Kev kuaj ntshav uas kuaj pom mob qog noj ntshav

Zoo Siab

• 8 lub qog hais tias mob cancer
• 1. Cov ntawv AFP
• 2. MCA
• 3. BTA
• 4. PSA
• 5. CA 125
• 6. Calcitonin
• 7. thyroglobulin
• 8. AEC
• Yuav ua li cas paub meej tias kuaj mob qog nqaij hlav cancer

Txhawm rau txheeb xyuas tus mob qog noj ntshav, tus kws kho mob yuav raug thov kom ntsuas cov cim qog, uas yog cov tshuaj tsim los ntawm cov cell los yog los ntawm cov qog nws tus kheej, xws li AFP thiab PSA, uas nce hauv cov ntshav hauv qee yam mob qog ntshav. Paub cov paib thiab cov tsos mob uas tuaj yeem paub mob qog noj ntshav.

Qhov ntsuas ntawm qog cov cim qog ua ib qho tseem ceeb tsis tsuas yog kuaj qog nqaij hlav, tab sis tseem ntsuam xyuas kev loj hlob qog thiab kev teb rau kev kho.

Txawm hais tias cov cim qog ua cim ntawm mob qog nqaij hlav, qee qhov xwm txheej me me tuaj yeem ua rau lawv nce ntxiv, xws li mob hnyuv tws, mob prostatitis lossis prostate hyperplasia thiab, yog li ntawd, feem ntau nws yuav tsum tau ua lwm yam kev kuaj kom paub meej txog kev kuaj mob, xws li ultrasound lossis sib nqus. , piv txwv li.

Ntxiv rau, qhov tseem ceeb ntawm cov qog ntshav ntawm cov ntshav kuaj tau sib txawv raws li kev ntsuas thiab tub los ntxhais ntawm tus neeg mob, nws yog ib qho tseem ceeb uas yuav tsum coj mus rau hauv tus nqi siv ntsuas ntawm cov neeg kuaj ntshav. Nov yog qhia kom nkag siab li ntshav kuaj.

8 lub qog hais tias mob cancer

Qee qhov kev kuaj mob uas tus kws kho mob feem ntau xav kom kuaj pom tus kabmob kheesxaws yog:

1. Cov ntawv AFP

Dab tsi nws pom: Alpha-fetoprotein (AFP) yog qhov muaj protein ntau uas yuav raug txiav txim kom kuaj cov qog hauv plab, hnyuv, zes qe menyuam lossis muaj cov metastases hauv lub siab.

Siv tus nqi: Feem ntau, thaum muaj kev hloov pauv malignant, tus nqi ntau dua 1000 ng / ml. Txawm li cas los xij, tus nqi no kuj tseem yuav nce ntxiv hauv cov xwm txheej xws li mob qog lossis mob rau daim siab ntev, piv txwv li, nws tus nqi nyob ze rau 500 ng / ml.

2. MCA

Dab tsi nws pom: Carcinoma-txuam mucoid antigen (MCA) feem ntau yuav tsum kuaj mob qog noj ntshav mis. Txhawm rau paub qee cov cim ntawm tus mob cancer mis nyeem: 12 cov tsos mob ntawm tus mob cancer mis.

Siv tus nqi: Feem ntau nws tuaj yeem qhia kabmob thaum nws cov nqi ntau dua 11 U / ml hauv kev kuaj ntshav. Txawm li cas los xij, tus nqi no yuav nce ntxiv nyob rau qhov xwm txheej tsis tshua zoo, xws li benign qog ntawm lub zes qe menyuam, lub tsev menyuam lossis prostate.

Feem ntau, tus kws kho mob kuj thov kom ntau npaum li cas ntawm lub cim CA 27.29 lossis CA 15.3 los saib xyuas mob qog noj mis thiab tshawb xyuas cov lus teb rau kev kho mob thiab muaj feem yuav rov muaj mob dua. Nkag siab nws yog dab tsi rau thiab seb qhov kev xeem CA ua tiav 15.3.

3. BTA

Dab tsi nws pom: Lub zais zis qog ua paug antigen (BTA) yog siv los pab kuaj cov zais zis thiab feem ntau yog dosed ua ke nrog NMP22 thiab CEA.

Siv tus nqi: Hauv lub zais zis ntawm lub zais zis, txoj kev kuaj ntshav muaj txiaj ntsig ntau dua li ntawm 1. Lub xub ntiag ntawm BTA hauv cov zis, txawm li cas los xij, tseem tuaj yeem nce qhov teeb meem tsawg dua xws li mob raum lossis tso zis, tshwj xeeb tshaj yog thaum siv lub zais zis catheter.

4. PSA

Dab tsi nws pom: Prostate antigen (PSA) yog protein ntau uas tsim los rau lub prostate, tab sis tus neeg mob qog nqaij hlav prostate nws tuaj yeem muaj nws qhov nce ntxiv. Kawm paub ntau ntxiv txog PSA.

Siv tus nqi: Thaum qhov kev nkag siab ntawm PSA hauv cov ntshav ntau dua 4.0 ng / ml, nws yuav qhia tau tias kev loj hlob ntawm cov qog ntshav thiab, thaum nws ntau dua 50 ng / ml, nws yuav qhia tias muaj cov metastases. Txawm li cas los xij, kom paub meej tias mob qog nqaij hlav nws yuav tsum tau ua lwm yam kev ntsuam xyuas xws li kev kuaj mob digital ntawm qhov quav thiab ultrasound ntawm tus kab mob prostate, vim tias qhov concentration ntawm cov protein no tseem yuav ntau ntxiv hauv cov teeb meem benign. Nkag siab ntxiv txog yuav ua li cas txheeb xyuas hom mob qog noj ntshav.

