PSA gwajin - da kullum. Yadda za a yi wani jini gwajin for PSA, dace shiri

Prostate ciwon daji ne da "m" na uku wuri a mace-mace a tsakanin sauran cutar daji, da kuma a cikin kungiya da mazan maza ne shugaban. A Rasha kadai, akwai kusan 14.000 lokuta da cutar kowace shekara. Dace ganewar asali da kuma ta lokaci ya dauki mataki taimaka PSA gwajin. Mẽne ne da kuma yadda za a shirya domin shi, don haka da cewa da sakamakon su daidai?

Me ake nufi da PSA ne acronym?

PSA, ko PSA - prostate takamaiman wakili ne. A da tsarin, shi ne mai gina jiki polypeptide kunshi fiye da 200 amino acid. Nuna wannan abu da rashin lafiya da kuma lafiya prostate Kwayoyin, don haka kananan da kasancewar a cikin jini ya nuna wani PSA gwajin. A kudi ga kowane shekaru rukuni na maza mallaki tun shekaru prostate takamaiman wakili samar a cikin mafi girma da lambobi. A lafiya maza ba, in ban da jini a cikin ejaculate (maniyyi) da kuma a prostate m. A gaban prostate ciwon daji Kwayoyin prostate wakili farawa da za a samar a cikin babban kundin, wanda aka yi amfani a cikin ɓata-free alama cuta. Bayan diagnosing cututtuka, da bincike da aka yi a cikin tsari wajen saka idanu da kiwon lafiya na riga bi da ko a karkashin lura da marasa lafiya da ciwon daji ko BPH.

shekaru norms

Prostate ciwon daji - wani insidious cuta. Idan ba a gano a cikin lokaci da kuma fara jiyya marigayi, shi babu makawa take kaiwa zuwa mutuwa. Kamar yadda aka nuna ta hanyar kiwon lafiya statistics, da irin wannan ciwon daji ba a hade tare da shan taba, shan barasa, da kuma tsanani da jima'i aiki da kuma jima'i da cututtuka, da cewa shi ne, ba za su iya samun rashin lafiya, kowane mutum. The kawai yiwuwar dace gane da wannan cuta, kuma game da shi ceci ransa ne PSA jini gwajin. Rate za a iya wuce dan lokaci, wanda ake dangantawa da wasu cututtuka. A irin haka ne, maimaita analysis ko gudanar da ƙarin bincike.

Mene ne wani "m yanki"?

Domin gudanar da bincike dauki jini daga jannayẽnsa. Sakamako na bincike a lokacin da dabi'u a sama al'ada prostate wakili, amma kada ku ƙẽtare 10 ng / ml, kira a matsayin "m zone". A irin haka ne, wata likita iya rubũta a prostate biopsy. Babban nuni ga ta hali ne da rabo daga abin da ake kira free PSA zuwa total. Yana da yake a lafiya maza ya zama sama da 15%. Abin da ake kira free PSA kima ne a tabbatar da dalilin da yawan wadanda ba (free) furotin na prostatic jamiái dauke a cikin magani. Gaskiyar ita ce, kawai game da 10 bisa dari na dukkan siffofin prostate wakili gabatar a wannan jiha. Sauran kashi 90 cikin dari da ake dangantawa da ko dai α-1-antichymotrypsin (protease hanawa) ko α-2-macroglobulin (hanawa na pepsin, plasmin da sauran enzymes). Duk da yake a tare da α-2-macroglobulin, PSA kusan m. Laboratory gwaje-gwaje nuna kawai adadin free kuma ɗaure da α-1-antichymotrypsin prostatic wakili. Su duka darajar nuna abin da ake kira jini gwajin total PSA. Idan namiji prostate ciwon daji, a jikin α-1-antichymotrypsin fara nuna a cikin manyan yawa, sakamakon shi a mafi nauyin wakili da kuma rage shi a cikin free form. Saboda haka, kashi na biyu siffofin da aka rage.

Mene ne dalilin da sama da na kullum?

A kan ci na PSA a cikin jini magani samfurori da aka ƙwarai shafi wasu cututtuka. A mafi hatsari na su - prostate ciwon daji, watau m prostate kara girma, ba a hade da shekaru da kuma bada metastases. A yar alamar tuhuma da ciwon daji bayyana a cikin zafi a lokacin urination, jin kamar idan mafitsara ba gaba daya wofintar, m tura da wahala da urination da kuma zafi a cikin perineum, shi wajibi ne don yin PSA gwajin. Norma ne hankula ga lafiya mutane, ya karu da matakin na iya zama a cikin wadannan cututtuka:

- adenoma (benign ƙari cewa ba metastasize).

