Khansara ya m'mimba, chotupa choipa

Mosasamala kanthu za gwero, "zenizeni" izi zingayambitse kudandaula kosafunikira ndi kukulepheretsani inu ku zomwe ziri zoyenerera kuyang'anitsitsa. Mnzanga walumbira kuti bra imakhudzidwa ndi maonekedwe a zisindikizo zakupha. Koma ndi chitsimikizo chotani kuti izi sizinthu zina "zotengeka"? Ndipo ngati mukuganiza kuti simudzakumana ndi vuto ngati limenelo, chifukwa palibe wina m'banja mwanu amene ali ndi chiphunzitso cha oncology, mukulakwitsa. Kotero kodi choonadi chiri kuti? Ndizomwe asayansi sakudziwa chomwe chimayambitsa khansa ya m'mawere. Iwo amangowona kuti zinthu zina, monga kulemera kwakukulu ndi kulephera kwa mahomoni, zikhoza kuwonjezera kuopsa kwa maonekedwe ake. Pa masamba awa, ife tinasonkhanitsa otchuka kwambiri (kuwerenga: okhwima) mantha ndi kuyesa kusiyanitsa choonadi ndi zabodza. Khansara ya m'mimba ndi chotupa chachikulu ndipo kodi n'zotheka kukhala ndi matendawa?

1. Choyambitsa khansa ya m'mawere ndizosavomerezeka

Zowona: pa theka la milandu, madokotala amatsutsa zamoyo zosayenerera (BRCA1 ndi BRCA2). Vuto la kutenga khansa ndilopamwamba (ndipo palibe!) Ngati mmodzi mwa amayi omwe ali ndi zaka zoposa 60 asanakumane ndi matendawa. Koma amayi ambiri amalembedwa ndi dokotala, monga lamulo, osati chifukwa cha kusintha kwake kwa jini, koma chifukwa cha kugwirizana kwa moyo ndi chikhalidwe. Asayansi sakudziwabe chimene chimayambitsa khansa ya m'mawere. Pakalipano, 2/3 okha amadzimadzi amadziwika kuti ndi ovomerezeka ndi mahomoni, ndipo mwa amayi oposa 40 amakula mofulumira kwambiri. Koma izi sizikukwanira. Imodzi mwa njira zabwino kwambiri zodziwira chifukwa chake, yerekezerani amayi abwino ndi omwe adakumana ndi matendawa maso ndi maso. Maphunzirowa tsopano akuchitika m'mayiko ambiri, ndipo mamiliyoni a akazi padziko lonse lapansi akuyembekeza iwo.

2. Nthaŵi zonse zimachokera ku zisindikizo

Zoona: Amayi 10% omwe anali ndi matenda aakulu sanavutike, kupweteka kapena zizindikiro zina zosonyeza vuto ndi bere. Ndipo pakati pa 80-85% mwa iwo omwe anabwera ku phwando ndi zisindikizo, iwo sanawopsyeze moyo ndi thanzi. Kawirikawiri izi zinali zovuta kwambiri, zomwe zimatchedwa fibroadenomas. Koma izi sizikutanthauza kuti munganyalanyaze kupweteka, kufiira, kutupa kwa msinkhu uliwonse. Ndikofunika kuti mulankhule kwa dokotala, kuti musangotengeka nthawi yambiri. Makamaka ngati inu: osindikizidwa ndipo ine ndiri mu chifuwa, pafupi kapena pafupi; ululu, kuyaka; kusintha kukula ndi mawonekedwe; kuchotseratu ku mawere.

3. Amayi omwe ali ndi mabere aang'ono amakhala inshuwalansi motsutsana ndi matenda

Zoona: kukula sikulibe kanthu. Khansara ya pachifuwa imayamba mu minofu yambiri ndi maselo akuphimba mkaka wa mkaka (kumene mkaka umapangidwira ndikulowa mu ntchentche). Ndipo mosasamala kanthu kuti iye amavala zazikulu zapansi zovala A, B, C, chiwerengero cha makululu mkati mwake momwe mazira amkaka ali, chimodzimodzi. Matenda akuluakulu ndi ang'onoang'ono amasiyana kokha ndi minofu ya adipose, yomwe, malinga ndi kafukufuku, samakhudza kwenikweni maonekedwe a matendawa. Kutsirizitsa: mwamtheradi akazi onse oposa zaka 40 ayenera nthawi zonse kukapenda ndi dokotala. Palibe kusiyana kwa kukula, mtundu, mtundu wa khungu sungakhale.

