Bere a na woreyɛ kokoram ayaresa no, ebia wo duruyɛfo no ka kyerɛɛ wo sɛ yɛ nhwehwɛmu bi a wɔfrɛ no CEA. Ebia ehu kaa wo kakra bere a wotee saa din yi no. Ebia woasusuw ho sɛ, ‘Sɔhwɛ bɛn na eyi yɛ? Dɛn nti na wɔreyɛ eyi?’ Mma ɛnhaw wo, ɛyɛ ade a ɛfata. Ɛnnɛ, yɛbɛbua nsɛmmisa a wowɔ fa CEA sɔhwɛ no ho nyinaa, na yɛbɛka ho asɛm tiawa.
Dɛn ne CEA sɔhwɛ no tiawa?
Sɛ yɛbɛka no tiawa a, CEA yɛ protein soronko bi a ɛwɔ yɛn mogya mu. Ne din mũ nyinaa ne Carcinoembryonic Antigen . Sɛ wɔwo yɛn nyinaa a, yɛwɔ saa CEA protein yi dodow a ɛkɔ soro yiye wɔ yɛn nipadua mu. Bere a yɛrenyin no, saa dodow yi so tew.
Nanso, wɔ tebea horow bi mu, titiriw kokoram ahorow bi mu no, CEA dodow a ɛwɔ mogya no mu no fi ase kɔ soro bio. Enti, nnuruyɛfo de di dwuma sɛ "agyiraehyɛde" a ɛho hia wɔ kokoram ayaresa mu.
Dɛn nti na oduruyɛfo no de nhwehwɛmu yi di dwuma?
Eyi ne ade a ɛho hia sen biara. Nneɛma atitiriw abiɛsa nti na wɔde CEA sɔhwɛ no di dwuma.
- Hwɛ sɛ ayaresa no ayɛ yiye anaa: Hwɛ sɛ kokoram ayaresa a woregye, te sɛ `(Chemotherapy)`, `(Immunotherapy)`, anaa `(Radiation Therapy),` reyɛ adwuma yiye na ɛretew kokoram nkwammoaa dodow so anaa.
- Hwɛ sɛ kokoram asan aba bio: Sɛ wowie ayaresa no a, hwɛ sɛ kokoram asan aba bio anaa.
- Hwɛ sɛ kokoram no atrɛw anaa: Hwɛ sɛ kokoram no atrɛw akɔ nipadua no afã afoforo anaa (Metastatic Cancer).
Nanso ma eyi ntra w’adwenem: CEA nhwehwɛmu nkutoo ntumi nhu sɛ wowɔ kokoram anaa. Ɛne sɛ, wɔmfa nni dwuma sɛ sɔhwɛ a wɔde hwehwɛ nneɛma mu. Ɛho wɔ mfaso bere a wɔresa obi a wɔahu sɛ ɔwɔ kokoram dedaw no yare nkutoo.
Woyɛ dɛn yɛ sɔhwɛ yi?
Wɔtaa de mogya mu nhwehwɛmu a ɛnyɛ den koraa na ɛyɛ eyi. Wɔfa mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu na lab no sɔ hwɛ sɛ CEA dodow wɔ mu anaa. Ɛte sɛ mogya mu nhwehwɛmu a wɔyɛ no daa ara pɛ, na egye nea ennu simma anum.
Nanso, ɛntaa mma koraa sɛ wobetumi asɔ nsu a efi mmeae afoforo nso ahwɛ. Nhwɛsoɔ:
- Efi yafunu mu
- Efi koko mu
- Atwa akyi berɛmo no ho ahyia
Sɛ ɛba saa a, oduruyɛfo no bɛma aduru a wɔde kum nipadua no wɔ mpɔtam hɔ na ɔde ade ketewaa bi afa nsu no. Eyi betumi agye bɛyɛ simma 30.
Wo duruyɛfo bɛka akyerɛ wo sɛ yɛ saa CEA nhwehwɛmu yi bere ne bere mu. Nea enti a ɛte saa ne sɛ ɛho hia kɛse sɛ yebehu sɛ ebia saa bo yi so tew anaasɛ ɛkɔ soro bere a bere kɔ so no sen sɛ yebehu nea efi mu ba no bere koro mu. Sɛ nhwɛso no, ebia wɔbɛka akyerɛ wo sɛ yɛ eyi ɔsram biara bere a wɔreyɛ ayaresa no. Ebia wɔbɛka akyerɛ wo sɛ yɛ eyi asram abiɛsa kosi asia biara wɔ ayaresa akyi.
Wote sɔhwɛ no mu aba no ase dɛn?
Sɛ wo duruyɛfo rehwɛ CEA aba no a, ɔbɛhwehwɛ nhwɛso ahorow a ɛsakra bere kɔ so. Sɛ wo CEA dodow so tew nkakrankakra wɔ w’ayaresa no mu a, ɛkyerɛ sɛ w’ayaresa no reyɛ adwuma na wɔatumi adi wo kokoram no so. Ɛno yɛ sɛnkyerɛnne pa. Nanso sɛ wo CEA dodow kɔ so kɔ soro a , ebetumi akyerɛ sɛ wo kokoram no reyɛ kɛse anaasɛ ɛnyɛ yiye wɔ ayaresa ho.
Wɔtaa susuw CEA wɔ nanograms wɔ mililita biara mu (ng/mL). Momma yɛnhwɛ saa levels yi ntɛm.
| CEA gyinabea | Botae a ɛfata (ng/mL) . | Dɛn na yebetumi akenkan afi eyi mu? |
|---|---|---|
| Nsonsonoe a ɛyɛ daa | Ntam 0 - 3 ng/mL. (Ebetumi ayɛ nea ɛfata akodu 5 ng/mL wɔ sigaretnomfo mu) | Wobu no sɛ ɛyɛ level a ɛwɔ apɔwmuden. |
| Wɔakɔ soro Kakraa | Ɛboro 3 ng/mL nanso ennu 10 ng/mL | Ebia efi kokoram ketewaa bi a ɛwɔ baabi anaa tebea foforo a ɛnyɛ kokoram. |
| Ɔsoro (High) . | Ɛboro 10 ng/mL nanso ɛba fam sen 20 ng/mL | Ebetumi ayɛ kokoram a edi kan ho sɛnkyerɛnne. |
| Ɔkorɔn Paara | Nea ɛboro 20 ng/mL | Mpɛn pii no ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ kokoram no retrɛw akɔ nipadua no afã afoforo. |
Kae sɛ, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu, enti ɛbɛyɛ papa sɛ wo ne wo duruyɛfo besusuw w’amanneɛbɔ no ho.
So ɛsɛ sɛ kokoram na ɛma CEA dodow kɔ soro?
Dabi, ɛnte saa koraa. Eyi yɛ adwene a ɛnteɛ a wɔtaa nya. Akwahosan tebea afoforo pii wɔ hɔ a ebetumi ama CEA dodow akɔ soro, a ɛnyɛ kokoram. Ɛno nti na wɔmfa CEA nhwehwɛmu no nni dwuma mfa nhu kokoram no.
Tebea afoforo bi a ɛnyɛ kokoram a ebetumi ama CEA akɔ soro ni:
- Sigaretnom: Obi a ɔnom sigaret no CEA dodow boro obi a ɔwɔ apɔwmuden de so fi awosu mu.
- Yafunu mu yare ne akuru a ɛwɔ yafunu mu
- Ahurututu mu Yare a Ɛmma Nnipa Ntumi Siw Nneɛma Mu (COPD) .
- Mmerɛbo mu nyarewa (Cirrhosis, Fatty Liver) .
- Asikyireyareɛ
- Nyarewa a ɛba dwensɔtwaa mu (Crohn Yare, Ulcerative Colitis) .
- Akisikuru a ɛma obi ho yɛ hyew
- Nyarewa te sɛ ahurututu mu yare
Enti sɛ wo CEA level no kɔ soro kakra a, mma ɛnhaw wo. Wo duruyɛfo no behu nea ɛde ba ankasa.
So asiane ahorow bi wɔ sɔhwɛ yi mu?
Mpɛn pii no CEA sɔhwɛ no yɛ sɔhwɛ a ahobammɔ wom yiye .
Sɛ wɔtwe mogya a, ebetumi ayɛ yaw kakra, akisikuru, anaa akisikuru wɔ baabi a wɔde ade no hyɛɛ mu no. Eyi befi hɔ wɔ nnɔnhwerew kakraa bi anaa da koro mu.
Sɛ wɔayi nsu afi wo moma so anaa w’akyi a, asiane ketewaa bi na ɛwɔ mu. Eyi kyerɛ nneɛma te sɛ mogya a ɛtɔ ne ɔyare mmoawa. Nanso eyinom ho yɛ na koraa. Ebia wobɛte nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ wo yaw.
Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo ansa na woayɛ nhwehwɛmu no, enti biribiara nni hɔ a enti ɛsɛ sɛ wusuro.
Nkrasɛm a Wɔde Kɔ Fie
- CEA sɔhwɛ no nyɛ sɔhwɛ a wɔde hu kokoram. Wɔde hwɛ sɛnea ayaresa no di yiye ne sɛnea yare no te wɔ obi a wɔahu sɛ ɔwɔ kokoram dedaw no mu.
- Nea ɛho hia sen CEA boɔ wɔ berɛ bi mu ne nhwɛsoɔ a ɛkyerɛ sɛ saa boɔ no so tew anaa ɛkɔ soro wɔ berɛ mu.
- Sɛ wo CEA dodow kɔ soro mpo a, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ kokoram. Ebetumi nso akɔ soro esiane nneɛma afoforo a ɛnyɛ den te sɛ sigaretnom ne yafunu mu yare nti.
- Mma wo ho nnyɛ wo hu denam gyinapɛn ahorow a ɛwɔ wo sɔhwɛ amanneɛbɔ so a wobɛhwɛ ara kwa no so. Wo ne wo duruyɛfo nka ho asɛm bere nyinaa na di n’afotu akyi.
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