We di dɔktɔ tɛl yu se yu gɛt prɔstat kansa, wan nɔmba bin de na yu ripɔt we dɛn kɔl ‘Gleason Score’, nɔto so? Sɔntɛm yu go dɔn fred smɔl we yu si dis. Yu go dɔn de wɔnda wetin na dis nɔmba, wetin i min, if na gud ɔ bad mak. Nɔ wɔri, i nɔmal fɔ mek yu fil da we de. Tide, wi go tɔk bɔt wetin dis Gleason Score bi ɛn wetin i rili min insay wan rili simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dis Gleason Score?
Di Gleason Score na wan skɔring sistɛm we dɛn kin yuz fɔ klas prɔstat kansa, dat na fɔ ɔndastand aw i tan. I tan lɛk se yu de gi gred pan ɛgzam na skul. Bɔt dis wan difrɛn smɔl.
Yu go mɛmba se dɛn bin pul wan smɔl tisu na yu prɔstat fɔ mek dɛn tek am bayɔpsi. Dɔn, wan spɛshal dɔktɔ we dɛn kɔl pathɔlɔjis, kin chɛk da pat de ɔnda maykroskɔp na lɛbɔtri. I de luk aw di kansa sɛl dɛn fiba ɔ difrɛn frɔm di nɔmal wɛlbɔdi sɛl dɛn. dis difrεns dεn kin yus fכ gi wan aidia fכ di "sεvεri" fכ di kεnsar, כ aw fast i dכn spre.
So, dis Gleason Score na rili impɔtant infɔmeshɔn wae de ɛp dɔktɔ dɛm fɔ pik di tritmɛnt wae go fayn fɔ yu ɛn prɛdikt aw yu kɔndishɔn go go bifo.
Aw dɛn kin kɔl di Gleason Score?
Dɛn kin du dis di kayn we we rili intrestin. We di pɔsin we de stɔdi bɔt di sik luk di kansa sɛl dɛn ɔnda maykroskɔp, dɛn kin gi dɛn wan mak frɔm 1 to 5 bay aw dɛn luk.
- Skɔ 1: Di kansa sɛl dɛn kin luk rili fiba di nɔmal wɛlbɔdi sɛl dɛn. I kin tranga fɔ no if dɛn gɛt kansa.
- Skɔ 2-4: di kεnsar sεl dεm de bigin fכ difrεn sכmtεm frכm nכmal sεl dεm.
- Skɔ 5: Kansa sɛl dɛn gɛt kɔmplit difrɛn, chaotic apinɛns pas di nɔmal sɛl dɛn.
Tink bɔt am dis we. Kansa sɛl dɛn tan lɛk di naf pikin dɛn we de na klas. Wan mak we na 1 min pɔsin we jɔs natin smɔl, bɔt i tan lɛk gud pikin fɔ di mɔs pat. If yu gɛt 5 mak, dat min se pɔsin we rili difrɛn frɔm di ɔda pikin dɛn na di klas, we rili natin, ɛn we at fɔ kɔntrol.
Naw di impɔtant tin. Insay di pat na yu prɔstat usay yu gɛt kansa, di sɛl dɛn nɔ ɔl di sem. na sכm ples dεm di sεl dεm kin luk bεtε sכmtεm (lכw skכ), na כda ples dεm di sεl dεm kin rili difrεnt (high skכ).
So, di dɔktɔ we de mɛn di sik kin pik di tu men say dɛn usay di kansa dɔn skata mɔ.
1. Di mak we dɛn gi di sɛl dɛn na di say we di kansa bɔku .
2. Di mak we dɛn gi di sɛl dɛn na di say we di kansa de sɛkɔn pas ɔl .
Dɔn dɛn kin ad dɛn tu mak ya togɛda. Dat sɔm na wetin wi kɔl di Gleason Score .
Fɔ ɛgzampul, if di say we pɔsin kin gɛt kansa pas ɔl na 4, ɛn di sɛkɔn say we bɔku pipul dɛn kin gɛt na 3, yu Gleason Skɔ go bi 4 + 3 = 7.
Jɛnɛral wan, if Gleason Score we na 6 ɔ pas dat, dɛn kin tek am se na kansa. di sεl pat dεm we gεt skכ 1 εn 2 dεn nכ de kכnsid am igen as kεnsar. So di Gleason Score we smɔl pas ɔl we yu go si na 6 (3+3).
Wetin dɛn nɔmba dɛn ya rili se?
Naw yu go de wɔnda, "Okay, mi skɔ na 6, ɔ 7, ɔ 8. Wetin dat min? Dat gud? Na bad tin?"
