Ua lohe anei ʻoe i kahi Gleason Score no ka maʻi ʻaʻai prostate? E kamaʻilio kākou e pili ana i ia mea!

Ke haʻi aku ke kauka iā ʻoe he maʻi ʻaʻai prostate kou, pono ʻoe e manaʻo i ka nui o ke kaumaha a me ka hopohopo, ʻeā? I kēlā manawa, lohe ʻoe e pili ana i nā hoʻokolohua lapaʻau hou a me nā huaʻōlelo paʻakikī. E lohe paha ʻoe, a i ʻole ua lohe mua paha ʻoe, hoʻokahi huaʻōlelo ʻo 'Gleason Score'. No laila, ke lohe ʻoe i kēia, makaʻu paha ʻoe, "He aha kēia mea hou?" ʻO ia ke kumu, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano o kēia Gleason Score, a me kāna ʻōlelo maoli e pili ana i kou kūlana, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.

Ua ʻike anei ʻoe i ke ʻano o ka Gleason Score?

I ka ʻōlelo maʻalahi, inā loaʻa iā ʻoe ka maʻi kanesa prostate, ʻo ka Gleason Score kahi ala e loiloi ai i ke ʻano o ke kanesa - pehea kona ʻano, pehea ka wikiwiki o kona laha ʻana, pehea kona huhū, a pēlā aku. Ua like ia me ka helu ʻana i kahi hoʻokolohua ma ke kula, akā ʻoi aku ka ʻepekema a me ka paʻakikī.

He mea kēia a nā pathologists ( nā loea e nānā i nā ʻiʻo a me nā maʻi) e hana ai ma ka nānā ʻana i kahi hāpana o kou ʻiʻo prostate (kahi ʻāpana liʻiliʻi i lawe ʻia i ka wā o kahi biopsy) ma lalo o kahi microscope e hoʻoholo ai i ke ʻano o nā hunaola kanesa. Kōkua kēia ʻōnaehana helu i nā kauka e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa nou a hana i kahi wānana e pili ana i kāu prognosis ma hope o ka lāʻau lapaʻau.

Pehea e helu ʻia ai ka helu Gleason?

ʻAe, e nānā kākou pehea e hana ʻia ai kēia Gleason Score. E like me kaʻu i ʻōlelo ai ma mua, hana nā pathologists i kēia hana koʻikoʻi. Nānā pono lākou i nā hāpana ʻiʻo mai kou prostate ma lalo o kahi microscope. Inā loaʻa iā ʻoe ka maʻi kanesa prostate, ʻo ia hoʻi ua loli kekahi o nā cell i loko o kou prostate mai nā cell maʻamau a olakino e lilo i mau cell cancer .

E noʻonoʻo, i nā pae mua, hiki i kēia mau hunaola maʻi ke like me nā hunaola olakino. Hoʻopili wale ʻia. Akā i ka hala ʻana o ka manawa, i ka holomua ʻana o ke kanesa, lilo ke ʻano o kēia mau hunaola kanesa i mea ʻokoʻa loa a ʻano ʻē mai nā hunaola olakino. ʻO kēlā ʻokoʻa, kēlā ʻano ʻē, ʻo ia ka mea a nā kauka pathology e helu ai.

ʻŌnaehana Māka

Hāʻawi lākou i kēlā me kēia hāpana ʻiʻo i kahi helu mai 1 a 5 ma muli o ke ʻano o nā hunaola kanesa, ʻo ia hoʻi, pehea ka nui o ko lākou ʻokoʻa mai nā hunaola olakino. Ua kapa ʻia kēia ʻo ke ʻano kanesa .

• Papa 1: Ua like loa nā hunaola kanesa me nā hunaola olakino a maʻamau. ʻO ia hoʻi, he ʻokoʻa iki loa. Ua hoʻonohonoho pono ʻia lākou.
• Papa 2-4:ʻIke ʻia he ʻokoʻa iki nā hunaola kanesa i loko o nā ʻiʻo mai nā hunaola olakino a ʻike ʻia he ʻano ʻē aʻe. I ka piʻi ʻana o ke kūlana, ʻoi aku ka ʻike ʻia o kēia ʻokoʻa a me ke ʻano ʻē.
• Papa 5: He ʻano ʻē loa nā hunaola kanesa, ke nānā aku nei he huikau loa a kūpono ʻole i nā hunaola olakino. ʻO kēia nā hunaola ʻino loa.

I kēia manawa, hiki i ka maʻi kanesa prostate ke loaʻa nā ʻāpana like ma kahi like, a i ʻole hiki iā ia ke loaʻa nā pae like ʻole o nā ʻāpana ma nā wahi like ʻole. No laila, ʻo ka mea a ka pathologist e hana ai, ʻo ia ke koho i ka wahi nui kahi i laha nui ai ke kanesa a hāʻawi iā ia i kahi pae (ma waena o 1-5). A laila, koho lākou i ka lua o ka wahi i laha nui loa (he ʻano ʻokoʻa kona) a hāʻawi iā ia i kahi pae. A laila hoʻohui ʻia nā pae nui ʻelua. ʻO kēlā huina kāu Gleason Score.

