糞便潛血檢測

                                                           Fecal occult blood test

糞便潛血檢查是什麼? What is a fecal occult blood test?

大腸癌的早期並無症狀,最可靠的方法就是定期接受大腸癌篩檢,而目前定量免疫法糞便潛血檢查是一種非侵入性、快速、無痛,最安全且方便的篩檢。只需要將檢查試管帶回家,自行採取微量糞便,檢查糞便表面肉眼看不出來的血液。由於大腸腫瘤或息肉會受到糞便摩擦而流血,血液因而附著在糞便排出,所以透過糞便潛血檢查能早期發現大腸癌或息肉,並經由大腸鏡檢查進一步診斷,或直接做大腸鏡息肉切除手術,進而阻斷癌症的發生與進展。

There are no symptoms in the early stages of colorectal cancer. The most reliable way is to undergo regular colorectal cancer screening. The current quantitative immunoassay fecal occult blood test is a non-invasive, fast, painless, safest and convenient screening test. You only need to take the test tube home, take a small amount of stool yourself, and check for blood that is invisible to the naked eye on the surface of the fecal. Since colorectal tumors or polyps will bleed due to friction with feces, and the blood will adhere to the feces then be excreted, fecal occult blood testing can detect colorectal cancer or polyps early, and further diagnose through colonoscopy, or directly perform colonoscopy polypectomy surgery  to block the occurrence and progression of cancer.

糞便潛血檢查需要注意什麼 What should we pay attention to in fecal occult blood test?

⇒在糞便的不同表面刮取適量的糞便,放入內含保存液專用的採便管。

⇒ Scrape appropriate amounts of feces from different surfaces of the feces and put them into a special feces collection tube containing a preservation solution.

⇒ 由於糞便中的血液在室溫下會被破壞,請採檢完後盡速送回;如無法於當日立即送檢,務必先存放於冰箱冷藏保存。 

⇒ Since the blood in the feces will be destroyed at room temperature, please send it back as soon as possible after the test is completed. If it cannot be sent for test immediately on the same day, it must be stored in the refrigerator first.


檢查結果異常該怎麼辦?What should I do if the test results are abnormal?

檢查結果如有異常(篩檢結果為陽性),需進一步接受大腸鏡檢查。若出現下列症狀,請儘速就醫:

 ◎大便中有血
◎大便中有黏液
◎排便習慣改變 (一下子腹瀉,一下子便秘)
◎大便變細小
◎經常性腹瀉或便秘
◎體重減輕
◎貧血
◎如腫瘤較大,則可觸摸到腫塊

If the test results are abnormal (the screening result is positive), further colonoscopy is required. If the following symptoms occur, please seek medical attention as soon as possible:

  ◎Blood in the stool ◎Mucus in the stool ◎Change in defecation habits (sometimes diarrhea, then constipation) ◎The stool becomes thinner and smaller ◎Frequent diarrhea or constipation ◎Weight loss ◎Anemia ◎If the tumor is large, a lump may be palpable.

以上症狀不代表發生大腸癌,但症狀如持續出現超過2星期以上,應立即請專科醫師檢查。  

The above symptoms do not mean the occurrence of colorectal cancer, but if the symptoms persist for more than 2 weeks, you should consult a specialist immediately.

大腸鏡檢查結果及後續處理建議:
1.正常:不需作其他處理,建議每2年定期做糞便潛血檢查。
2.發現息肉:切除息肉,並依專科醫師指示做大腸鏡檢查追蹤。
3.發現大腸癌:請依專科醫師指示接受後續治療及處置。

Colonoscopy results and follow-up treatment suggestions: 

1. Normal: No other treatment is required. It is recommended to perform regular fecal occult blood tests every 2 years. 

2. If polyps are found: remove the polyps and follow up with colonoscopy as instructed by a specialist. 

3. If colorectal cancer is discovered: Please receive follow-up treatment and treatment according to the instructions of a specialist.