Wakambonzwa nezveGleason Score yekenza yeprostate here? Ngatitaurei nezvazvo!

Kana chiremba akakuudza kuti une kenza yeprostate, unofanira kunge uchinzwa kushushikana kukuru uye kuzvidya mwoyo, handiti? Panguva iyoyo, unonzwa nezve bvunzo itsva dzekurapa uye mamwe mazwi akaomarara. Unganzwa, kana kuti ungave watonzwa, izwi rimwe chete ndi 'Gleason Score'. Saka, paunonzwa izvi, unogona kutya woti, "Chii ichi chitsva?" Ndosaka, nhasi tichataura nezveGleason Score iyi, uye kuti inoti chii nezvemamiriro ako ezvinhu, nenzira iri nyore yaunogona kunzwisisa.

Unoziva here kuti Gleason Score chii?

Zvichitaurwa zviri nyore, kana uine kenza yeprostate, Gleason Score inzira yekuongorora rudzi rwekenza - kuti inotaridzika sei, ingapararira nekukurumidza sei, ingave ine hukasha hwakadini, nezvimwewo. Zvakafanana nekupasa bvunzo kuchikoro, asi zvine ruzivo rwesainzi uye zvakaoma.

Izvi zvinoitwa nenyanzvi dzezvirwere ( nyanzvi dzinoongorora nyama uye dzinoongorora zvirwere) nekutarisa muenzaniso wenyama yako yeprostate (chidimbu chidiki chakatorwa panguva yekuongorora) pasi pemaikorosikopu kuti vaone kuti masero ekenza akaita sei. Iyi nzira yekuongorora inobatsira vanachiremba kuronga kurapwa kwakanakisa kwauri uye kufanotaura nezverapi yako mushure mekurapwa.

Gleason Score inoverengwa sei?

Zvakanaka, ngatitarisei kuti Gleason Score iyi inogadzirwa sei. Sezvandambotaura, vanachiremba vezvirwere vanoita basa iri rinokosha. Vanotarisa sampuli dzenyama kubva kuprostate yako nokungwarira vachishandisa maikorosikopu. Kana uine kenza yeprostate, zvinoreva kuti mamwe masero ari muprostate yako akachinja kubva pamasero akajairwa, ane hutano kuita masero ekenza .

Fungidzira, pakutanga, masero ekenza aya anogona kutaridzika semasero ane hutano. Akangoonekwa asina kusimba. Asi nekufamba kwenguva, sezvo kenza ichifambira mberi, chitarisiko chemasero ekenza aya chinosiyana zvikuru uye chinova chisina kujairika kubva kumasero ane hutano. Musiyano iwoyo, kusajairika ikoko, ndiwo unoongororwa nevanoongorora zvirwere.

Sisitimu Yekuyera

Vanopa sampuro yega yega yemuviri mamakisi kubva pa1 kusvika ku5 zvichienderana nemhando yemasero ekenza, kureva kuti, akasiyana zvakadii nemasero ane hutano. Izvi zvinonzi giredhi rekenza .

• Giredhi 1: Masero egomarara anotaridzika semasero ane hutano, akajairika. Kureva kuti, hapana musiyano mukuru. Akarongwa nenzira yakarongeka.
• Magiredhi 2-4:Masero egomarara ari munyama anoita seakasiyana zvishoma nemasero ane hutano uye anoita seasina kurongeka. Sezvo giredhi richikwira, mutsauko uyu uye kusarongeka kunowedzera kuoneka.
• Giredhi 5: Masero egomarara haana kurongeka, anotaridzika asina kurongeka uye asina kurongeka zvakanaka. Aya ndiwo masero ane hukasha zvikuru.

Zvino, kenza yeprostate inogona kuva nemasero akafanana munzvimbo imwe chete, kana kuti inogona kuva nemasero akasiyana munzvimbo dzakasiyana. Saka, chinoitwa nenyanzvi yezvirwere ndeyekusarudza nzvimbo huru iyo kenza yakapararira zvakanyanya uye kuiisa giredhi (pakati pe1-5). Zvadaro, vanosarudza nzvimbo yechipiri yakapararira zvakanyanya (ine pateni yakasiyana) uye vanoiisa giredhi. Magiredhi maviri makuru anobva awedzerwa pamwe chete. Huwandu ihwohwo ndiyo Gleason Score yako.

