Shin kun ji labarin Gleason Score don ciwon daji na prostate? Bari mu yi magana a kai!

Idan likita ya gaya maka cewa kana da ciwon daji na prostate, dole ne ka ji damuwa da damuwa sosai, ko ba haka ba? A wannan lokacin, za ka ji game da sabbin gwaje-gwajen likita da wasu kalmomi masu rikitarwa. Wataƙila ka ji, ko kuma ka riga ka ji, kalma ɗaya ita ce 'Gleason Score'. Don haka, idan ka ji wannan, za ka iya jin tsoro ka ce, "Menene wannan sabon abu?" Shi ya sa, a yau za mu yi magana game da menene wannan Gleason Score, da kuma abin da yake faɗa game da yanayinka, ta hanya mai sauƙi da za ka iya fahimta.

Shin kun san menene Gleason Score?

A taƙaice dai, idan kana da ciwon daji na mafitsara, Gleason Score hanya ce ta tantance yanayin ciwon - yadda yake, yadda zai iya yaɗuwa da sauri, yadda zai iya zama mai tsanani, da sauransu. Kamar tantance jarabawa a makaranta ne, amma ya ɗan fi kimiyya da rikitarwa.

Wannan wani abu ne da masana cututtuka ( ƙwararru waɗanda ke duba nama da gano cututtuka) ke yi ta hanyar duba samfurin nama na prostate (ƙaramin abu da aka ɗauka yayin gwajin biopsy) a ƙarƙashin na'urar hangen nesa don tantance yadda ƙwayoyin cutar kansa suke kama. Wannan tsarin ƙima yana taimaka wa likitoci su tsara muku mafi kyawun magani da kuma yin hasashen hasashen bayan magani.

Ta yaya ake ƙididdige Gleason Score?

To, yanzu bari mu kalli yadda ake yin wannan Gleason Score. Kamar yadda na ambata a baya, masana cututtuka suna yin wannan muhimmin aiki. Suna duba samfuran nama daga prostate ɗinka da kyau a ƙarƙashin na'urar hangen nesa. Idan kana da ciwon daji na prostate, yana nufin cewa wasu ƙwayoyin da ke cikin prostate ɗinka sun canza daga ƙwayoyin halitta na yau da kullun masu lafiya zuwa ƙwayoyin cutar kansa .

Ka yi tunanin, a farkon matakai, waɗannan ƙwayoyin cutar kansa na iya yin kama da ƙwayoyin lafiya. Kawai an ɓoye su. Amma bayan lokaci, yayin da ciwon daji ke ci gaba, bayyanar waɗannan ƙwayoyin cutar kansa ya zama daban kuma ba shi da kyau daga ƙwayoyin lafiya. Wannan bambanci, wannan rashin daidaituwa, shine abin da masana cututtuka ke ƙididdigewa.

Tsarin Maki

Suna ba wa kowane samfurin nama maki daga 1 zuwa 5 bisa ga yanayin ƙwayoyin cutar kansa, wato, yadda suka bambanta da ƙwayoyin lafiya. Wannan ana kiransa matakin ciwon daji .

• Aji na 1: Kwayoyin cutar kansa suna kama da ƙwayoyin halitta masu lafiya, na yau da kullun. Wato, babu bambanci sosai. An tsara su cikin tsari.
• Aji 2-4:Kwayoyin cutar kansa a cikin kyallen sun ɗan bambanta da ƙwayoyin lafiya kuma suna bayyana ba daidai ba. Yayin da ƙimar ke ƙaruwa, wannan bambanci da rashin daidaituwa suna ƙara bayyana.
• Aji na 5: Kwayoyin cutar kansa ba su da kyau sosai, suna kama da marasa tsari sosai kuma ba su da wurin zama tare da ƙwayoyin lafiya. Waɗannan su ne ƙwayoyin da suka fi ƙarfin hali.

Yanzu, ciwon daji na prostate zai iya samun ƙwayoyin halitta iri ɗaya a wuri ɗaya, ko kuma yana iya samun nau'ikan ƙwayoyin halitta daban-daban a wurare daban-daban. Don haka, abin da likitan cututtuka ke yi shi ne zaɓar babban yankin da ciwon daji ya fi yaɗuwa sannan ya sanya masa maki (tsakanin 1-5). Sannan, sai su zaɓi yanki na biyu mafi yaɗuwa (wanda ke da tsari daban-daban) su sanya masa maki. Sannan a haɗa manyan maki biyu tare. Wannan jimillar shine Gleason Score ɗinku.

Misali, bari mu ce ciwon daji mafi yawa shine aji 3. Na gaba mafi yawa shine aji 4. Sannan maki Gleason zai kasance 3 + 4 = 7. Wani misali kuma, idan tsarin da ya fi yawa shine aji 4 kuma tsarin na biyu shine aji 3, maki Gleason zai kasance 4 + 3 = 7. Don haka duk da cewa 3 + 4 da 4 + 3 duka 7 ne, likitoci wani lokacin suna la'akari da tsarin waɗannan alamu (mafi girma a farko).

Gabaɗaya, idan wannan jimlar maki na Gleason ta kai 6 ko sama da haka, ana ɗaukarsa a matsayin ciwon daji.

Akwai wani abu kamar Gleason Score na yau da kullun?

Yanzu za ku iya mamakin, shin akwai maki na "al'ada" na Gleason? A zahiri, babu wani abu kamar maki na "al'ada" na Gleason, kamar lokacin da muka duba matakan sukari a cikin jininmu don gano ciwon suga, ko kuma lokacin da muka duba matakan PSA na ciwon daji na prostate muka ce, "Ga adadin da aka saba." Madadin haka, likitoci suna amfani da rukuni uku don fahimtar maki na Gleason da kuma fahimtar yadda ciwon daji ke aiki:

• Maki na Gleason 6: A wannan yanayin, ƙwayoyin cutar kansa suna kama da ƙwayoyin lafiya. Muna kiran wannan ciwon daji "wanda aka bambanta sosai" . A taƙaice dai, ƙwayoyin suna kama da "yara masu kyau," suna ƙoƙarin yin kama da ƙwayoyin halitta na yau da kullun. Waɗannan galibi ana ɗaukar su a matsayin ciwon daji masu girma a hankali, waɗanda ba su da tsanani.
• Gleason maki 7: A wannan yanayin, ƙwayoyin cutar kansa suna kama da ƙwayoyin lafiya, amma akwai wasu rashin daidaituwa. Muna kiran wannan ciwon daji "mai bambancin matsakaici" . Wannan kamar matsakaici ne. Akwai ɗan bambanci tsakanin 3+4=7 da 4+3=7. Wani lokaci ana ɗaukar tsarin 4+3 a matsayin wani yanayi mai ɗan damuwa fiye da tsarin 3+4.
• Gleason maki 8, 9 ko 10:A wannan yanayin, ƙwayoyin cutar kansa sun bambanta sosai da ƙwayoyin halitta masu lafiya. Ba su da tsari sosai, kusan ba a bambance su ba. Muna kiran wannan da ciwon daji 'wanda ba a bambanta shi sosai' ko 'wanda ba a bambanta shi ba' . Waɗannan ƙwayoyin suna da ɗan ƙarfi, kuma da alama suna da babban damar girma da yaɗuwa da sauri.

Menene kyakkyawan maki na Gleason don ciwon daji na prostate?

Yana da wuya a kira maki Gleason nan take a matsayin "mai kyau" ko "mara kyau." Koyaya, sanin maki Gleason ɗinku na iya ba wa likitan ku muhimmiyar ra'ayi game da yadda ciwon daji na prostate ɗinku ke girma da sauri da kuma yadda zai iya yaduwa zuwa wasu sassan jiki. Makin Gleason ya kama daga 6 zuwa 10.

Gabaɗaya, idan makin Gleason ya yi ƙasa (misali, 6), ana ɗaukarsa a matsayin 'ciwon daji mai ƙarancin daraja.' Waɗannan nau'ikan ciwon daji suna girma a hankali kuma ba sa yaduwa zuwa wasu wurare.

Idan makin Gleason ya yi yawa (misali, 8, 9, 10), ana ɗaukarsa a matsayin 'ciwon daji mai matuƙar girma.' Waɗannan nau'ikan ciwon daji suna da yuwuwar girma da yaɗuwa da sauri.

