Ukuqonda iCancer yeProstate: Isikali seGleason

Umxholo

• Isiphumo samanani amabini
• Enye yezinto ezininzi
• Ithetha ntoni inqaku lam Gleason?
• Umngcipheko omncinci
• Umngcipheko ophakathi
• Umngcipheko omkhulu
• Ukugcina amanani ngendlela eyiyo

Ukwazi amanani

Ukuba wena okanye umntu omthandayo ufumene ukuba unomdlavuza wesibeletho, usenokuba sele uqhelanise nesikali seGleason. Yaphuhliswa ngugqirha uDonald Gleason ngeminyaka yoo-1960. Inika amanqaku anceda ukuqikelela ubukrakra bomhlaza wedlala lobudoda.

Ugqirha wezifo uqala ngokuvavanya iisampulu zethishu kwi-prostate biopsy phantsi kwemicroscope. Ukufumanisa amanqaku eGleason, ugqirha wezifo uthelekisa ipateni yomhlaza kunye nezicubu eziqhelekileyo.

Ngokwe, izicwili zomhlaza ezijongeka kakhulu njengezicubu eziqhelekileyo libanga loku-1. Ukuba izicwili zomhlaza zisasazeka kwi-Prostate kwaye ziphambuka ngokubanzi kwiimpawu zeeseli eziqhelekileyo, linqanaba lesi-5.

Isiphumo samanani amabini

Ugqirha wezonyango unikezela ngamabakala amabini ahlukeneyo kwiipateni ezimbini zomhlaza zesampulu yesampulu yeprotate. Bajonga inani lokuqala ngokujonga indawo apho iiseli zomhlaza wedlala lobuzaza zibalasele khona. Inombolo yesibini, okanye inqanaba lesibini, linxulumene nendawo apho iiseli ziphantse zaduma khona.

La manani mabini ongezelelweyo kunye avelisa amanqaku apheleleyo e-Gleason, eli nani liphakathi kwe-2 kunye ne-10. Amanqaku aphezulu athetha ukuba umhlaza kunokwenzeka ukuba usasazeke.

Xa uxoxa ngenqaku lakho leGleason nogqirha wakho, buza malunga neenombolo zamabanga aphantsi kunye nasesekondari. Inqaku le-Gleason le-7 linokufunyanwa kumabanga ahlukeneyo asezantsi nasesekondari, umzekelo u-3 no-4, okanye u-4 no-3. Ukubuyela umva kuyinyani ukuba amanqaku afunyenwe kumabanga aphantsi e-4 nakwibanga lesibini le-3.

Enye yezinto ezininzi

Inqaku leGleason linye kuphela lokumisela umngcipheko wokuqhubela phambili komhlaza, kunye nokukala unyango. Ugqirha wakho uyakuthathela ingqalelo iminyaka yakho kunye nempilo iyonke kunye novavanyo olongezelelweyo ukumisela inqanaba lomhlaza kunye nenqanaba lomngcipheko. Olu vavanyo lubandakanya:

• Uvavanyo lwe-digital rectal (DRE)
• Ukuskena amathambo
• IMRI
• Ukuskena i-CT

Ugqirha wakho uyakuthathela ingqalelo inqanaba le-antigen (PSA), iprotein eveliswa ziiseli kwi-Prostate gland. I-PSA ilinganiswa kwii-nanograms ngeemililitha zegazi (ng / ml). Inqanaba le-PSA yenye into ebalulekileyo ekuvavanyeni umngcipheko wokuqhubela phambili komhlaza.

Ithetha ntoni inqaku lam Gleason?

Umngcipheko omncinci

Ngokwenqaku le-Gleason le-6 okanye elingaphantsi, inqanaba le-PSA ye-10 ng / ml okanye engaphantsi, kwaye inqanaba lesifo sokuqala likubeka kwinqanaba lomngcipheko ophantsi. Ngokudibeneyo, ezi zinto zithetha ukuba umhlaza wedlala lobudoda akunakulunga ukuba ukhule okanye usasazeke kwezinye izicwili okanye amalungu iminyaka emininzi.

Amanye amadoda akolu luhlu lomngcipheko abeka iliso kumhlaza wesibeletho ngokujongwa ngokukuko. Bahlala behlolwa rhoqo ezinokubandakanya:

• I-DREs
• Uvavanyo lwePSA
• i-ultrasound okanye enye imifanekiso
• ii-biopsies ezongezelelweyo

Umngcipheko ophakathi

Inqaku le-Gleason le-7, i-PSA phakathi kwe-10 ukuya kwi-20 ng / ml, kunye nenqanaba le-tumor eliphakathi libonisa umngcipheko ophakathi. Oku kuthetha ukuba umhlaza wedlala lobudoda awunakwenzeka ukuba ukhule okanye usasazeke iminyaka eliqela. Wena kunye nogqirha uya kuqaphela ubudala bakho kunye nempilo yonke xa ulinganisa iindlela zokhetho, ezinokubandakanya:

• utyando
• imitha
• amayeza
• ukudityaniswa kwezi

Umngcipheko omkhulu

Amanqaku e-Gleason ye-8 okanye ngaphezulu, ehamba nenqanaba le-PSA ephezulu kune-20 ng / ml kunye nenqanaba lesifo esiqhubele phambili, abonisa umngcipheko omkhulu wokuqhubela phambili komhlaza. Kwiimeko ezinobungozi obuphezulu, izicwili zomhlaza webala lobudoda zibonakala zahluke kakhulu kwizicubu eziqhelekileyo. Ezi seli zomhlaza ngamanye amaxesha zichazwa njengezohlulwe “ngendlela engafanelekanga.” Ezi seli zisenokuqwalaselwa kwinqanaba lokuqala lomhlaza wedlala lobudoda ukuba umhlaza awusasazekanga. Umngcipheko omkhulu uthetha ukuba umhlaza kungenzeka ukuba ukhule okanye usasaze kwiminyaka embalwa.

Ukugcina amanani ngendlela eyiyo

Amanqaku aphezulu eGleason axela kwangaphambili ukuba umhlaza wamadlala uya kukhula ngokukhawuleza. Nangona kunjalo, khumbula ukuba amanqaku kuphela akaxeli kwangaphambili isifo sakho. Xa uvavanya ingozi kunye neenzuzo zonyango kunye nogqirha wakho, qiniseka ukuba uyaqonda kwakhona isigaba somhlaza kunye nenqanaba lakho le-PSA. Olu lwazi luya kukunceda uthathe isigqibo sokuba ngaba ukubekwa kweliso okusebenzayo kufanelekile. Inokukunceda ekukhokeleni ekukhetheni unyango olulungele imeko yakho.