Semuenzaniso, ngatitii kenza yakawandisa igiredhi rechitatu. Chinotevera chakawanda igiredhi rechina. Zvadaro chibodzwa cheGleason chingava 3 + 4 = 7. Mumwe muenzaniso, kana patani inotonga iri giredhi rechina uye patani yechipiri iri giredhi rechitatu, chibodzwa cheGleason chingava 4 + 3 = 7. Saka kunyangwe 3 + 4 na 4 + 3 zvese zviri 7, vanachiremba dzimwe nguva vanofunga kurongeka kwemapatani aya (giredhi repamusoro kutanga).

Kazhinji, kana chibodzwa ichi cheGleason chakabatanidzwa chiri 6 kana kupfuura, chinoonekwa sekenza.

Pane chinhu chakadai seGleason Score yakajairika here?

Zvino ungave uchishamisika kuti, pane Gleason Score "yakajairika" here? Kutaura zvazviri, hapana chinhu chakadai seGleason Score "yakajairika", sekuti patinoongorora huwandu hweshuga muropa redu kuti tione chirwere cheshuga here, kana kuti patinotarisa huwandu hwePSA yekenza yeprostate yedu toti, "Heino huwandu hwakajairika." Pane kudaro, vanachiremba vanopatsanura Gleason Score muzvikamu zvitatu uye vanoishandisa kunzwisisa maitiro ekenza:

• Gleason score 6: Muchiitiko ichi, masero egomarara anotaridzika zvakafanana nemasero ane hutano. Tinoti iyi kenza "yakasiyana zvakanyanya" . Zvichitaurwa zviri nyore, masero achiri kuita se "vana vakanaka," achiedza kufanana nemasero akajairwa. Aya anowanzoonekwa sekenza inokura zvishoma nezvishoma, isingakurumidzi kurwara.
• Gleason score 7: Muchiitiko ichi, masero ekenza anotaridzika semasero ane hutano, asi pane kusarongeka. Tinoti iyi kenza "yakasiyana zvishoma" . Izvi zvakafanana nepakati. Panogona kuva nemusiyano mudiki pakati pe3+4=7 na4+3=7. Patani ye4+3 dzimwe nguva inoonekwa sedambudziko rinonetsa zvishoma pane patani ye3+4.
• Gleason mamakisi 8, 9 kana 10:Muchiitiko ichi, masero egomarara akasiyana zvikuru nemasero ane hutano. Haana kurongeka zvakanyanya, anenge asina kusiyanisa. Tinoti iyi igomarara 'risina kusiyanisa zvakanaka' kana kuti 'risina kusiyanisa' . Magomarara aya ane hukasha zvishoma, uye anoita seane mukana wakakura wekukura nekupararira nekukurumidza.

Chii chinonzi Gleason Score yakanaka yekenza yeprostate?

Zvakaoma kutaura kuti Gleason score "yakanaka" kana kuti "yakaipa" ipapo ipapo. Zvisinei, kuziva Gleason score yako kunogona kupa chiremba wako pfungwa yakakosha yekuti kenza yako yeprostate iri kukura nekukurumidza sei uye kuti inogona kupararira sei kune dzimwe nhengo dzemuviri. Gleason score inotangira pa6 kusvika pa10.

Kazhinji, kana chibodzwa cheGleason chiri pasi (semuenzaniso, 6), chinoonekwa se 'kenza yemhando yepasi.' Mhando dzekenza idzi dzinokura zvishoma nezvishoma uye hadzina mukana wekupararira kune dzimwe nzvimbo.

Kana chibodzwa cheGleason chakakwira (semuenzaniso, 8, 9, 10), chinoonekwa se 'kenza yepamusoro-soro.' Mhando dzekenza idzi dzine mukana mukuru wekukura nekupararira nekukurumidza.

