ʻO kahi o nā mea nui loa o ka lāʻau lapaʻau he kikilo, no ka mea, ma hope koke nei, ua piʻi nui nā hihia o kaʻikeʻana i nā maʻi maʻiʻino. No ka hōʻoiaʻokoʻa maʻamau o ka maʻi kanesa, ua'ōleloʻia kahi hōʻailona no nā oncomarkers -ʻaʻole iʻikeʻia kēia mea e nā poʻe maʻi a pau, no ka manawa pinepine e hanaʻia kēia hoʻonaʻauao kūponoʻole, aʻaʻoleʻike i nā hopena. Akā ināʻoe e hana pololei, hiki iāʻoe ke hōʻole i ka ulu a me ka holomua o nā pūpū, a no ka loiloi i ka pono o ka lāʻau.
He aha ka hōʻikeʻana o ke koko no nā mākuʻu kūikawā kūikawā?
Hoʻopuka kēlā me kēia neoplasm kino i loko o ke kino i nāʻanoʻanoʻano pūmua protein i kapaʻia he oncomarkers. Aia i kēlā me kēia pū koko kona mau kiko'ī pono'ī iho, kahi e hiki ai ke maopopo iā ia mai nāʻano'ē aʻe o ka maʻi kanesa a me ke alakaʻiʻana i nā hōʻailonaʻokoʻa.
He mea pono eʻikeʻoe i kaʻike nui o nā mākuʻu ma luna o ka'āpana hoʻokomo i loko o nāʻano o nā protein:
- CA 19-9;
- B-2-MG;
- REA;
- AFP;
- CA 72-4;
- HCG;
- CA 125;
- PSA;
- NCE;
- CA 15-3;
- UBC;
- CPCA.
Ua kūpono kēlā me kēia hui no ka hoʻomaopopoʻana i nāʻano o keʻano a me keʻano o ka'ōpū. No laila,ʻaʻohe kauka akamai i hoʻonohonoho i kahi aʻoʻana i nā mea a pau i hele mai. No kaʻikeʻike, ua lawa ka nui o ka 1 a 3 mau pūpū protein.
Ma ka manawa like, e noʻonoʻo ana ka hoʻowākii, me nā pōmaikaʻi, he nui nā hemahema:
- Aia kekahi mau maʻi i piliʻole i ke kiʻikika, ka mea hoʻonāukiuki i nā mea maʻamau o nā oncomarkers.
- ʻO ka nele o nā protein i loko o ke koko,ʻaʻole ia e hōʻike ināʻaʻole he kino i ke kino.
- ʻO nā hopena o ka haʻawina e pili pono ana i ka hana o ke ake a me nā puʻupaʻa.
- ʻO nā meaʻaʻahu i kauʻia he kiko'ī wale nō no kekahiʻano o nā meaʻokoʻa,ʻaʻoleʻo ka mea kino. No laila, ua hiki ke hoʻohālike i kēlā mea hōʻike i nā neoplasms ma nā wahi likeʻole o ke kino.
- He mea nui e nānā mau i ka mahele o nā protein i loko o ka hale hana hoʻokahi, ma kahiʻoihana like.
Ma muli o nā kumu i luna, ua hoʻonuiʻia kēia noi ma nāʻano diagnostic - radiography, MRI, ultrasound.
Pehea e hana ai i ka hōʻuluʻulu manaʻo ma luna o nā konohiki?
Ma keʻano he kūpono, e koiʻia ana ke kokoʻeha no ka hōʻailona. Laweʻiaʻo ia ma ka'ōpū'ōpū,ʻaʻole ma mua o 8 hola ma hope o kaʻaiʻana.
I kekahi mau manawa, nānā nā meaʻimi i ka urine. Hoʻokuʻu ka wai i ke kakahiaka, ma mua o ka kakahiaka.
Nā kūlana maʻamau o kaʻimi maʻamau o nā koko no nā mea kaha nui
ʻOiai i loko o kahi kanaka ola loa, pūpū protein o keʻano i ho'ākākaʻia aia i loko o ke kino. No laila, no kēlā me kēia o lākou, ua hoʻokumuʻia ka palena'āina:
- CA 19-9 -ʻaʻole iʻoi aku i ka 30 IU / ml;
- REA - mai ka 0 a 5 ng / ml;
- CA 242 -ʻaʻole ma luna o 30 IU / ml;
- AFP - i hiki i 5 IU / ml;
- CA 72-4 -ʻaʻole iʻoi aku ma mua o 4 IU / ml;
- HCG -ʻaʻole iʻoi aʻe ma mua o 5 IU / l;
- CA 125 - 0 i 30 IU / ml;
- PSA - 0 i 4 IU / ml;
- B-2-MG - mai 660 a 2740 n / ml;
- NCE - 0 a 15 ng / ml;
- CA 15-3 - 0 i 22 IU / ml;
- UBC - mai ka 15 a 15 m / ml.
No ka CSA, pono ka hoʻopiliʻana wale nō inā iʻoi aku ke kiʻekiʻe o ka PSA i 4 IU / ml. I kēlā mau hihia, ua heluʻia ka pakeneka o ka CSA i ka PSA.
Ke ho'ākākaʻana i nā hopena o nā kānalua i nā lālā i manaʻoʻia ma nā konohiki
E like me ka mea i haʻi muaʻia, kēlā me kēiaʻano pilina e pili ana i kekahiʻano o nā maʻi koko:
- PSA a me cpsA - ka maʻi maʻi hanu;
- CA 19-9 - maʻi maʻi pancreatic ;
- ʻO ka CEA - ka hanuʻeleʻele o ka'ōpū, nā mumū, ka'ōpala, ka paku. Hōʻike pūʻia kekahi pūpū o ka lacteal, thyroid, pancreas, ovaries;
- CA 242 - ka maʻiʻeha o ka'ōpala a me ka'ōpū nui, pancreas;
- ʻO ka AFP - ka maʻi o ka ate;
- CA 72-4 - ka maʻiʻeha o ka'ōpū, ke poʻoʻole;
- HCG - ka maʻi'akiki o ka'ōpū, ka tumau typhoblastic, ka maʻi o testicular, ka choical chorion carcinoma;
- CA 125 - maʻi maʻiʻeleʻele;
- ʻO ka B-2-MG - Leukemia lymphocytic-B-cell, lymphoma, ka mieloma maha ;
- NSE - ke kaumāmā o ke akemoku, kouroid, pancreas, neuroblastoma, pheochromocytoma;
- CA 15-3 - ka maʻi kanulau, ka maʻile o ka maʻi;
- ʻO UBC he maʻi maʻi hōʻoia.