Dr.Md.Fazlul Hoque
BCS (Admin)
DSMS, BSS (Hons)MSS &LL.B
What is Prostate Cancer ? Causes and protect system.
50 Da© cyil‡`i ‡cÖv‡óU K¨vÝvi (Prostate Cancer) mgm¨v
Prostate Gland cÖwZwU cyil gvby‡li i‡q‡Q Prostate Gland Ges cyil gvby‡li Rb¨ GwU AZxe ¸iZ¡c~Y© GKwU AM©vb| †g‡q‡`i †Kvb †cvÖ‡ó÷ MøvÛ †bB|:
Prostate Gi Ae¯’vb : cvqy c_ (Rectum) ev cvqLvbvi iv¯Ívi wVK ≤ 4 Bw©©© Dc‡i Ges gyÎ_yjx Blooder Gi wb‡PB Ae¯’vb |
Prostate Gi AvK…wZ: cÖ‡ó÷ †`L‡Z A‡bKUv Walnat Gi b¨vq| Dc‡ii w`KUv PIov Ges wb‡Pi w`KUv myi“ n‡q Avmv AvK…wZ we‡kl| Prostate Gland `yÕfv‡M wef³| Right Prostate and Left Prostate. Prostate gland Gi wVK gvSLvb w`‡q wM‡q‡Q Urathrow ev gyÎ bvjx| GB gyÎ bvjx gyÎ_jx Blooder ( gyÎ aviY cvÎ) †_‡K ïi“ n‡q Prostate gland Gi ga¨ w`‡q Penis (cyil A‡½i) Gi gv_v ch©šÍ we¯Í…Z| wb‡PB wP‡Îi gva¨‡g Biopsy Gi c×wZ †`Lv‡bv n‡jv|
Prostate Gi ms‡M mshy³ i‡q‡Q Seminal vesicle (exh© Drcv`b †K›`ª)| wb‡PB Sz‡j i‡q‡Q AÛ‡Kvl (Testicle) mewKQy wg‡j bvg n‡”Q gyÎ Zš¿ (Urinary System)| cv‡k¦© wP‡Î gva¨‡g cwi¯‹vifv‡e gyÎ ZšÍwU †`Lv‡bv n‡q‡Q| 45 Da© (cvðv‡Z¨ 50+) eq‡mi kZKiv 95 fvM cyilB gyÎ hš¿ m¤úK©xq bvbvwea cxovq AvµvšÍ n‡q _v‡K| we‡kl K‡i BPH mKj cyi‡li Rb¨ GKwU I mvaviY NUubv n‡jI Prostate Cancer Ges BPH LyeB gvivZ¥K |
Prostate Cancer KviY: Prostate Cancer Gi mwVK KviY GL‡bv wbwY©Z nq wb| Z‡e, wcZv, `v`v, bvbv, gvgv wKsev PvPv A_ev fvB‡`i Kv‡iv A_©vr i‡³i m‡½ m¤úK©hy³ Kv‡iv Prostate Cancer wQj wKsev Av‡Q Rvbv _vK‡j a‡i †bIqv hvq mswkó es‡ki cyil‡`i Prostate Cancer n‡Z cv‡i|
Prostate Cancer wPwKrmv t ev¯ÍweK c‡¶ †Kvb Cancer Gi-B-djcÖmy wPwKrmv GL‡bv ch©šÍ Avwe¯‹…Z nq wb| AvR hv Cancer wPwKrmvi cÖhyw³ wn‡m‡e MyiZ¡ cv‡”Q wKQyw`b c‡i Avevi Zvi bZzb ms¯‹iY †ei n‡”Q| weÁvbixiv gvbeNvZK G e¨wa †_‡K gvbyl‡K i¶vi cÖvYvšÍ cÖ‡Póv Pvwj‡q hv‡”Qb| eZ©gv‡b Chemothrapy, Heat or Burn to the Cancer places mn bvbvwea wPwKrmv w`‡q hv‡”Qb e‡U wKš‘ ¯’vqx djvdj wK Z`‡Ëvi mswkó fy³ †fvMxivB mwVK K‡i ej‡Z cvi‡e| K¨vÝvi we‡kÁ wPwKrm‡`i wbKUB i‡q‡Q cÖK…Z DËi|
Z‡e, GK_v wVK †h Prostate Cancer GKUz e¨wZµgagx
1.• Prostate Cancer Gi growth rate LyeB axiMwZm¤úbœ
Ges early detect Kiv ‡M‡j wPwKrmv m¤¢e| Prostate Cancer wPwKrmvi K‡qKwU ¯Íi (Stage T1-T4)
i‡q‡Q| 1st Stage or Secondary or Moderate Stage G Prostate
Cancer LyeB AwfÁ I `ÿ Surgeon Øviv Operation Kiv‡Z cvi‡j Av‡ivM¨
nIqv m¤¢e| g‡b ivL‡Z n‡e Avwg wKš‘ LyeB AwfÁ I `ÿ `Surgeon Operation Kivi Gi
K_v e‡jwQ& | Robotic n‡j me‡P‡q fvj| hv GZ`v‡j Singapore i‡q‡Q| Av‡iv `y‡i USA & Austalia ‡Z Av‡Q| fvi‡Z m¤cÖwZ †Póv Pj‡Q|
Prostate Cancer Stage T1-T4 n‡j wbwðZ †h Cancer †`‡n we‡kl K‡i
bone G Qwo‡q wM‡q‡Q Operation Kivi ‡Kvb my‡hvM †bB| †mB †¶‡Î Ab¨
wPwKrmvi e¨e¯’v i‡q‡Q e‡U| Z‡e, djcÖmy †iRvë †ivMxi fv‡M¨i DciB wbf©i K‡i|
• Singapore
National Cancer Hospital (NUH), Singapore General Hospital(SGH) and Mount Elegabeth Hospital G e¨w³MZfv‡e nvwRi n‡q †h AwfÁZv AR©b
K‡iwQ Ges Internet USA, Australia, Cannada mn we‡k¦i wewfbœ eo eo
Cancer
nvmcvZvj †_‡K †h me Z_¨ msMÖn
K‡iwQ Dnv‡Z †`Lv hvq 2008 m‡b mviv we‡k¦ cÖvq 9 †KvwU gvbyl Prostate Cancer G gviv
wM‡q‡Q| myZivs Prostate Cancer G g„Zz¨i nvi wK fqven Zv Z_¨wU †_‡K †h †Kvb m‡PZb e¨w³
Dcjw× Ki‡Z cv‡ib| Avi Prostate Cancer Gi wPwKrmv
m¤ú‡K© Rbm‡PZbv e„w×i wbwgË¡-B- Avgvi G ¶z`&ª cÖ‡Póv |
Prostate Gland Gi Ae¯’vb : gyÎ _wj (Urine
Bladder) Gi wVK wb‡P Ges Urethra ( the
