Kuti ndiwane mhinduro dzemibvunzo 10 inowanzobvunzwa nezvekenza yemazamu, ndakabvunza Dr. William Gradishar, an oncologist paFeinberg School Medicine kuNorweswestern University muChicago. Anotaura nezvemashoko pamusoro pezvinokonzera kukonzera kenza yemvere uye anopa ruzivo pamusoro pemishonga.
Mubvunzo: Kushandisa mapiritsi ekuberekwa kunokonzera kenza yemazamu here?
A: Zvinoita sokuti hapana kuwedzera kwakajeka pakati pekushandisa kwekuberekwa kwepiritsi mapiritsi uye kuwedzera kenza yekenza yemvere. Kunyange zvazvo kuberekwa kunorapwa mapiritsi ane mamwe mahomoni, zviyero zviduku. Sezvo mukadzi wese uye nyaya yekenza yepafu yakasiyana, vakadzi vanofanira kutaura nevanachiremba pamusoro pehupenyu hwavo hwekuda kwekenza yemvere .
Mubvunzo: Kudya zvimwe zvokudya zvinokonzera kenza yemazamu here?
A: Zviongorori zvakakura zvinotarisa kuwirirana pakati pezvokudya uye kenza yepazamu zvakaitwa. Kusvika iye zvino, kubatana pakati pezvokudya nekenza yemvere hazvina kuonekwa. Zvidzidzo zvishomanana zvakawana kuti zvinogona kuwirirana pakati pemafuta nehaini yepamu, asi kutsvakurudza mberi kunoda kuzadzikiswa. Sezvo mutemo wehuwandu hwechigunwe, tsika yakanakisisa ndeyokudya kudya kwakanaka kwakapfuma mumaproteni, zvizere zvezvibereko uye michero yefiber nemiriwo. Chinonyanya kukosha, ndapota taurai nachiremba wenyu musati matanga chero kudya chero kupi zvako kana kuti kudya kunovaka muviri.
Mubvunzo: Vose vanopesana nemagetsi vanokonzera kenza yemazamu here?
A: Vanopesana nemiti havaiti sechikonzero chekenza yemazamu. Mhemberero dzemazuva ano dzakapararira dzichireva kuti muviri unoda kuchenesa chepfu kuburikidza nekuputika kuburikidza nemakumbo uye kuti kana chirwere chisina kushandiswa chinoshandiswa, muviri unochengetedza izvo zvinokonzera mumakirini epasi pasi pemaoko, zvichikonzera kenza yemazamu. Izvi zvinodaro hazvisi zvechokwadi; muviri hausi kusunungura tsvina kuburikidza ne-underarm sweat. Tsvina yakawanikwa munharaunda yepasi pevhu inoumbwa ne 99.9% mvura, sodium, potasium uye magnesium.
Mubvunzo: Ko kukuvadzwa kwomuzamu wangu kunogona kuva kenza yebonde here?
A: Kukuvadza kusvika pachipfuva hakuiti kenza yemazamu. Mune zvimwe zviitiko, chifuva chinogona kukuvadzwa mushure mekukuvadzwa uye, muzviitiko zvisingawanzoitiki, kuwedzera bundu risina kenza rinonzi mafuta necrosis . Fat necrosis haisi nengozi, uye zviratidzo zvinowanzowedzera mukati memwedzi. Kana iwe uine bundu muhombodo yako uye unonetseka kuti inogona kuva kenza yemazamu, taurirana nachiremba wako pakarepo.
Mubvunzo: Kupfeka underwire bras kunokonzera kenza yemazamu here?
A: Kupfeka sous under bra hazvizokonzeri kenza yemazamu. Rimwe bhuku rakakurumbira rakabudiswa muna 1995 rakaratidza kuti underwire bras inomirira lymph node system, iyo inokonzera kenza yemazamu. Izvi zvinenge zvisina kururama. Hapana zvidzidzo zvakawana kuwirirana pakati pezvigadzirwa zvepasi uye kenza yepazamu.
Mubvunzo: Madzimai anokonzera kenza yepahadzi here?
A: Kwete, mammograms haabvumi nekenza yemazamu. Kutaura zvazviri, American Cancer Society inorumbidza kuti vakadzi vanopfuura makore makumi mana kana makumi mana vane makore makumi mana nemakumi mana vane gore rimwe nerimwe gore kusvikira makore makumi mashanu nemashanu, ipapo makore maviri.
