Mukudziwa kuti kuchita masewero olimbitsa thupi n'kofunika kwambiri kuti munthu akhale ndi thanzi labwino, komanso kuchita masewero olimbitsa thupi ndi othandiza popewera mitundu ina ya khansa. Mpaka posachedwapa, khansa ya m'magazi ndi myeloma sizinali zowerengedwa pakati pa mitundu yomwe mungathe kuchepetsa chiopsezo chanu pochita masewera olimbitsa thupi.
Kafukufuku adafufuza funso la zochita zolimbitsa thupi komanso kuchepetsa chiopsezo cha mitundu yosiyana ya khansa.
Olembawo anati mphamvu yaikulu ya phunziro lawo ndi yakuti, pakudziŵa kwawo, ndiko kufufuza kwakukulu kumene kunachitidwapo pa zochitika zolimbitsa thupi ndi khansa.
Ofufuzawa anafalitsa zomwe anapeza mu magazini ya May 2016 a JAMA Internal Medicine . Iwo adziwa zomwe zikuchitika panopa komanso kufunikira kwa phunziroli - zochitika zolimbitsa thupi zimachepetsa zoopsa za matenda a mtima, khansara ya colon, khansa ya m'mawere, ndi khansa ya endometrial-koma zochepa zimadziwika ngati zochitika zolimbitsa thupi zimachepetsa chiopsezo cha khansa zina, zomwe zimayimira pafupifupi 75 peresenti ya khansa yatsopano yatsopano ku United States.
Kuchita Zochita ndi Khansa Phunziro - Mafunso
Kodi Zimakhala Zovuta Kwambiri Pamoyo Wanu?
Anthu okwana 51 peresenti ya ku United States ndi anthu 31 peresenti padziko lonse lapansi samalandira zochitika zolimbitsa thupi. Zonse zomwe zimachepetsa chiopsezo cha khansa zogwiritsidwa ntchito ndi zochitika zolimbitsa thupi zingakhale zogwirizana ndi ntchito zachipatala ndi kuyesetsa kupewa kansalu .
Kodi Ntchito Yopangidwira Ndi Yotani?
Ntchito zolimbitsa thupi zinafotokozedwa mu phunziro lino monga ntchito zomwe zimagwiritsidwa ntchito ndi nzeru za munthu zomwe zimapangitsa kukhala ndi thanzi labwino kapena thanzi labwino.
Gulu lofufuzira linaphatikizapo magulu awiri a nthawi yachisangalalo: ntchito zolimbitsa thupi ndi zochitika zina zomwe zili ndi mphamvu zowonjezera zomwe zikulimbikitsidwa ndi ndondomeko zogwirira ntchito.
Kodi Ofufuza Anaphunzira Chiyani Pomwe Anthu Amakhala ndi Khansa?
Mu phunziroli iwo adagwiritsa ntchito mafunso, koma adayang'ananso zolemba zachipatala ndi ma kanema olembetsa khansa. Kwenikweni, 99 peresenti ya khansa zomwe zapezeka mu phunziroli zinatsimikiziridwa ndi zolemba zachipatala kapena zolemba za matenda-zomwe olemba omwe amagwiritsa ntchito pofufuza kafukufuku wa mankhwala omwe amapezeka kuti ali ndi khansa.
Ndi Anthu Angati Omwe Anali Phunziro Lino?
Phunziroli linachokera kwa anthu 1,44 miliyoni omwe anali ndi nthawi yochita masewera olimbitsa thupi komanso palibe mbiri ya khansa pamsana woyambira.
Ophunzira ambiri, 57 peresenti, anali azimayi, zaka zapakati pa mzere woyamba zinalipo 59, ndi chiwerengero cha thupi la pakati , kapena BMI anali 26. Maseŵera apamwamba akugwirizanitsidwa ndi achinyamata, maphunziro, kuchepa kwa BMI, ndi kuchepa kwa kukhala fodya wamakono.
Kodi Mitundu Yambiri ya Khansa Inaphunzitsidwa Motani?
Ofufuzawa ankayang'ana pa mitundu 26 ya khansa. Pakati pa zaka 11 zotsatila, 186,932 khansa anadziwika.
Zomwe Zinapezeka
Kupambana ndi msinkhu wochita masewera olimbitsa thupi kunagwirizanitsidwa ndi ngozi zochepa kwa 13 mwa khansa 26 zomwe anaphunzira.
Kuchita masewera olimbitsa thupi kunayanjananso ndi chiopsezo chachikulu cha khansa yoopsa ya khansa, komanso chiopsezo chachikulu cha khansa ya prostate yosagwira ntchito.
Mapulogalamu apamwamba ochita masewera olimbitsa thupi anali ogwirizana ndi 7 peresenti yochepa ya khansa yonse.
Kufufuza kwa khansa ya myeloid ndi myeloma, kafukufukuyu anapeza mgwirizano wamphamvu kwambiri-kutanthauza kuti, zochitika zambiri zogwirizanitsa kwambiri ndi khansa yochepa-komabe, zotsatirazi zinali zosiyana ndi phunziro la 2015 limene silinapeze zotsatira.