4. Kawirikawiri kuchita mammografia kuli kovulaza. Madokotala amalimbikitsa kuti amayi oposa 40 ayenera kukhala ndi mammogram kamodzi pa chaka. Simukusowa kudandaula: Mlingo wa ma radiation umayang'aniridwa bwino ndipo uli wotsika kwambiri - ndi ofanana ndi kuthawa pa ndege kapena kuwerengera ndalama zomwe zimachokera kuzinthu zachilengedwe kwa miyezi itatu. Kawirikawiri, ife tinali osowa kwambiri kuposa amayi athu ndi agogo aakazi. Masiku ano, amayi amalandira ma radiation ochepa kuposa zaka 20 zapitazo. Ndipo mwayi wokhala ndi matenda aakulu kwambiri ndi ofanana ndi zero. Chinthu china ndi chakuti njira yoyesera iyenera kusankha dokotala. Zaka 35 zili m'chifuwa zambiri zimakhala zovuta kuziwerenga. Koma ma ultrasound, mmalo mwake, amalola kuti tipeze ngakhale kuphwanya kochepa chabe kwa chikhalidwe choipa ndi choipa. Pambuyo pa zaka makumi anayi, minofu yamatsenga imalowetsedwa ndi mafuta ndipo mammogram amayamba kutsogolo (ultrasound amakhala wothandizira). Mulimonsemo, dokotala yekha ndiye ayenera kusankha pa kafukufukuyo. Kuchita mammogram pa zaka 25 chifukwa cha reinsurance sikuli koyenera.

5. Kugwiritsa ntchito mapiritsi oletsa kubereka - imodzi mwa matendawa amachititsa kuti anthu azidwala

Zowona: madokotala amanena kuti deta yofufuza sizolondola kwambiri moti analangiza odwala awo kukana kulera. Asayansi anatenga kwambiri mapiritsi pakati pa zaka za m'ma 90 ndipo panthawi imodzimodziyo adapeza kuti mapiritsiwo anawonjezera chiopsezo cha khansa ya m'mawere. Koma simungadalire zambirizi, chifukwa zokonzekerazi zasintha kwambiri. Pang'ono ndi pang'ono, ali ndi mlingo waukulu wa mahomoni. Koma zinthu zochepa zomwe muyenera kuganizira zimapindulitsabe. Choyamba, mapiritsi ayenera kuuzidwa ndi dokotala, poganizira zaka ndi umoyo. Pitani ku pharmacy ndipo mugulitse zomwe wogulitsa akulangizani, kapena kutenga chithandizo cha kulera, kutsatira chitsanzo cha abwenzi - ndi zopanda nzeru. Mankhwala opatsirana amasintha mahomoni, ndipo izi sizinthu zopanda pake. Chachiwiri, muyenera kutsatira mosamalitsa boma lovomerezeka: miyezi 9 ya kumwa mowa, miyezi itatu yopuma, kuti thupi likhale ndi nthawi yowonzanso ndikubweretsa mahomoni. Nthaŵi zina madokotala amaiwala kuuza odwala awo za izo.

6. Atsikana atsikana savutika ndi khansa ya m'mawere

Zoona: ngakhale kuti matendawa amapezeka kawirikawiri asanakwanitse zaka 30, palibe chitsimikizo chakuti sangakhudze mabere ako ali wamng'ono. Kuti musaphonye mphindiyo, mvetserani nokha, musanyalanyaze zizindikiro zokayikitsa ndipo muzimva chifuwa chanu kamodzi pamwezi kuchokera pa zaka 20. Ndipo pambuyo pa 30 mutapita kukaonana ndi dokotala nthawi zonse ndipo ngati akuwona kuti ndi kofunika, chitani mazira a mammary. Ngati m'banja mwanu munali matenda a kansa, ndizomveka kuwonjezera njira zowonongeka (mwinamwake pali kusintha kwa majeremusi enieni). Mwachitsanzo, kujambula kwa maginito kotsutsana (MRT). Kenaka dokotala adzakhala ndi mwayi wophunzira mosamala zomwe zikuchitikazo ndikudziwiratu molondola (ultrasound "amawona" zisindikizo pambuyo pa 1 cm).