tube that drains urine from the bladder) runs through the prostate. Rectum Gi m¤§y‡L Ges wmwùwmm wcDwe‡mi wcQ‡b I wb‡Pi w`‡K _v‡K|
AvswkKfv‡e gvsm‡ckx I AvswkK MøvÛyjvi wUmy Øviv wbwg©Z
Prostate Gland Gi KvR ( Funtions) : Prostatic fluid
Drcv`b Kiv| Prostatic fluid n‡”Q ex‡h©i (Semen) GKwU Ask hv ex‡h©i m‡½ hy³ n‡q exh©‡K wKQzUv Zij iv‡L|
Seminal Vesicle: Prostate gland Gi Dc‡ii w`‡K Ges Urine Bladder Gi dvÛvm Ges Rectum Gi ga¨eZ©x As‡k _vKv †QvU I wKQzUv j¤^v‡U AvK…wZi †h `yÕwU _wji gZ Ask _v‡K Zvi bvg| Vas Difference Gi m‡½ hy³ Lv‡K Ges Semen Gi †ekxi fvM Zij AskB Seminal Vesicle G m„wó nq|
Seminoma: AÛ‡Kv‡l m„ó we‡kl GK ai‡Yi Malignant or Cancer RvZxq Tumour Gi bvg| †ewki fvM †¶‡ÎB G ai‡Yi we‡kl Cancer ev Tumour G †e`bv‡eva _v‡K bv| d‡j wbi‡e cÖvYNvZK G Cancer ‡ivMx †Kvb wKQy ey‡S Dvvi Av‡MB †`Lv hvq wUDgvi Metastesis i‡c Lung or another Parts of the body†Z Secondary groth wn‡m‡e iƒc wb‡q‡Q| G ai‡Yi Tumour cÖexb ev e„× (50) Da© eq¯‹ e¨w³‡`i g‡a¨B †`Lv hvq|
Prostate fvj _vKvi ¸iZ¡ (The importance of maintaining Prostate health):
Avcbvi †R‡b
AevK n‡eb †h, 45 wKsev 50 Da© eq‡mi cÖwZ 2 Rb cyi‡li g‡a¨ 1Rb cyi‡li
(A_©vr 2t1) i‡q‡Q Prostatic
Problem or gyÎ
msµvšÍ mgm¨vv (Urinary
problem). Prostatic I Urinary problem. cwðgv †`k ¸‡jv‡Z kZKiv 80% fvM †jv‡Ki 70 eQi eqm †_‡K ïi
nq| wKš‘ evsjv‡`‡ki b¨vq Dbœqbkxj †`‡k mvaviYZ 45 wKsev 50 Da© eqm †_‡KB ïiæ
n‡q _v‡K| Prostatic problem ïay gvÎ eq‡mi Kvi‡Y nq ZvÕ b‡n eskMZ BwZnvm (family
history),
Rxeb aviv (lifesyle) Ges Lv‡`¨i (diet)
DciI wbf©i K‡i|
myZivs
Prostate Gland Gi Funtion ‡K fvj ivLvi Rb¨ cÖwZwU wcZv-gvZv‡K
Zvui cyi“l wkï‡K R‡gœi ci †_‡K, weev‡ni c‡i ¯¿x‡K Ges 45-50 Da© eqe„×
cyi“‡li cÖwZ cwiev‡ii m`m¨‡`i Prostatic I Urinary
problem m¤ú‡K© GKvš— fv‡e
m‡PZb _vKv Avek¨K| Ab¨_vq cwiev‡ii GKgvÎ Dcvh©b¶g e¨w³wU‡K LyeB Lvivc Ae¯’vq
nviv‡Z n‡e|
Prostatic Symptoms and problem :
eql e„w×i m‡½ m‡½ cyiæ‡li †cÖv‡óU e„w×
( Prostate enlarge) n‡Z _v‡K hv‡K BPH
(Benign Prostatic Hyperplasia) e‡j| BPH Gi Kvi‡Y cÖmªve Ki‡Z Kó n‡Z cv‡i,
cÖmªv‡e R¡vjv, A‡bK mgq wb‡q cÖmªve nIqv, ev‡i ev‡i †_‡g †_‡g cÖ¯ªve nIqv, †dvUv †dvUv cÖmªve, SY©vi b¨vq GKvwaK
av‡i cÖmªvemn bvbvwea mgm¨v †`Lv w`‡Z
cv‡i| Z‡e BPH wb‡q †Ubk‡bi †Zgb KviY _v‡Kbv e‡j we‡klÁ wPwKrmKMY Rvbvb
Ges mvaviYZ: Operation I Jla w`‡jB †ivMx fvj _v‡K| wKš‘
Prostate Cancer: g‡b ivLv Avek¨K †h BPH
Ges Prostate Cancer GK whwbl b‡n| Prostate Cancer n‡”Q gvivZ¥K, KóKi, Rxeb msnvi me©¯^
aŸsmKvix cÖvYNvZK e¨vwa| hw`I Ab¨vb¨ Cancer A‡c¶v Prostate Cancer axiMwZ m¤úbœ| Prostate Cancer †ivMxi mvaviYZ: †Kvb j¶Y wKsev mgm¨v (Symptoms and problem) ‡`Lv
hvq bv| | BPH
Gi b¨vq cÖmªve Ki‡Z Kó n‡Z cv‡i, cÖmªv‡e
R¡vjv, A‡bK mgq wb‡q cÖmªve nIqv, †dvUuv †dvuUv cÖmªve, SY©vi b¨vq GKvwaK ev
av‡i cÖmªvemn bvbvwea mgm¨v †`Lv w`‡Z cv‡i| AwfÁ Ges
`¶ wPwKrmK †ivMxi gy‡Li wKQz weeiY ï‡b i‡³i PSA (Prostate Specific Antigent) Test Kwi‡q Prostate
Cancer m¤^‡× aviYv Ki‡Z cv‡ib Ges BIOPSY Gi gva¨‡g Prostate Cancer I
Prostate Cancer Stage (T1-T4) wbY©q K‡i _v‡K|
How to Prostate cancer diagnosis:
Prostate Cancer wbY©‡q me‡P‡q
¸iZ¡c~Y© Pathological
cix¶v
n‡”Q blood Gi PSA (Prostate Specific Antigent) Test|
PSA Test Result Interpretation Chart:
•0-2.5 ng /ml is considered
low (0-4.0 ng /ml Normal)
|
•2.6-10 ng/ml is
slightly to moderately elevate (D”PZi
mxgv)
|
•10-19.9 ng/ml is highly
elevate (wec` mxgv)
|
• PSA 10
ng/ml or greater could mean a 40-50% chance of cancer at present.
