Cea isimila umaka. Isimila Omaka Cea - okulotshiweyo

Umdlavuza zokugula kulezizinsuku anesikhundla aholayo phakathi izifo human yingozi. Ithumba kungathinta izitho ezihlukahlukene futhi izinhlelo. Mayelana kanjani abanye ukuthi banomdlavuza ukuthi azihlole ukuze isimila eneshadi (Cea, nabanye), kulesi sihloko sizoxoxa ngako.

colon Cancer

Lokhu isimila esibulalayo esikhula Kumiswa kule mucosa abami ezindongeni amathumbu ezinkulu. Kwasendaweni izimila zingase zihluke. Ezimweni eziningi, isimila itholakala emgqeni, nezimpumputhe, ikholoni sigmoid. Phakathi kwezimbangela ukuthi avuse zokugula, kufanele kuphawulwe, okokuqala kunakho konke, ubunjalo amandla. Ngokuvamile, iziguli zigcwele ekudleni ufulawa, amafutha, inyama izitsha. Okuqukethwe ukudla isitshalo sincane kakhulu. Esinye isizathu, ingqondo umdlavuza wamathumbu, kungukuphula kwesitulo ngokuvamile kubonakala ngesimo ukuqunjelwa. Lesi simo futhi kwenzeka ngenxa yamaphutha ekudleni, yokuphila abampofu (ukungawuvivinyi umzimba), kanye neminye sindisa ngokomzwelo. Okubaluleke kakhulu zingezinye zezifo ikholoni, uyisithulu futhi. Ngokuvamile, umdlavuza eba abantu kakhulu eminyakeni yokuguga.

sitholakale kanjani isimila emathunjini ezinkulu?

izimpawu kwangaphandle luhlolo abavamile yezokwelapha ngokuvamile hhayi kangako. Ithumba kungenzeka palpable ogangeni besisu emasayizini amakhudlwana noma iziguli mafutha. Okubaluleke kakhulu ekukhombeni zokugula babe izifundo ezahlukene wezinsimbi. Ikakhulukazi - x-ray of the peritoneum. Uma usebenzisa izindlela zesimanje kanye lizinga lelisetulu lelwati ochwepheshe ukuphatha ukuthola izilonda anomdlavuza ngisho nalapho engekho izimpawu zokwelapha wazwakalisa. -X-ray luhlolo Kwenziwa ngokusebenzisa inhlanganisela barium yombala Ngokuphambene, elawulwa esebenzisa enema, noma ngomlomo inikezwe. Lapho izilonda ku distal (sigmoid) phakathi kudingekile izindlela zokuxilonga colonoscopy samanje futhi sigmoidoscopy, ezisabalele lokuhlola okubonakalayo le mucosa emathunjini. Phezu ukuthola we biopsy isimila wenziwa, wasibiyela noma izinto eziphilayo azithathe. Exclusion Ukudlulela e isibindi Kwenziwa esebenzisa ultrasound. Ngo inqubo ukuhlolwa futhi sikhombisa laparoscopy. Lolu cwaningo ugwema nje okungaqondile umdlavuza. Ukukhethwa iziguli luhlolo wenziwa emva lokuhlola izimpawu zokwelashwa, esekelwe izifundo laboratory indle ngoba khona igazi. ukubaluleka Special ukuhlaziywa Cea. Kuyini lokhu ngemva kokubhala isivivinyo?

