ana i kahi kani snapping pōkole a me ka manaʻo kaomi manawa.

Eia ka mea e hana maʻamau i ka wā o ke kaʻina hana:

1. E loaʻa iā ʻoe nā lāʻau antibiotic ma mua o ke kaʻina hana e pale ai i ka maʻi
2. Hoʻokomo ʻia ka anesthetic kūloko a puni ka prostate e hōʻemi i ka hōʻoluʻolu
3. Hoʻokomo ʻia ka probe ultrasound e alakaʻi i ke kaʻina hana
4. 12-15 mau laʻana ʻiʻo i hōʻiliʻili ʻia mai nā wahi prostate like ʻole
5. Hoʻouna koke ʻia nā laʻana i ka hale hana no ka loiloi

Hoʻohana kekahi mau kauka i nā biopsies alakaʻi MRI, hiki ke kuhikuhi i nā wahi kānalua kikoʻī me ka pololei. Hiki i kēia ala ke komo i kahi ʻenehana fusion MRI-ultrasound a i ʻole ke alakaʻi MRI pololei i ka wā o ke kaʻina hana.

ʻO kekahi ala i ʻike ʻole ʻia, ʻo ia ka biopsy transperineal, kahi e lawe ʻia ai nā laʻana ma o ka ʻili ma waena o kou ʻōpū a me ka ʻōpū. Hiki i kēia ʻano hana ke hōʻemi i ka pilikia o ka maʻi akā pono pinepine i ka anesthesia hou aku.

Pehea e hoʻomākaukau ai no kāu biopsy prostate?

ʻO ka hoʻomākaukau ʻana no kāu biopsy prostate e pili ana i nā ʻanuʻu nui e kōkua ai i ka palekana a me ka hōʻoluʻolu. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī, akā ʻo ka hapa nui o nā hoʻomākaukau he maʻalahi a hiki ke mālama ʻia.

E hoʻomaka ana ʻoe e lawe i nā lāʻau antibiotic i hoʻokahi a ʻekolu mau lā ma mua o kāu biopsy e pale ai i ka maʻi. He mea nui e lawe i kēia mau mea e like me ke kauoha ʻia, ʻoiai inā maikaʻi ʻoe.

Eia nā ʻanuʻu hoʻomākaukau maʻamau e alakaʻi ai kāu hui mālama ola iā ʻoe:

• E hooki i ka lawe ʻana i nā lāʻau e hoʻoheheʻe i ke koko e like me ka aspirin a i ʻole warfarin e like me ke kuhikuhi a kāu kauka
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• E hoʻopau i nā hana koko a i ʻole nā ​​hana kiʻi ma mua
• E hoʻohana i ka enema hoʻomaʻemaʻe i ke kakahiaka o kāu biopsy inā ʻōlelo ʻia
• E ʻaʻahu i nā lole ʻoluʻolu a me nā lole ʻoluʻolu i kāu manawa

E nānā kāu kauka i kāu papa inoa lāʻau lapaʻau piha a noi paha iā ʻoe e hooki i kekahi mau mea hoʻohui a i ʻole nā ​​lāʻau anti-inflammatory. Mai hooki i kekahi mau lāʻau lapaʻau me ka ʻole o ke alakaʻi kikoʻī mai kāu hui mālama ola.

Inā he hopohopo kāu e pili ana i ka hopohopo a i ʻole ka hōʻoluʻolu ʻole, e kūkākūkā ākea me kāu kauka. Hiki iā lākou ke hāʻawi pinepine i nā koho hoʻokele ʻeha hou a i ʻole ka sedation maʻalahi e kōkua iā ʻoe e ʻoluʻolu.

Pehea e heluhelu ai i kāu hopena biopsy prostate?

Hoʻi pinepine kāu hopena biopsy i hoʻokahi a ʻelua pule, a e hoʻonohonoho kāu kauka i kahi manawa e kūkākūkā i nā hopena i nā kikoʻī. ʻO ka hoʻomaopopo ʻana i kēia mau hopena e kōkua iā ʻoe e hana i nā hoʻoholo i ʻike ʻia e pili ana i kou olakino e neʻe i mua.

E nānā ana ke kauka lapaʻau i kāu mau laʻana ʻiʻo a hāʻawi i kahi hōʻike piha e pili ana i kā lākou i ʻike ai. Hāʻule maʻamau nā hopena i loko o kekahi mau māhele, me nā hopena like ʻole no kou olakino.

