Esi ɖɔktaa gblɔ na wò be ʋumenugbagbeviɣidɔ le ŋuwò la, xexlẽdzesi aɖe nɔ wò nyatakakaa me si woyɔna be ‘Gleason Score’, alo? Ðewohĩ vɔvɔ̃ ɖo wò vie esi nèkpɔ esia. Ðewohĩ èbia ɖokuiwò be nukae xexlẽdzesi sia nye, nukae wòfia, nenye be enye dzesi nyui alo vɔ̃ hã. Mègatsi dzi o, esɔ be nàse le ɖokuiwò me nenema. Egbea, míele nu ƒom tso nusi Gleason Score sia nye kple nusi wòfia ŋutɔŋutɔ ŋu le mɔ bɔbɔe aɖe ŋutɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye Gleason Score sia?
Gleason Dzeside nye dzesideɖoɖo si wozãna tsɔ dea ʋumenugbagbeviɣidɔ me, si fia be woase eƒe nɔnɔme gɔme. Ele abe dzesiwo nana le dodokpɔ aɖe me le suku ene. Gake esia ya to vovo vie.
Àɖo ŋku edzi be woɖe lãkusi sue aɖe le wò ʋuka me be woaɖe eƒe lãmenugbagbeviwo ɖa. Emegbe ɖɔkta bibi aɖe, si woyɔna be dɔléleŋutinunyala, léa ŋku ɖe lãkusi ma ŋu le nusuekpɔmɔ̃ me le nudokpɔƒe. Eléa ŋku ɖe alesi kansadɔlékuiawo ɖi wo nɔewo alo to vovo tso lãmenugbagbevi siwo le lãmesẽ me siwo sɔ gbɔ ŋu. Wozãa vovototo sia tsɔ naa susu le kansa la ƒe "sesẽme" ŋu, alo alesi wòkaka kabakabae.
Eyata, Gleason Dzesi sia nye nyatakaka vevi aɖe ŋutɔ si kpena ɖe ɖɔktawo ŋu be woatia atike si sɔ na wò wu eye woagblɔ alesi wò nɔnɔmea ayi ŋgɔe ɖi.
Aleke wobua Gleason ƒe Dzesi lae?
Wowɔa esia le mɔ dodzidzɔname aɖe ŋutɔ nu. Ne dɔléleŋutinunyala la lé ŋku ɖe kansa lãmenugbagbeviwo ŋu le nusuekpɔmɔ̃ me la, wonaa dzesi tso 1 va ɖo 5 wo le woƒe dzedzeme nu.
- Dzesi 1: Kansa ƒe lãmenugbagbeviwo ƒe dzedzeme ɖi lãmenugbagbevi siwo le lãmesẽ me siwo sɔ ŋutɔ. Ate ŋu asesẽ be woanya ne kansa le wo ŋu.
- Dzesi 2-4: Vivivi la, kansa ƒe lãmenugbagbeviwo va le vovototo dem tso lãmenugbagbevi siwo sɔ gbɔ.
- Dzesi 5: Kansa lãmenugbagbeviwo ƒe dzedzeme to vovo kura, si me tɔtɔ le wu lãmenugbagbevi siwo sɔ.
Bu eŋu ale. Kansa lãmenugbagbeviwo le abe ɖevi manyatalenu siwo le klass aɖe me ene. Dzesi 1 fia amesi nye ame manyanu vie ko, gake edze abe ɖevi nyui ene le akpa gãtɔ me. Dzesi 5 fia amesi to vovo kura tso ɖevi bubu siwo le klass la gbɔ, ame manyanu ŋutɔ, eye wòsesẽna be woaɖu edzi.
Fifia nu vevitɔ. Le wò ʋuka ƒe akpa si kansa le ŋuwò la, lãmenugbagbeviawo katã mesɔ o. Le teƒe aɖewo la, lãmenugbagbeviawo ate ŋu adze nyuie vie (dzesi si bɔbɔ), le teƒe bubuwo la, lãmenugbagbeviawo ate ŋu ato vovo kura (dzesi kɔkɔ).
Eyata dɔléleŋutinunyala tiaa nuto vevi eve siwo me kansa la kaka ɖo wu.
1. Dzesi si wona lãmenugbagbevi siwo le nuto si me kansa la bɔ ɖo wu .
2. Dzesi si wona lãmenugbagbevi siwo le nuto si me kansa la bɔ ɖo evelia wu .
Emegbe wotsɔa dzesi eve siawo ƒoa ƒu ɖekae. Kpuie mae nye nusi míeyɔna be Gleason ƒe Dzesi .
Le kpɔɖeŋu me, ne teƒe si kansa bɔ ɖo wue nye dzesi 4, eye teƒe evelia si bɔ wue nye dzesi 3 la, ke wò Gleason Dzesi anye 4 + 3 = 7.
Zi geɖe la, wobua Gleason Score si nye 6 alo esi wu nenema be enye kansa. Womegabua lãmenugbagbeviwo ƒe nɔnɔme siwo xɔ dzesi 1 kple 2 be wonye kansa o. Eyata Gleason Score si bɔbɔ wu si nàte ŋu akpɔe nye 6 (3+3).
Nuka tututue xexlẽdzesi siawo gblɔ?
Fifia àte ŋu anɔ eŋu bum be, "Enyo, nye dzesi nye 6, alo 7, alo 8. Nukae ema fia? Ðe ema nyoa? Ðe ema gblẽa?"