Asi, zvakakosha kuyeuka izvi: Gleason score yako ingori ruzivo rumwe chete rwunoshandiswa navanachiremba kuronga kurapwa kwako uye kukupa fungidziro. Izvi zvinoreva kuti Gleason score chete haisiyo mhinduro. Ingori imwe chete yemufananidzo mukuru.

Gleason Score ndiyo chete chinhu chakakosha here?

Kwete, kwete zvachose. Sezvandambotaura, Gleason Score yako ingori imwe yepuzzle. Vanachiremba vanotora zvimwe zvinhu zvakawanda kuti vanzwisise mamiriro ako ese uye vasarudze kurapwa kwakanakira iwe.

Semuenzaniso, pawakaitwa biopsy yako, chiremba wako angangodaro akatora sampuli dzakawanda, dzinonzi cores, kubva kuprostate yako.

• Mangani emasero iwayo (zvidimbu zvenyama) aive nemasero ekenza?
• Ipesenti ipi ye `(core)` yega yega yakazadzwa nemasero ekenza?

Ndiri kutarisawo zvinhu zvakadaro.

Mukuwedzera, zvinhu izvi zvakakoshawo zvikuru:

• Huwandu hweropa rako `(PSA)`. (PSA - Prostate-Specific Antigen) (kuongororwa kweropa kwakakosha).
• Mhedzisiro yekuongororwa kwedhijitari rectal (DRE) kwakaitwa nachiremba (ndiko kuti, manzwirwo anoitwa gland iri muruoko).
• Ruzivo kubva kuongororo dzemifananidzo dzakagadzirwa nehunyanzvi dzakadai se ultrasound scans, MRI scans, kana PET scans dzinogona kubatsira kuona hukuru uye kupararira kwegomarara.
• Kana kenza iri kumativi ese eprostate gland.
• Gomarara reprostate rinonzi rakapararira (rakaita semetastasized) kune dzimwe nhengo dzemuviri, semuenzaniso, mapfupa.
• Zera rako nehutano hwako hwese.

Kubatanidza zvese izvi, sekupedzisa puzzle hombe, ndiko kuti chiremba wako achasarudza sei mushonga wakanakira iwe, zvichienderana nemamiriro ako ezvinhu. Saka, usazvidya mwoyo zvisina kufanira nezveGleason score, zvakanaka here?

Chinhu chakakosha chaunofanira kurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, hechino chinhu chakakosha chekurangarira kubva pane zvatataura nezvazvo. Gleason Score chishandiso chakakosha chinoisa mumapoka kenza yeprostate uye chinokupa pfungwa yekuti ine hukasha hwakadii. Chiremba wako anoishandisa kuronga kurapwa kwakanakira iwe. Gleason Score inogona kubva pa6 (kenza yegiredhi diki, isina hukasha) kusvika pa10 (kenza yegiredhi diki, ine hukasha). Magomarara ane Gleason Score yakaderera anowanzo kukura zvishoma nezvishoma uye ane njodzi shoma yekupararira.

Asi nhamba idzi chete hadzitauri nyaya yese nezvegomarara rako reprostate. Nyaya iyoyo inotanga nehurongwa hwako hwekurapwa uye kunzwisisa zvaunogona kutarisira kubva mukurapwa ikoko, pamwe nezvakanakira nezvakaipira. Gleason score yako nemimwe mhedzisiro yebvunzo yakafanana negwara rekukubatsira parwendo rwako rwekupora.

Kana muine mibvunzo kana zvinokunetsai nezveGleason Score yenyu, mimwe mhedzisiro yebvunzo, kana mamiriro enyu ehutano, musazeza kubvunza chiremba wenyu. Iye achafara kutsanangura zvinorehwa nenhamba idzodzo nemashoko uye kupindura chero mibvunzo yamungave nayo. Yeukai, hamusi mega parwendo urwu. Kune vanachiremba nechikwata chehutano varipo kuti vakubatsirei uye vakutarisirei.

` Kenza yeprostate, Gleason score, masero ekenza, kuongororwa kwenyama, kurongwa kwekenza, hutano hwevarume, kurapwa kwekenza