Wi nɔ de luk di Gleason Score as "gud" ɔ "bad." Bifo dat, wi kin yuz am fɔ gi wan aidia bɔt aw fast di kansa go mɔs gro ɔ skata. Lɛ wi sheb am to tri pat.
| Di Gleason Skɔ | Medikal nem | Fɔ tɔk am simpul wan... |
|---|---|---|
| 6. 6. | We dɛn difrɛns fayn fayn wan | Di kansa sɛl dɛn rili fiba di sɛl dɛn we gɛt wɛlbɔdi. Dɛn na wan kayn kansa wae de gro sloslo ɛn nɔr kin gɛt bɔrku risk fɔ spre (metastasizing). |
| 7. 7. | Modaret difrɛns | Kansa sɛl dɛn tan lɛk wɛlbɔdi sɛl dɛn pan sɔm we dɛn. Dɛn na wan kayn kansa we kin gro pan smɔl smɔl rit . (Na ya, if na 3+4 ɔ 4+3 impɔtant bak). |
| 8, 9, ɔ 10 | Difrɛns we nɔ fayn ɔ we nɔ difrɛn | Di kansa sɛl dɛn rili difrɛn frɔm di sɛl dɛn we gɛt wɛlbɔdi. Dɛn kin gro kwik kwik wan ɛn skata.Wan kayn kansa. |
Na so tin de we dɛn kɔl "gud" Gleason Score?
Nɔto fɔ tru. If yu gɛt smɔl mak (6) dat min se di kansa de gro sloslo. Dat na gud nyus. Bɔt dat nɔ min se dɛn nɔ nid fɔ gɛt tritmɛnt. Semweso, if wi gɛt ay mak (8, 9, 10) dat min se i go mɔs bi se di kansa go gro kwik kwik wan, so wi nid fɔ pe atɛnshɔn mɔ to am ɛn bigin fɔ trit am kwik kwik wan.
Na di Gleason Score nɔmɔ go du fɔ am?
Na dis na wetin yu nid fɔ mɛmba. Yu dɔktɔ nɔ jɔs de luk di Gleason Score nɔmba fɔ plan yu tritmɛnt. Na jɔs wan smɔl pat pan wan big pikchɔ. Bɔku ɔda tin dɛn de we wi fɔ tink bɔt fɔ ɔndastand di ful pikchɔ.
Di impɔtant tin na dat, yu Gleason Score nɔmɔ nɔ go ebul fɔ tɛl di ful stori bɔt yu kɔndishɔn. Na wan pat nɔmɔ pan di pazl.
Sɔm pan di ɔda tin dɛn we di dɔktɔ go tink bɔt na:
- PSA blɔd lɛvɛl: Di valyu fɔ yu PSA (prostate-specific antigen) blɔd tɛst.
- Dijital Rɛktal Ɛgzam: Wetin di dɔktɔ kin fil we dɛn de du di ɛgzam wit in finga.
- Ɔda tin dɛn we dɛn bin no bɔt di bayɔpsi: Ɔmɔs pat pan di tisu dɛn bin si se gɛt kansa? Ɔmɔs kansa sɛl dɛn bin de na ɛni pat pan di tisu?
- Skan: Infɔmeshɔn we dɛn kin gɛt frɔm tɛst lɛk ɔltra saund, MRI (magnetic resonance imaging) ɔ PET (positron emission tomography) skan.
- Di kansa dɔn skata?: Di kansa dɔn spre to ɔl tu di say dɛn na di prɔstat gland? Ɔ i dɔn skata to ɔda pat dɛn we nɔ de na di gland?
We yu put ɔl dis infɔmeshɔn togɛda , yu dɔktɔ go no di stej we yu gɛt kansa ɛn tɔk to yu us tritmɛnt we bɛtɛ fɔ yu.
So, nɔr wɔri if yu Gleason Score na 7 ɔr 8. Sɔntɛm yu PSA smɔl, ɔr di kansa nɔr dɔn spre. So nɔ jomp to kɔnklushɔn bays pan wan nɔmba. Tɔk to yu dɔktɔ bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred. I go ɛksplen ɔltin to yu.
Mɛsej we dɛn kin kɛr go na os
- di Gleason Score na wan skכring sistεm we de mכsu aw "difrεnt" di sεl dεm na prכstat kεnsar, we min aw kwik dεn kin spre.
- Dɛn kin gi dis mak afta dɛn dɔn chɛk wan pat pan di tisu we dɛn tek frɔm yu bayɔpsi ɔnda maykroskɔp.
- If yu gɛt 6 mak, dat de sho se yu gɛt kansa we de gro sloslo. Skɔ 8, 9, ɛn 10 sho se kansa de gro kwik kwik wan. If yu gɛt 7, dat de sho se yu gɛt mɔdaret lɛvɛl.
- Di tin we impɔtant pas ɔl: Nɔto jɔs yu Gleason Score nɔmɔ de sho aw fɔ trit yu. Dɛn kin tek bɔku ɔda tin dɛn bak, lɛk di PSA lɛvɛl ɛn di skan ripɔt.
- Nɔ fred di nɔmba dɛn we de na yu ripɔt. Aks yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Na in go ebul fɔ gi yu di bɛst infɔmeshɔn.
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