7. Mankhwala osokoneza bongo amawoneka mu maonekedwe a chotupa

Zoona: zonse zomwe angathe - kuzimitsa pores ndi kukwiya kutupa. Pankhani ya khansa, malingaliro olakwika awa amachokera pa kuti ma homodorants samalola thukuta, ndipo poizoni zomwe ziyenera kufika pamwamba ndi thukuta zimakhalabe mu thupi, zomwe zimapangitsa kukula kwa zotupa zakupha. Nkhaniyi inali yotchuka kwambiri moti mu 2002, asayansi anakonza kafukufuku wapadera. Ndipo? Panalibe kugwirizana pakati pa antiperspirants ndi khansa ya m'mawere. Ambiri saopa poizoni, koma mankhwala ena m'madzimadzi (salt aluminium, parabens), akukhulupirira kuti ndiwo omwe amachititsa kuti azivutika. Mikangano? M'mayiko osauka, kumene amayi samagwiritsa ntchito antiperspirants, chiŵerengero cha chiŵerengero n'chochepa. Komabe, poizoni sizipita nthawi zonse ndi thukuta. Ndipo ku US, kumene mavitamini sakhala otchuka kwambiri, chiwerengero cha khansa ya m'mawere ndi chachikulu kuposa, mwachitsanzo, ku Ulaya. Mu 2004, ofufuza anapeza parabens m'magazi a chifuwa chachikulu cha m'mawere. Koma iwo sanathe kutsimikizira kuti iwo, kapena mankhwala ena aliwonse mwa otsutsa, ankalowerera mu izi.

8. Khungu lofiira limapangitsa kuti maselo asawonongeke

Zoona: Palibe chifukwa chachikulu chokhulupirira kuti nsalu (nsalu, thonje, zokongoletsera, pa mafupa ndi kunja) zikugwirizana ndi maonekedwe oipa. Izi zabodza zimadalira kuti mabomba amaletsa kutuluka kwa mitsempha yodzaza ndi poizoni. Komabe, izi sizongoganiza chabe. Palibe maphunziro omwe achitidwa pa nkhaniyi. Ndipo mabungwe aakulu azachipatala anakana mawu awa. Ngati amayi omwe sali kuvala nsalu, sangafanane ndi khansa ya m'mawere, izi ndizo chifukwa chakuti ndizochepa chabe. Kunenepa kwambiri ndi chimodzi mwa anthu opondereza kwambiri. Ndipo panthawi imodzimodziyo, mamemolo amatsindika kuti kukula kwa bra ndikofanana ndi chifuwa cha bere. Ngati ndi wandiweyani ndipo imasokoneza kutuluka kwa madzi, izi zingayambitse kusamalidwa (kusintha m'matumbo a m'mawere).

9. Madzi mu botolo la pulasitiki lotayika dzuwa limakhala poizoni

Zoona: kuseri kwa nthano iyi kuli malingaliro onyenga akuti dioxins (gulu la mankhwala owopsa kwambiri omwe amapezeka ndi matenda ambiri, kuphatikizapo khansa ya m'mawere) imachokera ku botolo lotentha mumadzi. Koma! Mu pulasitiki mulibe dioxins, ndipo kuwala kwa dzuŵa sikuli kolimba kuti kuwononge maonekedwe awo. Mabotolo omwe amasungidwa kwambiri amapangidwa kuchokera ku polyethylene terephthalate (yotchedwa PET). Chinthu ichi chinayesedwa ndi chidwi chapadera. Ndipo iwo anadza kumapeto kuti izo ziri bwino. Chinthu china n'chakuti pambuyo pa madzi, mabotolowa amadzaza ndi tiyi, matumbo, mkaka, batala komanso zakumwa zopangidwa kunyumba. Apa akatswiri ali ogwirizana: zida zamapulasitiki sizingakhoze kudzazidwa ndi chirichonse china koma madzi. Kenaka imodzi yokha yomwe pansiyi ilipo 2,3,4 kapena 5 ndi katatu, chizindikiro cha kugwiritsidwa ntchito mobwerezabwereza. Choncho, mutha kugula ndi kumwa madzi m'mabotolo apulasitiki - palibe kugwirizana pakati pawo ndi khansa ya m'mawere. Ndipo pofuna kusungirako ndi bwino kusankha zinthu zamakono, magalasi, zitsulo.

10. Ngati mukuchita masewera olimbitsa thupi ndikudya bwino, khansa sidzadwala

Zoona: aliyense, ndipo madokotala onse oyambirira, ali ndi chidwi chopanga ichi kukhala chowonadi. Koma pamene ziri zotheka kunena kuti zigawo zotero za moyo wathanzi zimakutetezani kwathunthu ku vuto, palibe amene angathe. Ngakhale kuti m'mikhalidwe ina mwayi wotsatizana ndi matenda ukuwonjezeka (mwachitsanzo, mu matenda opatsirana ndi mahomoni kapena kuwonjezera kunenepa kwambiri), pakali pano pali zambiri zochepa pa zomwe zimayambitsa khansara komanso momwe zingapewere. Kuletsa kansa ya m'mawere nthawi zonse, muyenera kusonkhanitsa deta zambiri. Phindu lenileni ndilo pamene kusiyana pakati pa amayi abwino ndi omwe ali ndi chiwerengero cha azinthu.