Kodi mungagwiritse ntchito magazi kuti muone ngati muli ndi khansa? (Mayeso a Magazi a Khansa) Tiyeni tikambirane za izi!

Tikamaganiza kuti khansa ili ndi vuto, funso lalikulu lomwe limabwera m'maganizo mwathu ndi lakuti, 'Kodi izi zitha kupezeka m'magazi?' Ndipotu, madokotala amagwiritsa ntchito njira zosiyanasiyana kuti adziwe khansa, aone momwe imachitikira, komanso kukonzekera chithandizo. Pakati pa izi, kuyezetsa magazi ndi chida chimodzi chofunikira. Komabe, ndikofunikira kukumbukira kuti kuyezetsa magazi kokha nthawi zambiri sikokwanira kutsimikizira khansa.

Kodi khansa ingadziwike pongoyesa magazi?

Mwachidule, khansa zambiri sizingapezeke mwa kuyezetsa magazi kokha. Komabe, khansa zina za m'magazi zimatha kupezeka mwanjira imeneyi. Nazi zitsanzo zingapo:

• Hodgkin lymphoma
• Non-Hodgkin lymphoma
• Khansa ya m'magazi
• Myeloma yambiri

Izi zitha kupezeka pamlingo winawake kudzera mu kuyezetsa magazi, koma khansa zina zolimba monga mapapo, mawere, ndi m'matumbo, zimakhala zovuta kuzizindikira kudzera mu kuyezetsa magazi kokha.

Ndi mitundu iti ya mayeso a magazi omwe amagwiritsidwa ntchito kuzindikira khansa?

Madokotala amagawa magazi a khansa m'magulu anayi akuluakulu. Tiyeni tiwone zomwe zili.

Kuchuluka kwa Magazi Onse (CBC)

Iyi ndi njira yodziwika bwino yoyezera magazi yomwe nthawi zambiri imachitika. Khansa zina zamagazi, monga khansa ya m'magazi ndi lymphoma, zimatha kuzindikirika ndi mayeso awa (CBC). Zimathandizanso dokotala wanu kudziwa momwe thupi lanu likuyankhira chithandizo komanso ngati khansayo yafalikira ku mafupa anu. Komabe, singathe kuzindikira khansa monga khansa ya m'mapapo, ya m'mawere, kapena ya m'matumbo.

Mayeso a Magazi a Chizindikiro cha Chotupa

Mayeso awa amafufuza mankhwala enaake omwe matupi athu amapanga tsiku lililonse m'magazi mwathu. Ngati pali mankhwala ambiri m'magazi, akhoza kukhala chizindikiro cha khansa. Mwachitsanzo, mayeso a `CA-125` nthawi zambiri amagwiritsidwa ntchito pokonzekera chithandizo cha khansa ya m'chiberekero ndi kapamba komanso kuwona ngati khansayo yabwerera. China ndi mayeso a `PSA (prostate-specific antigen)`. `(PSA)` awa ndi mapuloteni opangidwa ndi `(prostate)` gland mwa amuna. Kuwonjezeka kwa `(PSA)` m'magazi kungakhale chizindikiro cha khansa ya prostate.

Mayeso a Mapuloteni a M'magazi

Mayeso awa amafufuza kuchuluka kwa mapuloteni m'magazi mwanu. Kuchuluka kwa mapuloteni ambiri kungakhale chizindikiro cha khansa ya m'magazi, makamaka khansa ya m'magazi, khansa ya m'magazi, ndi matenda a myeloma ambiri. Mayeso ena, monga Comprehensive Metabolic Panel (CMP), amangophatikizapo mayeso a mapuloteni onse. Izi zingaperekenso chidziwitso ichi.

