Èse Gleason Score na prostate cancer ŋu ​​nya kpɔa? Mina míaƒo nu tso eŋu!

Ne ɖɔktaa gblɔ na wò be ʋumenugbagbeviɣidɔ le ŋuwò la, ele be nàse nuteɖeamedzi kple dzimaɖitsitsi geɖe, alo? Ɣemaɣi la, èsea nu tso atikewɔwɔ me dodokpɔ yeyewo kple nya sesẽwo ŋu. Àte ŋu ase, alo ɖewohĩ èse xoxo, nya ɖeka enye ‘Gleason Score’. Eyata, ne èse nya sia la, ɖewohĩ àvɔ̃ be, "Nukae nye nu yeye sia?" Esia tae, egbea míaƒo nu tso nusi Gleason Score sia nye ŋu, kple nusi wògblɔ ŋutɔŋutɔ tso wò nɔnɔmea ŋu, le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Ènya nusi Gleason Score nyea?

Kpuie ko la, ne prostate cancer le ŋuwò la, Gleason Score nye mɔnu si dzi woato ada kansa ƒe nɔnɔme kpɔ – alesi wòle, alesi wòate ŋu akaka kabakabae, alesi wòate ŋu awɔ adãe, kple bubuawo Ele abe dodokpɔ aɖe ƒe dzesidede le suku ene, gake enye dzɔdzɔmeŋutinunya tɔ vie eye wòsesẽ vie.

Esia nye nusi dɔléleŋutinunyalawo ( eŋutinunyala bibi siwo doa lãmenugbagbeviwo kpɔna hekpɔa dɔlélewo) wɔna to ŋkuléle ɖe wò prostate tissue (si nye akpa sue aɖe si woɖe le biopsy me) ƒe kpɔɖeŋu aɖe ŋu le nusuekpɔmɔ̃ me be woakpɔ alesi kansa lãmenugbagbeviwo le. Dzesidede ƒe ɖoɖo sia kpena ɖe ɖɔktawo ŋu wowɔa ɖoɖo ɖe atikewɔwɔ nyuitɔ kekeake ŋu na wò eye wogblɔa wò ŋgɔdonya ɖi le atikewɔwɔ vɔ megbe ŋu.

Aleke wobua Gleason ƒe Dzesi lae?

Enyo, azɔ mina míalé ŋku ɖe alesi wowɔa Gleason Score siae ŋu. Abe alesi megblɔe va yi ene la, dɔléleŋutinunyalawo wɔa dɔ vevi sia. Woléa ŋku ɖe lãkusi siwo woɖe tso wò ʋuka me ŋu nyuie ŋutɔ le nusuekpɔmɔ̃ me. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, efia be lãmenugbagbevi siwo le wò ʋuka me dometɔ aɖewo trɔ tso lãmenugbagbevi siwo sɔ, siwo le lãmesẽ me gbɔ va zu kansa lãmenugbagbeviwo .

Bu eŋu kpɔ, le gɔmedzedzea me la, kansa lãmenugbagbevi siawo ate ŋu adze abe lãmenugbagbevi siwo le lãmesẽ me ene. Ðeko wòɣla eɖokui. Gake le ɣeyiɣi aɖe megbe la, ne kansa la le ŋgɔ yim la, kansa lãmenugbagbevi siawo ƒe dzedzeme va toa vovo kura eye mesɔna o tso lãmenugbagbevi siwo le lãmesẽ me gbɔ. Vovototo ma, nusi mesɔ o ma, ye nye nusi dɔléleŋutinunyalawo dea dzesii.

Dzesidede Dɔwɔɖoɖo

Wonaa dzesi si tso 1 va ɖo 5 lãmenugbagbeviwo ƒe kpɔɖeŋu ɖesiaɖe le kansa lãmenugbagbeviwo ƒe nɔnɔme nu, si fia be woto vovo tso lãmenugbagbevi siwo le lãmesẽ me gbɔe nu. Woyɔa esia be kansa ƒe dzeside .

• Dzeside 1: Kansa ƒe lãmenugbagbeviawo ɖi lãmenugbagbevi siwo le lãmesẽ me, siwo sɔ ŋutɔ. Eyae nye be vovototo boo aɖeke mele wo dome o. Woɖo wo ɖe ɖoɖo nu.
• Klass 2-4 ƒe klass:Edze abe kansa lãmenugbagbevi siwo le lãkusia me to vovo vie tso lãmenugbagbevi siwo le lãmesẽ me gbɔ ene eye wodzena abe ɖe womewɔa nu ɖe ​​ɖoɖo nu o ene. Ne dzesidea le dzidzim ɖe edzi la, vovototo sia kple madzɔmadzɔnyenye va gadzena gaglãa wu.
• Dzeside 5: Kansa lãmenugbagbeviwo mesɔ kura o, wodzena abe ɖe womewɔ ɖoɖo ɖe wo ŋu o ŋutɔ eye womele teƒe aɖeke o kple lãmenugbagbevi siwo le lãmesẽ me. Esiawoe nye lãmenugbagbevi siwo wɔa adã wu.

