Muzhinji, zvinoratidzika kuti kana ukashandisa mapiritsi , hapana kuwedzera kwehuwandu hwekenza yako. Iyo piritsi inogona, chaizvoizvo, chaizvoizvo ine simba rokudzivirira kune mamwe marudzi ekenza. Asi zvinonzwisisika kuti unogona kuva nehanya kuti mapiritsi anokonzera kenza.
Sei? Mahomoni eestrogen uye progesterone, ayo anowanzoita mumuviri wako, ave akawanikwa achikanganisa kukura nekukura kwevamwe kanzira. Kurasikirwa kwepiritsi (pamwe chete nedzimwe maitiro ekudzivirira kuberekwa kwemasimoni ) zvine maitiro emashimoni aya. Izvi zvakatungamirira vanhu vazhinji (pamwe nevatsvakurudzi) kushamisika kana kune humwe hukama pakati pezvinowanzoshandiswa nzira dzokudzivirira kuberekwa uye chirwere chekenza. Saka ngatinyatsoongorai mubvunzo uyu, iyo mapiritsi inokonzera kenza here?
Pill uye Ovarian Cancer
Kenza yeOvarian chirwere chinotanga mumayamu. Ndiyo yechishanu inowanzosangana nekenza pakati pevakadzi, uye inokonzera kufa kwevakawanda kupfuura chero ipi zvayo yemhando yekenza yekuberekwa kwevakadzi. Inofungidzirwa kuti vanenge 30 000 mamiriro matsva emukenza weAvari anowanikwa gore roga rega, uye vane 15 000 vakadzi vanofa nehosha iyi.
Ipiritsi Inokonzera Ovarian Cancer?
Piritsi inoratidziro rwekuberekwa kwehomoni. Nzira dzakasiyana-siyana dzekuberekwa kwehomoni dzinosanganisira progestin uye yakagadzirwa nesrogen . Mamwe maitiro ekudzivirira mahomoni anogona chaizvo kukupa iwe rubatsiro rwekuwedzera kuderedza kenza yako yeropa. Ndapota ramba uchifunga kuti chikonzero chikuru chekushandisa masimba ekuberekwa kwemhomhoni ndeyekudzivirira kubata pamuviri (kudzivirira kutora pamuviri usina kutarisirwa) -we unogona kufunga izvi zvisingabatsiri kubhadhara paunenge uchitarisa kuti nzira ipi yekudzivirira kuberekwa kwehomoni inosarudza.
Iyi inotevera urongwa hwehutachiona hwemishonga yekubvisa kuberekwa kwekuberekwa kwakaratidzwa kuti inoshanda mukuderedza dambudziko rako rekenza yemuviri:
- Pill: Tsvakurudzo yakaratidza kuti kana iwe ukatora mapiritsi kwemakore gumi nemashanu kana kupfuura, chirwere chekenza chako chemaawa chinoderedzwa ne 58 muzana; Makore gumi nemana gumi nemapfumbamwe emapiritsi anoshandura kuderedza ngozi yako ne 44 muzana uye makore mashanu nemapfumbamwe emapiritsi anoshandisa ngozi yako ne 36 muzana. Kunyange vakadzi vakashandisa mapiritsi kwemakore 1-4 vakaona rubatsiro (kuderedza kenza yavo yekenza yevarivha ne 22 muzana). Zvinoratidzika kuti rubatsiro urwu runodzivirira runogona kuora simba nguva yakareba kubva pawakashandisa mapiritsi. Asi, izvi zvinodzivirira zvichiri kukosha kunyange makore makumi matatu kana kupfuura pashure pekushandisa piritsi. Uye uwane izvi ... kunyange zvazvo kudzivirirwa kunobatsira kuti mapiritsi anowirirana nekenza yevana inotarirwa kuti wakashandisa kwenguva yakareba sei, hazvina basa kana wakashandisa mapiritsi nguva dzose kana kwete. Izvi zvinoreva kuti kana iwe wakashandisa mapiritsi kwemakore mashanu zvichienderana kana kana wakashandisa mapiritsi kwemakore maviri, wakatora gore kubva, uye wakashandisa iwo kwemamwe makore matatu, kuderedza kwako muhutano hwekenza yevarivha kune imwe chete. Kwemakore makumi mashanu apfuura, inofungidzirwa kuti 200 000 maitiro ekenza yevarivha uye 100 000 vakafa pasi rose zvakadzivirirwa nekuberekwa kwepiritsi yekushandiswa uye kuti kana kushandiswa kuchiripo panguva ino, huwandu hwemakondomu evanhu 30 000 ovarian inogona kudzivirirwa gore negore.
