Kunzwisisa Cancer Prostate: Iyo Gleason Scale

Zvemukati

• Huwandu hwenhamba mbiri
• Chimwe chezvinhu zvakawanda
• Zvinorevei zvangu Gleason mamaki?
• Njodzi yakaderera
• Njodzi yepakati
• Ngozi yakanyanya
• Kuchengeta nhamba dziri mumaonero

Kuziva manhamba

Kana iwe kana munhu waunoda akaonekwa aine kenza yeprostate, unogona kunge uchitoziva nezveGleason scale. Yakagadzirwa nachiremba Donald Gleason muma1960. Inopa zvibodzwa zvinobatsira kufanofungidzira hukasha hwecancer yeprostate.

Nyanzvi yezvirwere anotanga nekuongorora masampuli etishu kubva kuprostate biopsy pasi pe microscope. Kuti uone iyo Gleason mamaki, iyo pathologist inofanidza iyo kenza maturu pateni neyakajairwa tishu.

Zvinoenderana neiyo, kenza tishu inotaridzika zvakanyanya kunge yakajairwa turu iri giredhi 1. Kana iyo kenza tishu ikapararira kuburikidza neprostate uye ichitsauka zvakanyanya kubva kune maficha emasero akajairwa, iri giredhi rechishanu

Huwandu hwenhamba mbiri

Iyo pathologist inopa maviri akapatsanuka mamakisi kune maviri akakurisa kenza maseru maitiro mune yeprostate tishu sampuro. Ivo vanoona iyo yekutanga nhamba nekutarisa nzvimbo iyo maseru ekenza yeprostate inonyanya kuzivikanwa. Iyo yechipiri nhamba, kana yechipiri giredhi, inoenderana nenzvimbo uko maseru anenge anenge akakurumbira.

Idzi nhamba mbiri dzakawedzerwa pamwechete dzinoburitsa huwandu hwese hweGleason, inova nhamba iri pakati pe2 ne10. Chikamu chakakwirira chinoreva kuti gomarara rinonyanya kupararira.

Paunokurukura yako Gleason mamaki nachiremba wako, bvunza nezve ese ari maviri epuraimari uye sekondari manhamba egiredhi. Chikamu cheGleason chechinomwe chinogona kutorwa kubva kumakisi epuraimari nesekondari, semuenzaniso 3 ne4, kana 4 na3. Izvi zvinogona kuve zvakakosha nekuti giredhi yekutanga ye3 inoratidza kuti gomarara rakanyanya nzvimbo harina hukasha kupfuura nzvimbo yechipiri. Izvo zvinodzokororwa ndezvechokwadi kana zvibodzwa zvichibva kugiredhi yekutanga ye4 uye yechipiri giredhi ye3.

Chimwe chezvinhu zvakawanda

Iyo Gleason mamakisi ingori imwechete yekutarisa mukumisikidza njodzi yako yekuwedzera kenza, uye mukuyera sarudzo dzekurapa. Chiremba wako anozotarisa zera rako uye hutano hwakazara pamwe nemimwe bvunzo kuti uone danho rekenza uye nenjodzi. Iyi bvunzo inosanganisira:

• digital rectal bvunzo (DRE)
• bhonzo scan
• MRI
• CT scan

Chiremba wako anozotarisawo yako huwandu hweprostate-yakatarwa antigen (PSA), puroteni inogadzirwa nemasero ari muprostate gland. PSA inoyerwa muma nanograms pamamirilita eropa (ng / ml). Chikamu chePSA ndechimwe chinhu chakakosha pakuongorora njodzi yekuwedzera kenza.

Zvinorevei zvangu Gleason mamaki?

Njodzi yakaderera

Zvinoenderana neiyo, iyo Gleason mamakisi matanhatu kana ezasi, iyo PSA nhanho yegumi ng / ml kana zvishoma, uye yekutanga bundu danho rinokuisa iwe mune yakaderera njodzi chikamu. Pamwe chete, izvi zvinhu zvinoreva kuti gomarara reprostate haigone kukura kana kupararira kune mamwe matishu kana nhengo kwemakore mazhinji.

Vamwe varume vari muchikamu chengozi vanoongorora gomarara ravo reprostate vachiongorora. Ivo vanowanzo tarisa izvo zvinogona kusanganisira:

• DREs
• PSA miedzo
• Ultrasound kana imwe imaging
• mamwe ma biopsies

Njodzi yepakati

Chikamu cheGleason che7, PSA iri pakati pegumi nemakumi maviri ng / ml, uye nhanho yepakati pemawere inoratidza njodzi yepakati. Izvi zvinoreva kuti kenza yeprostate haigone kukura kana kupararira kwemakore akati wandei. Iwe nachiremba wako muchafunga nezvezera renyu uye hutano hwese kana muchiyera sarudzo dzekurapa, dzinogona kusanganisira:

• kuvhiya
• radiation
• mishonga
• mubatanidzwa weizvi

Ngozi yakanyanya

Chikamu cheGleason che8 kana kupfuura, ichifambiswa nePSA nhanho yepamusoro makumi maviri ng / ml uye yakanyanya kumberi bundu nhanho, inoratidza njodzi yakakura yekuwedzera kenza. Muzviitiko zvine njodzi huru, iyo kenza yeprostate inoratidzika chaizvo zvakasiyana neyakajairika nyama. Aya maseru ane gomarara dzimwe nguva anorondedzerwa seari "kusiyaniswa zvisina kunaka." Aya maseru anogona kunge achionekwa senge yekutanga-danho gomarara reprostate kana gomarara risina kupararira. Njodzi yakanyanya zvinoreva kuti kenza inogona kukura kana kupararira mukati memakore mashoma.

Kuchengeta nhamba dziri mumaonero

Chikamu chepamusoro cheGleason chinowanzo fungidzira kuti gomarara reprostate rinokura nekukurumidza. Nekudaro, yeuka kuti mamaki ega haatauri kufungidzira kwako. Paunotarisa njodzi dzekurapa uye mabhenefiti nachiremba wako, ita shuwa kuti iwe unonzwisisawo kenza chikamu uye yako PSA nhanho. Ruzivo urwu rwunokubatsira iwe kuona kana kushingaira kwekutarisa kwakakodzera. Inogona zvakare kubatsira kukutungamira mukusarudza kurapwa kunoenderana nemamiriro ako ezvinhu.