Chirwere Chepabonde Chirwere, Kuongororwa uye Kurapwa
Tumor grade ndeimwe yezvinhu zvakawanda zvichaonekwa pamushumo wehutano hwako. Iyi dhiyabhorosi inobatsira chiremba wako kusarudza pamarapirwo anoshanda zvakanakisisa kune zvakanakisisa mugumisiro. Kanzera yepabonde inoshandiswa kushandisa Bloom-Richardson scoring system. Hezvino izvo zvaunoda kuziva.
Zviitiko Zvinobatsira Kurapwa uye Chibereko
Kana iwe wakanga uine chifukidzo chezamu uye wakarongerwa nekenza yemazamu , iwe uchada kuziva kuti zvipi zvinorapwa zvakakunakira iwe, uye kuti chii chaunenge uchiita. Chirevo ndechokuti chiremba wako nzira yekutsanangurira chimiro chako chakanaka mushure mokunge wapedza kurapa. Zvinhu zvakawanda zvinofungidzirwa mukugadzirisa kuongororwa uye kurapwa kwechisarudzo - rudzi rwekenza yebonde , kukura kwechirwere , chikwata , maitiro ehommone receptor , kushaya lymph node , uye chiremera chemaitiro.
The Bloom-Richardson Grading System
Kune maitiro akasiyana-siyana akashandisa kenza. Iyo Bloom-Richardson system inoshandiswa pakubata chirwere chemuti, uye ine chiyero che1 kusvika ku3. Chirwere chechirwere chinotora sampu yezvisikwa kubva mumaronda ako, uye wozviongorora pasi pe microscope. Tumorome masero anotaridzika semasero anowanzogadziriswa anopiwa chikwata chepasi, neavo vanoona sevasina kujairika vanopiwa chikoro chepamusoro. Zviremera zvepamusoro-grade zvinokurumidza kukura, kupararira (metastatic) , uye utsinye. Kuziva chiremera chako gorosi kunobatsira chiremba wako kusarudza kuti zvipi zvingave zvakanaka kwauri.
The Tumor Grading Process
Imwe nyanzvi inotarisa masero emuviri uye inotarisa zvinhu zvitatu zvakaoma:
- chiyero chekutuka kwemapfupa (kuberekwa kwekenza yakaumbwa nezvivako zvetura)
- tumor mitotic basa (chiyero chema cell division)
- nhamba yenyukireya (girasi remasero uye kufanana)
Chimwe nechimwe chinowanikwa chinowanikwa pachiyero che1 - 3.
Cell Feature Feature Scoring
Muongorori wehutano achapa kukosha kune chimwe nechimwe chemasero, zvichienderana nebasa rayo. Iyi ndiyo nzira iyo maverengi anganzwisiswa:
Shandisa Chikamu chekutanga: Kupera kwemajeri ekuwedzera kwesero
Shandisa Chikamu chepiri: Pakati pemasero ekukura kwemajeri
Shandisa Chikamu chechitatu: Kukurumidza kushandiswa kwesero
Isa Zviitiko Zvokuwedzera kusvika Kune Vatatu Vadzidzi
Nhamba yezvinhu zvitatu zvakawedzerwa pamwe chete kusvika pa3 kusvika ku9.
Dzvanya patafura kune rumwe rutivi rworuboshwe kuti uwedzere uye ona kuti Inobatsira sei Zvikoro uye Kumhanyira mairi kuenzanisa. Bhuku 1 nderokusava nehasha, asi Gwaro 3 ndiyo inonyanya kurwisa.
Kuita Mat
Heano muenzaniso. Kana chiremara chine zvinhu izvi zvikamu:
Tubule maitiro: 1
Basa reMitotic: 2
Chikoro chenyukireya: 2
Tinowedzera 1 + 2 + 2 = 5, iyo inopiwa Bhuku 1 , rinokurumidza kukura, uye rinoshungurudza tumor.
Mishonga inopiwa chikoro chepamusoro uye iyo ine masero akafa (necrosis) inowanzokwanisa kudzoka shure kwekurapa. High grade tumor inorapwa zvakanyanya kupfuura zvishoma zvekirasi yemakumbo.
> Sources:
> National Cancer Institute. Tumor Grade: Mibvunzo neMhinduro. Yakadzokororwa: 05/19/2004.
> California Cancer Registry. Bhuku I: Dhigiriji Dhidhiyo uye Dhavhidha Tsvaga Bloom-Richardson Bhuku reKukondwa Kwebvudzi Mwedzi waMay 2007.