Kodi mudamvapo za Gleason Score ya khansa ya prostate? Tiyeni tikambirane za izi!

Dokotala akakuuzani kuti muli ndi khansa ya prostate, muyenera kuti mukumva kupsinjika maganizo ndi nkhawa zambiri, sichoncho? Panthawiyo, mumamva za mayeso atsopano azachipatala ndi mawu ovuta. Mungamve, kapena mwamva kale, mawu amodzi ndi 'Gleason Score'. Chifukwa chake, mukamva izi, mungawope kuti, "Chinthu chatsopanochi ndi chiyani?" Ndicho chifukwa chake, lero tikambirana za Gleason Score iyi, ndi zomwe ikunena za matenda anu, m'njira yosavuta yomwe mungamvetse.

Kodi mukudziwa tanthauzo la Gleason Score?

Mwachidule, ngati muli ndi khansa ya prostate, Gleason Score ndi njira yowunikira mtundu wa khansa - momwe imaonekera, momwe ingafalikire mwachangu, momwe ingakhalire yamphamvu, ndi zina zotero. Zili ngati kulemba mayeso kusukulu, koma ndi zasayansi komanso zovuta pang'ono.

Izi ndi zomwe akatswiri a matenda ( akatswiri omwe amafufuza minofu ndi matenda) amachita poyang'ana chitsanzo cha minofu yanu ya prostate (kachidutswa kakang'ono komwe kamatengedwa panthawi ya biopsy) pansi pa maikulosikopu kuti adziwe momwe maselo a khansa amaonekera. Dongosolo lowerengera izi limathandiza madokotala kukonzekera chithandizo chabwino kwambiri kwa inu ndi kuneneratu za matenda anu mutatha kulandira chithandizo.

Kodi Gleason Score imawerengedwa bwanji?

Chabwino, tsopano tiyeni tiwone momwe Gleason Score iyi imapangidwira. Monga ndanenera kale, akatswiri a matenda a khansa amachita ntchito yofunikayi. Amayang'ana mosamala kwambiri zitsanzo za minofu kuchokera ku prostate yanu pansi pa maikulosikopu. Ngati muli ndi khansa ya prostate, zikutanthauza kuti maselo ena mu prostate yanu asintha kuchoka pa maselo abwinobwino, athanzi kukhala maselo a khansa .

Tangoganizirani, kumayambiriro, maselo a khansa awa angawoneke ngati maselo athanzi. Amangobisika. Koma pakapita nthawi, pamene khansa ikupita patsogolo, mawonekedwe a maselo a khansa awa amakhala osiyana kwambiri komanso osazolowereka ndi maselo athanzi. Kusiyana kumeneko, kusazolowereka kumeneko, ndiko komwe akatswiri a matenda amaika.

Dongosolo Lowerengera

Amapatsa chitsanzo chilichonse cha minofu chiŵerengero kuyambira 1 mpaka 5 kutengera mtundu wa maselo a khansa, kutanthauza kuti, amasiyana bwanji ndi maselo athanzi. Izi zimatchedwa giredi ya khansa .

• Giredi 1: Maselo a khansa amaoneka ngati maselo athanzi komanso abwinobwino. Izi zikutanthauza kuti pali kusiyana kochepa kwambiri. Amakonzedwa mwadongosolo.
• Magiredi 2-4:Maselo a khansa m'minofu amaoneka osiyana pang'ono ndi maselo athanzi ndipo amaoneka osasinthasintha. Pamene kuchuluka kwa maselo kukukwera, kusiyana kumeneku ndi kusasinthasintha kumaonekera kwambiri.
• Giredi 5: Maselo a khansa ndi osazolowereka kwambiri, amaoneka osakhazikika bwino komanso osakhazikika bwino ndi maselo athanzi. Awa ndi maselo amphamvu kwambiri.

Tsopano, khansa ya prostate ikhoza kukhala ndi maselo omwewo m'dera lomwelo, kapena ikhoza kukhala ndi maselo osiyanasiyana m'malo osiyanasiyana. Chifukwa chake, chomwe katswiri wa matenda amachita ndikusankha dera lalikulu lomwe khansa yafalikira kwambiri ndikulipatsa giredi (pakati pa 1-5). Kenako, amasankha dera lachiwiri lomwe lafalikira kwambiri (lomwe lili ndi mawonekedwe osiyana) ndikulipatsa giredi. Ma giredi awiri akuluakulu amawonjezedwa pamodzi. Chiwerengero chimenecho ndi Gleason Score yanu.

