CA 15-3 - chotupa chikhomo a khansa ya m'mawere

Mu mankhwala, CA15-3 (chotupa chikhomo) ntchito choyezera matenda a khansa, izo kumawonjezera ku seramu limasonyeza kukhalapo kwa matenda, makamaka matenda patsogolo ndi kukhalapo kwa metastases mu thupi. chikhomo n'kofunika kwambiri lomwe lili ndi kulunjika mkulu, zofufuza kudziwa khalidwe la mankhwala, ndipo zisadzachitikenso kapena metastasis osiya. kusanthula zona CA 15-3 ndi matenda zedi matenda ngati chifuwa monga carcinoma, zikopa umene kwenikweni limapezeka seramu.

ndi chotupa chikhomo Kodi

Chotupa zolembera ndi zinthu zachilengedwe zosiyanasiyana akhoza kukhala pa TV madzi (zambiri mkodzo kapena magazi) mu ndende zina zingasonyeze kukhalapo kwa khansara. Mu ndondomeko matenda zolembera zimadalira kulunjika ndi tilinazo chotupa cha. Kulunjika ndi kuchuluka asakhumudwe wa zolembera chotupa mu kusanthula munthu wathanzi. Tilinazo ndi kuchuluka kwa zotsatira zabwino zopezera odwala khansa kudwala. Lero sanapezebe Antigen mwachindunji, zimene mwachindunji ndi mwina kwathunthu akhoza kuthandiza kuika matenda Cancer. Chotupa akhoza zochuluka, ndi matenda yotupa zachilengedwe zosiyanasiyana, ndipo kuwonjezera ndi mtima wabwino ndondomeko.

Mwachibadwa, zolembera khansa amatuluka yekha maselo embryonic. Nthawi zambiri Posachedwapa madokotala anayamba kupeza zolembera a khansa achinyamata komanso ana. Izi zimachitika chifukwa kuwonongeka kwa zinthu zachilengedwe, pamaso pa zizolowezi zoipa, kapena comorbidity.

angachite

Kudziwa bwino chotupa chikhomo mu mphamvu, ndiye ali wamkulu matenda mtengo kuposa diagnostics kamodzi. Mlingo pa zimene ponso chizindikiro limasonyeza kukula kugunda chotupa, ndi kukhalapo kwa metastases. Ngakhale pambuyo khansa chithandizo Antigen CA 15-3 mu nthawi kuchokera miyezi miyezi isanu ndi inayi akhoza kupita patsogolo pa chitukuko cha chithunzi matenda. Pafupifupi 80% ya amayi ndi khansa ya m'mawere metastatic, kubwera kwa dokotala ndi kuzikonzanso, 20% amapezeka ndi ndondomeko khansa woyamba kapena wachiwiri sitepe chikhomo Komanso kumawonjezera.

pamene amapatsa

Nkhani yophunzira ndi magazi, CA 15-3 chikhomo chiphaso cha polojekiti okhazikika yake, kudziwika oyambirira zisadzachitikenso matenda, metastasis, ndi mphamvu ya mankhwala. Komanso posachedwapa anatenga masiyanidwe matenda a chotupa chija ndi mastitis.

CA 15-3 Kodi (chotupa chikhomo)

Izi mkulu maselo kulemera mucin-mtundu glycoprotein ndipo ali ndi kulemera maselo a kilodaltons 300. Mu chizindikiro yachibadwa m'gulu la secreting selo nembanemba pamwamba. Iwo akhoza kudziwa chifuwa carcinoma, komanso pamaso pa chizindikiro ichi mulole zasayansi ndi carcinoma a m'mapapo, yamchiberekero, ndi kapepala gastro-m'mimba ndi kapamba.

Kuwonjezera CA15-3 kuti (chotupa chikhomo) akhoza kupanga chotupa minofu, zikhoza akweza limati zina pathological imene kuchuluka selo zolowa. Izi ndi glycoproteins zina m'thupi, makamaka magazi, linanena bungwe ndi chiwindi ndi kuti kudwala kwake, mwa matenda enaake makamaka, akhoza kukhala chinthu ena matenda.

