BRCA1 uye BRCA2 kuchinja kwechirwere kunowedzera ngozi kune kamuti yekamu neyamaputi.
Kazhinji iwe unoziva kuti kuongorora kwe BRCA kune chimwe chinhu chingaita nekamuti nekenza yevana. Zvisinei, izvi ndezvevanhu vakawanda vanoziva nezveBrCA1 uye BRCA2 kuchinja-chinja, uye kana zvisiri izvo zvekuongorora kwaAlexina Jolie kuti vagone kuchinja mutauro we BRCA1 uye vachizogamuchira prophylactic mastectomy (kusarudza kushandiswa kwemazamu) uye gare gare prophylactic salpingo-oophorectomy (kusarudza kusarudzwa kwe the fallopian tubes and ovaries), vazhinji veAmerica vangave vasingazivi izvi zvakawanda.
Munhu anotsvaga angataura kuti chokwadi chokuti vanhu vazhinji vanoziva zvishomanana nezvekuedzwa kweBrCA chinhu chakanaka. Mushure mezvose, kuchine zvakawanda zvatisingazivi nezvekuchinja kwe BRCA , uye vazhinji vanofunga kuti hatifaniri kuvimba nomuedzo unoona kushanduka kwatinoita iye zvino zvishoma nezvekuita zvisarudzo zvekutarisira zvakakomba kusanganisira prophylactic mastectomy uye salpingo-oophorectomy mu kurongedza kudzivirira kenza yeramangwana.
Kunyange zvakadaro, pasinei nevatsoropodzi vanotaura, vazhinji vechiremba vanotenda musimba rekuongorora kweBrCA kuitira kuti vaone kusarudzwa kwekenza nevana vekenza yevana - kunyanya nokuti kusiyana nekenza yebonde, hapana kuongorora kwakanaka kwekenza yevana. Nokuti kuongorora kweBCA kunowanikwa uye kunogona kupa hutano hwekudzivirira hunoita huwandu hwevakadzi vashoma, chinhu chakanaka kuti iwe unzwisise zviri nani uku kuongorora maitiro.
BRCA mutations
BRCA1 uye BRCA2 vane tumor-suppressor jeni. Apo mukadzi ane nhaka yekuchinja-chinja mune imwe yemagenhi aya anokonzera zvose alleles, panjodzi yake yehutachiwana uye chikwata chekuvhara mahara.
Kunyanya, pamwe ne BRCA1 uye BRCA2 kuchinja-chinja, dambudziko rekupedzisira kuve nekenza yemvere inopfuura 80 muzana; asi, mungozi yekuva nekenza yevana mavari inenge makumi mana kubva muzana ne BRCA1 kuchinja uye 20 muzana neBCACA mutende.
Chirwere chemazamu uye chechivharo chinokonzerwa neBBRCA kuchinja kunowanzova nechisimba uye chinowanzoitika pamazera mashoma (funga vakadzi vari pakati pe20s).
Kuti varwise kutyisidzira uku kunonyangadza, vanhu vakachenjera zvikuru vakabuda neropa rekuberekwa kana kuti saliva test iyo inogona kuitwa muchirwere chepakati kana muchipatara.
Unofanira Kuongororwa neBBRCA ?
Kutanga kubva, mazana mashanu chete emakondomu emukaka anokodzera uye anopfuudzwa nemammai ako kana mapapu. Nokudaro, kuongororwa kweBCA hakusi kwevanhu vose, uye hakusi iyo yakawanda-kuongorora maitiro.
Paunofunga kana uri mukana wakanaka wekuongororwa kweBrCA , chiremba wako achafunga nezvezviitiko zvinotevera:
- Ashkenazi Jewish heritage
- dhigirii-yekutanga maererano nekenza yemazamu isati yasvika 50
- yakasangana nekenza yepamuviri
- nhoroondo yemunhu kana yemhuri yekenza yevana
- nhoroondo yemhuri yekenza yeparitoneal
- zvose zviri muzamu kana kenza yemuviri inouya mune imwe hama
- vaviri kana kupfuura vamwe vane kenza yemazamu
- nhengo yemhuri yemukomana nekenza yemazamu
Kana uine nhoroondo yemhuri yekutendeuka kweBBRCA , iwe unongororwa chete nehuwandu hwechirongwa che BRCA chinotanga mumhuri yako: BRCA1 kana BRCA2 .
Zvaungaita Kana Waizoedza Mamiriro Akanaka eBCACA kana kuti BRCA2 Mutation?
Pane nharo huru pamusoro pokuti ungaenderera sei neBCACA1 kana kuti BRCA2 mhinduro yekuedza. Heano mamwe maitiro anokwanisa kutarisana nematambudziko:
- kurongeka kwemuitiro kunosanganisira mammograms, MRI, ultrasound uye chiyero chekenza-antigen 125;
- chemoprevention ne chemotherapy agents tamoxifen kana raloxifene;
- ngozi-kuderedza mastectomy kana salpingo-oophorectomy.
Ndapota ona kuti kubvisa mazamu. mazai uye fallopian tubes inongova nzira imwe chete yekuchengetedza njodzi, uye kusarudzwa kwechisarudzo ichi kunobva pane imwe mishonga yemakiriniki. Uyezve, kunyange zvazvo kuora mwoyo kunobvisa mazamu akawanda emvere, haibvisi zvose zvemazamu, uye kuchine mukana muduku kuti iwe unogona kuva nekenza. Pakupedzisira, chirwere chakadaro chinoitwa mushure memazuva emakore ekupa mazano ekuberekwa uye kuongororwa kwekuvhiya.
Kana iwe uchinzwa kuti iwe unogona kuva pangozi yekamupa yepamuviri kana yekenza yepamusoro, iri pfungwa yakanaka yekukurukurirana kunetseka uku nechiremba wako wekuchiremba kana chiremba-gynecologist.
Nhoroondo, CDC inoratidza kuti vakadzi vane hanya vanoshandisa Know: BRCA chiko chekuongorora pangozi yega. Mushure mokuwana nhoroondo yakajeka yemunhu uye yemhuri, chiremba wako angasarudza kuti uri mukana wakanaka we BRCA1 kana kuti BRCA2 kuedza.
Sarudzo Sources
Kuramba KK, Robertson JR, Bland KI. Breast. Mu: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Schwartz's Principles of Surgery, 10e . New York, NY: McGraw-Hill; 2014. Yakasvika munaJune 25, 2015.
LeBlond RF, Brown DD, Suneja M, Szot JF. Mukadzikadzi Genitalia uye Kuberekwa. Mu: LeBlond RF, Brown DD, Suneja M, Szot JF. eds. DeGowin's Diagnostic Examination, 10e . New York, NY: McGraw-Hill; 2015 .. Yakasvika June 25, 2015.