Vyhodnotil v\u00e1\u0161 lek\u00e1r v\u00fdsledok vy\u0161etrenia prostaty ako potenci\u00e1lne pozit\u00edvne, pr\u00edpadne v\u00e1m bolo v krvi nameran\u00e9 vy\u0161\u0161ie mno\u017estvo PSA (prostatick\u00e9ho \u0161pecifick\u00e9ho antig\u00e9nu) ako je maxim\u00e1lna hodnota?<\/p>\n
Potom v\u00e1s najsk\u00f4r \u010dak\u00e1 biopsia prostaty. Biopsia prostaty je ambulantn\u00e9 vy\u0161etrenie, ktor\u00e9 trv\u00e1 zvy\u010dajne asi 20 min\u00fat, po ktor\u00fdch m\u00f4\u017ee pacient od\u00eds\u0165 domov. Hoci vyzer\u00e1 cel\u00fd z\u00e1krok komplikovane, netreba sa ho b\u00e1\u0165: v\u00e4\u010d\u0161ina mu\u017eov, ktor\u00ed biopsiu prostaty podst\u00fapili, opisuj\u00fa cel\u00fa proced\u00faru sk\u00f4r ako nepr\u00edjemn\u00fa ne\u017e bolestiv\u00fa.<\/p>\n
Biopsia, \u010di\u017ee odber tkanivov\u00fdch vzoriek prostaty, m\u00f4\u017ee prebieha\u0165 nieko\u013ek\u00fdmi sp\u00f4sobmi. V poslednej dobe sa naj\u010dastej\u0161ie vol\u00ed odber pomocou rekt\u00e1lne ultrazvukovej sondy. T\u00e1 sa v \u013eahu na boku a pri lok\u00e1lnom um\u0155tven\u00ed zavedie do pacientovho kone\u010dn\u00edka. Sonda najprv ultrazvukovo zmapuje prostatu a zaznamen\u00e1 eventu\u00e1lne podozriv\u00e9 lo\u017eisk\u00e1, a potom pomocou tenkej jednorazovej ihly, odober\u00fa tkanivov\u00e9 vzorky z oboch lalokov prostaty. Po\u010det odoberan\u00fdch vzoriek sa l\u00ed\u0161i, zvy\u010dajne ich je v\u0161ak okolo 12. Tieto vzorky s\u00fa n\u00e1sledne odoslan\u00e9 do laborat\u00f3ria na histol\u00f3giu. Ke\u010f\u017ee je biopsia invaz\u00edvne vy\u0161etrenia, je mo\u017en\u00e9, \u017ee sa bezprostredne po z\u00e1kroku m\u00f4\u017ee objavi\u0165 krv v stolici, mo\u010di alebo spermi\u00e1ch. Zhruba t\u00fd\u017ede\u0148 pred odberom vzoriek je potreba vysadi\u0165 lieky ovplyv\u0148uj\u00face zr\u00e1\u017eanlivos\u0165 krvi – pr\u00edpadne je po konzult\u00e1cii s lek\u00e1rom nahradi\u0165 in\u00fdmi. Po biopsii je doporu\u010den\u00e9 vyh\u00fdba\u0165 sa \u010dinnostiam ako je jazda na bicykli a podobn\u00fdm, a to minim\u00e1lne 3 dni od vy\u0161etrenia.<\/p>\n
Gleasonovo sk\u00f3re je stupnica, pod\u013ea ktorej sa hodnot\u00ed agresivita karcin\u00f3mu prostaty. Toto sk\u00f3re sa po\u010d\u00edta vtedy, ke\u010f histologick\u00fd rozbor pri biopsii odobrat\u00fdch vzoriek potvrd\u00ed pr\u00edtomnos\u0165 n\u00e1dorov\u00e9ho tkaniva. Najprv sa vykon\u00e1 presk\u00famanie n\u00e1dorov\u00e9ho tkaniva zo v\u0161etk\u00fdch odobrat\u00fdch vzoriek pod mikroskopom. N\u00e1sledne sa pod\u013ea architektoniky \u017eliazok (diferenci\u00e1cia) ur\u010d\u00ed stupe\u0148 vyzretosti n\u00e1doru na \u0161k\u00e1le od 1 do 5, kedy G1 je dobre diferencovan\u00fd, ohrani\u010den\u00fd n\u00e1dor a G5 ve\u013emi zle diferencovan\u00fd, s rizikom roz\u0161\u00edrenia do \u010fal\u0161\u00edch tkan\u00edv. V\u00fdsledn\u00e9 Gleasonovo sk\u00f3re sa po\u010d\u00edta s\u00fa\u010dtom \u010d\u00edsel naj\u010dastej\u0161ie sa objavuj\u00faceho typu n\u00e1dorov\u00e9ho tkaniva a druh\u00e9ho naj\u010dastej\u0161ie sa objavuj\u00faceho typu. Teoreticky sa teda Gleasonovo sk\u00f3re pohybuje medzi hodnotami 2 (1 + 1) a 10 (5 + 5), pri\u010dom plat\u00ed, \u017ee \u010d\u00edm je \u010d\u00edslo vy\u0161\u0161ie, t\u00fdm je karcin\u00f3m nebezpe\u010dnej\u0161\u00ed. Hodnota 7 a vy\u0161\u0161ie sa u\u017e pova\u017euje za vysoko rizikov\u00fa.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Vyhodnotil v\u00e1\u0161 lek\u00e1r v\u00fdsledok vy\u0161etrenia prostaty ako potenci\u00e1lne pozit\u00edvne, pr\u00edpadne v\u00e1m bolo v krvi nameran\u00e9 vy\u0161\u0161ie mno\u017estvo PSA (prostatick\u00e9ho \u0161pecifick\u00e9ho antig\u00e9nu) ako je maxim\u00e1lna hodnota? Potom v\u00e1s najsk\u00f4r \u010dak\u00e1 biopsia prostaty. Biopsia prostaty je ambulantn\u00e9 vy\u0161etrenie, ktor\u00e9 trv\u00e1 zvy\u010dajne asi 20 min\u00fat, po ktor\u00fdch m\u00f4\u017ee pacient od\u00eds\u0165 domov. Hoci vyzer\u00e1 cel\u00fd z\u00e1krok komplikovane, netreba sa ho…<\/p>\n","protected":false},"author":9,"featured_media":2884,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-3619","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3619"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3619\/revisions"}],"predecessor-version":[{"id":3620,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3619\/revisions\/3620"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/2884"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3619"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/categories?post=3619"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/tags?post=3619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}