Ngesikhathi udokotela ekutshela ukuthi unomdlavuza wendlala, kwakukhona inombolo embikweni wakho ebizwa ngokuthi 'i-Gleason Score', akunjalo? Kungenzeka ukuthi wazizwa wesaba kancane lapho ubona lokhu. Kungenzeka ukuthi wazibuza ukuthi iyini le nombolo, isho ukuthini, ukuthi yayiyimaki elihle noma elibi. Ungakhathazeki, kuyinto evamile ngawe ukuzizwa ngaleyo ndlela. Namuhla, sizoxoxa ngokuthi iyini le Gleason Score nokuthi isho ukuthini ngempela ngendlela elula kakhulu ongayiqonda.
Kalula nje, iyini le Gleason Score?
I-Gleason Score iwuhlelo lokuthola amaphuzu olusetshenziswa ukuhlukanisa umdlavuza we-prostate, okungukuthi, ukuqonda uhlobo lwawo. Kufana nokunikeza amamaki esivivinyweni esikoleni. Kodwa lokhu kuhlukile kancane.
Ungase ukhumbule ukuthi kwathathwa ingxenye encane yezicubu ku-prostate yakho ukuze kwenziwe i-biopsy. Leyo ngxenye yezicubu ihlolwa ngaphansi kwe-microscope elabhorethri ngudokotela ochwepheshe, obizwa ngokuthi i-pathologist. Ubheka ukuthi amangqamuzana omdlavuza afana noma ahluke kangakanani kumaseli aphilile ajwayelekile. Lo mehluko usetshenziselwa ukunikeza umbono "wobunzima" bomdlavuza, noma ukuthi usakazeke ngokushesha kangakanani.
Ngakho-ke, le Gleason Score iwulwazi olubaluleke kakhulu olusiza odokotela ukuthi bakhethe ukwelashwa okufanele kakhulu kuwe futhi babikezele ukuthi isimo sakho sizoqhubeka kanjani.
Ibalwa kanjani i-Gleason Score?
Lokhu kwenziwa ngendlela ethakazelisayo kakhulu. Uma udokotela wezifo ebheka amangqamuzana omdlavuza ngaphansi kwesibonakhulu, uwanikeza amaphuzu kusukela ku-1 kuya ku-5 ngokusekelwe ekubukekeni kwawo.
- Iphuzu 1: Amaseli omdlavuza abukeka efana kakhulu namaseli aphilile ajwayelekile. Kungaba nzima ukubona ukuthi anomdlavuza yini.
- Amaphuzu 2-4: Amaseli omdlavuza aqala kancane kancane ukuhluka kumaseli avamile.
- Isilinganiso 5: Amaseli omdlavuza abukeka ngendlela ehluke ngokuphelele, ephithizelayo kunamaseli avamile.
Cabanga ngale ndlela. Amangqamuzana omdlavuza afana nezingane ezigangile ekilasini. Iphuzu elingu-1 lisho umuntu ogangile kancane, kodwa obonakala njengomntwana omuhle kakhulu. Iphuzu elingu-5 lisho umuntu ohluke ngokuphelele kwezinye izingane ekilasini, ogangile kakhulu, futhi okunzima ukumlawula.
Manje into ebalulekile. Engxenyeni ye-prostate yakho lapho unomdlavuza khona, amaseli awafani wonke. Kwezinye izindawo amaseli angase abukeke engcono kancane (amaphuzu aphansi), kwezinye izindawo amaseli angase ahluke kakhulu (amaphuzu aphezulu).
Ngakho-ke, udokotela wezifo ukhetha izindawo ezimbili eziyinhloko lapho umdlavuza usakazeke khona kakhulu.
1. Uphawu olunikezwa amaseli endaweni lapho umdlavuza uvame kakhulu khona .
2. Uphawu olunikezwa amaseli endaweni lapho umdlavuza ungowesibili ovame kakhulu khona .
Bese la maphuzu amabili ehlanganiswa ndawonye. Leso samba yilokho esikubiza ngokuthi i-Gleason Score .
Isibonelo, uma indawo evame kakhulu yomdlavuza ingu-4, kanti indawo yesibili evame kakhulu ingu-3, i-Gleason Score yakho izoba ngu-4 + 3 = 7.
Ngokuvamile, i-Gleason Score engu-6 noma ngaphezulu ibhekwa njengomdlavuza. Amaphethini amaseli anamaphuzu angu-1 no-2 awasabhekwa njengomdlavuza. Ngakho i-Gleason Score ephansi kakhulu ongayibona ingu-6 (3+3).
Zithini ngempela lezi zinombolo?
Manje ungase uzibuze, "Kulungile, amaphuzu ami angu-6, noma u-7, noma u-8. Kusho ukuthini lokho? Kuhle lokho? Kubi lokho?"