Mu phunziro ili, "myeloid" imatanthauzidwa ndi zizindikiro zapadera, kapena mitundu ya ICD-0-3 ya histology mitundu, ndipo mayelo a myeloid leukemias anaphatikizapo: myeloid acute myeloid, matenda aakulu a myeloid leukemia, ndi myeloid / monocytic khansa ya m'magazi.
Asayansi ena adanena kuti kupindula ndi masewero olimbana ndi matenda a khansa kumachokera ku zolemetsa zowonongeka-kutayika mafuta, ndipo mumachepetsa chiopsezo chanu.
Ngakhale kuti izi ndi zoona pa matenda ambiri, zotsatira za kafukufukuyu zinkasonyeza kuti machitidwe ndi zochitika za khansa nthawi zambiri zimakhala zosiyana ndi thupi, kapena BMI, zomwe zingatsutsane ndi mafuta ambiri a kansa.
Zochita Zolimbitsa Thupi, Matenda a Shuga, ndi Khansa
Kwa iwo omwe akulimbana ndi kunenepa kwambiri ndi kunenepa kwambiri, chimodzi mwa zinthu zamtengo wapatali zomwe zingathandize ndi kudziwa kuti ngakhale kuperewera pang'ono kungapangitse kusiyana kwa momwe mumayendera, ndipo apa tikukamba za vuto lanu la mtima, osati kwenikweni khansara yanu.
Kuchepetsa matenda a shuga, kapena kuphunzira kwa DPP, kunasonyeza kuti kuperewera kwa 7 peresenti ya kuperewera ndi njira zowononga khalidwe kungachepetse chiopsezo cha matenda a shuga a mtundu wa 2 ndi 58 peresenti. Phunziro la DPP linali phunziro lodziwika bwino lomwe adasonyeza kuti moyo umatha kusintha chitukuko cha shuga.
Ngati mtundu wa shuga wa mtundu wa 2 wakhala ukuphunzitsidwa ngati chinthu chowopsa chokhazikitsa chitukuko cha matenda a hematologic, kapena khansa ya magazi , zotsatira zake sizikhala zofanana.
Kafukufuku wina apeza mgwirizano pakati pa mtundu wa shuga wa mtundu wa 2 ndi chiopsezo chokhala ndi lymphoma, khansa ya m'magazi, ndi myeloma. Maphunziro oterewa sali kufotokoza momwe matenda a shuga angawonjezere chiopsezo cha munthu.
Mwachitsanzo, kunenepa kwambiri, kudya, kuchita masewera olimbitsa thupi komanso kuchepa kwa mankhwala-kuchepa mankhwala monga metformin ndi mankhwala ena ndi zinthu zomwe zimayendera matenda a shuga. Kotero ngati chiyanjano chipezeka kuti chikudwala matenda a shuga, mufunikanso kufufuza zomwe anthu omwe ali ndi matenda a shuga amagawana kuti awone zomwe zingayambitse ngozi.
Malinga ndi kafukufuku amene adalembedwa mu May 2012 a "Magazi," mtundu wa shuga 2 umagwiridwa ndi chiopsezo chochepa chokha cha non-Hodgkin lymphoma, koma osati Hodgkin lymphoma . Ndipo, pamene sanali a Hodgkin lymphoma subtypes ankawunika, chiopsezo chowonjezeka ndi mtundu wa shuga 2 chinalipo palimodzi T-cell lymphoma, koma osati kwa zina zing'onozing'ono za mtundu wa Hodgkin lymphoma .
Kawirikawiri, ofufuza sakudziwa chomwe chimayambitsa matenda a hematologic malignancies. Matenda ena monga Epstein-Barr, matenda omwe amadziwika nawo monga matenda a nyamakazi, matenda a Sjögren, ndi systemic lupus erythematosus , kapena mbiri yabwino ya banja ingakhale yofunikira pakukula ena mwa khansa.
Palibe umboni wosatsimikizirika wosonyeza kuti mtundu wa shuga wa mtundu wa 2 ndiwopseza kwambiri chiopsezo cha malungo a hematologic, komabe.
Pansi
Ngakhale phunziroli la kulemera kwa chiwindi ndi matenda a khansa silingatheke, ndipo zotsatira zake zonse zonyansa, kuchita masewero olimbitsa thupi kungakhalebe olimbikitsidwa mothandizidwa ndi mapindu ena onse omwe amadziwika, kuphatikizapo thupi lonse thanzi ndi thanzi.
Onani kuti nkhaniyi ikukhudzana ndi ntchito yothandizira khansa. Mutu wa zochitika pa nthawi ya chithandizo cha khansa ndi mutu wosiyana kwambiri .
Zotsatira:
Moore SC, Lee IM, Weiderpass E, et al. Mgwirizano wa Ntchito Yowonongeka Panthawi Yomwe Ali ndi Mipira 26 ya Khansa mu 1.44 Miliyoni Akuluakulu. AMA Intern Med. 2016.
Hallal PC, Andersen LB, Bull FC, et al. Lancet Physical Activity Series Gulu logwira ntchito. Zochitika zochitika pa thupi lonse: kuyang'ana, kuyendera, ndi chiyembekezo. Lancet . 2012; 380 (9838): 247-257.