Ngesikhathi sokuhlolwa kwezokwelapha, ezinye izivivinyo zangasese nezibonakala ziyinkinga ngokuvamile ziyeqiwa, njengokuhlolwa kwegazi okunendle.(FOBT).

Abantu abaningi, lapho bebhekene nesiqukathi kanye nodondolo lwesampula lokuqoqwa kwendle, bavame ukukugwema ngenxa “yokwesaba ukungcola,” “ihlazo,” noma “becabanga ukuthi ukusabela ngokweqile.” Nokho, lokhu “kuhlola indle” okuvame ukudelelwa kungase kusindise ukuphila ezikhathini ezibucayi.

UNksz Wu, oneminyaka engu-59, uvakashele lo mtholampilo ngemuva kokuthola indle enegazi isonto lonke. Wayengakaze alindele ukuthi ukuhlolwa ayekweqile iminyaka emithathu ilandelana, okokuqala ngqa, kuzobonakala ukuthi unalo yini ngendlela ye-immunochemical, okuholela ekuhlonzweni kusenesikhathi komdlavuza wamabele kusetshenziswa i-colonoscopy. Ngemva kokususwa kokuhlinzwa, izinga lakhe lokusinda leminyaka emihlanu ladlula ama-90%.

Ngokuphambene, umakhelwane wakhe, uMnu. Zhang, osekunesikhathi eside engayinaki le “nketho enzima” efomini lakhe lokuhlolwa kwezokwelapha, watholakala enomdlavuza wesikhumba osuthuthukile ngemva kokuba ezwa ubuhlungu besisu kanye nendle enegazi, okwanciphisa izinga lakhe lokusinda laba ngaphansi kuka-10%.

Kungani ungayeqi i-ukuhlolwa kwegazi kwe-fecal occult?
Inani eliyinhloko leFOBTilele ekutholeni (micro-bleeding) emgudwini wokugaya ukudla. Uma kunokopha okuncane (nsuku zonke kuphela i-2-5ml), amangqamuzana egazi abomvu asevele egaywe futhi aphulwa, okwenza indle ibonakale ijwayelekile ngaphandle kwegazi elibonakalayo futhi ingabonakali ngaphansi kwe-microscope. Kodwa-ke, ukubhujiswa kwamangqamuzana abomvu egazi kukhipha i-hemoglobin, engatholwa ngezindlela zamakhemikhali noma ze-immunochemical.

Lokhu kopha okuncane kungase kube uphawu lokuqala lwezicubu zokugaya ukudla (ezifana nomdlavuza we-colorectal noma wesisu). Ucwaningo luye lwathola ukuthi i-87% yeziguli ezinezicubu zokugaya ukudla zine-fecal occult blood test. Njengoba ukopha kwesimila kwenzeka ngezikhathi ezithile, ukuhlolwa okukodwa kungase kuphuthelwe ukuxilongwa. Kodwa-ke, ukuhlolwa okuvamile kwaminyaka yonke kungathuthukisa kakhulu izinga lokutholwa kwezilonda. Ngokwezibalo ezingaphelele, ukuhlolwa kwe-FOBT okungaguquki kunganciphisa ukufa komdlavuza we-colorectal ngo-10% -30%. Okwamanje, imihlahlandlela eminingi yokuvimbela incoma kakhulu njengento yokuhlola.

Ukuhlola Okuhlanganisiwe Kuthuthukisa Ukunemba

Ucwaningo lubonisa ukuthi kanyekanye ukuhlola i-hemoglobin (Hb) kanye i-transferrin (Tf)ingamboza izimo zokopha okwengeziwe futhi ithuthukise ukunemba kokutholakala.

I-Transferrinizinzile esitulweni kune-hemoglobin, ngakho ukuhlolwa kwakho kokubili kunganciphisa amanga angamanga okubangelwa ukunyamalala kwe-hemoglobin antigenicity. Ukuhlola okuhlanganisiwe kunikeza izinzuzo ezilandelayo: ukucaciswa okuqinile, ukuzwela okuphezulu, ukusebenza okulula, ukuqedwa kwesinyathelo esisodwa, nokutolika kwemiphumela elula.

Ubani Okufanele Ahlole Lokhu?

Abantu abaneminyaka engu-40 nangaphezulu kufanele bahlole igazi elisetshenziswa indle okungenani kanye ngonyaka.

Uma uneminye yalezi zimo ezilandelayo, kufanele wandise imvamisa yokuhlolwa kwegazi okune-fecal:

A. Umlando womndeni womdlavuza wesisu noma we-colorectal.

B. Umlando womdlavuza we-colorectal, i-colorectal adenoma, noma i-post-polypectomy.

C. Umlando we-colitis.

D. Umlando wezifo zabesifazane nge-radiotherapy ye-pelvic.

E. Ngaphezu kweminyaka eyi-10 ngemuva kwe-cholecystectomy.

F. I-anemia eyingozi ephindaphindiwe.

G. I-Chronic atrophic gastritis, izilonda zesisu, ama-polyps esiswini, noma umlando wokuhlinzwa kwesisu.

H. Abesilisa abakhuluphele ngo-20-25 kg noma ababhemayo.

I. Ukutheleleka kwe-Helicobacter pylori: kwandisa ingozi yomdlavuza wesisu izikhathi ezingu-2-3.

Isiphetho esivela ku-Xiamen Baysen Medical

We baysene Medical babeI-FOB Ikhithi yokuhlolafuthiIkhithi yokuhlola ye-Transferrin. Lapha Thina i-baysen meidcal sihlale sigxile kumasu okuxilonga ukuze sithuthukise izinga lokuphila .