Ngesikhathi uselashwa umdlavuza, udokotela wakho kungenzeka ukuthi ukucele ukuthi wenze ukuhlolwa okubizwa ngokuthi i-CEA. Kungenzeka ukuthi wesaba kancane lapho uzwa leli gama. Kungenzeka ukuthi uzibuze, 'Luhlobo luni lokuhlolwa lokhu? Kungani kwenziwa lokhu?' Ungakhathazeki, kuyinto evamile. Namuhla, sizophendula yonke imibuzo onayo mayelana nokuhlolwa kwe-CEA, futhi sizoxoxa ngakho kalula.
Iyini nje i-CEA test?
Kalula nje, i-CEA uhlobo olukhethekile lweprotheyini etholakala egazini lethu. Igama layo eliphelele yi -Carcinoembryonic Antigen . Uma sonke sizalwa, siba namazinga aphezulu kakhulu ale phrotheyini ye-CEA emizimbeni yethu. Njengoba sikhula, leli zinga liyehla.
Kodwa-ke, kwezinye izimo, ikakhulukazi ezinye izinhlobo zomdlavuza, amazinga e-CEA egazini aqala ukukhuphuka futhi. Ngakho-ke, odokotela bawasebenzisa njengophawu olubalulekile ekwelapheni umdlavuza.
Kungani udokotela esebenzisa lesi sivivinyo?
Lokhu kuyinto ebaluleke kakhulu. Ukuhlolwa kwe-CEA kusetshenziswa ngezizathu ezintathu eziyinhloko.
- Hlola ukuthi ukwelashwa kuphumelele yini: Hlola ukuthi ukwelashwa komdlavuza okutholayo, njenge-`(Chemotherapy)`, `(Immunotherapy)`, noma `(Radiation Therapy),` kusebenza kahle futhi kunciphisa inani lamaseli omdlavuza.
- Hlola ukuthi umdlavuza awuphinde ubuye yini: Ngemva kokwelashwa okuqediwe, hlola ukuthi umdlavuza awuphinde ubuye yini.
- Bheka ukuthi umdlavuza ususabalele yini: Hlola ukuthi umdlavuza ususabalele yini kwezinye izingxenye zomzimba (i-Metastatic Cancer).
Kodwa khumbula lokhu: Ukuhlolwa kwe-CEA kukodwa akukwazi ukusho ngokuqinisekile ukuthi unomdlavuza yini. Okusho ukuthi, akusebenziswa njengokuhlolwa kokuhlolwa. Kuwusizo kuphela lapho welapha umuntu osevele etholakale enomdlavuza.
Ulwenza kanjani lolu vivinyo?
Lokhu kuvame ukwenziwa ngokuhlolwa kwegazi okulula kakhulu. Kuthathwa isampula encane yegazi emthanjeni osengalweni yakho bese ilebhu iyihlola amazinga e-CEA. Kufana nokuhlolwa kwegazi okuvamile, futhi kuthatha imizuzu engaphansi kwemihlanu.
Kodwa-ke, akuvamile kakhulu ukuthi uketshezi oluvela kweminye imithombo lungahlolwa. Isibonelo:
- Kusukela emgodini wesisu
- Kusukela esifubeni
- Eduze komgogodla
Kulesi simo, udokotela uzonikeza umuthi wokubulala izinzwa wendawo futhi asebenzise inalithi encane ukuthatha isampula yoketshezi. Lokhu kungathatha cishe imizuzu engama-30.
Udokotela wakho uzokucela ukuthi wenze lokhu kuhlolwa kwe-CEA njalo. Isizathu salokhu ukuthi kubaluleke kakhulu ukubona ukuthi leli nani liyehla noma liyakhuphuka ngokuhamba kwesikhathi kunokubona umphumela ngesikhathi esisodwa. Isibonelo, ungase ucelwe ukuthi wenze lokhu njalo ngenyanga ngesikhathi sokwelashwa. Ungase ucelwe ukuthi wenze lokhu njalo ezinyangeni ezintathu kuya kweziyisithupha ngemva kokwelashwa.
Uyiqonda kanjani imiphumela yokuhlolwa?
Uma ubheka imiphumela ye-CEA, udokotela wakho uzobheka amaphethini ashintsha ngokuhamba kwesikhathi. Uma izinga lakho le-CEA lehla kancane kancane phakathi nokwelashwa kwakho, kusho ukuthi ukwelashwa kwakho kuyasebenza futhi umdlavuza wakho uyalawuleka. Lokho kuyisibonakaliso esihle. Kodwa uma izinga lakho le-CEA liqhubeka nokwenyuka , kungasho ukuthi umdlavuza wakho uyakhula noma awusabeli kahle ekwelashweni.
