Bere a oduruyɛfo no ka kyerɛɛ wo sɛ wowɔ prostate cancer no, na nɔma bi wɔ w’amanneɛbɔ no so a wɔfrɛ no ‘Gleason Score’, ɛnte saa? Ebia wotee ehu nka kakra bere a wuhuu eyi no. Ebia woasusuw nea saa nɔma yi yɛ, nea ɛkyerɛ, sɛ ebia ɛyɛ nkontaa pa anaa bɔne. Mma ɛnhaw wo, ɛyɛ ade a ɛfata sɛ wobɛte nka saa. Ɛnnɛ, yɛrebɛka deɛ saa Gleason Score yi yɛ ne deɛ ɛkyerɛ ankasa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛ paa so a wobɛtumi ate aseɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Gleason Score yi?
Gleason Score yɛ nkontabuo nhyehyɛe a wɔde kyekyɛ prostate kokoram mu, kyerɛ sɛ, wɔde te ne su ase. Ɛte sɛ nea wode abasobɔde ma wɔ sɔhwɛ bi mu wɔ sukuu mu. Nanso eyi yɛ soronko kakra.
Ebia wobɛkae sɛ woyii ntini ketewaa bi fii wo prostate mu de yɛɛ biopsy. Afei oduruyɛfo bi a ne ho akokwaw, a wɔfrɛ no ɔyare ho ɔbenfo de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini no mu wɔ aduruyɛdan mu. Ɔhwɛ sɛnea kokoram nkwammoaa no di nsɛ anaasɛ ɛsono sɛnea ɛte wɔ nkwammoaa a ɛte apɔw a ɛteɛ no ho. Wɔde saa nsonsonoe yi di dwuma de ma adwene bi wɔ sɛnea kokoram no "mu yɛ den" ho, anaasɛ sɛnea atrɛw ntɛmntɛm no.
Enti, saa Gleason Score yi yɛ nsɛm a ɛho hia yiye a ɛboa nnuruyɛfo ma wɔpaw ayaresa a ɛfata wo sen biara na wɔkyerɛ sɛnea wo tebea no bɛkɔ so.
Ɔkwan bɛn so na wobu Gleason Score no?
Wɔyɛ eyi wɔ ɔkwan a ɛyɛ anigye yiye so. Sɛ ɔyare ho ɔbenfo no de afiri a wɔde hwɛ kokoram no hwɛ kokoram nkwammoaa no a, ogyina sɛnea ɛte so ma wɔn nkontaa fi 1 kosi 5.
- Nkonimdi 1: Kokoram nkwammoaa te sɛ nkwammoaa a ɛte apɔw a ɛteɛ no yiye. Ebetumi ayɛ den sɛ yebehu sɛ ebia wɔwɔ kokoram anaa.
- Nkonimdi 2-4: Kokoram nkwammoaa afi ase reyɛ soronko nkakrankakra wɔ nkwammoaa a ɛteɛ no ho.
- Nkonimdi 5: Kokoram nkwammoaa no hwɛbea yɛ soronko koraa, na ɛyɛ basabasa sen nkwammoaa a ɛteɛ.
Susuw ho saa kwan yi so. Kokoram nkwammoaa te sɛ mmofra a wɔyɛ atirimɔdenfo a wɔwɔ adesuakuw bi mu no. Nkonimdi 1 kyerɛ obi a ɔyɛ ɔkwasea kakra kɛkɛ, nanso ɛte sɛ abofra pa wɔ fã kɛse no ara mu. Nkonimdi a ɛyɛ 5 kyerɛ obi a ɔyɛ soronko koraa wɔ mmofra afoforo a wɔwɔ adesuakuw no mu no ho, ɔyɛ ɔkwasea kɛse, na ɛyɛ den sɛ wobedi so.
