I-CA 19-9 Ukuhlolwa Kwegazi (Umdlavuza wePancreatic)

-Delile

• Kuyini ukuhlolwa kwegazi kwe-CA 19-9?
• Kusetshenziselwa ini?
• Kungani ngidinga ukuhlolwa kwe-CA 19-9?
• Kwenzekani ngesikhathi sokuhlolwa kwegazi nge-CA 19-9?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-CA 19-9?
• Izinkomba

Kuyini ukuhlolwa kwegazi kwe-CA 19-9?

Lokhu kuhlolwa kukala inani leprotheyini elibizwa nge-CA 19-9 (umdlavuza antigen 19-9) egazini. I-CA 19-9 uhlobo lomaka wesimila. Izimpawu zokumila yizinto ezenziwe ngamangqamuzana omdlavuza noma ngamaseli ajwayelekile ekuphenduleni umdlavuza emzimbeni.

Abantu abaphilile bangaba nenani elincane le-CA 19-9 egazini labo. Izinga eliphakeme le-CA 19-9 livame ukuba uphawu lomdlavuza we-pancreatic. Kepha kwesinye isikhathi, amazinga aphezulu angakhombisa ezinye izinhlobo zomdlavuza noma ezinye izifo ezingezona ezomdlavuza, kufaka phakathi i-cirrhosis ne-gallstones.

Ngoba amazinga aphezulu e-CA 19-9 angasho izinto ezihlukile, ukuhlolwa akusetshenziswanga kukodwa ukuhlola noma ukuxilonga umdlavuza. Kungasiza ukuqapha ukuqhubeka komdlavuza wakho nokusebenza kwendlela yokwelashwa komdlavuza.

Amanye amagama: i-antigen yomdlavuza 19-9, i-carbohydrate antigen 19-9

Kusetshenziselwa ini?

Ukuhlolwa kwegazi nge-CA 19-9 kungasetshenziselwa:

• Bheka ukwelashwa komdlavuza wepancreatic nomdlavuza. Amazinga e-CA 19-9 avame ukukhuphuka njengoba umdlavuza usakazeka, futhi wehle njengoba izicubu zincipha.
• Bheka ukuthi umdlavuza ubuyile ngemuva kokwelashwa.

Ukuhlolwa kwesinye isikhathi kusetshenziswa nezinye izivivinyo ukusiza ukuqinisekisa noma ukukhipha umdlavuza.

Kungani ngidinga ukuhlolwa kwe-CA 19-9?

Ungadinga ukuhlolwa kwegazi kwe-CA 19-9 uma utholwe unomdlavuza we-pancreatic noma olunye uhlobo lomdlavuza oluhlobene namazinga aphezulu we-CA 19-9. Lawa mdlavuza afaka umdlavuza we-bile duct, umdlavuza we-colon kanye nomdlavuza wesisu.

Umhlinzeki wakho wokunakekelwa kwezempilo angakuhlola njalo ukubona ukuthi ukwelashwa kwakho komdlavuza kuyasebenza yini. Ungahlolwa futhi ngemuva kokuphela kokwelashwa kwakho ukubona ukuthi umdlavuza ubuyile yini.

Kwenzekani ngesikhathi sokuhlolwa kwegazi nge-CA 19-9?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi amalungiselelo akhethekile wokuhlolwa kwegazi nge-CA 19-9.

Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Uma welashelwa umdlavuza wepancreatic noma olunye uhlobo lomdlavuza, ungahlolwa izikhathi eziningi kulo lonke ukwelashwa kwakho. Ngemuva kokuhlolwa okuphindiwe, imiphumela yakho ingakhombisa:

• Amaleveli akho e-CA 19-9 ayenyuka. Lokhu kungasho ukuthi isimila sakho siyakhula, futhi / noma ukwelashwa kwakho akusebenzi.
• Amaleveli akho e-CA 19-9 ayancipha. Lokhu kungasho ukuthi isimila sakho siyancipha futhi ukwelashwa kwakho kuyasebenza.
• Amaleveli akho e-CA 19-9 awakhuphukile noma anciphile. Lokhu kungasho ukuthi isifo sakho sizinzile.
• Amaleveli akho we-CA 19-9 anciphile, kepha ngokuhamba kwesikhathi akhuphuka. Lokhu kungasho ukuthi umdlavuza wakho ubuyile ngemuva kokuthi welashwe.

