Uke wezwa nge-Gleason Score yomdlavuza we-prostate? Ake sixoxe ngakho!

Uma udokotela ekutshela ukuthi unomdlavuza wendlala, kumelwe ukuthi uzizwa ucindezelekile kakhulu futhi ukhathazekile, akunjalo? Ngaleso sikhathi, uzwa ngokuhlolwa okusha kwezokwelapha kanye namagama ayinkimbinkimbi. Ungase uzwe, noma kungenzeka ukuthi usuvele uzwile, igama elilodwa elithi 'Gleason Score'. Ngakho-ke, uma uzwa lokhu, ungase wesabe ukuthi, "Kuyini lokhu okusha?" Yingakho, namuhla sizoxoxa ngokuthi iyini le Gleason Score, nokuthi ithini ngempela ngesimo sakho, ngendlela elula ongayiqonda.

Uyazi ukuthi iyini i-Gleason Score?

Kalula nje, uma unomdlavuza wendlala, i-Gleason Score iyindlela yokuhlola uhlobo lomdlavuza - ukuthi ubukeka kanjani, ungasakazeka ngokushesha kangakanani, ukuthi ungaba nolaka kangakanani, njll. Kufana nokuthola amamaki esivivinyo esikoleni, kodwa kungokwesayensi futhi kuyinkimbinkimbi.

Lokhu kuyinto eyenziwa odokotela bezifo ( ochwepheshe abahlola izicubu futhi baxilonge izifo) ngokubheka isampula yezicubu zakho ze-prostate (ingxenye encane ethathwe ngesikhathi sokuhlolwa kwe-biopsy) ngaphansi kwe-microscope ukuze kutholakale ukuthi amangqamuzana omdlavuza abukeka kanjani. Lolu hlelo lokuthola amaphuzu lusiza odokotela ukuthi bahlele ukwelashwa okungcono kakhulu kuwe futhi benze isibikezelo mayelana nokubikezela kwakho ngemva kokwelashwa.

Ibalwa kanjani i-Gleason Score?

Kulungile, manje ake sibheke ukuthi le Gleason Score yenziwa kanjani. Njengoba ngishilo ngaphambili, odokotela bezifo benza lo msebenzi obalulekile. Babheka amasampula ezicubu ezivela ku-prostate yakho ngokucophelela ngaphansi kwe-microscope. Uma unomdlavuza we-prostate, kusho ukuthi amanye amangqamuzana ku-prostate yakho ashintshe esuka kumaseli ajwayelekile, anempilo aba amangqamuzana omdlavuza .

Cabanga nje, ezigabeni zokuqala, la maseli omdlavuza angase abukeke njengamaseli aphilile. Afihliwe nje. Kodwa ngokuhamba kwesikhathi, njengoba umdlavuza uqhubeka, ukubonakala kwala maseli omdlavuza kuyahluka kakhulu futhi kungajwayelekile kumaseli aphilile. Lowo mehluko, lokho kungajwayelekile, yilokho odokotela bezifo abakubeka ezingeni.

Uhlelo Lokukala

Banikeza isampula ngayinye yezicubu amaphuzu kusukela ku-1 kuya ku-5 ngokusekelwe kuhlobo lwamaseli omdlavuza, okungukuthi, ukuthi ahluke kangakanani kumaseli anempilo. Lokhu kubizwa ngokuthi ibanga lomdlavuza .

• Ibanga 1: Amaseli omdlavuza abukeka kakhulu njengamaseli aphilile, ajwayelekile. Okusho ukuthi, umehluko mncane kakhulu. Ahlelwe ngendlela ehlelekile.
• Amabanga 2-4:Amaseli omdlavuza ezicutshini abonakala ehluke kancane kumaseli anempilo futhi abonakala engajwayelekile. Njengoba izinga likhuphuka, lo mehluko kanye nokungajwayelekile kuya ngokuya kugqama.
• Ibanga lesi-5: Amaseli omdlavuza awajwayelekile neze, abukeka engahlelekile kahle futhi engafaneleki namaseli anempilo. Lawa amaseli anolaka kakhulu.

