Kachilombo ka khansa 27.29 (CA 27.29) ndi kuyesa kwa magazi kumene kumachitika makamaka kwa anthu omwe ali ndi khansa ya m'mawere. Ndi chimodzi mwa zizindikiro za khansa za m'mawere zomwe zingagwiritsidwe ntchito poyang'anira matenda. Chimodzi mwa mayesowa amatchedwa "truquant BR radioimmunoassay test."
CA 27.29 ndi antigen-ndiyo mtundu wa mapuloteni omwe ali pamwamba pa maselo ndipo amapangidwa ndi jini lotchedwa MUC-1.
CA-27 ndi "glycoprotein," (glyco imatanthawuza shuga) ndipo ikhoza kupezeka pamwamba pa maselo a epithelial monga maselo a khansa ya m'mawere. Maselo a khansa ya m'mimba akhoza kutulutsa mapuloteni a CA 27.29 m'magazi.
Magazi a CA 27.29 magazi ndi ochepera 40 U / ml. Ndi khansa, makanema a Ca-27 akhoza kuwonjezeka, kutsika mtengo, ndi mwayi waukulu womwe ungasonyeze kukhalapo kwa khansa.
Mwachidule
Zingathandize kuthetsa njira zosiyanasiyana zomwe mayesero ang'onoang'ono a CA 27.29 angagwiritsidwe ntchito:
- Kudziwa-Seweroli silikuchitidwa kawirikawiri kuti adziwe khansa ya m'mawere , osakhala yekha. Zatchulidwa pano kuti azindikire kuti kuyesedwa kwa CA 27.29 ndiko kuyesa kwa magazi kokha komwe kumagwiritsidwa ntchito makamaka pofuna kudziwa kupezeka kwa maselo a khansa ya m'mawere. Ngati muli ndi kuganiza kuti mungakhale ndi khansa ya m'mawere oyambirira, mayeserowa angapangidwe kuti athandizidwe.
- Kuwunika chithandizo - Kuyeza kwa CA 27.29 kumachitika kawirikawiri kuti ayang'ane momwe mungayankhire pa chithandizo cha khansa ya m'mawere . Ngati ziwerengero zanu zikukwera, zikhoza kusonyeza kuti khansa yanu ikubweranso kapena ikupita patsogolo, ndipo zingakhale zofunikira kusintha ndondomeko yanu moyenera. Ngati magulu anu akugwa, zikhoza kusonyeza kuti chithandizo chanu chiri bwino kupha khansara yanu.
- Kufuna kuyambiranso mofulumira-Ngati mankhwala anu a khansa ya m'mawere yatha, mayesowa akhoza kuchitika nthawi zonse kuti aone kuti kansa yanu yayambiranso msanga. Kukwera kwa CA 27.29 kumachitika, pafupifupi, miyezi isanu isanakwane kuti kubwereza kubwereke poyambira pa zizindikiro kapena zofufuza zokha. Ngakhale zili choncho, pamakhalabe mkangano wokhudzana ndi kuchepa kwa khansara musanayambe kupezeka zizindikirozo zimapangitsa kusiyana kwa mankhwalawo, ndipo pamapeto pake, zotsatira za matendawa.
- Kuwunika khansara yamatenda (kuyendera ndondomeko) -Kuyeza kungathandize omwe ali ndi kansa ya m'mawere kudziwa ngati khansayo ikukulirakulira. Izi zinati, miyezo yapamwamba ikhoza kukhalapo kwa nthawi ndithu ndipo, pakufufuza kwina, 30 peresenti ya anthu anali ndi miyeso yapamwamba yomwe idapitirira miyezi iwiri kapena itatu mutangoyamba kumene mankhwala.
Mayesowa sakuvomerezedwa ngati njira yowunikira khansa ya m'mawere , kapena ngati njira yodziwira khansa ya m'mawere yokha, chifukwa ilibe zomwe asayansi amanena kuti ndizofunika kwambiri.
Komanso, madokotala amasiyana mosiyana kwambiri ndi momwe amachitira kukonzekera mayesowa. Madokotala ena samatsindika pang'ono pokhapokha kuyesedwa, pamene ena nthawi zonse amawongolera nthawi zonse.
Zolepheretsa
Ndikofunika kuzindikira zolephera za kuyesedwa kwa CA 27.29. Poyang'anira chithandizo cha khansa ya m'mawere - momwe kuyesera kukugwiritsidwira ntchito-ndikofunikira kuti muzindikire kuti makina akuluakulu a CA 27.29 akhoza kupitirira kwa miyezi itatu chithandizo chitatha.
Mwa kuyankhula kwina, ngati mutayesedwa patapita miyezi ingapo mutatha kuchiza chithandizo, maimidwe angakhale apamwamba ngakhale mutayankha bwino kuchipatala.
Popeza kuti mayeso a CA 27.29 ndi omwewo omwe amagwiritsidwa ntchito makamaka kuti azindikire kupezeka kwa maselo a kansa ya m'mawere, zikuwoneka kuti zikanakhala zosawerengedwa kawirikawiri kuti ziwonetsere khansa ya m'mawere.
Komabe, monga taonera, mayeserowa sakhala ofunika kwambiri pozindikira kukhalapo kwa khansa ya m'mawere.