Kufunika Kuganizira

khansa ya m'mawere ndi sioneka ndithu matenda, chimene chiri mwa magawo oyambirira a matenda ndi bwino. Kupereka kusanthula magazi CA15-3 ofunika komanso cholinga cha kapewedwe, ndiye palibe mpata Oncology pa siteji m'banda kwa ndondomekoyi. Komanso, adzapanga matenda yake ya kudwala chiwindi. chidwi ziperekedwe matenda ndi odwala amene achitiridwa kapena akazi kusamba. Komanso, n'zotheka kudziwa mtima wabwino kapena M'malo mwake, amafuna mankhwala mwamsanga ndiponso kuuzidwa katswiri.

Matenda zimene zimafuna kusanthula

Woyamba, amene ayenera kutenga CA15-3 kusanthula -, monga tanenera kale, khansa ya m'mawere carcinoma, ndi ndondomeko metastatic. Monga mapuloteni izi, ndi malo akuluakulu a kagayidwe ake - vuto la chiwindi ndi awa akhoza kupatsidwa mphamvu ndi. Choyamba, mu nkhani iyi m'pofunika kuganizira matenda enaake, mu nkhani iyi, kuchuluka CA 15-3, ponseponse mu nkhani iyi ndi wofanana mayunitsi 50 pa ml. Komanso kulabadira njira zina mosamala chiwindi, makamaka ultrasound ndi histology. Iwo histologist akhoza kuika mfundo yomaliza matenda. Chifukwa khansa angathe osati bere, komanso m'mimba, kapamba, mazira ndi mapapo ndi metastasize kuti ziwalo zimenezi, kufunika makamaka a chikhomo CA 15-3 amapeza ndiponso amuna. Mphamvu kusanthula adzakhala kuwunika mankhwala anakhala ndi ubwino wake.

Nthawi zambiri pentopeni ndipo ukuwonjezeka mu chosaopsa ndondomeko, ndi loyamba matenda onse tatchulawa wa zopangitsa mammary. matenda Autoimmune angapereke kuchuluka CA 15-3. Chotupa zolembera akhoza ziwonjezeke ngakhale otere amaneneratu thupi la chamoyo akazi, monga mimba, makamaka pa trimester lachitatu chizindikiro mu nkhani iyi ndi wofanana 50 U / ml.

Kodi? Kodi? Pamene?

Inu muyenera kutenga magazi kuchokera mu mtsempha wa, chomwe chidzachitike namwino mu chipinda chithandizo. Monga kukumbukira kuti muyenera pa chopanda kanthu kusanthula m'mimba CA15-3, decoding mwina zimenezi zingakhale zolondola. Ankafufuza seramu, amene akufunitsitsa chizindikiro Cancer mapuloteni. Kuchita ndi kusanthula nthawi ya maola atatu - ndi zotsatira ndi wokonzeka. Adzaika kusanthula akhoza oncologist mammolog kapena gynecologist. Kuphunzira seramu magazi kumachitika ndi kusanthula immunohemilyuminestsentnogo, ndi theka la ola pamaso yobereka kuwunika sayenera kusuta.

Popeza chakudya wotsiriza ayenera maola osachepera 8 ndi osapitirira 14. magazi The amakhala mankhwala isanafike, osati kale kuposa 1-2 masabata pambuyo discontinuation zakayendesedwe ka awo. Ngati mankhwala si zotheka kuti asiye, malangizo ayenera mwachindunji zomwe mankhwala munthu wapatuka, ndi zimene mlingo. Chadzulo adani a kuwunika ayenera kuchepetsa olimbitsa thupi, komanso amakana mafuta ndi zakudya yokazinga.