I-CEA ivame ukulinganiswa ngama-nanograms nge-milliliter (ng/mL). Ake sibheke ngokushesha la mazinga.
| Izinga le-CEA | Inani elijwayelekile (ng/mL) | Yini engafundwa kulokhu? |
|---|---|---|
| Izinga elijwayelekile | Phakathi kuka-0 - 3 ng/mL. (Kungaba okujwayelekile kufikela ku-5 ng/mL kwababhemayo) | Kubhekwa njengezinga elinempilo. |
| Kuphakanyisiwe Kancane | Kukhulu kuno-3 ng/mL kodwa ngaphansi kuka-10 ng/mL | Kungase kube ngenxa yomdlavuza omncane, osendaweni noma esinye isimo esingesona umdlavuza. |
| Izinga eliphezulu (Eliphezulu) | Ngaphezu kuka-10 ng/mL kodwa ngaphansi kuka-20 ng/mL | Kungaba uphawu lwesigaba sokuqala somdlavuza. |
| Phezulu Kakhulu | Ngaphezu kuka-20 ng/mL | Ngokuvamile kungaba uphawu lokuthi umdlavuza usakazekela kwezinye izingxenye zomzimba. |
Khumbula, lezi zindinganiso zingahluka kancane kusukela elabhorethri kuya kwelebhu, ngakho-ke kungcono ukuxoxa ngombiko wakho nodokotela wakho.
Ingabe umdlavuza kufanele ube imbangela yokuphakama kwezinga le-CEA?
Cha, akunjalo nhlobo. Lokhu kuyiphutha elivamile. Kunezinye izimo eziningi zempilo ezingabangela izinga eliphezulu le-CEA, ngaphandle komdlavuza. Yingakho ukuhlolwa kwe-CEA kungasetshenziswa ukuxilonga umdlavuza.
Nazi ezinye izimo ezingezona umdlavuza ezingakhuphula i-CEA:
- Ukubhema: Izinga le-CEA lomuntu obhemayo ngokwemvelo liphakeme kunelomuntu ophilile.
- I-Gastritis kanye nezilonda esiswini
- Isifo Sokuvinjelwa Kwamaphaphu Esingamahlalakhona (i-COPD)
- Izifo zesibindi (i-Cirrhosis, i-Fatty Liver)
- Isifo sikashukela
- Izifo zamathumbu (Isifo sikaCrohn, i-Ulcerative Colitis)
- Ama-Hemorrhoids
- Izifo ezifana ne-pneumonia
Ngakho ungakhathazeki uma izinga lakho le-CEA liphezulu kancane. Udokotela wakho uzothola ukuthi yini ngempela ebangela lokhu.
Ingabe zikhona izingozi ngalolu vivinyo?
Ukuhlolwa kwe-CEA ngokuvamile kuwukuhlolwa okuphephile kakhulu .
Uma kudonswa igazi, kungase kube nobuhlungu obuncane, ukuklwebheka, noma ukuklwebheka lapho inaliti ifakwe khona. Lokhu kuzophela emahoreni ambalwa noma ngosuku.
Uma uthathwe uketshezi esifubeni noma emhlane, kunengozi encane kakhulu. Lokhu kusho izinto ezifana nokopha kanye nokutheleleka. Kodwa lokhu akuvamile kakhulu. Ungase uzizwe unesiyezi noma uphethwe yikhanda.
Udokotela wakho uzochaza konke lokhu ngaphambi kokuhlolwa, ngakho-ke asikho isizathu sokwesaba.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-CEA akulona ukuhlolwa kokuthola umdlavuza. Kusetshenziselwa ukuqapha impumelelo yokwelashwa kanye nesimo sesifo kumuntu osevele etholakale enomdlavuza.
- Okubaluleke kakhulu kunenani le-CEA ngesikhathi esisodwa iphethini yokuthi lelo nani liyehla noma liyakhuphuka ngokuhamba kwesikhathi.
- Ngisho noma izinga lakho le-CEA liphezulu, akusho ukuthi unomdlavuza ngaso sonke isikhathi. Lingakhuphuka ngenxa yezinye izizathu ezilula, njengokubhema kanye ne-gastritis.
- Ungesabi ngokubheka nje amanani embikweni wakho wokuhlolwa. Khuluma njalo nodokotela wakho ngakho bese ulandela iseluleko sakhe.
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