Ina kī mai te tākuta kei a koe te mate pukupuku repeure, me tino pāngia koe e te ahotea me te manukanuka, tika? I taua wā, ka rongo koe i ngā whakamātautau hauora hou me ētahi kupu uaua. Tērā pea ka rongo koe, kua rongo kē rānei koe, i tētahi kupu ko te 'Gleason Score'. Nō reira, ina rongo koe i tēnei, tērā pea ka mataku koe, ka mea, "He aha tēnei mea hou?" Koia te take, i tēnei rā ka kōrero tātou mō te aha tēnei Gleason Score, me tana kōrero pono mō tō āhua, i roto i tētahi huarahi māmā ka taea e koe te mārama.
E mōhio ana koe he aha te Kaute Gleason?
Ki te kī māmā noa iho, mēnā he matepukupuku repeure tōu, he huarahi te Gleason Score hei aromatawai i te āhua o te matepukupuku – tōna āhua, tōna tere horapa, tōna kaha kino, me ētahi atu. He rite ki te whakatau i tētahi whakamātautau i te kura, engari he ahua pūtaiao ake, he uaua ake hoki.
He mahi tēnei nā ngā tākuta mate pukupuku ( ngā tohunga e tirotiro ana i ngā kiko me te tautuhi i ngā mate) mā te titiro ki tētahi tauira o te kiko o tō repeure (he wāhanga iti i tangohia i te wā o te koiora) i raro i tētahi karuārai hei whakatau i te āhua o ngā pūtau matepukupuku. Mā tēnei pūnaha whakatauranga ka āwhina i ngā tākuta ki te whakamahere i te maimoatanga pai rawa atu māu, me te matapae i tō āhua i muri i te maimoatanga.
Me pēhea te tatau i te Kaute Gleason?
Āe, me titiro tātou ki te hanga o tēnei Kaute Gleason. E ai ki taku kōrero i mua, ka mahia tēnei mahi nui e ngā tākuta mate. Ka tirohia e rātou ngā tauira kiko mai i tō repeure me te tino tupato i raro i te karuārai. Mena he matepukupuku repeure tōu, ko te tikanga kua huri ētahi o ngā pūtau o tō repeure mai i ngā pūtau noa, hauora hei pūtau matepukupuku .
Whakaarohia, i ngā wāhanga tōmua, tera pea ka rite ēnei pūtau matepukupuku ki ngā pūtau hauora. He mea huna noa iho. Engari i roto i te wā, i te whanaketanga o te matepukupuku, ka rerekē rawa te āhua o ēnei pūtau matepukupuku, ka rerekē hoki i ngā pūtau hauora. Ko taua rerekētanga, ko taua āhua rerekētanga, koinei te mea e aromatawaihia ana e ngā tākuta mate.
Pūnaha Whakatauranga
Ka hoatu e rātou he kaute ki ia tauira kiko mai i te 1 ki te 5 i runga i te āhua o ngā pūtau matepukupuku, arā, te nui o tō rātou rerekētanga mai i ngā pūtau hauora. Ka kiia tēnei ko te taumata matepukupuku .
- Taumata 1: He rite tonu te āhua o ngā pūtau matepukupuku ki ngā pūtau hauora, noa. Arā, he iti noa te rerekētanga. He pai te whakarite.
- Ngā Tau 2-4:He āhua rerekē ngā pūtau matepukupuku i roto i te kiko i ngā pūtau hauora, ā, he āhua koretake ake. I te pikinga ake o te taumata, ka kitea nuitia tēnei rerekētanga me te koretake.
- Tau 5: He tino rerekē ngā pūtau matepukupuku, he āhua pōrearea te āhua, ā, kāore i te ōrite ki ngā pūtau hauora. Koinei ngā pūtau tino kaha.
Ināianei, ka taea e te mate pukupuku repeure te whai i ngā pūtau kotahi i te wāhi kotahi, ka taea rānei te whai i ngā taumata pūtau rerekē i ngā wāhi rerekē. Nō reira, ko tā te tākuta mate he whiriwhiri i te wāhi matua kua horapa nui te mate pukupuku , ka hoatu he taumata (i waenga i te 1-5). Kātahi ka whiriwhiria e rātou te wāhi tuarua kua horapa nui (he rerekē te tauira) ka hoatu he taumata. Kātahi ka tāpirihia ngā taumata matua e rua. Ko taua tapeke ko tō Kaute Gleason.
