Thaum lub sijhawm kuaj mob, qee qhov kev kuaj mob ntiag tug thiab zoo li muaj teeb meem feem ntau raug hla mus, xws li kev kuaj ntshav zais zis.(FOBT).

Thaum ntsib lub thawv thiab tus pas ntsuas quav, feem ntau cov neeg tsis kam siv vim "ntshai av qias neeg," "txaj muag," lossis "xav tias nws yog kev ua dhau lawm." Txawm li cas los xij, qhov "kev ntsuas quav" no feem ntau raug saib tsis taus tuaj yeem yog ib qho kev cawm siav rau lub sijhawm tseem ceeb.

Niam Wu, hnub nyoog 59 xyoo, tau mus ntsib kws kho mob tom qab nws pom tias nws quav ntshav tau ib lub lim tiam. Nws yeej tsis xav tias qhov kev kuaj uas nws tau hla mus rau peb xyoos sib law liag yuav, thawj zaug, pom tias muaj tus kab mob los ntawm txoj kev siv tshuaj immunochemical, ua rau pom tias muaj mob qog noj ntshav ntawm lub qhov quav thaum ntxov los ntawm kev siv colonoscopy. Tom qab phais tshem tawm, nws tus nqi ciaj sia tsib xyoos tau tshaj 90%.

Qhov sib txawv, nws tus neeg zej zog, Mr. Zhang, uas tau tsis quav ntsej txog "kev xaiv teeb meem" no ntawm nws daim ntawv kuaj mob, tau kuaj pom tias muaj mob qog nqaij hlav plab hnyuv tom qab mob plab thiab quav ntshav, ua rau nws txoj sia nyob tsawg dua 10%.

Vim li cas koj yuav tsum tsis txhob hla muskev kuaj ntshav zais zis hauv quav?
Tus nqi tseem ceeb ntawmFOBTnws yog nyob rau hauv kev kuaj pom (micro-bleeding) hauv txoj hnyuv zom zaub mov. Thaum muaj kev los ntshav me me (tsuas yog 2-5ml txhua hnub), cov qe ntshav liab twb tau zom thiab tawg lawm, ua rau cov quav zoo li qub yam tsis muaj ntshav pom thiab tsis pom hauv qab lub tshuab microscope. Txawm li cas los xij, kev puas tsuaj ntawm cov qe ntshav liab tso tawm hemoglobin, uas tuaj yeem kuaj pom los ntawm cov tshuaj lom neeg lossis cov txheej txheem immunochemical.

Qhov kev los ntshav me me no yuav yog ib qho cim qhia ntxov ntawm cov qog nqaij hlav hauv txoj hnyuv (xws li mob qog nqaij hlav plab hnyuv lossis mob qog nqaij hlav hauv plab). Cov kev tshawb fawb tau pom tias 87% ntawm cov neeg mob uas muaj mob qog nqaij hlav hauv txoj hnyuv muaj cov ntshav kuaj pom tias muaj cov ntshav zais hauv cov quav. Vim tias cov ntshav los ntawm qog nqaij hlav yog qhov tsis tu ncua, ib qho kev kuaj ib zaug yuav tsis raug kuaj mob. Txawm li cas los xij, kev tshuaj xyuas txhua xyoo tsis tu ncua tuaj yeem txhim kho qhov kev kuaj pom ntawm cov qhov txhab. Raws li cov ntaub ntawv tsis tiav, kev tshuaj xyuas FOBT tas li tuaj yeem txo qhov kev tuag ntawm mob qog nqaij hlav plab hnyuv los ntawm 10% -30%. Tam sim no, ntau cov lus qhia tiv thaiv pom zoo kom nws ua ib yam khoom tshuaj xyuas.

Kev Ntsuas Ua Ke Txhim Kho Qhov Tseeb

Kev tshawb fawb qhia tau tias tib lub sijhawm kuaj hemoglobin (Hb) thiab transferrin (Tf)tuaj yeem npog ntau qhov xwm txheej los ntshav thiab txhim kho qhov tseeb ntawm kev kuaj pom.

TransferrinNws ruaj khov dua hauv cov quav dua li hemoglobin, yog li kev kuaj ob qho tib si tuaj yeem txo qhov tsis zoo cuav uas tshwm sim los ntawm qhov ploj ntawm hemoglobin antigenicity. Kev kuaj ua ke muaj cov txiaj ntsig hauv qab no: muaj zog tshwj xeeb, muaj kev nkag siab zoo, ua haujlwm yooj yim, ua tiav ib kauj ruam, thiab yooj yim txhais cov txiaj ntsig.

Leej twg yuav tsum tau ua qhov kev xeem no?

Cov neeg uas muaj hnub nyoog 40 xyoo rov saud yuav tsum tau kuaj ntshav hauv cov quav tsawg kawg ib xyoos ib zaug.

Yog tias koj muaj ib qho ntawm cov mob hauv qab no, koj yuav tsum ua kom ntau zaus ntawm kev kuaj ntshav occult fecal:

A. Keeb kwm tsev neeg muaj mob qog noj ntshav hauv plab lossis txoj hnyuv loj.

B. Keeb kwm muaj mob qog nqaij hlav ntawm txoj hnyuv loj, qog nqaij hlav ntawm txoj hnyuv loj, lossis tom qab phais polypectomy.

C. Keeb kwm mob plab hnyuv.

D. Keeb kwm ntawm cov kab mob gynecological nrog kev kho mob pelvic radiotherapy.

E. Ntau tshaj 10 xyoo tom qab phais cholecystectomy.

F. Kab mob ntshav tsis txaus uas rov tshwm sim dua.

G. Mob plab atrophic gastritis ntev, mob ulcers hauv plab, mob polyps hauv plab, lossis keeb kwm phais plab.

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

I. Kev kis tus kab mob Helicobacter pylori: ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav hauv plab ntau dua 2-3 npaug.

Xaus lus los ntawm Xiamen Baysen Medical

Peb muaj Baysene MedicalFOB Cov khoom siv kuajthiabCov khoom siv kuaj TransferrinNtawm no peb baysen meidcal ib txwm tsom mus rau cov txheej txheem kuaj mob kom txhim kho qhov zoo ntawm lub neej.