Mayeso a Cell Circulating Tumor (CTC)

Imeneyi ndi mtundu wa biopsy yamadzimadzi. Imayang'ana maselo a khansa m'magazi mwanu. Nthawi zina zidutswa zazing'ono za maselo a khansa zimatha kusweka ndikulowa m'magazi mwanu. Madokotala amagwiritsa ntchito mayesowa kuti alosere zotsatira zamtsogolo za anthu omwe ali ndi khansa ya m'mawere, prostate, kapena colon. Ngati mulingo wa CTC m'magazi mwanu ndi wotsika, kapena sungathe kuzindikirika, chimenecho ndi chizindikiro chabwino. Koma ngati muli CTC zambiri m'magazi mwanu, chimenecho si chizindikiro chabwino, ndipo mungafunike chithandizo china.

Ndi mayeso ena ati omwe akufunika kuti atsimikizire khansa?

Monga ndanenera kale, kuyezetsa magazi kokha sikokwanira kutsimikizira khansa. Muyeneradi kuyezetsanso kwina. Zina mwa izo ndi izi:

• ` Biopsy` : Izi zimaphatikizapo kutenga chitsanzo cha minofu yaying'ono kuchokera ku chiwalo chokayikitsa kapena mafuta a m'mafupa ndikutumiza ku labotale komwe imafufuzidwa.
• Mayeso ojambulira : Izi zitha kuphatikizapo X-ray, CT (computed tomography), MRI (magnetic resonance imaging), kapena PET (positron emission tomography). Izi zimathandiza dokotala kupeza komwe kuli zotupa za khansa ndikudziwa gawo lake.
• Mayeso apadera : Nthawi zina mayeso ena apadera angafunike. Mwachitsanzo, mammogram ingagwiritsidwe ntchito kuti ithandize kuzindikira khansa ya m'mawere, kapena Pap smear ingagwiritsidwe ntchito kuti ipeze khansa ya pachibelekero.

Kodi magawo oyambirira a khansa angadziwike kudzera m'magazi?

Khansa zambiri sizimawonekera pa mayeso a magazi nthawi zonse akangoyamba kumene. Komabe, tsopano pali mayeso apadera a magazi omwe angathandize kuzindikira khansa mwa anthu ena akangoyamba kumene.

• ` Mayeso a Galleri` : Iyi ndi mayeso apadera a magazi. Imatha kuzindikira mitundu yoposa 50 ya khansa! Imagwiritsa ntchito ukadaulo wotchedwa `DNA sequencing` kuti ipeze mawonekedwe omwe ali apadera a khansa. Imatha kuuza dokotala ngati muli ndi khansa komanso komwe idayambira.
• Kuyesa kwa plasma kochokera ku Proteomics : Kafukufuku wa 2024 adapeza kuti kuyesa kwatsopano kwa magazi kumatha kuzindikira mitundu 18 ya khansa pachiyambi. (Proteomics ndi kuphunzira kwa mapuloteni a m'maselo ndi momwe amagwirira ntchito.) Kafukufukuyu, womwe unaphatikizapo anthu 440, adapeza 93% ya khansa ya Gawo I mwa amuna ndi 84% ya khansa ya Gawo I mwa akazi. Ngakhale kuti pakufunika kafukufuku wowonjezereka, kuyesa kwa magazi kumeneku kungakhale njira yodziwika bwino yodziwira khansa mtsogolo.

Zotsatira za mayeso otere ziyenera kutanthauziridwa mosamala kwambiri.Komanso, muyenera kulankhula ndi dokotala wodziwa bwino ntchito yanu za mayeso ndi chithandizo chomwe muyenera kuchita.

Tikudziwa kuti n'zovuta kwambiri kuzindikira khansa ikangoyamba kumene. Komabe, kuyezetsa khansa nthawi zonse kungathandize kuzindikira mitundu ina ya khansa zizindikiro zisanawonekere. Funsani dokotala wanu za kuyezetsa komwe kukugwirizana ndi msinkhu wanu. Izi zidzakuthandizani kukhala ndi thanzi labwino.

Kodi kuyezetsa magazi kwa khansa kumagwira ntchito bwanji?

