Ukuhlolwa kwegazi le-CEA

Ukuhlolwa kwe-carcinoembryonic antigen (CEA) kukala izinga le-CEA egazini. I-CEA yiprotheni evame ukutholakala ezicutshini zengane ekhulayo esibelethweni. Izinga legazi laleli phrotheni liyanyamalala noma lihle kakhulu ngemuva kokuzalwa. Kubantu abadala, izinga elingajwayelekile le-CEA kungaba uphawu lomdlavuza.

Kudingeka isampula yegazi.

Ukubhema kungakhuphula izinga le-CEA. Uma ubhema, udokotela wakho angakutshela ukuthi ugweme ukwenza kanjalo isikhashana ngaphambi kokuhlolwa.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Lokhu kuhlolwa kwenziwa ukuqapha impendulo ekwelashweni bese kubhekwa ukubuya kwekholoni neminye imidlavuza efana nomdlavuza we-thyroid we-medullary kanye nomdlavuza we-rectum, iphaphu, isifuba, isibindi, amanyikwe, isisu nama-ovari.

Ayisetshenziswa njengokuhlola ukuhlolwa komdlavuza futhi akufanele yenziwe ngaphandle kokuthi kutholakale ukuthi kunomdlavuza.

Ububanzi obujwayelekile bungu-0 kuye ku-2.5 ng / mL (0 kuye ku-2.5 µg / L).

Kubabhemayo, amanani aphakeme kancane angathathwa njengokujwayelekile (0 kuye ku-5 ng / mL, noma ku-0 kuye ku-5 µg / L).

Izinga eliphakeme le-CEA kumuntu osanda kwelashelwa umdlavuza othile kungasho ukuthi umdlavuza ubuyile. Izinga eliphakeme kunokujwayelekile lingahle libe ngenxa yale mdlavuza elandelayo:

• Umdlavuza webele
• Umdlavuza wamapheshana okuzala nawokuchama
• Umdlavuza wamakholoni
• Umdlavuza wamaphaphu
• Umdlavuza wepancreatic
• Umdlavuza wegilo

Izinga eliphakeme kunelejwayelekile le-CEA lilodwa alikwazi ukuthola umdlavuza omusha. Ukuhlolwa okwengeziwe kuyadingeka.

Izinga le-CEA elinyukile nalo lingabangelwa:

• Izinkinga zesibindi ne-gallbladder, njengokuqothuka kwesibindi (i-cirrhosis), noma ukuvuvukala kwe-gallbladder (cholecystitis)
• Ukubhema kakhulu
• Izifo zamathumbu ezivuthayo (njenge-ulcerative colitis noma i-diverticulitis)
• Ukutheleleka kwamaphaphu
• Ukuvuvukala kwamanyikwe (pancreatitis)
• Isilonda esiswini

Kunengozi encane ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane kepha zingafaka:

• Ukopha ngokweqile (kuyaqabukela)
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Ukuhlolwa kwegazi kweCarcinoembryonic antigen

• Ukuhlolwa kwegazi

UFranklin WA, Aisner DL, uDavies KD, et al. I-Pathology, biomarkers, kanye nokuxilongwa kwamangqamuzana. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 15.

UJain S, uPincus MR, uBluth MH, uMcPherson RA, uBowne WB, uLee P.Ukuxilongwa nokuphathwa komdlavuza kusetshenziswa i-serologic kanye nezinye izimpawu zomzimba. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 74.