{"id":5857,"date":"2020-05-12T13:50:06","date_gmt":"2020-05-12T12:50:06","guid":{"rendered":"https:\/\/euromedic.rs\/pregledi\/urologija-urinarne-infekcije-2-copy\/"},"modified":"2020-10-07T10:49:27","modified_gmt":"2020-10-07T09:49:27","slug":"urologija-karcinom-prostate-i-psa","status":"publish","type":"post","link":"https:\/\/euromedic.rs\/pregledi\/specijalisticki-pregledi\/urologija\/urologija-karcinom-prostate-i-psa\/","title":{"rendered":"Urologija &#8211; Karcinom prostate i PSA"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Prostata je mu\u0161ka polna \u017elezda, \u010dija je uloga stvaranje i izlu\u010divanje sekreta koji ulaze u sastav semene te\u010dnosti. Nalazi se ispod be\u0161ike, ispred rektuma, i okru\u017euje deo mokra\u0107nog kanala-uretre. Svojim oblikom i veli\u010dinom podse\u0107a na kesten, zbog \u010dega je poznata kao kestenja\u010da.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naj\u010de\u0161\u0107e bolesti prostate su benigna hiperplazija prostate, hroni\u010dni\u00a0 i akutni prostatitis, i na kraju karcinom prostate.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Karcinom prostate je drugi po u\u010destalosti me\u0111u karcinomima kod mu\u0161karaca. U\u010destalost je ve\u0107a kod starijih mu\u0161karaca, ali i mla\u0111ih \u010diji su bliski ro\u0111aci (otac, stric, ujak) imali istu bolest. U ranoj fazi nema specifi\u010dnih simptoma bolesti i oni su naj\u010de\u0161\u0107e isti kao kod benigne hiperplazije. Karcinom se mo\u017ee razvijati godinama , a da ostane neprime\u0107en. Naj\u010de\u0161\u0107e metastaze ovog karcinoma se javljaju na kostima, pa se pacijenti ponekad prvi put jave urologu sa bolovima u kostima ili izra\u017eenom anemijom. Upravo zato je va\u017eno da nakon 45.godine, <a href=\"https:\/\/euromedic.rs\/usluga\/specijalisticki-pregled-urologa\/\">svaki mu\u0161karac jednom godi\u0161nje obavi kompletan urolo\u0161ki pregled<\/a>. U slu\u010daju da tokom pregleda urolog posumnja na karcinom prostate, pacijent se upu\u0107uje na TRUS biopsiju, pa se nakon prispe\u0107a histopatolo\u0161kog nalaza\u00a0 donosi odluka o daljem na\u010dinu le\u010denja. Ukoliko se potvrdi prisustvo karcinoma potrebno je odrediti stanje na lokalnim i regionalnim limfnim \u017elezdama, uz pomo\u0107 skenera ili magnetne rezonance.Od dodatne dijagnostike radi se i sctingrafija ili skener kostiju kod sumnje na metastaze. Terapija zavisi od stadijuma bolesti, starosti pacijenta i njegovog op\u0161teg stanja.Le\u010di se hirur\u0161ki \u2013 radikalnom operacijom ili zra\u010denjem, kao i hormonskom terapijom koja je palijativni oblik terapije i spre\u010dava napredovanje bolesti. Bolest otkrivena u po\u010detnim stadijumima je naj\u010de\u0161\u0107e\u00a0 izle\u010diva, bez uticaja na du\u017einu \u017eivotnog veka, pa su redovni godi\u0161nji pregledi od velikog zna\u010daja.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pregled urologa se sastoji od razgovora sa pacijentom, fizikalnog pregleda (palpiranje abdomena, bubre\u017enih lo\u017ea, ingvinalnih kanala), pregleda polnog organa i testisa i prostate digitorektalnim pregledom. Digitorektalnim pregledom se prstom ulazi u rektum i palpira prostata. Sam pregled je neugodan, ali nije bolan. Zna\u010dajan je jer se direktnim opipavanjem prostate mo\u017ee\u00a0 proceniti njena elasti\u010dnost, veli\u010dina, znakovi upale ili prisustvo tvrdih \u010dvori\u0107a koji bi mogli ukazati na prisustvo maligne bolesti. U nastavku pregleda se radi ultrazvuk bubrega, mokra\u0107ne be\u0161ike ,prostate i testisa, a potom se odre\u0111uje i\u00a0 nivo PSA (prostata specifi\u010dan antigen)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; PSA &#8211; prostata specifi\u010dni antigen &#8211; je\u00a0 tumor marker za karcinom prostate. Stvaraju ga \u0107elije karcinoma, i njegovih metastaza, ali i \u0107elije normalne prostate. Normalne laboratorijske vrednosti PSA su od 0 do 4ng\/ml.\u00a0 Nivo PSA se odredjuje jednostavno\u00a0 iz uzorka venske krvi.Odre\u0111uje se kod svih mu\u0161karaca od 50. godine jednom godi\u0161nje, a u slu\u010daju pozitivne porodi\u010dne anamneze i \u00a0ranije od 40-45.godine. Njegova vrednost mo\u017ee biti povi\u0161ena\u00a0 kod karcinoma prostate, ali i u slu\u010dajevima upale prostate, kod velikih benigno uve\u0107anih prostata, nakon biopsija ,prisustva stalnog katetera. Odre\u0111ivanje nivoa PSA predstavlja korisno dijagnosti\u010dko sredstvo koje nam ukazuje na to da li treba pristupiti daljim ispitivanjima, ali njegova povi\u0161ena vrednost ne ukazuje obavezno na karcinom prostate. Tuma\u010denje nivoa PSA u krvi, treba da izvodi isklju\u010divo urolog uz podatke o veli\u010dini i izgledu prostate, dobijenih ultrazvu\u010dnim i digitorektalnim pregledom, kao i dodatnim informacijama vezanim za simptome i urolo\u0161ku istoriju pacijenta.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prostata je mu\u0161ka polna \u017elezda, \u010dija je uloga stvaranje i izlu\u010divanje sekreta koji ulaze u&#8230;<\/p>\n","protected":false},"author":1,"featured_media":5859,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[493],"tags":[259,260,255],"class_list":["post-5857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-urologija","tag-karcinom-prostate","tag-psa","tag-urologija"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>UrUrologija - Karcinom prostate i PSA - Dijagnostika i le\u010denje<\/title>\n<meta name=\"description\" content=\"Prostata je mu\u0161ka polna \u017elezda, \u010dija je uloga stvaranje i izlu\u010divanje sekreta koji ulaze u sastav semene te\u010dnosti. 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