|
•PSA
20ng/ml or greater is significantly elevated (D‡jøL‡hvM¨fv‡e cancer we‡ePbv Kiv hvq).
|
Note-1: PSA (prostate specific antigen) 10 ng/ml or greater n‡jB 99% ‡¶‡Î fve‡Z n‡e cancer. Z‡e GUv fvev wVK n‡e bv †h †ivMxwUi cancer B n‡q‡Q| †Kbbv eqm e„w×i m‡½ m‡½ prostate enlarge nq Ges prostate enlarge n‡j PSA e„w× n‡Z cv‡i|
Note-2: PSA 10 ng/ml or greater n‡j fve‡Z
n‡e †ivMxi fvj ¯^v‡¯’¨i AwaKvix b‡n| Zv‡K Urologist Gi wbKU Aek¨B civgk© wb‡Z n‡e| Urologist we‡ePbv K‡i Antibiotic (a).Tab.Exolev 500 mg 0+0+1 (4weeks) wKsev (b). Cap. 0fliacin
400mg 1+0+1 (3weeks) ev Ab¨ Jla †me‡bi civgk© w`‡q cyb: PSA tests K‡i †`L‡Z n‡e PSA K‡g‡Q wKbv | hw` K‡g Zvn‡j eySv hv‡e prostate
Infection n‡qwQj Ges cancer b‡n| wKš‘ PSA bv K‡g hw` †e‡o hvq Zvn‡j wbwðZ n‡Z n‡e
Avcwbv prostate cancers †ivMx|
Note-3 : prostate cancer wbY©‡qi Aci GKwU
mnR cix¶v n‡”Q ÕÕcvqy c_Ó A_v©r cvqLvbvi iv¯—vq (Rectum) Av½yj XywK‡q
†`Lv| hw` prostate cancer A_©vr prostate
G Tumor n‡q _v‡K
Zvn‡j mn‡RB Av½yj Øviv eySv hv‡e| A
rectal exam often reveals an enlarged prostate with a hard, irregular surface.
Note-4 : A number of tests may be done to confirm the diagnosis of prostate cancer. Prostate cancer is most often discovered by physical examination or by screening blood tests, such as the PSA (prostate specific antigen) test.
Note-5 :
PSA test may be high, although non-cancerous enlargement of the
prostate can also increase PSA levels. Free PSA may help tell the
difference between benign prostatic hyperplasia (BPH) and prostate cancer.
• Urinanlysis may show blood in the urine.
• Urine or prostatic fluid cytology may reveal unusual cells.
•Digital rectal examination:
cvqy c‡_ (rectum)
Av½yj XywK‡q prostate cancer cix¶vi me‡P‡q mnR c×wZ|
nv‡Zi ga¨gv Av½y‡j †Mvem cwi‡q cvq‡Z XywK‡q
wUDgvi Av‡Q wKbv Zv cix¶v Kiv nq| GwU Lye mnR c×wZ n‡jI wPwKrmK‡K LyeB `¶ I AwfÁ n‡Z n‡e| prostate cancer mn‡RB eySv hv‡e Ges k³ AYyf~Z n‡e| eqm e„w× RwbZ BPH
n‡j ¯^vfvweK e„w× g‡b n‡e k³ I e¨_v AYyf~Z n‡e bv
The rectum (back passage) is
close to the prostate gland, so your doctor can yourself feel for any abnormalities in
the prostate by inserting a gloved finger into the rectum. This may be
uncomfortable but should not be painful.
If cancer is present in the prostate
gland it may feel hard and knobbly. Whereas BPH it is usually
normal.
• Trans-rectal
ultrasound scan(TRUS)
GUvI•Digital rectal examination Gi b¨vq cvqy c‡_ (rectum)
‡QvU
Kw¤úDUvi gvD‡Pi b¨vq GKwU †gwkb XywK‡q Ultrasonogram mechine Gi screen G prostate cancer
ev wUDgvi Av‡Q
wKbv Zv cix¶v K‡i †`‡L _v‡K|
ultrasound scans use sound
waves to build up a pictre of part of the inside of the body.To scan the
prostate gland.,a small probe is passed into the back passes and an image of
the prostate appears on a screen. This type of scan is used to measure the size
and density of the prostate.
Biopsy :
** Prostate Cancer is confirmed by the biopsy. i e. Biopsy Gi gva¨‡g prostate cancer n‡q‡Q wKbv Zv wbwðZ nIqv hvq|
Biopsy Kivi c×wZ I Side effec m¤^‡× mZK©Zv:
Biopsy Kivi c×wZ I Side effec m¤^‡× prostate cancer ‡ivMx‡`i mg¨K aviYv _vKv Avek¨K| mswkó wPwKrmK‡KI ‡ivMxi Biopsy Kivi c~‡e© Biopsy Kivi c×wZ I Biopsy cieZx© Side effec m¤^‡× AewnZ Kiv DwPZ| Biopsy Kivi c~‡e© wPwKrmK Avcbvi Hip Musle G Antibiotic Inj I Anesthasia Kivi ci gjØvi w`‡q GKwU k³ `Û XywK‡q w`‡q evg I Wvb †cÖv‡óU (Left Prostate and Right Prostate ) Gi cÖ‡Z¨K cv†k¦© cvuPwU K‡i †gvU `kwU ¯’vb †_‡K LyeyB my¶ m~uP Øviv wUmy¨ wb‡q (g‡b n‡e eÜzK w`‡q Mywj Ki‡Q) cix¶v K‡i Prostate cancer n‡q‡Q wKbv wbwðZ nIqv hvq| Biopsy Result Gi wfwˇZ ‡ivMxi Prostate Cancer TNM Staging (T1, T2, T3 I T4 ) wbY©q Kiv nq Ges Staging Gi wfwˇZB wPwKrmv c×wZI wbwY©Z n‡q _v‡K (Prostate CancerTNM Staging Ges wPwKrmv c×wZ m¤^‡× c‡i we¯—vwiZ Av‡jvPbv Kiv n‡q‡Q)|
A metal
instrument is placde in the urethra (whch passes through the
Prostate).This specimen was almost 7 centimeters long with a volume of about 60
cubic centimeters on transrectal ulrasound and was removed during a
Hryntschak procedure or transvesical prostatectomy (removal of the prostate
through the bladder) for benighn prostatic hyperplasia.