Eia ke ʻano o nā hopena biopsy:

• ʻIʻo maʻamau: ʻAʻole i loaʻa nā pūnaewele maʻi ʻaʻai, ʻoiai ʻaʻole kēia e kāpae i ka maʻi ʻaʻai ma nā wahi i lawe ʻole ʻia
• Benign prostatic hyperplasia: Hoʻonui ʻia ka ʻiʻo prostate me ka ʻole o nā pūnaewele maʻi ʻaʻai
• Prostatitis: ʻO ka mumū i loko o ka ʻiʻo prostate, hiki ke mālama ʻia me nā lāʻau antibiotic
• Nā pūnaewele atypical: Nā pūnaewele maʻamau ʻole ʻaʻole i maopopo he maʻi ʻaʻai, pono paha ka biopsy hou
• High-grade prostatic intraepithelial neoplasia (PIN): Nā loli precancerous e pono ai ka nānā ʻana
• Maʻi ʻaʻai prostate: Loaʻa nā pūnaewele maʻi ʻaʻai, me ka ʻike hou aku e pili ana i ka hana ʻino

Inā loaʻa ka maʻi ʻaʻai, e komo kāu hōʻike i kahi helu Gleason, e ana ana i ka hana ʻino o ka maʻi ʻaʻai. Hōʻike nā helu Gleason haʻahaʻa (6-7) i nā maʻi ʻaʻai e ulu mālie ana, ʻoiai nā helu kiʻekiʻe (8-10) e hōʻike ana i nā ʻōpū ʻino.

Hōʻike pū ka hōʻike i ka nui o nā cores biopsy i loaʻa i ka maʻi ʻaʻai a me ka pākēneka o kēlā me kēia core i hoʻopilikia ʻia. Kōkua kēia ʻike i kāu hui lapaʻau e hoʻoholo i ka nui a me ke koʻikoʻi o kekahi maʻi ʻaʻai i loaʻa.

He aha nā mea pilikia no nā hopena biopsy prostate maʻamau ʻole?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa nā hopena maʻamau ʻole ma kahi biopsy prostate. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua i ka hoʻokomo ʻana i kāu kūlana pilikino i ka manaʻo a alakaʻi i kāu mau hoʻoholo mālama ola.

ʻO ka makahiki ka mea pilikia nui loa, me ka maʻi ʻaʻai prostate e lilo ana i mea maʻamau ma hope o ka piha ʻana o 50. Eia naʻe, ʻo ka loaʻa ʻana o nā mea pilikia ʻaʻole ia he manaʻo e loaʻa ana iā ʻoe nā pilikia, a he nui nā kāne me nā mea pilikia he nui ʻaʻole loa e loaʻa nā pilikia prostate koʻikoʻi.

ʻO nā mea pilikia i ʻike nui ʻia, penei:

• ʻOi aku ma mua o 50 makahiki: Piʻi nui ka pilikia me kēlā me kēia makahiki o ke ola
• Mōʻaukala ʻohana: ʻO ka loaʻa ʻana o ka makua kāne a i ʻole ke kaikunāne me ka maʻi kanesa prostate e pāpālua i kou pilikia
• Lāhui a me ka lāhui: ʻOi aku ka nui o nā kāne ʻAmelika ʻApelika i ka maʻi kanesa prostate
• Nā loli genetic: Hoʻonui ka BRCA1, BRCA2, a me nā loli gene hoʻoilina ʻē aʻe i ka pilikia
• ʻAi nui i ka ʻiʻo ʻulaʻula a me ka waiū: Hiki ke kōkua i ka hoʻonui ʻana i ka pilikia i ka wā lōʻihi

ʻO nā mea pilikia ʻē aʻe akā he mea nui nō hoʻi, ʻo ia ka hōʻike ʻana i kekahi mau mea kemika, ka lāʻau lapaʻau radiation ma mua i ka wahi pelvic, a me ka loaʻa ʻana o ka maʻi Lynch a i ʻole nā maʻi kanesa hoʻoilina ʻē aʻe.

ʻO ka mea hoihoi, hiki i kekahi mau mea ke pale aku, me ka hana kino mau, ka ʻai ʻana i nā mea kanu a me nā iʻa, a me ka mālama ʻana i ke kaumaha olakino. Eia naʻe, hiki nō i nā kāne me nā mea pale ke loaʻa nā pilikia prostate.

He aha nā pilikia hiki ke loaʻa i ka biopsy prostate?

ʻOiai he mau hana palekana ka biopsy prostate, he mea nui e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke ʻike iā lākou a ʻimi i ka mālama kūpono inā pono. ʻO ka hapa nui o nā kāne e ʻike wale i nā hopena ʻaoʻao liʻiliʻi a me ka manawa pōkole e hoʻoponopono i loko o kekahi mau lā.

ʻO nā pilikia maʻamau he maʻalahi a hiki ke mālama ʻia me ka mālama kūpono a me ka nānā ʻana. E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī e pili ana i ka mea e manaʻo ai a i ka manawa e kāhea ai no ke kōkua.

