Dokotala atakuuzani kuti muli ndi khansa ya prostate, panali nambala pa lipoti lanu yotchedwa 'Gleason Score', sichoncho? Mwina munachita mantha pang'ono mutaona izi. Mwina munadzifunsa kuti nambala iyi inali chiyani, imatanthauza chiyani, kaya inali yabwino kapena yoipa. Musadandaule, ndi zachilendo kuti mumve choncho. Lero, tikambirana za Gleason Score iyi ndi chiyani komanso tanthauzo lake m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Gleason Score iyi ndi chiyani?
Gleason Score ndi njira yowerengera yomwe imagwiritsidwa ntchito kugawa khansa ya prostate, kutanthauza kuti, kumvetsetsa mtundu wake. Zili ngati kupereka magiredi pa mayeso kusukulu. Koma iyi ndi yosiyana pang'ono.
Mungakumbukire kuti chidutswa chaching'ono cha minofu chinatengedwa kuchokera ku prostate yanu kuti chikayezedwe. Kenako chidutswa cha minofucho chimawunikidwa pogwiritsa ntchito maikulosikopu mu labotale ndi dokotala waluso, wotchedwa pathologist. Iye amaona momwe maselo a khansa alili ofanana kapena osiyana ndi maselo abwinobwino. Kusiyana kumeneku kumagwiritsidwa ntchito kupereka lingaliro la "kuopsa" kwa khansa, kapena momwe yafalikira mofulumira.
Chifukwa chake, Gleason Score iyi ndi chidziwitso chofunikira kwambiri chomwe chimathandiza madokotala kusankha chithandizo choyenera kwambiri kwa inu ndikuneneratu momwe matenda anu adzapitirire.
Kodi Gleason Score imawerengedwa bwanji?
Izi zimachitika mwanjira yosangalatsa kwambiri. Katswiri wa matenda akamayang'ana maselo a khansa pogwiritsa ntchito maikulosikopu, amawapatsa chigoli kuyambira 1 mpaka 5 kutengera mawonekedwe awo.
- Gawo 1: Maselo a khansa amaoneka ofanana kwambiri ndi maselo abwinobwino. Zingakhale zovuta kudziwa ngati ali ndi khansa.
- Zigoli 2-4: Maselo a khansa akuyamba pang'onopang'ono kusiyana ndi maselo abwinobwino.
- Gawo 5: Maselo a khansa ali ndi mawonekedwe osiyana kwambiri komanso osokonezeka kuposa maselo wamba.
Taganizirani izi motere. Maselo a khansa ali ngati ana osamvera m'kalasi. Chiwerengero cha 1 chimatanthauza munthu amene ndi wosamvera pang'ono, koma nthawi zambiri amawoneka ngati mwana wabwino. Chiwerengero cha 5 chimatanthauza munthu amene ndi wosiyana kwambiri ndi ana ena m'kalasi, wosamvera kwambiri, komanso wovuta kumulamulira.
Tsopano chinthu chofunikira. Mu gawo la prostate yanu komwe muli ndi khansa, maselo onse sali ofanana. M'malo ena maselo angawoneke bwino pang'ono (chiwerengero chochepa), m'malo ena maselo angakhale osiyana kwambiri (chiwerengero chapamwamba).
Choncho, katswiri wa matenda amasankha madera awiri akuluakulu omwe khansa yafalikira kwambiri.
1. Chizindikiro chomwe chimaperekedwa ku maselo omwe ali m'dera lomwe khansa imafalikira kwambiri .
2. Chizindikiro chomwe chimaperekedwa ku maselo omwe ali m'dera lomwe khansa ili yachiwiri kwambiri .
Kenako zigoli ziwirizi zimawonjezedwa pamodzi. Chiwerengero chimenecho ndi chomwe timachitcha kuti Gleason Score .
Mwachitsanzo, ngati malo omwe khansa imafalikira kwambiri ndi 4, ndipo malo achiwiri omwe amapezeka kwambiri ndi 3, Gleason Score yanu idzakhala 4 + 3 = 7.
Kawirikawiri, Gleason Score ya 6 kapena kupitirira apo imaonedwa ngati khansa. Mapangidwe a maselo okhala ndi ziwerengero za 1 ndi 2 saonedwanso ngati khansa. Chifukwa chake Gleason Score yotsika kwambiri yomwe mungawone ndi 6 (3+3).
Kodi manambala awa akunena chiyani kwenikweni?
Tsopano mwina mukudzifunsa kuti, "Chabwino, zigoli zanga ndi 6, kapena 7, kapena 8. Kodi zimenezo zikutanthauza chiyani? Kodi zimenezo ndi zabwino? Kodi zimenezo ndi zoipa?"
