Chiremba paakakuudza kuti une kenza yeprostate, paive nenhamba pamushumo wako yainzi 'Gleason Score', handiti? Ungave wakatya zvishoma pawakaona izvi. Ungave wakashamisika kuti nhamba iyi yaive chii, zvairevei, kana yaive mamakisi akanaka kana akaipa. Usazvidya moyo, zvakajairika kuti unzwe saizvozvo. Nhasi, tichataura nezve Gleason Score iyi uye zvazvinoreva chaizvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Gleason Score iyi?
Gleason Score inzira yekuongorora kenza yeprostate inoshandiswa kupatsanura kenza yeprostate, kureva kuti, kunzwisisa hunhu hwayo. Zvakafanana nekupa mamakisi pabvunzo kuchikoro. Asi iyi yakasiyana zvishoma.
Ungayeuka kuti kanyama kadiki kakatorwa kubva kuprostate yako kuti kaongororwe. Kanyama ikako kanozoongororwa nemaikorosikopu murabhoritari nachiremba ane hunyanzvi, anonzi pathologist. Anotarisa kuti masero ekenza akafanana kana kuti akasiyana sei nemasero ane hutano hwakanaka. Musiyano uyu unoshandiswa kupa pfungwa ye "kuoma" kwekenza, kana kuti yapararira nekukurumidza sei.
Saka, Gleason Score iyi ruzivo rwakakosha zvikuru runobatsira vanachiremba kusarudza kurapwa kwakakodzera iwe uye kufanotaura kuti chirwere chako chichafambira mberi sei.
Gleason Score inoverengwa sei?
Izvi zvinoitwa nenzira inonakidza zvikuru. Kana chiremba wezvirwere achitarisa masero egomarara achishandisa maikorosikopu, anoapa mamakisi kubva pa1 kusvika pa5 zvichienderana nechitarisiko chawo.
- Chibodzwa 1: Masero egomarara akafanana zvikuru nemasero akajairika ane hutano. Zvinogona kuoma kuziva kana ari gomarara.
- Zvibodzwa 2-4: Masero egomarara ari kutanga kusiyana zvishoma nezvishoma nemasero akajairwa.
- Chibodzwa 5: Masero egomarara ane chitarisiko chakasiyana zvachose, chisina kurongeka pane masero akajairwa.
Funga nezvazvo nenzira iyi. Masero egomarara akafanana nevana vane misikanzwa vari mukirasi. Chibodzwa che1 chinoreva munhu ane misikanzwa zvishoma, asi anoita semwana akanaka kazhinji. Chibodzwa che5 chinoreva munhu akasiyana zvachose nevamwe vana vari mukirasi, ane misikanzwa zvikuru, uye akaoma kudzora.
Zvino chinhu chakakosha. Muchikamu cheprostate yako umo une kenza, masero haasi ese akafanana. Mune dzimwe nzvimbo masero anogona kutaridzika zviri nani zvishoma (zvishoma), mune dzimwe nzvimbo masero anogona kunge akasiyana zvikuru (zvishoma).
Saka, chiremba wezvirwere anosarudza nzvimbo mbiri huru uko kenza yakanyanya kupararira.
1. Chiratidzo chinopiwa kumasero ari munzvimbo inonyanya kukonzera kenza.
2. Chiratidzo chinopihwa kumasero ari munzvimbo ine kenza iri yechipiri pahuwandu .
Zvadaro mamakisi maviri aya anosanganiswa pamwe chete. Huwandu ihwohwo ndihwo hwatinodaidza kuti Gleason Score .
Semuenzaniso, kana nzvimbo inonyanya kubatwa nekenza iri 4, uye nzvimbo yechipiri inonyanya kubatwa nekenza iri 3, Gleason Score yako ichava 4 + 3 = 7.
Kazhinji, Gleason Score ye6 kana kupfuura inoonekwa sekenza. Mapatani emasero ane mamakisi e1 ne2 haachaonekwi sekenza. Saka Gleason Score yakaderera yaungaona i6 (3+3).
Nhamba idzi dzinoti chii chaizvo?
Zvino ungave uchishamisika kuti, "Zvakanaka, mamakisi angu i6, kana 7, kana 8. Izvozvo zvinorevei? Zvakanaka here? Zvakaipa here?"