Afei ade a ɛho hia. Wɔ wo prostate fã a wowɔ kokoram no, nkwammoaa no nyinaa nyɛ pɛ. Wɔ mmeae bi no, ebia nkwammoaa no bɛyɛ fɛ kakra (nkonimdi a ɛba fam), wɔ mmeae foforo nso nkwammoaa no betumi ayɛ soronko koraa (nkonimdi a ɛkɔ soro).
Enti, ɔyare ho ɔbenfo no paw mmeae atitiriw abien a kokoram no atrɛw kɛse no.
1. Agyiraehyɛde a wɔde ma nkwammoaa a ɛwɔ beae a kokoram no abu so kɛse no .
2. Agyiraehyɛde a wɔde ma nkwammoaa a ɛwɔ beae a kokoram no abu so sen biara no .
Afei wɔde saa nkontabuo mmienu yi bom. Saa nsɛm a wɔaboaboa ano no ne nea yɛfrɛ no Gleason Score .
Sɛ nhwɛso no, sɛ beae a kokoram taa nya no yɛ nkontaa 4, na beae a ɛto so abien a ɛtaa ba no yɛ nkontaa 3 a, wo Gleason Nkonimdi bɛyɛ 4 + 3 = 7.
Mpɛn pii no, wobu Gleason Score a ɛyɛ 6 anaa nea ɛboro saa sɛ kokoram. Wommu nkwammoaa nhyehyɛe a ɛwɔ nkontaa 1 ne 2 bio sɛ kokoram. Enti Gleason Score a ɛba fam koraa a ebia wubehu ne 6 (3+3).
Dɛn na akontaabu ahorow yi ka ankasa?
Afei ebia worebisa wo ho sɛ, "Okay, me nkontabuo yɛ 6, anaa 7, anaa 8. Dɛn na ɛno kyerɛ? So ɛno ye? So ɛyɛ bɔne?"
Yɛnhwɛ Gleason Score no sɛ "papa" anaa "bɔne." Mmom no, yɛde di dwuma de ma yenya adwene wɔ sɛnea ɛda adi sɛ kokoram no betumi anyin anaasɛ atrɛw ntɛmntɛm no ho. Momma yɛnkyekyɛ mu abiɛsa.
| Gleason Nkonimdi no | Aduruyɛ din | Sɛ yɛbɛka no tiawa a... |
|---|---|---|
| 6. 6. | Nsonsonoe a ɛda nsow yiye | Kokoram nkwammoaa ne nkwammoaa a wɔwɔ apɔwmuden di nsɛ yiye. Wɔyɛ kokoram bi a enyin brɛoo yiye na asiane a ɛwɔ hɔ sɛ ɛbɛtrɛw (metastasizing) no sua. |
| 7. | Nsonsonoe a ɛkɔ fam | Kokoram nkwammoaa te sɛ nkwammoaa a wɔwɔ apɔwmuden wɔ akwan bi so. Wɔyɛ kokoram bi a ebetumi anyin ntɛmntɛm . (Ɛha yi, sɛ́ ɛyɛ 3+4 anaa 4+3 nso ho hia). |
| 8, 9, anaa 10 mu | Nsonsonoe a ɛnyɛ papa anaasɛ nsonsonoe biara nni mu | Kokoram nkwammoaa yɛ soronko koraa wɔ nkwammoaa a ɛte apɔw ho. Ɛda adi sɛ wobenyin ntɛmntɛm na wɔatrɛw.Kokoram bi. |
So biribi wɔ hɔ a wɔfrɛ no Gleason Score "pa"?
Ɛnyɛ ankasa. Sɛ obi nya nkontaa a ɛba fam (6) a, ɛkyerɛ sɛ kokoram no renya nkɔanim nkakrankakra. Ɛno yɛ asɛmpa. Nanso ɛno nkyerɛ sɛ ayaresa ho nhia. Saa ara nso na nkontaa a ɛkɔ soro (8, 9, 10) kyerɛ sɛ ɛda adi sɛ kokoram no benyin ntɛmntɛm, enti ɛsɛ sɛ yɛde yɛn adwene si so kɛse na yefi ase sa yare denneennen ntɛm.
