Ebang uena kapa moratuoa oa hau o tšoaroa ke kankere ea matsoele, ho tloaelehile hore u imeloe ke liteko tse ngata tse laetsoeng ke ngaka ea hau.
Tlhahlobo e 'ngoe ea mali e ka laeloang haeba u na le kankere ea matsoele (kapa e na le) e bitsoang antigen ea kankere 15-3 (CA 15-3) ea tlhahlobo ea biomarker.
Li-biomarker ke lintho tse ka har'a mali a motho tse ka sebelisoang ho shebella kholo ea kankere-li "tšoaea" boteng ba kankere.
Ho hlalosa Tlhahlobo ea Mali ea CA 15-3 ka kankere ea matsoele
CA 15-3 ke protheine e leng sehlahisoa se tloaelehileng sa mafura a matsoele. Le hoja protheine ea CA 15-3 e sa bakise kankere ea matsoele, haeba kankere ea kankere e le ka har'a sefuba sa hau, likarolo tsa hau tsa CA 15-3 li ka eketseha ha palo ea lisele tsa kankere e eketseha.
Lebaka ke hore lisele tsa tumor li ka tšolla likopi tsa protheine ea CA 15-3, e ka lekanyetsoang ke teko ea mali.
Le ha tlhahlobo ea mali ea CA 15-3 e sa sebelisoe ho hlahloba kapa ho hlahloba kankere ea matsoele, ho na le mabaka a mang a mararo a etsang hore ngaka ea hao e ka laela tlhahlobo ena ea mali:
Ho hlahloba hore na Kankere ea Breese e khutlela hokae
Haeba u qetile phekolo ea kankere ea matsoele, ngaka ea hau e ka hlahloba mali a hao bakeng sa CA 15-3 kemiso e tloaelehileng ho bona hore na maemo a hau a phahame kapa a lula a tsitsitse. Maemong a phahameng a CA 15-3 a ka 'na a bontša ho khutla ha kankere ea matsoele . Kaha maemo a mang a ka baka maemo a phahameng a CA 15-3, leha ho le joalo, liphetho tsa liteko li lokela ho nkoa hammoho le liphello tsa lithuto tsa litšoantšo, matšoao a hau le liteko tse ling.
Ho Lebela Tlhahlobo ea Hao ho Phekolo ea Kankere ea Bokhachane
Lintlha tse latelang tsa CA 15-3 li ka thusa ngaka ea hao hore e tsebe hore na phekolo ea hau e sebetsa kapa che. Leha ho le joalo, ke habohlokoa ho hlokomela hore ho ka nka libeke tse 'nè ho isa ho tse tšeletseng kalafo pele phetoho e bonoa boemong ba CA 15-3.
Ntho e ikhethang ho sena, eo e leng ea bohlokoa ho e ela hloko, ke ea basali ba tšoaroang ke chemotherapy drug Afinitor (everolimus).
Ka lebaka la tsela eo meriana ena e sebetsang ka eona khahlanong le kankere ea matsoele, liphello tsa teko ea CA 15-3 ea tlhahlobo ea liphoofolo e ka ba se fapaneng le se etsahalang ka kankere ea hau. Ka mantsoe a mang, esita le haeba kankere ea hau e arabela ho Affinitor, boemo ba hau ba CA 15-3 bo ka hlaha, 'me haeba kankere ea hau e ntse e tsoela pele, boemo ba hau ba CA 15-3 bo ka' na ba theoha, ba fana ka maikutlo a bohata a hore lefu la hau lea ntlafala.
Ho Ikhethela Haeba Kankere ea Hao ea Sefuba e Ntse e Tsoetse Pele
Haeba boemo ba hau ba CA 15-3 bo tsoela pele ho eketseha, ho ka 'na ha fana ka maikutlo a hore kankere ea hau e mpefala. Ha e le hantle, boemo ba CA 15-3 bo amahanngoa le tekanyo ea ho ata ha kankere ea matsoele 'me hangata e phahame haholo ha metastase ea masapo le / kapa metastases ea sebete e le teng (metastases e bolela hore kankere ea matsoele e hasane ho litho tse ling ka hare ho 'mele).
Lithako tsa CA 15-3 Teko ea Mali
Joalokaha ho boletsoe, maemo a CA 15-3 a atisa ho phahame haholo ho basali ba nang le metastase ea sebete kapa ea masapo ka lebaka la kankere ea matsoele, ke ka lebaka leo tlhahlobo ea kokoana-hloko ea CA 15-3 e leng molemo haholo ho hlahloba karabo ho phekolo ea kankere ea matsoele ea matsoele .
Leha ho le joalo, ho na le likaroloana tse seng kae tseo u lokelang ho li boloka kelellong ha u fetolela liphello tsa hau:
Hase 'Nete e' Ngoe le e 'Ngoe ea Lebese le Tsohang ho CA 15-3
Bakeng sa basali ba nang le maqeba a matsoele a sa hlahiseng CA 15-3 kapa ka kankere ea matsoele ea mathoasong, tlhahlobo ena ha e na thuso.
