Uviwo lwe-CA 19-9: yintoni, yintoni kwaye iziphumo
Umxholo
I-CA 19-9 yiprotein ekhutshwa ziiseli kwezinye iintlobo zethumba, isetyenziswa njengophawu lwethumba. Ke, uviwo lwe-CA 19-9 lujolise ekuchongeni ubukho bale protein egazini kunye nokunceda ekuchongeni ezinye iintlobo zomhlaza, ngakumbi umhlaza wepancreatic kwinqanaba eliphambili, apho amanqanaba ale protein ephezulu kakhulu igazi. Nantsi indlela yokuchonga umhlaza wepancreatic.
Iindidi zomhlaza ezichongwa ngokulula kolu vavanyo zibandakanya:
- Umhlaza wepancreatic;
- Umhlaza womzimba;
- Umhlaza wenyongo;
- Umhlaza wesibindi.
Nangona kunjalo, ubukho be-CA 19-9 bunokuba luphawu lwezinye izifo ezinje nge-pancreatitis, cystic fibrosis okanye isithintelo semibhobho yenyongo, umzekelo, kwaye kukho nabantu abanokonyuka okuncinci kule protein ngaphandle kwengxaki. .
Xa kufuneka uviwo
Olu hlobo loviwo luhlala lu-odolwa xa kuvela iimpawu ezinokuthi zibonise umhlaza kwithumbu lesisu njenge-nausea rhoqo, isisu esidumbileyo, ukwehla kobunzima, isikhumba esimthubi okanye iintlungu zesisu. Ngokwesiqhelo, ukongeza kuvavanyo lwe-CA 19-9, ezinye zinokwenziwa ukuba zincedise ekuchongeni ngokuthe ngqo uhlobo lomhlaza, njengovavanyo lwe-CEA, i-bilirubin kwaye, ngamanye amaxesha, iimvavanyo ezivavanya isibindi. Jonga ukuba zeziphi iimvavanyo zomsebenzi wesibindi.
Ukongeza, olu vavanyo lunokuphindaphindwa nasemva kokuba isifo somhlaza sele sikhona, sisetyenziswa njengendawo yokuthelekisa ukufumanisa ukuba ngaba unyango luneziphumo ezithile kwi-tumor.
Jonga iimpawu ezili-12 ezinokubonisa umhlaza kwaye zeziphi iimvavanyo ezisetyenzisiweyo.
Luqhutywa njani uviwo
Uvavanyo lwe-CA 19-9 lwenziwa njengovavanyo lwegazi oluqhelekileyo, apho kuqokelelwa khona isampulu yegazi ize ithunyelwe elebhu ukuba ihlolwe. Olu hlobo lohlalutyo lweklinikhi, akukho lungiselelo luthile luyafuneka.
Ungazicacisa njani iziphumo
Ubukho bexabiso eliphantsi le-CA 19-9 protein liqhelekile, nakubantu abasempilweni, nangona kunjalo, amaxabiso ngaphezulu kwe-37 U / mL ngokubanzi abonisa ukuba uhlobo oluthile lomhlaza luyakhula. Emva kovavanyo lokuqala, uvavanyo lunokuphindwa amatyeli aliqela ukujonga ukusebenza konyango, olunokubonisa:
- Iziphumo ziyanda: oko kuthetha ukuba unyango alunasiphumo silindelweyo kwaye, ke, ithumba liyanda, kukhokelela kwimveliso ephezulu ye-CA 19-9 egazini;
- Isiphumo sihlala: inokubonisa ukuba ithumba lizinzile, oko kukuthi, alikhuli okanye lehle, kwaye linokubonisa ugqirha isidingo sokutshintsha unyango;
- Isiphumo sincipha: ihlala iluphawu lokuba unyango luyasebenza kwaye yiyo loo nto umhlaza uyehla ngobukhulu.
Ngamanye amaxesha, isiphumo sinokunyuka ngokuhamba kwexesha nokuba umhlaza awonyuki ngokwenyani, kodwa oku kuqheleke kakhulu kwimeko yonyango lwe-radiotherapy.