Kuderedza-Dose vs. Higher Dose Mapiritsi: Pasi-dose kuberekwa kwepiritsi mapiritsi ane yepasi yakawanda yeestrogen (10-20 mcg) uye imwe yeiyo mitauro yeprogestin. Nguva dzose-mazamu mapiritsi ane 30-35 mcg estrogen pamwe neprogestin, uye mapiritsi epamusoro ane mapurogiramu anenge 50 mcg eesrogen uye progestin. Iyo panjodzi yakaderedzwa yekenza yemaawa muvashandi vePill inofungidzirwa kuti inokonzerwa nokuti mahomoni anosiya ovulation . Zvidzidzo zvinoratidza kuti hapanoita sehutano hwakasiyana hwehupombwe hwehutachiona hwehutachiona hunobva kune dzakasiyana zveesrogen mazai mupiritsi. Izvo zvinodzivirirwa (zvinopesana nehutachiona hwehutachiona hwemaawa) zvakaratidzwa kuti zviitwe neine madhiragi mapiritsi pamwe chete uye nguva dzose uye yakakwirira-mibare. Vamwe vatsvakurudzi vanoratidzawo kuti progestin inowanikwa mupiritsi inogona kunge yakakosha sekuderedza kuvhara kweivulation mukudzivirira kenza yemuviri.
Mushure mekuenzanisa mapiritsi ekuberekwa kwepabonde nemaestrogen uye progestin potency, tsvakurudzo inoratidza kuti mapiritsi ane mazinga epamusoro eprogestin aibatanidza nekuderedza kukuru muhutano hwekenza yevarivha kupfuura avo vane progestin potency shoma (zvisinei nokuti yakawanda yeestrogen). Zvinoratidzika kuti vakadzi vakatora mapiritsi nepamusoro-soro yeprogesin vanoratidza kuwedzerwa kukuru kwechirwere chekenza yevarivha, kunyange kana kutorwa kwenguva shomanana (mwedzi 3-18). Nhamba yeestrogen mupiritsi haina kuonekwa inokanganisa kenza yemukenza.
- Depo Provera: Progestin-chete Depo Provera injection inoratidzawo kufanana kwakadaro kunokonzerwa nekenza yako yepamusoro. Izvi zvinowanzoitika nekuda kwekuti progestin inogona kudzivisa sei kuvhuvhuta.
- NuvaRing uye The Patch : Zvichipa kuti nzira idzi dzose dzekuberekwa dzinobatanidza progestin uye estrogen, zvinofungidzirwa kuti dzinofanira kukupa kukudzivirira kumwe chete kunobatsira kubva kune kenza yevana rinosanganiswa nekuberekwa kwepiritsi . Tsvakurudzo pamusoro peizvi, zvisinei, inogumira.
Pill uye Colon Cancer
Kanzera yeColon (kana kuti kanzira yakaoma) ndiyo kenza inotanga mumukaka mukuru (colon) kana kuti rectum (kuguma kwekoni). Maererano neAmerican Cancer Society, kenza yepamusoro ndiyo imwe yezvikonzero zvinokonzera kufa kwekenza muUnited States uye ndiyo yechina inowanzosangana nekenza muvarume nevakadzi.
Ipilisi Inoita Kanonti Kanon?
Mhinduro kumubvunzo uyu haisiwo. Kutsvakurudza kunoratidza kuti mahomoni ekurapa ( semapiritsi ) angavewo ane ruzivo rwakawedzerwa rwekuderedza dambudziko rako rekenza yekoloni (kunyange zvazvo data iri shoma uye zvimwe zvitsva zvinoda). Izvi zvinotevera urongwa hwehutachiona hwekuberekwa kwemahomoni hunoita sehunobudirira mukuderedza ngozi yako yekenza yekoloni:
Kusanganiswa Kuzvarwa Kudzora Mapiritsi: Meta-kuongororwa kwemasvondo makumi maviri ekuongorora kuwirirana pakati pehutano hwekenza yekoloni uye kushandiswa kwekuberekwa kwepiritsi kushandiswa kwepiritsi kwakaratidza kuti pane 18 muzana kuderedza mukana wekuvandudza kenza yekoloni pakati pevakadzi vanoshandisa mapiritsi . Ichi chidziviriro chekudzivirira chakanyanya kukura kwekushandisa kwepiritsi yechangobva kuitika uye yakaratidza kuti hapana nguva yakagadzirwa (zvinoreva, hazvina basa kuti wakave uchishandisa mapiritsi kwenguva yakareba sei). Zvimwe zvidzidzo zvakare zvinoratidza kuti kana uri ikozvino kana kuti munguva ichangopfuura kushandisa kushandiswa kwekuberekwa kwepiritsi mapiritsi, iwe unowanzova nehuwandu hwemukondombera wekenza yekoloni. Kushandiswa kwekare kwemapiritsi hakuratiki kunokonzera kuderedzwa kwengozi yekenza yekoloni. Iyo ngozi yakaderedzwa yekenza yekoloni muvashandi vePill inofungidzirwa kuti inokonzerwa nezvikonzero zvishomanana.
