Baaritaanka dhiigga CEA
Baaritaanka kansarka jirka ee kansarka (CEA) wuxuu cabiraa heerka CEA ee dhiiga. CEA waa borotiin caadi ahaan laga helo unugyada ilmaha soo koraya ee caloosha ku jira. Heerka dhiigga ee borotiinkan ayaa baaba'aya ama noqdaa mid aad u hooseeya dhalashada kadib. Dadka qaangaarka ah, heerka aan caadiga ahayn ee CEA waxay calaamad u noqon kartaa kansarka.
Sambal dhiig ayaa loo baahan yahay.
Sigaar cabiddu waxay kordhin kartaa heerka CEA. Haddii aad sigaar cabto, dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad iska ilaaliso inaad sidaas sameyso muddo gaaban baaritaanka ka hor.
Marka irbadda la geliyo si dhiig loo qaado, dadka qaar waxay dareemaan xanuun dhexdhexaad ah. Qaar kale waxay dareemaan oo keliya dharbaaxo ama xaniin. Intaas ka dib, waxaa laga yaabaa inay xoogaa wax garaacaan ama nabar yar. Tani dhawaan way tagi doontaa.
Tijaabadani waxaa loo sameeyaa si loola socdo jawaabta daaweynta ka dibna loo hubiyo soo noqoshada xiidanka iyo kansarrada kale sida kansarka qanjirka 'thyroid' iyo kansarka malawadka, sambabka, naaska, beerka, beeryarada, caloosha, iyo ugxansidaha.
Looma isticmaalo baaritaanka kansarka waana in aan la sameynin ilaa laga ogaado cudurka kansarka.
Heerka caadiga ah waa 0 illaa 2.5 ng / mL (0 illaa 2.5 µg / L).
Sigaar-cabayaasha, qiimayaasha waxyar ka sarreeya waxaa loo qaadan karaa inay yihiin caadi (0 illaa 5 ng / mL, ama 0 illaa 5 µg / L).
Heerka sare ee CEA ee qof dhawaan laga daweeyay kansarrada qaarkood ayaa macnaheedu noqon karaa in kansarku soo noqday. Heer ka sareeya heerka caadiga ah waxaa sababi kara kansarka soo socda:
- Kansarka naasaha
- Kansarrada marinnada taranka iyo kaadi mareenka
- Kansarka mindhicirka weyn
- Kansarka sambabka
- Kansarka pankreatic
- Kansarka qanjirka 'thyroid'
Ka sarreeya heerka caadiga ah ee CEA keligiis ma baari karo kansar cusub. Imtixaan dheeri ah ayaa loo baahan yahay.
Heerka CEA ee kordhay sidoo kale waxaa laga yaabaa inuu ugu wacan yahay:
- Dhibaatooyinka beerka iyo xameetida, sida nabar ku dhaca beerka (cirrhosis), ama xameetida caabuq (cholecystitis)
- Sigaar cabid badan
- Cudurada caloosha ee caabuqa leh (sida ulcerative colitis ama diverticulitis)
- Caabuqa sambabka
- Caabuqa qanjidhada (ganaca)
- Boog caloosha
Khatar yar ayaa ku jirta in dhiigga lagaa qaado. Xididdada iyo halbowlayaasha waxay ku kala duwan yihiin cabirka qof ilaa qof kale iyo dhinac jirka ah ilaa dhinac kale. Qaadashada dhiigga dadka qaar way ka dhib badnaan kartaa kuwa kale.
Khataraha kale ee la xiriira dhiig qaadashada way yar yihiin laakiin waxaa ka mid noqon kara:
- Dhiigbax xad dhaaf ah (dhif ah)
- Miyir beelid ama dareemid madax-wareer
- Daloollo badan si loo helo xididdada
- Hematoma (dhiig ku ururaya maqaarka hoostiisa)
- Infekshan (halis yar mar kasta oo maqaarku jabo)
Baaritaanka dhiigga ee kansarka jirka ee loo yaqaan 'Carcinoembryonic antigen'
- Baaritaanka dhiigga
Franklin WA, Aisner DL, Davies KD, iyo al. Pathology, biomarkers, iyo baaritaanka molecular. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 15.
Jain S, Pincus MR, Bluth MH, McPherson RA, Bowne WB, Lee P. Ciladda iyo maaraynta kansarka iyadoo la adeegsanayo serologic iyo astaamo kale oo dheecaanno jirka ah. Gudaha: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis iyo Maareynta Hababka Shaybaarka. 23aad ed. St Louis, MO: Elsevier; 2017: cutubka 74.