Hei tauira, me kī ko te mate pukupuku tino nui ko te taumata 3. Ko te taumata 4 te mea e whai ake nei. Kātahi ka 3 + 4 = 7 te kaute Gleason. Ko tētahi atu tauira, mēnā ko te taumata 4 te tauira matua, ā, ko te tauira tuarua ko te taumata 3, ko te kaute Gleason ko te 4 + 3 = 7. Nō reira, ahakoa he 7 te 3+4 me te 4+3, ka whakaarohia e ngā tākuta te raupapa o ēnei tauira (ko te taumata teitei te tuatahi).
Ko te tikanga, ki te 6, neke atu rānei te tapeke o tēnei kaute Gleason, ka kiia he mate pukupuku.
He mea anō kei te kiia he Kaute Gleason noa?
Tērā pea kei te whakaaro koe, he "noa" te Kaute Gleason? Inaa, kāore he mea e kiia ana he Kaute Gleason "noa", pērā i te wā e tirohia ai e tātou ō tātou taumata huka toto mō te mate huka, i te wā rānei e titiro ana tātou ki ō tātou taumata PSA matepukupuku prostate ka mea, "Anei te awhe noa." Engari, ka wehea e ngā tākuta te Kaute Gleason kia toru ngā wāhanga ka whakamahia hei mārama ki te whanonga o te matepukupuku:
- Kaute Gleason 6: I tēnei wā, he tino rite te āhua o ngā pūtau matepukupuku ki ngā pūtau hauora. Ka kiia tēnei he matepukupuku "kua rerekē pai" . He māmā noa iho, he rite tonu ngā pūtau ki ngā "tamariki pai," e ngana ana ki te rite ki ngā pūtau noa. Ko ēnei te tikanga he matepukupuku puhoi te tipu, kāore i te kaha te whakaeke.
- Kaute Gleason 7: I tēnei wā, he āhua rite ngā pūtau matepukupuku ki ngā pūtau hauora, engari he āhua rerekētanga kei reira. Ka kiia tēnei he matepukupuku "āhua rerekē" . He rite tēnei ki te ara waenga. Tērā pea he rerekētanga iti i waenga i te 3+4=7 me te 4+3=7. I ētahi wā ka kiia te tauira 4+3 he āhua āwangawanga ake i te tauira 3+4.
- Kaute Gleason 8, 9, 10 rānei:I tēnei wā, he tino rerekē ngā pūtau matepukupuku i ngā pūtau hauora. He tino koretake, tata kore e rerekē. Ka kiia tēnei he matepukupuku 'kore e rerekē', he 'kore rerekē' rānei. He ahua kaha ake ēnei pūtau, ā, te āhua nei he nui ake te tūponotanga o te tipu me te horapa tere.
He aha te pai o te Kaute Gleason mō te matepukupuku prostate?
He uaua ki te tapa tonu i te kaute Gleason he "pai" he "kino" rānei. Heoi, mā te mōhio ki tō kaute Gleason ka taea e tō tākuta te whakaaro nui mō te tere o te tipu o tō matepukupuku repeure me te tūponotanga ka horapa ki ētahi atu wāhanga o te tinana. Kei waenga i te 6 ki te 10 te kaute Gleason.
I te nuinga o te wā, ki te iti te kaute Gleason (hei tauira, 6), ka kiia he 'matepukupuku iti te taumata.' Ka puhoi te tipu o ēnei momo matepukupuku, ā, he iti ake te tūponotanga ka horapa ki ētahi atu wāhi.
Mena he teitei te kaute Gleason (hei tauira, 8, 9, 10), ka kiia he 'matepukupuku taumata teitei'. He nui ake te tūponotanga ka tere te tipu me te horapa o ēnei momo matepukupuku.
Engari, he mea nui kia maumahara koe ki tēnei: Ko tō kaute Gleason he wāhanga noa iho o ngā mōhiohio e whakamahia ana e ngā tākuta hei whakamahere i tō maimoatanga me te hoatu i tētahi matapae ki a koe. Ko te tikanga ehara ko te kaute Gleason anake te otinga. He wāhanga noa iho o tētahi tirohanga whānui.
