Qhov tseeb yog kuaj cov qog nqaij hlav prostate npaum li cas?


Qhov tseeb yog kuaj cov qog nqaij hlav prostate npaum li cas?

Prostate cancer yog ib hom mob khees xaws tshaj plaws hauv tebchaws Askiv, cuam tshuam ib ntawm yim tus txiv neej nyob rau qee lub sijhawm hauv lawv lub neej. Thaum cov nqi kev muaj sia nyob tau zoo tag nrho (84% ntawm cov txiv neej kuaj mob muaj mob qog nqaij hlav cancer hauv Askiv thiab Wales yuav muaj sia nyob rau ntau tshaj kaum xyoo), nws yog qhov tseem ceeb heev rau txiv neej to taub txog lawv txoj kev pheej hmoo.

Tus kab mob feem ntau cuam tshuam rau cov txiv neej muaj hnub nyoog tshaj 50, nrog lub hnub nyoog uas muaj hnub nyoog ntau tshaj ntawm kev txheeb xyuas yog 65-69. Nws yog ob zaug ntau dua rau cov txiv neej ntawm cov haiv neeg dub, thiab ob thiab ib nrab sijhawm ntau dua rau cov txiv neej muaj keeb kwm tsev neeg mob qog nqaij hlav cancer. Feem ntau asymptomatic thaum nyuam qhuav pib, nyob hauv ib qib theem, nws yuav thaum kawg ua rau mob tso zis xws li nyuaj ua rau koj lub zais zis, lossis xav tso zis ntau dua li ib txwm. Yog tias nws tau kis tshaj li lub prostate, koj tuaj yeem pom cov ntshav hauv cov zis lossis phev, lub duav lossis lub plab mog, lossis kev poob phaus.

Nws mus yam tsis tau hais tias, yog tias koj pom txhua yam kev hloov pauv ntawm no, nws yog qhov yuav tsum tau mus ntsib GP. Tsis muaj leej twg muaj kev mob tshwm sim tiag tiag muab rau kev mob qog nqaij hlav prostate – txhua yam tuaj yeem tshwm sim los ntawm lwm cov teeb meem kev noj qab haus huv, feem ntau tsis mob qog ntshav prostate caj pas – yog li nws yuav tsim nyog los khiav qee yam kev kuaj mob. Feem ntau, GP yuav pib ua los ntawm muab koj PSA (prostate specific antigen) ntsuas.

Tus cev lus rau Prostate Cancer UK hais tias, “PSA kuaj yog kuaj ntshav uas tuaj yeem pab txhawm rau soj ntsuam cov teeb meem prostate, xws li mob qog ntshav”. “PSA yog protein tsim los ntawm cov cell hauv prostate thiab nws ib txwm muaj rau cov txiv neej muaj qee qhov me me hauv lawv cov ntshav. Qhov nyiaj nce siab me ntsis thaum cov txiv neej laus dua thiab lawv cov prostate tau loj dua. Tab sis nce qib PSA tuaj yeem ua lub cim ntawm prostate teeb meem. “

Qhov zoo thiab kev pom zoo ntawm PSA kev xeem

Koj yuav muaj cai tau txais qhov kev ntsuas no yog tias koj muaj hnub nyoog tshaj 50 xyoo (lossis ntau dua 45 xyoos, yog tias koj muaj lwm yam kev pheej hmoo). Txawm li cas los xij, GP yuav hais kom koj hnyav nws cov txiaj ntsig thiab kev pom zoo. Thaum lub sijhawm PSA kuaj tau cawm lub neej – nws tuaj yeem pab khaws qog nqaij hlav txawm tias ua ntej koj muaj tsos mob – nws qhov tseeb nyob deb ntawm zoo meej.