BIOPSY Gi c~‡e© Prostate Cancer
wbY©‡q K‡qKwU ¸iZ¡c~Y© j¶Yvejx mK‡ji AeMwZi Rb¨ wb‡P D‡jøL Kiv nj |
1. Prostate Cancer j¶Yvejx (BIOPSY Gi c~‡e©)
·
cÖmªv‡ei aviv `ye©j n‡q hv‡e (weakening of the urine
stream)
|
·
cÖmªve ïi n‡e †`ix‡Z Ges cÖmªve e›Ü n‡q hv‡e Avevi ïi n‡e (the unine flow stops
and starts while urinating)
|
·
cÖmªve _wj ‡_‡K mg¯Í cÖmªve †ei n‡e bv, cÖmªve _wj‡Z cÖmªve †_‡K hv‡e ( a sensation that the bladder is not completely
cmptied atter you've finished urination)
|
·
cÖmªve †kl Kivi Rb¨ evi evi †Póv Ki‡Z nq|
|
·
cÖmªve eÜ n‡q †h‡Z cv‡i
|
·
cÖmªv‡e R¡vjv
|
·
†dvuUv †duvUv cÖmªve
|
·
cÖmªve w`‡q i³ cov
|
·
1 N›Uv A_ev 2N›Uv cici cÖmªve Ki‡Z eva¨ nIqv|
|
·
mn‡R cÖmªve Kiv KóKi·
|
·
gvSvq e¨_v nIqv
|
·
wewfbœ nv‡oi †Rvovq †Rvovq e¨_v nIqv nv‡o
|
·
nv‡Z I cv‡qi Zvjy R¡vjv †cvov Kiv BZ¨vw`|
|
Prostrate Biopsy Gi wPÎ
Side effect of Prostrate Biopsy:
• Prostrate Biopsy Õi c‡i Side
effect wn‡m‡e i³¶iY (Bleeding) n‡Z cv‡i|
• GZ`wel‡q Wv³vi‡K hZ¥evb nIqv Ges †iv&Mxi kvwiixK I
gvbwlK kw³i Øviv Overcome Kivi wel‡q wPwKrmK‡K †ivMxi g‡b mvnm †hvMv‡Z n‡e|
Prostrate Biopsy ‡Kv_vq Kiv‡j Side effect Kg n‡e ?
evsjv‡`‡k e½ eÜz †kL gywRe †gwW‡Kj K‡jR I nvmvcvZv‡ji wefvMxq cÖavb Prof.Salam Urologist and &GKB cÖwZôv‡bi former Prof S.A Khan (ccyjvi nvmcvZvj) Biopsy Kivv wel‡q Avgvi Rvbvg‡Z weÁ wPwKrmK| Associate Prof. Dr. Kamrul Inslam, Markajul Hospital mn evsjv‡`†k A‡bK AwfÁ Urologist i‡q‡Q|
Avgvi Rvbv g‡Z evsjv‡`‡k Prostrate Biopsy Ki‡Z cÖ¯‘wZ wn‡m‡e 03 w`b Ges Prostrate Biopsy Õi c‡i Side effect m¤ú‡K© ch©‡e¶Y Kivi Rb¨ Kgc‡¶ 05-07 w`b cÖ‡qvRb nq| wewfbœ nvmcvZvj I wPwKrm‡Ki †P¤^v‡i 10-15 Rb †ivMxi m‡½ Av‡jvPbv K‡i Avwg D³ic AwfÁZv AR©b K‡iwQ| mswkó wPwKrmMYI Avgvi m‡½ wbðq GKgZ n‡eb|
Avgvi Rvbv g‡Z evsjv‡`‡k Prostrate Biopsy Ki‡Z cÖ¯‘wZ wn‡m‡e 03 w`b Ges Prostrate Biopsy Õi c‡i Side effect m¤ú‡K© ch©‡e¶Y Kivi Rb¨ Kgc‡¶ 05-07 w`b cÖ‡qvRb nq| wewfbœ nvmcvZvj I wPwKrm‡Ki †P¤^v‡i 10-15 Rb †ivMxi m‡½ Av‡jvPbv K‡i Avwg D³ic AwfÁZv AR©b K‡iwQ| mswkó wPwKrmMYI Avgvi m‡½ wbðq GKgZ n‡eb|
mvg_©¨ _vK‡j evsjv‡`‡ki
evB‡i we‡klK‡i Singapore General Hospital (SGH), Prof.Christopher Cheng, Gi wbKU Prostrate Biopsy Ki‡Z gvÎ 10-15 wgwbU mgq jv‡M| nvmcvZv‡j
fwZ©i †Kvb cÖ‡qvRb nq bv| Biopsy Kivi m‡½ m‡½ †ivMx‡K †nu‡U evmvq hvIqvi
civgk© w`‡q _v‡K| Infection nIqviI m¤¢vebvI AwZ¶xb| National University Hospital (NUH) Gi Prof.Kasavan and Mount Elegabeth Hospital Gi
wPwKrmKMY KZ…©K Biopsy Kiv †ek wKQz evsjv‡`kx, USA &Australia ‡_‡K AvMZ I Biopsy Kiv †ivMxi m‡½ Av‡jvPbv K‡i ev¯Íe AwfÁZv jØ Ávb mK‡ji DcKviv‡_© GLv‡b mwbœ‡ek Kiv nj| mvgvb¨ 5-10 wgwb‡Ui Rb¨ mvgvb¨ i³¶iY (Bleeding) n‡Z cv‡i| evsjv‡`‡k Biopsy Kivi hš¿cvwZ KZUzKz AvaywbK, wPwKrmKMY KZUzKz cÖwkÿY cÖvß Z`wel‡q Avgvi †Kvb AwfÁZv †bB| AvcwbB wm×všÍ wb‡eb
†Kv_vq Prostrate Biopsy Kiv‡eb| †`‡k bvwK fviZ, e¨vsK‡K wKsev wmsMvcy‡i Zv wbf©i Ki‡e Avcbvi mvg‡_©i Dci| Gevi Avwg Prostate Cancer m¤^‡× Avcbv‡`i wKQz mymsev w`w”Q- wb‡Pi ‡Uwej wU †`Lyb|
1.
|
Prostate Cancer
m¤^‡×
my‡Li msev`
|
1. LyeB
ax‡i ax‡i e„w× cvq
2. eo ai‡bi †Kvb mgm¨v †`Lv hvq bv
3. Prostate
Cancer
ZvovZvwo wbY©q
Ki‡Z cvi‡j Ges wPwKrmv
MÖnY Ki‡j-
|
2.
|
High risk for Prostate Cancer
|
** 50+ Da© eq¯‹ e¨w³‡`i
µgvbœ‡q PSA e„w×I
A_©B n‡”Q- m¤¢eZ: †`‡n Cancer cell e„w× cv‡”Q bv nq K¨vÝvi †`‡n Qwo‡q
co‡Q|
Avevi family
BwZnv‡m Prostate Cancer _vK†j risk Av‡iv ‡e‡o hvq|
|
3.