Eia kekahi laʻana, e ʻōlelo kākou ʻo ka maʻi kanesa nui loa ka papa 3. ʻO ka mea aʻe i nui loa ka papa 4. A laila ʻo ka helu Gleason he 3 + 4 = 7. ʻO kekahi laʻana, inā ʻo ke ʻano nui ka papa 4 a ʻo ke ʻano lua ka papa 3, ʻo ka helu Gleason he 4 + 3 = 7. No laila, ʻoiai ʻo 3+4 a me 4+3 he 7, i kekahi manawa noʻonoʻo nā kauka i ke kaʻina o kēia mau ʻano (ʻo ke kiʻekiʻe ma mua).

ʻO ka mea maʻamau, inā ʻo kēia helu Gleason i hui pū ʻia he 6 a ʻoi aku paha, ua manaʻo ʻia he maʻi kanesa.

Aia kekahi mea e like me ka Gleason Score maʻamau?

I kēia manawa ke noʻonoʻo nei paha ʻoe, aia kekahi Gleason Score "maʻamau"? ʻOiaʻiʻo, ʻaʻohe mea e like me ka Gleason Score "maʻamau", e like me ka wā e nānā ai mākou i ko mākou pae kō koko no ka maʻi diabetes, a i ʻole ke nānā mākou i kā mākou pae PSA maʻi kanesa prostate a ʻōlelo, "Eia ka pae maʻamau." Akā, hoʻokaʻawale nā ​​​​kauka i ka Gleason Score i ʻekolu mau māhele a hoʻohana iā lākou e hoʻomaopopo i ke ʻano o ke kanesa:

• Ka helu Gleason 6: I kēia hihia, ua like loa nā ʻāpana kanesa me nā ʻāpana olakino. Kāhea mākou i kēia he ʻāpana kanesa "maikaʻi ke ʻano" . I ka ʻōlelo maʻalahi, ua like nō nā ʻāpana me "nā keiki maikaʻi," e hoʻāʻo ana e hoʻohālikelike i nā ʻāpana maʻamau. Manaʻo pinepine ʻia kēia mau ʻāpana he lohi ka ulu ʻana, ʻaʻole ikaika loa.
• Ka helu Gleason 7: I kēia hihia, ua like iki nā hunaola kanesa me nā hunaola olakino, akā aia kekahi ʻano ʻē. Kāhea mākou i kēia he kanesa "ʻokoʻa ka hoʻokaʻawale ʻia" . Ua like kēia me ke kahua waena. Hiki ke loaʻa kahi ʻokoʻa iki ma waena o 3+4=7 a me 4+3=7. I kekahi manawa ua manaʻo ʻia ke ʻano 4+3 he kūlana hopohopo iki ma mua o ke ʻano 3+4.
• Ka helu Gleason 8, 9 a i ʻole 10:I kēia hihia, ʻokoʻa loa nā hunaola kanesa mai nā hunaola olakino. He ʻano ʻē loa lākou, kokoke ʻaʻole i hoʻokaʻawale ʻia. Kāhea mākou i kēia he kanesa 'ʻano ʻē' a i ʻole 'ʻano ʻē' . ʻOi aku ka ikaika o kēia mau hunaola, a me he mea lā he kiʻekiʻe ko lākou manawa e ulu a laha koke.

He aha ka helu Gleason maikaʻi no ka maʻi ʻaʻai prostate?

He mea paʻakikī ke kapa koke i kahi helu Gleason he "maikaʻi" a "maikaʻi ʻole." Eia nō naʻe, ʻo ka ʻike ʻana i kāu helu Gleason hiki ke hāʻawi i kāu kauka i kahi manaʻo koʻikoʻi no ka wikiwiki o ka ulu ʻana o kou maʻi prostate a pehea ka hiki ke hoʻopili ʻia i nā ʻāpana ʻē aʻe o ke kino. Loaʻa ka helu Gleason mai 6 a 10.

Ma keʻano laulā, inā haʻahaʻa ka helu Gleason (no ka laʻana, 6), ua manaʻo ʻia he 'maʻi ʻaʻai haʻahaʻa.' Ulu mālie kēia mau ʻano maʻi ʻaʻai a ʻaʻole paha e laha i nā wahi ʻē aʻe.

Inā kiʻekiʻe ka helu Gleason (no ka laʻana, 8, 9, 10), ua manaʻo ʻia he 'maʻi ʻaʻai kiʻekiʻe.' ʻOi aku ka nui o ka ulu ʻana a me ka laha koke ʻana o kēia mau ʻano maʻi ʻaʻai.