Asibheki i-Gleason Score “njengenhle” noma “embi.” Kunalokho, siyisebenzisela ukunikeza umbono wokuthi umdlavuza ungakhula noma usakazeke ngokushesha kangakanani. Ake siwuhlukanise ube izingxenye ezintathu.
| Isikolo seGleason | Igama lezokwelapha | Kalula nje... |
|---|---|---|
| 6 | Kuhlukaniswe kahle | Amaseli omdlavuza afana kakhulu namaseli anempilo. Aluhlobo lomdlavuza olukhula kancane kakhulu futhi olunengozi encane yokusabalala (i-metastasizing). |
| 7 | Kuhlukaniswe ngokulingene | Amaseli omdlavuza afana namaseli anempilo ngezindlela ezithile. Aluhlobo lomdlavuza olungakhula ngesivinini esimaphakathi . (Lapha, ukuthi ngabe u-3+4 noma u-4+3 nakho kubalulekile). |
| 8, 9, noma 10 | Ukuhlukaniswa okungekuhle noma okungahlukaniswanga kahle | Amaseli omdlavuza ahluke kakhulu kumaseli anempilo. Anamathuba amaningi okukhula ngokushesha nokusabalala.Uhlobo lomdlavuza. |
Ingabe ikhona into efana ne-Gleason Score "enhle"?
Akunjalo ngempela. Amaphuzu aphansi (6) asho ukuthi umdlavuza ukhula kancane. Lezo yizindaba ezinhle. Kodwa lokho akusho ukuthi ukwelashwa akudingeki. Ngokufanayo, amaphuzu aphezulu (8, 9, 10) asho ukuthi umdlavuza cishe uzokhula ngokushesha, ngakho-ke sidinga ukuwunaka kakhulu futhi siqale ukwelashwa okunamandla ngokushesha.
Ingabe i-Gleason Score iyodwa yanele?
Nakhu okudingeka ukukhumbule. Udokotela wakho akabheki nje inombolo ye-Gleason Score ukuze ahlele ukwelashwa kwakho. Kumane nje kuyingcezu encane yesithombe esikhulu. Kunezinto eziningi okufanele uzicabangele ukuze uqonde isithombe esigcwele.
Into ebalulekile ukuthi, i-Gleason Score yakho iyodwa ayikwazi ukuxoxa indaba ephelele yesimo sakho. Kuyingxenye eyodwa nje yephazili.
Ezinye zezinto udokotela azozicabangela yilezi:
- Izinga legazi le-PSA: Inani lokuhlolwa kwegazi lakho le-PSA (i-prostate-specific antigen).
- Ukuhlolwa Kwe-Digital Rectal: Lokho udokotela akuzwayo ngesikhathi sokuhlolwa ngomunwe wakhe.
- Olunye ulwazi oluvela ku-biopsy: Zingaki izingcezu zezicubu ezitholakale zinomdlavuza? Zingaki izinhlayiya zomdlavuza ezitholakale ezingxenyeni zezicubu ngayinye?
- Ukuskena: Ulwazi olutholakala ekuhlolweni okufana ne-ultrasound, i-MRI (magnetic resonance imaging) noma ukuskena kwe-PET (positron emission tomography).
- Ingabe umdlavuza usabalele?: Ingabe umdlavuza usabalele kuzo zombili izinhlangothi zendlala ye-prostate? Noma ingabe usabalele kwezinye izitho ezingaphandle kwendlala.
Ngokuhlanganisa lonke lolu lwazi , udokotela wakho uzonquma isigaba somdlavuza wakho futhi axoxe nawe ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
Ngakho-ke, ungakhathazeki uma i-Gleason Score yakho ingu-7 noma u-8. Mhlawumbe i-PSA yakho iphansi, noma umdlavuza awukasabalali. Ngakho-ke ungasheshi ufinyelele eziphethweni ngokusekelwe enombolweni. Khuluma nodokotela wakho ngayo yonke imibuzo yakho kanye nokwesaba kwakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-Gleason Score iyisistimu yokulinganisa elinganisa ukuthi amangqamuzana omdlavuza we-prostate "ahluke" kangakanani, okusho ukuthi kungenzeka asakazeke ngokushesha kangakanani.
- Leli phuzu linikezwa ngemva kokuhlola ucezu lwezicubu oluthathwe ku-biopsy yakho ngaphansi kwe-microscope.
- Amaphuzu angu-6 abonisa umdlavuza okhula kancane. Amaphuzu angu-8, 9, kanye no-10 abonisa umdlavuza okhula ngokushesha. Amaphuzu angu-7 abonisa izinga eliphakathi nendawo.
- Into ebaluleke kakhulu: Ukwelashwa kwakho akunqunywa yi-Gleason Score yakho kuphela. Ezinye izici eziningi, njengamazinga e-PSA kanye nemibiko yokuskena, nazo ziyacatshangelwa.
- Ungesabi izinombolo ezikumbiko wakho. Buza udokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Nguye ongakunikeza ulwazi olungcono kakhulu.
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