Sitiona Gleason Score ngati "yabwino" kapena "yoipa." M'malo mwake, timaigwiritsa ntchito kupereka lingaliro la momwe khansa ingakulire kapena kufalikira mofulumira. Tiyeni tigawane m'magawo atatu.
| Chigoli cha Gleason | Dzina lachipatala | Mwachidule... |
|---|---|---|
| 6 | Yosiyana bwino | Maselo a khansa amafanana kwambiri ndi maselo athanzi. Ndi mtundu wa khansa womwe umakula pang'onopang'ono ndipo uli ndi chiopsezo chochepa chofalikira (metastasizing). |
| 7 | Yosiyana pang'ono | Maselo a khansa amafanana ndi maselo athanzi m'njira zina. Ndi mtundu wa khansa womwe ungakule pang'onopang'ono . (Apa, kaya ndi 3+4 kapena 4+3 ndikofunikiranso). |
| 8, 9, kapena 10 | Zosiyana pang'ono kapena zosasiyana | Maselo a khansa ndi osiyana kwambiri ndi maselo athanzi. Amakhala ndi mwayi wokulira mofulumira ndikufalikira.Mtundu wa khansa. |
Kodi pali chinthu chonga Gleason Score "yabwino"?
Ayi ndithu. Ziwerengero zochepa (6) zikutanthauza kuti khansa ikukula pang'onopang'ono. Ndi nkhani yabwino. Koma sizikutanthauza kuti chithandizo sichikufunika. Mofananamo, ziŵerengero zapamwamba (8, 9, 10) zikutanthauza kuti khansayo ingakule mofulumira, choncho tiyenera kuisamalira kwambiri ndikuyamba chithandizo champhamvu kwambiri msanga.
Kodi Gleason Score yokha ndi yokwanira?
Izi ndi zomwe muyenera kukumbukira. Dokotala wanu samangoyang'ana nambala ya Gleason Score kuti akonze chithandizo chanu. Ndi chidutswa chimodzi chaching'ono cha chithunzi chachikulu. Pali zinthu zina zambiri zoti muganizire kuti mumvetse bwino chithunzi chonse.
Chofunika ndichakuti, Gleason Score yanu yokha singathe kufotokoza nkhani yonse ya matenda anu. Ndi chidutswa chimodzi chokha cha puzzle.
Zinthu zina zomwe dokotala angaganizire ndi izi:
- Mulingo wa PSA m'magazi: Kufunika kwa mayeso anu a PSA (prostate-specific antigen).
- Kuyezetsa kwa digito kwa rectal: Zimene dokotala amamva akamayezetsa ndi chala chake.
- Zina zomwe zapezeka kuchokera mu biopsy: Ndi zidutswa zingati za minofu zomwe zapezeka kuti zili ndi khansa? Ndi maselo angati a khansa omwe apezeka mu chidutswa chilichonse cha minofu?
- Kujambula: Chidziwitso chopezeka kuchokera ku mayeso monga ultrasound, MRI (magnetic resonance imaging) kapena PET (positron emission tomography).
- Kodi khansa yafalikira?: Kodi khansa yafalikira mbali zonse ziwiri za prostate gland? Kapena yafalikira ku ziwalo zina zomwe zili kunja kwa prostate gland?
Mwa kuphatikiza zonsezi , dokotala wanu adzadziwa gawo la khansa yanu ndikukambirana nanu njira yothandizira yomwe ili yabwino kwa inu.
Choncho, musadandaule ngati Gleason Score yanu ndi 7 kapena 8. Mwina PSA yanu ndi yotsika, kapena khansa sinafalikire. Choncho musafulumire kuganiza mozama potengera nambala. Lankhulani ndi dokotala wanu za mafunso ndi mantha anu onse. Iye adzakufotokozerani zonse.
Uthenga Wopita Nawo Kunyumba
- Gleason Score ndi njira yowerengera yomwe imayesa momwe maselo a khansa ya prostate alili "osiyana" ndi maselo ena, kutanthauza momwe angafalikire mwachangu.
- Zigoli izi zimaperekedwa mutayang'ana chidutswa cha minofu yomwe yatengedwa kuchokera ku biopsy yanu pansi pa maikulosikopu.
- Ziwerengero 6 zimasonyeza khansa yomwe ikukula pang'onopang'ono. Ziwerengero 8, 9, ndi 10 zimasonyeza khansa yomwe ikukula mofulumira. Ziwerengero 7 zimasonyeza mulingo wapakati.
- Chofunika kwambiri: Chithandizo chanu sichimatsimikiziridwa ndi Gleason Score yanu yokha. Zinthu zina zambiri, monga kuchuluka kwa PSA ndi malipoti ojambulira, zimaganiziridwanso.
- Musaope manambala omwe ali pa lipoti lanu. Funsani dokotala wanu za mafunso kapena nkhawa zomwe muli nazo. Iye ndiye amene angakupatseni chidziwitso chabwino kwambiri.
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