Kusanthula Banja Lanu Mbiri ya Khansa ya m'mimba
Mphatso yabwino kwambiri yopatsa amayi anu tsiku lapadera ndi iti? Internet imatsatiridwa ndi malingaliro. Zomwe zingakhaledi mphatso "yangwiro", komabe, ndi imodzi yomwe anthu ambiri sangaganize. Chinthu chimodzi, ndi mfulu, kotero simudzachiwonetsa. Kwa wina, zikhoza kumveka zosayenerera popanda kufotokoza.
Kodi Tsiku la Amayi Limalitanthauzanji?
Tsiku la amayi ndi tsiku lolemekeza Aamayi athu-ndilopatsidwa.
Koma kodi munadzifunsapo nokha, ndi chiyani chomwe tikulemekeza?
Mphatso zathu zimatiuza zambiri. Kuchokera pa miyambo yolemekezeka ya nthawi yotumikira pakudya pa kadzutsa kukagula maluwa ake, timalowa mu nsapato amayi athu amavala masiku ena 364 a chaka. Tikulemekeza nsembe yake yopanda kudzimana yomwe nthawi zambiri imakhala yosafunika.
M'malo mobwerezabwerezabwereza-tsiku limodzi-zomwe Amayi amachita nthawi zambiri, mwinamwake tiyenera kuyang'ana mopitirira pazinthu zomwe zimamulimbikitsa kuchita zomwe akuchita.
Nchifukwa chiyani amayi athu amatitumikira ife chakudya chabwino (komabe chokoma)? Nchifukwa chiyani amatsimikizira kuti timakhala otentha? Nchifukwa chiyani amalimbikitsa kuti tipeze nthawi yambiri pamene tikupanga malo omwe tingathe kukhala nawo? Yankho ndi losavuta. Amatikonda. Khalidwe lawo lodzikonda limabwera kuchokera ku chikhumbo choonetsetsa thanzi, chimwemwe, ndi ubwino wa ana awo.
Mungatani kuti mutsimikizire kuti amayi anu ali ndi thanzi labwino komanso chimwemwe?
Kuti timvetse komwe tikupita ndi izi tiyeni tiganizire, kwa mphindi, kwa amayi omwe akusowa lero.
Amayi Amasowa Tsiku la Amayi
Ngakhale anthu ambiri akupeza tsiku la amayi tsiku lachimwemwe, pali ambiri omwe amamva ululu wokhala opanda amayi. Sitikulankhula za amayi omwe adapititsa kumapeto kwa moyo wautali, kumene tsikulo lingabweretse chikumbumtima chowawa komanso chachisomo.
M'malo mwake, tikukamba za amayi omwe ataya mwayi kwa amayi awo, ndipo tsiku lina alandire zidzukulu. Amayi awo kumene ululu umakhalabe wolimba.
Malingana ndi CDC, vuto lalikulu la imfa kwa amayi a pakati pa zaka 35 ndi 64 ndi khansa. Ndipo khansa, khansa ya m'mawere ndi yofala kwambiri kwa amayi omwe ali ndi amayi okhudzidwa.
Tikudziwa kuti kupulumuka kumakhala kwakukulu pamene khansara imagwidwa pamayambiriro akale, koma ambiri mwa amayiwa asanakwanitse zaka pamene kufufuza kulimbikitsidwa. Izi zikutanthauza kuti, pokhapokha, akudziwa kuti ali ndi mbiri ya banja. Koma kuti mudziwe izi, ntchito yowonjezera ikhoza kufunikira.
Kukambirana kwa Tsiku la Mayi Amene Angapitirize Kupereka
Chomwe tikufuna ndikukambirana ndi amayi a tsiku la brunch kuti mufufuze mbiri ya banja lanu la khansa. Tikudziwa kuti kudya zakudya zathanzi kungapangitse kusiyana, koma kukhala ndi mbiri yabwino ya banja ndi chinthu chomwe anthu ambiri akusowa pamene akusegula smoothies ndi kumwa tiyi yawo yobiriwira.
Malinga ndi Dr. Huma Q Rana a Dana-Farber Cancer Institute, omwe atchulidwa mu Harvard Men's Health Watch, "Mbiri ya banja ikhoza kukhala imodzi mwa njira zoyamba zoteteza chitetezo cha khansa."
Kodi mwakonzeka kulimbikitsa malinga a amayi anu?
Kusonkhana kwa mabanja, monga tsiku la amayi, ndi nthawi yapadera ndi yopanda phindu yolemba mbiri ya banja lanu la khansa. Malingaliro anu okha amasonyeza chikondi chanu, koma tikudziwa kuti ikhoza kugwira ntchito, monga momwe mkazi mmodzi angayesere.