5. CA 125

Dab tsi nws pom: CA 125 yog ib tus cim siv dav siv los xyuas lub caij nyoog thiab saib xyuas kev txhim kho ntawm qog nqaij hlav zes qe menyuam. Qhov ntau npaum ntawm qhov cim no yuav tsum tau nrog lwm cov kev kuaj mob kom paub tseeb tias ua tau. Xav paub ntxiv txog CA 125.

Siv tus nqi: Nws yog feem ntau muaj kev kos npe ntawm zes qe menyuam mob cancer thaum tus nqi ntau dua 65 U / ml. Txawm li cas los xij, tus nqi kuj tseem tuaj yeem ua rau siab ntxiv yog muaj mob qog, mob hlwv, endometriosis, kab mob siab lossis mob pancreatitis.

6. Calcitonin

Dab tsi nws pom: Piv txwv Calcitonin yog yam tshuaj tsim los ntawm cov thyroid thiab tuaj yeem nce ntxiv rau cov neeg mob qog nqaij hlav cancer, tab sis kuj yog cov neeg muaj mob cancer mis lossis ntsws, piv txwv li. Saib seb qhov kev ntsuam xyuas calcitonin tiav li cas.

Siv tus nqi: Tej zaum nws yuav yog tus cim qhia mob qog noj ntshav thaum tus nqi ntau dua 20 pg / ml, tab sis cov txiaj ntsig kuj tseem yuav hloov vim muaj teeb meem xws li kab mob pancreatitis, Paget tus kab mob thiab txawm tias thaum cev xeeb tub.

7. thyroglobulin

Dab tsi nws pom: Thyroglobulin feem ntau yog nce hauv cov qog ntshav qog, txawm li cas los xij, txhawm rau kuaj mob qog nqaij hlav cancer, lwm cov cim yuav tsum ntsuas, xws li calcitonin thiab TSH, piv txwv li, vim tias thyroglobulin yuav nce ntxiv txawm tias cov neeg uas tsis muaj mob.

Siv tus nqi: Cov txiaj ntsig ib txwm ntawm thyroglobulin yog li ntawm 1.4 thiab 78 g / ml, saum toj no nws tuaj yeem taw qhia txog mob qog ntshav. Pom dab tsi yog cov tsos mob ntawm tus mob qog.

8. AEC

Dab tsi nws pom: Carcinoembryonic antigen (CEA) tuaj yeem kho rau ntau hom mob qog nqaij hlav, thiab feem ntau nce mob cancer hauv plab hnyuv, ua rau muaj qhov mob hnyuv lossis lub qhov quav. Xav paub ntau ntxiv txog kev mob plab hnyuv.

Siv tus nqi: Txhawm rau ua kom pom kev mob qog noj ntshav, CEA qhov xav tau yuav tsum 5 zaug siab dua li tus nqi ib txwm, uas yog li 5 ng / mL hauv cov neeg haus luam yeeb thiab nce mus txog 3 ng / mL hauv cov tsis haus luam yeeb. Nkag siab txog qhov kev xeem CEA yog licas thiab nws yog rau dabtsi.

Ntxiv rau cov kev kuaj ntshav no, nws muaj peev xwm txheeb xyuas lwm cov tshuaj hormones thiab cov protein, xws li CA 19.9, CA 72.4, LDH, Cathepsin D, Telomerase thiab tib neeg chorionic Gonadotropin, piv txwv, uas tau hloov cov txiaj ntsig siv thaum muaj mob cancer. hauv qee qhov hloov khoom nruab nrog.

Sib nqus resonance

Yuav ua li cas paub meej tias kuaj mob qog nqaij hlav cancer

Thaum xav tias tsam mob qog noj ntshav, nws yog qhov yuav tsum tau lees paub qhov kev kuaj mob, feem ntau yog thov los ntawm tus kws kho mob, ntxiv cov duab ntsuas, xws li:

• Ultrasound: Kuj tseem hu ua ultrasound, uas yog qhov kev kuaj mob uas tso cai rau koj tshawb pom qhov mob hauv cov plab hnyuv siab raum xws li lub siab, tus kabmob, tus po, mob raum, mob prostate, mis, thyroid, uterus thiab zes qe menyuam;
• Radiography: Nws yog kev tshuaj ntsuam xyuas los ntawm X-ray, uas pab txhawm rau paub kev hloov pauv hauv lub ntsws, tus txha nraub qaum thiab pob txha;
• Cov duab hlau nplaum resonance: Nws yog qhov kev ntsuam xyuas cov duab uas tshawb pom cov kev hloov hauv cov plab hnyuv siab raum xws li lub mis, cov hlab ntsha, daim siab, tus txiav, tus po, lub raum thiab adrenals.
• Tham tomography: Piv txwv yog ua thaum muaj kev hloov pauv hauv X-ray thiab feem ntau yog thov kom ntsuas lub ntsws, mob siab, hnoos qeev, pob qij txha, pob qij txha thiab pharynx, piv txwv.

Feem ntau, kev pom zoo ntawm kev kuaj mob yog tsim los ntawm kev sib koom ua ke ntawm ntau yam kev sim, xws li kev saib xyuas tus neeg mob, kuaj ntshav, MRI thiab kuaj raws li lub cev.