Ukuhlolwa kwe-CEA
-Delile
- Kuyini ukuhlolwa kwe-CEA?
- Kusetshenziselwa ini?
- Kungani ngidinga ukuhlolwa kwe-CEA?
- Kwenzekani ngesikhathi sokuhlolwa kwe-CEA?
- Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
- Ingabe zikhona izingozi esivivinyweni?
- Isho ukuthini imiphumela?
- Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-CEA?
- Izinkomba
Kuyini ukuhlolwa kwe-CEA?
I-CEA imele i-carcinoembryonic antigen. Kuyiprotheni etholakala ezicutshini zengane ekhulayo. Amazinga e-CEA ngokuvamile aba phansi kakhulu noma anyamalale ngemuva kokuzalwa. Abantu abadala abaphilile kufanele babe ne-CEA encane kakhulu noma bangabi nayo emzimbeni yabo.
Lokhu kuhlolwa kukala inani le-CEA egazini, futhi kwesinye isikhathi kolunye uketshezi lomzimba. I-CEA uhlobo lomaka we-tumor. Izimpawu zokumila yizinto ezenziwe ngamangqamuzana omdlavuza noma ngamaseli ajwayelekile ekuphenduleni umdlavuza emzimbeni.
Izinga eliphakeme le-CEA lingaba wuphawu lwezinhlobo ezithile zomdlavuza. Lokhu kufaka phakathi umdlavuza wekholoni kanye ne-rectum, i-prostate, i-ovary, i-lung, i-thyroid noma isibindi. Amazinga aphezulu e-CEA nawo angaba wuphawu lwezimo ezithile ezinganomdlavuza, njenge-cirrhosis, isifo sesifuba esingenomdlavuza, ne-emphysema.
Ukuhlolwa kwe-CEA akukwazi ukukutshela ukuthi unomdlavuza onjani, noma ngabe unomdlavuza yini. Ngakho-ke ukuhlolwa akusetshenziselwa ukuhlolwa komdlavuza noma ukuxilongwa. Kodwa uma usuvele utholakale unomdlavuza, ukuhlolwa kwe-CEA kungasiza ukuqapha ukusebenza kokwelapha kwakho kanye / noma ukusiza ukuthola ukuthi ngabe isifo sesisabalalele yini kwezinye izingxenye zomzimba wakho.
Amanye amagama: Ukuhlolwa kwe-CEA, ukuhlolwa kwegazi kwe-CEA, ukuhlolwa kwe-carcinoembryonic antigen
Kusetshenziselwa ini?
Ukuhlolwa kwe-CEA kungasetshenziselwa:
- Bheka ukwelashwa kwabantu abanezinhlobo ezithile zomdlavuza. Lokhu kufaka phakathi umdlavuza wekoloni nomdlavuza we-rectum, i-prostate, i-ovary, i-lung, i-thyroid nesibindi.
- Thola isigaba somdlavuza wakho. Lokhu kusho ukuhlola ubukhulu besimila nokuthi umdlavuza ususabalale kangakanani.
- Bheka ukuthi umdlavuza ubuyile ngemuva kokwelashwa.
Kungani ngidinga ukuhlolwa kwe-CEA?
Ungadinga lokhu kuhlolwa uma utholwe unomdlavuza. Umhlinzeki wakho wokunakekelwa kwezempilo angakuhlola ngaphambi kokuba uqale ukwelashwa, bese uhlala njalo kulo lonke ukwelashwa kwakho. Lokhu kungasiza umhlinzeki wakho ukuthi abone ukuthi ukwelashwa kwakho kusebenza kahle kangakanani. Ungase futhi uthole ukuhlolwa kwe-CEA ngemuva kokuqeda ukwelashwa. Ukuhlolwa kungasiza ukukhombisa ukuthi umdlavuza ubuyile yini.
Kwenzekani ngesikhathi sokuhlolwa kwe-CEA?
I-CEA ivame ukukalwa egazini. Ngesikhathi sokuhlolwa kwegazi kwe-CEA, uchwepheshe wezokunakekelwa kwempilo 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.
