mob qog noj ntshav yog tus kab mob plague ntawm lub xyoo pua 21st. Ib kab mob uas tsis muaj leej twg tiv thaiv tau. Ntau thiab ntau tus tib neeg lub neej raug lees paub los ntawm tus kab mob no. Hmoov zoo, nyob rau theem pib, tus kab mob no kho tau. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum pub ntshav raws sij hawm rau CEA cov cim qog nqaij hlav, piv txwv li, nrog kev pab los ntawm koj tuaj yeem paub txog lub xeev ntawm ntau lub cev.
Cancer thiab txhua yam ntsig txog nws
mob qog noj ntshav yog cov qog nqaij hlav uas tsim los ntawm cov cell degeneration. Cov qog loj hlob mus rau hauv cov ntaub so ntswg noj qab haus huv thiab, yog tias tsis kho raws sijhawm, lawv tuaj yeem cuam tshuam rau tag nrho lub cev.
mob qog noj ntshav nyob rau theem. Qhov txaus ntshai tshaj plaws yog theem plaub, qhov tshwm sim ntawm metastases. Metastasis yog kev hloov pauv ntawm qhov tseem ceeb ntawm tus kab mob mus rau tag nrho cov ntaub so ntswg. Lawv tshwm sim los ntawm cov qog hlwb thiab kis nrog cov qog ntshav los yog ntshav. Cov txheej txheem no yog irreversible thiab tsis tuaj yeem kho tau lawm. Muaj tsawg zaus, thaum metastases tau cuam tshuam rau thaj chaw me me ntawm lub cev, nws muaj peev xwm tshem tau lawv mus phais. Feem ntau, kev siv tshuaj khomob yog siv, uas ua rau qeeb ntawm kev sib kis.
Kev kuaj pom tus kab mob thaum ntxovtso cai rau kev kho kom zoo. Yog li ntawd, koj yuav tsum tau ceeb toom thiab, yog tias muaj kev ceeb toom tshwm sim, mus rau tsev kho mob. Feem ntau, CEA (oncomarker) pab txheeb xyuas tus kab mob hauv thawj theem, qhov tseem ceeb - ntsuas - ntawm qhov uas ua lub luag haujlwm txiav txim siab hauv kev kuaj mob qog noj ntshav. Kev kuaj mob raws sij hawm thiab kev kuaj mob yuav pab tsis tau tsuas yog tiv thaiv koj tus kheej los ntawm metastases, tab sis kuj tiv thaiv tus kab mob.
cov cim qog qog yog dab tsi?
cov cim qog nqaij hlav yog cov tshuaj protein uas zais los ntawm cov qog nqaij hlav cancer, thiab qee zaum noj qab haus huv, uas tau pib rov tsim dua tshiab. Txhua tus neeg muaj oncomarkers nyob rau hauv lub cev, thiab yog hais tias lawv tus naj npawb tshaj li tus qauv, qhov no yog thawj lub teeb liab rau kev txiav txim. Hauv lwm lo lus, koj yuav tsum mus dhau qhov kev kuaj mob tiav.
Tshuaj paub ntau dua ob puas hom qog nqaij hlav, nees nkaum ntawm qhov tsim nyog rau kev kuaj mob qog noj ntshav.
Qib cov cim qog tuaj yeem nce hauv cov ntshav ntawm tus neeg noj qab haus huv thiab tus neeg mob. Hauv cov neeg noj qab haus huv, qhov no tshwm sim los ntawm mob khaub thuas, hauv cov poj niam - los ntawm cev xeeb tub. Yog li ntawd, txhawm rau txiav txim siab cov qog, nws yog ib qho tsim nyog tsis yog pub ntshav rau CEA (cov qog nqaij hlav), tab sis kuj yuav tsum tau kuaj xyuas ntxiv.
Txhua tus kab mob uas paub txog, nce ntau hauv lub cev, ceeb toom txog qhov tshwm sim ntawm qog nqaij hlav hauv ib lub cev lossis cov ntaub so ntswg.
qog nqaij hlav thiab mob qog noj ntshav
Yog li, cov cim qog nqaij hlav yog cov khoom pov tseg ntawm cov qog nqaij hlav cancer. Kev nce ntawm lawv cov ntshav hauv cov ntshav qhia tau tias muaj kev loj hlob ntawm qog noj ntshav.
Yog li, qib siab ntawm PSA cov qog nqaij hlav tuaj yeem qhia tau tias mob qog noj ntshav. Nws yog nyob rau hauv cov ducts ntawm lub caj pas prostate, tsis tshua muaj nyob rau hauv cov kwj dej urethral. Txhawm rau kom paub meej qhov kev kuaj mob, kev kuaj ntshav ntawm prostate yog ua - noj cov ntaub so ntswg hauv nruab nrog cev rau kev kawm ntxaws. Tom qab kev kho mob, qib PSA raug txo mus rau xoom. Thiab yog tias, ntawm qhov tsis sib xws, nws nce ntxiv, qhov rov qab ntawm tus kab mob tuaj yeem ua tau.