Bile acids inogadzirwa nechiropa uye inoshanda ne bile kuitira kuputsa mafuta. Kuenderera mberi kunowanikwa kune bile acids kunogona kuva marinogenic mavara mumakoloni, zvichidaro zvichikonzera kenza yemaroni. Iwesrogen uye progestin mupiritsi inogona kuderedza secretion ye bile acids. Chimwe chikonzero chekenza yekoloni inogona kunge yakakonzerwa nekuchinja kana kukanganisa ma geni ekugadzirisa. Kusagadzikana kwe Microsatellite chirwere apo sero inonetsa kugadzirisa DNA nokuti yakaipa. Anenge 90 muzana yemakumbo muvanhu vane mamwe marudzi ekenza yekoloni anoratidza kusagadzikana kwema microsatellite. Kutsvakurudza kunoratidza kuti kusanganiswa kweesrogen uye progestin kwave kwakabatana nekuderera kwekusagadzikana kwema microsatellite.
- Kuderedza-Dose vs. Higher Dose Mapiritsi: Izvo hazvionekwi sehuwandu huno ruzivo pamusoro pemhando yekupirisa mapiritsi uye kuderedzwa kwengozi yekenza yekoloni. Kutsvakurudza kunoratidzika kuratidza kuti kuderedzwa kwekenza yemukondombera kune imwe chete-saka kuwanda kweesrogen kana progestin mupiritsi hazvina basa. Nzira yekudzivirira kurwisana nehutachiona hwekondomu yakaratidzwa mune zvidzidzo kubva kuma1960 (apo kunyanya mapiritsi akawanda aishandiswa) kusvikira muna 2008 (apo mapiritsi mapepa matsva nemazinga emadononi epasi akawanda ainyanya kushandiswa).
- NuvaRing uye Patch: Sezvo nzira idzi dzose dzekuberekwa dzinobatanidza kusangana kweprogestin uye estrogen, inofungidzirwa kuti inofanira kupa chidziro chimwechete chekudzivirira kubva pamukanda wekoloni sekubatanidzwa kwekuberekwa kwepiritsi mapiritsi. Kutsvakurudza, kunyange zvakadaro, kune zvishoma.
Pill uye Breast Cancer
Kenza yepabonde inotanga apo masero ari muchifuva anotanga kukura kunze kwekutonga. Aya masero anowanzomuita chirwere chinogona kuonekwa pane x-ray kana kunzwa sechinhu. Kazhinji kenza yemazamu inotanga mumakumbo anotakura mukaka kusvika kumucheka. Chirwere chepabonde ndicho chirwere chinowanzoonekwa pakati pevakadzi veAmerica (kunze kwekenza yeganda). Vanenge 1 pa8 vakadzi vari muUnited States vachakurira kenza yevasasa isina kumira munguva yeupenyu hwavo.
Ipiritsi Inoita Sei Chirwere Chepabonde?
Iko kutsvakurudza kuripo pane iyi nyaya kunosanganiswa. Migumisiro inopesana inogona kunge yakakonzerwa nokuti chokwadi chemahomoni muzviratidzo zvekuberekwa kwepabonde zvakachinjwa kwemakore. Mapiritsi ekutanga ekudzivirira kuberekwa aiva nemazinga akawanda kwazvo ehomoni kupfuura mapiritsi emvura nhasi uye akaisa kenza yepamusoro yepabonde. Pane zvinetso zvekuti mapiritsi anogona kukonzera kenza yepamu nokuti mahomoni ekuberekwa kwepiritsi inogona kuwedzeredza mazamu emazamu-izvi zvinogona kuwedzera mungozi wekenza yemazamu. Pane hutsinye hukuru kana iwe uri pangozi yakakonzerwa nekenza yepamusoro nekuda kwe:
- Imwe mhuri yakasimba yekenza yebonde
- Zvekare pachipfuva chechifu zvinoratidza masero asina kukwana
- Iwe kana nhengo yemhuri ine chirwere chisina kujairika chepabonde chemazamu
Kutsvakurudza panyaya iyi kunopesana. Muzvakawanda, zvidzidzo zvakawanda hazvina kuwana yakawanda yakawedzerwa njodzi yekenza yehasi nekuda kwekushandisa mapiritsi. Izvozvo zvichiti, zvidzidzo zvakawanda zvekutsvakurudza zvakaratidza kuti kushandisa mapiritsi kunogona kuwedzera njodzi yako yekuve nekenza yebonde. Heino kuongorora kwakakurumidza kweimwe tsvakurudzo panyaya iyi:
- Nguva yePiritsi Kushandisa: Zvidzidzo zvinoratidza kuwirirana pakati pemishonga yemapiritsi uye kenza yemazamu zvinowanzoratidza kuti iwe unogona kuva nehuwandu hwepamusoro hwekenza yepafu paunenge uchishandisa mapiritsi ekuberekwa. Kushandiswa kwepilisi kare kusingaoneki kwakabatanidzwa nekenza yepabonde. Asi kushandisa ikozvino zvishoma kunowedzera ngozi yako. Imwe yongororo yakaratidza kuti kushandiswa kwemazuva ano kana kushandiswa kwekuberekwa kwepabonde hakuna kuwedzera kungozi yekenza yepabonde kuvakadzi vane makore makumi matatu kusvika kune makumi matatu nemakumi matanhatu. Asi vatsvakurudzi vakaratidza kuwedzera kuduku kungozi pakati pevakadzi vane makore makumi maviri nemakumi matatu nemakumi mana nemakumi mana (44) vakashandisa mapiritsi ekuberekwa uye aiva nemhuri yekenza yepabonde.