Kwesinye isikhathi, i-CEA ihlolwa kuketshezi lomgogodla noma kusuka kuketshezi olusodongeni lwesisu. Kulezi zivivinyo, umhlinzeki wakho uzosusa isampula encane yoketshezi esebenzisa inaliti encane kanye / noma isirinji. Iziphuzo ezilandelayo zingahlolwa:
- I-Cerebrospinal fluid (CSF), uketshezi olucacile, olungenambala olutholakala emgogodleni
- Uketshezi lwePeritoneal, uketshezi oludonsa udonga lwakho lwesisu
- Uketshezi lwe-Pleural, uketshezi olungaphakathi kwesifuba sakho olumboza ingaphandle lephaphu ngalinye
Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
Awudingi noma yimaphi amalungiselelo akhethekile wokuhlolwa kwegazi le-CEA noma ukuhlolwa koketshezi lwe-pleural.
Ungacelwa ukuthi ukhiphe isinye sakho namathumbu ngaphambi kokuhlolwa kwe-CSF noma kwe-peritoneal fluid.
Ingabe zikhona izingozi esivivinyweni?
Kunengozi encane kakhulu yokuhlolwa kwegazi le-CEA. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.
Ukuhlolwa kwe-CEA koketshezi lomzimba ngokuvamile kuphephe kakhulu. Izinkinga ezinkulu azivamile. Kepha ungahle uthole eyodwa noma eminingi yale miphumela emibi elandelayo:
- Ukube ubuhlolwe i-CSF, ungabuzwa ubuhlungu noma isisa emhlane wakho lapho kufakwe khona inaliti. Abanye abantu baphathwa yikhanda ngemuva kokuhlolwa. Lokhu kubizwa ngokuthi yi-post-lumbar headache.
- Uma ngabe ubune-test peritoneal fluid, ungazizwa unesiyezi noma unekhanda elincane ngemuva kwenqubo. Kukhona ingozi encane yokulimala kwamathumbu noma isinye, okungadala ukutheleleka.
- Uma ngabe uhlolwe uketshezi oluningi, kunengozi encane yokulimala kwamaphaphu, ukutheleleka, noma ukulahleka kwegazi.
Isho ukuthini imiphumela?
Uma uhlolwe ngaphambi kokuqala ukwelashwa komdlavuza, imiphumela yakho ingakhombisa:
- Izinga eliphansi le-CEA. Lokhu kungasho ukuthi isimila sakho sincane kanti umdlavuza awusakazekeleki kwezinye izingxenye zomzimba wakho.
- Izinga eliphezulu le-CEA. Lokhu kungasho ukuthi unesimila esikhulu futhi / noma umdlavuza wakho kungenzeka usakazekile.
Uma welashelwa umdlavuza, ungahlolwa izikhathi eziningi kulo lonke ukwelashwa. Le miphumela ingakhombisa:
- Amaleveli akho we-CEA aqale phezulu futhi ahlala ephezulu. Lokhu kungasho ukuthi umdlavuza wakho awuphenduli ekwelashweni.
- Amaleveli akho we-CEA aqale phezulu kepha ancipha. Lokhu kungasho ukuthi ukwelashwa kwakho kuyasebenza.
- Amazinga akho e-CEA anciphile, kodwa kamuva akhuphuka. Lokhu kungasho ukuthi umdlavuza wakho ubuyile ngemuva kokuthi welashwe.
Uma uvivinyelwe uketshezi lomzimba (i-CSF, i-peritoneal, noma i-pleural), izinga eliphakeme le-CEA lingasho ukuthi umdlavuza usabalalele kuleyo ndawo.
Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.
Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.
Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwe-CEA?
Ama-cancer amaningi awakhiqizi i-CEA. Uma imiphumela yakho ye-CEA ibivamile, usengaba nomdlavuza. Futhi, amazinga aphezulu we-CEA angaba uphawu lwesimo sempilo esingenomdlavuza. Ngaphezu kwalokho, abantu ababhema osikilidi bavame ukuba nezinga eliphakeme kunelejwayelekile lama-CEA.
Izinkomba
- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. I-Carcinoembryonic Antigen (CEA); [kubuyekezwe 2018 Feb 12; kukhonjiwe ngo-2018 Dec 17]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/carcinoembryonic-antigen-cea
- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. Ukuhlaziywa Kwe-Cerebrospinal Fluid (CSF); [kubuyekezwe i-2018 Sep 12; kukhonjiwe ngo-2018 Dec 17]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/cerebrospinal-fluid-csf-analysis
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- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2018. Ukuhlaziywa Kwe-Fluid Fluid; [kubuyekezwe i-2017 Nov 14; kukhonjiwe ngo-2018 Dec 17]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/pleural-fluid-analysis
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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.