Kuongorora Mhuri Yenyu Nhoroondo yeBrazil Cancer
Ndeipi chipo chakakwana chokupa Amai vako zuva rake rinokosha? Indaneti inotakura mazano. Chii chingava chaicho chiri chipo "chakanaka", zvisinei, iyo imwe yevanhu vakawanda havazofungi. Nechinhu chimwe, zvakasununguka, saka hauzoni kuzvizivisa. Kune imwe, zvinogona kunge zvisinganzwisisiki pasina tsanangudzo.
Zuva raamai Rinorevei?
Zuva raamai nderimwe zuva rekukudza vanaamai vedu-izvo zvakapiwa.
Asi iwe wakambozvibvunza here, chii chaicho chatiri kukudza?
Zvipo zvedu zvinotitaurira zvakawanda. Kubvira panguva iyo-tsika dzinokudzwa dzokushumira mangwanani-ngwanani pamubhedha kuti atenge maruva ake, tinopinda muzvishongo amai vedu vanopfeka mamwe mazuva 364 egore. Tirikukudza chibayiro chake chisina udyire icho chinowanzotorwa chisingaoneki.
Pane kungodzokorora-kwezuva rimwe-izvo Amai vanowanzoita nguva yakawanda, zvichida tinofanira kutarisa kunze kwemabasa chaiwo kune zvaanoda kuita zvaanoita.
Sei amai vedu vari kutishandira isu tine utano hwakanaka (asi hunonaka)? Sei vachiita kuti tive nekudziya? Sei vachikurudzira kuti tipedze nguva imwe kunze apo ivo vanoita nzvimbo yatinogona kubudirira nayo? Mhinduro yacho iri nyore. Vanotida. Unhu hwavo hwekusazvipira hunokonzerwa nechido chekuratidza hutano, mufaro, uye hukama hwevana vavo.
Iwe ungaita sei kuti uone hutano hwaamai vako uye hufaro mukudzoka?
Kuti tinzwisise kuti tiri kuenda neiyi ngatitarisei, kwekanguva, kune avo vaamai vari kurasikirwa kunze kwezuva rino.
Amai Vanorasikirwa Nemazuva aamai
Kunyange zvazvo vanhu vazhinji vachiwana zuva raamai zuva rekufara, pane vazhinji vanonzwa kurwadziwa kwekusina amai. Hatisi kutaura nezvevanaamai vakapfuura pamagumo eupenyu hurefu, apo zuva racho rinogona kuunza chirangaridzo chinosuruvarisa asi chinodziya.
Pane kudaro, isu tiri kutaura pamusoro paamai vavo vakarasikirwa nemukana kuna Amai vavo vana, uye rimwe zuva vagamuchirei vazukuru. Ivo Amai apo marwadzo anoramba ari kuoma.
Maererano neCDC, chikonzero chikuru chekufa kwevakadzi pakati pezera remakore makumi matatu nemakumi matatu nemakumi matatu nemakumi matatu nemasere. Uye zvekenza, kenza yemazamu ndiyo inowanzoonekwa kune vanaamai vari kunyatsoita amai.
Tinoziva kuti kupona kwakanyanya apo kenza inobatwa mumatambo ekutanga, asi vazhinji vevakadzi ava vasati vasvika panguva iyo kuongorora kunorudzirwa. Izvi zvinoreva, kunze kwekuti, vanoziva kuti vane mhuri yekare. Asi kuti uzive izvi, rimwe basa rechipurisa rinogona kudiwa.
Zuva Rokukurukura Amai Riri Rungaramba Richipa Mukupa
Izvo zvatinokurudzira kuve nekukurukurirana kwemazuva aamai kuti tiongorore nhoroondo yemhuri yako yekenza. Tinoziva kuti kudya kudya kwakanaka kunogona kuita kusiyana, asi kuva nemhuri yakarurama nhoroondo ndeyekuti vanhu vakawanda vanoshaya pavanenge vasvina s smoothies uye vanonwa vhesi yavo.