Ngati mayeso a magazi aphatikizidwa ndi mayeso ena, angapatse dokotala wanu chidziwitso chofunikira. Ganizirani izi motere...

• Kodi pali mankhwala ndi mapuloteni m'magazi mwanu omwe akusonyeza khansa?
• Zitha kukhala chifukwa cha khansa, kaya kuchuluka kwa maselo m'magazi kuli kokwera kwambiri kapena kotsika kwambiri.
• Kodi khansa ya m'mawere ndi gawo lotani?
• Kodi chithandizochi chikuyenda bwino bwanji ?
• Kodi khansa yabwerera (kubwereranso)?

Kodi mungakonzekere bwanji kuyezetsa magazi a khansa?

Dokotala wanu adzakupatsani malangizo enaake a momwe mungakonzekerere kuyezetsa magazi anu. Malangizo awa akhoza kusiyana malinga ndi mtundu wa kuyezetsa komwe mukuchita.

Nthawi zina, mungapemphedwe kuti "musale kudya" kwa maola 8 mpaka 12 musanayesedwe. Izi zikutanthauza kuti simuyenera kudya kapena kumwa chilichonse kupatula madzi. Mungapemphedwenso kuti musiye kumwa mankhwala ena musanayesedwe.

Kodi mungayembekezere chiyani mukayesa magazi?

Zimatenga mphindi zochepa zokha kuti mutenge magazi kuchokera kwa inu. Umu ndi momwe dokotala kapena namwino amachitira izi:

• Choyamba, tourniquet imamangidwa mozungulira mkono wanu wapamwamba.
• Kenako, kadontho pakhungu lanu kamatsukidwa, nthawi zambiri mkati mwa chigongono chanu kapena padzanja lanu.
• Singano imalowetsedwa m'dera limenelo. Panthawiyo, mungamve ngati mukumenyedwa pang'ono, ngati kuti mwalumidwa ndi nyerere.
• Masulani pang'ono chingwe cholimba.
• Chubu chimalumikizidwa ku singano ndipo magazi amadzazidwamo.
• Kenako gulu ndi pini zonse ziwiri zimachotsedwa.
• Kupanikizika pang'ono kumayikidwa (kukanikiza) kuti magazi asamatuluke pamalo obowoledwa.
• Pomaliza, bandeji imayikidwa pamalopo.

Zosavuta kwambiri, eti?

Kodi mungayembekezere chiyani mukatha kuyezetsa magazi?

Mukamaliza kuyezetsa magazi a khansa, muyenera kusunga pulasitalayo kwa maola angapo. Komanso, ngati dokotala wanu akulangizani, mungafunike kupewa kuchita masewera olimbitsa thupi kwa maola angapo mutatha kuyezetsa. (Ngati kugunda kwa mtima wanu kukukwera, kutuluka magazi kungakwere.)

Kodi zoopsa kapena zotsatirapo zake zoyezetsa magazi ndi ziti?

Kuyezetsa magazi n'kotetezeka kwambiri, ndipo zoopsa zake n'zochepa kwambiri. Mutha kumva mabala kapena kutupa pamalo pomwe pali singano. Nthawi zambiri, mitsempha imatha kutupa. Ngati izi zitachitika, kugwiritsa ntchito chinthu chofunda (monga nsalu yofunda kapena chotenthetsera) kungathandize.

Kodi ndidzadziwa liti zotsatira za mayeso anga?

Mwina mudzapeza zotsatira zanu pasanathe tsiku limodzi kapena awiri. Komabe, kutengera mtundu wa mayeso omwe akuchitika, zingatenge masiku angapo.

Dokotala wanu adzakuuzani nthawi yoti muyembekezere zotsatira zake komanso momwe mungakambirane nanu pa nthawi yanu yokumana ndi dokotala.

Ngati zotsatira zanga sizili bwino, nchiyani chimachitika pambuyo pake?

