PSA kuongorora ndiyo inowanzo. Nzira yekutora ropa kuPSA, kugadzirira kwakakodzera

Chirwere cheprostate chinopa "chinoremekedzwa" chechitatu munzvimbo yekufa pakati pevamwe kanzira, uye muboka revarume vakwegura mutungamiri. Chero muRussia gore rega rega mapeji 14 000 echirwere ichi anyoresa. Nokufamba kwenguva, zvinokwanisika kuzviongorora uye kutora matanho akakwana kuti ubatsire kuongorora PSA. Chinyiko uye kuti ungagadzirira sei kuitira kuti zvigumisiro zvive zvakanaka?

Chii chinonzi PSA chirevo chinoreva?

PSA kana PSA inonzi prostate chaiyo. Nekugadzirisa kwayo, iri protein polypeptide inosanganisira anopfuura 200 amino acids. Ita ichi chinhu uye varwere, uye masero ane hutano hweprostate, saka huwandu hwayo muropa hunoratidza kuongorora kwePSA imwe neimwe. Chimiro chezera rimwe nerimwe revarume chakasiyana, sezvo nezera re prostatic rinonyanya kubudiswa mune zvakawanda. Muvarume vane hutano, iripo, kuwedzerwa neropa, mu ejaculate (sperm) uye muchivande cheprostate. Muhupo hwemakumbo masero muprostate gland, muenzi we prostate anotanga kubudiswa muzviyero zvakakura, izvo zvinoshandiswa mukunyora kusina mhosva kwechirwere chacho. Mukuwedzera pakuongororwa kwechirwere ichi, kuongororwa kunoitwa kuti iongorore hutano hwehutano hwave huri kurapwa kana kurapa varwere vane kenza yeprostate kana adenoma.

Age age norms

Chirwere cheprostate chirwere chinonyanyisa. Kana iyo isingawanikwi panguva yakakodzera uye utange kurapwa kwenguva refu, zvinongotungamirira kune chinouraya. Sezvinoratidzwa nehuwandu hwezvokurapa, rudzi urwu rwekenza harwunobatanidza nekusvuta, kudhakwa, kuwedzera kwepabonde uye zvirwere zvinopararira pabonde, kureva kuti, munhu wose anogona kurwara nazvo. Nzira chete yekuwana chirwere ichi panguva uye saka kuchengetedza hupenyu hwako ndekuongorora ropa rePSA. Chimiro chinogona kudarika kwenguva duku, iyo inosanganiswa nedzimwe zvirwere. Mumamiriro ezvinhu akadaro, kuongorora kunodzokororwa kana zvimwe zvidzidzo zvinoitwa.

Chii chinonzi "gray zone"?

Nokuda kwekudzidza, ropa rinobviswa kubva mumutsipa. Migumisiro yekuongororwa, apo hutsika hwe prostatic agent huri pamusoro pemugariro, asi haupfuuri 10 ng / ml, inowanzonzi "gray zone". Mumamiriro ezvinhu akadaro, chiremba anogona kupa chirongwa cheprostate biopsy. Chiratidzo chikuru chekuzvibata kwayo chiyero chezvinonzi PSA yakasununguka kusvika kune yose. Inofanira kuva yakakwirira kudarika 15% muvarume vane utano. Izvo zvinonzi PSA pasina kuedza ndekutsvakira kwenhamba yemaprotinasi asina kuwanikwa (asina) eprostatic agent ari mu serum. Ichokwadi ndechokuti kungova 10 muzana chete yemarudzi ese eprostatic agent aripo muno. Zvasara 90 muzana zvinosanganiswa ne-α-1-antichymotrypsin (a protease inhibitor) kana α-2-macroglobulin (inhibitor ye pepsin, plasmin nemamwe enzymes). Kuva pamwe neA-2-macroglobulin, PSA haina kunyatsogadziriswa. Zvidzidzo zverabhurazi zvinoratidza chete kuwanda kwekusununguka uye α-1-antichymotrypsin-inosanganisira prostatic agent. Nhamba yavo yose inoratidzirwa neinoti PSA yakazara ropa test . Kana munhu ane kenza yeprostate, α-1-antichymotrypsin inotanga kubudiswa muzvikamu zvakawanda mumutumbi, izvo zvinoita kuti pave nekusungirirwa kukuru kwemugadziri uye kuderera kwomufaro waro wakasununguka. Somugumisiro, chikamu chepakati chemaviri aya chinoderera.

Ndechipi chikonzero chokupfuura chimiro?

Nhamba yehuwandu hwePSA mumaserumum seramu yakanyanyiswa zvikuru nedzimwe zvirwere. Inonyanya kuipa yeiyi kenza yeprostate, kureva kuti, kuwedzera kwakaipa kweprostate iyo isingabatanidzi nezera uye inopa maitiro. Pachinhu chiduku chiduku chekenza, inoratidzirwa nekunetseka nekugunzva, manzwiro akaita sendivha haibvumi zvachose, kazhinji zvinokurudzira uye zvinetso nekugunzva, uye kurwadziwa mu perineum, zvakakosha kuti uongorore PSA. Chimiro chinowanikwa kuvanhu vane hutano, nhamba yakakwirira inogona kuva nehosha dzinotevera:

- Adenoma (benign tumor iyo haina kupa metastasis);

- kuputika kweprostate;

- chirwere chemwoyo (necroseis nemhaka yekuputika);

- ischemia (anemia ye prostate, inosangana nezvinetso mumidziyo yeropa);

Kukanganisika kwakanyanya kwesainal.