Mawu pa Khansara ya m'mimba
Ngati mwawona nthano za pinki pa chirichonse kuchokera pa mipikisano ya tenisi kupita ku makina ophikira kukhitchini, mungaganize kuti pali "zambiri" za khansa ya m'mawere.
Koma chifukwa cha kuzindikira, palibe kuzindikira kosavuta kuti khansa ya m'mawere isachiritsidwe ndi opaleshoni komanso chemotherapy . Ngakhale kuti kafukufuku wapeza kuti 50 peresenti ya anthu amakhulupirira kuti khansa ya m'mawere imachiritsidwa, izi siziri zoona.
Azimayi pafupifupi 40,000 amafa ndi khansa ya m'mawere chaka chilichonse.
Palinso kumvetsetsa pang'ono kuti ambiri mwa amayi omwe amafa ndi khansa ya m'mawere sachita zimenezi chifukwa amalephera kutsata ndondomeko yoyesera . Amayi ambiri omwe amafa ndi khansara ya m'mawere sakanatha kufika pa nthawi yomwe kuyerekezera kulimbikitsidwa, ndipo ambiri amafa ndi matenda a khansa ya m'mawere akatha khansa ya m'mawere akupezeka ndi kuchiritsidwa.
Kwa omwe ali ndi kansa yamatenda ya masastiti (kansa ya kansa ya m'mawere 4 ) nkhaniyi siidakwaniritsidwa. Ngakhale pali opulumuka ena a nthawi yaitali, chiwerengero cha kupulumuka kwa anthu omwe ali ndi khansa ya m'mawere 4, ndi miyezi 18 mpaka 24 okha. Mungatani kuti muchepetse amayi anu, komanso kuti banja lanu liziwopseza kuwerengera izi?
Momwe Mungatengere Mbiri ya Banja
Kutenga nthawi yolemba mbiri ya banja pamene brunch la amayi anu ndi losavuta. Tenga cholembera ndi pensulo (kapena fomu ya mbiri ya banja yosindikizidwa ili pansipa) ndi kufunsa mafunso. Mungafune kuti mutenge mbiri yakale ya banja lanu, koma yesetsani kupeza kansa poyamba.
Lembani zinthu izi:
- Achibale onse omwe ali ndi khansa komanso ubale wawo ndi inu
- Kuberekwa ndi tsiku la imfa ngati kuli kotheka
- Mitundu ya khansa (ndi zina zamankhwala ngati mutasankha) - Onetsetsani kuti mulemba zambiri momwe mungathere. Mtundu wa khansara ngati umadziwika, mankhwala omwe amalandira ngati amadziwika (kawirikawiri khansa ikhoza kudziwika ndi mitundu ya mankhwala ogwiritsidwa ntchito,) ndi zina zilizonse zomwe zilipo, monga mchere wa estrogen wa khansa ya m'mawere, .
Zowonjezera zowonjezera zomwe zingathandize kuphatikizapo zitifiketi zakufa, zolemba zilizonse zachipatala zomwe muli nazo, kapena ngakhale chithunzi cha albamu. Kwa achibale omwe sangathe kukhala ndi inu, onetsetsani kuti muwaitane posachedwa kapena mutumizire mafunso. Onetsetsani kuti mukuwatsitsimutsa mwa kuwauza zomwe mwaphunzira.
Malangizo Opeza Mbiri Yachibale Yolondola
Kulemba mbiri ya banja kungakhale kosavuta poyamba, koma sikumakhala kosavuta. Mpaka zaka masabata makumi angapo zapitazo kukamba za "mabere" pa phwando la chakudya chamadzulo chikanakhala chopweteka. Ngakhale kuti izi zasintha, zikhoza kuthandizira kulemba mbiri yakale ya banja.
Lembani chilichonse chimene achibale anu akukumbukira. M'mbuyomu "khansa yaikazi" idagwiritsidwa ntchito kufotokoza chirichonse kuchokera pachifuwa cha khansa ya ovari. Kumbukirani kuti anthu ambiri amanena za malo omalizira omwe khansa imapezeka. Mwachitsanzo, ngati munthu ali ndi khansara ya m'mawere yomwe imafalikira m'mapapu awo, banja lanu lingakumbukire izi ngati "khansara yamapapo."
Pafupifupi 90 peresenti ya anthu omwe ali ndi khansara ya m'mawere amafa ndi metastases, choncho taonani malo omwe khansa ya m'mawere imafalikira , monga mapapo, chiwindi, mafupa, ndi ubongo. Anthu ambiri amakumbukira kuti wokondedwa adamwalira ndi "khansa yonse." Lembani izi, podziwa kuti khansa iyenera kuti yayamba kwinakwake.
