Ukuhlolwa kwe-CA 19-9: kuyini, kuyini nemiphumela

-Delile

• Lapho kudingeka ukuhlolwa
• Kwenziwa kanjani ukuhlolwa
• Ungayihumusha kanjani imiphumela

I-CA 19-9 yiprotheni ekhishwa ngamaseli kwezinye izinhlobo zesimila, esetshenziswa njengophawu lwesimila. Ngakho-ke, ukuhlolwa kwe-CA 19-9 kuhlose ukukhomba ubukhona baleli phrotheni egazini nokusiza ekutholeni ezinye izinhlobo zomdlavuza, ikakhulukazi umdlavuza we-pancreatic osezingeni eliphakeme, lapho amazinga ale phrotheni ephezulu kakhulu igazi. Nakhu ukuthi ungawukhomba kanjani umdlavuza we-pancreatic.

Izinhlobo zomdlavuza ezitholakala kalula ngalesi sivivinyo zifaka:

• Umdlavuza wePancreatic;
• Umdlavuza we-Colorectal;
• Umdlavuza we-gallbladder;
• Umdlavuza wesibindi.

Kodwa-ke, ukuba khona kwe-CA 19-9 nakho kungaba uphawu lwezinye izifo ezifana ne-pancreatitis, i-cystic fibrosis noma ukuvinjelwa kwamapayipi e-bile, ngokwesibonelo, futhi kukhona ngisho nabantu abangahle bakhuphuke kancane kule protein ngaphandle kwenkinga .

Lapho kudingeka ukuhlolwa

Lolu hlobo lokuhlolwa luvame uku-oda lapho kuvela izimpawu ezingakhombisa umdlavuza emgodini wamathumbu njengokucanuzela kwenhliziyo okuvamile, isisu esivuvukele, ukwehla kwesisindo, isikhumba esiphuzi noma ubuhlungu besisu. Imvamisa, ngaphezu kokuhlolwa kwe-CA 19-9, kungenziwa ezinye ezisiza ukukhomba uhlobo lomdlavuza, njengokuhlolwa kwe-CEA, i-bilirubin futhi, kwesinye isikhathi, izivivinyo ezihlola isibindi. Bona ukuthi yini ukuhlolwa kokusebenza kwesibindi.

Ngaphezu kwalokho, lokhu kuhlolwa kungaphindwa ngisho nangemva kokutholakala komdlavuza sekuvele kukhona, kusetshenziswa njengephuzu lokuqhathanisa ukuthola ukuthi ngabe ukwelashwa kunemiphumela yini kulesimila.

Bheka izimpawu eziyi-12 ezingakhombisa umdlavuza nokuthi yiziphi izivivinyo ezisetshenziswayo.

Kwenziwa kanjani ukuhlolwa

Ukuhlolwa kwe-CA 19-9 kwenziwa njengokuhlolwa kwegazi okujwayelekile, lapho kuqoqwa khona isampula legazi bese lithunyelwa elabhorethri ukuze liyohlaziywa. Kulolu hlobo lokuhlaziywa kwemitholampilo, akukho lungiselelo elithile elidingekayo.

Ungayihumusha kanjani imiphumela

Ukuba khona kwamanani aphansi wamaprotheni we-CA 19-9 kuyinto ejwayelekile, ngisho nakubantu abaphilile, kepha amanani angaphezulu kuka-37 U / mL ngokuvamile akhombisa ukuthi uhlobo oluthile lomdlavuza luyakhula. Ngemuva kokuhlolwa kokuqala, ukuhlolwa kungaphindwa kaningana ukubheka ukusebenza kokwelapha, okungakhombisa:

• Umphumela uyanda: kusho ukuthi ukwelashwa akunayo imiphumela elindelekile futhi, ngakho-ke, isimila siyanda, okuholela ekukhiqizweni okuphezulu kwe-CA 19-9 egazini;
• Umphumela uhlala: ingakhombisa ukuthi isimila sizinzile, okungukuthi, asikhuli noma sinciphe, futhi singakhombisa kudokotela isidingo sokushintsha ukwelashwa;
• Umphumela uyancipha: imvamisa kuyisibonakaliso sokuthi umuthi uyasebenza yingakho umdlavuza uncipha ngosayizi.

Kwezinye izimo, umphumela ungakhula ngokuhamba kwesikhathi noma ngabe umdlavuza ungakhuli ngosayizi empeleni, kepha lokhu kuvame kakhulu uma kwenzeka ukwelashwa ngemisebe ye-radiotherapy.