Tikudziwa kuti kupanikizika sikuli kwabwino kwa ife, makamaka tsikulo, kupanikizika kwa tsiku ndi tsiku komwe kumachitika kwa milungu, miyezi, ndi zaka, zomwe zimadziwikiranso kuti ndizopweteka maganizo. Koma kodi zikhoza kutikhudza kwambiri? Zokwanira zowonjezera chiopsezo chathu cha matenda enieni komanso ngakhale khansa? Yankho likuwoneka kuti inde ndi matenda ena, koma nthawi zonse palibe yankho lolondola pankhani ya khansa ndi chitukuko chake.
Zotsatira za Maganizo a Maganizo
Ngakhale kupanikizika kwina ndiko kupanikizika kwakukulu komwe kumatilimbikitsa ndi kutiteteza kuti tisatengeke, palinso vuto lina lomwe limakhala loipa kwambiri.
Malingana ndi National Cancer Institute (NCI), maganizo a maganizo ndi omwe anthu amamva akamakhala ndi nkhawa, thupi, kapena maganizo. Ndipo pali umboni wakuti anthu omwe ali ndi nkhawa kwambiri m'maganizo awo, kapena omwe amakhala ndi nkhawa kawirikawiri kwa nthawi yaitali, akhoza kukhala pachiopsezo chokhala ndi matenda osiyanasiyana, kuphatikizapo khansa. Komabe, poyerekeza ndi khansa, pali zambiri zosadziwika.
Zotsatira za Kupsinjika Kwa Ntchito
Gulu la ofufuza pa yunivesite ya Montreal ku Canada linayang'ana pa mgwirizano pakati pa malo ogwira ntchito kuvutika maganizo ndi khansa. Amayesetsa kuphunzira za mgwirizano pakati pa ntchito yokhudzana ndi ntchito pa nthawi yonse ya ntchito, komanso chitukuko cha khansara-chinachake chomwe sichinayambe chachitika kale.
Zotsatira zinali zovuta, ngakhale kuti phunziroli silinapangidwe kuti lilole zitsimikizo zenizeni zokhudzana ndi chifukwa ndi zotsatira.
Pofufuza, ofufuza anafunsa amuna 3,103 omwe anapeza kuti ali ndi mitundu 11 ya khansa pakati pa 1979 ndi 1985. Mgulu lina, iwo adafunsa mafunso kuchokera kwa amuna asanu ndi limodzi (512) omwe anali otsogolera.
Amuna onse omwe anaphatikizidwa pa phunzirolo adafunsidwa kuti afotokoze ntchito yomwe adagwira ntchito panthawi yonse ya moyo wawo, podziwa kukhumudwa ndi ntchito komanso chifukwa chomwe anadandaulira kuntchito. Mwamuna wochuluka mu phunziroli anagwira ntchito zinayi panthawi ya ntchito yake, koma ena mwa anthuwa anali ndi ntchito khumi ndi ziwiri kapena kuposa.
Kodi Kulimbana ndi Kupanikizika Kwambiri kwa Kansa?
Kuwonetsa kwa nthawi yaitali kuntchito kuntchito kunagwirizanitsidwa ndi matenda ambiri a khansara pa malo asanu aliwonse a khansa. Ntchito mwa ntchito imodzi yolemetsa inali yogwirizana ndi mwayi wochulukirapo wa khansa ya m'mapapo, m'mimba, chikhodzodzo, chiberekero, m'mimba, ndi osakhala Hodgkin lymphoma .
Ochita kafukufuku adavomereza kuti pali zoperewera zophunzira, monga kufotokoza mopitirira malire kwa anthu omwe ali ndi khansa, koma adatsimikizira kuti ngati maumboniwa atsimikiziridwa, angathe kupeza zinthu zofunika kwambiri kuti apititse patsogolo sayansi ndi mankhwala.
Gululo linayitanitsa maphunziro omwe angakonzekere kuti aphunzire funsoli motsogoleredwa-mwa kuyankhula kwina, amasonyeza kufunikira kwa maphunziro omwe amayamba ndi gulu la anthu wathanzi, kuyerekezera mosamala kupsinjika mwa njira yoyenerera, ndiyeno patapita zaka zotsatira za kansa ya chitukuko , kuganizira zosiyana siyana zapanikizika ndi kusintha pa nthawi ya ntchito, ndi kulamulira zosiyana siyana momwe zingathere.
