Ngaba ukhe weva ngeGleason Score yomhlaza weprostate? Masithethe ngayo!

Xa ugqirha ekuxelela ukuba unomhlaza weprostate, kufuneka uzive uxinezelekile kwaye uxhalabile, akunjalo? Ngelo xesha, uve ngeemvavanyo ezintsha zonyango kunye namagama athile antsonkothileyo. Usenokuva, okanye usenokuba sele uvile, igama elinye yi-'Gleason Score'. Ngoko ke, xa usiva oku, unokoyika uze uthi, "Yintoni le nto intsha?" Yiyo loo nto, namhlanje siza kuthetha ngokuba yintoni le Gleason Score, kunye nokuba ithini ngokwenene ngemeko yakho, ngendlela elula onokuyiqonda.

Uyazi ukuba yintoni iGleason Score?

Ngamafutshane, ukuba unomhlaza weprostate, iGleason Score yindlela yokuvavanya uhlobo lomhlaza - ukuba ujongeka njani, ukuba ungasasazeka ngokukhawuleza kangakanani, ukuba unokuba nolaka kangakanani, njl. Kufana nokubhala uvavanyo esikolweni, kodwa luyinzululwazi kwaye luyinkimbinkimbi.

Le yinto eyenziwa ziingcali zezifo ( iingcali ezihlola izicwili kwaye zixilonge izifo) ngokujonga isampuli yezicubu zakho zeprostate (iqhekeza elincinci elithathwe ngexesha le-biopsy) phantsi kwemakroskopu ukuze kubonwe ukuba zinjani na iiseli zomhlaza. Le nkqubo yokufumana amanqaku inceda oogqirha ukuba bacebe unyango olungcono kuwe kwaye benze uqikelelo malunga nokubikezela kwakho emva konyango.

Ibalwa njani iGleason Score?

Kulungile, ngoku makhe sijonge indlela le Gleason Score eyenziwa ngayo. Njengoko benditshilo ngaphambili, iingcali zezifo zenza lo msebenzi ubalulekileyo. Zijonga iisampuli zezicubu ezivela kwi-prostate yakho ngononophelo olukhulu phantsi kwe-microscope. Ukuba unomhlaza we-prostate, oko kuthetha ukuba ezinye zeeseli kwi-prostate yakho zitshintshile ukusuka kwiiseli eziqhelekileyo neziphilileyo zaba ziiseli zomhlaza .

Khawucinge nje, kwizigaba zokuqala, ezi seli zomhlaza zinokubonakala ngathi ziiseli eziphilileyo. Zifihliwe nje. Kodwa ngokuhamba kwexesha, njengoko umhlaza uqhubeka, ukubonakala kwezi seli zomhlaza kuyahluka kakhulu kwaye kungaqhelekanga kwiiseli eziphilileyo. Loo mahluko, loo nto ingaqhelekanga, yiyo loo nto ichazwa ziingcali zezifo.

Inkqubo yokuHlela

Banika isampuli nganye yethishu amanqaku ukusuka ku-1 ukuya ku-5 ngokusekwe kuhlobo lweeseli zomhlaza, oko kukuthi, zahluke kangakanani kwiiseli eziphilileyo. Oku kubizwa ngokuba yi-cancer grade .

• Ibanga loku-1: Iiseli zomhlaza zifana kakhulu neeseli eziphilileyo neziqhelekileyo. Oko kukuthi, akukho mahluko mkhulu. Zicwangciswe ngendlela ehlelekileyo.
• Amabanga 2-4:Iiseli zomhlaza kwizicubu zibonakala zahlukile kancinci kwiiseli eziphilileyo kwaye zibonakala zingaqhelekanga. Njengoko udidi lukhula, lo mahluko kunye nokungaqheleki kuya kucaca ngakumbi.
• Ibanga lesi-5: Iiseli zomhlaza aziqhelekanga, zibonakala zingacwangciswanga kakuhle kwaye azikho kwindawo yazo xa zineeseli eziphilileyo. Ezi zezona ziseli zihlaselayo.

Ngoku, umhlaza weprostate unokuba neeseli ezifanayo kwindawo enye, okanye unokuba neeklasi ezahlukeneyo zeeseli kwiindawo ezahlukeneyo. Ngoko ke, into eyenziwa yingcali yezifo kukukhetha indawo ephambili apho umhlaza usasazeke khona kakhulu aze ayinike ibakala (phakathi kwe-1-5). Emva koko, bakhetha indawo yesibini esasazeke kakhulu (enepateni eyahlukileyo) baze bayinike ibakala. Amanqanaba amabini aphambili emva koko adityaniswa kunye. Eso sixa sisiphumo sakho seGleason Score.