Zotsatira zopezera

mtengo Buku anatsimikiza mtima index ayenera mayunitsi zosakwana 31,3 pa milliliter. Pamene kuwonjezeka CA 15-3 mukhoza kuweruza siteji ya ndondomekoyi, ndi zambiri matenda itayamba, ikuluikulu chotupa mwa bere minofu. Metastatic khansa, makamaka mafupa ndi / kapena chiwindi, monga mwina amasonyezanso kusanthula. Musaiwale kuti mu magawo oyambirira ndondomeko CA 15-3 (chotupa chikhomo) Mwina musalumphe ponseponse. Malinga ndi kafukufuku, kuchuluka kwa odwala awa ndi 25 mpaka 30, khansa minofu monga sangabereke izi mapuloteni makamaka. Pankhani ya kuwonjezereka mpaka kalekale ndende pa maziko a mankhwala akhoza bwinobwino kuganizira analibe mogwira kapena M'malo mwake, ndondomeko kumwa.

chifukwa akhoza molakwika

Comorbidities zingakhudze kusanthula zizindikiro, ndipo izi n'komwe. Pali mndandanda wonse wa matenda, amene ali pa maziko a chitukuko cha ndondomeko khansa tingayambe zotsatira ndipo mulole dokotala pa njanji cholakwika. Kwa matenda monga njira autoimmune, TB sarcoidosis. Ndi chifukwa izi zikhoza kukhala kudwala lozhnopolozhitelen.

Matenda kusanthula CA15-3 khansa kuti ofunika kwambiri ngati pa nthawi yomweyo kudziwa Antigen carcinoembryonic. Ndipo kuti achite mayeso yokha bwino mu masabata ochepa chabe atayamba mankhwala.

mayesero ena

Matenda zotheka osati kupereka chuma magazi ungakhalenso pleural madzimadzi, ascitic (makamaka matenda enaake), cerebrospinal, enaake (cysts biopsy a chifuwa kapena yamchiberekero) madzi. Kuti adzaweruza matenda, ayenera kutsatira mfundo zina. Mu wathanzi chamoyo, chotupa chikhomo Kodi musalumphe mlingo wa 0 kwa 22 IU pa milliliter, chikhalidwe malire ayenera kuonedwa ku 22 30 IU pa milliliter, ndi kudwala ankaona kusanthula zimene zimasonyeza 30 IU pa milliliter kapena zambiri.

Prophylaxis ali ndi phindu

Chotupa zolembera si kafukufuku njira yokhayo imene imathandiza madokotala kuti matenda zolondola. Pamaso pa zolembera khansa adzalola kuti kuwunika mphamvu ya mankhwala kapena kuzindikira matenda pa siteji oyambirira a chitukuko. Tengani kusanthula koyenera pa zina kamodzi pachaka, makamaka zaka 35-40.

Pamodzi ndi tanthauzo la zolembera khansa si precluded mosamala mtima ndi kugwiritsa ntchito njira malangizo komanso mabuku matenda bwino. Pamene mkulu mlingo wa CA15-3 ndiponso kusapezeka kusintha kulikonse pa Kupenda zopangitsa mammary mulibe kumasuka, Cancer ndondomeko angathe kubisala ziwalo zina monga intestine, chiwindi, n'kuwasanganiza, kapena chiberekero. Pamaso pa Antigen imeneyi amuna limasonyeza mavuto ndi chiwindi kapena kapepala m'mimba, kuteteza kudziwa CA 15-3 ndipo ayenera iwo.

Kuthandiza kumasulira kuwunika chithandizo katswiri, monga kutanthauzira palokha kungayambitse matenda maganizo kapena maganizo, ngakhale kuwonjezeka zolembera akhoza kucitika mu chosaopsa ndondomeko. Adzaika kusanthula zitha kukhala katswiri, pambuyo ayambe mabuku matenda kuona ndi pambuyo anamnesis mosamala. Cancer zolembera kulola akatswiri matenda oyambirira mu ndondomeko matenda, koma njira mabuku akhoza adzaweruzidwa chifukwa komaliza.