Taatai pūkahukahu Prostate
Mō tēnei whakamātautau
Ko te tātaritanga kohinga prostate tētahi tukanga hei tango i ngā tauira o te kiko whakapae mai i te prostate. Ko te prostate tētahi pūngāwerewere iti, rite te āhua ki te nati, kei ngā tane, e whakaputa ana i te wai hei whāngai me te kawe i te purapura. I te wā o te tātaritanga kohinga prostate, ka whakamahia he ngira hei kohikohi i te maha o ngā tauira kiko mai i tō pūngāwerewere prostate. Ka mahi tēnei tukanga e te taote e mōhiotia ana ki te pūnaha mimi me ngā wahanga ira tane (urologist).
He aha ai i mahia ai
Ko te tātaritanga o te prostate e whakamahia ana hei kimi i te mate pukupuku prostate. Ka taea e tō tākuta te tūtohu i tētahi tātaritanga o te prostate ki te: Kei te whakaatu te whakamātautau PSA i ngā taumata teitei atu i te noa mō tō tau Ko tō tākuta i kitea ngā pūngāwerewere, ngā rerekētanga rānei i te whakamātautau tūturu o te tūāpapa Kei te whai koe i tētahi tātaritanga o mua me te hua noa, engari kei te piki tonu ngā taumata PSA o mua I whakaatu te tātaritanga o mua i ngā pūtau kiko prostate i kore noa, engari kāore i te mate pukupuku
Ngā tūraru me ngā raruraru
Ko ngā tūponotanga e pā ana ki te tātaritanga o te prostate ko: Te toto i te wāhi tātaritanga. He mea noa te toto o te tūturu i muri i te tātaritanga o te prostate. Te toto i roto i tō wai ejaculate. He mea noa te kite i te tae whero, kōwhai rānei i roto i tō wai ejaculate i muri i te tātaritanga o te prostate. Ka tohu tenei i te tūmanako o te toto, ā, ehara i te take whakaaro. Ka taea e te toto i roto i tō wai ejaculate te noho mo ngā wiki torutoru i muri i te tātaritanga. Te toto i roto i tō mimi. Ko te toto tenei, he iti noa iho. Te raruraru ki te mimi. Ka taea e te tātaritanga o te prostate te raruraru i te mimi i muri i te mahi. Ko te mea rāre, me whakauru he catheter mimi wā poto. Te mate. Ko te mea rāre, ka taea e te tātaritanga o te prostate te mate i te ara mimi, te prostate rānei e hiahia ana ki te rongoā me ngā antibiotics.
Me pēhea te whakarite
Hei whakarite mo tō biopsy prostate, āta tirohia e tō tohunga hauora ngā mea e whai ake nei: Homai he tauira mimi hei tātaritanga mō te mate mimi. Ki te pēhea te mate mimi, ka whakaroa pea tō biopsy prostate i te wā e inu ana koe i ngā rongoā antibiotic hei whakakore i te mate. Whakamutu i te inu i ngā rongoā ka piki ake ai te mate toto – pēnei i te warfarin (Jantoven), te aspirin, te ibuprofen (Advil, Motrin IB, ētahi atu) me ētahi tāpiringa tipu – mō ngā rā tokoiwa i mua atu o te mahi. Me mahi he enema horoi i te kāinga i mua atu o tō whakatau biopsy. Inu i ngā rongoā antibiotic i mua atu o tō biopsy prostate hei āwhina i te aukatinga i te mate mai i te mahi.
Te mārama ki ō hua
Ka arotakehia ngā tauira biopsy o te prostate e te taote e whai whakaaro ana ki te whakatau i te mate pukupuku me ētahi atu rerekētanga o ngā kiko (pathologist). Ka taea e te pathologist te kī mena he pukupuku te kiko i tangohia, ā, ki te mea kei reira te mate pukupuku, ka āta whakatau te kaha o te mate. Ka whakamārama atu tō taote ki a koe ngā kitenga a te pathologist. I roto pea i tō ripoata pathology: He whakaahuatanga o te tauira biopsy. I etahi wā ka kiia ko te whakaahuatanga whānui, ā, i roto i tēnei wāhanga o te ripoata pea ka arotakehia te tae me te āhua o te kiko prostate. He whakaahuatanga o ngā pūtau. Ka whakaahuatanga atu tō ripoata pathology i te āhua o ngā pūtau i raro i te microscope. Ka kiia pea ngā pūtau mate pukupuku prostate ko te adenocarcinoma. I etahi wā ka kite te pathologist i ngā pūtau e āhua rerekē ana, engari ehara i te pukupuku. Ko ngā kupu e whakamahia ana hei whakaahuatanga i ēnei āhuatanga ehara i te pukupuku ko te “prostatic intraepithelial neoplasia” me te “atypical small acinar proliferation”. Te taumata o te mate pukupuku. Ki te kite te pathologist i te mate pukupuku, ka taumatahia ki runga i te tauine e kiia nei ko te tau o Gleason. Ka whakakotahi te tauira Gleason i ngā tau e rua, ā, ka taea te tae atu i te 2 (mate pukupuku kore kaha) ki te 10 (mate pukupuku kaha rawa), ahakoa kaore i te whakamahia te wāhanga iti o te tauine. Ko te nuinga o ngā tau o Gleason e whakamahia ana hei aromatawai i ngā tauira biopsy prostate kei waenganui i te 6 ki te 10. Ko te tau 6 e tohu ana i te mate pukupuku prostate iti te taumata. Ko te tau 7 e tohu ana i te mate pukupuku prostate waenga te taumata. Ko ngā tau mai i te 8 ki te 10 e tohu ana i ngā mate pukupuku teitei te taumata. Te whakatau a te pathologist. Kei roto i tēnei wāhanga o te ripoata pathology te rārangi o te whakatau a te pathologist. Pea ka whai kōrero atu anō hoki, pēnei i te mea kei te tūtohutia ētahi atu whakamātautau.
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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