Mammograms anoshandisa madhigirii mashoma emagetsi anonzi akachengeteka neAmerican College of Radiology. Mammograms ibasa rakanakisisa rekuona kenza yemazamu pakutanga, uye kuonekwa kwokutanga kunokosha mukuderedza nhamba yevakadzi vanotanga danho IV, iro rinowanzonzi kanamato yemasasa . Sezvo mukadzi wese uye nyaya yekenza yepafu yakasiyana, vakadzi vanofanira kutaura nevanachiremba pamusoro pehupenyu hwavo hwekuda kwekenza yemvere. Mune zvimwe zviitiko, vakadzi vane ngozi yakawanda yekenza yemazamu vanofanira kunge vane mammogram vasati vava nemakore makumi mana.
Mubvunzo: Kana ndine mazamu e fibrocystic, ini ndiri pangozi yakanyanya yekenza yemazamu here?
A: Inenge 50 muzana yevakadzi vachabatwa nehutachicystic muchifuva pane imwe nguva muupenyu hwavo. Fibrocystic mazamu anojairika uye haasi kenza. Fibrocystic mazamu haisi mungozi yekenza yemazamu. Vanoita kuti vaone nemifananidzo yakawanda uye maitiro ekuongorora zvinowedzera zvakaoma, asi hazvibviri.
Mubvunzo: Kuvhiyiwa kubvisa mazamu kunokonzera kenza kupararira here?
A: Kana kenza yemazamu inopararira, inonzi inoshandiswa. Hapana anoziva chinokonzera kenza yepabonde kuderedza mishonga, asi hapana kubatana pakati pekuvhiyiwa kwechifuva uye kupararira kwekenza yemazamu.
Chirwere cheMetastatic chepamuti chikamu chepamusoro zvikuru chekenza yemazamu. Kune zvirongwa zvakasiyana-siyana zvekurapa zvinowanikwa nhasi kuvakadzi vane chirwere ichi - kusanganisira chemotherapy, endocrine therapy uye inorapwa-izvo zvinoramba zvichiita basa rinokosha mukurapa kenza yepamusasa yemasita. Zvakakosha kuti vakadzi vane chirwere ichi vataure navanachiremba nezvemaitiro avo ekurapa.
Mubvunzo: Ko kenza yemazamu ingangobatsira chete varume vanonzi menopausal?
A: Aiwa, vakadzi vezera rose vanogona kuve nekenza yebonde. Mungozi yomudzimai wekuita kenza yemazamu inowedzera paanenge ava nemakore, zvichiita kuti zvive zvakakosha kuti vakadzi vose 40 nevekare vave negamigam gore negore. IAmerican Cancer Society inotaura kuti mazamu ezvidzidzo zvinosarudzwa kune vakadzi vanopfuura makumi maviri, asi inokurudzira kuti vakadzi vazive kuti mazamu avo anowanzoonekwa sei uye anonzwa sei. Vakadzi vanofanira kurondedzera chero chifuva chitsva chinochinja kune chiremba wavo pakarepo pavanowanikwa. Kuonekwa kwokutanga kwakakosha pakuwedzera kupona uye kuderedza mikana yekurasika kwekenza (kupararira).
Mubvunzo: Ndingawana kenza yemazamu kana isingashamisi mumhuri yangu here?
A: Imwe mhuri yekenza yemucheche inowedzera ngozi; zvisinei, vakadzi vanodarika 80% vanoonekwa kuti vane kenza yemazamu havanzwisisiki mungozi yekenza yemvere, semhuri yezvakaitika.
William Gradishar, MD
William Gradishar, MD ndiye purofesa wemishonga mukuparadzaniswa kwehematology uye zvekurapa oncology paFeinberg School of Medicine kuNorweswestern University muChicago. Ndiye nhengo yaRobert H. Lurie Comprehensive Cancer Center yeNorweswestern University uye yakatsaurira basa rehupenyu hwake kuwana mishonga mitsva uye yakanaka kune kenza yepaha. Akashanda pamwe nemasangano ehurumende nekudzivirira kuti atore kenza yepamuviri mberi kuitira kuti vakadzi nemhuri vakatarisana nechirwere vanogona kuwana rubatsiro rwavanoda nhasi uye vanotarisira mberi kuvimbiso yenguva yemberi.
Sources:
American Cancer Society. American Cancer Society mazano ekutora kenza yepabonde kutanga muvakadzi vasina mazamu zviratidzo. Ivandudzwa 10/20/15. http://www.cancer.org/cancer/breastcancer/moreinformation/breastcancerearlydetection/breast-cancer-early-detection-acs-recs
American Cancer Society. Antiperspirants / Deodorants uye Breast Cancer. Updated 01/04/08. http://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet