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Šī mājas lapa ir veidota ar Latvijas un Šveices sadarbības programmas finansiālu atbalstu. Par mājas lapas saturu atbild Invalīdu un viņu draugu apvienība „Apeirons”

Prostatas vēzis Latvijā ir otrā visbiežāk sastopamā onkoloģiskā diagnoze vīriešiem

publicēts: 30.11.2017
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| autors: Gunārs Grabinskis
Ziņot par neatbilstošu saturu

Prostatas vēzis ieņem vietu pirmajā trijniekā starp onkoloģiskām diagnozēm, un Latvijā tā ir otrā visbiežāk sastopamā onkoloģiskā diagnoze uzreiz pēc plaušu vēža.

Kā informēja “Benu aptiekas” pārstāvji, diskusijas laikā “Capital Clinic Riga” uroloģe Bozotova teica, 2016. gadā statistikas dati liecina, ka gada laikā Latvijā bijuši 1076 gadījumi, un apmēram puse no tiem atklāti vīriešiem vecumā no 60 līdz 70 gadiem. Ārste uzsvēra, ka palielinoties vecumam, iespējamība saslimt ar prostatas vēzi pieaug. Vīriešiem vecuma grupā no 55 līdz 60 gadiem varbūtība atklāt prostatas vēzi ir līdz 15 procentiem, savukārt pēc 60 gadiem – 20 procentiem, pēc 70 gadiem līdz 30 procentiem, tālāk tai turpinot līdzvērtīgi pieaugt.
Bozotova skaidroja, ka prostatas vēzi var ietekmēt dažādi faktori, tostarp dzīvesveids, uzturs un dzimumaktivitāte. Tomēr galvenā unvislielākā ietekme, pēc viņas teiktā, ir iedzimtībai. Ja vīrietim viens radinieks ir slimojis ar prostatas vēzi, risks ar to saslimt ir divas reizes lielāks. Savukārt, ja šādi asinsradinieki ir divi – risks ir piecas reizes lielāks. Turklāt minētais risks ir pārmantojams gan no mātes, gan no tēva puses asinsrasdiniekiem, uzsver uroloģe. Kaut arī citi prostatas vēža rašanās iemesli ir diskutabli, taču arī tiem, pēc Bozotovas teiktā, var būt ietekme.
Eksperte uzsvēra, ka pamudinājums ir viens no faktoriem, kas var vīrietim likt apsvērt prostatas vēža pārbaudes veikšanu. “Otrās pusītes un ģimenes ir galvenais motivators, lai veiktu pārbaudi. Bieži vien sievietes ir tās, kas intersējas par iespēju vīriešiem veikt veselības pārbaudes, pieraksta viņus uz konsultācijām un pat nāk līdzi, lai atbalstītu,” saka Bozotova. Tomēr viņa atgādināja, ka prostatas problēmas ir vīriešu neatņemama sastāvdaļa. Speciāliste norādīja, ka jebkuram vīrietim pēc 40 gadiem sākās hormonālās pārmaiņas, kuru rezultātā prostata var palieināties. Tādēļ ikvienam vīrietim pēc 40 gadu vecuma ir jādodas uz pārbaudi un tā jāatkārto katru gadu, skaidroja uroloģe.
Viņa norādīja, ka prostatas vēzis ir kluss audzējs, kas var attīstīties arī bez sūdzībām. Taču ir vērojama sakarība – jo janākam vīrietim šī saslimšana parādās, jo ātrāk tā attīstās. Tādēļ Bozotova teica, ka labāk lieku reizi aiziet pie urologa uz pārbaudi, nevis sagaidīt sūdzības, kad jau var būt par vēlu.
“Veselības centra 4” Radioloģijas nodaļas vadītājs, radiologs-diagnosts Kaspars Stepanovs skaidroja, ka pati pirmā veicamā diagnostika ir PSA (priekšdziedzera specifiskais antigēns) analīzes, uz kurām var nosūtīt ģimenes ārsts. Minēto analīžu rezultāti var parādīt, vai ir nepieciešami papildu izmeklējumi. Savukāart tiem vīriešiem, kam ir iedzimtības risks, ārsts ieteica noteikti veikt regulāras pārbaudes, kas ir nepieciešamas ne tikai prostatas vēža diagnosticēšanai, bet arī citu iespējamo saslimšanu dēļ un labdabīgās prostatas palielināšanās gadījumā.