Maererano naDkt. Huma Q Rana weDana-Farber Cancer Institute, sezvakataurwa muHarvard Men's Health Watch, "Nhoroondo yemhuri inogona kuva imwe yenzira dzokudzivirirwa mukudzivirira kenza."
Wakagadzirira kusimbisa masvingo eimba yamai vako here?
Kuungana kwemhuri, yakadai sezuva raamai, inove yakasiyana uye isingaenzaniswi nenguva yekunyora nhoroondo yemhuri yako yekenza. Handizvo chete zvinongoratidzwa chete zvinoratidza rudo rwako, asi tinoziva kuti rinogona kushanda, semukadzi mumwechete anogona kupupura.
Shoko pamusoro peKenza yemazamu
Kana iwe wakacherechedza matamba ebhinki pazvinhu zvose kubva kumabhandi ebateti kusvika kukiki mixers, unogona kufunga kuti pane zvakawanda zve "kuziva" kwekenza yemvere.
Asi nokuda kwekuziva kose, hapana kujekesa kuti kenza yemazamu haisi nguva dzose inoporesa nekuvhiyiwa uye chemotherapy . Apo chidzidzo chekuwana chikawana kuti 50 muzana yevanhu vanofunga kuti kenza yemazamu inoporesa, iyo iri kure nechokwadi.
Vakadzi vanenge 40 000 vanorasikirwa nehupenyu hwavo nekenza yebonde gore negore.
Kunewo zvakare kuderera kuziva kuti vazhinji vevakadzi vanofa nekenza yemazamu havaiti izvozvo nokuti vakakundikana kutevera mazano ekuongorora . Vakadzi vakawanda vanofa nekenza yemazamu vasati vasvika panguva iyo kuongororwa kunorudzirwa, uye vazhinji vakawanda vanorwara nekenza yenguva yekudzokorora mushure mekunge kenza yepamuviri yepamuviri inoonekwa uye inobatwa.
Kune avo vane kenza yemasitini yepamuviri (chirwere chekenza 4 yepamuti ) nyaya yacho haisi kurega. Nepo kune vamwe vakapona kwenguva refu, muzana wehupenyu hwehupenyu hwevanhu vane chirwere chekenza yepamuti kane mwedzi 18 kusvika ku24 chete. Iwe unogona kuderedza sei Amai vako, uye mungozi yemhuri yako yekuwedzerwa kune idzi nhamba?
Nzira Yokutora Mhuri Nhoroondo
Kutora nguva yekutora nhoroondo yemhuri panguva yako zuva raamai raamai iri nyore. Tora nyota uye peni (kana nhoroondo yemhuri yakanyorwa yakanyorwa pasi apa) uye mubvunze mibvunzo. Iwe unogona kuda kutora nhoroondo yakazara yemhuri yemamiriro ezvinhu ose, asi edza kuti uwane kenza pakutanga pakutanga.
Nyora pasi zvinhu izvi:
- Chero ani zvake hama dzine kenza uye ukama hwavo kwauri
- Kuberekwa uye mazuva ekufa kana zvichibvira
- Cancer maitiro (uye mamwe marapirwo kana ukasarudza) - Iva nechokwadi chekunyora zvakawanda sezvinogona. Chirwere chekenza kana ichizivikanwa, mishonga inogamuchirwa kana ichizivikanwa (kazhinji kenza inogona kuonekwa nemhando dzemishonga inoshandiswa,) uye chero humwe humwe huripo huripo, hwakadai semamiriro ekugamuchira yeestrogen emakondomu emucheche, .