- Chirongwa chePill: Zvinoratidzira kushandisa mapiritsi ekuberekwa ane chiremba chakanyanya cheestrogen chingave chakabatanidzwa nehuwandu hwehutachiwana hwepabonde, asi kushandisa mapiritsi ekuberekwa ane chirwere chakanyanya che estrogen (rudzi rwemapiritsi ekuberekwa kwevakadzi vanowanda vakadzi kutora) hazvibatanidzi kune ngozi yakanyanya yekenza yemazamu. Dzimwe nyanzvi dzinotsanangura kuti njodzi yakawanda yekenza yemazamu inoshandiswa nemishonga yemapiritsi inowanikwa zvikuru kuvakadzi vari kushandisa mapiritsi emutatu . High-dose estrogen kuberekwa kupedza mapiritsi inogona kuwedzera kanangwana yekenza yemazamu.
Icho Chinyorwa: Zvakawanda zvezviongorori izvi zvinoreva ngozi yakakwana yekuve nekenza yemazamu. Kuwedzera kwengozi yakawanda inofanira kuwedzerwa nehuwandu hwekutengesa ngozi yako chaiye. Nyanzvi nyanzvi dzinobvumirana kuti mutevedzeri mukadzi (muduku kudarika 50) asina nhoroondo yemhuri yekenza yemazamu uye hapana kenza yepamusoro yepabonde yepabonde ine ngozi yakakwana yekenza yemazamu isingapfuuri 2 muzana. Saka kana ngozi iyoyo ikawedzera, inenge ichiri pasi pe4 muzana. Nokudaro, kuvakadzi vazhinji, kunyanya vakadzi vaduku, vashandi vezvokurapa vanoratidza kuti kubatsirwa kwepiritsi yekuberekwa kwepiritsi kunopfuura dambudziko.
> Sources:
> Beaber EF, Builder DSM, Barlow WE, Malone KE, Reed SD, Li CI. "Ichangobva kunyoreswa nekudzivirira kubata pamuviri kuburikidza nekugadzirisa uye kenza yemazamu yepamuviri pakati pevakadzi makore makumi maviri nemakumi mashanu emakore." Cancer Research. 2014; 74 (15): 4078-4089.
> Bosetti C, Bravi F, Negri E, La Vecchia C. "Zviratidzo zvekudzivirira pamuviri uye chirwere chekenza chakakosha: Kushandurwa kwakarongeka uye meta-analysis." Kuberekwa Kwevanhu Kuvandudza. 2009; 15 (5): 489-498.
> Sangano Rokubatanidza pa Epidemiological Studies yeOvarian Cancer. "Kenza yeOvarian uye chirongwa chekudzivirira pamuviri: Kubatanidza reanalysis yezvinyorwa kubva kuzviitiko zvepidemiology zvinosanganisira 23 257 vakadzi vane kenza yemaawa uye 87 303 maitiro." The Lancet 2008; 371 (9609): 303-314.
> Ness R, Grisso J, Klapper J, et al. "Ngozi yekenza yevanhu vanopinda mazai maererano neesrogen uye progestin dose uye kushandiswa kwezvinhu zvekudzivirira pamuviri. SHARE yekudzidza boka." Steroid hormones uye zvibereko. " American Journal of Epidemiology. 2000; 152 (3): 233-41.