CA 15-3, CA 27, CA 29 yog cov cim qog nqaij hlav, ntau ntxiv uas qhia tias mob qog noj ntshav. Hauv thawj theem, theem ntawm cov qog marker me ntsis nce hauv cov ntshav. Tab sis thaum lub sij hawm kev loj hlob ntawm tus kab mob nce mus rau 75%. Kev nce qib ntawm cov qog qog no tuaj yeem qhia tau tias cev xeeb tub.
CA 125 - Pab kuaj mob qog noj ntshav zes qe menyuam. Cov cim no feem ntau yog siv los ua kev tshuaj ntsuam xyuas.
Kev nce qib ntawm CA 242, CA 19 qhia txog cov qog nqaij hlav ntawm pancreas, qhov quav thiab txoj hnyuv.
REA - qhov nce ntxiv ntawm tus kabmob no tau pom nyob rau hauv cov qog nqaij hlav ntawm lub plab, tsev menyuam, lub ntsws, txoj hnyuv thiab qhov quav, prostate, mis thiab lwm yam kabmob. Nyob rau hauv ib tug neeg noj qab nyob zoo, CEA yog xyaum tsis tsim nyob rau hauv lub cev. Txawm tias me me ntawm nws tuaj yeem qhia qee yam kab mob. Piv txwv li, lub raum tsis ua haujlwm lossis kab mob siab.
TRA, CYFRA 21-1 - qhia txog mob ntsws cancer.
NMP22 - mob qog nqaij hlav zais zis.
Chromogranin A - qog ntawm lub paj hlwb thiab endocrine systems.
Ib txoj hauv kev los yog lwm qhov, kev sim rau cov qog nqaij hlav ua rau nws muaj peev xwm txheeb xyuas cov neeg mob uas pheej hmoo, nrog rau kev txiav txim siab qhov mob qog noj ntshav ua ntej.manifestations ntawm tus kab mob.
CEA (tumor marker) - norm
CEA yog tus neeg mob qog noj ntshav-embryonic. Nws yog tsim nyob rau hauv cov ntaub so ntswg ntawm lub embryo, thiab tom qab yug me nyuam, qib ntawm cov cim yuav txo. Hauv cov neeg laus noj qab nyob zoo, nws yog xyaum tsis nyob hauv lub cev. Yog li ntawd, ib tug yuav tsum ceev faj txog cov txiaj ntsig ntawm kev txheeb xyuas uas CEA tau kuaj pom. Tus neeg sawv cev no muaj kev nkag siab zoo rau ntau qhov kev tsim.
Ntau cov qog nqaij hlav:
- PSA – < 4 ng/ml. Cov qhab nias siab tshaj 4 yog cov kab mob prostate, suav nrog mob qog noj ntshav.
- AFP (alpha-fetoprotein) - 0–10 IU/ml. Kev nce tus nqi yog tsim nyog rau cov poj niam cev xeeb tub thiab cov menyuam yug tshiab.
- hCG yog cov tshuaj hormones zais los ntawm cov placenta thaum cev xeeb tub. Kev nce ntawm nws tus lej yuav qhia tau hais tias ob qho tib si leej niam muaj kab mob thiab mob qog noj ntshav embryonic.
- CA 125 - 0-35 U / ml - tus qauv. Qib siab tshaj 35 qhia tias mob qog noj ntshav ntawm zes qe menyuam, lub mis, tsev menyuam, txoj hnyuv.
- CEA - tus qauv rau cov neeg tsis haus luam yeeb - < 2.5 ng / ml, < 5 ng / ml - rau cov neeg haus luam yeeb.
Tseem ceeb lub tswb
Tsis yog ib txwm nce qib ntawm cov qog nqaij hlav tuaj yeem qhia tau tias mob qog nqaij hlav. Qhov no feem ntau yog qhov teeb meem, tab sis qee zaum theem ntawm CEA tshaj li cov qauv hauv cov qauv zoo. Qhov sib txawv tseem ceeb ntawm ob lub qog no yog qhov qub tsim tsis muaj lub plhaub, vim tias lawv tuaj yeem nkag mus rau hauv txhua lub cev, thiab tom kawg - hauv lub plhaub tshwj xeeb, uas yooj yim tshem tawm nrog rau cov qog. Tsis tas li ntawd, cov cim qhia ntawm oncomarkers tshaj li cov qauv tso cai hauv lub cev tsis muaj zog.los yog txo kev tiv thaiv.