- kumburi da prostate.

- infarction (necrosis saboda spasm).

- ischemia (prostate anemia hade tare da matsaloli a cikin jini).

- m na koda gazawar.

Abin da dalilai sa da karuwa a prostate-wakili?

Yawan prostate wakili a cikin jini shafi da dalilai da dama. Saboda haka, domin ya sami wani abin dogara PSA gwajin, da shirye-shiryen ga shi ya kamata a yi da gaske. Domin wucewa norms tasiri:

- kawowa;

- mai zurfi tausa na prostate.

- biopsy.

- TRUS (prostate takamaiman duban dan tayi).

- TURP (m effects a kan prostate).

Abubuwan da ba su shafi cikin karatu:

- lokaci na rana.

- gabatarwar da catheter cikin mafitsara da kuma cystoscopy.

- rectal (tare da yatsunsu) na prostate.

Shiri for analysis

Kowane haƙuri ake bukata don sani da matužar bin bukatun na horo kafin yin PSA gwajin. Its kullum domin dukan zamanai ne da aka sani. Level ba za a iya ƙara saboda prostate cuta, amma saboda ba yarda da yanayi na musamman. Suna nan kamar haka:

- hanu daga wani kawowa, don a kalla 2 kwanaki kafin analysis.

- don nazarin ba a baya fiye da 3 days bayan mai zurfi tausa na prostate.

- idan haƙuri aka yi TRUS, bayan hanya kafin PSA gwaji ya kamata a kalla 7 kwanaki.

- bayan prostate biopsy, wanda ƙwarai qara adadin wakili a cikin jini, dole ne su kasance a kalla 6 makonni kafin analysis.

- idan haƙuri yana da wani transurethral resection, PSA gwajin iya za'ayi ba a baya fiye da 6 watanni bayan tiyata.

Bugu da kari, kafin da bincike, shi ne kyawawa su guji shan taba, fiye da wata rana kada su ci m abinci, kauce wa wuce kima jiki da hankulansu aikinsa.

Lokacin gudanar da bincike?

Lokacin da ake zargin prostate cututtuka da kuma a lura da marurai gano gudanar PSA analysis. Norma daga karbar magani dogara a kan irin far. Saboda haka, bayan da m kau na prostate (LRP) dijital nuna alama prostate takamaiman wakili ne yawanci rage zuwa 0.2 NG / ml, da kuma bayan radiation far - har zuwa 1 ng / ml. Wadannan Manuniya ne sosai m, kuma ba mu damar fatan ga wani Extended lokaci ba tare da komowan cutar. Idan bayan duk wani nau'i na far PSA matakin ƙaruwa, shi za a iya bayyana kara ci gaba da ciwon daji. Duk da haka, da suka wuce haddi na PSA matsayin ba ko da yaushe magana game da ciwon daji. A rare lokuta, sakamakon da aka rinjayi haƙuri da mutum alama na nama shinge. Akwai mutanen da suke da wani karin permeability na masana'anta, don haka prostatic wakili saukin shiga a cikin jini, kuma, kamar yadda wani sakamako, da adadin da ɗan overstated.

Abin da ma'aunai suna da za'ayi don tabbatar da ganewar asali?

Kamar yadda na ambata a sama, tare da yana da shekaru kowane mutum prostate gland shine yake shimfida. Don rage rinjayar da na halitta karuwa a sakamakon binciken da ake auna PSA yawa. Wannan index aka ƙaddara ta rarraba ci auna a prostate girma. Idan quotient samu ta hanyar rarraba zama sama 0,15 ng / ml / cubic cm, akwai tuhuma da farko na pathological canje-canje a cikin prostate. A irin haka ne, mutum biopsy. Wani irin bincike ne domin sanin da gudun da wanda ya musanya a PSA. Idan index darajar sama 0.75 ng / ml / shekara, da mãsu haƙuri ne sosai high yiwuwar ƙari ci gaba. Data bincike don taimaka tare da isasshen daidaito a gane gaban metastasis a wani haƙuri. Saboda haka, a lokacin da aka nuna prostate takamaiman wakili sama da 50 ng / ml ne wani babban Yiwuwar metastasis aiwatar farawa. A lambobin sama 100 ng / MG binciki gaban zurfin metastasis.