Ib ntawm xya tus txiv neej nrog PSA ib qib muaj peev xwm ua tau mob qog nqaij hlav prostate, thiab hauv 2% ntawm cov txiv neej mob qog nqaij hlav tau mob hnyav. Qhov thim rov qab yog qhov tseeb dhau: peb ntawm plaub tus txiv neej nrog nce PSA qib tsis muaj mob qog nqaij hlav cancer, tab sis yuav muab los ntawm kev txhawj xeeb tseem ceeb thiab qee zaum kev kuaj mob tsis tshua muaj txiaj ntsig vim li ntawd.

Dr Andrew Harbottle, tus thawj coj tshawb fawb ntawm MDNA Lub Neej Kev Tshawb Fawb tau hais tias “PSA yog tsim los ntawm ob lub cev thiab qog nqaij hlav hauv prostate. “Koj tuaj yeem muaj lub siab nyeem nrog tej yam xws li benign prostatic enlargement, mob ntawm prostate, lossis txawm tias kev tawm dag zog lub cev, tshwj xeeb yog kev caij tsheb kauj vab. PSA nyeem ntawv yog qhov qhia tias muaj qee yam ntawm prostate tab sis nws tsis tas yuav mob prostate.”

Tus kws tshaj lij ntawm Prostate Cancer UK tau hais ntxiv tias qhov no tuaj yeem ua rau ntau cov kev ntxhov siab thiab txawm tias cov txheej txheem tsis tsim nyog. Rau ib qho, yog tias koj qib PSA nce siab koj yuav xav tau siv lub tshuab kuaj kab mob, uas tuaj yeem muaj cov kev mob tshwm sim. Rau lwm qhov, koj tuaj yeem kuaj mob nrog kev muaj kabmob qeeb thiab pheej hmoo ua tus kabmob prostate, thiab xaus rau kev kho koj tsis xav tau.

Tus txiv neej hais tias “Feem ntau ntawm cov txiv neej nyob rau qhov teeb meem tam sim no muaj lawv cov kab mob cancer ua tib zoo saib xyuas, thiab tsuas yog kho tau yog tias mob qog pib loj tuaj,”

Tam sim no, yog tias GP xav tias koj xav tau kev kuaj mob ntxiv, koj yuav raug xa mus rau urologist. Lawv mam li teem caij rau koj kom mus thaij duab MRI, tom qab ntawv me me yog muaj tej yam txawv txawv tuaj. Hauv qee lub tsev kho mob, thawj qhov chaw nres nkoj ntawm kev hu yuav yog lub tshuab txiav tawm.

Patient.info Saib tag nrho

Kev kuaj ntshav tshiab tuaj yeem kuaj pom qog ntshav qog ntshav

Kev kuaj ntshav tshiab tau tshawb pom kom pom tseeb tias muaj cov qog ua kua ntshav qog ntshav, …

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    Kev kuaj ntshav tshiab tuaj yeem kuaj pom qog ntshav qog ntshav

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    Kuaj ntshav mob qog nqaij hlav prostate tuaj yeem qhia leej twg xav tau kev kho mob sai

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  • Qhov teeb meem lub zais zis cov txiv neej yuav tsum tsis quav ntsej

    Qhov teeb meem lub zais zis cov txiv neej yuav tsum tsis quav ntsej

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Tshiab mus rau txoj kev kuaj mob

Cov txheej txheem kuaj mob no, nrog txhua yam nws zoo thiab qhov tsis zoo, yog qhov zoo tshaj plaws uas peb muaj tamsim no. Txawm li cas los xij, Prostate Cancer UK yog nqis peev rau ntau txoj haujlwm tshawb fawb uas tab tom tshawb lwm txoj hauv kev ntawm kev txheeb xyuas.

Tus cev lus tau hais tias “Tsis ntev los no muaj ntau cov kev tshawb fawb tseem ceeb hais txog thaj chaw kom tshawb nrhiav ntxiv mus,” “Cov no suav nrog kev yees duab siv cov MRI sib txawv thiab cov txuj ci ultrasound, kuaj raws li ntsuas cov protein ntau thiab hloov DNA los ntawm kev kuaj ntshav, thiab kev ntsuas ntsuas ntsuas cov qog nyob rau hauv cov ntshav.”

Ib txoj kev txaus siab yog kev sim ntshav, tsim los ntawm MDNA Lub Neej Kev Tshawb Fawb. Hu ua Mitomic Prostate Test, qhov ntsuas tshuaj ntsuam xyuas mitochondrial DNA los txiav txim qhov kuaj pom, lossis txwv tsis pub muaj mob qog nqaij hlav. Lub tuam txhab hais tias qhov kev kuaj ntawd tuaj yeem txo tus naj npawb ntawm prostate biopsies txog 30%.

Harbottle piav qhia “Peb qhov kev sim tshuaj yuav tsis tau hloov lub biopsies txhua lub sijhawm sai sai – nws yog ntau ntxiv txog kev qhia tus kws khomob txog cov neeg mob uas yuav tsum tau mus tom ntej rau qhov kev kuaj ntawd,” “Qhov kev ntsuas no yuav siv rau cov txiv neej uas tau nce siab me ntsis, tab sis tsis siab dua, PSA cov qhab nia – qhov peb hu ua ‘PSA grey cheeb tsam’. Peb ntawm plaub ntawm cov txiv neej no yuav tsis muaj mob qog noj ntshav, yog li koj xav tau xa lawv mus kuaj me lossis tsis? Peb qhov kev sim yuav siv los ua rau cov neeg mob ntawd, saib seb lawv puas xav tau kev kuaj xyoob ntoo MRI coj. “

Hauv qhov kev sim kho mob ua nrog University of Cambridge, qhov kev ntsuas tau pom ntau dua 99% tus nqi tsis paub tseeb (txhais tau hais tias yog tias qhov kev sim tawm tsis zoo, koj yuav tsis zoo li muaj kab mob tseem ceeb). Nws tseem ua rau pom 92% rhiab, txhais tau hais tias tus txiv neej nrog qhov tshwm sim zoo tuaj yeem soj ntsuam sai rau kev cuam tshuam kev kho mob.

Tam sim no, qhov kev xeem tsuas yog muaj tus kheej, tab sis lub tuam txhab tus khub, Aspire Pharma, tau ua haujlwm los ua kom nws muaj nyob rau ntawm NHS.

“Lawv tau nyob hauv kev sib tham nrog peb lub tsev kho mob ntseeg siab kom ua ib qho kev kawm ua ke nrog kev paub tseeb, kom tau txais cov pov thawj tias nws ua haujlwm zoo li peb hais tias nws ua haujlwm thiab tias nws muaj txiaj ntsig kev lag luam rau cov tsev kho mob,” piav qhia Harbottle.

Qhov no txhais tau li cas rau koj

Tus kws tshaj lij Prostate Cancer UK tau sau ntawv ceeb toom rau tam sim no, taw qhia tias kom txog thaum cov kev tshawb fawb no tau ua tiav, peb tsis muaj ntaub ntawv txaus txog nws cov txiaj ntsig.

“Qhov kev sim tshiab no yog ib txoj kev tshiab nthuav dav, tab sis tsis muaj kev tshawb nrhiav qhov tseeb txog nws qhov kev ua tau zoo rau peb kom tuaj yeem pom zoo rau nws siv nyob rau theem no,” nws hais. “Txog thaum ntawd, peb yuav tsis pom zoo kom ib tus neeg siv qhov kev ntsuas no hloov pauv rau cov qauv kev ua lag luam tam sim no.”

Tau kawg, kev tshawb fawb hauv thaj teb yuav txuas ntxiv mus ntxiv.

Tus cev lus hais “kom cawm tau ntau lub neej los ntawm kev mob qog nqaij hlav prostate nws yog qhov tseem ceeb heev uas peb tsim txoj kev kuaj mob uas muaj peev xwm txaus los mus soj ntsuam tus txiv neej thaum ntxov thiab raug,” tus yawg hais tias.

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