Nkhani yomwe ili pansipa idawonekera koyamba patsamba la Society for the Advancement of Sexual Health (SASH) . Chinanso chosangalatsa ndi mawu aposachedwa a Richard Wassersug PhD, katswiri wa khansa ya prostate komanso Pulofesa wa Faculty of Medicine ku Dipatimenti ya Sayansi ya Urologic ku University of British Columbia:
Palibe chidziwitso chazabwino kwenikweni chomwe ndimadziwa chowonetsa cholumikizira (chabwino kapena cholakwika) pakati pafupipafupi kutulutsa umuna ndi chiopsezo cha khansa ya prostate. Posachedwa tidawunikiranso zomwe MtF, yemwe ali ndi vuto la androgen ndipo, ali ndi vuto lochepa kwambiri la khansa ya Prostate ndipo nthawi zambiri amakhala ndi vuto la kupsinjika.
Kodi amuna amadalira kansalu kawirikawiri popewera khansa ya prostate?
Amuna ambiri omwe amaonera zithunzi zolaula pa Intaneti amamva nkhani zabodza kuti, "Kafukufuku watsimikizira kuti nthawi zambiri munthu amatha kugonana ndi khansa ya prostate nthawi zambiri kuti asamangogwiritsa ntchito zolaula." Kuseka zabodza kungafooketse kuthetsa kwawo.
Chowonadi ndi chakuti anyamata ambiri omwe amapita ku ma forum awa sangaganize zodziseweretsa maliseche popanda zolaula pa intaneti (ndipo kwenikweni, poyamba, nthawi zambiri sangadziseweretse maliseche popanda izo). Chifukwa chake, nthawi zambiri amakayikira kusiya kugwiritsa ntchito zolaula, ngakhale kwakanthawi, poopa kuti angadwale khansa ya prostate chifukwa chosadziseweretsa maliseche.
Amuna ena amanena kuti anthu ambiri "amafunika kuchita maliseche nthawi zambiri chifukwa cha zifukwa zankhanza" ngakhale kuti zizindikiro zoopsa zakhala zikuchitika (monga matenda opatsirana pogonana, mavuto a msinkhu, mavuto osokoneza bongo, chiwerengero cha anthu okhudzidwa ndi zolaula, kukopa kwa enieni, ndi zina zotero). Komanso, atasiya, ena akudandaula kuti kuchepa kwa kanthaŵi kochepa monga epididymal matenda oopsa kumakhala umboni wa kukula kwa matenda.
Posachedwapa, ndemanga yokhudza nkhani yokhudza kudziseweretsa maliseche ndi chiopsezo cha khansa ya prostate inatuluka mu Sexual Medicine Reviews, yotchedwa, “Umboni wa Kudziseweretsa maliseche ndi chiopsezo cha khansa ya prostate: Kodi Tili ndi Chigamulo?” Inafufuza maphunziro 16 okhudza kuchuluka kwa umuna ndi khansa ya prostate.
Olembawo anafotokoza kuti njira zambiri zimasiyana kwambiri pakati pa kafukufuku omwe anawunika. Iwo anatsimikiza kuti palibe zotsatira zenizeni zomwe zinayambika makamaka chifukwa cha mitundu yosiyanasiyana ya maphunziro. Mayanjano otetezera (ocheperachepera chiwerengero cha khansa) adanenedwa m'maphunziro osachepera asanu ndi awiri (asanu ndi awiri), ndipo zitatu mwazofukufukuzo zotsutsana zotsutsana ndi zosiyana siyana (mwachitsanzo, zaka za zaka).
Panali mgwirizano wina pamaphunziro omwe kutulutsa kwamankhwala pafupipafupi m'moyo kumatha kuchepetsa chiopsezo cha khansa ya prostate, chifukwa chake amuna osagonana nthawi zonse amatha kupindula ndi maliseche ena. Komabe, monga gulu lina lofufuzira lidanenera, sizikudziwika ngati mbali zina zokhudzana ndi kukodzera (maliseche olowerera, maliseche, kutsekula msanga, komanso / kapena kutulutsa usiku) ndizomwe zimateteza kwambiri. Chosokoneza ndichakuti amuna athanzi amatha kutulutsa umuna wochulukirapo (makamaka ndi anzawo), chifukwa chake zingakhale zomveka kuti pafupipafupi kuthamangitsidwa kumalumikizana ndi thanzi labwino.
