Maererano neNational Cancer Institute, kenza yemazamu inoputika inokanganisa imwechete muvakadzi vasere veUnited States, uye inenge 5 muzana kusvika 10 kubva muzana yevese yekenza yemazamu inowanikwa.
Parizvino, vanhu vazhinji vanoziva BRCA1 uye BRCA2 kuchinja kwemajeni, izvo zvakagadzirirwa zvizvarwa zvemugumo-kana kusagadzikana muDNA yekugadzirisa-izvo zvinowedzera dambudziko rokutengesa kenza yebonde.
Maererano nehuwandu hunobva kuNational Cancer Institute, nezera remakore makumi manomwe, 55 kubva kune makumi mashanu kubva kuzana makumi mashanu kubva kuzana makumi mashanu evakadzi avo vakagara nhaka BRCA1 kuchinja mutemo uye inenge 45 kubva muzana yevakadzi vakagara nhaka BRCA2 gene mutation inogona kuonekwa kuti ine kenza yemazamu. Kusvika pari zvino, BRCA1 uye BRCA2 kuchinja kunoita makumi mapfumbamwe kubva kune makumi maviri kusvika ku25 muzana yevabereki vose vemazamu.
Asi idzi data chete inoratidzira chikamu chiduku chevakadzi vanozovaka chirwere chacho. Ive masayendisiti chero ani zvake ari pedyo nekugadzirisa mamwe maitiro akasiyana-siyana kana zvikonzero zvinogona kuita basa mukugadzirwa kwekenza yemazamu? Chaizvoizvo, ivo.
Zvidzidzo zviviri Shed Light pamusoro peNyika Gene Mutations
Muna Gumiguru 2017, zvidzidzo zviviri zvakabudiswa mumagazini mazvinyorwa uye Nature and Nature Genetics , zvakafanana, izvo zvakashuma pamusoro pezvakawanikwa zve 72 zvekare zvisati zvazivikanwa kuchinja kwemajeni izvo zvinowedzera dambudziko remukadzi rekuita kenza yepamu. Sangano rose renyika, iro rakaita zvidzidzo, rinonzi "OncoArray Consortium," uye rakabatanidza vanopfuura 500 vatsvakurudzi vanobva kune masangano anopfuura 300 pasi rose-ino chidzidzo chiri kunyadziswa secheche yakanyanya kuongorora kenza yemazamu munhoroondo.
Kuti kuunganidze ruzivo rwechidzidzo ichi, vatsvakurudzi vakaongorora mazita ezvinyorwa zvevakadzi 275 000-146 000 avo vakagamuchira kuongororwa kwekenza yebonde. Iyi yakawanda yekuunganidza ruzivo iri kubatsira masayendisiti kuona hutsva hunokonzerwa nehutano hunoita kuti vamwe vakadzi vave nekenza yemazamu uye vanogona kupa mhedziso kuti nei mamwe marudzi ekenza yakaoma kubata kune vamwe.
Heano mamwe emamwe mashoko pamusoro pekutsvakurudza uku:
Mune zvidzidzo zviviri, vatsvakurudzi vakawana zvikamu makumi manomwe nematanhatu zvemasvikiro ekuchinja kwemajini anokonzera kenza yepabonde.
Kuti uwane idzi maitiro akasiyana-siyana, vatsvakurudzi vakaongorora DNA yeropa samples kubva kuvakadzi vanobatanidzwa mukudzidza; inenge hafu yakanga yawana chirwere chepachifu chekuongorora. DNA yakayerwa panzvimbo dzinopfuura mamirioni gumi kubva kumagenome ekutsvaga zvinyengeri zvisinganzwisisiki kana kuti DNA yevakadzi yakange iine chirwere chepabonde yakasiyana nenzira yeDNA kune avo vasina kumboonekwa.
Pakati pezvinokwana makumi manomwe nematanhatu izvo vatsvakurudzi vakawanikwa, makumi matanhatu nemaviri awo akabatanidzwa nehuwandu hwekuwedzera kenza yebonde.
Zvimwe zvinosara zvinomwe zvakasanganiswa nehuwandu hwehutachiwana hwekutengesa kenza yemarmone-receptor-negative. IAmerican Cancer Society inotsanangura rudzi urwu rwekenza yemazamu nekutaura, "Hemamine receptor-negative (kana kuti hormone-negative) yekenza yemazamu haina vaserogen kana progesterone receptors. Kurapwa nemishonga inonzi hormone therapy hazvibatsiri kune makondomu aya. "Nemamwe mazwi, aya maitiro akasiyana-siyana anogona kukonzera rudzi rwekenza yemazamu umo iyo mishonga yemishonga nemishonga, saTamoxifen kana Femara, hazvingakwani.
Kana yakawedzerwa kune zvakawanikwa kare, izvi zvitsva zvinowana huwandu hwakawanda hwekuchinja kwehutano hunobatanidza nehuwandu hwehutachiwana hwekenza yepabonde kusvika 180.
