Ke hopohopo nei ʻoe e pili ana i ka Gleason Score? E hoʻomaopopo maʻalahi kākou i kēia.

I ka wā i haʻi aku ai ke kauka iā ʻoe ua loaʻa iā ʻoe ka maʻi ʻaʻai prostate, aia kahi helu ma kāu hōʻike i kapa ʻia ʻo 'Gleason Score', ʻeā? Ua hopohopo paha ʻoe i kou ʻike ʻana i kēia. Ua noʻonoʻo paha ʻoe i ke ʻano o kēia helu, kona manaʻo, inā he helu maikaʻi a maikaʻi ʻole paha. Mai hopohopo, he mea maʻamau ia nou ke manaʻo pēlā. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia Gleason Score a me kona manaʻo maoli ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha kēia Gleason Score?

ʻO ka Gleason Score kahi ʻōnaehana helu i hoʻohana ʻia e hoʻokaʻawale i ke kanesa prostate, ʻo ia hoʻi, e hoʻomaopopo i kona ʻano. Ua like ia me ka hāʻawi ʻana i nā māka ma kahi hoʻokolohua ma ke kula. Akā he ʻokoʻa iki kēia.

E hoʻomanaʻo paha ʻoe ua lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kou prostate no kahi biopsy. A laila e nānā ʻia kēlā ʻāpana ʻiʻo ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e ke kauka loea, i kapa ʻia he pathologist. Nānā ʻo ia i ke ʻano like a ʻokoʻa paha o nā hunaola kanesa mai nā hunaola olakino maʻamau. Hoʻohana ʻia kēia ʻokoʻa e hāʻawi i kahi manaʻo o ke "koʻikoʻi" o ke kanesa, a i ʻole ka wikiwiki o kona laha ʻana.

No laila, he ʻike koʻikoʻi loa kēia Gleason Score e kōkua ana i nā kauka e koho i ka lāʻau kūpono loa nāu a wānana pehea e holomua ai kou kūlana.

Pehea e helu ʻia ai ka helu Gleason?

Hana ʻia kēia ma ke ʻano hoihoi loa. Ke nānā ka pathologist i nā hunaola kanesa ma lalo o kahi microscope, hāʻawi lākou iā lākou i kahi helu mai 1 a 5 ma muli o ko lākou helehelena.

• Helu 1: Ua like loa ke ʻano o nā hunaola kanesa me nā hunaola olakino maʻamau. Hiki ke paʻakikī ke ʻike inā he kanesa lākou.
• Nā helu 2-4: Ke hoʻomaka mālie nei nā ʻokoʻa o nā hunaola kanesa mai nā hunaola maʻamau.
• Helu 5: He ʻokoʻa loa ke ʻano o nā hunaola kanesa a huikau hoʻi ma mua o nā hunaola maʻamau.

E noʻonoʻo i kēia ʻano. Ua like nā hunaola kanesa me nā keiki kolohe i loko o ka papa. ʻO ka helu o 1 ke ʻano o kekahi mea kolohe iki, akā me he keiki maikaʻi lā no ka hapa nui. ʻO ka helu o 5 ke ʻano o kekahi mea ʻokoʻa loa mai nā keiki ʻē aʻe o ka papa, kolohe loa, a paʻakikī ke kāohi.

ʻO ka mea nui i kēia manawa. Ma ka ʻāpana o kou prostate kahi i loaʻa ai iā ʻoe ka maʻi kanesa, ʻaʻole like nā ʻāpana āpau. Ma kekahi mau wahi e ʻoi aku ka maikaʻi o ke ʻano o nā ʻāpana (helu haʻahaʻa), ma nā wahi ʻē aʻe e ʻokoʻa loa paha nā ʻāpana (helu kiʻekiʻe).

No laila, koho ke kauka maʻi i nā wahi nui ʻelua kahi i laha nui ai ke kanesa.

1. ʻO ka māka i hāʻawi ʻia i nā pūnaewele ma kahi i loaʻa nui ai ke kanesa.

2. ʻO ka māka i hāʻawi ʻia i nā pūnaewele ma kahi i loaʻa ai ka maʻi kanesa i ka lua o ka mea maʻamau .