Hationi Gleason Score se "yakanaka" kana "yakaipa." Asi, tinoishandisa kupa pfungwa yekuti kenza inogona kukura kana kupararira nekukurumidza zvakadii. Ngatiiparadzanisei muzvikamu zvitatu.
| Chibodzwa cheGleason | Zita rekurapa | Zvichitaurwa zviri nyore... |
|---|---|---|
| 6 | Yakasiyana-siyana | Masero egomarara akafanana zvikuru nemasero ane hutano. Imhando yegomarara rinokura zvishoma nezvishoma uye rine njodzi shoma yekupararira (metastasizing). |
| 7 | Yakasiyana zvishoma | Masero egomarara akafanana nemasero ane hutano mune dzimwe nzira. Imhando yegomarara rinogona kukura zvishoma nezvishoma . (Pano, zvakakoshawo kuti ingave 3+4 kana 4+3). |
| 8, 9, kana 10 | Kusiyana-siyana kana kusasiyana-siyana | Masero egomarara akasiyana zvikuru nemasero ane hutano. Ane mukana mukuru wekukura nekupararira nekukurumidza.Rudzi rwegomarara. |
Pane chinhu chakadai seGleason Score "yakanaka" here?
Kwete chaizvo. Mapoinzi mashoma (6) zvinoreva kuti kenza iri kukura zvishoma nezvishoma. Mashoko akanaka iwayo. Asi izvozvo hazvirevi kuti kurapwa hakudiwi. Saizvozvowo, mapoinzi akawanda (8, 9, 10) zvinoreva kuti kenza inogona kukura nekukurumidza, saka tinofanira kuinyatsoteerera uye kutanga kurapwa zvine simba nekukurumidza.
Gleason Score chete yakakwana here?
Hezvino zvaunofanira kuyeuka. Chiremba wako haangotarise nhamba yeGleason Score kuti aronge kurapwa kwako. Inongova chidimbu chidiki chemufananidzo mukuru. Pane zvimwe zvinhu zvakawanda zvekufunga nezvazvo kuti unzwisise mufananidzo wose.
Chinhu chakakosha ndechekuti, Gleason Score yako yoga haigone kutsanangura nyaya yese yechirwere chako. Inongova chidimbu chimwe chete chepuzzle.
Zvimwe zvezvinhu zvichafungwa nachiremba ndeizvi:
- Huwandu hwePSA muropa: Kukosha kwekuongororwa kweropa rako nePSA (prostate-specific antigen).
- Kuongororwa kweDigital Rectal: Zvinonzwa chiremba panguva yekuongororwa nemunwe wake.
- Mamwe mashoko kubva mu biopsy: Zvidimbu zvingani zvenyama zvakawanikwa zvine kenza? Mangani masero ekenza akawanikwa muchikamu chimwe nechimwe chenyama?
- Kuskena: Ruzivo rwunowanikwa kubva mumiedzo yakaita se ultrasound, MRI (magnetic resonance imaging) kana PET (positron emission tomography).
- Ko kenza yapararira here?: Ko kenza yapararira kumativi ese eprostate gland here? Kana kuti yapararira kune dzimwe nhengo dziri kunze kweprostate gland here?
Nekubatanidza ruzivo urwu rwese , chiremba wako achaona danho regomarara rako uye achakurukura newe nzira yekurapa yakakunakira.
Saka, musazvidya mwoyo kana Gleason Score yenyu iri 7 kana 8. Pamwe PSA yenyu yakaderera, kana kuti kenza haina kupararira. Saka musakurumidza kuita mhedziso zvichibva panhamba. Taurai nachiremba wenyu nezvemibvunzo yenyu yese nezvamunotya. Iye achakutsanangurirai zvese.
Mharidzo Yekuenda Nayo Kumba
- Gleason Score inzira yekuongorora masero ekenza yeprostate "yakasiyana" sei, zvichireva kuti anogona kupararira nekukurumidza.
- Chiyero ichi chinopihwa mushure mekuongorora chidimbu chenyama chakatorwa kubva mu biopsy yako uchishandisa maikorosikopu.
- Mapoinzi matanhatu anoratidza kenza iri kukura zvishoma nezvishoma. Mapoinzi masere, mapfumbamwe, uye gumi anoratidza kenza iri kukura nekukurumidza. Mapoinzi manomwe anoratidza mwero uri pakati nepakati.
- Chinhu chinonyanya kukosha: Kurapwa kwako hakungotariswi chete neGleason Score yako. Zvimwe zvinhu zvakawanda, zvakaita semazinga ePSA uye mishumo yekuongorora, zvinotariswawo.
- Usatya nhamba dziri pamushumo wako. Bvunza chiremba wako nezvemibvunzo kana zvinokunetsa. Iye ndiye anogona kukupa ruzivo rwakanakisisa.
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