Manje, umdlavuza we-prostate ungaba namaseli afanayo endaweni efanayo, noma ungaba nama-grade ahlukene amaseli ezindaweni ezahlukene. Ngakho-ke, okwenziwa yisazi sezifo ukukhetha indawo eyinhloko lapho umdlavuza usakazeke khona kakhulu bese uyinika ibanga (phakathi kuka-1-5). Bese, bakhetha indawo yesibili esakazeke kakhulu (enephethini ehlukile) bese beyinika ibanga. Ama-grade amabili ayinhloko abe esehlanganiswa ndawonye. Leso sibalo siyi-Gleason Score yakho.

Isibonelo, ake sithi umdlavuza ovame kakhulu yibanga lesi-3. Elilandelayo elivame kakhulu yibanga lesi-4. Khona-ke amaphuzu e-Gleason angaba ngu-3 + 4 = 7. Esinye isibonelo, uma iphethini evelele iyibanga lesi-4 kanti iphethini yesibili iyibanga lesi-3, amaphuzu e-Gleason angaba ngu-4 + 3 = 7. Ngakho-ke noma u-3+4 no-4+3 womabili angama-7, odokotela ngezinye izikhathi bacabangela ukulandelana kwala maphethini (ibanga eliphezulu kuqala).

Ngokuvamile, uma leli phuzu elihlanganisiwe le-Gleason lingu-6 noma ngaphezulu, kubhekwa njengomdlavuza.

Ingabe ikhona into efana ne-Gleason Score evamile?

Manje ungase uzibuze, ingabe ikhona i-Gleason Score "ejwayelekile"? Empeleni, ayikho into efana ne-Gleason Score "ejwayelekile", njengalapho sihlola amazinga ethu kashukela egazini ukuze sibone ukuthi angakanani, noma lapho sibheka amazinga ethu e-PSA omdlavuza we-prostate bese sithi, "Nansi ibanga elijwayelekile." Esikhundleni salokho, odokotela basebenzisa izigaba ezintathu ukuze baqonde i-Gleason Score futhi bathole umbono wokuthi umdlavuza uqhuba kanjani:

• Isilinganiso se-Gleason 6: Kulesi simo, amangqamuzana omdlavuza abukeka efana kakhulu namangqamuzana anempilo. Lokhu sikubiza ngokuthi umdlavuza "ohluke kakhulu" . Kalula nje, amangqamuzana asafana "nezingane ezinhle," ezama ukufana namangqamuzana avamile. Lawa avame ukubhekwa njengomdlavuza okhula kancane, ongenamandla kakhulu.
• Isilinganiso se-Gleason 7: Kulesi simo, amangqamuzana omdlavuza abukeka njengamaseli aphilile, kodwa kukhona ukungalingani okuthile. Lokhu sikubiza ngokuthi umdlavuza "ohlukaniswe ngokulingene" . Lokhu kufana nendawo ephakathi. Kungaba nomehluko omncane phakathi kuka-3+4=7 no-4+3=7. Iphethini engu-4+3 ngezinye izikhathi ibhekwa njengesimo esikhathazayo kancane kunephethini engu-3+4.
• Isikolo seGleason 8, 9 noma 10:Kulesi simo, amangqamuzana omdlavuza ahluke kakhulu kumaseli anempilo. Ahlukile kakhulu, cishe awahlukile. Lokhu sikubiza ngokuthi umdlavuza 'ongahlukile kahle' noma 'ongahlukile' . Lawa maseli anolaka kancane, futhi abonakala enethuba eliphezulu lokukhula nokusabalala ngokushesha.

Iyini i-Gleason Score enhle yomdlavuza we-prostate?

Kunzima ukubiza ngokushesha i-Gleason score ngokuthi "kuhle" noma "kubi." Kodwa-ke, ukwazi i-Gleason score yakho kunganikeza udokotela wakho umbono obalulekile wokuthi umdlavuza wakho we-prostate ukhula ngokushesha kangakanani nokuthi kungenzeka kangakanani ukuthi usakazeke kwezinye izingxenye zomzimba. I-Gleason score isukela ku-6 kuya ku-10.

Ngokuvamile, uma amaphuzu e-Gleason ephansi (isibonelo, 6), kubhekwa 'njengomdlavuza wezinga eliphansi.' Lezi zinhlobo zomdlavuza zikhula kancane futhi cishe azisakazeki kwezinye izindawo.

Uma amaphuzu e-Gleason ephezulu (isibonelo, 8, 9, 10), kubhekwa 'njengomdlavuza wezinga eliphezulu.' Lezi zinhlobo zomdlavuza cishe zikhula futhi zisakazeke ngokushesha.