Ha e le hantle, ke karolo ea 30 lekholong feela ea basali ba tšoeroeng ke kankere ea matsoele ea sebakeng seo (e bolelang hore kankere e lekane le sefuba) e tla ba le likarolo tse eketsehileng tsa CA 15-3. Ka lehlakoreng le leng, ho basali ba nang le kankere ea matsoele ea metastatic, CA 15-3 e ka fumanoa Karolo ea 50 ho isa ho 90 lekholong ea linyeoe tsohle.
Maemo a mang a ka etsa hore CA e Phahameng 15-3
Haeba tlhahlobo ea mali ea CA 15-3 e phahame, ha e bolele hore u na le kankere ea matsoele ea 'mele kapa leha e le hantle kankere ea matsoele. Lebaka ke hobane ho na le maemo a mang a 'maloa a ka etsang hore boemo ba CA 15-3 bo phahameng bo kang:
- Tse ling tsa kankere, ho akarelletsa le kankere ea uterine, kankere ea matšoafo , kankere ea pancreatic, kankere ea sebete, kankere ea tšoelesa ea prostate le kankere ea colon
- Li-cirrhosis tsa sebete
- Lefuba
- Boemo ba matsoele a Benign
- Ho fepa
- Boimana
- Lupus
- Maloetse a tšoaetsoang ke sefubelu
- Endometriosis
- Sarcoidosis
CA 15-3 Liphello ha li Boholo ho Bolela Lintho ka Tlhahlobo
Le hoja tlhahlobo ea mali ea CA 15-3 hangata e phahame le ho ata ha kankere ea matsoele ea metastatic, hase kamehla ho leng molemo haholo ho lekanyetsa hore na u na le lefuba la mofuta ofe (monyetla oa ho hlaphoheloa ke kankere ea matsoele).
Ka mantsoe a mang, ha tlhahlobo ea mali ea CA 15-3 e ka fana ka tlhahisoleseding e molemo, ha e sebelise feela ho tataisa phekolo ea kankere ea matsoele kapa ho hlokomela kamoo u arabelang hantle kalafo ea hau ea joale.
Lentsoe le Tsoang ho
Haeba tekanyo ea hao ea CA 15-3 ea tumor e phahame, 'me ho lumeloa hore e amana le ho ata ha kankere ea matsoele, uena le ngaka ea hau le tla sheba lintlha tse ling tse' maloa ho etsa liqeto mabapi le liteko tse ling hape le kalafo.
Tse ling tsa mabaka ana li kenyeletsa boholo ba lithōle tsa hau, liteko tse ling tsa lithethefatsi, liphello tsa lithuto tsa litšoantšo, hammoho le liphihlelo tse tsoang historing ea hao kapa tlhahlobo ea 'mele.
Ntlha ea bohlokoa mona ke hore tlhahlobo ea mali ea CA 15-3 ke karolo e le 'ngoe feela ea puzzle ha e fihla ho uena kapa kankere ea matsoele ea moratuoa oa hau. Ho na le lintlha tse ngata tse kenang ho khetholla mohato o latelang, 'me botumo ba hau bo fetela ka nģ'ane ho litekanyetso tsa Lab. Haholo-holo, tlhahlobo ea mali ea CA 15-3 e ka lebisa ho tšoenyeha kaha ho ka nka libeke tse 6 ho theoha ka mor'a phekolo e sebetsang, 'me ka mekhoa e meng ea phekolo, boemo bo ka fetoha ka tsela e bolelang se fapaneng le seo e etsahalang.
Qetellong, e 'ngoe ea lintho tsa bohlokoa ka ho fetisisa eo u ka e etsang joaloka mofetoheli oa kankere ea matsoele ke ho ba moemeli oa hau mosebetsing oa tlhokomelo ea kankere . Ha u ithuta ka matšoao a hlahala joaloka CA 15-3, u nkile mohato oa bohlokoa haholo ho etsa joalo feela.
> Mehloli:
> Fejzic, H., Mujagic, S., Azabagic, S., le M. Burina. Tšoaetso ea bo-'mametsana CA 15-3 bathong ba kankere ea matsoele. Acta Medica Academica . 2015. 44 (1): 39-46.
> Nieder, C., Dalhaug, A., Haukland, E., Mannsaker, B., le A. Pawinski. Tšusumetso ea Phatlalatso ea Tlhahlobo ea Matšoao ea Marker CA 15-3 ho bakuli ba nang le kankere ea matsoele le metastase ea bone e tšoaroang ka palliative Radiotherapy. Journal ea Meriana ea Meriana ea Phuputso . 2017. 9 (3): 183-187.
> Rafey, M., Akhtar, K., Rab, A. le al. Serum Ca 15-3: Tlhasetso e Molemo ea ho Tšoara Tlhahisong ea Kankere e Khōlō ea Kankere ea Sebakeng. Annals ea Bophelo ba Basali le ba Bana . 2017. 3 (4): A50-A51.
> Shao, Y., Zianfu, S., Yaning, H., Chaojun, L., le H. Liu. Mekhoa e Phahameng ea Likarabo Tsa Serum Tumor (CEA) le CA15-3 ke Li-parameter tsa Parameters bakeng sa Likaroloana tse sa tšoaneng tsa Molecular Cancer. PLoS One . 2015. 10 (7): e0133830.