Tshuaj ntsuam kab mob qog noj ntshav

Kev kuaj mob khees xaws tuaj yeem pab nrhiav pom cov cim mob qog nqaij hlav ntxov, ua ntej koj pom muaj tsos mob. Hauv ntau qhov xwm txheej, kev pom muaj mob qog nqaij hlav thaum ntxov ua rau kev kho lossis kho yooj yim dua. Txawm li cas los xij, tam sim no nws tsis paub meej tias kev kuaj mob qog nqaij hlav prostate pab tau rau feem ntau ntawm cov txiv neej. Vim li no, koj yuav tsum nrog koj tus kws kho mob tham ua ntej muaj kev soj ntsuam kab mob khees xaws prostate.

Prostate-antigen (PSA) kev kuaj ntshav yog kev kuaj ntshav uas soj ntsuam seb PSA nyob hauv koj cov ntshav npaum li cas.

• Nyob rau qee kis, qib PSA siab dua tuaj yeem txhais tau tias koj muaj mob qog nqaij hlav cancer.
• Tab sis lwm yam mob kuj tseem tuaj yeem ua kom muaj theem siab, xws li kis hauv prostate lossis mob prostate. Koj tuaj yeem xav tau lwm yam kev kuaj kom paub seb koj puas muaj mob qog noj ntshav.
• Lwm txoj kev kuaj ntshav lossis kuaj qog nqaij hlav prostate tuaj yeem pab ntsuas mob qog ntshav yog tias PSA kuaj siab.

Qhov kuaj xyuas digital ntawm qhov quav (DRE) yog qhov kev ntsuam xyuas uas koj tus kws khomob muab lub ntsej muag ntxig mus rau hauv lub qhov quav. Qhov no tso cai rau cov kws kho mob kuaj xyuas cov qog ntshav ntawm qog lossis qhov chaw txawv. Feem ntau ntawm cov qog nqaij hlav tsis tuaj yeem xav txog nrog kev kuaj mob no, tsawg kawg hauv qhov ntxov.

Feem ntau, PSA thiab DRE tau ua ke ua ke.

Kev ntsuam xyuas cov duab thaij duab, xws li ib qho ultrasound lossis MRI tsis ua txoj haujlwm tseeb ntawm kev tshuaj xyuas kab mob qog nqaij hlav prostate.

Qhov txiaj ntsig ntawm kev ntsuam xyuas mob qog nqaij hlav cancer yog kom nrhiav tau tus kabmob kheesxaws ntxov, thaum kho tau yooj yim dua. Tab sis tus nqi ntawm PSA kuaj rau tus mob prostate yog sib cav. Tsis muaj ib lo lus teb haum txhua tus txiv neej.

Prostate cancer feem ntau hlob qeeb qeeb. Qib PSA tuaj yeem pib nce xyoo ua ntej muaj mob qog ntshav ua rau muaj tsos mob lossis teeb meem. Nws kuj tseem muaj heev li txiv neej hnub nyoog. Feem ntau, mob cancer yuav tsis tsim teeb meem lossis ua rau tus txiv neej lub neej luv.

Rau cov laj thawj no, nws tsis meej yog tias cov txiaj ntsig ntawm kev soj ntsuam ib txwm muaj dhau los ntawm cov kev pheej hmoo lossis phiv los ntawm kev kho tus mob prostate thaum nws nrhiav tau.

Muaj lwm yam kev xav los xav txog ua ntej muaj PSA kev xeem:

• Ntxhov siab vim. Txhawb PSA qib siab tsis txhais tau tias koj muaj mob qog noj ntshav. Cov kev tshwm sim no thiab qhov xav tau kev sim txuas ntxiv tuaj yeem ua rau ntau qhov kev ntshai thiab ntxhov siab, txawm tias koj tsis mob qog ntshav prostate.
• Phiv los ntawm kev tshuaj ntsuam ntxiv. Yog tias koj qhov PSA ntsuas siab dua li ib txwm, koj yuav tsum muaj ib lossis ob peb lub cev me kom paub qhov tseeb. Tso me me kom nyab xeeb, tab sis tuaj yeem tsim teeb meem xws li mob, mob, kub ib ce, lossis ntshav hauv cov phev lossis zis.
• Overtreatment. Ntau cov qog nqaij hlav prostate yuav tsis cuam tshuam rau koj lub neej ib txwm. Tab sis vim nws tsis tuaj yeem paub meej, feem ntau cov neeg xav tau kev kho mob. Kev kho mob qog noj ntshav tuaj yeem muaj kev phiv loj heev, suav nrog teeb meem erections thiab tso zis. Cov kev mob tshwm sim no tuaj yeem tsim teeb meem ntau dua li tsis muaj mob cancer.

Ntsuas PSA qib tuaj yeem ua kom muaj ntau txoj hauv kev los nrhiav kev mob qog nqaij hlav prostate thaum ntxov. Tab sis muaj kev sib cav txog ntawm tus nqi ntawm PSA kev kuaj mob rau kev kuaj mob qog nqaij hlav prostate. Tsis muaj ib lo lus teb haum txhua tus txiv neej.

Yog tias koj muaj hnub nyoog 55 txog rau 69 xyoo, ua ntej muaj kev sim siab, nrog koj tus kws kho mob tham txog qhov zoo thiab phem ntawm qhov muaj PSA kuaj. Nug txog:

• Seb kev kuaj txo koj txoj hmoo tuag los ntawm tus mob prostate.
• Txawm hais tias muaj ib qho kev raug mob los ntawm kev kuaj kab mob khees xaws prostate, xws li kev phiv los ntawm kev sim lossis dhau kev mob qog nqaij hlav thaum nrhiav pom.
• Txawm hais tias koj muaj kev pheej hmoo siab ntau ntawm prostate cancer dua li lwm tus.

Yog tias koj muaj hnub nyoog 55 lossis yau dua, kev kuaj mob tsis pom zoo. Koj yuav tsum tham nrog koj tus kws kho mob yog tias koj muaj kev pheej hmoo siab mob qog nqaij hlav cancer. Yam txaus ntshai muaj xws li:

• Muaj tsev neeg muaj keeb kwm mob prostate (tshwj xeeb yog cov kwv tij los yog leej txiv)
• Ua Neeg American Ruam

Rau cov txiv neej laus dua 70 xyoo, feem ntau cov lus pom zoo tiv thaiv kev kuaj mob.

Tshuaj ntsuam kab mob qog nqaij hlav qog ntshav - PSA; Kev ntsuam xyuas cov qog nqaij hlav qog ntshav - kuaj qhov quav digital; Kev kuaj mob Prostate cancer - DRE

Carter HB. Koom haum American Urological (AUA) cov kev taw qhia txog kev kuaj pom tus mob qog nqaij hlav prostate: txheej txheem thiab meej pem. BJU IntCov. 2013; 112 (5): 543-547. PMID: 23924423 pubmed.ncbi.nlm.nih.gov/23924423/.

Lub koom haum Cancer National website. Kev ntsuas tus mob qog ntshav (PDQ) - cov kws paub txog kev noj qab haus huv. www.cancer.gov/types/prostate/hp/prostate-vaj-pdq#section/all. Hloov kho thaum Lub Kaum Hlis 29, 2020. Nkag mus rau Lub Kaum Ib Hlis 3, 2020.

Nelson WG, Antonarakis ES, Carter HB, DeMarzo AM, DeWeese TL. Prostate mob cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 81.

Kev Pabcuam Tiv Thaiv Asmeskas Pab Pawg Ua Haujlwm, Grossman DC, Curry SJ, li al. Kev soj ntsuam rau tus neeg mob qog nqaij hlav prostate: Asmeskas Cov Kev Pabcuam Tiv Thaiv Pab Pawg Sib Tsoo lus pom zoo. JAMACov. 2018; 319 (18): 1901-1913. PMID: 29801017 pubmed.ncbi.nlm.nih.gov/29801017/.

• Kev kuaj mob Prostate Cancer