Thaum CEA (cov cim qog qog) siab, koj yuav tsum tau saib xyuas cov tsos mob thiab kev noj qab haus huv. Nws kuj tseem yuav tsum nco ntsoov tias tsis yog txhua tus kab mob qog ua rau mob qog noj ntshav thaum ntxov. Tsis muaj teeb meem koj yuav tsum ncua sijhawm mus ntsib kws kho mob tshwj xeeb. Tseeb tiag, rau tus neeg mob, txhua hnub tuaj yeem ua rau tuag taus.
Qhov tseeb ntawm cov neeg mob ntshav qab zib hauv cov ntshav tso cai rau koj los txiav txim siab tsis yog theem ntawm tus kabmob, tab sis kuj kwv yees nws qhov pib. Nyob rau hauv cov ntaub ntawv no, kev kho mob zoo thiab tag nrho rov qab yog guaranteed. Nws yuav hnyav dua yog tias qhov kev sim thiab cov tsos mob tsis quav ntsej.
Cov qog nqaij hlav ua lub luag haujlwm tseem ceeb hauv kev kho cov qog. Los ntawm kev soj ntsuam qhov kev hloov pauv ntawm qib ntawm cov tshuaj no, peb tuaj yeem tham txog kev txhim kho lossis kev tsis zoo ntawm lub cev.
REA Analysis
Qhov kev tshuaj ntsuam tso cai rau koj los txiav txim siab qhov kev loj hlob ntawm cov qog nqaij hlav, tshwj xeeb, kev sib kis ntawm metastases hauv cov ntaub so ntswg ua ntej lawv tshwm sim. Thiab qhov no txhais tau hais tias los ntawm kev xaiv txoj kev kho kom raug, koj tuaj yeem rov zoo los ntawm tus kab mob no.
REA kev sim ua tiav ntawm lub plab khoob thaum sawv ntxov. Tom qab noj mov kawg, tsawg kawg 12 teev yuav tsum dhau mus. Cov khoom siv rau txoj kev tshawb no yog cov ntshav venous, qee zaum, zis. Ib lub lis piam lossis ob zaug ua ntej kev tshuaj ntsuam xyuas, nws yog ib qho tsim nyog yuav tsum tau tshem tawm lossis tso tseg txhua yam tshuaj. Nws tseem yuav tsum tau txo qis kev ua si ntawm lub cev. Hnub ua ntej kev soj ntsuam, cov khoom noj rog thiab kib, nrog rau cawv, tsis suav nrog kev noj haus. Nws raug nquahu kom txwv cov luam yeeb, vim tias nicotine tuaj yeem cuam tshuam cov txiaj ntsiganalyses.
Kev tsom xam ntawm CEA cov cim qog nqaij hlav yog sau los ntawm tus kws kho mob lossis lwm tus kws kho mob tshwj xeeb. Cov txiaj ntsig muaj nyob rau hnub tom qab. Kev kuaj ntshav rau cov qog nqaij hlav yog them.
Yuav ua li cas thiaj paub mob qog noj ntshav hauv thawj theem?
Cov kab mob qog noj ntshav tuaj yeem cuam tshuam rau txhua lub cev lossis cov ntaub so ntswg. Tau kawg, txhua hom neoplasm muaj nws cov tsos mob, tab sis kuj tseem muaj cov cim qhia dav dav uas tus kab mob tuaj yeem txiav txim siab. Ntxiv nrog rau kev kuaj ntshav rau CEA (cov qog nqaij hlav), koj yuav tsum tau xyuam xim rau cov kev hloov hauv qab no hauv lub cev:
- Ib lub qog uas pom tau meej lossis hnov.
- hnoos, ua tsis taus pa.
- Fever.
- Nyob.
- Poob qab los.
- Hmo hws.
- Ntawm qhov tshwm sim ntawm ntau tus moles.
- Ntxawm los ntshav ntawm qhov tsis meej.
- Kev cuam tshuam hauv plab hnyuv.
- Sudden thiab unexplained poob phaus.
- Nyob zoo ib tsoom phooj ywg.
- Ntev (ntau tshaj ib hlis) kho mob.
Tau pom cov tsos mob zoo li no, nws yog ib qho tseem ceeb mus sab laj tus kws kho mob uas yuav sau ib daim ntawv ntsuam xyuas kom tiav los tsim kev kuaj mob. Nco ntsoov, mob qog noj ntshav thaum ntxov yog kho tau!
Ua rau mob qog noj ntshav
Feem ntau, tus neeg txoj kev noj qab haus huv nyob ntawm nws tus kheej. Kev ua neej tsis zoo, kev quav tshuaj, kev ua haujlwm tsis zoo feem ntau dhau los ua cov kab mob loj, suav nrog mob qog noj ntshav.
