Ithuluzi lokuhlola i-CA-125 linenzuzo kanye nokulinganiselwa kwalo
Ukuhlolwa kwe-CA-125 kuyithuluzi lokuhlola elilinganiselwe ukukala inani lamaprotheni (CA-125) egazini. Amazinga aphakanyisiwe angabonisa ukuthi umdlavuza we-ovarian kunabesifazane abathile noma ukhombisa ukuthi umdlavuza ubuyela kwabanye ngaphambilini waphathwa ngesifo.
Isivivinyo singasetshenziselwa ukuqapha ukusebenza kahle kwe-ovarian therapy yokwelashwa ngokulandela ukuthi izinga le-CA-125 liyehla, isibonakaliso esihle sokuthi ukwelashwa kusebenza.
Inani lokuhlolwa kwe-CA-125
I-antigen yinoma iyiphi into eyenza umzimba wakho ukhiqize ukuzivikela komzimba ngokumelene nayo. I-CA-125 (umdlavuza we-antigen-125) uhlobo lwama-protein atholakele phezulu kwamangqamuzana omdlavuza we-ovarian angabangela lokhu kuvikela.
Ukuhlolwa okulula (ngezinye izikhathi okubizwa ngokuthi i-CA-125 marker tumor) kusetshenziselwa ukukala i-CA-125 egazini. Futhi ingakwazi ukuhlola ezinye izifo zomzimba ezinjengezo ezivela esifubeni noma emathunjini emathunjini.
Ukuhlolwa kwe-CA-125 kungenye yezilingo ezimbili ezinjalo odokotela abasebenzisa ukuphenya umdlavuza we-ovarian. Enye ingu-ultrasound ye-transvaginal (i-TVUS), ubuchwepheshe bokuzicabangela obusebenzisa amagagasi omsindo ukukhomba izixuku kanye nezinye izinto ezingavamile isigaba sokuzala. Ngokubili, izivivinyo zingasiza odokotela ukukhomba isifo esiqhamukayo emaqanda.
Okungenakukwenza ukucacisa ukuthi noma yisiphi isisindo noma isisu esinamandla (umdlavuza) noma esibi (esingenangqondo).
Ukulinganiselwa kohlolo lwe-CA-125
Ngenkathi ukuhlolwa kwe-CA-125 kuyithuluzi eliwusizo, akunconywa njengesivivinyo sokuhlola ngokujwayelekile ngenxa yezinga eliphezulu eliphezulu lemiphumela emibi.
Amazinga we-CA-125 aphakeme angabangelwa nje ngomdlavuza we-ovari kodwa kunezinye izimo eziningi. Lokhu kungabangela ukungaziqondi kahle kanye nezinqubo zokuhlinzeka ezingadingekile.
Phakathi kwezimo ezihlobene nokufunda okuphakeme kwe-CA-125:
- i-fibroids ye-uterine
- ukukhulelwa kokuqala kokubili
- ukuya esikhathini
- izifo ezivuthayo (ukuvuvukala kwama-ovari, amashubhu ama-fallopian, noma isisu)
- endometriosis (isimo lapho izicubu ngaphakathi kwesibeletho zikhula ngokungazelelwe khona)
- i-diverticulitis (ukuvuvukala kwamapayipi ngaphakathi kodonga lwamathumbu)
- i-pancreatitis (ukuvuvukala ama-pancreas)
- i-cirrhosis (ukudlwengula kwesibindi)
- i-lupus (i-autoimmune disorder)
- ukuhlinzwa kwangasese kwesisu
- ezinye izinhlobo zomdlavuza
- ezinye izidakamizwa zamakhemikhali asetshenziselwa ukwelashwa komdlavuza
- ukuskena kwe-radioactive
Ngesikhathi esifanayo, akubona bonke abesifazane abanomdlavuza we-ovarian abaphakanyisiwe amazinga ka-CA-125. Lezi zinhlobonhlobo zokuhlukahluka zingabangela "izindawo eziyimpumputhe" uma uthola lesi sifo.
Ucwaningo oluthile oluthile luye lwabonisa ukuthi ukuhlolwa okuhambisana ne-CA-125 ne-TVUS kwabesifazane abanengozini ejwayelekile ngokuvamile kuholele ekuhlinzekeni okwengeziwe kepha akukho ukunciphisa izinga lokufa komdlavuza we-ovarian.
Ngubani okufanele athole ukuhlolwa kwe-CA-125
Ukuhlolwa kwe-CA-125 kunenzuzo yayo kubesifazane abasengozini enkulu yomdlavuza we-ovarian. Uma unomlando oqinile womndeni we-ovarian noma umdlavuza webele, udokotela angase ancoma isimiso se-CA-125 ukuhlolwa njengesilinganiso sokuvimbela. Lokhu kuzoba njalo uma udokotela ethola ukuthi une-BRCA1 noma ye-BRCA1 ishintsho. Zombili lezi zakhi zakhi zofuzo zihlotshaniswa nengozi ephezulu yomdlavuza webele ne-ovarian.
Abanye besifazane abaye baphathwa ngempumelelo ngenxa yomdlavuza we-ovarian bangakhetha ukuba nokuhlolwa kwama-CA-125 avamile.
Lokhu kusengaphansi kwengxabano ngabacwaningi, abaningi babo ababuza ukubaluleka kokuhlolwa ekuboneni ukuphindaphinda komdlavuza.
Izwi elivela
Ngesikhathi ososayensi beqhubeka befuna izindlela ezintsha zokuthola umdlavuza we-ovarian ekuqaleni, kunezibonakaliso ezivamile nezifo ezihambisana nesifo abesifazane okufanele bazi, okufaka:
- ukubhuqa
- ubuhlungu besisu noma isisu
- ukukhathazeka ukudla noma ukuzwa ngokugcwele ngokushesha
- ukuphuthuma komchamo (ukuzwa sengathi kufanele uphawule sonke isikhathi)
Uma noma iyiphi yalezi zimpawu ziqhubeka isikhathi esingaphezu kwezinyanga ezingu-12, hamba u-gynecologist wakho. Ekugcineni, ungaba ngowokusemandleni akho, ukuvikeleka kokuqala kumelene nomdlavuza we-ovarian.
> Umthombo
- > I-American Cancer Society. "Umdlavuza we-ovarian ungatholakala yini ekuqaleni?" I-Atlanta, Georgia; ibuyekeziwe ngo-February 4, 2016.