Zida Zogwiritsa Ntchito Mbiri ya Banja
Zonse zomwe mumasowa ndizolemba ndi cholembera, koma kwa iwo omwe amakonda mapepala, pali zitsanzo zomwe mungathe kuzijambula. Nazi zida zingapo zomwe mungathe kupeza pa intaneti:
- American Sociology of Clinical Cancers Oncology Family History Questionaire
- Mlandu wa Western University Reserve Genetic Risk Easy Assessment Tool (WAMKULU)
Zitsanzo za Mbiri ya Banja Zomwe Zimapereka Flags Zopsa
Pali njira zingapo zomwe zingapezeke pa mbiri yakale ya banja lanu zomwe zingawononge chiopsezo chanu chokhala ndi khansa. Mphungu wambiri amafunikira kuti apeze zovuta zowonongeka kapena zovuta zomwe zimayambitsa ngozi, koma zizindikiro zofiira zochepa zimaphatikizapo:
- Khansara ya mtundu uliwonse usanakwanitse zaka 50
- Achibale oposa mmodzi ali ndi khansa yofanana
- Wachibale wina yemwe ali ndi mitundu yambiri ya khansa
- Wachibale yemwe ali ndi khansara osati yeniyeni yeniyeni, monga khansa ya m'mawere kwa mwamuna
- Matenda ena a khansara, monga kuphatikiza kwa khansa ya m'mawere ndi khansa ya ovari, khansa ya uterine, khansa yamtundu, khansara ya prostate, kansa ya pancreatic, kapena khansa ya khansa
- Khansara mumagulu awiri, mwachitsanzo, kansa ya m'mawere
Khansa Yopanda Mantha vs. Mbiri ya Banja ya Khansa
Poyankhula za chiopsezo cha chibadwa cha khansara ndizofunika kusiyanitsa, kusiyana komwe kungakuthandizeni kumvetsa ziwerengero zomwe zikuwoneka kuti zikutsutsana.
Pakalipano, zikuoneka kuti pafupifupi 5 mpaka 10 peresenti ya khansa ndi ofanana ndi ma genetic mutation , koma ma genetics akhoza kuthandizira pa chiwerengero china cha khansa. Mukamva za ziwerengero zokhudzana ndi chibadwa cha khansa kapena khansara cholowa , mukhoza kusokonezeka. Chitsanzo ndi njira yabwino yofotokozera izi.
Ngakhale kuti peresenti imodzi yokha ya ma melanomas imamangiriridwa mwachindunji ndi kusintha kwa majini (zomwe tazipeza ndipo tingayesetsebe) zimakhala kuti zamoyo zimayambitsa pafupifupi 55 peresenti ya khansa ya khansa.
Mwa kuyankhula kwina, ngakhale mutayesedwa ndipo mulibe BRCA1 kapena BRCA2 kusintha kwa majini (kupanga chidziwitso chodziwika chifukwa cha Angelina Jolie,) mukhoza kukhala ndi chiopsezo chowonjezereka cha khansa ya m'mawere chifukwa cha zofukufuku za mbiri ya banja lanu.
Genetics ndi Kachiza ka khansa ya m'mawere
Kodi tikudziwa chiyani za mbiri ya banja komanso vuto la khansa ya m'mawere ?
- Mkazi amene ali ndi chiwerengero cha digiri yoyamba ndi khansa ya m'mawere ali pafupifupi 30 peresenti yokhala ndi khansa ya m'mawere (makolo oyambirira amakhala makolo, abale, ndi ana.)
- Mayi amene ali ndi chiwerengero cha digirii yachiwiri ndi khansa ya m'mawere ali ndi mwayi wapakati pa 22 peresenti yokhala ndi kansa ya m'mawere (achibale achiwiri amakhala ndi agogo, azakhali, amalume, abambo, ndi ana apamtima.)
- Mayi yemwe ali ndi digiri yachitatu yokhudzana ndi khansa ya m'mawere ali pafupi ndi 16 peresenti ya mwayi wokhala khansa ya m'mawere (zitsanzo za achibale a digirii akuphatikizapo agogo, abambo ake, kapena azakhali kapena amalume awo.)
- Khansara ya m'mimba mwa achibale ang'onoang'ono (premenopausal, kapena osakwana zaka 50) amakhala ndi chiopsezo chachikulu kuposa achibale awo achikulire.
- Khansara ya prostatate mwa achibale achimuna imapangitsa chiopsezo chanu cha khansa ya m'mawere (kachiwiri, izi ndi zofunika kwambiri pamene anyamata ali aang'ono.) Phunzirani za khansa ya khansa ya prostate ya m'mawere .
