Imwe yenzvimbo dzinonyanya kukosha mune zvekurapa inecology, kubva munguva ichangopfuura, zvinosuruvarisa, zviitiko zvekuona zvirwere zvakashata zvakawedzera zvikuru. Nokuda kwekusiyanisa kwokutanga kuongororwa kwekenza, kuongororwa kunokurudzirwa kune vashandi - kuti izvi hazvizivikanwi nevarwere vose, kazhinji ichi chidzidzo chinoitwa chisina kudzora, uye mhinduro dzayo haisi dzidzo. Asi kana iwe ukazviita zvakarurama, unogona kudzivisa kukura uye kufambira mberi kwemakumbo akasiyana-siyana, uye kuongorora kubudirira kwerapi.
Chii chinonzi kuongorora ropa kunoratidzika kune vamwe vanoita zvinhu?
Chero chipi nechipi chinonyangadza chinopisa mumuviri chinodzivirira mapurogiramu akasiyana emapuroteni emiti anonzi vashandi. Chirwere chimwe nechimwe chine masero ayo chaiwo, anoita kuti zvikwanisike kusiyanisa kubva kune dzimwe mhando dzekenza uye kuti atange kufambisa kutsvaga kutsvaga.
Zvakakosha kuziva kuti tsanangudzo yakawanda yevatengesi inosanganisira marudzi akawanda emapuroteni:
- CA 19-9;
- B-2-MG;
- REA;
- AFP;
- CA 72-4;
- HCG;
- CA 125;
- PSA;
- NCE;
- CA 15-3;
- UBC;
- cPCA.
Mumwe nomumwe wemapoka aya akakodzera kuzivisa mhando dzakasiyana-siyana dzekugara uye chimiro chemuviri. Nokudaro, chiremba ane ruzivo haambogadziri kudzidza kune vose vanoona. Nekuongorororwa, kune zvakakwana kubvira 1 kusvika ku3 mapoka emaprotheni emakwenzi.
Panguva imwecheteyo, kuongororwa kwekufungidzirwa, pamwe chete nezvakanakira, kune uwandu hwekukanganisa:
- Iko kune zvirwere zvishoma zvisingaenzaniswi neoncology, izvo zvinokonzera kuwandisa kwezvinhu zvinodiwa zvevashandi.
- Kusavapo kwemapuroteni muropa hakuratidzi kuti hapana maronda mumuviri.
- Zvigumisiro zvekudzidza zvakanyanyawo zvichienderana nekushanda kwechiropa neitsvo.
- Vakashambadzirira vakananga chete kune rumwe rudzi rwemhando, kwete nhengo. Nokudaro, chiratidzo ichocho chinogona kufananidzwa neoplasms munzvimbo dzakasiyana dzomuviri.
- Zvakakosha kugara uchitarisa huwandu hwepuroteni mune rimwe laboratori, zvichida pane imwechete yezvigadzirwa.
Mukuona kwezvikonzero zvataurwa pamusoro apa, chidzidzo ichi chinowedzerwa nedzimwe nzira dzekuongorora - radiography, MRI, ultrasound.
Nzira yekupedza sei kuongorora pamusoro pevatengesi?
Sezvo mutemo, ropa revirous rinodiwa kuti riongororwe. Inotorwa pane isina chinhu mudumbu, kwete maawa masere mushure mekudya.
Dzimwe nguva onocomarkers anoongorora urini. Mvura yacho inopawo mangwanani, kusati kwasvika.
Nzira dzekutsvaga ropa kunokonzera kuora kwezvirwere
Kunyange mumunhu ane hutano hwakakwana, mapuroteni emakemikari ezvakatsanangurwa aripo mumuviri. Saka, kune mumwe nomumwe wavo muganhu wemiganhu inogadzirwa:
- CA 19-9 - kwete kupfuura 30 IU / ml;
- REA - kubva ku 0 kusvika ku 5 ng / ml;
- CA 242 - kwete kupfuura 30 IU / ml;
- AFP - kusvika ku 5 IU / ml;
- CA 72-4 - kwete kupfuura 4 IU / ml;
- HCG - haina kupfuura 5 IU / l;
- CA 125 - 0 kusvika 30 IU / ml;
- PSA - 0 kusvika 4 IU / ml;
- B-2-MG - kubva 660 kusvika 2740 ng / ml;
- NCE - 0 kusvika 15 ng / ml;
- CA 15-3 - 0 kusvika 22 IU / ml;
- UBC - kubva pa3 kusvika ku15 ng / ml.
KuCSA, kuongororwa kunodiwa chete kana chirongwa chePSA chinopfuura 4 IU / ml. Mumamiriro ezvinhu akadaro, chikamu cheCSA kusvika PSA chinoverengwa.
Kutsanangurwa kwemigumisiro yekuongororwa pane vanofunga kuti vanoona
Sezvatotaurwa, chirudzi chimwe nechimwe cheprotini chinokodzera kune mamwe marudzi emakumbo:
- PSA uye cpsA - kenza yeprostate;
- CA 19-9 - kenza yepancreatic ;
- CEA - kenza yemudumbu, mapapu, rectum, colon. Uyewo inoratidza zvirume zvea late, thyroid, pancreas, ovaries;
- CA 242 - kenza yemukati uye mumatumbo makuru, pancreas;
- AFP - kenza yeropa;
- CA 72-4 - kenza yemudumbu, ovary;
- HCG - kenza yemaawa, katoriblastic tumor, kenza ye testicular, placental chorion carcinoma;
- CA 125 - kenza yemaawa;
- B-2-MG - B-cell lymphocytic leukemia, lymphoma, multiple myeloma ;
- NSE - kenza yemapapu, utachiona, pancreas, neuroblastoma, pheochromocytoma;
- CA 15-3 - kenza yemazamu, nduru yemukaka;
- UBC chirwere chemukaka.