Nkag siab txog tus mob Prostate Cancer: Cov Gleason Scale

Zoo Siab

• Qhov tawm ntawm ob tus lej
• Ib qho ntawm ntau yam
• Kuv qhov qhab nias Gleason txhais li cas?
• Tsis tshua muaj kev pheej hmoo
• Kev pheej hmoo nruab nrab
• Muaj kev pheej hmoo siab
• Khaws cov lej hauv kev xav

Paub cov zauv

Yog tias koj lossis ib tus neeg hlub raug kuaj mob qog nqaij hlav prostate, tej zaum koj yuav paub zoo nrog Gleason nplai. Nws tau tsim los ntawm kws kho mob Donald Gleason nyob rau xyoo 1960. Nws muab cov qhab nia uas pab ua rau kwv yees kev txhoj puab ntawm prostate cancer.

Tus kws kho mob pib los ntawm kev kuaj cov nqaij mos los ntawm qog nqaij hlav hauv qab lub tshuab tsom. Txhawm rau txiav txim siab Gleason cov qhab nia, kws kho mob sib piv cov qog nqaij hlav nqaij mob txawv nrog cov ntaub so ntswg zoo li qub.

Raws li cov, kev mob qog nqaij hlav uas zoo li cov ntaub so ntswg feem ntau yog qib 1. Yog hais tias cov qog nqaij hlav cancer kis tau los ntawm prostate thiab deviates dav los ntawm cov yam ntxwv ntawm lub hlwb ib txwm, nws yog qib 5.

Qhov tawm ntawm ob tus lej

Tus kws kho mob tau tso ob qeb sib txawv rau ob qho kev mob qog noj ntshav feem ntau hauv cov qog ntshav ntawm prostate. Lawv txiav txim siab thawj tus naj npawb los ntawm kev soj ntsuam thaj chaw uas lub qog ntshav qog nqaij hlav kom muaj keeb kwm tshaj plaws. Tus xov tooj thib ob, lossis qib theem ob cuam tshuam txog thaj chaw uas cov hlwb yuav luag txhua yam.

Ob tus lej no ntxiv ua ke ua rau tag nrho Gleason cov qhab nia, uas yog tus lej nruab nrab ntawm 2 thiab 10. Ib tus lej siab dua txhais tau tias tus kabmob yog feem ntau kis tau.

Thaum koj tham koj tus qhab nias Gleason nrog koj tus kws kho mob, nug txog cov lej thawj thiab qib kawm qib thib ib. Tus qhab nia Gleason ntawm 7 tuaj yeem muab los ntawm cov sib txawv ntawm qib theem pib thiab theem nrab, piv txwv li 3 thiab 4, lossis 4 thiab 3. Qhov no tuaj yeem tseem ceeb vim tias thawj qib 3 qhia tias thaj tsam mob qog noj ntshav feem ntau muaj qis dua cheeb tsam theem nrab. Qhov rov qab yog qhov tseeb yog tias cov qhab nia los ntawm thawj qib ntawm 4 thiab qib theem 3 ntawm 3.

Ib qho ntawm ntau yam

Qhov qhab nia Gleason tsuas yog ib qho kev xav txog kev ua kom koj qhov kev pheej hmoo nce qib kev mob qog noj ntshav, thiab hauv kev xaiv hnyav rau kev kho mob. Koj tus kws kho mob yuav txiav txim xyuas koj lub hnub nyoog thiab kev noj qab haus huv tag nrho nrog rau kev sim ntxiv los txiav txim siab txog qib mob qog nqaij hlav cancer thiab qib kev pheej hmoo. Cov kev ntsuam xyuas no suav nrog:

• kuaj cov kab mob digital (DRE)
• pob txha tsom
• MRI
• Iav scan

Koj tus kws kho mob tseem yuav xav txog koj qib kev ua haujlwm ntawm prostate-antigen (PSA), uas yog cov protein tsim los ntawm cov hlwb hauv lub qog prostate. PSA raug ntsuas hauv nanograms ntawm ib milliliter ntawm cov ntshav (ng / ml). PSA qib yog lwm qhov tseem ceeb hauv kev txheeb xyuas qhov kev pheej hmoo ntawm kev nce qog ntshav.

Kuv qhov qhab nias Gleason txhais li cas?

Tsis tshua muaj kev pheej hmoo

Raws li qhov, Gleason qhov qhab nia ntawm 6 lossis qis dua, PSA theem ntawm 10 ng / ml lossis tsawg dua, thiab cov qog thaum ntxov ua rau koj nyob hauv qib qis-pheej hmoo. Ua ke, cov ntsiab lus no txhais tau tias kev mob kheesxaws prostate tsis zoo li yuav loj hlob lossis kis mus rau lwm cov ntaub so ntswg lossis cov kabmob rau ntau xyoo.

Qee tus txiv neej nyob rau hauv qeb kev pheej hmoo soj ntsuam lawv cov qog nqaij hlav prostate nrog kev soj ntsuam nquag. Lawv nquag kuaj xyuas ib zaug uas suav nrog:

• DREs
• PSA cov kev xeem
• ultrasound lossis lwm yam kev kos duab
• ntxiv cov xyoob ntoo

Kev pheej hmoo nruab nrab

Cov qhab nia Gleason ntawm 7, PSA ntawm 10 thiab 20 ng / ml, thiab cov qog theem ntawm lub pob nruab nrab qhia tias muaj kev pheej hmoo nruab nrab. Qhov no txhais tau tias kev mob kheesxaws prostate tsis zoo li yuav loj hlob lossis kis mus rau ntau xyoo. Koj thiab koj tus kws kho mob yuav txiav txim xyuas koj lub hnub nyoog thiab kev noj qab haus huv tag nrho thaum ntsuas kev kho mob, uas yuav suav nrog:

• kev phais mob
• hluav taws xob
• noj tshuaj
• ua ke ntawm no

Muaj kev pheej hmoo siab

Cov qhab nia Gleason ntawm 8 lossis siab dua, nrog PSA qib siab dua 20 ng / ml thiab ntau qib qog nqaij hlav, qhia tau tias muaj kev pheej hmoo siab mus kho mob qog ntshav. Hauv cov neeg mob, cov nqaij hlav prostate zoo li txawv heev ntawm cov ntaub so ntswg li qub. Qee zaum cov kab mob cancer no tau piav tias "kev tsis zoo." Cov kab mob no tseem tseem pom tau tias ntxov ntxov rau kev mob qog nqaij hlav cancer yog tias mob cancer tsis kis. Kev muaj mob loj txhais tau tias tus kabmob kheesxaws yuav loj tuaj lossis kis mus rau ob peb xyoos.

Khaws cov lej hauv kev xav

Cov qhab nia Gleason siab dua feem ntau kwv yees tias kev mob qog nqaij hlav prostate yuav loj hlob sai dua. Txawm li cas los xij, nco ntsoov hais tias qhov qhab nia ib leeg tsis kwv yees koj qhov kev kwv yees. Thaum koj ntsuam xyuas cov kev pheej hmoo thiab kev kho mob nrog koj tus kws kho mob, nco ntsoov tias koj tseem nkag siab txog qog mob cancer theem thiab koj qib PSA. Txoj kev paub no yuav pab koj txiav txim siab hais tias yam ua kom raug saib xyuas puas tsim nyog. Nws tseem tuaj yeem pab coj koj kev xaiv cov kev kho mob kom haum rau koj qhov xwm txheej.