Zvimwe zvinyorwa zvinogona kubatsira zvinosanganisira zviiti zvekufa, chero marekodhi ezvokurapa aunayo, kana kunyange photo albhamu. Kune avo vasingakwanisi kuva newe, tanga chikonzero chekuvadana munguva yemberi iri pedyo kana kutumira mubvunzo wemibvunzo. Iva nechokwadi chekudzorerazve nekuita kuti vazive zvawakadzidza.
Mazano Okuwana Nhoroondo Yakamhuri yeMhuri
Kutora nhoroondo yemhuri kungangoita nyore pakutanga, asi hazvisi nyore. Kusvikira makore mashomanana apfuura apfuura kutaura nezve "mazamu" patafura yekudya kwekudya kwaizove kuripo. Kunyange zvazvo izvo zvave zvashandurwa, zvinogona kuita basa mukunyora nhoroondo yemhuri yakarurama.
Nyora pasi chinhu chipi zvacho hama dzako dzinorangarira. Mukare "kenza yemukadzi" yakashandiswa kurondedzera chero chinhu kubva pazamu kuenda kune kenza yevana. Ramba uchifunga kuti vanhu vazhinji vanorondedzera nzvimbo "yekupedzisira" umo kenza inowanikwa. Somuenzaniso, kana munhu aiva nekenza yepamu yakapararira pamapapu avo, mhuri yako inogona kuyeuka ichi se "cancer yemapapu."
Vanenge 90 kubva muzana yevanhu vane kenza yemazamu vanofa nemaitiro, saka nyora nzvimbo iyo kenza yemazamu inowanzopararira , yakadai semapapu, chiropa, mapfupa, uye uropi. Vanhu vazhinji vanoyeuka chete kuti mudiwa wafa "nekenza kwose kwose." Nyora izvi pasi, uchicherechedza kuti kenza inofanira kunge yakatanga pane imwe nzvimbo.
Zvishandiso zvekutora Mhuri Yenhoroondo
Zvose zvaunoda chaizvo ibhuku rekodha uye peneni, asi kune avo vanofanana nematsetse, pane zvifananidzo zvaunogona kudhinda. Heano zvimwe zvishomanana zvaunokwanisa kuwana paIndaneti:
- American Society of Clinical Oncology Cancer Family History Questionaire
- Case Western Western University University Genetic Risk Easy Assessment Tool (GREAT)
Mhuri Nhoroondo Maitiro Anounza Mitsvuku Dzvuku
Kune maitiro akawanda angangowanikwa mumhuri yako nhoroondo iyo ingasimudza ngozi yako yekuva nekenza. A mazano emagetsi anowanzodiwa kuti awane kusanganisa kwakaoma kana kuti kwakaoma kunokonzera ngozi, asi mashomanana matsvuku matsvuku anosanganisira:
- Cancer chero ipi zvayo isati yava nemakore makumi mashanu
- Zvinopfuura imwechete imwechete nemhando imwechete yekenza
- Imwe nhengo yemhuri ine chirwere chinopfuura kechimwe chekenza
- Imwe nhengo yemhuri ine kenza isiri iyo inofanirwa nehutano hwakadaro, hwakadai sekenza yemazamu mumurume
- Zvimwe zvibatanidzwa zvekenza, zvakadai sokubatanidzwa kwekenza yebonde nekenza yemaawa, uterine kenza, kenza yemaroni, kenza ye prostate, kenza yepancreatic, kana kuti melanoma
- Kanzira mune zvose zviri nhengo imwechete, somuenzaniso, kenza yepamuviri yepamuviri
Heredity Cancer vs. Nhoroondo yeMhuri yeCancer
Kana uchitaura nezvehutano hwehutachiwana hwekenza zvakakosha kuita kusiyana kwakasiyana, kukanganisa kunogona kukubatsira kuti unzwisise nhamba dzinoita sokuti dzinopesana iwe waunenge uchiverenga.
