Esimeni sempilo yamadoda, amagama ambalwa afinyeziwe anesisindo esikhulu—futhi abangela impikiswano enkulu—njenge-PSA. Ukuhlolwa kwe-Prostate-Specific Antigen, ukudonsa igazi okulula, kuseyithuluzi elinamandla, kodwa elingaqondwa kahle, ekulweni nomdlavuza wendlala yesinye. Njengoba imihlahlandlela yezokwelapha iqhubeka nokuvela, umlayezo obalulekile kuwo wonke abesilisa nomndeni wabo yilo: ingxoxo enolwazi mayelana nokuhlolwa kwe-PSA ayibalulekile nje kuphela; kubalulekile.

Umdlavuza wendlala yesinye isikhathi esiningi uyisifo esingelapheki esisezigabeni saso sokuqala, esingelaphekayo. Ngokungafani neminye imidlavuza eminingi, ingakhula iminyaka ngaphandle kokubangela noma yiziphi izimpawu ezibonakalayo. Ngesikhathi kuvela izimpawu ezinjengobunzima bomchamo, ubuhlungu bamathambo, noma igazi emchameni, kungenzeka ukuthi umdlavuza usuthuthukile, okwenza ukwelashwa kube nzima kakhulu futhi imiphumela ingaqiniseki kangako. Ukuhlolwa kwe-PSA kusebenza njengohlelo lokuxwayisa kusenesikhathi. Ikala izinga lephrotheni elikhiqizwa indlala yendlala yesinye. Nakuba izinga le-PSA eliphakeme lingelona ukuxilongwa okuqondile komdlavuza-lingase futhi liphakanyiswe yizimo ezivamile, ezingenalo umdlavuza njenge-Benign Prostatic Hyperplasia (BPH) noma i-prostatitis-lisebenza njengefulegi elibomvu elibalulekile, okwenza kube nophenyo olwengeziwe.

Yilapho ingxabano ilele khona, futhi kuwumqondo ongaqondakali okufanele wonke umuntu awuqonde. Esikhathini esedlule, ukukhathazeka “ngokuxilonga ngokweqile” kanye “nokwelashwa ngokweqile” komdlavuza okhula kancane ongase ungabe usongela ukuphila kwaholela ezinye izinhlangano zezempilo zomphakathi ukuba zingakugcizeleli ukuhlolwa okuvamile. Ukwesaba kwakuwukuthi amadoda ayethola ukwelashwa okunamandla komdlavuza obeka engcupheni encane, okungenzeka abhekane nemiphumela engemihle eshintsha ukuphila njengokungakwazi ukuzithiba komchamo kanye nokungasebenzi kahle kwe-erectile kungenasidingo.

Kodwa-ke, indlela yesimanje yokuhlolwa kwe-PSA ikhule kakhulu. Ushintsho olubalulekile lukude nokuhlola okuzenzakalelayo, kwendawo yonke kuya ekuthathweni kwezinqumo okunolwazi, okwabiwe. Ingxoxo ayiseyona nje eyokuthola isivivinyo; imayelana nokuba nengxoxo enemininingwane nodokotela wakhongaphambiliukuhlolwa. Le ngxoxo kufanele isekelwe ezicini eziyingozi zomuntu ngamunye, okuhlanganisa iminyaka (imvamisa eqala ku-50, noma ngaphambi kwalokho emaqenjini asengozini enkulu), umlando womndeni (ubaba noma umfowabo onomdlavuza wendlala yesinye uphinda kabili ingozi), kanye nobuhlanga (amadoda ase-Afrika-aseMelika anezinga eliphezulu lokufa kwabantu).

Ihlome ngale phrofayela yomuntu siqu yobungozi, indoda nodokotela bayo banganquma ukuthi ukuhlolwa kwe-PSA kuyisinqumo esifanele yini. Uma izinga le-PSA liphakanyisiwe, impendulo ayiseyona i-biopsy esheshayo noma ukwelashwa. Kunalokho, manje odokotela banezinhlobonhlobo zamasu. Bangase batuse “ukubhekwa okusebenzayo,” lapho umdlavuza uqashwe ngeso elibukhali ngokuhlolwa okuvamile kwe-PSA nokuphinda ama-biopsies, kungenelele kuphela uma kubonisa izimpawu zokuqhubeka. Le ndlela yokwelapha igwema ngokuphepha ukwelashwa kwabesilisa abanesifo esiyingozi ephansi.

Ukunganaki ngokuphelele ukuhlolwa kwe-PSA, nokho, kuwukugembula okunezinga eliphezulu kakhulu. Umdlavuza wendlala yowesilisa uyimbangela yesibili ehamba phambili yokufa komdlavuza emadodeni. Uma kutholwa kusenesikhathi, izinga lokusinda leminyaka emihlanu licishe libe yi-100%. Ngomdlavuza osusabalele ezindaweni ezikude zomzimba, lelo zinga lehla kakhulu. Ukuhlolwa kwe-PSA, kukho konke ukungapheleli kwayo, kuyithuluzi elingcono kakhulu elitholakala kabanzi esinalo lokubamba lesi sifo ngaleso sikhathi, neselaphekayo.

I-takeaway icacile: ungavumeli impikiswano ikukhubaze. Yiba matasa. Qala ingxoxo nomhlinzeki wakho wezempilo. Qonda ubungozi bakho. Kala izinzuzo ezingaba khona zokutholwa kusenesikhathi ngokumelene nezingozi zama-alamu angamanga. Ukuhlolwa kwe-PSA akulona ibhola lekristalu eliphelele, kodwa liwucezu olubalulekile lolwazi. Emkhankasweni wokuvikela impilo yabesilisa, lolo lwazi lungaba umehluko phakathi kokuphila nokufa. Hlela lokho kuqokwa, buza imibuzo, futhi ulawule. Ikusasa lakho lizokubonga.

We baysen medical can supplyI-PSAfuthif-PSAikhithi yokuhlola esheshayo yokuhlolwa kusenesikhathi.Uma unesidingo sayo, siyakwamukela ukuthintana nathi ukuze uthole imininingwane eyengeziwe.