Ukuxilongwa kweCanscer Pregnosis, Ukuxilongwa kunye noTyango
Ibakala elixhamlayo linye yezinto ezininzi eziza kubonakala kwingxelo yakho yokugula. Olu datha lunceda ugqirha wakho isigqibo malunga nokunyanga okuphambili kwiphumo elihle. Umhlaza wesifuba utyunjwa usebenzisa inkqubo yaseBloom-Richardson. Nakhu okufuneka ukwazi.
Izinto ezichaphazela unyango kunye nesiphumo
Ukuba unesibeleko sesifuba kwaye ufumene ukuba unomdlavuza webele , uya kufuneka ukwazi ukuba iziphi unyango zilungele kuwe, kwaye kuya kuba yintoni na ukuhlaselwa kwakho. Ukugxekwa yindlela ugqirha yakho yokuchaza isiphumo sakho esingcono emva kokugqiba unyango. Zininzi izinto eziqwalaselwa ekwenzeni izigqibo ezichanekileyo zokuxilonga kunye nokonyango - uhlobo lomhlaza wesifuba , ubukhulu besisu , isigaba , isimo se-hormone receptor , ukubandakanyeka kwe-lymph node , kunye ne-tumor grade.
I-Bloom-Richardson yokuGcina inkqubo
Kukho iinkqubo ezahlukeneyo zokufaka umhlaza. Iprogram yeBloom-Richardson isetyenziselwa ukufaka umdlavuza webele, kunye ne-1 - 3. I-pathologist iza kuthatha isampuli yeesisisulu kwi-tumor yakho, kwaye uyihlole phantsi kwe-microscope. Iiseli ezixhamlayo ezibonakala ngathi njengeeseli eziqhelekileyo zinikezwa ibakala eliphantsi, ngelixa ezo zibukeka zingavamile zifumana ibakala eliphezulu. Iimvumi eziphezulu zikhula ngokukhawuleza, zisasazeka (i-metastatic) , kwaye zinobudlova. Ukwazi i-tumor grade yakho kukunceda ugqirha ugqibe ukuba yiyiphi indlela yokwenza unyango olungcono kuwe.
Inkqubo yokuGcina i-Tumor
I-pathologist ibheka iiseli zesisu kwaye ihlola izinto ezintathu ezibonakalayo:
- ukwakheka kwe-tumor formation form (iipesenti yomhlaza oqulunqwe izakhiwo ze-tubular)
- umsebenzi we-tumor mitotic (izinga lesahlulo seseli)
- ibakala le nyukliya (ubungakanani beselungelelanayo kunye nobunye)
Impawu nganye zifunyenwe kwizinga eli-1 ukuya ku-3.
Ukwabiwa kweSeli
I-pathologist iza kubelwa ixabiso kwiqela ngalinye, kusekelwe kwimisebenzi yalo. Yile ndlela a manqaku angaqondakala ngayo:
Inkcazo yesici 1: Ukunciphisa izinga lokukhula kweseli
Inkcazelo yesiGaba 2: Izinga lokukhula kweseli eliphakathi
Isiqendu sesigaba 3: Isantya sokukhula kwesantya esheshayo
Iziphumo zeeNqaku eziKongeza kwiiBanga ezintathu
Amanqaku azo zonke iinkalo zintathu zongezwa kunye ngokubanzi phakathi kwama-3 no-9.
Cofa kwitafile ngakwesobunxele ukuze ukwandise kwaye ubone indlela owenza ngayo ama-Scores and Tumor Grades. IBanga 1 liyona ncinane kakhulu, ngelixa iBanga lesi-3 luhlobo olushushu.
Ukwenza iMathe
Nasi umzekelo. Ukuba i-tumor ineziphumo zemibala:
Ukwakhiwa kweTubule: 1
Umsebenzi weMitotic: 2
Ibakala le nyukliya: 2
Songeza i-1 + 2 + 2 = 5, enikwa iBakala 1 , ukukhula okuthe ngcembe kuncinci, kunye nobunzima bomzimba wecala.
Izidumbu ezinikwa ibanga eliphezulu kwaye ziqulethe iiseli ezifile (necrosis) ziyakwazi ukubuyela emva kwonyango. Amathumba aphezulu aphezulu aya kunyangwa ngokugqithiseleyo kunama-tumors aphantsi.
> Imithombo:
> INational Cancer Institute. Ukuxhamla iBakala: Imibuzo neempendulo. Uhlaziywe: 05/19/2004.
> Registry Cancer Registry. Umqulu I: ImiGangatho yeDatha kunye neData Dictionary. I-Bloom-Richardson Ibanga leCarcer Breast ihlaziywe ngoMeyi 2007.