|
Good Reading for PSA
|
• 40-50 eqm MÖ“‡di g‡a¨ 2mg/ml PSA _vK‡j fvj|
• 60-70 eqm MÖ“‡di g‡a¨ 4-5.5 n‡jI Lvivc b‡n|
•• PSA `ª“Z MwZ‡Z e„w× cvIqvi A_©B n‡”Q- Cancer
wbgœMwZ‡Z ax‡i ax‡i PSA e„w×i A_© n‡”Q Prostate Tumor n‡”Q-
Ø Biopsy K‡iB Cancer wbY©q Ki‡Z nq
Ø
Biopsy side
effects : i³ ¶iY n‡e|
Ø
Digital Rectal Screening
cÖv_wgK ch©v‡q †Zgb †Kvb mZK©Zvg~jK
ms‡KZ cvIqv hvqbv|
|
Prostrate Biopsy
‡Kb Ki‡eb ?
• PSA `ªZ MwZ‡Z e„w× ‡c‡Z _vK‡j;
|
• Antibiotic ‡me‡bi c‡iI PSA bv K‡g e„w× ‡c‡Z _vK‡j ;
|
• cÖmªv‡ei †h me mgm¨vi Rb¨ wPwKrmK Avcbv‡K Jla w`‡q‡Q †m
me j¶‡Yi †Kvb DbœwZ bv n‡j
|
•• Prostate
Cancer n‡h‡Q wKbv Zv wbwðZ nIqvi Rb¨; Ges
|
•Prostrate Cancer n‡q _vK‡j Stage wbY©q K‡i wPwKrmK‡K
mwVK wPwKrmvq wm×vš— MÖn‡Y
mnvqZv Kivi
Rb¨|
|
Z`wel‡q mg¨K Ávb jvf Kiv hv‡e|
Picture
|
PROSTATE CANCER TNM STAGING
|
 |
TX- Primary tumour cannot
be assessed in
prostate.
TO-No evidence of
primary tumour
T1-Tumour not clinically
apparent
T1(a-c)
 |
 |
T2-Tumour palpable/confined
to prostate
T2a-Tumour involves both
prostate lobes
|
 |
T3-Tumour palpable and
extends beyond prostate capsule
T3a-Tumour palpable and
extends beyond prostate capsule.either on one side(unilaterally)or both
sides(bilaterally)
|
|
T4-
Tumour is fixed of invades adjacent anatomy other than seminal vesicles;
bladder neck ,external sphincter, recvtu, levator muscles, and/or pelvic wall
|
Prostate cancer †`‡ni Ab¨vb¨ Organ we‡klK‡i bone G Qwo‡q wM‡q‡Q wKbv Zv wbY©q Kivi Rb¨ CT scans Kiv nq
Prostate cancer wPwKrmv wbq‡š¿i evB‡i hvIqv• ‘ bone scans’ |
•Prostate cancer †`‡ni Ab¨vb¨ Organ we‡klK‡i bone G Qwo‡q wM‡q‡Q wKbv Zv wbwðZ nIqvi Rb¨ CT scans Kiv nq| CT scans Kivi c~‡e© †ivMxi †`‡n GKwU Tc 99m-MDP Radio Pharmacitical Injection Kiv nq| D³ Injection Kivi 3/4N›Uv c‡i mviv †`‡ni bone scans Kiv nq| †ivMx‡K cÖvq 2 N›Uv scaning Maching ïqv‡q ivLv nq| • Tc 99m-MDP Radio Pharmacitical Injection c‡i †ivMx‡K wkï‡`i †_‡K `y‡i _vKv evÂbxq| †ivMxi kixi †_‡K GKwU Ray †ei n‡Z _v‡K,hv wkï‡`i Rb¨ gvivZ¥K ¶wZi KviY n‡Z cv‡i| Kv‡RB 5eQ‡ii Kg eqmx wkï‡`i av‡i Kv‡Q bv _vKv, †Kv‡j bv ‡bIqv wKsev Pzgy †`Iqv, Av`I Kiv BZ¨vw` †_‡K weiZ _vKvB fvj | Avgv‡`i wPwKrmKMY e¨¯’Zvi Kvi‡Y Gme fy‡j †h‡Z cv‡i| •evsjv‡`‡k Report †c‡Z 07 w`b †`ix n‡jI wmsMvcyi m‡½ m‡½ bone scans Report cvIqv hvq| cancer bone G Qwo‡q †M‡j Prostate cancer Av‡ivM¨ nIqvi Avi †Kvb my‡hvM _v‡K bv| |
Chest X-rays |
•Chest X-rays and bone scans Øviv wbwðZ nIqv hvq cancer †`‡ni Ab¨vb¨ Organ Qwo‡q wM‡q‡Q wKbv ? |
AMACR test |
AwZ m¤cÖwZ †ei n‡q‡Q AMACR test hv LyeB ¸i“Z¡c~Y© | Prostate cancer wbY©‡qi Rb¨ PSA A‡c¶v AMACR test Av‡iv †ekx djcÖmy n‡jI Avgv‡`i †`‡k G cix¶vwU GL‡bv Kivi my‡hvM nq wb| |
PSA m¤^‡š^ AwZwi³ aviYv : |
•fvj
¯^v‡¯’¨i gvbyl‡`i i‡³ PSA
Kg _v‡K|
•eqm
e„w×i m‡½ m‡½ Prostate gland
enlarged nq|
•Prostate
e„w×
n‡j PSA I e„w× cvq ¯^vfvweK fv‡e|
(K) Prostate gland Gi Inflammation
(Prostatitis ) Gi
Rb¨ PSA e„w×
‡c‡Z cv‡i|
or
(L) Prostate
Cancer
GQvov (i) AvNvZ
(ii) digital
rectal exam or Unary Infection
(iii) AwZwi³ †hŠb msM‡gi Kvi‡Y †`n †_‡K
AwZwi³ exh©im †ei nIqvi Rb¨ 50+ eq‡m PSA e„w× n‡Z cv‡i|
|
PSA Test Result Interpretation Chart
•
≥0-2.5 ng
/ml is considered low (0-4.0 ng/ml Normal)
• 2.6-10 ng/ml is
slightly to moderately elevate (D”PZi mxgv)
• 10-19.9 ng/ml is slightly to moderately elevate (wec`
mxgv)
|
** PSA 10 ng/ml or greater could mean a 40-50% chance of cancer at present. |
** PSA 20ng/ml or greater is significantly elevated (D‡jL ‡hvM¨ fv‡e cancer we‡ePbv Kiv hvq). |
Note-1: Combani admitted, PSA 20ng/ml or greater is significantly elevated ev cancer n‡q‡Q wbwðZ K‡i ejv hvq bv| Z‡e cancer m¤ú‡K© mZK© nIqvi †¶‡Î h‡_ó Ae`vb iv‡L| ''To early is better than too late''
Note-2: Just remember that many cancer specialists now suspect that a high level may be less significant than sharp rise in PSA levels.