Eia nā pilikia āu e ʻike ai:

• Ke kahe ʻana o ke koko: Ke koko i loko o ka mimi, ka lepo, a i ʻole ka wai seminal no kekahi mau lā a i ʻole mau pule
• Maʻi: Pāmahana, nā anu, a i ʻole ke kuni i ka wā e mimi ai
• Nā pilikia mimi: Nā pilikia manawa me ka mimi ʻana a i ʻole ka paʻa ʻana o ka mimi
• ʻO ka hōʻoluʻolu ʻole: ʻEha i ka wahi rectal a i ʻole ka pelvis no kekahi mau lā
• Reaksiona vasovagal: ʻO ka wili manawa a i ʻole ka hāʻule ʻana i ka wā o ke kaʻina hana

He kakaikahi nā pilikia koʻikoʻi akā hiki ke komo i ka maʻi nui e koi ana i ka haukapila, ke kahe nui ʻana o ke koko e koi ana i ka lāʻau lapaʻau, a i ʻole ka paʻa ʻana o ka mimi. Hiki kēia mau mea i lalo o 1-2% o nā kaʻina hana.

He mea maʻamau ke koko i loko o kāu wai seminal a hiki ke mau no kekahi mau pule a i ʻole mau mahina ma hope o ka biopsy. ʻOiai he mea hoʻoweliweli ke ʻike, he mea ʻole kēia a hoʻoponopono mālie ʻia ma kāna iho.

I nā manawa kakaikahi, hiki i nā kāne ke ʻike i nā hopena maʻi i nā lāʻau antibiotic a i ʻole nā ​​anesthetics kūloko i hoʻohana ʻia i ka wā o ke kaʻina hana. Nānā kāu hui lapaʻau no nā maʻi ma mua e hōʻemi i kēia pilikia.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka biopsy prostate?

He maʻalahi ka hōʻola ʻana mai ka biopsy prostate, akā ʻo ka ʻike ʻana i ka manawa e hoʻopili ai i kāu hui mālama ola e hāʻawi iā ʻoe i ka hilinaʻi a hōʻoia i ka hoʻoponopono ʻia ʻana o nā pilikia. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana a me nā hōʻailona ʻōlelo aʻo.

Pono ʻoe e hoʻopili i kāu kauka i ka wā koke inā loaʻa iā ʻoe ke kuni ma luna o 101°F (38.3°C), no ka mea, hiki i kēia ke hōʻike i ka maʻi e koi ana i ka lāʻau antibiotic wikiwiki. Mai kali e ʻike inā hoʻoponopono ke kuni ma kāna iho.

Eia nā hōʻailona e hōʻoia i ka lāʻau lapaʻau koke:

• Pāmahana kiʻekiʻe a i ʻole nā anu: Nā hōʻailona o ka maʻi e pono ai ka lāʻau lapaʻau wikiwiki
• ʻAʻole hiki ke mimi: Paʻa mimi piha e pono ai ka mālama koke
• Ke kahe nui ʻana: Ke kahe nui ʻana o ke koko i loko o ka mimi ʻaʻole e hoʻomaikaʻi
• ʻEha nui: ʻEha ʻaʻole i mālama ʻia me nā lāʻau i ʻōlelo ʻia
• Nā hōʻailona o ka sepsis: Manaʻo maʻi loa, puʻuwai wikiwiki, huikau, a i ʻole ka pilikia o ka hanu ʻana

Pono nō hoʻi ʻoe e kelepona i kāu kauka no nā hōʻailona ʻaʻole wikiwiki akā hopohopo e like me ka ʻeha mau i ka wā mimi, nā ʻōpū koko i loko o ka mimi e hoʻomau ana ma mua o ka lā mua, a i ʻole ka ʻoluʻolu e hoʻonui ana ma mua o ka hoʻomaikaʻi ʻana.

Ma ke ʻano maʻamau, e loaʻa iā ʻoe kahi manawa e hahai ai i loko o hoʻokahi a ʻelua pule e kūkākūkā i nā hopena o kāu biopsy. Eia naʻe, mai kānalua e kelepona koke inā he nīnau a hopohopo paha kāu e pili ana i kou ola hou ʻana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka prostate biopsy

Q.1 He mea maikaʻi anei ka hoʻāʻo biopsy prostate no ka ʻike ʻana i ka maʻi maʻi?

ʻO ka prostate biopsy i kēia manawa ke kūlana gula no ka ʻike ʻana i ka maʻi maʻi prostate a hāʻawi i nā hopena pololei loa ke loaʻa ka maʻi maʻi i nā wahi i lawe ʻia. Hoʻomaopopo pololei ka hoʻāʻo i ka maʻi maʻi ma kahi o 95% o nā hihia kahi e loaʻa ai nā cell maʻi maʻi i nā laʻana ʻiʻo i lawe ʻia.

