Nammude Arogyam May 2018 | Page 94

Im³k-dp-IÄ, F³tUm-sa
-{Sn-tbm-kn-kv) CXnsâ
tXmXv IqSm-dp-ap-ïv.
AXn-\p-]p-dta NB/70K,
CEA, HCG, AFP, PLAP, LDH
e£-W-§Ä
km[m-c-W-bmbn AÀ_p-Z-ap-g-IÄ Ccp-h-i-¯p
-apÅ AÞm-i-b-§-fn ImW-s¸-Sp-¶p. AÀ_p-Z
-¯nsâ H¶pw cïpw L«-§-fn tcmKw Iïp-
]n-Sn-¡m³ hnj-a-am-bn-cn-¡pw. Imc-Ww, Imcy-amb
e£-W-§Ä Dïm-hm-dn-Ã. aq¶mw L«-¯nÂ
Nne-t¸mÄ e£-W-§Ä Itï-¡mw.
hb-än apg, hb-än \ocv, \Sp-th-Z-\, Imep-th
-Z-\, hb-dp-th-Z-\, hb-än Akz-Ø-X, ASn-h-b
-än `mcw t]mse tXm¶p-I, £oWw, Xq¡-¡p-d
-hv, Aan-X-c-à-{km-hw, CS-bv¡nsS aq{X-sam-gn-¡Â
F¶n-§s\ ]e e£-W-§fpw ImWm-dp-ïv.
AÀ_p-Z-km-²yX
Ipd-bv¡m³ klm-bn-¡p¶
LS-I-§Ä
 21-þ25 hb-Ên-\n-Sbv¡v
BZy-KÀ` [mcWw
 A\-h[n KÀ`-§fpw
{]k-h-§fpw
 ape-bq-«Â \oïp-
\n¡p-I.
 AÞ-hm-ln-\n-¡p-g-ep-
IÄ AS-¨p-sIm-ïpÅ
hÔo-I-cW ikv{X
-{Inb
 KÀ`mib-w \o¡w
sN¿Â
tcmK-\n˨bw
1. tcmKn-bpsS ico-c-]-cn
-tim-[\
2. AÄ{Sm-kuïv
]cn-tim-[\
tbm\n hgntbm
(Transvaginal), hb-än\p apI
94 \½p-sS B-tcm-Kyw | sabv 2018
-fntem (Transabdominal)
AÄ{Sm-kuïv ]cn-tim-[\
\S-¯p-¶p.
Nne-t¸mÄ IfÀ ^vtfm
tUm¹À (Colour Flow Doppler)
]cn-tim-[-\bpw \S-¯m-dp
-ïv. AÞm-i-b-¯nsâ
hen-¸-¡q-Sp-XÂ, apg,
hfÀ¨ F¶nh Iïp-
]n-Sn-¡mw.
3. cà-]-cn-tim-[\:
cà-¯n CA125 F¶
t{]m«osâ Afhv Af-¡p
-¶p.
Cu t{]m«o³ AÞm
-ibmÀ_pZ tImi-§-fnepw
Nne km[m-cW tImi-§
-fnepw ImWm-dp-ïv.
AÀ_p-Z-¯nsâ BZy
-L-«-¯n CXv km[m-c-W
-tXmXv ImWn-t¨-¡mw. aäp
Nne Ah-Ø-I-fnepw (D-Zm.
KÀ`w), tcmK-§-fnepw
(D-Zm. hb-änse £bw, aäp
F¶n-h-bpsS tXmXp-IÄ
B h-iym-\p- k-cWw
Af-¡p-¶-Xp-hgn
AÀ_pZw GXp-X-c-¯nÂ
s¸-«-Xm-sW¶p a\-Ên-em
-¡mw.
4. tImi-]-cn-tim-[\
(Cytological study)
Hmh-dn-b³ knÌn-\p-
Ånse {Zmh-Iw, hb-änse
\ocv F¶n-h-bpsS tImi-
]-cn-tim-[-\, aäp apg-I
-fnse FNAC ]cn-tim-[\
F¶n-hbpw tcmK-\nÀ®-b-
¯n-\p-]-I-cn-¡pw.
5. aäp ]cn-tim-[-\-IÄ
apg A]-I-S-I-c-a-Ãm-¯
-Xm-tWm, AÀ_p-Z-amtWm
F¶pw GXp Xc-¯nÂs¸
-«-Xm-sW¶pw aäp AÀ_p-
-Z§fn \n¶p hym]n-¨-
XmtWm (Metastasis) F¶pw
a\-Ên-em-¡m³ klm-bn
-¡p¶ ]cn-tim-[-\-IÄ.
 hb-dn-sâbpw ASn-h-b-än
-sâbpw (Pelvis) FIvkvtd.
 emt{]m-kvtIm-¸nIv
]cn-tim-[\ (Diagnostic
laparoscopric exam).
 IVP (InUv\n-bpsS Akp
Jw Iïp-]n-Sn-¡m³).
 t_cnbw ao (Barium
Meal) þ Zl-t\-{µn-b-hy-h
-Ø-bnse AÀ_pZw
Isï-¯m³.
 hnhn-[-Xcw kn.-än,
Fw.-BÀ.sF ]cn-tim-[
-\-IÄ.