Míebua Gleason Score la be enye "nyui" alo "vɔ̃ɖi" o. Ke boŋ míezãnɛ tsɔ naa susu le alesi gbegbe kansa la ate ŋu adzi kabakaba alo akakae ŋu. Mina míamae ɖe akpa etɔ̃ me.
| Gleason ƒe Dzesi la | Atikewɔwɔ ƒe ŋkɔ | Kpuie ko la,... |
|---|---|---|
| 6. 6. | Wode vovototo wo dome nyuie | Kansa ƒe lãmenugbagbeviwo ɖi lãmenugbagbevi siwo le lãmesẽ me ŋutɔ. Wonye kansa ƒomevi aɖe si tsina blewu ŋutɔ eye afɔku mele eme be wòakaka (metastasizing). |
| 7. 7. | Wode vovototo wo me le mɔ si sɔ nu | Kansa lãmenugbagbeviwo ɖi lãmenugbagbevi siwo le lãmesẽ me le mɔ aɖewo nu. Wonye kansa ƒomevi aɖe si ate ŋu adzi ɖe edzi le agbɔsɔsɔ si sɔ me . (Le afisia la, nenye be enye 3+4 alo 4+3 hã le vevie). |
| 8, 9, alo 10 lia me | Womede vovototo wo dome nyuie o alo womede vovototo wo dome o | Kansa ƒe lãmenugbagbeviwo to vovo kura tso lãmenugbagbevi siwo le lãmesẽ me gbɔ. Anɔ eme be wotsina kabakaba eye wokakana.Kansa ƒomevi aɖe. |
Ðe nane li si woyɔna be Gleason Score "nyui"a?
Menye nenema tututue o. Dzesi si bɔbɔ (6) fia be kansa la le tsitsim blewu. Nya nyui aɖee nye ema. Gake ema mefia be atikewɔwɔ mehiã o. Nenema ke ne woxɔ dzesi gã (8, 9, 10) la, efia be anɔ eme be kansa la adzi ɖe edzi kabakaba, eyata ele be míalé ŋku ɖe eŋu geɖe wu eye míadze atikewɔwɔ sesẽ wu gɔme kaba.
Ðe Gleason ƒe Dzesi ɖeɖe dzaa sɔa?
Nusiwo dzi wòle be nàɖo ŋkui enye si. Menye ɖeko wò ɖɔkta léa ŋku ɖe Gleason Score xexlẽdzesi ŋu tsɔ wɔa ɖoɖo ɖe wò atikewɔwɔ ŋu o. Nɔnɔmetata si lolo wu ƒe akpa sue ɖeka koe wònye. Nu bubu geɖewo gali siwo ŋu wòle be míabu hafi ase nya bliboa gɔme.
Nu vevitɔe nye be, wò Gleason Score ɖeɖe mate ŋu agblɔ wò nɔnɔmea ƒe ŋutinya bliboa o. Aɖaŋuɖoɖoa ƒe akpa ɖeka koe wònye.
Nu bubu siwo ŋu ɖɔktaa abu dometɔ aɖewoe nye:
- PSA ƒe agbɔsɔsɔ le ʋu me: Asixɔxɔ si le wò PSA (prostate-specific antigen) ʋudodokpɔ ŋu.
- Digital Rectal Exam: Nusi ɖɔkta sena le eɖokui me le dodokpɔa me kple eƒe asibidɛ.
- Nyatakaka bubu siwo tso lãmenugbagbeviwo ƒe dɔwɔwɔ me: Lãmetsi kakɛ nenie wokpɔ be kansa le wo me? Kansa lãmenugbagbevi nenie wokpɔ le lãkusi ɖesiaɖe me?
- Scans: Nyatakaka siwo woxɔ tso dodokpɔwo abe ultrasound, MRI (magnetic resonance imaging) alo PET (positron emission tomography) scans me.
- Ðe kansa la kakaa?: Ðe kansa la kaka ɖe ʋuka ƒe akpa eveawo? Alo ɖe wòkaka ɖe ŋutinu bubu siwo mele lãkusia me o mea?
To nyatakaka siawo katã ƒoƒo ƒu ɖekae me la , wò ɖɔkta anya afisi wò kansa le eye wòadzro atikewɔwɔmɔnu si nyo na wò me kpli wò.
Eyata, mègatsi dzi ne wò Gleason Score nye 7 alo 8. Ðewohĩ wò PSA le sue, alo kansa la mekaka o. Eyata mèganɔ te ɖe xexlẽdzesi aɖe dzi aƒo nya ta o. Ƒo nu tso wò nyabiasewo kple vɔvɔ̃wo katã ŋu na wò ɖɔkta. Aɖe nusianu me na wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Gleason Dzeside nye dzesideɖoɖo si dzidzea alesi "to vovo" le ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo ŋu, si fia alesi woate ŋu akaka kabakabae.
- Wotsɔa dzesi sia naa ne wodo lãmeka aɖe si woɖe tso wò lãmenugbagbeviwo ƒe dɔwɔwɔ me le nusuekpɔmɔ̃ me vɔ.
- Dzesi 6 fia be kansa le tsitsim blewu. Dzesi 8, 9, kple 10 fia be kansa le dzidzim ɖe edzi kabakaba. Dzesi 7 fia be esɔ gbɔ.
- Nu vevitɔ kekeake: Menye wò Gleason Score ɖeɖekoe afia wò atikewɔwɔ o. Wobua nu bubu geɖe abe PSA ƒe agbɔsɔsɔ kple scan ƒe nyatakakawo ene hã ŋu.
- Mègavɔ̃ xexlẽdzesi siwo le wò nyatakakaa dzi o. Bia wò ɖɔkta tso nyabiase alo nu siwo ŋu nètsi dzi ɖo ŋu. Eyae nye amesi ate ŋu ana nyatakaka nyuitɔ kekeake wò.
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