Eia naʻe, he mea nui e hoʻomaopopo ʻaʻole hōʻoia ka biopsy maikaʻi ʻole i ka nele o ka maʻi maʻi i loko o kou prostate holoʻokoʻa. Ma muli o ka lawe ʻana o nā nila i nā ʻāpana liʻiliʻi wale nō o ka ʻōpū, hiki ke loaʻa ka maʻi maʻi i nā wahi i hana ʻole ʻia. ʻO ia ke kumu e ʻōlelo ai nā kauka i nā biopsy hou inā kiʻekiʻe ka manaʻo ʻoiai nā hopena mua maikaʻi ʻole.

Q.2 ʻO ke kiʻekiʻe PSA ke manaʻo mau nei e pono wau i ka biopsy?

ʻAʻole ia he manaʻo maʻalahi nā pae PSA kiʻekiʻe e pono ai ʻoe i ka biopsy, no ka mea, nui nā mea ʻē aʻe ma mua o ka maʻi ʻaʻai e hiki ke hoʻonui i ka PSA. E noʻonoʻo kāu kauka i kou makahiki, ke ʻano o ka PSA i ka manawa, ka mōʻaukala o ka ʻohana, a me nā mea pilikia ʻē aʻe i ka wā e hana ai i nā ʻōlelo paipai biopsy.

Loaʻa i kekahi mau kāne me ka PSA kiʻekiʻe nā maʻi maikaʻi e like me ka prostate nui a i ʻole ka prostatitis. Hiki i kāu kauka ke hoʻāʻo mua e mālama i kēia mau maʻi a i ʻole ke nānā ʻana i nā loli PSA i nā mahina he nui ma mua o ka ʻōlelo ʻana i kahi biopsy.

Q.3 Pehea ka ʻeha o ka biopsy prostate?

Hōʻike ka hapa nui o nā kāne i ka ʻeha o ka biopsy prostate he mea maʻalahi a pōkole, e like me ka loaʻa ʻana o nā lāʻau lapaʻau he nui i ka wikiwiki. Hoʻemi nui ka anesthetic kūloko i ka ʻeha, a ʻo ka lawe ʻana i nā laʻana e lawe wale i kekahi mau kekona no kēlā me kēia kumu.

E manaʻo paha ʻoe i ke kaomi a lohe i nā leo paʻi i ka wā e lawe ʻia ai nā laʻana, akā ʻaʻole maʻamau ka ʻeha nui. Nui nā kāne e hōʻike ana he mea koʻikoʻi ka manaʻo i ke kaʻina hana ma mua o ka ʻike maoli. Hiki i kāu kauka ke hāʻawi i ka mālama ʻeha hou inā hopohopo nui ʻoe.

Q.4 Hiki iaʻu ke hoʻi i nā hana maʻamau ma hope o ka biopsy prostate?

Hiki iā ʻoe ke hoʻomau i ka hapa nui o nā hana maʻamau i loko o 24-48 mau hola ma hope o kāu biopsy, ʻoiai e hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i kāu kūlana pilikino. ʻO nā hana māmā e like me ka hele wāwae a me ka hana pākaukau maʻamau i ka lā ma hope o kāu kaʻina hana.

Pono ʻoe e pale i ka hāpai kaumaha, ka hoʻoikaika kino ikaika, a me ka hana moe kolohe no hoʻokahi pule e ʻae i ka hoʻōla kūpono. Pono e pale ʻia ka ʻauʻau ʻana a me ka ʻauʻau ʻana no kekahi mau lā e hōʻemi i ka pilikia o ka maʻi, ʻoiai ua maikaʻi nā ʻauʻau.

Q.5 He aha ka mea e hana ai inā hōʻike kaʻu biopsy i ka maʻi ʻaʻai?

Inā hōʻike kāu biopsy i ka maʻi ʻaʻai, e kūkākūkā kāu hui mālama ola i nā koho lapaʻau a pau i loaʻa e pili ana i nā mea e like me ka huhū o ka maʻi ʻaʻai, kou makahiki, ke olakino holoʻokoʻa, a me nā makemake pilikino. Nui nā maʻi ʻaʻai prostate e ulu mālie a ʻaʻole pono e mālama koke.

Mai ka nānā ʻana (ka nānā pono ʻana) no nā maʻi maʻi haʻahaʻa i ka ʻoki ʻana, ka lāʻau lapaʻau radiation, a i ʻole ka lāʻau lapaʻau hormone no nā maʻi maʻi ʻoi aku ka ikaika nā koho lapaʻau. E loaʻa iā ʻoe ka manawa e noʻonoʻo ai i kāu mau koho a e ʻimi i nā manaʻo lua inā makemake ʻia. E hoʻomanaʻo i ka maikaʻi ʻana o ka lapaʻau maʻi prostate, a he nui nā kāne e ola ana i nā ola piha a maʻamau ma hope o ka hōʻailona a me ka lapaʻau.