Pa nthawi yomweyo, maphunziro ena atatu omwe olembawo adafufuza anawonetsa kuti zotsatira za kuchuluka kwa khansa zokhudzana ndi maliseche. Ndipo maphunziro asanu ndi limodzi adanena kuti palibe chiyanjano chofunika (chitetezo kapena chisokonezo) pakati pa maliseche ndi ngozi ya khansa ya prostate. Olembawo sanapeze zochitika zazikulu zokhudzana ndi malo a anthu kapena njira yophunzirira. Olembawo adafufuzanso kafukufuku wambiri pazochitika zosiyanasiyana zomwe zingathandize kuti zikhale zowonjezereka.
Izi zimaphatikizapo: (1) kusiyanitsa mitundu yowonongeka (monga kugonana, kugonana kwapadera kapena kutuluka kwa usiku), (3) kufotokozera mtundu wa kukwera kwa zaka m'zaka za zaka, (4) zizoloŵezi za kugonana, monga chizoloŵezi chogonana, chiwerengero cha abwenzi, nthawi zambiri, ndi mbiri yolimbana ndi matenda opatsirana pogonana (STI), ndi (5) zakugonana koyambirira popanda ma STI.
Mwachidule, kufufuza komwe kulipo sikukuthandizani kuti anthu ambiri azikhala ndi kansalu ya prostate. "Ngakhale kuti pali zinthu zosiyanasiyana zomwe zatchulidwa komanso / kapena kufufuza za khansa ya prostate (kunenepa kwambiri, kuwonetsa ntchito, matenda opatsirana pogonana, mdulidwe, vasectomy, anthu ambiri ogonana nawo, komanso, kugonana), okhawo omwe amadziwika kuti ali ndi chiwopsezo cha khansa ya prostate kuti afike lero ndi okalamba, mtundu ndi mtundu, komanso mbiri ya banja la matendawa.
Miyeso yotetezedwa pakalipano ndi prostate-specific antigen screening, zakudya zopatsa thanzi komanso zosankha za zakudya, zochitika zokhudzana ndi thupi, ndi zina zomwe zimasintha.
Monga momwe olembawo akunenera, kudziseweretsa maliseche ndi chizolowezi chofunikira kwambiri chogonana chomwe ndi gawo la kukula kwa kugonana, makamaka panthawi yaunyamata. Komabe, sizinatsimikizidwe kuti zimateteza khansa ya prostate. Komanso si mankhwala a thanzi la kugonana konse. Ndipotu, pali umboni wina wosonyeza kuti kudziseweretsa maliseche nthawi zambiri kumagwirizanitsidwa ndi matenda amisala komanso matenda a prostate omwe si khansa.
Chofunika kwambiri ndi chakuti amuna sayenera kuchita mantha kuthetsa kugwiritsira ntchito zolaula, ngakhale zikutanthawuza kuti munthu amatha kugonana ndi kanthawi kochepa. Zimatanthauzanso kuti akhoza kukhala ndi mtendere wamumtima pamene potsirizira pake amawona kuti nthawi zambiri zimakhala zabwino kwambiri, zomwe zimawathandiza kwambiri, poganizira zochitika zawo zapadera ndi zochitika zawo.
Aphungu angapangenso chidwi ndi makasitomala omwe angakhale nawo okhudzana ndi kansa ya prostate ndikuwongolera, kuti manthawa asalepheretse kupuma. Kumvetsetsa bwino za mawonekedwe a kafukufuku omwe akupezekako kungachepetse mantha a amuna ndikuwathandiza kuwombola ku ntchito zolaula zolimbitsa thupi.