Ndezvipi zvikonzero zvinokonzera kuwedzera kwemufudzi we prostatic?

Nhamba yeprostatic agents muropa inokanganiswa nezvimwe zvinhu. Saka, kuitira kuti uwane kuongororwa kwePSA yakavimbika, kugadzirira kwayo kunofanira kuitwa zvakanyanyisa. Kuipa kwemaitiro kunobatwa ne:

- ejaculation;

- Deep prostate massage;

- biopsy;

- TRUS (chaiyo ultrasound ye prostate gland);

- TURP (kurapa kurapwa kweprostate).

Zviitiko zvisingaiti kuverenga:

- nguva yezuva;

- kuisa katheter muchikanda uye cystoscopy;

- rectal (nerubatsiro rweminwe) kuongorora kweprostate.

Kugadzirira kuongorora

Murwere mumwe nomumwe anosungirwa kuziva nekunyatsotevera kutevedzwa kwaanoita asati aita PSA kuongorora. Muitiro wake kumakore akasiyana-siyana unozivikanwa zvikuru. Nharaunda inogona kuwedzerwa kwete nekuda kwehutachiona hweprostate, asi nekuda kwekusateererwa nemamiriro ezvinhu chaiwo. Izvo zvinotevera:

- kuzvidzivirira kubva pakusiya kwemazuva maviri mazuva maviri asati aongorora;

- kuitisa kuongororwa kusati kwapera kwemazuva matatu mushure memvura yakadzika inonzi prostate massage;

- kana murwere ari kuita TRUS, mushure mokunge nzira yePSA isati yasvika inofanira kuva mazuva manomwe;

- mushure mekutsvaga kweprostate, iyo inonyanya kuwedzera kuwanda kwemujeri muropa, inofanira kupfuura mavhiki masere isati yaongororwa;

- kana murwere achinge aenda mukutengesa, PSA inogona kuitika musati yapfuura mwedzi mitanhatu mushure mekushanda.

Mukuwedzera, usati waongorora iwe unofadza kuti usarega kusvuta, usadya kudya kwemafuta kwezuva rinopfuura, usapinda zvakanyanya mumuviri nepfungwa mupfungwa.

Iko kuongorora kuri kurongwa?

Kana vachifungidzirwa nezvechirwere cheprotate uye mukurapa kwechirwere chakaonekwa, PSA inorayirwa. Izvo zvinowanikwa mukurapa zvinoenderana nerudzi rwechirapa. Saka, mushure mekubviswa kushandiswa kweprostate (laparoscopic prostatectomy), iyo nhamba ye digital inonzi prostatic specific agent inowanzosvitsa kusvika 0,2 ng / ml, uye shure kweradiootherapy - kusvika 1 ng / ml. Izvi zviratidzo zvakanaka uye zvinotitendera kuti tive netariro kwenguva yakareba tisingadzokeri zvakare. Kana, shure kwemarudzi ose ehutachiona, huwandu hwePSA hunowedzera, tinogona kuona kuti hupenyu huri nani huri nani. Zvisinei, kuwedzera kwePSA hakurevi kuratidza chirwere chekenza nguva dzose. Muzviitiko zvisingaiti, chigumisiro chacho chinotungamirirwa nehumwe hunoenderana nemiganhu yevarwere. Kune vanhu vane maviri anowedzera kuwedzera, saka hutachiona huri nyore kuvhara muropa, uye semugumisiro, chiyero chacho chakanyanyisa.

Ndezvipi zviyero zvinotorwa kuti zvijekese kuongororwa?

Sezvatotaurwa pamusoro apa, nezera mumurume mumwe nomumwe prostate gland inowedzera. Kuti kuderedze kuitika kwekuwedzera kwechizvarwa pamigumisiro yekuongororwa, huwandu hwePSA hunoyera. Ichi chiratidzo chinotsanangurwa nekuparadzanisa chiyero chekuwandisa nehuwandu hwehuwandu hwe prostate. Kana iyo quotient inowanikwa nefission yakawanda kupfuura 0.15 ng / ml / cm cubic, pane kusava nechokwadi kwekutanga kwechirwere chechirwere mu prostate gland. Mumamiriro ezvinhu akadaro, munhu ane biopsy. Imwe rudzi rwekudzidza ndekutsanangura kuti nokukurumidza PSA inoshanduka sei. Kana iyo nhamba yakakwirira kudarika 0.75 ng / ml / gore, murwere ane mukana wakakura wekudzikisa tumarara. Dhiyabhorosi yekuongorora inobatsira kutsanangura nekururamisa kwakakwana kuvapo kwemasastases mumurwere. Nokudaro, ne prostate chaiyo inopfuura 50 ng / ml, kune hutano hwepamusoro hwekutanga maitiro e metastasis. Uye mifananidzo inopfuura 100 ng / mg inoona kuvepo kwemvura yakadzika.