Oli mweraliikirivu olw'obubonero bwa Gleason? Kino ka tukitegeere mu ngeri ennyangu.

Omusawo bwe yakugamba nti olina kookolo w’enseke, ku lipoota yo kwaliko ennamba eyitibwa ‘Gleason Score’, nedda? Oyinza okuba nga wawulira ng’otya katono ng’olaba kino. Oyinza okuba nga weebuuzizza ennamba eno kye yali, kye yali etegeeza, oba yali obubonero bulungi oba bubi. Tofaayo, kyabulijjo ggwe okuwulira bw’otyo. Leero, tugenda kwogera ku Gleason Score eno ky’eri ne kye kitegeeza ddala mu ngeri ennyangu ennyo gy’osobola okutegeera.

Mu ngeri ennyangu, Gleason Score eno kye ki?

Gleason Score nkola ya bubonero ekozesebwa okugabanya kookolo w’enseke, kwe kugamba, okutegeera obutonde bwe. Kiringa okuwa obubonero ku kigezo mu ssomero. Naye ono wa njawulo katono.

Oyinza okujjukira nti akatundu akatono akayitibwa tissue kaggyibwa mu prostate yo okukeberebwa biopsy. Oluvannyuma ekitundu ekyo eky’omubiri kikeberebwa mu microscope mu laboratory omusawo omukugu, ayitibwa omukugu mu by’endwadde. Atunuulira engeri obutoffaali bwa kookolo gye bufaanagana oba obw’enjawulo ku butoffaali obulamu obwa bulijjo. Enjawulo eno ekozesebwa okuwa endowooza ku "buzibu" bwa kookolo, oba engeri gy'asaasaanyizzaamu amangu.

Kale, kino Gleason Score mawulire makulu nnyo agayamba abasawo okulonda obujjanjabi obusinga okukusaanira n’okulagula engeri embeera yo gy’egenda okugenda mu maaso.

Gleason Score ebalwa etya?

Kino kikolebwa mu ngeri eyeesigika ennyo. Omusawo w’endwadde bw’atunuulira obutoffaali bwa kookolo ng’akozesa microscope, abuwa obubonero okuva ku 1 okutuuka ku 5 okusinziira ku ndabika yaabwo.

• Obukodyo 1: Obutoffaali bwa kookolo bufaanagana nnyo n’obutoffaali obulamu obwa bulijjo. Kiyinza okuba ekizibu okumanya oba balina kookolo.
• Obukodyo 2-4: Obutoffaali bwa kookolo butandise okwawukana mpolampola ku butoffaali obwa bulijjo.
• Obukodyo 5: Obutoffaali bwa kookolo bulina endabika ey’enjawulo ddala, ey’akavuyo okusinga obutoffaali obwa bulijjo.

Kilowoozeeko bw’otyo. Obutoffaali bwa kookolo bulinga abaana abayaaye mu kibiina. Obukodyo bwa 1 kitegeeza omuntu ayaaye katono, naye ng’alabika ng’omwana omulungi okusinga. Obukodyo bwa 5 kitegeeza omuntu ow’enjawulo ddala ku baana abalala mu kibiina, muyaaye nnyo, era nga muzibu okufuga.

Kati ekikulu. Mu kitundu ky’enseke yo gy’olina kookolo, obutoffaali bwonna tebufaanagana. Mu bifo ebimu obutoffaali buyinza okulabika obulungi katono (obubonero obutono), mu bifo ebirala obutoffaali buyinza okuba obw’enjawulo ennyo (obubonero obw’amaanyi).

N’olwekyo, omusawo w’endwadde alondawo ebitundu ebikulu ebibiri kookolo w’asinga okusaasaana.

1. Akabonero akaweebwa obutoffaali mu kitundu kookolo w’asinga okubeera .

2. Akabonero akaweebwa obutoffaali mu kitundu kookolo w’asinga okubeera mu kifo eky’okubiri .

Olwo obubonero buno obubiri ne bugattibwa wamu. Omugatte ogwo gwe tuyita Gleason Score .

Okugeza, singa ekifo kya kookolo ekisinga okubeera n’obubonero 4, ate ekifo ekyokubiri ekisinga okubeera n’obubonero 3, Gleason Score yo yandibadde 4 + 3 = 7.

Ddala ennamba zino zigamba ki?

Kati oyinza okuba nga weebuuza nti, "Okay, obubonero bwange buli 6, oba 7, oba 8. Ekyo kitegeeza ki? Ekyo kirungi? Ekyo kibi?"

Tetutunuulira Gleason Score nga "kirungi" oba "kibi." Wabula tukikozesa okuwa endowooza ku sipiidi kookolo gy’ayinza okukula oba okusaasaana. Ka tugimenyemu ebitundu bisatu.

Waliwo ekintu ekiyitibwa Gleason Score "ennungi"?

Si ddala. Obubonero obutono (6) kitegeeza nti kookolo akula mpola. Ago mawulire malungi. Naye ekyo tekitegeeza nti obujjanjabi tekyetaagisa. Mu ngeri y’emu, obubonero obw’amaanyi (8, 9, 10) kitegeeza nti kookolo ayolekedde okukula amangu, n’olwekyo twetaaga okussaayo ennyo omwoyo n’okutandika obujjanjabi obw’amaanyi amangu.

Gleason Score yokka emala?

Bino by'olina okujjukira. Omusawo wo takoma ku kutunuulira nnamba ya Gleason Score okuteekateeka obujjanjabi bwo. Kiba kitundu kimu kyokka ekitono eky’ekifaananyi ekinene. Waliwo ebintu ebirala bingi by’olina okulowoozaako okusobola okutegeera ekifaananyi mu bujjuvu.

Ebimu ku bintu ebirala omusawo by’agenda okulowoozaako bye bino:

• Omuwendo gw’omusaayi gwa PSA: Omuwendo gw’omusaayi gwo ogwa PSA (prostate-specific antigen).
• Digital Rectal Exam: Omusawo by’awulira ng’akeberebwa n’olugalo.
• Ebirala okuva mu biopsy: Ebitundu bimeka eby’ebitundu by’omubiri ebyazuulibwa nga birimu kookolo? Obutoffaali bwa kookolo bumeka obwasangibwa mu buli kitundu ky’omubiri?
• Sikaani: Amawulire agafunibwa okuva mu kukebera nga sikaani za ultrasound, MRI (magnetic resonance imaging) oba PET (positron emission tomography).
• Kookolo asaasaana?: Kookolo asaasaanidde ku njuyi zombi ez’endwadde z’enseke? Oba busaasaanye mu bitundu by’omubiri ebirala ebweru w’endwadde?

By putting all this information together , omusawo wo ajja kusalawo omutendera gwa kookolo wo era ateese naawe obujjanjabi ki obusinga obulungi gy’oli.

Kale, teweeraliikiriranga singa Gleason Score yo eri 7 oba 8. Mpozzi PSA yo eri wansi, oba kookolo tannasaasaana. Kale tobuuka ku nkomerero ng’osinziira ku nnamba. Yogerako n’omusawo wo ku bibuuzo byo byonna n’okutya kwo. Ajja kukunnyonnyola buli kimu.