
Gleason 8 kansarka qanjirka 'prostate' waa baaritaan muhiim ah, oo u baahan faham buuxa oo ku saabsan doorashooyinka daawaynta si loo sameeyo go'aamo xog ogaal ah. Hagahan waxa uu sahamiyaa habab kala duwan, isaga oo xooga saaraya muhiimada daryeelka gaarka ah iyo la shaqaynta kooxdaada daryeelka caafimaadka. Waxaan u daah-furi doonaa waxyaabaha gaarka ah ee daawaynta kala duwan, kaa caawinta inaad u socoto safarkan adag.
Dhibcaha Gleason ee 8 ayaa tilmaamaya nooc ka mid ah kansarka qanjirka 'prostate' oo dhexdhexaad ah. Waa muhiim in la fahmo in dhibcaha Gleason kaligiis uusan si buuxda u qeexin saadaasha. Qodobbada kale, sida heerka kansarka (inta uu ku faafay), caafimaadkaaga guud, iyo dookhyada shakhsi ahaaneed, dhammaantood waxay door weyn ka ciyaaraan qorsheynta daaweynta. Dhakhtarkaaga kansarka ayaa tixgelin doona arrimahan marka la go'aaminayo habka ugu fiican ee ficilka xaaladdaada shakhsi ahaaneed. Hadafka ee daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate' waa in la xakameeyo korriinka kansarka lana hagaajiyo tayada noloshaada.
Ragga qaarkood ee qaba Gleason 8 kansarka qanjirka 'prostate', ilaalinta firfircooni waxay u noqon kartaa ikhtiyaar. Tani waxay ku lug leedahay in si dhow loola socdo horumarka kansarka iyada oo loo marayo baaris joogto ah oo PSA ah, ka-qaadisyo, iyo sawirro sawir qaade. Ilaalin firfircoon ayaa sida caadiga ah loo tixgeliyaa ragga qaba cudur halis yar, caafimaad guud oo wanaagsan, iyo rajada nolosha oo laga yaabo inayan u oggolaan inay ka faa'iidaystaan daawaynta degdegga ah. Baaritaanno joogto ah ayaa lama huraan ah si loo hubiyo in goor hore la ogaado isbeddel kasta oo u baahan in hab dagaal badan loo qaado daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate'.
Daaweynta shucaaca waxay isticmaashaa fallaadho tamar sare leh si ay u disho unugyada kansarka. Kansarka qanjirka 'prostate' ee Gleason 8, daaweynta shucaaca iftiinka dibadda (EBRT) ama brachytherapy (shucaaca gudaha) ayaa lagula talin karaa. EBRT waxay keentaa shucaaca mishiin ka baxsan jidhka, halka brachytherapy ay ku lug leedahay in abuur shucaac ah si toos ah loo geliyo qanjirka 'prostate'. Doorashada hababkan waxay ku xiran tahay dhowr arrimood, oo ay ku jiraan marxaladda kansarka, caafimaadka guud, iyo doorbidyada shakhsi ahaaneed. Dhibaatooyinka soo raaca waxaa ka mid noqon kara daal, dhibaatooyinka kaadi mareenka, iyo arrimaha mindhicirka, laakiin kuwani waxay caadi ahaan soo fiicnaadaan waqti ka dib. The Shandong Baofa Machadka Cilmi-baarista Kansarka waxay ku siin kartaa macluumaad dheeraad ah oo ku saabsan doorashooyinka daawaynta shucaaca ee daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate'.
Qanjirka 'prostatectomy' wuxuu ku lug leeyahay in qaliin lagu saaro qanjirka 'prostate'. Kani waa qalliin weyn oo leh waxyeelooyin ka iman kara, oo ay ku jiraan kaadi-celinta kaadi-la'aanta iyo cillad la'aanta kacsiga. Si kastaba ha ahaatee, horumarinta farsamooyinka qalliinka, sida laparoscopic prostatectomy ee uu caawiyay robotka, ayaa hoos u dhigay khatartan marar badan. Go'aanka lagu maro qanjirka 'prostatectomy' waa in lala tashado dhakhtarkaaga qalliinka iyo dhakhtarka kansarka. Ku habboonaanta qalliinka sida habka daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate' Waxay ku xirnaan doontaa dhowr arrimood oo ay ku jiraan da'da, caafimaadka guud, iyo heerka kansarka.
Daaweynta hoormoonka, oo sidoo kale loo yaqaanno androgen deprivation therapy (ADT), waxay ka shaqeysaa hoos u dhigista heerarka hormoonnada labka ah (androgens) ee hurinaya koritaanka kansarka qanjirka 'prostate'. ADT waxaa loo isticmaali karaa kaligiis ama lagu daro daawaynta kale sida daaweynta shucaaca ama qaliinka. Waxaa laga yaabaa inay yaraato ama joojiso koritaanka kansarka qanjirka 'prostate', laakiin ma daweyso. Dhibaatooyinka caadiga ah waxaa ka mid ah iftiinka kulul, hoos u dhaca libido, miisaanka oo kordha, iyo lafo-jileecu. Takhtarkaaga ayaa kaala hadli doona faa'iidooyinka iyo khataraha iman kara ADT ee la xidhiidha xaaladdaada gaarka ah daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate'.
Chemotherapy waxaa caadi ahaan loogu talagalay marxaladaha hore ee kansarka qanjirka 'prostate' ee ku faafay qaybaha kale ee jirka (kansarka qanjirka 'prostate'). Waxay isticmaashaa dawooyin awood leh si ay u disho unugyada kansarka ee jirka oo dhan. Chemotherapy waxay leedahay saameyno muhiim ah, go'aanka isticmaalka si taxadar leh ayaa loo sameeyaa, iyadoo la tixgelinayo faa'iidooyinka iyo khatarta ka iman karta. Waa muhiim inaad kala hadasho dhammaan xulashooyinka daawaynta kooxdaada daryeelka caafimaadka. Iyadoo la tixgelinayo daweynta kiimoterabiga inay tahay qayb ka mid ah daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate' waxaa loo baahan yahay oo kaliya xaalado gaar ah.
Habka ugu wanaagsan ee loo daawaynta gleason 8 daawaynta kansarka qanjirka 'prostate' si heer sare ah loo shakhsiyeeyay. Dhakhtarkaaga kansarka ayaa kaala shaqayn doona si loo abuuro qorshe daawayn oo tixgalinaya duruufahaaga gaarka ah, oo ay ku jiraan heerka kansarkaaga, da'daada, caafimaadkaaga guud, iyo dookhyadaada gaarka ah. Tani waa geedi socod iskaashi, waxaana lama huraan ah in lala yeesho xiriir furan oo daacad ah kooxdaada daryeelka caafimaadka si loo hubiyo inaad hesho daryeelka ugu fiican ee suurtogalka ah.
Macluumaadkan waxaa loogu talagalay ujeeddooyin waxbarasho oo keliya mana aha in loo tixgeliyo talo caafimaad. Had iyo jeer kala tasho bixiyaha xanaanada caafimaadkaaga wixii welwel caafimaad ah ama ka hor inta aadan gaarin wax go'aan ah oo la xiriira caafimaadkaaga ama daaweyntaada.