Panguva yazvino, inofunga kuti inenge 5 kusvika ku10 muzana yekenza inobatanidzwa zvakananga kuchinja chemuviri , asi mageneti anogona kuita basa mune imwe yero yezana yekenza. Kana iwe uchinzwa nezvehuwandu hwemashoko anotaura nezvehutano hunokonzerwa nekenza kana kenza inoberekwa iwe unogona kuzviwana uchinetseka. Muenzaniso ndiyo nzira yakanakisisa yekutsanangura iyi.
Kunyange zvazvo chikamu chimwe chete kubva muzana chemaranomas chakasungirirwa zvakananga kumagetsi ekuchinja (izvo takawana uye tinokwanisa kuedza chero zvakadaro) zvinonzwa kuti zvizvarwa zvinogona kuita mamwe mabasa mukati ma55 kubva muzana yemaranomas.
Mune mamwe mazwi, kunyange kana iwe ukaedzwa uye usina BRCA1 kana BRCA2 kuchinja kwemajeni (akaita ruzivo rwakawanda nokuda kweAngelina Jolie,) iwe unogona kunge uchingowedzera ngozi yekenza yemazamu inobva pane zvakawanikwa kubva munhoroondo yemhuri yekenza.
Genetics uye Breast Cancer Risk
Chii chatinoziva nezvehupenyu hwemhuri uye ngozi yekenza yebonde ?
- Mukadzi ane dhigirii yekutanga yekenza yepamu anenge ane mukana we30 muzana wekudzidzira kenza yepamu (kutanga-degree yehama inosanganisira vabereki, vakoma nevana, uye vana.)
- Mukadzi ane chirwere chechipiri chechirwere chepabonde ane mazamu anenge makumi maviri nemazana matanhatu (22) mukana wekudzidzira kenza yepamu (yechipiri-degree yehama inosanganisira vanasekuru, vanamainini, vanambuya, vanamuna, uye vazukuru.)
- Mukadzi ane chirwere chechitatu chechirwere chemuti ane mazamu makumi mapfumbamwe nezana (16) mukana wekudzidzira kenza yemazamu (mienzaniso yechitatu-degree yehama inosanganisira vanasekuru-vanasekuru, vanun'una, kana vanasekuru kana vanun'una.)
- Kenza yepabonde muhama dzechidiki (premenopausal, kana pasi pezera remakore makumi mashanu) inotakura dambudziko guru kune vakwegura hama.
- Kenza yeprostate muhama dzehama inowedzera ngozi yako yekenza yepamuviri (zvakare, izvi zvinonyanya kukosha apo varume vacho vari vaduku.) Dzidza nezvekenza yekenza yekenza yengano .
Imwe pfungwa inokosha ndeyokuti vanhu vakawanda vane ngozi yekenza yakawanda havaiti muzvikamu zvakanaka. Somuenzaniso, zvakadini kana uine vanhu vaviri mumhuri yako vane chirwere chemucheche, asi mumwe ari kudivi rababa vako uye mumwe ari kumai vako? Ichi ndicho chikonzero kutaurirana kune mazita ezvemagetsi zvakakosha.
Kukurukura Nezvemhuri Yako Nhoroondo Nekupa Mupi Wako
Vanhu vazhinji vanotora nhoroondo yavo yemhuri yavo pavanoshanyira chiremba wavo wekutanga, uye ichi chirevo chakanaka, asi pane caveat. Kana iwe ukaona chero mapegi matsvuku mumhuri yako yekare, bhiza rako rakanakisisa nderokutaura neine genetic counselor. Genetic advisors vanodzidziswa mune idiosyncrasies uye tsanangudzo ye pedigree yako (mhuri yako inhoroondo yezvakaitika) uye inogona kukupa kuongororwa kuri nani kune chero ipi zvayo inogona kuitika kune vanowanzoita vanachiremba.