Ko te Kaute Gleason anake te mea nui?
Kāo, kāore rawa. E ai ki taku kōrero i mua, ko tō Kaute Gleason tētahi wāhanga noa iho o te panga. He maha atu ngā āhuatanga ka whakaarohia e ngā tākuta kia mārama ai koe ki tō āhua katoa, kia whiriwhiria ai hoki te maimoatanga pai rawa atu māu.
Hei tauira, i te wā i mahia ai tō koiora, tera pea i tangohia e tō tākuta ētahi tauira, e kiia nei ko ngā cores, mai i tō repeure. Nō reira,
- E hia o aua uho (ngā wahi kiko) i roto ngā pūtau matepukupuku?
- E hia ōrau o ia `(matua)` i kī tonu i ngā pūtau matepukupuku?
Kei te titiro atu hoki ahau ki ngā mea pērā.
Hei tāpiritanga, he mea tino nui hoki ēnei mea:
- Te taumata o tō toto `(PSA)`. (PSA - Prostate-Specific Antigen) (he whakamātautau toto motuhake).
- Ko ngā hua o te Whakamātautau Rekereke Mamati (DRE) i mahia e te tākuta (arā, te āhua o te pā o te repe i roto i te ringa).
- Mā ngā mōhiohio mai i ngā whakamātautau whakaahua motuhake pēnei i te matawai ultrasound, te matawai MRI, te matawai PET rānei ka āwhina i te whakatau i te rahi me te horapa o te mate pukupuku.
- Mēnā kei ngā taha e rua o te repe prostate te mate pukupuku.
- E kiia ana kua horapa (metastasized) te mate pukupuku repeure ki ētahi atu wāhanga o te tinana, hei tauira, ki ngā wheua.
- Tō tau me tō hauora whānui.
Mā te whakakotahi i ēnei mea katoa, pērā i te whakaoti i tētahi panga nui, ka whakatauhia e tō tākuta te maimoatanga pai rawa atu māu, i runga i tō āhua. Nō reira, kaua e manukanuka nui mō te kaute Gleason, āe?
Ko te mea tino nui hei maumahara māu (Karere hei tango ki te kāinga)
Āe, koinei te mea nui hei maumahara mā tātou i roto i ngā kōrero kua kōrerotia nei. He taputapu nui te Kaute Gleason e whakarōpū ana i te matepukupuku repeure, ā, e whakaatu ana i tōna kaha. Ka whakamahia e tō tākuta hei whakamahere i te maimoatanga pai rawa atu māu. Ka taea e te Kaute Gleason te horapa mai i te 6 (matepukupuku iti te kaha, iti ake te kaha) ki te 10 (matepukupuku teitei te kaha, kaha ake te kaha). Ko ngā matepukupuku he iti te Kaute Gleason, he puhoi te tipu, ā, he iti te mōrearea ki te horapa.
Engari kāore ēnei tau anake e whakaatu i te kōrero katoa mō tō matepukupuku repeure. Ka tīmata taua kōrero ki tō mahere maimoatanga me te mārama ki ngā mea ka taea e koe te tumanako mai i aua maimoatanga, tae atu ki ngā painga me ngā huakore. Ko tō kaute Gleason me ētahi atu hua whakamātautau he aratohu hei āwhina i a koe i tō haerenga ki te whakaora.
Mena he pātai, he āwangawanga rānei āu mō tō Kaute Gleason, mō ētahi atu hua whakamātautau, mō tō āhua hauora rānei, kaua e mangere ki te pātai ki tō tākuta. Ka koa ia ki te whakamārama i te tikanga o aua tau me ngā kupu, me te whakautu i ō pātai katoa. Kia maumahara, ehara i te mea ko koe anake i tēnei haerenga. Kei reira ngā tākuta me tētahi tīma hauora hei āwhina i a koe, hei tiaki hoki i a koe.
Matepukupuku repeure, kaute Gleason, pūtau matepukupuku, whakamātautau kiko, whakatauranga matepukupuku, hauora tāne, maimoatanga matepukupuku











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