I te wā i kī atu ai te tākuta he mate pukupuku repeure tōu, i runga i tō pūrongo he tau kei reira ko 'Gleason Score', tika? Tērā pea i mataku koe i tō kitenga i tēnei. Tērā pea i whakaaro koe he aha tēnei tau, he aha tōna tikanga, he pai, he kino rānei te kaute. Kaua e manukanuka, he mea noa ki a koe te pēnei o te whakaaro. I tēnei rā, ka kōrero tātou mō te tikanga o tēnei Gleason Score me tōna tikanga tūturu i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o tēnei Kaute Gleason?
Ko te Kaute Gleason he pūnaha whakatauranga e whakamahia ana hei whakarōpū i te matepukupuku repeure, arā, hei mārama ki tōna āhua. He rite ki te hoatu māka i tētahi whakamātautau i te kura. Engari he rerekē tēnei.
Tērā pea ka mahara koe i tangohia he wahi iti o te kiko mai i tō repeure mō te tirotiro koiora. Kātahi ka tirohia taua wahi kiko i raro i te karuārai i roto i te taiwhanga e te tākuta tohunga, e kiia nei ko te tohunga mate pukupuku. Ka tirohia e ia te rite, te rerekē rānei o ngā pūtau matepukupuku mai i ngā pūtau hauora noa. Ka whakamahia tēnei rerekētanga hei whakaatu i te "kaha" o te matepukupuku, te tere rānei o tōna horapa.
Nō reira, he tino nui ngā mōhiohio nei a Gleason Score hei āwhina i ngā tākuta ki te whiriwhiri i te maimoatanga tino tika mōu, me te matapae hoki i te ahunga whakamua o tō āhua.
Me pēhea te tatau i te Kaute Gleason?
He huarahi tino whakamere tēnei e mahia ana. Ina tirohia ngā pūtau matepukupuku e te tohunga matepukupuku i raro i te karuārai, ka hoatu he kaute mai i te 1 ki te 5 i runga i tō rātou āhua.
- Kaute 1: He tino rite te āhua o ngā pūtau matepukupuku ki ngā pūtau hauora noa. He uaua ki te kī mēnā he matepukupuku rātou.
- Ngā Kaute 2-4: Kei te tīmata haere te rerekētanga o ngā pūtau matepukupuku mai i ngā pūtau noa.
- Kaute 5: He rerekē rawa te āhua o ngā pūtau matepukupuku, he pōrearea hoki i ērā o ngā pūtau noa.
Whakaarohia pēnei. He rite ngā pūtau matepukupuku ki ngā tamariki whanoke i roto i te akomanga. Ko te kaute 1 he tohu i tētahi tangata he paku whanoke noa iho, engari he āhua pai te nuinga. Ko te kaute 5 he tohu i tētahi tangata he tino rerekē i ētahi atu tamariki i roto i te akomanga, he tino whanoke, ā, he uaua ki te whakahaere.
Ko te mea nui inaianei. I te wāhanga o tō repeure kei reira te matepukupuku, kāore ngā pūtau katoa i te ōrite. I ētahi wāhi, tera pea he pai ake te āhua o ngā pūtau (kaute iti), i ētahi atu wāhi, tera pea he tino rerekē ngā pūtau (kaute teitei).
Nō reira, ka tīpakohia e te tākuta mate ngā wāhi matua e rua kua horapa nui te mate pukupuku.
1. Ko te tohu i hoatu ki ngā pūtau i te wāhi e tino kitea ana te mate pukupuku.
2. Ko te tohu i hoatu ki ngā pūtau i te wāhi e tuarua ai te matepukupuku.
Kātahi ka tāpirihia ēnei kaute e rua. Ko taua tapeke te mea e kiia nei e tātou ko te Kaute Gleason .
Hei tauira, mēnā ko te wāhi tino kitea o te mate pukupuku he kaute 4, ā, ko te tuarua o ngā wāhi tino kitea he kaute 3, ko tō Kaute Gleason he 4 + 3 = 7.
Ko te tikanga, ko te Kaute Gleason o te 6, neke atu rānei, e kiia ana he matepukupuku. Ko ngā tauira pūtau me ngā kaute o te 1 me te 2 kāore e kiia he matepukupuku. Nō reira, ko te Kaute Gleason iti rawa pea ka kitea e koe ko te 6 (3+3).
He aha te tino kōrero a ēnei tau?
Tērā pea kei te whakaaro koe, "Āe, ko taku kaute he 6, he 7 rānei, he 8 rānei. He aha te tikanga o tēnā? He pai tēnā? He kino tēnā?"
