So woate Gleason Score a wɔde ma wɔ prostate kokoram ho asɛm? Momma yɛnka ho asɛm!

Sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ prostate cancer a, ɛsɛ sɛ wote adwennwen ne dadwen pii nka, ɛnte saa? Saa bere no, wote aduruyɛ mu nhwehwɛmu foforo ne nsɛmfua a ɛyɛ den ho asɛm. Ebia woate, anaasɛ ebia woate dedaw, asɛmfua biako ne ‘Gleason Score’. Enti, sɛ wote eyi a, ebia wobɛsuro sɛ, "Dɛn ne ade foforo yi?" Ɛno nti, ɛnnɛ yɛbɛka deɛ saa Gleason Score yi yɛ, ne deɛ ɛka ankasa fa wo tebea no ho, wɔ ɔkwan tiawa a wobɛtumi ate aseɛ so.

So wunim nea Gleason Score yɛ?

Sɛ yɛbɛka no tiawa a, sɛ wowɔ prostate kokoram a, Gleason Score yɛ ɔkwan a wɔfa so susuw kokoram no su ho – sɛnea ɛte, sɛnea ebetumi atrɛw ntɛmntɛm, sɛnea ebia ɛbɛyɛ basabasa, ne nea ɛkeka ho Ɛte sɛ sɔhwɛ bi a wɔde abasobɔde ma wɔ sukuu mu, nanso ɛyɛ nyansahu mu de kakra na ɛyɛ den.

Eyi yɛ biribi a nyarewa ho animdefo ( animdefo a wɔhwehwɛ ntini mu na wohu nyarewa) yɛ denam wo prostate ntini (afã ketewaa bi a wɔfaa bere a wɔreyɛ biopsy) nhwɛsode bi a wɔhwɛ wɔ microscope mu de hu sɛnea kokoram nkwammoaa no te so. Saa nkontabuo nhyehyɛe yi boa nnuruyɛfo ma wɔyɛ ayaresa a eye sen biara ma wo ho nhyehyɛe na wɔka wo nkɔmhyɛ ho nkɔm wɔ ayaresa akyi.

Ɔkwan bɛn so na wobu Gleason Score no?

Okay, afei momma yɛnhwɛ sɛnea wɔyɛ Gleason Score yi. Sɛnea madi kan aka no, ɔyare ho animdefo yɛ adwuma a ɛho hia yi. Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ ntini a efi wo prostate mu no yiye paa. Sɛ wowɔ prostate kokoram a, ɛkyerɛ sɛ nkwammoaa a ɛwɔ wo prostate mu no bi asesa afi nkwammoaa a ɛteɛ na ɛwɔ apɔwmuden mu abɛyɛ kokoram nkwammoaa .

Fa no sɛ, wɔ mfiase no, ebia kokoram nkwammoaa yi bɛyɛ te sɛ nkwammoaa a ɛte apɔw. Wɔakata wɔn ho kɛkɛ. Nanso bere kɔ so no, bere a kokoram no kɔ so no, sɛnea kokoram nkwammoaa yi pue no bɛyɛ soronko koraa na ɛnyɛ nea ɛfata wɔ nkwammoaa a ɛte apɔw ho. Saa nsonsonoe no, saa ade a ɛnteɛ no, ne nea ɔyare ho animdefo de abasobɔde ma.

Grading Nhyehyɛe a Wɔde Ma

Wɔma ntini mu nhwɛsode biara nkontaa fi 1 kosi 5 a egyina kokoram nkwammoaa no su so, kyerɛ sɛ, sɛnea ɛsono wɔn wɔ nkwammoaa a wɔwɔ apɔwmuden ho. Wɔfrɛ eyi kokoram dodow .

• Gyinapɛn 1: Kokoram nkwammoaa no te sɛ nkwammoaa a ɛte apɔw na ɛteɛ yiye. Ɛne sɛ, nsonsonoe kakraa bi pɛ na ɛwɔ mu. Wɔahyehyɛ no nnidiso nnidiso.
• Adesuakuw a ɛto so 2-4:Ɛte sɛ nea kokoram nkwammoaa a ɛwɔ ntini no mu no yɛ soronko kakra wɔ nkwammoaa a ɛte apɔw ho na ɛte sɛ nea ɛnyɛ nea ɛkɔ so daa kɛse. Bere a abasobɔde no kɔ soro no, nsonsonoe ne nea ɛnkɔ so pɛpɛɛpɛ yi da adi kɛse.
• Gyinapɛn 5: Kokoram nkwammoaa no nyɛ nea ɛfata koraa, ɛte sɛ nea wɔahyehyɛ no yiye koraa na ɛnyɛ nea ɛfata wɔ nkwammoaa a ɛte apɔw ho. Eyinom ne nkwammoaa a wɔyɛ basabasa sen biara.