Kuwana Mupi wezano rekuzvarwa uye kufunga nezveGenic Testing
Iwe unogona sei kuwana gweta remagetsi? Chiremba wako anogona kukwanisa kukuendesa kune zvakanaka mazano ekugadzira mazita, asi iwe unogonawo kutarisa iwe paIndaneti. ICancer Cancer Institute ine genetics services directory iyo inonyora vanobatsira neharaunda.
Ndiani anofanirwa kuva nemagenho ekuongorora? Mhinduro kumubvunzo uyu ndeyekuti ani nani ari kufunga nezvekuongorora mazita ekufananidzira anofanira kutaura neine mazita ekupa mazita, uye nekuda kwezvikonzero zvakawanda.
- Kuongorora mazita ekugadzirwa kwemajeni kuchiri mucheche. Tine mazita emarudzi akawanda ekuedza kwekenza, asi pane zvakawanda zvakamirira kuti zviwanikwe.
- Muchenjeri pedigree (mhuri yako chinyorwa chati) inogona kupa ruzivo pamusoro pengozi isingagoni kuwanikwa pamararamiro ekuberekwa.
- Kune zvakawanda zvekunetseka uye dzimwe nhau dzakapoteredza maitiro ekuongorora. A mazano anopa mazano anogona kukubatsira kuti uwedzere kuburikidza nenyaya idzi usati wapiwa maverengi angave akaoma kunzwisisa.
Kuenzanisa kwemajeni kuri kuwanika zvikuru, asi hazvifaniri kuitwa pasina kufunga kana kutarisira.
Zvisarudzo zvevakadzi (uye Varume) Nemhuri Nyaya yeBrazil Cancer
Pane zvakawanda zvingasarudzwa kana iwe ukaona kuti iwe uri pangozi yakawanda yekuve nekenza. Kungotarisa kutarisa kwako uye kurovedza muviri uye kuve nechokwadi kuti unoziva zviratidzo zvinogona kuitika zvakanaka.
Pakutanga kana kuwedzera kuongororwa kwakajeka kunogona kukurudzirwa. Somuenzaniso, mushumo wakabudiswa mumagazini inonzi Canadian Family Physician inotaura kuti vakadzi avo, pavanotarisa munhau yezvokurapa, vane 20 kusvika ku25 mukana wehupenyu hwese hwekudzidzira kenza yemazamu inofanira kuwana mazamu eMRI pamwe nekumhanya kwemakore yekuongorora.
Kana uine dambudziko rakakura, zvakadaro, zvakakosha kuwana chiremba anokwanisa kukubatsira kufamba nenzira iyo mvura yakachena.
Ndiani Angakubatsira Iwe Kuuya Nehurongwa?
Kana iwe uchiita seine ngozi yakawedzerwa yekenza, iwe mazano ekugadzira mazamu anogona kunge ane mazano pamusoro pewe waunofanira kuona, asi kana zvisina kudaro, tine mazano mashomanana.
Zvingava zvakanaka kana paive nemitemo uye kana vanachiremba vakatarisa vanoziva kuti ndiani anofanira kunge akawedzera kuongorora uye nguva ipi. Zvinosuruvarisa, nenguva yawakatsvaga njodzi yako, unogona kuziva zvakawanda kana kupfuura kupfuura vanachiremba vakawanda. Mishonga yakave yakaoma kwazvo zvokuti hapana chiremba anogona kuziva zvose. Kunyange nyanzvi yekenza yepazamu inogona kunge yakanyatsozivikanwa nemakiriniki ekupedzisira ekurapa kupfuura pane zvaunofanira kuita kune avo vari kuwedzera ngozi. Saka ungawana sei munhu anokubatsira?
Masangano ekenza yepabonde anopa imwe nzvimbo yakanaka kwazvo. Iyi masangano anopa rubatsiro rwevakadzi vazhinji avo vangangodaro vachiwira mumapasakisi. Mazhinji emasangano aya anoita basa rakanaka kwazvo rokupindura mibvunzo yakawanda yakabatana nechirwere chemwe.