antigen Carcinoembryonic

Isimila nakomaka Cea kuyinto iprotheni isetshenziswa sitholakele pathologies eziningi umdlavuza. ezingeni Isimo sayo sibonisa abulalayo inqubo ukuthuthukiswa. Ngaphezu kwalokho, ngokusekelwe imiphumela yokuhlola ucubungula ukusebenza ukwelashwa. Ukuntuleka kokukhulumisana iphrotheni esegazini kubonisa, njengoba umthetho, abaphile kahle isiguli. Okuqukethwe ukutadisha Cea, ngesilinganiso ezizoboniswa ngezansi, it ikuvumela ukuhlonza hhayi kuphela izimila emathunjini ezinkulu. Njengomthetho, yamisa ukuhlolwa ambalwa ezivumela kakhulu ngokunembile ukuchaza isithombe emtholampilo. Ochwepheshe ukuxilonga izimila kule nezindlala mammary futhi kwamanyikwe, isibindi, esiswini, wesibeletho, wamaphaphu gallbladder usebenzisa ezahlukene isimila iziphambano. Cea, kabani izibalo ungalilahli njalo ibonisa umdlavuza, libhekisela antigen non-ethize.

Cea isimila umaka. okulotshiweyo

Uma kutholakala ukuphambuka kusuka amanani esezingeni Cea - oncomarker anda - kuvamise kubonisa khona isimila umdlavuza ku ikholoni, ikakhulukazi emathunjini oqondile. Ukwandisa lokuhlushwa kwenzeka e pathologies ezithile ukuvuvukala futhi ingozi, kanye ababhemayo "abanolwazi". Kule ndaba, lo ukuthola antigen akusona isizathu ngoba uphethwe esichazayo. Ukuhlaziywa Cea kungase kubonise isidingo ucwaningo olwengeziwe. Ngabe yini umphumela emadodeni nakwabesifazane? Ukuhlolwa for isimila nakomaka ka Cea okuqukethwe igazi ezigulini zabo bobubili ubulili - <6.5. Ukwanda lokuhlushwa Dynamics (uma izifundo okuphindaphindiwe) e seziguli ezithola ukwelashwa e izinqubo abulalayo, libhekisela ukwehluleka ukwelashwa kanye Ukudlulela (ngokuvamile izinyanga ezintathu kuya kweziyisithupha ngaphambi kuqala izimpawu) noma kokushelela.

umdlavuza mammary

Lokhu zokugula umdlavuza, esibonakala by ukuthuthukiswa ngokwanele nolaka futhi ikhono iyakhula iyasebenza kakhulu. Ngo umdlavuza webele isimila umaka test wenziwa 15-3 (CA). Ephambi kwezinduna inqubo abulalayo, emakamu yayo kwandisa. On isizinda ingozi izinguquko isimila antigen okuqukethwe ukwandisa kancane noma ahlale ezingeni evamile. Ngaphezu kwalokho, ngeziphambeko kusukela amagugu ejwayelekile kuyagcinwa ku isizinda anomdlavuza wamaphaphu izilonda. Kuyinsakavukela lokhu antigen kwabesifazane - <25.0.

Izimbangela umdlavuza ebeleni

Ngokuvamile, isici ayeke ukunisa kuyinto iziyaluyalu kwama-hormone ngesikhathi umzimba. Ngo abesifazane, kulesi simo kwenzeka uma ufaka engu menopausal ku ngemuva kokuhlelwa kabusha asebenzayo wesi steroid. Ngakho ngaso umsebenzi enciphile wesibeletho, ziyancipha ukukhiqizwa estrogen futhi progesterone. Ngenxa yalokho, umzimba uyakwazi "Inkinga hormone".

izimpawu isifo

Ngokuvamile kutholakala ukuthi uphethwe yini uhlobo isifo nodal. Lapho lokhu ukutholwa obukhulu usayizi qhuzwana 0.5-5 cm noma ngaphezulu. Ziyakwazi ukubonakaliswa nolaka kakhulu amafomu ngokukhukhumala kwentamo yomdlavuza webele. Ukuthuthukisa zokugula ngokushesha, kuyilapho ngesikhathi isimila kungekho imingcele ecacile, kubonakala ukuba "basakaza" esikhumbeni, futhi wendlala. Rozhistopodobnaya namafomu mastitobodobnaya zenzeka ngokumelene isizinda ubuhlungu, imfiva kuze kube degrees 39. Isikhumba endaweni webele iba okukhanyayo.