Mwachitsanzo, tiyeni tinene kuti khansa yochuluka kwambiri ndi giredi 3. Yotsatira yochuluka kwambiri ndi giredi 4. Kenako chiŵerengero cha Gleason chidzakhala 3 + 4 = 7. Chitsanzo china, ngati chiŵerengero chachikulu ndi giredi 4 ndipo chiŵerengero chachiwiri ndi giredi 3, chiŵerengero cha Gleason chidzakhala 4 + 3 = 7. Chifukwa chake ngakhale kuti 3 + 4 ndi 4 + 3 zonse ndi 7, madokotala nthawi zina amaganizira dongosolo la ziŵerengero izi (giredi yapamwamba choyamba).

Kawirikawiri, ngati chiŵerengero cha Gleason pamodzichi chili 6 kapena kuposerapo, chimaonedwa ngati khansa.

Kodi pali chinthu chonga Gleason Score yachibadwa?

Tsopano mwina mukudabwa, kodi pali Gleason Score "yabwinobwino"? Kwenikweni, palibe chinthu chonga Gleason Score "yabwinobwino", monga pamene tiyang'ana kuchuluka kwa shuga m'magazi mwathu ngati tili ndi matenda a shuga, kapena pamene tiyang'ana kuchuluka kwa PSA ya khansa ya prostate ndikuti, "Nayi kuchuluka kwabwinobwino." M'malo mwake, madokotala amagawa Gleason Score m'magulu atatu ndipo amawagwiritsa ntchito kuti amvetse momwe khansa imakhalira:

• Gleason score 6: Pankhaniyi, maselo a khansa amaoneka ofanana kwambiri ndi maselo athanzi. Timatcha khansa iyi kuti "yosiyana bwino" . Mwachidule, maselowo akadali ngati "ana abwino," akuyesera kufanana ndi maselo abwinobwino. Izi nthawi zambiri zimaonedwa kuti ndi khansa zomwe zimakula pang'onopang'ono komanso zosaopsa kwambiri.
• Gleason score 7: Pankhaniyi, maselo a khansa amaoneka ngati maselo athanzi, koma pali kusakhazikika kwina. Timatcha khansa ya "yosiyana pang'ono" . Izi zili ngati malo apakati. Pakhoza kukhala kusiyana pang'ono pakati pa 3+4=7 ndi 4+3=7. Patani ya 4+3 nthawi zina imaonedwa ngati vuto lodetsa nkhawa pang'ono kuposa patani ya 3+4.
• Zigoli za Gleason 8, 9 kapena 10:Pankhaniyi, maselo a khansa ndi osiyana kwambiri ndi maselo athanzi. Ndi osasinthasintha kwambiri, pafupifupi osasinthasintha. Timatcha khansa iyi kuti 'yosiyana pang'ono' kapena 'yosasiyanitsa' . Maselo amenewa ndi amphamvu pang'ono, ndipo akuwoneka kuti ali ndi mwayi waukulu wokulira ndi kufalikira mwachangu.

Kodi Gleason Score yabwino ya khansa ya prostate ndi iti?

N'zovuta kunena nthawi yomweyo kuti chiŵerengero cha Gleason ndi "chabwino" kapena "choipa." Komabe, kudziwa chiŵerengero chanu cha Gleason kungapatse dokotala wanu lingaliro lofunika la momwe khansa yanu ya prostate ikukulira mofulumira komanso momwe ingafalikire m'ziwalo zina za thupi. Chiŵerengero cha Gleason chili pakati pa 6 ndi 10.

Kawirikawiri, ngati chiŵerengero cha Gleason chili chotsika (mwachitsanzo, 6), chimaonedwa kuti ndi 'khansa yotsika kwambiri.' Mitundu ya khansa imeneyi imakula pang'onopang'ono ndipo siifalikira kumadera ena.

Ngati chiŵerengero cha Gleason chili chokwera (mwachitsanzo, 8, 9, 10), chimaonedwa kuti ndi 'khansa yapamwamba kwambiri.' Mitundu ya khansa imeneyi imakonda kukula ndi kufalikira mofulumira.