Muaj peb yam sab nraud uas cuam tshuam ncaj qha rau tib neeg lub cev thiab ua rau cov qog nqaij hlav ntawm ntau yamcharacter:
- Lub cev (kua hluav taws xob, hluav taws xob ultraviolet).
- Tshuaj (siv cov tshuaj carcinogenic - tshuaj, nicotine, cawv).
- Kev lom neeg (cov kab mob thiab lawv cov teeb meem).
Kev ntxhov siab ua lub luag haujlwm tseem ceeb hauv kev tsim cov qog, hais tias tus kws kho mob Asmeskas Hamer. Raws li kev cuam tshuam ntawm kev xav tsis zoo, lub paj hlwb xa cov ntaub ntawv tsis zoo rau hauv nruab nrog cev, yog li ua rau hloov pauv ntawm tes hauv lawv. Raws li qhov tshwm sim ntawm degeneration ntawm cov hlwb, cov qog tsim. Tus kws kho mob lees paub nws qhov kev tshawb fawb nrog piv txwv ntawm ntau tus neeg mob uas tau ntsib kev ntxhov siab txaus ntshai nyob rau hmo ua ntej ntawm tus kab mob.
mob qog noj ntshav tseem tsis tau tuag. Los ntawm kev kuaj pom tus kab mob nyob rau theem pib, ib tus neeg tseem tuaj yeem cia siab rau kev kho kom tiav. Kev kho mob cancer siab dua.
Hauv kev kho mob qog noj ntshav, lub luag haujlwm tseem ceeb yog ua si, tshwj xeeb, los ntawm CEA (cov cim qog), los ntawm tus nqi uas ib tus tuaj yeem txiav txim siab ua tiav ib txoj hauv kev ua haujlwm li cas. Txhawm rau kom muaj kev vam meej, thawj qhov yuav tsum tau ua yog hu rau tus kws kho mob tshwj xeeb uas yuav sau tshuaj ntsuam xyuas thiab kho kom raug. Hmoov tsis zoo, cov tshuaj tshuaj thiab cov kws kho mob tsis muaj zog hauv thaj chaw no.
Txoj kev tseem ceeb ntawm kev kho tus kab mob yog kev phais. Lawv kuj siv rau chemotherapy thiab radiation therapy. Kev kho tshuaj hormone yog siv los ua ib txoj hauv kev ntxiv.
Txoj kev ua tau zoo tshaj plaws uas tsis muaj qhov tshwm sim muaj zog yog kev phais, tshem tawm cov chaw cuam tshuam lossis cov ntaub so ntswg. Txoj kev no tsis yog siv rau metastases xwb.
Tshuaj kho mob yog kho mob qog noj ntshav nrog tshuaj,uas qeeb qeeb, thiab qee zaum tag nrho nres kev sib kis ntawm metastases. Feem ntau cov hlwb noj qab haus huv kuj raug cuam tshuam thaum kho. Tshuaj kho mob yog siv nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhaj tshuaj, intravenous txhaj, droppers, ntsiav tshuaj thiab tshuaj pleev. Nws yog nqa tawm hauv lub voj voog - hauv ob lossis peb lub lis piam.
Kev kho hluav taws xob - irradiation ntawm thaj chaw cuam tshuam. Txoj kev no, zoo li yav dhau los, muaj peev xwm tua cov qog. Ua nyob rau hauv cov chav kawm - los ntawm peb mus rau yim lub lis piam.
Hormonotherapy - noj tshuaj hormonal thiab tshuaj tiv thaivhormonal. Txoj kev no yog siv los ua ib txoj hauv kev ntxiv hauv kev kho mob qog noj ntshav ntawm lub cev xeeb tub. Muab nws ua ntej lossis tom qab ua haujlwm.
Ib ob peb lo lus xaus
Tus kab mob txaus ntshai uas cuam tshuam rau ntau tus neeg txhua hnub tuaj yeem kho tau yog tias pib kho raws sijhawm. Feem ntau ntawm cov pejxeem tsis quav ntsej cov tsos mob ntawm lub cev. Thiab thaum lawv tig mus rau tus kws kho mob, twb lig dhau lawm. Cancer yog kab mob uas tsis tos ib hnub.
Koj tuaj yeem tiv thaiv koj tus kheej ntawm tus kab mob no. Kev ua kis las, kev noj zaub mov kom zoo thiab kev kuaj mob raws sijhawm (ib xyoos ib zaug) yuav cawm tsis tau tsuas yog mob qog noj ntshav, tab sis kuj los ntawm lwm yam mob. Nws tseem yog ib qho tseem ceeb uas yuav tau kuaj ntshav, tshwj xeeb, rau CEA (oncomarker), cov ntawv nyeem uas muab cov duab dav dav ntawm lub xeev ntawm ntau lub cev.