Five Leading Causes
of Prostate Cancer :
Five Leading Causes of Prostate Cancer :
|
Description:
|
Comments
|
|
Reason= 1
|
Sufficient
Excercise:
|
weÁvbx‡`i gZvgZ n‡”Q ⅓ fvM Prospate Cancer Gi KviY
n‡”Q ch©vß cwigvY e¨vqv‡gi Afve| GUv †Kvb fv‡eB MÖnY‡hvM¨ n‡e bv †h, GKRb
†jvK cÖwZw`b Kg c‡¶ 45 wgwbU nvuU‡ebv| †Kvb †ivMx cÖwZw`b 45 wgwbU nvuU‡j Prospate
Cancer
G SzuwK D‡jL‡hvMfv‡e K‡g hv‡e| wPwKrm‡Ki m‡½ Av‡jvPbv Ki‡j Zviv Prospate
Cancer Gi A‡bK wPwKrmv w`‡e|
|
45 wgwbU nvuU‡j Prospate Cancer G SzuwK
D‡jL‡hvMfv‡e K‡g hv‡e|
|
Reason= 2 :
|
Obesity
|
‡`‡ni ¯’~Z¡ Prospate Cancer Gi
Ab¨Zg KviY| Kv‡RB †`‡ni ¯’~jZ¡ Aek¨B Kgv‡Z n‡e| Physical activity evwo‡q obesity ‡K
Aek¨B Kgv‡Z n‡e| obesity n‡”Q Higher grade of tumors in prostate gland and
higher recurrence (cybt cybt ) rate after sung root Cause have is a
sedentary Life Style Ges AwZwi³ D”P K¨vjix mg„× Lvevi LvIqv men who slim
down car of aggressive cancer by as much as two or three times must be walk.
|
Physical activity evwo‡q obesity ‡K
Aek¨B Kgv‡Z n‡e|
|
Reason=3
|
Diet :
|
AwZwi³ Calorie MÖnY
prostate Cancer Gi
Av‡iv GKwU KviY| `y»RvZ Lvevi (Dairy product) Ges fvivµvš— DrcxoK (Laden
food)
with Saturated fats Like meat (gvsm) Lvevi n‡”Q prostate Cancer Gi me‡P‡q gvivZ¥K Dcv`vb|
Gi A_© GB bq †h, Low fat high fiver diet can profile? ‡L‡j
Avcbvi Prostate Cancer n‡e bv|
Z‡e Lvev‡ii 0.2 Ask dj I mwâ †L‡j cybt Avµgb‡K Kgv‡Z cv‡i| myZivs Lv‡`¨i
g‡a¨-
• Frouts
• Vegitables
• Soy products -
• Selenium
1-Vitamin-D & E
-Lycoprotin †L‡j ¯^vfvweKfv‡e Cancer cÖwZ‡iva K‡i|
|
Lvev‡ii 0.2 Ask dj I mwâ †L‡j cybt
Avµgb‡K Kgv‡Z cv‡i|
|
Reason-4
|
Race:
|
wb‡¤§v³ Kvi‡Y A¨v‡d«v-A¨v‡gwiKvb
gvbyl‡`i prostate Cancer Gi SzwK †ekx| Caucasians ( K‡Kkxq
DcZK¨vi gvbyl) Indo-European GjvKvi gvbyl Ges divmx Boarder
GjvKvi
†¯úwbm fvlvi †jvK‡`i prostate Cancer SzwK †ekx nIqvi KviY RgœMZ Ges Zv‡`i
P‡g© †gjvwb‡bi Avwa‡K¨i d‡j m~‡h©i Zv‡c Pvgovi is cwieZ©b nq Ges Vitamin-D euvav
MÖ¯n¨ nq| Wvj RvZxq Lvevi I gvsk Sat-ur -ated nq|
|
|
Reason-5
|
Heredity eskMZ KviY
|
hv‡`i es‡k we‡kl K‡i wcZv wKsev
fvB‡qi prostate Cancer Av‡Q Zv‡`i prostate Cance Gi SzwK †ekx| eskMZ KviY prostate
Cance Gi
†¶‡Î Myi“Z¡c~Y© fywgKv cvjb K‡i|
|
|
civgk©
|
myZivs
|
Dc‡iv³ KviY¸wji cÖwZ hZ¥kxj †_‡K h_v_©
e¨vqvg I Lv`¨ ZvwjKv Aby¯§iY K‡i P‡j prostate
Cancer Gi
SzwK A‡bKvs‡k cÖwZ‡iva Kiv hvq|
|
|
Latest Treatment on Prostrate Cancer by Allopathy:
Latest Treatment on Prostrate Cancer
|
Comments
|
||
1.
|
wewfbœ Therapy
|
Prostrate Cancer wPwKrmvq wewfbœ Therapy m¤^‡Ü
ejv n‡q‡Q| hv Avgv‡`i †`‡k †bB| Av‡Q USA- †Z|
|
Prospate Cancer n‡j gvbyl ¯^vfvweK fv‡e †ivMx 05 eQi ch©š—
evu‡P|
|
2.
|
Prostate operation
|
Prostate
gland ‡Ku‡U †d‡j w`‡j Cancer ‡kl|
Avcwb fvj| Z‡e Ggbfv‡e †Ku‡U †dj‡Z n‡e †hb Prostate gland †Kvb As‡k Cancer Gi Ask bv _v‡K|
|
LyeB `¶ I AwfÁ
mvR©b KZ©„K opera
tion Kiv‡Z n‡e|
|
3.
|
weÁvbx‡`i
gZvgZ
|
weÁvbx‡`i
gZvgZ n‡”Q ⅓ fvM Prospate Cancer Gi KviY n‡”Q ch©vß cwigvY e¨vqv‡gi Afve| GUv †Kvb
fv‡eB MÖnY‡hvM¨ n‡e bv †h, GKRb †jvK cÖwZw`b Kg c‡¶ 30 wgwbU nvuU‡ebv| †Kvb
†ivMx cÖwZw`b 30 wgwbU nvuU‡j Prospate Cancer G SzuwK D‡jL‡hvM¨fv‡e
K‡g hv‡e| wPwKrm‡Ki m‡½ Av‡jvPbv Ki‡j Zviv Prospate CancerGi A‡bK wPwKrmv w`‡e|
|
cÖwZw`b Kgc‡¶ 1N›Uv nvuUv eva¨Zvg~jK hv Prospate Cancer Gi SzuwK Kwg‡q †`q|
|
4.
|
wUªU‡g›U of prostate Cancer : eZ©gvb Ae¯’vq |
(i) A‡mªvcvPvi
(surgery)
(ii) Radiation heat
(iii) Chemo Therapy
(iv) Drugs such as
pos car & hormone Therapy to Pic from.
