Hōʻaʻo koko CEA

ʻO ke aniani carcinoembryonic (CEA) e ana i ka pae o CEA i ke koko. ʻO CEA kahi protein i loaʻa maʻamau i kaʻiʻo o kahi pēpē e ulu ana i ka ʻōpū. E nalo a lilo i haʻahaʻa loa ke kiʻekiʻe o ke koko o kēia protein ma hope o ka hānau ʻana. I ka poʻe mākua, he hōʻailona hōʻailona paha o ka CEA kahi o ka maʻi ʻaʻai.

Pono kahi laʻana koko.

Hiki paha i ka puhihihi ke hoʻonui i ka pae CEA. Inā puhi ʻoe, hiki i kāu kauka ke haʻi iā ʻoe e hōʻalo i ka hana ʻana no kahi manawa pōkole ma mua o ka hoʻāʻo.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hana ʻia kēia ho'āʻo e nānā i ka pane i ka mālama ʻana a laila e nānā i ka hoʻihoʻi ʻana mai o ka kolona a me nā maʻi ʻē aʻe e like me ka maʻi maʻi thyroid medullary a me nā maʻi ʻākala o ka rectum, lung, umauma, ate, pancreas, ʻōpū, a me nā ovaries.

ʻAʻole hoʻohana ʻia ia ma ke ʻano he hōʻike loiloi no ka maʻi ʻaʻai a ʻaʻole pono e hana ʻia inā ʻaʻole i hōʻike ʻia kahi maʻi ʻaʻai.

ʻO ka pae maʻamau ʻo 0 a 2.5 ng / mL (0 a 2.5 µg / L).

I nā mea puhipaka, ʻike ʻia nā waiwai kiʻekiʻe kiʻekiʻe he maʻamau (0 a 5 ng / mL, a i ʻole 0 a 5 µg / L).

ʻO kahi pae CEA kiʻekiʻe i kahi kanaka i mālama ʻia i kēia manawa no kekahi mau maʻi maʻi maʻi paha i hoʻi mai ka maʻi ʻaʻai. ʻO kahi kiʻekiʻe ma mua o ka pae maʻamau ma muli o nā maʻi maʻi aʻe:

• Maʻi ʻaʻai umauma
• Nā maʻi kīkē o nā hua hānau a me nā urinary
• Maʻi ʻaʻai Kolona
• Kanesa maʻi ʻaʻai
• Maʻi ʻaʻai Pancreatic
• Maʻi ʻaʻai thyroid

ʻOi aku ka kiʻekiʻe ma mua o ka pae CEA maʻamau ʻaʻole hiki ke ʻike i kahi maʻi ʻaʻai hou. Pono hou e hoʻāʻo.

Loaʻa paha kahi pae CEA hoʻonui ʻia ma muli o:

• Nā pilikia o ke akepaʻa a me ka gallbladder, e like me ka scarring o ke ake (cirrhosis), a i ʻole ka mumū gallbladder (cholecystitis)
• Paka nui
• Nā maʻi maʻi ʻōiwi (e like me ka ulcerative colitis a i ʻole diverticulitis)
• Maʻi ʻaʻai
• Hoʻonā o ka pancreas (pancreatitis)
• Ulcer ʻōpū

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui loa (rare)
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Hōʻike koko antigen Carcinoembryonic

• Hōʻaʻo koko

Franklin WA, Aisner DL, Davies KD, et al. Nā pathology, biomarkers, a me nā diagnostics mole. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 15.

ʻO Jain S, ʻo Pincus MR, ʻo Bluth MH, ʻo McPherson RA, ʻo Bowne WB, ʻo Lee P. Diagnosis a me ka mālama ʻana i ka maʻi ʻaʻai e hoʻohana ana i nā serologic a me nā mea kaha wai ʻē aʻe. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 74.