Mprempren, prostate kokoram betumi anya nkwammoaa koro wɔ beae koro, anaasɛ ebetumi anya nkwammoaa ahorow ahorow wɔ mmeae ahorow. Enti, nea ɔyare ho ɔbenfo no yɛ ne sɛ ɔbɛpaw beae titiriw a kokoram no atrɛw kɛse no na ɔde abasobɔde (a ɛwɔ 1-5 ntam) ama no. Afei, wɔpaw beae a ɛto so abien a ɛtrɛw sen biara (a ɛwɔ nhwɛso soronko) na wɔde abasobɔde ma no. Afei wɔde abasobɔde atitiriw abien no bom. Saa sum no yɛ wo Gleason Score.

Sɛ nhwɛso no, momma yɛnka sɛ kokoram a ɛdɔɔso sen biara ne grade 3. Nea edi hɔ a ɛdɔɔso sen biara ne grade 4. Afei Gleason nkontaahyɛde no bɛyɛ 3 + 4 = 7. Nhwɛso foforo, sɛ nhwɛso a ɛwɔ tumi kɛse no yɛ grade 4 na nea ɛto so abien no yɛ grade 3 a, Gleason nkontaahyɛde no bɛyɛ 4 + 3 = 7. Enti ɛwom mpo sɛ 3+4 ne 4+3 nyinaa yɛ 7 de, nanso ɛtɔ mmere bi a nnuruyɛfo susuw ho nhyehyɛe a wɔde yɛ saa nhwɛso ahorow yi (adesua a ɛkorɔn kan).

Mpɛn pii no, sɛ Gleason nkontaahyɛde a wɔaka abom yi yɛ 6 anaa nea ɛboro saa a, wobu no sɛ kokoram.

So biribi wɔ hɔ a wɔfrɛ no Gleason Score a ɛyɛ daa?

Afei ebia worebisa wo ho sɛ, so Gleason Score "a ɛyɛ daa" bi wɔ hɔ? Nokwarem no, biribiara nni hɔ a wɔfrɛ no Gleason Score a "ɛyɛ daa", te sɛ bere a yɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu sɛ asikreyare anaa, anaasɛ bere a yɛhwɛ yɛn prostate kokoram PSA dodow na yɛka sɛ, "Ɛha na ɛyɛ nea ɛfata." Mmom no, nnuruyɛfo kyekyɛ Gleason Score no mu abiɛsa na wɔde di dwuma de te kokoram no nneyɛe ase:

• Gleason nkontabuo 6: Wɔ eyi mu no, kokoram nkwammoaa no te sɛ nkwammoaa a ɛwɔ apɔwmuden no yiye. Yɛfrɛ eyi kokoram a ``ɛda nsow yiye'' . Sɛ yɛbɛka no tiawa a, nkwammoaa no da so ara te sɛ "mmofra pa," a wɔbɔ mmɔden sɛ wɔbɛyɛ sɛ nkwammoaa a ɛteɛ. Wɔtaa bu eyinom sɛ kokoram a enyin brɛoo, na ɛnyɛ den pii.
• Gleason nkontabuo 7: Wɔ eyi mu no, kokoram nkwammoaa no te sɛ nkwammoaa a ɛte apɔw kakra, nanso biribi a ɛnkɔ so pɛpɛɛpɛ wɔ hɔ. Yɛfrɛ eyi kokoram a ``ɛda nsow wɔ ɔkwan a ɛkɔ fam so'' . Eyi te sɛ mfinimfini fam. Nsonsonoe kakra betumi aba 3+4=7 ne 4+3=7 ntam. Ɛtɔ da bi a wobu 4+3 nhyehyɛe no sɛ ɛyɛ tebea a ɛhaw adwene kakra sen 3+4 nhyehyɛe no.
• Gleason nkontabuo 8, 9 anaa 10:Wɔ eyi mu no, kokoram nkwammoaa no yɛ soronko koraa wɔ nkwammoaa a ɛte apɔw ho. Wɔnnyɛ nea ɛkɔ so daa koraa, ɛkame ayɛ sɛ nsonsonoe biara nni mu. Yɛfrɛ eyi kokoram a ‘ɛnyɛ soronko koraa’ anaasɛ ‘ɛnyɛ soronko’ . Saa nkwammoaa yi yɛ basabasa kakra, na ɛte sɛ nea ɛwɔ hokwan kɛse sɛ enyin na ɛtrɛw ntɛmntɛm.

Dɛn ne Gleason Score pa ma prostate kokoram?

Ɛyɛ den sɛ wobɛbɔ Gleason nkontabuo bi din ntɛm ara sɛ "papa" anaa "bɔne." Nanso, sɛ wunim wo Gleason nkontaahyɛde a, ebetumi ama wo duruyɛfo anya adwene a ɛho hia wɔ sɛnea wo prostate kokoram no renyin ntɛmntɛm ne sɛnea ɛda adi sɛ ɛbɛkɔ nipadua no afã afoforo no ho. Gleason nkontabuo no firi 6 kɔsi 10.

Mpɛn pii no, sɛ Gleason nkontaahyɛde no sua (sɛ nhwɛso no, 6) a, wobu no sɛ ‘kokoram a ɛba fam.’ Saa kokoram ahorow yi nyin nkakrankakra na ɛnyɛ den sɛ ɛbɛtrɛw akɔ mmeae afoforo.