Uma ungenawo umdlavuza futhi imiphumela yakho ikhombisa izinga eliphakeme kunejwayelekile le-CA 19-9, kungaba uphawu lwesinye sezifo ezilandelayo ezinganomdlavuza:

• I-Pancreatitis, ukuvuvukala kwamanyikwe okungekho komdlavuza
• Amatshe amatshe amade
• Ukuvinjelwa komsele we-Bile
• Isifo sesibindi
• ICystic fibrosis

Uma umhlinzeki wakho wezokunakekelwa kwezempilo esola ukuthi unalezi zinkinga, kungenzeka ukuthi a-oda ezinye izivivinyo zokuqinisekisa noma ukukhipha ukuxilongwa.

Khuluma nomhlinzeki wakho wezempilo uma unemibuzo ngemiphumela yakho.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-CA 19-9?

Izindlela zokuhlola ze-CA 19-9 nemiphumela ingahluka kuye ngelebhu. Uma uhlolwa njalo ukuqapha ukwelashwa komdlavuza, ungahle uthande ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokusebenzisa ilebhu efanayo kuzo zonke izivivinyo zakho, ukuze imiphumela yakho ihambisane.

Izinkomba

1. I-Allina Health [Inthanethi]. IMinneapolis: Impilo ka-Allina; Isilinganiso se-CA 19-9; [kubuyekezwe 2016 Mar 29; kucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://account.allinahealth.org/library/content/49/150320
2. I-American Cancer Society [Inthanethi]. I-Atlanta: I-American Cancer Society Inc.; c2018. Izigaba Zomdlavuza wePancreatic; [kubuyekezwe i-2017 Dec 18; kucashunwe 2018 Jul 6]; [cishe izikrini eziyi-6]. Kutholakala kusuka: https://www.cancer.org/cancer/pancreatic-cancer/detection-diagnosis-staging/staging.html
3. Cancer.Net [Inthanethi]. I-Alexandria (VA): I-American Society of Clinical Oncology; 2005–2018. Umdlavuza wePancreatic: Ukuxilongwa; 2018 Meyi [ucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.net/cancer-types/pancreatic-cancer/diagnosis
4. UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Ama-Cancer Tumor Markers (CA 15-3 [27, 29], CA 19-9, CA-125, ne-CA-50); k. 121.
5. UJohn Hopkins Medicine [Inthanethi]. UJohn Hopkins Medicine; ILabhulali Yezempilo: Ukuxilongwa Komdlavuza wePancreatic; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/digestive_disorders/pancreatic_cancer_diagnosis_22,pancreaticcancerdiagnosis
6. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. I-Cancer Antigen 19-9; [kubuyekezwe i-2018 Jul 6; kucashunwe 2018 Jul 6]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/cancer-antigen-19-9
7. IMayo Clinic: I-Mayo Medical Laboratories [i-Intanethi]. IMayo Foundation for Medical Education and Research; c1995–2018. I-ID Yokuhlola: I-CA19: I-Carbohydrate Antigen 19-9 (CA 19-9), iSerum: Imitholampilo kanye nokutolika; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/9288
8. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: CA 19-9; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=CA+19-9
9. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Izimpawu Zokumila; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.cancer.gov/about-cancer/diagnosis-staging/diagnosis/tumor-markers-fact-sheet
10. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
11. I-Pancreatic Cancer Action Network [i-Intanethi]. IManhattan Beach (CA): IPancreatic Action Network; c2018. CA 19-9; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.pancan.org/facing-pancreatic-cancer/diagnosis/ca19-9/#what
12. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2018. I-Health Encyclopedia: Ukuhlolwa Kwelebhu Komdlavuza; [kucashunwe 2018 Jul 6]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=p07248

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.