Kana iwe uine hama dzepedyo dzakave dzakatarirwa nekenza yemukaka kana yemaawa, unogona kutakura genetic mutation inowedzera dambudziko rako rezvirwere izvozvo. Zvishoma zvishoma pane 10 muzana zvevamwe mazamu ehutachiwana anowanikwa muU.S. anobatana nemararamiro ekuchinja.
Zvimwe zvipenyu zvakasiyana-siyana hazvina kupiwa nhaka asi zvakanyanyisa, zvinoreva kuti majini anochinja munguva yako yeupenyu uye haigadzirwe.
Vanhu vari mumapoka aya vane zvisarudzo pamusoro pekudzivirira nekurapa kenza yemazamu, asi vanofanira kuziva zvechokwadi kana vane zvipembenene zvechimiro.
Genetic Testing
Vakadzi nevarume vakashandura shanduro dzeGCA1 ne BRCA2 dzejeni dzakakwirira kudarika ngozi yakawanda yekuita kenza yemazamu. Aya mazamu akabatanidzwawo nehuwandu hwehutachiona hwepanyama, pancreatic, uye prostate.
Sezvo mararamiro ekutsvakurudza ari kufambira mberi, masayendisiti ari kuwana mamwe majeni anoratidza ngozi kune mazamu uye mamwe makondombera, pamwe nemamiriro ezvinhu akaipa. Chiyero chacho chinoitwa pamutsananguro weropa, asi sezvo migumisiro inogona kuchinja-shanduka, mazita ekupa mazano anowanikwa pamwe chete.
Chisarudzo Kuita
Vanhu vane nhoroondo yemhuri yekenza yemazamu kana kenza yemuviri inogona kutakura mutambo we BRCA geni. Varume nevakadzi vane hanya nehutano hwavo hwekenza yemazamu vangada kushanyira mazano ekurapa maitiro ekutaurirana nhoroondo yehutano hwemhuri yavo, pamwe nezvimwe zvinhu, kuziva kana ruzivo rwemajini runogona kubatsira.
Kana iwe wakatove watozivikanwa nekenza yemazamu, sampu yeropa inogona kuongororwa, saka chiremba wako anogona kugadzira kunyatsoshanda, panguva yakakodzera, uye yakakodzera kurapwa kuuraya kenza yako uye kudzivirira kudzokorora. Mapoka epamusoro-ngozi anosanganisira:
- Ashkenazi Jewish ancestry (Eastern and Central Europe)
- Rimwe kana kupfuura BRCA yakanaka hama, mukadzi kana murume
- Chirwere chepabonde muhama mbiri kana kupfuura (pedyo nemhuri)
- Nhengo dzemhuri dzinoona kuti dzine kenza yemazamu vasati vava nemakore makumi mashanu
- Nhengo yemhuri yakangwara ine kenza muzvipfuva zvose
- Mhuri dzinoverengeka dzekenza yevavari
Panewo zvimwe zvikonzero zvekuve neine genetic test, yakadai sokuti:
- Sarudza kana iwe wakashandura ma geni e BRCA
- Ongorora zvisarudzo zvekudzivirira
- Ita zvigadziriswe nzira dzokurapa
- Dzivisa kupfuura- kana kuti pasi pekurapa
- Kuderedza migumisiro yemigumisiro yekurapa
- Kurapa kwakakodzera kunodzivirira kudzokorora
Kuvhara Mari
Zvichienderana nekambani iyo yauri kutengesa nayo, inshuwarano yehutano yako inogona kana kuti isingagoni kuvhara muedzo. Kuenzanisa kwakakwana kwemajeni e BRCA ose anoongorora chero kushanduka kupi zvako kunogona kuitika kuchasvika madhora 2 400. Pamba-kumba maitiro ekutengesa anodhura pakati pe $ 295 kusvika ku $ 1,200. Kana iwe unogona kuongororwa kwezvinhu zvitatu zvakasiyana-siyana zveBBRCA zvinogona kutenga madhora mazana matanhatu. Medicaid haina kuvhara mari yekuedza.
Migumisiro nekutevera
Kana ukasarudza kuenderera mberi nechirwere chemajini, iwe uchapa ropa kana mazamu samuenzaniso izvo zvichatumirwa kubhii chaiyo yekuedza. Migumisiro ichadzorerwa muvhiki ina kana shanu uye iwe unofanirwa kusangana nemuongorori wezvemajini kuti uongorore uye kurukurai zvawanikwa.
Iwe uchawanawo nyanzvi yakanyorwa yemigumisiro yako yekuedza.
Iva nechokwadi chekuti unonzwisisa zviwanikwa zvako uye zvingasarudzwa zvekudzivirira kana kurapwa. Iwe haugone kushaiwa chimwe chekutevera kunze kwekuti urambe wakangwarira uye iva nechokwadi chokuti une mammograms nguva dzose uye muchifu-kuzvidzidzira .
Kutora Chiito
Kuongororwa zvakanaka kune BRCA1 kana BRCA2 kunogona kunge iko kudanwa kwekuita pane yako. Iwe unogona kunyatsotarisa nzira dzako dzekudzivirira uye dzokurapa pamwe nezvimwe zvinokonzera ngozi-zera, dzinza, nzvimbo, kudya, hutano huzhinji-usati watanga kuvhiyiwa, chemotherapy, kana madhimoni.
Kune rumwe rutivi, kuedza zvakaipa hakusi zvachose chakavimbisa kuti hauzombogadziri kenza yepamu kubva kune zvimwe zvinhu zvakadai sekushandisa doro , kusvuta , mararamiro ekugara, nguva, menopausal mamiriro , kana zvimwe zvisingazivikanwe maitiro evanhu vanogona kuwedzera ngozi yako.
DIY Testing
Iwe unogona kuraira pamba-kumba chivi chekuongorora chikwata, asi kusiyana nemuedzo wekuita mishonga yekudzivirira, haugoni kuwana mhinduro mumaminitsi. Kana imwe kati yacho yasvika, iwe uchada kuenda kumakiriniki kunotora ropa uye yako sampu ichaendeswa kubasa.
Migumisiro ichadzoka inenge inenge mwedzi, yakataurwa kwauri pamusoro pefoni pamwe nekunyora. Migumisiro ichave yakakosha seyeyo iwe unowana kubva kune mazita ekupa mazita, asi hakuzovi nekusimbiswa kwepfungwa uye hapana mazano ekurapa nezvekutarisana nemigumisiro.
Kusarudzwa kweGenetic
MuU.S., Federal Federal Insurance and Accountability Act (HIPAA) inorambidza kusarura maererano nesheji. Iwe haungarasikirwi kana kurambwa kwehutano inshuwarheni kana iwe uine maitiro ekuberekwa kwekenza yepabonde.
> Sources:
> Federal Trade Commission. Chokwadi chevatengi. Pa-Pamba Dzimba Dzakaedzwa: Chirwere Chine Utano Chekusava nechokwadi Chingave Chirongwa Chikanakisisa Kwazvo. July 2006.
> National Cancer Institute. Bench Marks, Vol. 6, Nyaya 3, Chivabvu 23, 2006. Cancer Diagnostics: Kuzivisa Mukurudzirwa Kwechirwere Chetano.