Stepaanovs norādīja, ka prostatas palieelināšanos var redzēt, veicot vienkāršu sonogrāfiju, ko veic, uzliekot detektoru uz vēdera un izvērtējot prostatas apjomu Vienlaikus viņš piebildaa, ka sonogrāfija nedod iespēju izteikties par prostatas vēzi, līdz ar to precīzākai apskatei jāveic transrektālā ultrasonogrāfija, kas ir sarežģītāks process. “Tieši tas visbiežāk biedē vīriešus un ir tam iemesls, kādēļ vīrieši šos izmeklējumus neveic,” teica speciālists. Tomēr par nozīmīgāko prostatas vēža izmeklēšanas metodi, pēc radiologa teiktā, var uzskatīt magnētisko rezonansi, ko veic pacientam guļot iekārtā un veicot skenēšanu. Tā ļauj precīzi izteikties par prostatas anatomiju un sastāvu, kā arī pats izmeklējums ir daudz patīkamāks un nerada diskomfortu. Stepanovs skaidroja, ka minētajā metodē ir ļoti svarīga kvalitāte, tostarp, cik atbilstošas iekārtas un cik zinošs ir speciālists, kas to veic.
Radiologs diskusijas laikā uzsvēra, ka prostatas vēži nav vienādi un tiem izšķir vairākas agresivtātes pakāpes. Biežāk sastopamie neagresīvie gadījumi, ar ļoti zemu mirstību. Taču, lai precīzi noteiktu vēža agresivitāti, ir jāveic magnētiskā rezonanse. “Galvenais ir neļauties bailēm, jo vairākumā gadījumu tiek atklāta labdabīgā prostatas palielināšanās, agresīvie vēži ir relatīvi reti. Turklāt dažādus prostatas vēža saslimšanas gadījumu nevar savstarpēji salīdzināt. Vēzis var būt ļoti dažāds – lai arī to sauc vienā vārdā, patiesībā tie var būt ļoti dažādi procesi,” norādīja Stepanovs.
Vienlaikus speciālists atgādināja par savlaicīgas pārbaudes nozīmi. Viņš skaidroja, ka jebkurā vecumā, arī jauniem vīriešiem, ir vērtīgi veikt asins analīzes un apmeklēt urologu, jo prostatas vzis nav vienīgā saslimšana, no kuras būtu jāuzmanās vīriešiem. Pēc Stepanova teiktā, vīrietim lielākas grūtības ir aiziet uz pārbaudi pirmo reizi. Tomēr pēc tam tas ir pašsaprotams process, jo pacients jūtas drošāk un saprot, ka pārbaude nav nekas briesmīgs. “Turklāt prostatas vēža ārstēšana kļust arvien modernāka. Jau tagad tiek ieviestas invazīvas metodes, kas arvien vairāk cenšas saglabāt prostatu veicot vēža ārstēšanu. Šīs metodes drīz varētu ienākt arī Latvijā,” norādīja eksperts.

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30.0008273988Sitecontroller->show( )../index.php:43
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20.0001126036require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0008273988Sitecontroller->show( )../index.php:43
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20.0001126036require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0008273988Sitecontroller->show( )../index.php:43
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120.07784668692mysql_escape_string ( )../functions.php:12

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20.0001126036require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0008273988Sitecontroller->show( )../index.php:43
40.02502691300require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
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60.02972921504Controller->show( )../CSitecontroller.php:67
70.02982940328require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
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