Kāore mātou e titiro ki te Kaute Gleason hei "pai" hei "kino" rānei. Engari, ka whakamahia e mātou hei whakaatu i te tere o te tipu, te horapa rānei o te mate pukupuku. Me wehewehe kia toru ngā wāhanga.
| Te Kaute Gleason | Ingoa hauora | Hei whakarāpopototanga... |
|---|---|---|
| 6 | He rerekētanga pai | He tino rite ngā pūtau matepukupuku ki ngā pūtau hauora. He momo matepukupuku e tino puhoi ana te tipu , ā, he iti te tūponotanga o te horapa (metastasizing). |
| 7 | He rerekētanga āhua | He rite tonu ngā pūtau matepukupuku ki ngā pūtau hauora i ētahi āhuatanga. He momo matepukupuku ka taea te tipu i te tere taurite . (I konei, he mea nui anō hoki mēnā he 3+4, he 4+3 rānei). |
| 8, 9, 10 rānei | Kāore i te tino rerekē, kāore rānei i te tino rerekē | He tino rerekē ngā pūtau matepukupuku i ngā pūtau hauora. He nui ake te tūponotanga ka tere te tipu me te horapa.He momo mate pukupuku. |
He mea anō kei te kiia he Kaute Gleason "pai"?
Kāore rawa. Ko te iti o te kaute (6) he tohu kei te puhoi te tipu o te mate pukupuku. He rongo pai tēnā. Engari ehara i te mea kāore e hiahiatia he maimoatanga. Waihoki, ko te teitei o te kaute (8, 9, 10) he tohu kei te tere te tipu o te mate pukupuku, nō reira me aro nui atu tātou ki a ia, me tīmata wawe atu i te maimoatanga kaha ake.
He rawaka noa iho te Kaute Gleason?
Anei ngā mea hei maumahara māu. Kāore tō tākuta e titiro noa ki te tau Gleason Score hei whakarite i tō maimoatanga. He wāhanga iti noa iho tēnei o tētahi pikitia whānui. He maha atu anō ngā mea hei whakaaroaro māu kia mārama ai koe ki te pikitia katoa.
Ko te mea nui, kāore e taea e tō Kaute Gleason anake te whakamārama i te pūrākau katoa o tō āhua. He wāhanga kotahi noa iho tēnei o te panga.
Ko ētahi atu mea ka whakaarohia e te tākuta ko:
- Taumata toto PSA: Ko te uara o tō whakamātautau toto PSA (prostate-specific antigen).
- Whakamātautau Remu Mamati: Ngā kare ā-roto o te tākuta i te wā e tirotirohia ana e tōna matihao.
- Ētahi atu kōrero mai i te koiora: E hia ngā wahi kiko i kitea he matepukupuku kei roto? E hia ngā pūtau matepukupuku i kitea i roto i ia wahi kiko?
- Ngā Matawai: Ngā mōhiohio i riro mai i ngā whakamātautau pēnei i te ultrasound, te MRI (magnetic resonance imaging) te PET (positron emission tomography) rānei.
- Kua horapa te matepukupuku?: Kua horapa te matepukupuku ki ngā taha e rua o te repe repeure? Kua horapa rānei ki ētahi atu okana i waho o te repe.
Mā te whakakotahi i ēnei mōhiohio katoa , ka whakatauhia e tō tākuta te taumata o tō matepukupuku, ā, ka kōrero tahi kōrua ko tēhea te kōwhiringa maimoatanga pai rawa atu māu.
Nō reira, kaua e manukanuka mēnā ko tō Kaute Gleason he 7, he 8 rānei. Tērā pea he iti tō PSA, kāore rānei i horapa te mate pukupuku. Nō reira kaua e whakatau tere i runga i tētahi tau. Kōrero ki tō tākuta mō ō pātai me ō wehi katoa. Māna e whakamārama ngā mea katoa ki a koe.
Karere Tangohia ki te Kāinga
- Ko te Kaute Gleason he pūnaha whakatauranga e ine ana i te "rerekētanga" o ngā pūtau o te matepukupuku repeure, arā, te tere o tō rātou horapa.
- Ka hoatu tēnei kaute i muri i te tirotiro i tētahi wahi kiko i tangohia mai i tō koiora i raro i te karuārai.
- Ko te kaute 6 e tohu ana i te mate pukupuku e puhoi ana te tipu. Ko ngā kaute 8, 9, me te 10 e tohu ana i te mate pukupuku e tere ana te tipu. Ko te kaute 7 e tohu ana i te taumata taurite.
- Ko te mea nui rawa: Kāore tō maimoatanga e whakatauhia ana e tō Kaute Gleason anake. He maha atu anō ngā āhuatanga, pērā i ngā taumata PSA me ngā pūrongo matawai, ka whakaarohia hoki.
- Kaua e wehi i ngā tau kei runga i tō pūrongo. Pātai atu ki tō tākuta mō ō pātai, ō āwangawanga rānei. Ko ia te tangata ka taea te hoatu i ngā mōhiohio pai rawa atu ki a koe.
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