Izifundo adingekayo ukuze umdlavuza okusolakala webele

Kukhona ubuncane izinyathelo zokuxilonga ukuthi kuyabekwa iziguli engozini of pathologies ebulalayo. Uma ukuqinisekisile (okusekelwe imiphumela biopsy futhi-X-ray Luhlolo lwangeNhlaba) nomdlavuza esolwa futhi kunikezelwe US underarm lymph node ukuthola nabo inqubo Ukudlulela sternum roentgen, ultrasound peritoneum (ukubekela eceleni metastases ezikude nezinye izitho). Ukuhlolwa for isimila eneshadi (Cea nezinye antigen) ayikuvumeli ukuxilonga umdlavuza ngobuciko. cwaningo Laboratory kubonisa kuphela khona emzimbeni ukwephulwa kunokwenzeka. Ukuqinisekiswa khona inqubo abulalayo Kwenziwa ucwaningo olwengeziwe.

Imigomo belungiselela blood donation

Kufanele kuqashelwe nokuthi ukumiswa vivinyo isimila Omaka Cea Nokho, njengoba eziningi nezinye antigen, baba baningana yezidingo, kusukela ngalo ukwenza incike ukunemba kwawo nokuthi unezinto esingazethemba kwemiphumela. Ngokuyinhloko ushintsho igazi Kunconywa ukuba afeze kwasa, kusukela amahora 8 kuya ku-11. Lolu cwaningo Kwenziwa esiswini esingenalutho. Phakathi kwakhe ukudla kufanele kube okungenani amahora ayisishiyagalombili. Ngobusuku obandulela ekusebenziseni igazi izibonelo zalokho, utshwala kufanele indiva. Isiguli kufanele bafake udokotela aware of LONKE imithi kuthathwe. Ngivumelana nokusetshenziswa uchwepheshe izidakamizwa ngaphambi kwesifundo kufanele inqanyulwe. Ngaphambi kokunikeza igazi (ihora noma amabili), kumele uyeke ukubhema, ungaphuzi itiye, ikhofi, juice. Ivunyelwe ukusebenzisa amanzi non-carbonated. imizuzu engu-15 ngaphambi kokuthatha ukuhlaziywa isiguli kufanele uphumule, ngehlise umoya.

isiphetho

Njengoba kubonisiwe ngenhla, isimila nakomaka kukhona izinto wamaprotheni imvelaphi. Basuke ezivezwa amaseli umdlavuza. Ngokuvamile, umzimba akufanele kube. Kumele kuthiwe ukuhlolwa laboratory ngokuba khona isimila nakomaka ungavumeli, njengoba umthetho, ukubeka i ukusazi ngokunembile isifo esikuphethe. ukuhlolwa Isazi isimo wenziwa ngesisekelo imiphumela neminye imisebenzi eyenza ukuhlolwa nesineke. Ikakhulukazi njengoba abanye nakomaka isimila okufana ne-CA 15-3, elincane kakhulu zokuxilonga. Kule ndaba, vivinyo azisetshenziswa ukuhlonza isifo kakhulu, futhi ukuthola ukuthi ukuba khona noma ukungabi khona Ukudlulela kusaqalwa. Nokho, kubaluleke ngokukhethekile, lezi izinto ezivezwa amangqamuzana omdlavuza, ezinye kukhona for iziguli kokuthola ukwelashwa izinqubo ebulalayo. Ukutadisha Dynamics izinguquko lokuhlushwa isimila omaka, udokotela uyayiqonda indlela ngempumelelo yalezi nezinye ezelaphayo. Lokhu kukuvumela ukuba ulungise lwemithi yokwelashwa, ukukhetha imithi esebenza kahle kakhulu nezinqubo. Kodwa kuphela ucwaningo olunzulu ukuze agweme amaphutha zokuxilonga.