So Gleason Score no nkutoo dɔɔso?
Nea ɛsɛ sɛ wokae ni. Wo duruyɛfo no nhwɛ Gleason Score nɔma no kɛkɛ mfa nyɛ w’ayaresa ho nhyehyɛe. Ɛyɛ mfonini kɛse bi fã ketewaa biako pɛ. Nneɛma foforo pii wɔ hɔ a ɛsɛ sɛ wususuw ho na ama yɛate mfonini no nyinaa ase.
Adeɛ a ɛho hia ne sɛ, wo Gleason Score nko ara ntumi nka wo tebea no ho asɛm nyinaa. Ɛyɛ ahodwiriwde no fã biako pɛ.
Nneɛma afoforo a oduruyɛfo no besusuw ho no bi ne:
- PSA mogya mu dodow: Bo a wo PSA (prostate-specific antigen) mogya mu nhwehwɛmu no som bo.
- Digital Rectal Exam: Nea oduruyɛfo no te nka bere a ɔde ne nsateaa reyɛ nhwehwɛmu no.
- Nsɛm foforo a efi biopsy no mu: Ntini asinasin ahe na wohui sɛ kokoram wɔ mu? Kokoram nkwammoaa dodow ahe na wohuu wɔ ntini biara mu?
- Scans: Nsɛm a wonya fi sɔhwɛ ahorow te sɛ ultrasound, MRI (magnetic resonance imaging) anaa PET (positron emission tomography) scans mu.
- So kokoram no atrɛw?: So kokoram no atrɛw akɔ prostate gland no afã abien no nyinaa? Anaasɛ atrɛw akɔ akwaa afoforo a ɛwɔ ntini no akyi?
Ɛdenam saa nsɛm yi nyinaa a wode bɛka abom so no , wo duruyɛfo no behu baabi a wo kokoram no wɔ na ɔne wo asusuw ayaresa a eye ma wo ho.
Enti, mma ɛnhaw wo sɛ wo Gleason Score yɛ 7 anaa 8. Ebia wo PSA no sua, anaasɛ kokoram no ntrɛwee. Enti nhuruw nnyina akontaahyɛde bi so nnya nwie. Wo ne wo duruyɛfo nkasa fa wo nsɛmmisa ne wo suro nyinaa ho. Ɔbɛkyerɛkyerɛ biribiara mu akyerɛ wo.
Nkrasɛm a Wɔde Kɔ Fie
- Gleason Score yɛ nkontabuo nhyehyɛeɛ a ɛkyerɛ sɛdeɛ "ɛsono" nkwammoaa a ɛwɔ prostate kokoram mu, a ɛkyerɛ sɛdeɛ ɛtumi trɛw ntɛmntɛm.
- Wɔde saa nkontabuo yi ma bere a wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ ntini bi a woyii fii wo nipadua mu nhwehwɛmu no mu awie no.
- Sɛ wonya nkontaa 6 a, ɛkyerɛ sɛ obi anya kokoram a ɛrenyin nkakrankakra. Nkonimdi a ɛyɛ 8, 9, ne 10 kyerɛ sɛ kokoram bi renya nkɔanim ntɛmntɛm. Sɛ obi nya nkontabuo 7 a, ɛkyerɛ sɛ ɔwɔ dodoɔ a ɛkɔ fam.
- Ade a ɛho hia sen biara: Ɛnyɛ wo Gleason Score nkutoo na ɛkyerɛ w’ayaresa. Wosusuw nneɛma afoforo pii te sɛ PSA dodow ne scan amanneɛbɔ ahorow nso ho.
- Nsuro nɔma a ɛwɔ w’amanneɛbɔ so no. Bisa wo duruyɛfo no nsɛmmisa anaa nsɛm biara a ɛhaw wo. Ɔno na obetumi ama wo nsɛm a eye sen biara.
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