Akā, he mea nui e hoʻomanaʻo i kēia: ʻO kāu helu Gleason hoʻokahi wale nō ʻāpana ʻike a nā kauka e hoʻohana ai e hoʻolālā i kāu lāʻau lapaʻau a hāʻawi iā ʻoe i kahi wānana. ʻO ia hoʻi, ʻaʻole ʻo ka helu Gleason wale nō ka pane. He ʻāpana wale nō ia o kahi kiʻi nui aʻe.

ʻO ka Gleason Score wale nō anei ka mea nui?

ʻAʻole, ʻaʻole loa. E like me kaʻu i ʻōlelo ai ma mua, ʻo kāu Gleason Score hoʻokahi wale nō ʻāpana o ka puzzle. Lawe nā kauka i nā kumu ʻē aʻe he nui e hoʻomaopopo i kou kūlana piha a koho i ka lāʻau lapaʻau maikaʻi loa nāu.

Eia kekahi laʻana, i ka wā i loaʻa ai kāu biopsy, ua lawe paha kāu kauka i kekahi mau laʻana, i kapa ʻia ʻo cores, mai kou prostate. No laila,

• Ehia o kēlā mau ʻiʻo koʻikoʻi (nā ʻāpana ʻiʻo) i loaʻa nā hunaola kanesa?
• He aha ka pakeneka o kēlā me kēia `(core)` i piha i nā hunaola kanesa?

Ke nānā nei hoʻi au i nā mea e like me ia.

Eia kekahi, he mea nui loa kēia mau mea:

• Kou pae koko `(PSA)`. (PSA - Prostate-Specific Antigen) (he hoʻāʻo koko kūikawā).
• ʻO nā hopena o ka hoʻokolohua rectal digital (DRE) i hana ʻia e ke kauka (ʻo ia hoʻi, ke ʻano o ka manaʻo ʻana o ke gland ma ka lima).
• Hiki i ka ʻike mai nā hoʻokolohua kiʻi kūikawā e like me nā scan ultrasound, nā scan MRI, a i ʻole nā ​​​​scan PET ke kōkua i ka hoʻoholo ʻana i ka nui a me ka laha ʻana o ke kanesa.
• Inā paha aia ke kanesa ma nā ʻaoʻao ʻelua o ka ʻōpū prostate.
• Ua ʻōlelo ʻia ua laha (metastasized) ke kanesa prostate i nā ʻāpana ʻē aʻe o ke kino, no ka laʻana, nā iwi.
• Kou makahiki a me kou olakino holoʻokoʻa.

ʻO ka hoʻohui ʻana i kēia mau mea a pau, e like me ka hoʻopau ʻana i kahi puzzle nui, pehea e hoʻoholo ai kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu, ma muli o kou kūlana. No laila, mai hopohopo pono ʻole e pili ana i ka helu Gleason, ʻae?

ʻO ka mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, eia ka mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai. ʻO ka Gleason Score kahi mea hana koʻikoʻi e hoʻokaʻawale i ke kanesa prostate a hāʻawi iā ʻoe i kahi manaʻo o kona ʻano huhū. Hoʻohana kāu kauka iā ia e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa nāu. Hiki i ka Gleason Score ke piʻi mai ka 6 (maʻi kanesa haʻahaʻa, ʻaʻole ikaika loa) a i ka 10 (maʻi kanesa kiʻekiʻe, ʻoi aku ka ikaika). ʻO nā maʻi kanesa me ka Gleason Score haʻahaʻa e ulu lohi pinepine a he haʻahaʻa ka pilikia o ka laha ʻana.

Akā, ʻaʻole kēia mau helu wale nō e haʻi i ka moʻolelo holoʻokoʻa e pili ana i kou maʻi ʻaʻai prostate. Hoʻomaka kēlā moʻolelo me kāu hoʻolālā lapaʻau a me ka hoʻomaopopo ʻana i ka mea hiki iā ʻoe ke manaʻo mai kēlā mau lāʻau lapaʻau, a me nā pono a me nā pōʻino. ʻO kāu helu Gleason a me nā hopena hoʻāʻo ʻē aʻe e like me ke alakaʻi e kōkua iā ʻoe i kāu huakaʻi i ka hoʻōla ʻana.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kāu Gleason Score, nā hopena hoʻāʻo ʻē aʻe, a i ʻole kou kūlana olakino, mai kānalua e nīnau i kāu kauka. E hauʻoli ʻo ia e wehewehe i ke ʻano o kēlā mau helu a me nā huaʻōlelo a pane i nā nīnau āu e loaʻa ai. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia nā kauka a me kahi hui mālama ola ma laila e kōkua iā ʻoe a mālama iā ʻoe.

ʻO ke kanesa prostate, ka helu Gleason, nā hunaola kanesa, ka hoʻāʻo ʻana i nā ʻiʻo, ke kahua o ke kanesa, ke olakino o nā kāne, ka mālama ʻana i ke kanesa