Sezvakataurwa mubhuku, zvitsva zvinowanikwa zvitsva zvinowedzera mukana wevakadzi wekutarisa kenza yebonde ne inenge 5 kusvika kune 10 muzana. Kunyange zvazvo kushanduka kwezvinhu izvi hakusi kwakakosha seBrCA1 neBrCA2, tsvakurudzo inoratidza kuti zvinyorwa zviduku izvi zvinogona kuva nemigumisiro yakawandisa kune vakadzi vane, iyo inogona kuwedzera mikana yekuvandudza chirwere chacho.
Zvinorehwa neZviratidzo zvevakadzikadzi pangozi yekukudziridza hutachiwana hweHIV
Breastcancer.org, sangano risina purofiti rakazvipira kumishinari yekuunganidza ruzivo uye kugadzira nharaunda yevaya vanobatwa nekenza yemazamu, vanogovera ruzivo urwu, "Vanhu vazhinji vanoita kenza yemazamu havana mhuri yehutano hwechirwere.
Zvisinei, kana mhuri yakasimba yepamuviri uye / kana kenza yemaawa aripo, pangave nechikonzero chekutenda kuti munhu akagara nhaka yegene isina kuenzana inobatanidza nechepamusoro chepabonde chepabonde. Vamwe vanhu vanosarudza kuongorora zvirwere zvemajini kuti vawane. Chiyero chekuberekwa chinosanganisira kugovera ropa kana saridzo muenzaniso unogona kuongororwa kuti uwane chero kusakanganiswa kwemajeni aya. "
Pari zvino, inowanzoonekwa maitiro echirwere ichi BRA1 uye BRCA2 kuchinja kwegene. Asi sezvo sainzi inotaurira mamwe maitiro akasiyana-siyana anokonzerwa nekenza yemazamu, chiremba wako angakurudzira kupfuurira kuongororwa neine mazano emagetsi . Kana nhoroondo yako yega kana yemhuri inoratidza kuti iwe unogona kutakura kune mamwe mararamiro asina kukwana, pane rimwe jekiseni rakakura rinogona kukubatsira iwe. Sezvo kufambira mberi mumunda wemageneti kuchienderera mberi, kuongorora kwakanyatsorongeka kunobvumira kuonekwa kwepakutanga kwehutano hwepachirwere chepabonde, imwe nzira yega yega yekutarisira, uye nzira dzakanakisisa dzokurapa.
Pane Mikana Dzinodzivirira Vakadzi Vanogona Kutora?
Breastcancer.org inokurudzira kuti vakadzi vanoziva kuti vane genetic mutation yakabatana nekenza yemazamu edza kushandisa zvinotevera zvidziviriro zvekudzivirira kuderedza ngozi :
Ramba uremu muhutano hwakanaka
Ivai nepurogiramu yenguva dzose yekurovedza muviri
Dzivisa kusvuta
Funga kuderedza kana kubvisa doro
Idya chikafu chekudya-chikafu
Mamwe maitiro ekudzivirira ane utsinye angasanganisira:
Tanga kuongororwa nekenza yepamuviri yepamuviri panguva yekare, zvichienderana nemhuri yevakadzi
Hormonal therapies
- A prophylactic mastectomy, kana kuti kubviswa kushandiswa kwemabere anopa utano
Shoko Rinobva
Mhuri yemhuri yega yega yakasiyana, naizvozvo hapana huno-huno-hunofanira-yose nzira yekudzivirira kana kurapa kenza yepabonde. Kana iwe uri pangozi yekukura nekenza yepamuviri, ita zvekuita uye taura nachiremba wako pamusoro pekugadzirisa zvakanakisisa dambudziko rako rerwere uye, kana zvichidikanwa, maitiro ekurapa akakodzera anowanikwa kwauri.
Unofanira kuzviwana uri kutarisana nekutya kuongororwa kwekenza yebonde, svika kune vamwe kutsigira. Muchirwere wekenza wepamu uri kukura, uye hwakazadzwa nevamwe vevakadzi vakasimba zvikuru vamunosangana nawo. Vachakukurudzira parwendo rwako. Kunyanya, kuva nerutsigiro rwekuwedzera kunogona kuderedza manzwiro ekuzviparadzanisa izvo zvinogona kuitika nekenza yemazamu kuongororwa.
> Sources:
> Breast Cancer Hormone Receptor Status. American Cancer Society website. https://www.cancer.org/cancer/breast-cancer/understanding-a-breast-cancer-diagnosis/breast-cancer-hormone-receptor-status.html
> Cancer Stat Chokwadi: Chirwere Chechikadzi Chechirwere. National Cancer Institute website. https://seer.cancer.gov/statfacts/html/breast.html
> Michailidou K, Lindstrom S, Dennis J, et al. Sangano rekuongorora rinoratidzira 65 mutsva wechirwere chepachifu chinokonzera. Nature. 2017. ini: 10.1038 / nature24284
> Milne RL, Kuchenbaecker, KB, Michailidou K, et al. Kuzivikanwa kwezvinhu gumi zvinosangana nehutachiwana hwekenza yemazamu esterogen-receptor-negative. Nature Genetics. 2017. ini: 10.1038 / ng.3785
> Kudzidza Kunowana 72 Mitsva Inoshandiswa neGenetic Mutations inobatanidza neKenza yeBabonde. Breastcancer.org website. http://www.breastcancer.org/research-ews/72-new-genetic-mutations-linked-to-bc-found