Ndilo utali wamtali.
Ena amatha kunena za ntchito zovuta:
- Ntchito zovuta kwambiri zinkakhala monga woyendetsa moto, injini yowakampani, wogwira ntchito yopanga ndege, woyang'anira makina, ndi galimoto komanso oyendetsa galimoto.
- Nthaŵi zina vuto lodziŵika ndi ntchito limasiyana malinga ndi ntchito yomwe inagwira.
- Kupanikizika kunkayitanidwa kuti ndi "ntchito yaikulu komanso nthawi yambiri, komanso kuntchito ya makasitomala, makampani ogulitsa malonda, maudindo, zachuma, kusagwira ntchito, kusokonezeka kwa ntchito, kusamvana kwa antchito, kusamvana pakati pa anthu, komanso kusinthasintha."
Kuyang'ana pa Biology
Kodi kupanikizika kumakhudza bwanji thupi?
Kumbukirani, kupanikizika maganizo kumaphatikizapo kupsinjika pamaganizo, m'maganizo, kapena m'maganizo. Ngati mukuganiza kuti anthu akale omwe akuyesera kuti apulumuke pa dziko lino lapansi, mumadziwa momwe mavuto amachitikira pa moyo wathu wa tsiku ndi tsiku. Thupi lathu limatulutsa mahomoni osokoneza maganizo monga epinephrine ndi norepinephrine zomwe zimatipangitsa kukhala tcheru ku malo omwe tikukhala ndikukumana ndi zovuta zowonjezereka kuposa momwe tingachitire, kunena pamene tikugona kuti tigone kapena kugona . Mahomoni amenewa amachititsa kuti magazi azithamanga, kuthamanga kwa mtima, komanso kukweza shuga zathu zamagazi kuti tithe kuyitana mphamvu zathu zonse, mofulumira, ndi maulendo kuti tithawe chilichonse chomwe chingakhale choopsa.
Ochita kafukufuku asindikiza maphunziro omwe amagwirizanitsa kuvutika kwanthaŵi yaitali, kupsinjika kwanthawi yaitali kwa mikhalidwe yosiyana siyana, kuphatikizapo mavuto obisala, mavuto a kubereka, mavuto a ukodzo, ndi mawonekedwe a chitetezo cha m'thupi . Kuvutika kotereku kumawoneka kuti kumachepetsa chitetezo chathu-sizowopsa kuti anthu nthawi zambiri amabwera ndi chimfine choyambitsa chochitika chofunikira, makamaka pamene chochitikacho chikuwabweretsera nkhawa ndi nkhawa.
Malingana ndi NCI, anthu omwe amavutika maganizo nthawi zambiri amakhala odwala matenda opatsirana pogonana monga chimfine kapena chimfine komanso kukhala ndi mutu, vuto la kugona, kuvutika maganizo, ndi nkhawa. Komanso malinga ndi NCI, "vuto" la kupsinjika maganizo monga chofunikira chachikulu cha khansa, pakalipano, si lolimba kwambiri. Pali maphunziro ena omwe amasonyeza mgwirizano pakati pa zinthu zosiyanasiyana zamaganizo ndikuyamba khansa, koma maphunziro ena samasonyeza izi.
Kodi kupanikizika kwazing'ono kungapangitse bwanji kuopsa kwa khansa? Gulu limodzi la ochita kafukufuku limakhudzidwa ndi momwe mavuto angapangitsire anthu kukhala ndi makhalidwe oipa monga kusuta, kudya ndi kumwa mopitirira muyezo, kapena kumwa mowa kwambiri. Mu chitsanzo ichi, makamaka ndi makhalidwe oipa omwe amawonjezera chiopsezo cha munthu kwa khansa. Kampisi ina imakhala ndi chidwi ndi zotsatira za chilengedwe za mavuto aakulu, nkhawa, komanso momwe zimakhudzira kansa ndi chitukuko. Msasa uliwonse umavomereza kuti njira zonsezi zingakhale zosewera mwa munthu yemweyo.