Fifia, lãmenugbagbevi ɖeka ate ŋu anɔ prostate cancer ŋu ​​le teƒe ɖeka, alo lãmenugbagbevi ƒe hatsotso vovovowo ate ŋu anɔ eŋu le teƒe vovovowo. Eyata nusi dɔléleŋutinunyala wɔnae nye be wòatia teƒe vevitɔ si kansa la kaka ɖo wu eye wòade dzesii (si le 1-5 dome). Emegbe, wotiaa teƒe evelia si kaka wu (si ƒe nɔnɔme to vovo) eye wodea dzesii nɛ. Emegbe wotsɔa dzesi vevi eveawo kpena ɖe wo nɔewo ŋu. Kpuie mae nye wò Gleason Score.

Le kpɔɖeŋu me ɖoɖo si nu kpɔɖeŋu siawo le (dzesi kɔkɔ gbã).

Zi geɖe la, ne Gleason ƒe dzesi sia si woƒo ƒu nye 6 alo esi wu nenema la, wobua eŋu be enye kansa.

Ðe nane li si woyɔna be Gleason Score si sɔa?

Fifia ɖewohĩ èle eŋu bum be, ɖe Gleason Score "si sɔ" li? Le nyateƒe me la, naneke meli si woyɔna be Gleason Score "si sɔ" o, abe ne míelé ŋku ɖe míaƒe ʋumesukli ƒe agbɔsɔsɔ ŋu be suklidɔ le mía si hã, alo ne míelé ŋku ɖe míaƒe prostate cancer PSA ƒe agbɔsɔsɔ ŋu hegblɔ be, "Afisiae nye agbɔsɔsɔ si sɔ." Ke boŋ ɖɔktawo ma Gleason Dzesi la ɖe hatsotso etɔ̃ me eye wozãa wo tsɔ sea kansa ƒe nuwɔna gɔme:

• Gleason ƒe dzesi 6: Le go sia me la, kansa lãmenugbagbeviwo ƒe dzedzeme ɖi lãmenugbagbevi siwo le lãmesẽ me ŋutɔ. Míeyɔa esia be ``kansa si to vovo nyuie'' . Kpuie ko la, lãmenugbagbeviawo gakpɔtɔ le abe "ɖevi nyuiwo" ene, hele agbagba dzem be yewoaɖi lãmenugbagbevi siwo sɔ. Zi geɖe la, wobua amesiawo be wonye kansa siwo tsina blewu, siwo mewɔa nuvevi ame boo o.
• Gleason ƒe dzesi 7: Le go sia me la, kansa ƒe lãmenugbagbeviawo ɖi lãmenugbagbevi siwo le lãmesẽ me vie, gake masɔmasɔ aɖewo le eme. Míeyɔa esia be ``kansa si to vovo le mɔ si sɔ nu'' . Esia le abe titinanyigba ene. Vovototo vi aɖe ate ŋu anɔ 3+4=7 kple 4+3=7 dome. Wobua 4+3 ƒe nɔnɔmea ɣeaɖewoɣi be enye nɔnɔme si ŋu wotsi dzi ɖo vie wu 3+4 ƒe nɔnɔmea.
• Gleason ƒe dzesi 8, 9 alo 10:Le go sia me la, kansa lãmenugbagbeviwo to vovo kura tso lãmenugbagbevi siwo le lãmesẽ me gbɔ. Womewɔa nu ɖe ​​ɖoɖo nu kura o, womedea vovototo wo me o kloe. Míeyɔa esia be kansa si ‘womede vovototo wo dome nyuie o’ alo ‘womede vovototo wo dome o’ . Lãmenugbagbevi siawo wɔa adã vie, eye edze abe mɔnukpɔkpɔ geɖe wu le wo si be woatsi ahakaka kabakaba ene.

Nukae nye Gleason Score nyui aɖe na prostate cancer?

Esesẽ be woayɔ Gleason ƒe dzesi aɖe enumake be "nyui" alo "vɔ̃ɖi." Gake wò Gleason ƒe dzesi nyanya ate ŋu ana wò ɖɔkta nakpɔ alesi wò ʋuka me dɔdzẽ le tsitsim kabakabae kple alesi wòanya wɔ be wòakaka ɖe ŋutilã ƒe akpa bubuwoe ŋu. Gleason ƒe dzesiwo tso 6 va ɖo 10.

Zi geɖe la, ne Gleason ƒe dzeside le sue (le kpɔɖeŋu me, 6) la, wobua eŋu be enye ‘kansa si ƒe dzeside mede o.’ Kansa ƒomevi siawo tsina vivivi eye womekakana ɖe teƒe bubuwo o.

Ne Gleason ƒe dzesi sɔ gbɔ (le kpɔɖeŋu me, 8, 9, 10) la, wobua eŋu be enye ‘kansa si ƒe dzesi deŋgɔ.’ Kansa ƒomevi siawo te ŋu tsina hekakana kabakaba.