Kodwa, kubalulekile ukukhumbula lokhu: Isikolo sakho se-Gleason siwulwazi olulodwa nje olusetshenziswa odokotela ukuhlela ukwelashwa kwakho nokukunikeza isibikezelo. Lokho kusho ukuthi isikole se-Gleason sodwa asiyona impendulo. Siwuhlobo olulodwa nje lwesithombe esikhulu.

Ingabe i-Gleason Score yiyona kuphela into ebalulekile?

Cha, akunjalo nhlobo. Njengoba ngishilo ngaphambili, i-Gleason Score yakho iyingcezu eyodwa nje yephazili. Odokotela bacabangela ezinye izinto eziningi ukuze baqonde isimo sakho esiphelele futhi bakhethe ukwelashwa okungcono kakhulu kuwe.

Isibonelo, ngesikhathi wenza i-biopsy yakho, udokotela wakho kungenzeka ukuthi wathatha amasampula amaningana, abizwa ngokuthi ama-cores, ku-prostate yakho. Ngakho-ke,

• Zingaki kulezo zingxenyana (izingcezu zezicubu) ezazinamangqamuzana omdlavuza?
• Yiliphi iphesenti le-`(core)` ngayinye elaligcwele amangqamuzana omdlavuza?

Nami ngibheka izinto ezinjalo.

Ngaphezu kwalokho, lezi zinto nazo zibaluleke kakhulu:

• Izinga legazi lakho `(PSA)`. (PSA - Prostate-Specific Antigen) (ukuhlolwa kwegazi okukhethekile).
• Imiphumela yokuhlolwa kwe-Digital Rectal Exam (DRE) eyenziwe udokotela (okungukuthi, indlela i-gland ezwakala ngayo esandleni).
• Ulwazi oluvela ekuhlolweni kwezithombe ezikhethekile njenge-ultrasound scans, i-MRI scans, noma i-PET scans lungasiza ekunqumeni ubukhulu kanye nokusabalala komdlavuza.
• Ukuthi umdlavuza ungohlangothini zombili zendlala ye-prostate.
• Kuthiwa umdlavuza we-prostate ususakazeke (wasakazeka) kwezinye izingxenye zomzimba, isibonelo, emathanjeni.
• Ubudala bakho kanye nempilo yakho iyonke.

Ukuhlanganisa konke lokhu, njengokuqeda iphazili enkulu, yindlela udokotela wakho azonquma ngayo ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe, ngokusekelwe esimweni sakho. Ngakho-ke, ungakhathazeki ngokungadingekile ngesilinganiso seGleason, kulungile?

Into ebaluleke kakhulu okudingeka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke nansi into ebaluleke kakhulu okufanele uyikhumbule kulokho esikhulume ngakho. I-Gleason Score iyithuluzi elibalulekile elihlukanisa umdlavuza wendlala futhi likunikeze umbono wokuthi unolaka kangakanani. Udokotela wakho uyisebenzisa ukuhlela ukwelashwa okungcono kakhulu kuwe. I-Gleason Score ingasukela ku-6 (umdlavuza wezinga eliphansi, ongenalaka kakhulu) kuya ku-10 (umdlavuza wezinga eliphezulu, onamandla kakhulu). Umdlavuza one-Gleason Score ephansi uvame ukukhula kancane futhi unengozi encane yokusabalala.

Kodwa lezi zinombolo zodwa azilandi indaba yonke ngomdlavuza wakho we-prostate. Leyo ndaba iqala ngohlelo lwakho lokwelashwa nokuqonda ukuthi yini ongayilindela kulezo zindlela zokwelapha, kanye nezinzuzo nezingozi. Isikolo sakho se-Gleason kanye neminye imiphumela yokuhlolwa kufana nomhlahlandlela wokukusiza ohambweni lwakho lokululama.

Uma unemibuzo noma ukukhathazeka mayelana ne-Gleason Score yakho, noma yimiphi eminye imiphumela yokuhlolwa, noma isimo sakho sezokwelapha, ungangabazi ukubuza udokotela wakho. Uzokujabulela ukuchaza ukuthi lawo manani namagama asho ukuthini futhi aphendule noma yimiphi imibuzo ongase ube nayo. Khumbula, awuwedwa kulolu hambo. Kukhona odokotela nethimba lezempilo lapho ukuzokusiza futhi bakunakekele.

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