Chiyero cheLDH chinogona kubatsira chiremba wako kuona kana kenza yako yeganda yakapararira
LDH inotarisa ropa iyo inoyera yakawanda yeactate dehydrogenase (LDH), enzyme, muropa rako. Chememi, LDH inoshanda kushandura pyruvate uye lactate mumuviri wako. Iwe unogona kunge uine ruzivo rwe lactate, sezvo ichi ndicho chinowedzera mumuviri wako mushure mekunge uchinetseka zvakanyanya uye kunoita kuti unzwe uchinetseka.
Overview
Nenzira yakawanda, LDH inotaridzirwa kutarisa kukanganisa kwemavara munzvimbo dzakadai semwoyo wako, chiropa, hono, huputi, hupombwe, nemapapu - izvo zvose, kana zvichikuvadza, zvinokurisa chikamu cheRD muropa rako.
Kana iwe une melanoma , chiremba wako anogona kushandisa chirongwa ichi kuti abatsire kuziva kana kenza yako yakagadziriswa kana kupararira kune nhengo kunze kweganda rako uye lymph nodes . Nzvimbo dzinowanzozivikanwa nekenza yekufambira mberi inowanzo chiropa kana mapapu. Kunyange zvazvo iLDH isinganzwisisiki yean melanoma, inogona kuva muedzo unobatsira kuona kana kuongorora kenza yemukati mushure mekuvhiya. Nzira yekugadzirisa maranoma inoshandisawo migumisiro yehupi hwekuongorora kweLDH kugovana varwere vane chirwere chepamulo IV.
Kuedzwa Kwakaita Sei
Kuti uone hutano hwako hweDDH, mupi wako wehutano achabvisa ropa kubva mumutsipa wako kana kubva pachitsinho chako, munwe, zvigunwe, kana earlobe. Iyo laboratori inokurumidza kusvitsa ropa kuti iparadzanise serum, chikamu chemuviri cheropa rako, kubva mumasero eropa. Chiyero cheLDH chinoitwa muropa rako serumusi.
Iwe usati watora ropa, chiremba wako angakukumbira kuti urege kutora mamwe mishonga inozivikanwa kuti inogona kuchinja LDH.
Zvinodhaka zvinogona kuwedzera LDH zvinosanganisira doro, anesthetics, aspirin, chifukidzo, fluorides, mithramycin, narcotics, uye procainamide. Ascorbic acid, kana vitamini C sezvinowanzozivikanwa, inogona kuderedza LDH yako.
Ndezvipi Zvitsva Muedzo Zvinoreva
Maitiro anowanzogona kusiyana zvichienderana nezera rako, zvepabonde, uye nzira inoshandiswa mu laboratori.
Iyo yakarondedzerwa inotarisa inowanzoita 105 kusvika ku 333 IU / L (maundi epasi pose nereta). LDH yakawanda inowanzoparadzaniswa kuita zvikamu zvishanu (zvinonzi isoenzymes) - LDH-1, LDH-2, LDH-3, LDH-4, uye LDH-5 - izvo zvakananga kune dzimwe nzvimbo dzomuviri uye zvinoratidzwa sezvikamu yeiyo yose.
Nhamba yeLDH inogona kukwidziridzwa mumamiriro akawanda, kwete chete metastatic melanoma. Yakakwirira-kudarika-yakawanda inogonawo kuratidza:
- stroke
- kumira kurova kwemoyo
- marudzi akasiyana-siyana anemia
- low blood pressure
- chiropa chirwere (somuenzaniso, hepatitis)
- kuora kwemisumbu
- muscular dystrophy
- pancreatitis
Migumisiro yakashata inogona kuitika kana ropa rekuenzanisa raitarisirwa zvakanyanya, rakachengetwa mumamiriro ekushisa zvakanyanya, kana kana samuenzaniso yakanga yakaoma kuunganidza.
Zvakaita Tsvakurudzo
Mberi zvidzidzo zvakaratidza kuti imwe yepamusoro yeDDH inogona kufanotaura kupona muvarwere vane melanoma yakagadzirwa. Nokuda kwechikonzero ichi, LDH yakabatanidzwa munharaunda ye 2002 yekugadzirisa maranoma. Varwere vane chirwere chetemukirini IV nevanokurudzira DD vane chirwere chakaipisisa.
Kunze kwekutarisa varwere vane chirwere chepatendi IV, chirwere cheLDH hachisi chaicho kana kuti chinonzwisisika kuti chione melanoma isati yasangana nemakirinikodhi. Chidzidzo chaitevera varwere vane melanoma kwemakore maviri mushure mekuvhiyiwa.
Zvigumisiro zvakaratidza kuti chikwata cheLDH chakanga chisiri chiratidzo chakanaka che "mumitambo yekutenderera" (danho IIIC melanoma rakapararira mberi kweganda reganda asi kwete kune lymph nodes) kana kupararira kune lymph nodes. Muchidzidzo chacho, kuongororwa kweLDH kwakanyatsorondedzera zvakajeka mastasisis mune vashoma vevarwere. Chiyero chepuroteni yeropa inonzi S-100B inobuda sechiratidzo chiri nani kupfuura LDH uye inogona kuiswa mune ramangwana shanduro dzese.
Kana chiremba wako akaraira muedzo weLDH, kana kunyange kana mhinduro dzikadzoka uye iyo yakakwirira, usatya. Nhamba yepamusoro yeLDH haireve kuti maranoma yako ane simba, inongova "musoro wepamusoro" kuti chiremba wako aongorore mamiriro acho ezvinhu mberi neC CT, PET, kana MRI scan kana sentinel lymph node biopsy.
Kana iwe uine mibvunzo kana zvinetseka pamusoro pokududzira mhinduro dzako dzeDDH, iva nechokwadi chekutaurirana navo nechiremba wako.
> Sources:
> Egberts F, Hitschler WN, Weichenthal M, Hauschild A. "Kufungidzira kwehutano hweAdjuvant muhutachiwana hwehutachiona hwehutachiona: lactate dehydrogenase uye protein S-100B sezviratidzo zvekudzokazve" Melanoma Research 2008.
> Chun YS, Wang Y, Wang DY, et al. "Chirevo chekufananidzira kwemazinga eS100B nemaLDH mahara muvarwere vechiranoma" J Clin Oncol 2008 26 (May 20 suppl; Abstr 9002).
> Eggermont AMM. "Reaching First Base In The Treatment of Metastatic Melanoma" J Clin Oncol 2006 24 (29): 4738-45.