Kupanikizika ndi Kuyanjana Kwake ndi Khansa ya Magazi
Kafukufuku wina apeza kuti zinthu zokhudzana ndi nkhawa zimagwirizanitsidwa ndi kuchuluka kofulumira kwa mitundu ingapo ya khansa, kuphatikizapo khansa ya magazi monga khansa ya m'magazi ndi lymphoma . Ponena za chiopsezo chowonjezereka chokhala ndi khansa chifukwa cha nkhawa, zotsatira za kafukufuku zakhala zosagwirizana kwambiri, malinga ndi olemba a pepala lomwe lafalitsidwa mu "Galamukani ndi December 2011" ya "Psychosomatic Medicine".
Maphunzirowa ndi ena, komabe, awonetsa umboni wosatsutsika wochirikiza lingaliro lakuti zinthu monga kupsinjika, kuvutika maganizo, ndi kudzipatula kungakhale ndi zotsatira pa mlingo umene khansayo ikuyenda , ndipo zovutazo zikugwirizana ndi kukula kwa khansa yowonjezereka.
Ngati mupita ku maphunziro a zinyama, pali zochitika zomwe zimapangitsa munthu kufuna kuganizira ngati kuvutika maganizo kungayambitse chitukuko ndi kupitirira kwa khansa zina. Gulu limodzi la ofufuza anasankha kuphunzira mtundu wa khansa ya m'magazi-isanafike B zonse pogwiritsa ntchito chitsanzo cha mbewa. Kwa anthu, khansa ya m'magazi imagawidwa m'zinthu zinayi zoyambirira ndi zovuta zogwirizana ndi matenda aakulu komanso odwala matenda a mitsempha. Pa mitundu iwiriyi, acysiblastic leukemia (ALL) ndi mtundu wochuluka kwambiri wa khansara kwa ana aang'ono , ndipo b-pre-B ALL ndiyo njira yowopsa kwambiri ya khansa ya m'magazi kwa ana ndi achinyamata.
Zotsatira za maphunziro omwe apangidwa pa mbewa zili ndi chizoloŵezi choipa chosagwiritsidwa ntchito kwa anthu, ndipo tsopano tili ndi chiphunzitso choyera cha sayansi. BUKU LOPHUNZITSIRA PAMANGA LONSE LONSE LIMAKHALA LOFUNIKA, komabe, kuchokera pamalingaliro momwe lingaliro ndi thupi lingagwirizane nazo, ndi momwe chiyanjanochi chingagwiritsire ntchito ku khansa yamagazi.
Ochita kafukufuku ananena kuti pali mitsempha yokhudzana ndi kupanikizika komwe kungayambitse mafupa, omwe ndi malo a maselo onse a magazi. Ngakhale kuti zizindikiro za mitsemphazi zimakhulupirira kuti zimakhala ndi maselo enieni (omwe si a khansa) omwe amadziwika ndi magazi (maselo a hematopoietic progenitor), gulu lofufuzirali limadzifunsa ngati nkhawa ingayambitse mitsempha imeneyi kuti iwonetse mafupa m'njira yoti, pakapita nthawi, ingakhudze chiwopsezo cha mafupa onse a m'magazi.
Ochita kafukufuku anapanga maselo a khansa ya Pre-B ALL yomwe imatha kuyaka, kuti athe kuyang'anitsitsa pokhapokha ataloledwa ku mbewa za ma laboratory. Anapeza kuti kupanikizika kosalekeza kukhoza kufulumizitsa kukula kwa chifuwa chachikulu cha B-YONSE B kupyolera mu njira yowonetsera mitsempha. Iwo amaganiza kuti zotsatira za kuwonetsa kotere pa biology yonse ya khansa sizinali zolunjika, koma kupyolera mwa ena, omwe alibe khansa, mitundu ya maselo m'deralo, monga maselo a chitetezo cha thupi kapena maselo ena m'thupi labwino.
Kukhala ndi Khansa Ndiponso Kulimbana ndi Kupanikizika
Funso lothana ndi kuchepetsa nkhawa ndikuyamba kudwala matenda owopsya ndilo lozama, ndi limodzi lomwe silingagwiritsidwe ntchito mokwanira mu mawonekedwe omwe alipo tsopano. Komabe, ngati muli ndi khansa, anthu ambiri mumasamba anu adanena kuti apindula ndi maphunziro a khansa, kuthandizana ndi anzawo, gulu lochita masewera olimbitsa thupi, uphungu, kapena mankhwala othandizira, komanso mankhwala omwe amachititsa kuti azivutika maganizo.
