Kumvetsetsa Khansa ya Prostate: The Gleason Scale

Zamkati

• Chiwerengero cha manambala awiri
• Chimodzi mwazinthu zambiri
• Kodi mphotho yanga ya Gleason ikutanthauzanji?
• Chiwopsezo chochepa
• Kuopsa kwapakati
• Chiwopsezo chachikulu
• Kuwona manambala moyenera

Kudziwa manambala

Ngati inu kapena wokondedwa wanu mwapezeka ndi khansa ya prostate, mwina mukudziwa kale za sikelo ya Gleason. Adapangidwa ndi dokotala Donald Gleason m'ma 1960. Amapereka mphambu yomwe imathandizira kuneneratu zaukali wa khansa ya prostate.

Dokotala amayamba ndikuwunika minofu kuchokera ku prostate biopsy pansi pa microscope. Kuti adziwe kuchuluka kwa Gleason, wodwalayo amafanizira mtundu wa khansa ndi minofu yabwinobwino.

Malinga ndi, minofu ya khansa yomwe imawoneka ngati nyama yabwinobwino ndi kalasi ya 1. Ngati minofu ya khansa imafalikira kudzera mu prostate ndikusochera kwambiri kuchokera kuma cell wamba, ndiye kalasi 5.

Chiwerengero cha manambala awiri

Wodwalayo amapatsa magawo awiri osiyana magawo awiri am'magazi am'magazi a prostate. Amazindikira nambala yoyamba powunika malo omwe ma cell a khansa ya prostate ndiwodziwika kwambiri. Nambala yachiwiri, kapena kalasi yachiwiri, imakhudzana ndi dera lomwe maselo amakhala otchuka kwambiri.

Nambala ziwirizi zikaphatikizidwa zimapanga chiwerengero chonse cha Gleason, chomwe ndi chiwerengero pakati pa 2 ndi 10. Mapu apamwamba amatanthauza kuti khansara imatha kufalikira.

Mukakambirana ndi dokotala wanu za Gleason, funsani za ziwerengero zonse zoyambira ndi zachiwiri. Chiwerengero cha 7 cha Gleason chitha kupezeka pamasukulu oyambira ndi sekondale, mwachitsanzo 3 ndi 4, kapena 4 ndi 3. Izi zitha kukhala zofunikira chifukwa kalasi yoyamba ya 3 imawonetsa kuti khansa yomwe ili ndi khansa yochulukirapo sikhala yankhanza kuposa dera lachiwiri. Chosinthiracho ndichowona ngati mphambu zimachokera ku grade 4 komanso grade yachiwiri ya 3.

Chimodzi mwazinthu zambiri

Malingaliro a Gleason ndi lingaliro limodzi lokha pokhazikitsa chiopsezo chanu chokhala ndi khansa, komanso poyesa njira zamankhwala. Dokotala wanu aziganiza za msinkhu wanu komanso thanzi lanu lonse komanso mayeso ena owonjezera kuti adziwe gawo la khansa komanso kuchuluka kwa chiopsezo. Mayesowa akuphatikizapo:

• digito rectal mayeso (DRE)
• kusanthula mafupa
• MRI
• Kujambula kwa CT

Dokotala wanu adzaganiziranso za kuchuluka kwanu kwa prostate-specific antigen (PSA), puloteni yomwe imapangidwa ndimaselo a prostate gland. PSA imayesedwa mu nanograms pa mililita yamagazi (ng / ml). Mulingo wa PSA ndichinthu china chofunikira pakuwunika kuopsa kokhala ndi khansa.

Kodi mphotho yanga ya Gleason ikutanthauzanji?

Chiwopsezo chochepa

Malinga ndi, kuchuluka kwa Gleason kwa 6 kapena kutsika, PSA mulingo wa 10 ng / ml kapena ochepera, ndipo chotupa choyambirira chimakupatsani mwayi wokhala pachiwopsezo chochepa. Pamodzi, izi zikutanthauza kuti khansa ya Prostate siyotheka kukula kapena kufalikira kumatenda ena kapena ziwalo zina kwazaka zambiri.

Amuna ena omwe ali pachiwopsezochi amayang'anira khansa yawo ya prostate ndikuwayang'anitsitsa. Amayang'aniridwa pafupipafupi komwe kungaphatikizepo:

• Ma DREs
• Kuyesa kwa PSA
• ultrasound kapena kujambula kwina
• zowonjezera biopsies

Kuopsa kwapakati

Chiwerengero cha 7 cha Gleason, PSA pakati pa 10 ndi 20 ng / ml, ndi gawo lotupa lamatenda likuwonetsa chiwopsezo chapakati. Izi zikutanthauza kuti khansa ya Prostate siyotheka kukula kapena kufalikira kwa zaka zingapo. Inu ndi dokotala mukulingalira za msinkhu wanu ndi thanzi lanu mukamayesa njira zamankhwala, zomwe zingaphatikizepo:

• opaleshoni
• cheza
• mankhwala
• kuphatikiza izi

Chiwopsezo chachikulu

Kulemba kwa Gleason kwa 8 kapena kupitilira apo, limodzi ndi PSA yokwera kuposa 20 ng / ml ndi chotupa chotsogola kwambiri, kumatanthauza chiopsezo chachikulu chofalitsa khansa. Milandu yomwe ili pachiwopsezo chachikulu, minofu ya khansa ya prostate imawoneka yosiyana kwambiri ndi mnofu wamba. Maselo a khansa amenewa nthawi zina amatchedwa "osiyanitsidwa bwino". Maselowa amatha kuonedwa ngati khansa ya prostate yoyambirira ngati khansa isafalikire. Kuopsa kwakukulu kumatanthauza kuti khansara itha kukula kapena kufalikira mzaka zochepa.

Kuwona manambala moyenera

Chiwerengero chapamwamba cha Gleason chimaneneratu kuti khansa ya prostate imakula mwachangu. Komabe, kumbukirani kuti ziwerengerozo zokha sizikuneneratu zamatsenga anu. Mukamayesa zoopsa ndi zopindulitsa ndi dokotala wanu, onetsetsani kuti mumamvetsetsanso gawo la khansa komanso kuchuluka kwanu kwa PSA. Kudziwa izi kukuthandizani kuti muwone ngati kuyang'aniridwa koyenera kuli koyenera. Ikhozanso kukuthandizani posankha chithandizo chomwe chikugwirizana ndi vuto lanu.