Thaum kuaj xyuas kev kho mob, qee qhov kev ntsuam xyuas ntiag tug thiab zoo li teeb meem feem ntau raug hla, xws li kev kuaj ntshav fecal occult.(FOBT).

Ntau tus neeg, thaum ntsib nrog lub thawv thiab cov ntawv coj mus kuaj rau cov quav, nyiam zam nws vim "kev ntshai ntawm av," "kev txaj muag," lossis "xav tias nws yog kev ua txhaum ntau dhau." Txawm li cas los xij, qhov no feem ntau saib tsis taus "kev sim quav" tuaj yeem ua rau muaj sia nyob hauv lub sijhawm tseem ceeb.

Ms. Wu, muaj hnub nyoog 59, tau mus xyuas lub tsev kho mob tom qab muaj ib lub lim tiam ntawm cov quav los ntshav. Nws yeej tsis xav tias qhov kev sim uas nws tau hla peb xyoos sib law liag yuav, thawj zaug, tshuaj ntsuam qhov zoo los ntawm txoj kev tiv thaiv kab mob, ua rau muaj kev kuaj mob ntxov ntxov ntawm lub qhov quav los ntawm kev colonoscopy. Tom qab kev phais tshem tawm, nws txoj sia nyob tsib xyoos tau tshaj 90%.

Hauv qhov sib piv, nws tus neeg nyob ze, Zhang, uas tau tsis quav ntsej txog qhov "kev xaiv teeb meem" no ntawm nws daim ntawv kuaj mob, tau kuaj pom tias muaj mob qog noj ntshav siab tom qab tsuas yog mob plab thiab cov quav ntshav, txo nws txoj sia nyob tsawg dua 10%.

Vim li cas koj yuav tsum tsis hla lubfecal occult ntshav kuaj?
Tus nqi tseem ceeb ntawmFOBTnyob rau hauv kev kuaj pom (micro-bleeding) nyob rau hauv lub plab zom mov. Thaum cov ntshav me me (ib hnub tsuas yog 2-5ml), cov qe ntshav liab twb tau zom thiab tawg, ua rau cov quav zoo li tsis pom cov ntshav thiab tsis tuaj yeem kuaj pom hauv lub tshuab ntsuas. Txawm li cas los xij, kev puas tsuaj ntawm cov qe ntshav liab tso tawm hemoglobin, uas tuaj yeem kuaj tau los ntawm cov tshuaj lom neeg lossis tshuaj tiv thaiv kab mob.

Cov ntshav me me no tuaj yeem yog ib qho cim ntxov ntawm cov qog nqaij hlav hauv plab (xws li mob qog noj ntshav lossis mob plab). Cov kev tshawb fawb tau pom tias 87% ntawm cov neeg mob uas muaj cov qog nqaij hlav hauv plab muaj qhov zoo fecal occult ntshav kuaj. Txij li cov qog los ntshav tsis tu ncua, ib qho kev sim ib zaug yuav plam qhov kev kuaj mob. Txawm li cas los xij, kev tshuaj ntsuam xyuas txhua xyoo tuaj yeem txhim kho qhov kev kuaj pom ntawm qhov txhab. Raws li kev txheeb cais tsis tiav, kev tshuaj xyuas FOBT zoo ib yam tuaj yeem txo qis kev mob qog noj ntshav hauv plab los ntawm 10% -30%. Tam sim no, ntau cov txheej txheem tiv thaiv tau pom zoo tias nws yog ib qho kev tshuaj ntsuam xyuas.

Kev sib xyaw ua ke txhim kho qhov tseeb

Kev tshawb fawb qhia tau hais tias ib txhij kuaj hemoglobin (Hb) thiab Transferrin (Tf)tuaj yeem npog ntau qhov xwm txheej los ntshav thiab txhim kho kom pom tseeb.

TransferrinNws ruaj khov hauv cov quav ntau dua li hemoglobin, yog li kev sim rau ob leeg tuaj yeem txo qhov tsis zoo uas tshwm sim los ntawm kev ploj ntawm hemoglobin antigenicity. Kev sib xyaw ua ke muaj cov txiaj ntsig hauv qab no: muaj zog tshwj xeeb, siab rhiab heev, kev ua haujlwm yooj yim, ua tiav ib kauj ruam, thiab kev txhais tau yooj yim.

Leej twg yuav tsum tau xeem qhov kev xeem no?

Cov neeg muaj hnub nyoog 40 thiab siab dua yuav tsum tau kuaj ntshav fecal occult tsawg kawg ib xyoos ib zaug.

Yog tias koj muaj ib qho ntawm cov xwm txheej hauv qab no, koj yuav tsum nce qhov zaus ntawm fecal occult kuaj ntshav:

A. Tsev neeg keeb kwm ntawm gastric los yog mob plab hnyuv.

B. Keeb kwm ntawm mob qog nqaij hlav hauv plab, mob plab adenoma, lossis post-polypectomy.

C. Keeb kwm ntawm colitis.

D. Keeb kwm ntawm gynecological malignancies nrog pelvic radiotherapy.

E. Ntau tshaj 10 xyoo tom qab cholecystectomy.

F. Recurrent pernicious anemia.

G. Mob atrophic gastritis, gastric ulcers, gastric polyps, los yog keeb kwm ntawm kev phais plab.

H. Cov txiv neej uas hnyav 20-25 kg los yog haus luam yeeb.

I. Helicobacter pylori kab mob: ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav los ntawm 2-3 zaug.

Xaus los ntawm Xiamen Baysen Medical

Peb baysene Medical muajFOB Cov khoom siv kuajthiabTransferrin kuaj cov khoom siv. Ntawm no Peb baysen meidcal ib txwm tsom rau cov txheej txheem kuaj mob txhawm rau txhim kho kev ua neej zoo.