Ngati mayeso anu a magazi akusonyeza kuti muli ndi khansa, dokotala wanu adzakutumizani kwa katswiri wa khansa. Katswiri ameneyo angachite mayeso ambiri kuti atsimikizire matendawa ndikukupatsani njira yoyenera yothandizira.

Chithandizo cha khansa nthawi zonse chimafuna gulu la akatswiri osiyanasiyana. Dokotala wanu wa khansa adzagwira ntchito ndi akatswiri osiyanasiyana kuti akupatseni chithandizo chomwe mukufuna.

Kodi gulu la lipid lingathe kuzindikira khansa?

Ayi, madokotala sagwiritsa ntchito ma lipid panels kuti azindikire khansa. Ma lipid panel ndi mayeso omwe amayesa kuchuluka kwa cholesterol ndi triglycerides m'magazi mwanu. Amathandiza madokotala kuona chiopsezo chanu chotenga matenda a mtima, monga sitiroko ndi matenda a mtima.

Ngakhale kuti mayeso anga a magazi ndi abwinobwino, kodi ndingakhale ndi khansa?

Inde, ngakhale zotsatira za mayeso anu a magazi zili bwino, mungakhalebe ndi khansa. Chifukwa chake ndi chakuti mayeso a magazi okha sangazindikire mitundu yambiri ya khansa. Khansa zina za m'magazi, monga khansa ya m'magazi, khansa ya m'magazi, ndi khansa ya m'magazi yambiri, ndi zosiyana ndi lamuloli.

Kudikira kuti mudziwe ngati muli ndi khansa kungaoneke ngati nthawi yatha. Zingakhale zovuta kuchita zinthu zanu zatsiku ndi tsiku popanda kudziwa zomwe zidzachitike mawa. Dokotala wanu adzachita mayeso angapo kuti atsimikizire kuti muli ndi khansa - ndipo kufufuza magazi anu kuti muwone ngati muli ndi khansa ndi chimodzi mwa izo. Adzakufotokozerani zomwe mayeso aliwonse adzachita komanso zomwe zotsatira zanu zidzatanthauza.

Nazi zina mwa zinthu zofunika kwambiri zomwe tiyenera kukumbukira m'nkhaniyi:

Chabwino, lero takambirana zambiri zokhudza khansa ndi kuyezetsa magazi. Mwachidule, nazi zinthu zingapo zoti muzikumbukira:

• Kuyezetsa magazi ndi gawo limodzi lokha la njira yodziwira khansa. Nthawi zambiri, kuyezetsa magazi kokha sikungatsimikizire khansa.
• Kuyezetsa magazi kungapereke chidziwitso chokhudza khansa zina zokhudzana ndi magazi (Leukemia, Lymphoma).
• Pali mitundu yosiyanasiyana ya mayeso a magazi, monga `(CBC)`, `(Chotupa)`, `(Mayeso a mapuloteni a magazi)`, ndi `(Mayeso a CTC),` ndipo iliyonse imayang'ana zinthu zosiyanasiyana.
• Kuti atsimikizire khansa , mayeso ena monga biopsy ndi kujambula amafunika.
• Kuyesa kwatsopano kwa magazi (Galleri test, Proteomics-based test) komwe kumatha kuzindikira khansa pachiyambi chake kukufufuzidwanso, koma sikunagwiritsidwe ntchito kwambiri.
• Ngati mukuganiza kuti muli ndi khansa, funsani upangiri wa dokotala nthawi yomweyo. Adzakuuzani mayeso enieni omwe mukufuna.
• Ngakhale zotsatira za mayeso anu a magazi zili bwino, uzani dokotala wanu ngati muli ndi zizindikiro zina, chifukwa si khansa zonse zomwe zimawonekera m'magazi.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Ngati muli ndi mafunso ena okhudza chilichonse, musazengereze kufunsa dokotala wanu. Iwo ndi omwe angakupatseni upangiri wabwino kwambiri.

Khansa , mayeso a magazi, zizindikiro za chotupa, CBC, kuzindikira, chithandizo cha khansa, khansa ya m'magazi