Kukhala ndi chitsimikizo choyenera kumatanthauza kuti mungakhale ndi matenda ngati mutayesa matendawa. Pali mayesero ambiri azachipatala omwe angawoneke ngati othandiza ngati njira yowunikira matenda, komabe mu maphunziro, kusowa kulondola kuti apange kusiyana pakati pa ziwopsezo.
Malire omalizira ndi pamene mayesero amagwiritsidwa ntchito kuti apeze kachiwiri. Pali zotsutsana zambiri zokhudzana ndi kuti kuchedwa kwa khansa ya m'mawere kumabweretsa kusiyana. Ngakhale, poyang'ana, zikuwoneka kuti padzakhala phindu kuchitidwewu, kafukufuku sanapeze kuti kupulumuka kumawoneka bwino pamene kubwereka kwa khansa ya m'mawere kumapezeka msanga.
Chimodzi mwa chisokonezo chiri ndi zolinga za chithandizo cha khansa ya m'mawere oyambirira ndi khansara ya m'mawere. Kuyambira kale, khansa ya m'mawere, cholinga chake nthawi zambiri ndi kuchiza matendawa molimba mtima kuti athe kuchiza khansa (kapena kusunga kubwereranso.) Komabe, chithandizo chamanyazi si cholinga cha kansa ya m'mawere (ngakhale izi zingasinthe posachedwapa) chifukwa sizikuwoneka kuti zimapangitsa kusiyana pakati pa ndalama. M'malo mwake, cholinga chake ndi nthawi zambiri kugwiritsa ntchito mankhwala ochepetsetsa omwe angathe kuthetsa matendawa.
Ngozi
Chiyeso ndi njira yosavuta ya magazi kotero kuti zoopsa ndizochepa. Zoopsa zowonjezereka zingakhalepo ndi nkhawa zokhudzana ndi mayeso osayenerera kapena zotsatira za mayeso zomwe sizikuwonetseratu momwe khansa yanu iliri.
Popeza kuti mayesowa amapangidwa ngati gawo limodzi la khansa yowonongeka, nthawi zambiri chiopsezo sichingakhale chodetsa nkhaŵa. CA 27.29 siyeso yeniyeni, koma nthawi zambiri imathandizanso limodzi ndi mayesero ena, monga kujambula, kuyesa kubwereza ndi kuyankhidwa kuchipatala.
Zifukwa za Makhalidwe Olemera a CA27.29 Maseŵera a Odwala Osabereka Achiwerewere
Matenda ena a khansa, komanso zinthu zabwino, zingayambitse chiwerengero cha CA 27.29. Khansa zomwe zingabweretse zotsatira zowonjezera zikuphatikizapo:
- Matenda a khansa
- Kansa ya chiwindi
- Khansara yapancreatic
- Kansa ya Colon
- Khansara ya ovarian
- Khansa ya prostate
Makhalidwe abwino omwe angadzutse CA 27.29 ndi awa:
- Ovarian cysts
- Matenda a Benign a m'mawere ndi impso
- Matenda a chiwindi, monga matenda a cirrhosis-mu phunziro limodzi, la anthu omwe anali okwera kwa CA 27.29 koma analibe khansa, chifukwa chake chinali chizungulire 25 peresenti ya nthawi
Kuphatikiza pa CA 27.29, palinso zizindikiro zina zotupa zomwe zingagwiritsidwe ntchito poyang'anira khansa ya m'mawere. Izi zikuphatikizapo:
KI-67 sagwiritsidwa ntchito poyang'anira khansa ya m'mawere.
Nthawi zambiri, mwina mayeso a CA 27.29 kapena mayeso a CA 15-3 adzalamulidwa, koma osati onse awiri.
Mawu Ochokera
A CA 27.29 angagwiritsidwe ntchito pazinthu zingapo zosiyana ndi khansa ya m'mawere ndipo ndi imodzi yomwe imagwiritsidwa ntchito makamaka pofuna kudziwa kuti alipo khansa ya m'mawere. Izi zikuti, pali khansa zina komanso zinthu zabwino zomwe zingayambitse mitu yapamwamba.
Ndikofunika kumvetsetsa zoperewera za mayesero akagwiritsidwa ntchito kufufuza kansa ya m'mawere. Ndipo mayesero ayenera kugwiritsidwa ntchito mogwirizana ndi zofukufuku zina, monga kuyezetsa thupi, kuyesa magazi, ndi kufufuza.
Mwachidule, phindu la yesero ili kwa amayi omwe ali ndi kansa ya m'mawere ndiloti lingapereke chidziwitso ndikukutsogolerani ndi dokotala wanu kuti:
- Mayankho anu kuchipatala
- Mkhalidwe wa khansa yanu
- Kutheka kwa kuyambiranso msanga
> Zosowa
> American Society of Clinical Oncology. Zida Zomwe Zingatsogolere Chithandizo cha Khansa ya M'thupi ya Metastatic. July 2015.
> Poznak, C., Somerfield, M., Bast, R. ndi al. Kugwiritsira Ntchito Zopangira Mavitamini Kuti Zitsogolere Zosankha Zochiritsira Mwachidziwitso kwa Akazi Omwe Amakhala ndi Khansa Yamtundu Wachiberekero: American Society of Clinical Oncology Clinical Practice Guideline. Journal of Clinical Oncology . 2015. 33 (24): 2695-2704.