A laila hoʻohui ʻia kēia mau helu ʻelua. ʻO kēlā huina ka mea a mākou e kapa aku nei ʻo ka Gleason Score .

Eia kekahi laʻana, inā ʻo ka wahi maʻamau o ka maʻi kanesa he helu 4, a ʻo ka lua o ka wahi maʻamau he helu 3, ʻo kāu Gleason Score he 4 + 3 = 7.

He aha ka ʻōlelo maoli a kēia mau helu?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAe, ʻo kaʻu helu he 6, a i ʻole 7, a i ʻole 8. He aha ke ʻano o ia mea? Maikaʻi anei kēlā? He ʻino anei kēlā?"

ʻAʻole mākou e nānā i ka Gleason Score ma ke ʻano he "maikaʻi" a "maikaʻi ʻole." Akā, hoʻohana mākou ia mea e hāʻawi i kahi manaʻo o ka wikiwiki o ka ulu ʻana a i ʻole ka laha ʻana o ke kanesa. E māhele kākou iā ia i ʻekolu ʻāpana.

Aia kekahi mea e like me ka Gleason Score "maikaʻi"?

ʻAʻole maoli. ʻO ka helu haʻahaʻa (6) ke ʻano o ka lohi o ka ulu ʻana o ke kanesa. He nūhou maikaʻi kēlā. Akā, ʻaʻole ia manaʻo ʻaʻole pono ka lāʻau lapaʻau. Pēlā nō, ʻo ka helu kiʻekiʻe (8, 9, 10) ke ʻano o ka ulu wikiwiki ʻana o ke kanesa, no laila pono mākou e makaʻala nui aku iā ia a hoʻomaka koke i ka lāʻau lapaʻau ikaika.

Ua lawa anei ka Gleason Score wale nō?

Eia nā mea āu e pono ai e hoʻomanaʻo. ʻAʻole nānā wale kāu kauka i ka helu Gleason Score e hoʻolālā i kāu lāʻau lapaʻau. He ʻāpana liʻiliʻi wale nō ia o kahi kiʻi nui aʻe. Nui nā mea ʻē aʻe e noʻonoʻo ai e hoʻomaopopo i ke kiʻi piha.

ʻO kekahi o nā mea ʻē aʻe a ke kauka e noʻonoʻo ai:

• Pae koko PSA: ʻO ka waiwai o kāu hoʻāʻo koko PSA (prostate-specific antigen).
• Hoʻokolohua Rectal Digital: Ka mea a ke kauka e manaʻo ai i ka wā o ka hoʻokolokolo ʻana me kona manamana lima.
• ʻIke ʻē aʻe mai ka biopsy: Ehia mau ʻāpana o nā ʻiʻo i loaʻa i ka maʻi kanesa? Ehia mau hunaola kanesa i loaʻa i kēlā me kēia ʻāpana o nā ʻiʻo?
• Nā scan: ʻIke i loaʻa mai nā hoʻokolohua e like me ke ultrasound, MRI (magnetic resonance imaging) a i ʻole PET (positron emission tomography) scan.
• Ua laha anei ke kanesa?: Ua laha anei ke kanesa i nā ʻaoʻao ʻelua o ka prostate gland? A i ʻole ua laha paha i nā ʻāpana ʻē aʻe ma waho o ka gland?

Ma ka hoʻohui pū ʻana i kēia mau ʻike a pau , e hoʻoholo kāu kauka i ke kahua o kou maʻi ʻaʻai a kūkākūkā me ʻoe i ke koho lapaʻau kūpono loa iā ʻoe.

No laila, mai hopohopo inā he 7 a 8 paha kāu Gleason Score. Malia paha ua haʻahaʻa kāu PSA, a ʻaʻole paha i laha ka maʻi ʻaʻai. No laila, mai lele i nā hopena ma muli o kahi helu. E kamaʻilio me kāu kauka e pili ana i kāu mau nīnau a me nā makaʻu āpau. E wehewehe ʻo ia i nā mea āpau iā ʻoe.