(v) One or a
Combination of These.
Recovery
rate : Surgery has a Bette rate
Side effect : Impotency
& Incontinence (AmsNg Aw¯’iZv †e‡o hvIqv) aŸR fsM|
|
Side effect: Impotency &
Inc- ontinence (AmsNg
Aw¯’iZv †e‡o hvIqv) aŸR fsM|
|
5.
|
cÖkœ-1t Developing Prostate Cancer wK Lv`¨ Øviv wbqš¿Y Kiv m¤^e ?cÖkœ-2: wKfv‡e Prostat te Cancer †K cÖwZ‡iva Kiv hv‡e? |
DËi-1 t May
be or may not .
DËi-2 t Lv`¨ ZvwjKvq
Aek¨B _vK‡Z n‡e- (i) Zinc
|
‡h me Lvevi Prostate Cancer cÖwZ‡iva K‡i Zv n‡”Q :
Food No-1:
|
Oysters (wSbyK) |
Ø Prostate
Cancer Protect K‡i|
Ø Sexual
function mn reproductive system e„w× K‡i|
Ø
kix‡e zinc Gi cwigvY e„w× K‡i|
Ø
Liver Disease Protect K‡i
Ø
Diabetes
Mellitas Protect K‡i
Ø
reumatoide arthritic and
Ø Chornic
renal failure cÖwZ‡iva K‡i|
|
GQvov, cÖwZw`‡bi Lv`¨ ZvwjKvq 11gm cwigvY |
Ø Shellfish
- ‡Lvjv
hy³ mvg`ªxK cÖvYx
Ø lean
becf – Pwe©Qvov
gvsm
Ø lean
prok- Pwe©Qvov
ïKz‡ii gvsm
legumes- ï¯^wU Seed vessel Splits into two valves †L‡Z cv‡ib|
|
|
Food No-2:
|
Banana (rich potassium) |
Ø Nerve
mg~n‡K
K‡›Uªvj K‡i
Ø Hear
tbeat we‡kl
K‡i pressure Kgvq
Ø ‡ekx K‡i
Potassium & Magnesium ( hv Kjvq Av‡Q) mg„× Lvevi Stroke
Gi SzuwK n«vm K‡i|
Ø Vitamin
B-6 (Kjvq
_v‡K) †ivM cÖwZ‡iva K‡i
(a) WBC
†K myi¶v K‡i
(b) Nervous system I
(c) Protein
Metabolism
†K mvnvh¨ K‡i
** cÖwZw`‡bi bv¯—vq
Kjv LvIqv Ges AvUvi i“wU LvIqv eva¨Zvg~jK|
** Potassium mg„× Lvevi: Kjv, Kgjv †jey, `ya,
U‡g‡Uv I mxg cÖPzi cUvwkqvg i‡q‡Q|
|
Food No- 3:
|
Fatty fish
|
Fatty acid Qvov †Kvb Lvevi
ZvwjKvB mg„× Lvevi b‡n|
Omega-3
n‡”Q Fatty acid
mg„× Lvevi| G‡Z i‡q‡Q Poly unsaturated fats
(a) Heart
Gi Rb¨ DcKvix
(b) blood
circulation e„w×
K‡i Ges
(c) Immune system ‡ivM cÖwZ‡iv‡a mvnvh¨ K‡i And
(d) **Reduce
the risk for prostate cancer.
|
Food No- 3A
|
Fatty fish :
|
Salmon, Sardines, Herring Tuna, mackerel.
Omega-3 n‡”Q- fatty acids riches source |
Food No- 3B
|
Plant based omega-3
|
Plant based
foods-omega-3
(1).flaxseed (2).walnuts (3).soy
(4).canola
oil &( 5).fortified products such as
eggs.
|
Food No- 3C
|
Fatty fish :
|
Omega-3 is a
good source of vitamin-D hv cancer
cÖwZ‡iva
K‡i- (MvRi)
Vitamin-D
Ø Cancer
Ø Type-2
Diabetes
Ø High
blood pressure &
Ø Bone
disease cÖwZ‡iva K‡i
|
Food No- 4:
|
Broccoli ( GK ai‡bi dzj Kwc)
I vegetables
|
Broccoli (GK ai‡bi dzj Kwc)
(a) vitamin-c
(b) beta-
Carotene
(c) Potassium & Photochemical called-Sulphoraphane GmeB prostates
colon cancer cÖwZ‡iv‡ai
kw³kvjx Dcv`vb| mKj cÖKvi cancer vegetables- lower level of
homocyctcine an amino acid _vKvq meyR kvK-mwâ ü`‡ivM I stroke †K cÖwZ‡iva K‡i|
|
Food No- 5:
|
Brazil nuts
mZK©Zv:
|
Brazil nuts eo ai‡bi c¨v‡KURvZ ev`vg | Gi g‡a Av‡Q-
1.
Magnasium
2. Selenium ( hv Pzj DVv eÜ K‡i Sexual `ye©jZv `yi K‡i| Prostate Enlarges ‡K cÖwZ‡iva K‡i|
** Brazil
nuts Powerful antioxidants nIqv‡Z
1.Heart
Disease
2. Cancer
3. Prostate
gland Enlargement Kgvq
** Selenium
(Homeo Medicine Av‡Q Avwg A‡bK w`b hver †L‡qwQ bv
†R‡b)
1. LDL
or `bad’ cholesterol, Kgvq
2. blood G clots n‡Z †`q bv
3. Heart
Disease ‡K
fvj K‡i
Groto Recomments
: c~Y© eq¯‹‡`i I cÖwZw`b
55mmo/l micro gm. Selenium LvIqv DwPr | hv Brazil nuts n‡Z cvIhv hvq|
Or
Dry-
roasted nuts
Or
Turkey
Tunas
Or
Shellfish
mZK©Zv :: Bauer mZK© K‡i w`‡q‡Qb †h cÖwZw`b 2 wUi
†ekx Brazil Nut LvIqv wVK
b‡n|
KviY Dnv LyeB Selinum mg„×|
|
Food No- 6:
|
Whole Grains:
|
me©`v Whole Grains LvIqv DwPr|
KviY : (1) Whole Grains (Mg, f~Æv, h‡ei QvZz)
Auvkhy³ Lvevi|
(2) Whole Grains G vitamin _v‡K
(3) Whole
Grains G
LwbR Dcv`vb _v‡K |
Ø
Heart
fvj ivLvci DËg Dcv`vb mg„× Lvevi n‡”Q Whole Grains |
Ø
Mussels †K fvj K‡i Ges cvqLvbv cwi®‹vi iv‡L
(Says Gerbstadt)
** Whole grain Pasta or guinea, a trendy, not so-
whole grain That’s rich
in Lute in for
Prostate health.