Umzekelo, masithi umhlaza oxhaphakileyo kakhulu yibanga lesi-3. Elilandelayo lixhaphakileyo yibanga lesi-4. Emva koko amanqaku eGleason aya kuba yi-3 + 4 = 7. Omnye umzekelo, ukuba ipateni elawulayo yibanga lesi-4 kwaye ipateni yesibini yibanga lesi-3, amanqaku eGleason aya kuba yi-4 + 3 = 7. Ngoko ke nangona u-3 + 4 kunye no-4 + 3 zombini ziyi-7, oogqirha ngamanye amaxesha bajonga ulandelelwano lwale pateni (ibanga eliphezulu kuqala).

Ngokubanzi, ukuba eli nqaku lidibeneyo leGleason liyi-6 okanye ngaphezulu, lithathwa njengomhlaza.

Ngaba ikho into efana neGleason Score eqhelekileyo?

Ngoku usenokuba uyazibuza, ngaba ikho iGleason Score "eqhelekileyo"? Enyanisweni, akukho nto ifana neGleason Score "eqhelekileyo", njengaxa sijonga amanqanaba eswekile yegazi lethu ukuze sibone isifo seswekile, okanye xa sijonga amanqanaba ePSA yomhlaza weprostate size sithi, "Nantsi inqanaba eliqhelekileyo." Endaweni yoko, oogqirha bahlula iGleason Score ibe ngamacandelo amathathu baze bawasebenzise ukuqonda indlela oziphatha ngayo umhlaza:

• Inqaku lesi-6 likaGleason: Kule meko, iiseli zomhlaza zifana kakhulu neeseli eziphilileyo. Sibiza oku ngokuthi "ngumhlaza owahlulwe kakuhle" . Ngamafutshane, iiseli zisafana "nabantwana abalungileyo," zizama ukufana neeseli eziqhelekileyo. Ezi zihlala zithathwa njengezikhula kancinci, ezingenamandla kangako.
• Inqaku lesi-7 likaGleason: Kule meko, iiseli zomhlaza zibukeka ngathi ziiseli eziphilileyo, kodwa kukho ukungalungelelani okuthile. Oku sikubiza ngokuba ngumhlaza "owahlulwe ngokuphakathi" . Oku kufana nomhlaba ophakathi. Kunokubakho umahluko omncinci phakathi kuka-3+4=7 kunye no-4+3=7. Ipateni ye-4+3 ngamanye amaxesha ithathwa njengemeko exhalabisayo kancinci kunepateni ye-3+4.
• Inqaku likaGleason 8, 9 okanye 10:Kule meko, iiseli zomhlaza zahlukile kakhulu kwiiseli eziphilileyo. Aziqhelekanga, phantse azinamahluko. Oku sikubiza ngokuba ngumhlaza 'ongahlukanga kakuhle' okanye 'ongahlukanga kakuhle' . Ezi seli zinobundlongondlongo ngakumbi, kwaye zibonakala zinethuba eliphezulu lokukhula nokusasazeka ngokukhawuleza.

Yeyiphi iGleason Score elungileyo yomhlaza weprostate?

Kunzima ukubiza amanqaku eGleason ngoko nangoko ngokuthi "alungile" okanye "ambi." Nangona kunjalo, ukwazi amanqaku akho eGleason kunokunika ugqirha wakho umbono obalulekileyo wokuba umhlaza wakho weprostate ukhula ngokukhawuleza kangakanani kwaye kunokwenzeka kangakanani ukuba udlule kwezinye iindawo zomzimba. Amanqaku eGleason aqala kwi-6 ukuya kwi-10.

Ngokubanzi, ukuba amanqaku eGleason aphantsi (umzekelo, 6), kuthathwa 'njengomhlaza ophantsi.' Olu hlobo lomhlaza lukhula kancinci kwaye akunakwenzeka ukuba lusasazeke kwezinye iindawo.

Ukuba amanqaku eGleason aphezulu (umzekelo, 8, 9, 10), athathwa 'njengomhlaza okumgangatho ophezulu.' Olu hlobo lomhlaza lunokukhula kwaye lusasazeke ngokukhawuleza.

