Menene Abubuwa mafi mahimmanci su san game da cutar kanjamau?
Kowace shekara, dubban maza suna karbar ganewar cutar ta prostate . Saboda yawan mutanen da ke fama da wannan cuta, an gabatar da gwaje-gwaje shekara-shekara don sa ran samun ciwon kwari a farkon farkon sa. Har ila yau akwai gwaje-gwajen da dama don tabbatar da kasancewa da ciwon ciwon gurguwar jini bayan an samo rashin hauka ta wurin nunawa.
Binciken na yau da kullum
Dukkan mutanen da shekarunsu suka kai 50 zasu kamata a bincikar su a kowace shekara don ciwon ciwon gurgu. Mutanen Amirka da maza da tarihin iyali na ciwon daji na ciwon sankara sun nuna cewa suna da yawan ciwon daji na karuwanci kuma suna buƙatar fara samin su a shekaru 40 (ko ma a baya idan mahalarta suka ci gaba da ciwon ciwon gurguwar ƙwayar cutar ta hanyar ciwon ƙwayar ciwon daji).
Bugu da ƙari, duk wani namiji da ke da alamun bayyanar cututtuka na ciwon ciwon kwari yana buƙatar shan gwaji.
Zane-zane da ya dace ya shafi jarrabawar tazarar shekara - shekara tare da gwajin jini na antigen jini .
- Binciken Tsare-Tsare na Digital (DRE)
A wannan gwajin, likitan ya saka wani lubricated, yatsan yatsun hannu (lambar) a cikin dubun. Saboda yanayin wurin prostate kawai a gaban dubun dubura, likita zai iya jin gefen prostate inda yawancin maycers suka fara. Ana iya gano abubuwa masu haɗari irin su bumps ko hardness na prostate ta wannan hanya.
Wannan gwajin yana yawanci ana kammala a cikin 5 zuwa 10 seconds kuma mafi yawan maza suna da rashin jin dadi a lokacin.
- Ƙwararren Ƙwararren Yanki (PSA) Test Blood
An ɗauki karamin samfurin jini sannan a aika shi zuwa wani lab don bincike. PSA wani furotin ne wanda aka samar da kwayoyin prostate kawai. Yayin da prostate ta kara girma, ko saboda ciwon daji ko wani dalili , adadin PSA ya ƙãra.
Matakan PSA ko ƙananan ƙaruwa a matakin PSA zasu iya faɗakar da likitan zuwa yiwuwar ciwon daji.
- Binciken Tsare-Tsare na Digital (DRE)
Biopsy Prostatic
Idan an samo rashin haɗari akan DRE ko gwajin PSA, likitan zai umurce kwayar halitta ta prostate.
A biopsy ya shafi daukan samfurin samfurori kadan daga prostate. Ana yin wannan ta amfani da allurar bakin ciki wadda aka sanya a cikin prostate. Ƙananan adadin nama ne aka kama a cikin allura yayin da yake a cikin prostate sannan kuma an cire allurar. An maimaita wannan a cikin wurare da dama a cikin dukkanin prostate don rage girman damar rasa wani yanki inda ake iya samun ciwon daji.
Wannan aikin ne mafi yawancin ake aikatawa daga likitancin likita ko likita a ofishinsu kuma ya shafi yin amfani da maganin cutar ta gida don rage rashin jin daɗi.
Ana aika wa samfurori samfurori zuwa likitan ilimin likita (likitan likita wanda ke bincikar cututtuka bisa ga bayyanar su a karkashin wani microscope) wanda ke haifar da ganewar asali na ciwon kwari.
A wannan lokaci, mai ilmin likita na iya duba kwayoyin ciwon daji don tantance irin yadda suke haɓaka. Ana kiran wannan "sa" . Matsayi mai mahimmanci yana nufin cewa kwayoyin suna da mawuyaci kuma cewa ciwon daji zai iya yadawa.
Wani labarin mai kyau ya nuna yadda yadda kwayoyin prostate ke aiki.
Gwaje-gwaje don gano ƙaddamar da cutar
Jarabawar ba ta daina bayan masanin ilimin lissafi ya ƙaddara ko ko ciwon daji ke nan. Don magance ciwon daji yadda ya kamata , likitocin kula da ku dole su san yadda cutar ta ci gaba .
Don ƙayyade wannan, ana iya amfani da wasu gwaje-gwaje. Likitanka zai ƙayyade wane ne daga cikin wadannan zabi mafi kyau don yanayinka na musamman, amma duk aiki don gano ciwon daji wanda ya yada a waje na prostate.
- Duban dan tayi - An saka wani bincike na duban dan tayi a cikin dubun. Hanyoyin dan tayi zai iya nuna ko ciwon daji ke mamaye gabobi da kyallen takalma.
- Bone Scan - Labaran ciwon daji yana yadawa zuwa kasusuwa idan ba a gano ba. Saboda wannan dalili, za a iya gwada gwajin don samar da cikakken hoto game da ƙasusuwan jikin. Za a iya gano likitancin ciwon daji a kasusuwa.
- CT Scan ko MRI - Wadannan gwaje-gwaje guda biyu za a iya amfani dasu don samar da cikakkun bayanai game da gabobi da kyallen takarda a cikin ciki da ƙananan ƙwayar cuta. Ana iya ganin manyan wuraren da ke fama da ciwon daji a waje da prostate tare da waɗannan, don haka suna bukatar a hada su tare da sauran gwaje-gwajen don amfani.
- Node na Lymph Biopsy - Kogin Lymph ne ƙananan gine-gine a jikin jikin. Magunguna sukan yadawa a cikin ƙwayoyin lymph a kusa da su zuwa wasu nau'un takalma. Ta hanyar cirewa daga wasu ƙwayoyin lymph a kusa da prostate kuma bayan sun bincikar da ciwon ciwon daji, likitanku zai iya tabbatar da cewa ciwon daji ba ya yada a waje na prostate.
Duk waɗannan gwaje-gwajen sun taimaka wajen gane yadda cutar ta ci gaba da yadu ko "mataki" na ciwon daji . Tsarin aiki yana taimaka wa likita ku ƙayyade mafi kyawun maganin warkar da ku.
Sources:
Gerber GS, Goldberg R, Chodak GW. Tsarin ciwon ciwon ta prostate ta hanyar ƙwayar tumo, antigen-specific antigen, da kuma tashar dan tayi daidai. Ilimin Halitta 40 (4): 311-6, 1992.
Stone NN, RG RG, Unger P. Nunawa na biology da kuma laparoscopic maganin ƙumbadadden ƙwayar cuta a cikin mazajen da ke dauke da carcinoma na prostate. J Urol 154 (4): 1392-6, 1995.