Malingana ndi National Cancer Institute, kuthana ndi kugwiritsira ntchito malingaliro ndi makhalidwe kuti zisinthe moyo, ndipo bungwe limafotokoza kuti anthu akulimbana m'njira zosiyanasiyana. Kutsanzira kwa munthu kumagwirizanitsa ndi umunthu wake.
Ndikofunikira kuzindikira kuti kulimbana kungakhale kofanana ndi ntchito yatsopano, yosiyanasiyana. Dzipatseni nthawi kuti mupitirize kutero, ndipo dziwani kuti ntchito zomwe mukufunikirazi zingasunthike pazigawo zosiyanasiyana pamene mukufika kumalo atsopano paulendo wanu wa khansa. Zitha kukhala zovuta zomwe zimabwera ndi gawoli pazigawo izi: Mwachitsanzo, kupezeka, kupatsidwa chithandizo, kutha kwa chithandizo, kukhala mukukhululukidwa, ndikuphunzira khansa yabwerera.
Pa funso la kuvutika maganizo kwa khansa, American Society of Clinical Oncology imalimbikitsa kuti wodwalayo ali ndi khansara ayang'anire kuvutika maganizo pamene matenda a kansa ayamba kupangidwa, ndipo nthawi zonse, makamaka pazigawo zazikulu kapena kusintha kwa munthu matenda.
Nthawi zina zimakhala zovuta kudziwa kuvutika maganizo kwa munthu amene ali ndi khansa. Mwachitsanzo, kumverera ngati iwe ndi mtolo kwa ena ndi lingaliro lodziwika lomwe lingabwere nthawi imodzi pamene mukulimbana ndi chikhalidwe chanu. Sizitanthawuza nthawi zonse kuti mukuvutika maganizo, koma kumverera molakwira pazifukwazi kungakhale chizindikiro cha kuvutika maganizo. Kukhala wopanda chiyembekezo kuti mudzachiritsidwa mukakhala pafupi ndi imfa ndizochikhalidwe, koma osakhala ndi chiyembekezo, m'madera ena-palibe chiyembekezo choti mukhoza kukhala osasunthika, kapena palibe chiyembekezo chakuti ana anu apitirizebe kukula miyoyo yawo pambuyo polira maliro anu-izi zikhoza kukhala zizindikiro za kuvutika maganizo.
Mawu Ochokera
Anthu amagwiritsa ntchito mawu akuti "wopulumutsidwa ndi khansa" m'njira zosiyanasiyana. Ena opulumutsidwa ndi khansa amadziwa kuti khansa idzafa, pomwe ena adachiritsidwa ndipo akhoza kuyembekezera kukhala ndi moyo wathanzi. Mulimonsemo, opulumuka amasinthidwa kosatha kuchokera ku zochitikazo.
Tsogolo labwino lidzapitiriza kufotokoza mbali zatsopano za kugwirizana pakati pa malingaliro ndi thupi mu mankhwala komanso makamaka khansara. Pakalipano, kuthetsa nkhawa nthawi zonse monga momwe mungathandizire kukhala ndi moyo wapamwamba.
> Zotsatira:
> Blanc-Lapierrea A, Rousseau MC, Weiss D, et al. Lipoti la moyo wa maganizo omwe amadziwika kuntchito ndi khansa pakati pa amuna: Kuphunzira koletsa mlandu ku Montreal, Canada. Pre Med. 2016 Dec 5; 96: 28-35. lembani: 10.1016 / j.ypmed.2016.12.004. [Epub patsogolo pa kusindikiza].
> National Cancer Institute. Kusokonezeka Maganizo ndi Khansa. https://www.cancer.gov/about-cancer/coping/feelings/stress-fact-sheet.
> Lamkin DM, Sloan EK, Patel AJ, et al. Kuvutika maganizo kumawonjezera kuchuluka kwa khansa ya acute lymphoblastic ndi chizindikiro cha β-adrenergic. Ubongo Behav Immun . 2012; 26 (4): 635-641.