Kodwa, kubalulekile ukukhumbula oku: Inqaku lakho leGleason lululwazi olunye olusetyenziswa ngoogqirha ukucwangcisa unyango lwakho nokukunika uqikelelo. Oko kuthetha ukuba inqaku leGleason lodwa alisosiso isisombululo. Linqaku elinye nje lomfanekiso omkhulu.

Ngaba iGleason Score yeyona nto ibalulekileyo?

Hayi, akunjalo konke konke. Njengoko benditshilo ngaphambili, iGleason Score yakho yinxalenye nje yephazili. Oogqirha baqwalasela ezinye izinto ezininzi ukuze baqonde imeko yakho epheleleyo baze bakhethe unyango olulungele wena.

Umzekelo, xa wawusenza i-biopsy yakho, ugqirha wakho kusenokwenzeka ukuba wathabatha iisampulu ezininzi, ezibizwa ngokuba zii-cores, kwi-prostate yakho.

• Zingaphi ezo cores (iziqwenga zezicubu) ezazineeseli zomhlaza?
• Yeyiphi ipesenti ye-`(core)` nganye eyayizaliswe ziiseli zomhlaza?

Ndijonga nezinto ezinjalo.

Ukongeza, ezi zinto zibaluleke kakhulu:

• Inqanaba legazi lakho `(PSA)`. (PSA - Prostate-Specific Antigen) (uvavanyo lwegazi olukhethekileyo).
• Iziphumo zovavanyo lwedijithali lwe-rectal (DRE) olwenziwe ngugqirha (oko kukuthi, indlela i-gland evakala ngayo esandleni).
• Ulwazi oluvela kwiimvavanyo ezizodwa zemifanekiso ezifana nee-ultrasound scans, ii-MRI scans, okanye ii-PET scans lunokunceda ekumiseleni ubungakanani kunye nokusasazeka komhlaza.
• Nokuba umhlaza usemacaleni omabini e-prostate gland.
• Kuthiwa umhlaza weprostate usasazeke (usususwe) kwezinye iindawo zomzimba, umzekelo, emathanjeni.
• Ubudala bakho kunye nempilo yakho iyonke.

Ukuhlanganisa konke oku, njengokugqiba iphazili enkulu, yindlela ugqirha wakho aza kugqiba ngayo ukuba loluphi unyango olungcono kuwe, ngokusekelwe kwimeko yakho. Ngoko ke, ungakhathazeki ngokungeyomfuneko malunga nenqaku leGleason, kulungile?

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, nantsi ke eyona nto ibalulekileyo ekufuneka uyikhumbule kwinto esithethe ngayo. I-Gleason Score sisixhobo esibalulekileyo esihlulahlula umhlaza we-prostate kwaye sikunike umbono wokuba unobundlongondlongo kangakanani. Ugqirha wakho uyisebenzisa ukucwangcisa unyango olungcono kuwe. I-Gleason Score ingaqala kwi-6 (umhlaza we-low-grade, less aggressive cancer) ukuya kwi-10 (umhlaza we-high-grade, more aggressive cancer). Umhlaza one-Gleason Score ephantsi uhlala ukhula kancinci kwaye unomngcipheko omncinci wokusasazeka.

Kodwa la manani ewodwa awaxeli lonke ibali malunga nomhlaza wakho weprostate. Elo bali liqala ngesicwangciso sakho sonyango kunye nokuqonda into onokuyilindela kwezo zonyango, kunye nezinto ezilungileyo nezingalunganga. Amanqaku akho eGleason kunye nezinye iziphumo zovavanyo zifana nesikhokelo sokukunceda kuhambo lwakho lokuchacha.

Ukuba unemibuzo okanye iinkxalabo malunga neGleason Score yakho, naziphi na ezinye iziphumo zovavanyo, okanye imeko yakho yempilo, ungathandabuzi ukubuza ugqirha wakho. Uya kukuvuyela ukukuchazela ukuba loo manani namagama athetha ukuthini aze aphendule nayiphi na imibuzo onokuba nayo. Khumbula, awuwedwa kolu hambo. Kukho oogqirha kunye neqela lezempilo apho ukukunceda nokukukhathalela.

Umhlaza weprostate , amanqaku eGleason, iiseli zomhlaza, uvavanyo lwezicubu, ukubekwa kwinqanaba lomhlaza, impilo yamadoda, unyango lomhlaza