Ø Oatmeal
and barley are rich in Soluble fiber-full of vitamin- B LDL or bad
cholesterol and prostate Gi Rb¨
DËg|
Ø Oatmeal
or soluble fiber Like Apples, Pears (bvkcvwZ) beans (mxg I
eiewU) is good.
|
Food No- 7:
|
Plant Sterols
|
|
Food No- 8:
|
Soybeans
|
Soy is rich in ISO flavones, which protect prostate health
and have been shown to Lower Prostate Cancer risk. Says Gerbstadt.
Important : 25 gm =1 ounce soy protein should be taken a day
for decreasing
LDL cholesterol. Says Farrell.
·
Soy
nuts
·
Soy
milk
·
Soy
Cheese
·
Veggie burgers
·
Tofu or edams
|
Food No- 9:
|
Berries or cherries
|
imv‡jv dj we‡kl
(Berries
or cherries) ev jvj, nj‡`
dj we‡kl
The violet ‡e¸Yx es }
Blue &
bxj
is } Gi dj ¯^v‡¯’¨i Rb¨ Dc‡hvMx|
Red colors jvj is }
*Berries imv‡jv d‡j 4,000 Gi Dc‡i wewfbœ ai‡bi antioxidant properties _v‡K|
|
Food No- 10:
|
Red orange
vegetables
|
Red orange
vegetables G
Vitamin-C and beta- carotene antioxidantatals skin ‡K fvj
iv‡L Ges m~‡h©i Zvc †_‡K i¶v K‡i|
|
Gevi Avwg evsjv‡`kx GKRb Prostate Cancer G ‡ivMxi G¨v‡jvc¨vw_K I †nvwgIc¨vw_K wPwKrmvi ev¯Íe djvdj wb‡Pi ‡Uwe‡j Zz‡j aiwQ|
Present Problem: PSA ( Prostate-Specific Antigen) incresing day by day.
Results are given below
Sl
.Noe
| date |
Name of Pathology
|
PSA Result
( ng/ml)
|
Coments
|
1
|
2
|
3
|
4
|
5
|
1.
|
24/04/2010
|
ICDDRB
|
14.30
|
17 Aprial 2010 Prof. Torikul Islam, DMCH has Published
articale about PSA.
|
2.
|
04/05/2010
|
Popular Diagon
ostic Centre
|
14.60
|
Visit to
Dr.Md.Kamrul Islam
F.C.P.S.(Surgery),MS(Urology),F,R.C.S.(UK) Urologist.
He has given me a Medicin
Antibiotic
Cap.Exolev 500 mg 0+0+1 (4weeks)
|
3.
|
02/06/2010
|
ICDDRB
|
16.80
|
After taking Cap. Exolev 500 mg 0+0+1
(4 weeks) no
positive result for PSA.
Please shown the result Column- 4, Sl.No. 3 to 3a.= 16.80ng/ml to 15.5ng/ml
|
3a.
|
03/06/2010
|
CMH, Dahaka
|
15.5
|
|
4.
|
08/07/2010
|
Institute of Nucl. Medi.& Ultrsound
|
22.70
|
04-06-10 to 07-07-10 I've taken Homeo Medicine
Thuja M3 & Nitric acid
M3
no positive
result for PSA. Pl. shown
col.4.Sl.No.4= 22.70 ng/ml
|
5.
|
22/06/2010
|
----
|
--
|
Visit to Dr. Prof.Md.Sajid Hassian
M.B.B.S FCPS Prof. of Urology
He has given me a Medicine Antibiotic Cap. 0fliacin 400 mg 1+0+1(5weeks)
|
6.
|
07/08/2010
|
ICDDRB
|
19.3
|
After taking Antibiotic Cap. 0fliacin 400 mg
1+0+1(5weeks) no positive result for PSA. Please shown the
result Column- 4, Sl.No.6 7,8 and 9 = 19.3ng/ml,15.91ng/ml,24.82ng/ml and 22.00ng/ml different result in different labroty.
|
7.
|
08/08/2010
|
Comfort Hospital
|
15.91
|
|
8.
|
08/08/2010
|
Institute of Nuclear
Medicine & Ultrasuod
|
24.82
|
|
9.
|
12/08/2010
|
BIRDEM
|
22.00
|
|
10.
|
19/08/2010
|
--
|
--
|
Visit again Prof. DR. Sajid Hassian
He has given
again Antibiotic Cap. Ciprocin 750 mg 1+0+1 ( 10 days) and advice Tab.Zatral 10mg (continued)
|
11.
|
30/08/2010
|
ICDDRB
|
20.91
|
After taking Antibiotic Cap. Ciprocin750 mg 1+0+1 ( 10 days) but no positive result for PSA.
Please shown the result Column- 4, Sl.No.11.According to I
CDDRB Result. |
12.
|
07/10/2010
|
ICDDRB
|
16.80
- 4.11 ng/ml
|
From
31/08/2010 taking Homeopathic
Medicine • Calc. Carb M3, • 01/9/10 = Kali bi 10m,
• 2/9/10 = Sabal Saru Ø, Berbaris Ø, Thuja
Ø.
Some times Urtica U Ø,
• 9/9/10- Tuber 1m, 10/9/10 Acid Beng 30,
• 13/9/10 Hepar 200,
• 15/9/10
Conium 30, •• 16/9/10 Oster Shos,
• 20/9/10
Medo 10m, 21/9/10 Ferum Pic 200,
•• 23/9/10 Conium 200, 28/9/10
• Syplinum 10m, 2/10/10 Conium 1m
•• ,3/10/10 Mixed Heart Juce
• 0,6/10/10 Berbaris 10m.
••• positive result for PSA-16.80(- 4.11) ng/ml Please shown the result Column-4, Sl.No.12= 16.80ng/ml.considering only ICddrb
|
13
|
20/10/10
|
ICDDRB
|
16.70
- 0.10 ng/ml
|
••• positive result for PSA-16.80– 16.70 = ( 0.1) ng/ml during the priod of only 13 days. Please shown the result Column-4, Sl.No.12.
Taking Medicine:
• 6/10/10
Barberis 10m
• 12/10/10 Lyco 1m
• 14/10/10 LCinabavis 10m
• 20/10/10
|
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