Gake, ele vevie be nàɖo ŋku esia dzi: Wò Gleason ƒe dzesi nye nyatakaka ɖeka ko si ɖɔktawo zãna tsɔ wɔa ɖoɖo ɖe wò atikewɔwɔ ŋu eye wonaa wò nyagblɔɖi. Ema fia be menye Gleason ƒe dzesi ɖeɖekoe nye ŋuɖoɖoa o. Nɔnɔmetata si lolo wu ƒe akpa ɖeka koe wònye.

Ðe Gleason Score koe le veviea?

Ao, menye nenema kura o. Abe alesi megblɔe va yi ene la, wò Gleason Score nye nyabiasea ƒe akpa ɖeka ko. Ðɔktawo bua nu bubu geɖewo ŋu be woase wò nɔnɔme bliboa gɔme eye woatia atike nyuitɔ kekeake na wò.

Le kpɔɖeŋu me, esi wowɔ wò lãmenugbagbeviwo ƒe dɔwɔwɔ la, ɖewohĩ wò ɖɔkta ɖe wò ʋumenugbagbeviɣidɔ geɖe, siwo woyɔna be cores, tso wò ʋuka me. Eyata,

• Nu vevi mawo (lãmeka kakɛwo) dometɔ nenie me kansa lãmenugbagbeviwo nɔ?
• `(core)` ɖesiaɖe ƒe alafa memamã nenie yɔ fũ kple kansa lãmenugbagbeviwo?

Mele nu mawo tɔgbe hã kpɔm.

Tsɔ kpe ɖe eŋu la, nu siawo hã le vevie ŋutɔ:

• Wò ʋu ƒe `(PSA)` ƒe agbɔsɔsɔ. (PSA - Prostate-Specific Antigen) (ʋudodokpɔ tɔxɛ aɖe).
• Digital rectal exam (DRE) si ɖɔkta wɔ (si nye alesi wosea lãkusia le asi me) me tsonu.
• Nyatakaka siwo tso nɔnɔmetata dodokpɔ tɔxɛwo abe ultrasound scan, MRI scan, alo PET scan me ate ŋu akpe ɖe ame ŋu woanya kansa ƒe lolome kple eƒe kaka.
• Ne kansa la le prostate gland ƒe akpa eveawo.
• Wogblɔ be prostate cancer kaka (metastasized) yi ŋutilã ƒe akpa bubuwo, le kpɔɖeŋu me, ƒuwo.
• Wò ƒexɔxɔ kple wò lãmesẽ bliboa.

Esiawo katã tsɔtsɔ ƒo ƒui, abe aɖaŋunu gã aɖe wuwu ene, nye alesi wò ɖɔkta atso nya me le atike nyuitɔ kekeake si nàzã ŋu, le wò nɔnɔmea nu. Eyata, mègatsi dzi ɖe Gleason ƒe xexlẽdzesi ŋu madzemadzee o, enyoa?

Nu vevitɔ kekeake si wòle be wòanɔ susu me na wò (Take-Home Message) .

Enyo, eyata nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me enye si. Gleason Score nye dɔwɔnu vevi aɖe si dea prostate cancer ƒe hatsotsowo me eye wònana nèkpɔa alesi gbegbe wòwɔa adãe. Wò ɖɔkta zãnɛ tsɔ wɔa ɖoɖo ɖe atikewɔwɔ nyuitɔ kekeake ŋu na wò. Gleason ƒe Dzesi ate ŋu atso 6 (kansa si ƒe dzeside mede o, si mewɔa nuvevi ame boo o) va ɖo 10 (kansa si ƒe dzeside kɔkɔ, si nu sẽ wu). Zi geɖe la, kansa siwo ƒe Gleason Score mede o la tsina blewu eye afɔku mele wo me be woakaka o.

Gake xexlẽdzesi siawo ɖeɖe megblɔa wò ʋuka me dɔdzẽa ƒe ŋutinya bliboa o. Ŋutinya ma dzea egɔme tso wò atikewɔwɔ ƒe ɖoɖoa kple nusi nàte ŋu akpɔ mɔ na tso atikewɔwɔ mawo me, kpakple viɖe kple kuxi siwo le eme gɔmesese dzi. Wò Gleason ƒe dzesi kple dodokpɔ bubuwo me tsonu le abe mɔfianu si akpe ɖe ŋuwò le wò mɔzɔzɔ yi hayahaya me ene.

Ne nyabiase alo dzimaɖitsitsi aɖe le ŋuwò kpɔ tso wò Gleason Score, dodokpɔ bubu aɖe me tsonu, alo wò atikewɔwɔ ƒe nɔnɔme ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Adzɔ dzi nɛ be yeaɖe nusi xexlẽdzesi kple nya mawo fia me ahaɖo biabia ɖe sia ɖe si anɔ asiwò la ŋu. Ðo ŋku edzi be menye wò ɖeka koe le mɔzɔzɔ sia me o. Ðɔktawo kple lãmesẽnyawo gbɔ kpɔha aɖe le afima be woakpe ɖe ŋuwò ahalé be na wò.

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