Chinhu chinoshamisa, asi chinowanzobudirira kudzidza zvinyorwa zvitsva ndechekubatanidzwa mune zvehutano hwehupenyu hwevanhu . Vanachiremba nevatsvakurudzi vanofarira genetics zvekenza yebonde vanoita pamunda wepamusoro nevarwere, vatarisiri, uye vatsigiri pa Twitter. Kana iwe usina Twitter nhamba, zvinongotora miniti kuti unyore. Mazano mashomanana aripo kuitira kuti urege kurasikirwa muIndaneti. Shandisa hashtags. Iko hashtag #BCSM inomiririra "kenza yemazamu ehurumende" uye inogona kukubatsira kuti uwane vanhu vanoshanda zvikuru paIndaneti, kusanganisira vanachiremba.
Iwe unogona kuda kushandisa mamwe mahafighi pamwe chete ne #breastcancer uye #cancergenetics. Tora nguva kuti uwane manzwiro emamiriro ezvinhu, tevera avo vari kutsvaga mhinduro dzemibvunzo yaunenge uchikumbira, uye enda mberi uye tweet mibvunzo yako, somuenzaniso, "Ndiani anofarira kuwanikwa kwekenza yebonde kana nhoroondo yemhuri yezamu kenza? "
Zvakadini Kana Mhuri Yako Isingadi Iyi Mharidzo?
Kunyange zvazvo kudzidza nezvemhuri yako nhoroondo yekenza kunogona kukosha, kwete mhuri dzose dzichagamuchira hurukuro iyi. Mhuri dzakawanda hazvizodi kuburuka mumugwagwa kune zvikonzero zvakawanda, uye zvakakosha kuremekedza nhengo dzemhuri. Vongai ivo nekufungisisa chikumbiro chenyu. Kunezve nzira dzakawanda umo iwe unogona kuderedza ngozi yako yekenza yemazamu .
Mushure mekudya kwemanheru: Paridzai Kukurukurirana
Chii chinodiwa naamai vose? Utano uye mufaro kune vana vake. Vana vanodai vanaamai vavo? Utano hwake uye mufaro. Kukurukurirana pamusoro pehupenyu hwemhuri yako yekenza chipo chinogona kugoverana.
Sezvinyorwa yekupedzisira, patinenge tataura nezvezuva raamai nemadzimai vane kenza yemazamu, tinofanira kureva kuti varume vanotora kenza yemvere, zvakare . Uye kusiyana nemumwe wevakadzi vatatu avo vachava nekenza munguva yavo yeupenyu, ichava mumwe mumurume maviri. Zvichida iwe unogona kutanga kuronga hurukuro yababa vako yemhuri musati mabva patafura.
> Sources:
> America Cancer Society. Cancer Family Syndromes. Yakapedzwa 03/15/17. https://www.cancer.org/cancer/cancer-causes/genetics/family-cancer-syndromes.html
> American Society of Clinical Oncology. Cancer.net. Kuunganidza Mhuri Yenyu Nhoroondo. Yashandurwa 02/16. http://www.cancer.net/navigating-cancer-care/cancer-basics/genetics/collecting-your-cancer-family-history
> Heald, B., > Marguard >, J., uye P. Funchain. Nzira dzeKliniki Kushandiswa Kwekuongorora Kuchengetedzwa Kwekenza Dhiyabhorosi. Seminari muOnology . 2016. 43 (5): 609-614>.
> Rudo, Susan M., Elizabeth Rudo, naKaren Lindsey. Dr. Susan Love's breast book. Boston, MA: Da Capo Mazuva Ose, 2015. Print.
> Shekar, S., Duffy, D., Iwe, P. et al. Chidzidzo chevanhu Chidzidzo chevanhu veAustralia Twine neMelanoma Inopa Simba Rakakosha reGenetic kuDare. Nyaya yeInvestigational Dermatology . 2009. 129 (9): 2211-9.