Koma, ndikofunikira kukumbukira izi: Chiwerengero chanu cha Gleason ndi chidziwitso chimodzi chokha chomwe madokotala amagwiritsa ntchito pokonzekera chithandizo chanu ndikukupatsani chidziwitso cha matenda. Izi zikutanthauza kuti chiwerengero cha Gleason chokha si yankho. Ndi chidutswa chimodzi chabe cha chithunzi chachikulu.

Kodi Gleason Score ndiye chinthu chokhacho chofunikira?

Ayi, ayi konse. Monga ndanenera kale, Gleason Score yanu ndi gawo limodzi chabe la funsoli. Madokotala amaganizira zinthu zina zambiri kuti amvetse bwino vuto lanu lonse ndikusankha chithandizo chabwino kwambiri kwa inu.

Mwachitsanzo, pamene munachitidwa biopsy yanu, dokotala wanu mwina adatenga zitsanzo zingapo, zotchedwa cores, kuchokera ku prostate yanu.

• Ndi magulu angati a minofu (zidutswa za minofu) omwe anali ndi maselo a khansa?
• Ndi kuchuluka kotani kwa `(core)` iliyonse komwe kunadzazidwa ndi maselo a khansa?

Inenso ndikuyang'ana zinthu ngati zimenezo.

Komanso, zinthu izi ndizofunikira kwambiri:

• Mulingo wa magazi anu `(PSA)`. (PSA - Prostate-Specific Antigen) (kuyesa magazi kwapadera).
• Zotsatira za mayeso a digito a rectal (DRE) ochitidwa ndi dokotala (ndiko kuti, momwe gland imamvekera m'dzanja).
• Chidziwitso chochokera ku mayeso apadera monga ma ultrasound scans, MRI scans, kapena PET scans chingathandize kudziwa kukula ndi kufalikira kwa khansa.
• Kaya khansa ili mbali zonse ziwiri za prostate gland.
• Khansa ya prostate akuti yafalikira (yafalikira) ku ziwalo zina za thupi, mwachitsanzo, mafupa.
• Zaka zanu ndi thanzi lanu lonse.

Kuyika zonsezi pamodzi, monga kumaliza chidutswa chachikulu cha puzzle, ndi momwe dokotala wanu angasankhire chithandizo chabwino kwambiri kwa inu, kutengera vuto lanu. Chifukwa chake, musadandaule mopanda pake za Gleason score, chabwino?

Chinthu chofunika kwambiri chomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndiye chinthu chofunikira kwambiri kukumbukira kuchokera pa zomwe takambiranazi. Gleason Score ndi chida chofunikira chomwe chimagawa khansa ya prostate m'magulu ndikukupatsani lingaliro la momwe imakhalira yoopsa. Dokotala wanu amagwiritsa ntchito izi kukonzekera chithandizo chabwino kwambiri kwa inu. Gleason Score ikhoza kuyambira 6 (khansa yotsika, yocheperako) mpaka 10 (khansa yapamwamba, yoopsa kwambiri). Khansa yokhala ndi Gleason Score yotsika nthawi zambiri imakula pang'onopang'ono ndipo imakhala ndi chiopsezo chochepa chofalikira.

Koma ziwerengerozi zokha sizikufotokoza nkhani yonse yokhudza khansa yanu ya prostate. Nkhani imeneyo imayamba ndi dongosolo lanu la chithandizo ndi kumvetsetsa zomwe mungayembekezere kuchokera ku chithandizocho, komanso zabwino ndi zoyipa zake. Chiwerengero chanu cha Gleason ndi zotsatira zina za mayeso zili ngati chitsogozo chokuthandizani paulendo wanu wochira.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi Gleason Score yanu, zotsatira zina zilizonse za mayeso, kapena matenda anu, musazengereze kufunsa dokotala wanu. Iye adzakhala wokondwa kufotokoza tanthauzo la manambala ndi mawu amenewo ndikuyankha mafunso aliwonse omwe mungakhale nawo. Kumbukirani, simuli nokha paulendowu. Pali madokotala ndi gulu lazachipatala lomwe lingakuthandizeni ndikusamalirani.

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