Sɛ Gleason nkontabuo no yɛ kɛseɛ (sɛ nhwɛsoɔ no, 8, 9, 10) a, wobu no sɛ ‘kokoram a ɛkorɔn.’ Saa kokoram ahorow yi taa nyin na ɛtrɛw ntɛmntɛm.

Nanso, ɛho hia sɛ wokae eyi: Wo Gleason nkontabuo yɛ nsɛm baako pɛ a nnuruyɛfoɔ de yɛ w’ayaresa ho nhyehyɛeɛ na wɔma wo nkɔmhyɛ. Ɛno kyerɛ sɛ Gleason nkontabuo nko ara nyɛ mmuaeɛ no. Ɛyɛ mfonini kɛse bi fã biako pɛ.

So Gleason Score nkutoo ne ade a ɛho hia?

Dabi, ɛnte saa koraa. Sɛnea madi kan aka no, wo Gleason Score no yɛ ahodwiriwde no fã biako pɛ. Nnuruyɛfo susuw nneɛma afoforo pii ho na ama wɔate wo tebea no nyinaa ase na wɔapaw ayaresa a eye sen biara ama wo.

Sɛ nhwɛso no, bere a wɔyɛɛ wo nipadua mu nhwehwɛmu no, ebia wo duruyɛfo no faa wo prostate no mu nneɛma pii, a wɔfrɛ no cores. Nti,

• Saa ntini (ntini asinasin) no mu ahe na na kokoram nkwammoaa wom?
• `(core)` biara mu ɔha biara mu nkyem ahe na kokoram nkwammoaa hyɛɛ mu ma?

Me nso merehwɛ nneɛma a ɛte saa.

Nea ɛka ho no, saa nneɛma yi nso ho hia yiye:

• Wo mogya `(PSA)` dodow. (PSA - Prostate-Specific Antigen) (mogya mu nhwehwɛmu titiriw bi).
• Nea efi dijitaal rectal exam (DRE) a oduruyɛfo no yɛ mu ba (kyerɛ sɛ, ɔkwan a wɔfa so te ntini no nka wɔ nsa no mu).
• Nsɛm a efi mfoninitwa nhwehwɛmu titiriw te sɛ ultrasound scan, MRI scan, anaa PET scan mu betumi aboa ma wɔahu kokoram no kɛse ne sɛnea ɛtrɛw.
• Sɛ́ ebia kokoram no wɔ prostate gland no afã abien no nyinaa anaa.
• Wɔkyerɛ sɛ prostate kokoram atrɛw (atrɛw) akɔ nipadua no afã afoforo, sɛ nhwɛso no, nnompe.
• Wo mfe a woadi ne w’akwahosan nyinaa.

Eyinom nyinaa a wode bɛka abom, te sɛ ahodwiriwde kɛse bi a wobɛwie no, ne sɛnea wo duruyɛfo no begyina wo tebea no so asi ayaresa a eye sen biara ma wo ho gyinae. Enti, mma ɛnhaw wo ho a ɛho nhia wɔ Gleason nkontabuo no ho, ɛyɛ?

Ade a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Okay, enti ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi nea yɛaka ho asɛm no mu ni. Gleason Score yɛ adwinnade a ɛho hia a ɛkyekyɛ prostate kokoram mu na ɛma wunya adwene wɔ sɛnea ɛyɛ basabasa no ho. Wo duruyɛfo de yɛ ayaresa a eye sen biara ho nhyehyɛe ma wo. Gleason Score no betumi afi 6 (kokoram a ɛba fam, ɛnyɛ den kɛse) kosi 10 (kokoram a ɛkorɔn, a ɛyɛ hu kɛse). Kokoram a Gleason Score sua no taa nyin brɛoo na asiane a ɛwɔ hɔ sɛ ɛbɛtrɛw no sua.

Nanso saa akontaabu ahorow yi nkutoo nka wo prostate kokoram no ho asɛm nyinaa. Saa asɛm no fi ase denam w’ayaresa nhyehyɛe ne nea wubetumi ahwɛ kwan afi saa ayaresa ahorow no mu a wobɛte ase, ne mfaso ne ɔhaw ahorow a ɛwɔ so no so. Wo Gleason nkontabuo ne sɔhwɛ mu aba foforɔ te sɛ akwankyerɛ a ɛbɛboa wo wɔ w’akwantuo a ɛkɔ ahotɔ mu.

Sɛ wowɔ nsɛmmisa anaa dadwen bi da bi fa wo Gleason Score, sɔhwɛ foforo biara a efii mu bae, anaa w’ayaresa tebea ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. N’ani begye sɛ ɔbɛkyerɛkyerɛ nea saa nɔma ne nsɛmfua no kyerɛ mu na wabua nsɛmmisa biara a ebia wowɔ. Kae sɛ ɛnyɛ wo nkutoo na woretu kwan yi. Nnuruyɛfo ne akwahosan ho kuw bi wɔ hɔ a wɔbɛboa wo na wɔahwɛ wo.

` Prostate kokoram, Gleason nkontabuo, kokoram nkwammoaa, ntini mu nhwehwɛmu, kokoram gyinabea, mmarima akwahosan, kokoram ayaresa