Ka hoʻomaopopo ʻana i ka maʻi ʻaʻai Prostate: The Scale Gleason

Anter

• Ka huina o nā helu ʻelua
• ʻO kekahi o nā kumu
• He aha ka manaʻo o kaʻu helu Gleason?
• Palena haʻahaʻa
• Pilikia waena
• Pilikia kiʻekiʻe
• Ka mālama ʻana i nā helu i ke kuanaʻike

ʻIke i nā helu

Inā ʻoe a i ʻole kahi mea aloha i ʻike ʻia me ka maʻi ʻaʻai prostate, kamaʻāina paha ʻoe me ka pae Gleason. Ua hoʻomohala ʻia e ke kauka Donald Gleason i nā makahiki 1960. Hāʻawi ia i kahi helu e kōkua i ka wānana i ka hakakā o ka maʻi ʻaʻai prostate.

Hoʻomaka kahi pathologist e ke nānā ʻana i nā mea kiko mai kahi biopsy prostate ma lalo o kahi microscope. No ka hoʻoholo ʻana i ka helu Gleason, hoʻohālikelike ka pathologist i ke ʻano o ka maʻi ʻaʻai me nā aʻa maʻamau.

Wahi a ka, nā maʻi ʻaʻai e like me ke ʻano maʻamau ka papa 1. Inā pālahalaha ka maʻi ʻaʻai ma o ka prostate a haʻalele ʻokoʻa mai nā hiʻohiʻona o nā hunaola maʻamau, ʻo ka papa 5 ia.

Ka huina o nā helu ʻelua

Hāʻawi ka pathologist i ʻelua mau papa i hoʻokaʻawale ʻia i nā lauana maʻi ʻaʻai maʻi nui ʻelua i ka laʻana kikoʻī prostate. Hoʻoholo lākou i ka helu mua ma o ka nānā ʻana i ka wahi e kaulana nui ai nā hunaola maʻi ʻaʻai prostate. ʻO ka helu ʻelua, a i ʻole ka papa ʻelua, pili i ka wahi a nā hunaola i aneane like kona koʻikoʻi.

Hoʻopili pū kēia mau helu ʻelua i ka huina helu Gleason, kahi helu ma waena o 2 a me 10. ʻO ke kiʻekiʻe o ka helu ʻoi aku ka laha ʻana o ka maʻi ʻaʻai.

Ke kūkākūkā ʻoe i kāu helu Gleason me kāu kauka, e nīnau e pili ana i nā helu papa mua a me nā helu ʻelua. Hiki ke kiʻi ʻia kahi helu Gleason o 7 mai nā pae ʻokoʻa a me nā kula kiʻekiʻe, e laʻa me 3 a me 4, a i ʻole 4 a me 3. He mea nui paha kēia ma muli o ka papa mua o 3 e hōʻike ana he emi ka hakakā ma mua o ka mahele ʻelua. He ʻoiaʻiʻo ka hope inā loaʻa nā helu mai ka papa mua o 4 a me ka papa kiʻekiʻe o 3.

ʻO kekahi o nā kumu

ʻO ka helu Gleason hoʻokahi wale nō mea e noʻonoʻo ai i ka hoʻokumu ʻana i kāu makaʻu o ka neʻe ʻana i ka maʻi ʻaʻai, a me ke kaupaona ʻana i nā koho lapaʻau. E noʻonoʻo kāu kauka i kou mau makahiki a me kou olakino holoʻokoʻa a me nā hoʻokolohua hou e hoʻoholo ai i ka pae maʻi ʻaʻai a me ka pae o ka makaʻi. Aia kēia mau hoʻāʻo:

• hoʻokolohua hoʻokolohua hoʻokolohua (DRE)
• ʻōniu iwi
• MRI
• CT scan

E noʻonoʻo pū kāu kauka i kāu pae o ka antigen kikoʻī prostate (PSA), kahi protein i hana ʻia e nā hunaola i ka gland prostate. Ana ʻia ʻo PSA i nā nanogram i kēlā me kēia milliliter o ke koko (ng / ml). ʻO ka pae PSA kekahi mea nui i ka nānā ʻana i ka makaʻu o ka piʻi ʻana i ka maʻi ʻaʻai.

He aha ka manaʻo o kaʻu helu Gleason?

Palena haʻahaʻa

Wahi a ka, kahi helu Gleason o 6 a i lalo paha, kahi pae PSA o 10 ng / ml a ʻoi aku paha, a me kahi pae tumo mua e hoʻokau iā ʻoe i ka mahele haʻahaʻa haʻahaʻa. ʻO kēia mau kumu ke kumu o ka ulu ʻana o ka maʻi ʻaʻai prostate i ka ulu ʻana a laha paha i nā mea ʻē aʻe a i ʻole nā ​​meaola no nā makahiki he nui.

ʻO kekahi mau kāne i kēia mahele pilikia e nānā i kā lākou maʻi ʻaʻai prostate me ka nānā ʻana. Loaʻa iā lākou nā māka nānā pinepine ʻana e pili pū paha:

• Nā DRE
• Nā hoʻāʻo PSA
• ultrasound a i ʻole kiʻi ʻē aʻe
• biopsies hou aku

Pilikia waena

Kahi helu Gleason o 7, kahi PSA ma waena o 10 a me 20 ng / ml, a me kahi pae piko waena e hōʻike ana i ka makaʻu waena. ʻO kēia ka manaʻo ʻaʻole ulu a pāhola paha ka maʻi ʻaʻai prostate no kekahi mau makahiki. E noʻonoʻo ʻoe a me kāu kauka i kou mau makahiki a me ke olakino holoʻokoʻa ke kaupaona ʻia nā koho lapaʻau, i hiki ke hoʻopili ʻia:

• ʻoki kino
• pāhawewe
• lāʻau lapaʻau
• hoʻohui o kēia mau

Pilikia kiʻekiʻe

ʻO ka helu Gleason o 8 a ʻoi paha, i hele pū me kahi pae PSA ʻoi aku ma mua o 20 ng / ml a me kahi pae ʻōiwi holomua ʻoi aku ka maikaʻi o ka neʻe ʻana i ka maʻi ʻaʻai. I nā hihia kūlana kiʻekiʻe, ʻano ʻokoʻa ka kiko o ka maʻi ʻaʻai prostate mai nā mea maʻamau. ʻO kēia mau hunaola maʻi ʻino e wehewehe ʻia me he "ʻano ʻokoʻa maikaʻi ʻole ʻia." E noʻonoʻo ʻia paha kēia mau hunaola i ka maʻi ʻaʻai prostate ma mua inā ʻaʻole laha ka maʻi ʻaʻai. ʻO ke kūlana kiʻekiʻe ʻo ia paha e ulu a laha paha ka maʻi ʻaʻai i loko o kekahi mau makahiki.

Ka mālama ʻana i nā helu i ke kuanaʻike

Kuhi ʻia kahi helu ʻo Gleason kiʻekiʻe e ulu wikiwiki ana ka maʻi ʻaʻai prostate. Eia naʻe, e hoʻomanaʻo i ka helu ʻai ʻole e wānana i kāu wānana. Ke loiloi ʻoe i nā pilikia a me nā pōmaikaʻi me kāu kauka, e ʻike pono ʻoe i ka pae maʻi ʻaʻai a me kāu pae PSA. E kōkua kēia ʻike iā ʻoe e hoʻoholo inā he kūpono ka nānā ʻana i ka hana. Hiki iā ia ke kōkua i ke alakaʻi iā ʻoe i ke koho ʻana i ka lāʻau e kūpono i kou kūlana.