Amma, yana da mahimmanci a tuna da wannan: Makin Gleason ɗinku yanki ne kawai na bayanai da likitoci ke amfani da su don tsara maganin ku da kuma ba ku hasashen abin da zai faru. Wannan yana nufin cewa maki Gleason kaɗai ba shine amsar ba. Wannan yanki ne kawai na babban hoto.

Shin Gleason Score ne kawai abin da ke da muhimmanci?

A'a, ko kaɗan ba haka ba ne. Kamar yadda na faɗa a baya, Gleason Score ɗinka wani ɓangare ne kawai na wasanin gwada ilimi. Likitoci suna la'akari da wasu abubuwa da yawa don fahimtar cikakken yanayinka da kuma zaɓar mafi kyawun magani a gare ka.

Misali, lokacin da aka yi maka biopsy, likitanka yana iya ɗaukar samfura da yawa, waɗanda ake kira cores, daga prostate ɗinka. Don haka,

• Nawa daga cikin waɗannan ƙwayoyin cuta (gudaje nama) ke ɗauke da ƙwayoyin cutar kansa?
• Kashi nawa ne cikin kowanne `(core)` ya cika da ƙwayoyin cutar kansa?

Ina kuma duba abubuwa kamar haka.

Bugu da ƙari, waɗannan abubuwa suna da matukar muhimmanci:

• Matakin jininka na `(PSA)`. (PSA - Antigen na Musamman ga Prostate) (gwajin jini na musamman).
• Sakamakon Jarrabawar Dubura ta Dijital (DRE) da likita ya yi (wato, yadda ake jin gland a hannu).
• Bayanai daga gwaje-gwajen hoto na musamman kamar na'urar daukar hoton ultrasound, na'urar daukar hoton MRI, ko na'urar daukar hoton PET na iya taimakawa wajen tantance girman da yaɗuwar cutar kansa.
• Ko ciwon daji yana gefen biyu na glandar prostate.
• An ce ciwon daji na mafitsara ya bazu zuwa wasu sassan jiki, misali, ƙasusuwa.
• Shekarunka da lafiyarka gaba ɗaya.

Idan aka haɗa duk waɗannan, kamar kammala babban wasanin gwada ilimi, shine yadda likitanka zai yanke shawara kan mafi kyawun magani a gare ka, bisa ga yanayinka. Don haka, kada ka damu da sakamakon Gleason ba tare da wata matsala ba, ko?

Abu mafi mahimmanci da ya kamata ka tuna (Saƙon Take-Home)

To, ga abin da ya fi muhimmanci a tuna daga abin da muka tattauna. Gleason Score muhimmin kayan aiki ne wanda ke rarraba cutar kansar prostate kuma yana ba ku ra'ayin yadda take da ƙarfi. Likitanku yana amfani da shi don tsara mafi kyawun magani a gare ku. Gleason Score na iya kasancewa daga 6 (ƙananan ciwon daji, marasa tsanani) zuwa 10 (ƙananan ciwon daji mai tsanani, mafi tsanani). Ciwon daji mai ƙarancin Gleason Score yawanci yana girma a hankali kuma yana da ƙarancin haɗarin yaɗuwa.

Amma waɗannan alkaluma kaɗai ba sa ba da cikakken labarin game da ciwon daji na mafitsara. Wannan labarin ya fara ne da tsarin maganinka da fahimtar abin da za ka iya tsammani daga waɗannan jiyya, da kuma fa'idodi da rashin amfani. Sakamakon gwajinka na Gleason da sauran sakamakon gwaji kamar jagora ne da zai taimaka maka a kan tafiyarka ta murmurewa.

Idan kana da wasu tambayoyi ko damuwa game da Gleason Score ɗinka, duk wani sakamakon gwaji, ko yanayin lafiyarka, kada ka yi jinkirin tambayar likitanka. Zai yi farin cikin bayyana ma'anar waɗannan lambobi da kalmomi kuma ya amsa duk wata tambaya da za ka iya yi. Ka tuna, ba kai kaɗai ba ne a wannan tafiyar. Akwai likitoci da ƙungiyar kula da lafiya a can don taimaka maka da kuma kula da kai.

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