Mfundo ina yofunika ndi yakuti anthu ambiri amene ali ndi chiopsezo cha khansa sagwera m'magulu abwino. Mwachitsanzo, bwanji ngati muli ndi anthu awiri m'banja mwanu amene ali ndi khansa ya m'mawere, koma imodzi ili mbali ya bambo anu ndi imodzi mwa amayi anu? Ichi ndi chifukwa chake kuyankhula ndi uphungu wamabanja ndikofunika kwambiri.
Kukambirana Mbiri ya Banja Lanu Ndi Wopereka Zanu
Anthu ambiri amatenga mbiri yawo ya banja lawo pamene akuchezera dokotala wawo wamkulu, ndipo ichi ndi lingaliro labwino, koma pali phokoso. Ngati muwona mbendera iliyonse yofiira mu mbiri ya banja lanu, kupambana kwanu ndikulankhula ndi aphungu. Aphungu amtunduwu amaphunzitsidwa malemba ndi mbiri ya pedigree (mbiri ya banja lanu) ndipo angakupatseni kulingalira bwinoko kwowopsa kuposa madokotala ambiri oyang'anira chisamaliro.
Kupeza Mphungu Wachibadwidwe ndi Kuyesa Kuyezetsa kwa Genetic
Kodi mungapeze bwanji mlangizi wa chibadwa? Dokotala wanu akhoza kukutsogolerani kwa mlangizi wabwino wa majini, koma mukhoza kuyang'ana nokha pa intaneti. Nyuzipepala ya National Cancer Institute ili ndi mauthenga a ma genetic omwe amalembetsa otsogolera ndi dera.
Ndani ayenera kukhala ndi kuyesedwa kwa majini? Yankho la funsoli ndi lakuti aliyense amene akuyesa kuyezetsa magazi ayenera kulankhula ndi aphungu, komanso chifukwa cha zifukwa zingapo.
- Kuyesedwa kwa majeremusi akadakali wamng'ono. Tili ndi mayeso osiyanasiyana a khansa, koma pali ambiri omwe amadikirira kuti adziwe.
- Koyang'anila mosamala (tchati cha mbiri ya banja lanu) kawirikawiri kumapereka chidziwitso chokhudza chiopsezo chomwe sichipezeka pa kuyesedwa kwa majini.
- Pali zinthu zambiri zamaganizo komanso zina zokhudzana ndi kuyesa kwa majini. Mphungu wa zamoyo akhoza kukuthandizani kuti muthe kukambirana nazo musanaperekedwe kuwerenga zomwe zingakhale zovuta kumvetsa.
Kuyezetsa magazi kumakhala kotsika mtengo kwambiri, koma sikuyenera kuchitidwa popanda kulingalira kapena kusamala.
Zosankha za Akazi (ndi Amuna) Ndi Banja Mbiri ya Khansa ya m'mimba
Pali zambiri zomwe mungachite ngati mukupeza kuti mukudwala khansa. Kungoganizira za zakudya zanu komanso zochita masewero olimbitsa thupi ndikuonetsetsa kuti mukudziwa zizindikiro zomwe zingatheke ndizoyambira bwino.
Zoyambirira kapena zowonetseratu zowonjezera zingapangidwe. Mwachitsanzo, lipoti lofalitsidwa m'nyuzipepala ya Canadian Family Physician limanena kuti amayi omwe, poyang'ana mbiri yachipatala, amakhala ndi mwayi wokhala ndi zaka 20 kapena 25 patsiku la moyo wokhala ndi kansa ya m'mawere ayenera kulandira bere la MRI kuphatikizapo mammogram kuti ayang'ane.
Ngati muli ndi chiopsezo chowonjezereka, ndikofunika kupeza dokotala yemwe angakuthandizeni kuyenda mumtunda.
Ndani Angakuthandizeni Kukhala ndi Cholinga?
Ngati mukuwoneka kuti muli ndi chiopsezo chokwanira kwa khansara, mlangizi wanu wa chibadwa akhoza kukhala ndi ndondomeko pa yemwe muyenera kuwona, koma ngati ayi, tili ndi malangizo pang'ono.
Zingakhale zodabwitsa ngati pali zitsogozo ndipo ngati madokotala oyambilira akudziwa bwino omwe ayenera kuwonjezereka kuyang'ana ndi nthawi yanji. Tsoka ilo, panthawi yomwe mwafufuza kafukufuku wanu, mukhoza kudziwa madokotala ambiri kapena oposa ambiri. Mankhwala avuta kwambiri moti palibe dokotala aliyense amene amadziwa zonse. Ngakhalenso katswiri wa khansa ya m'mawere angakhale wodziwa bwino mayesero atsopano azachipatala kusiyana ndi zomwe angachite kwa iwo omwe ali pangozi yaikulu. Ndiye mungapeze bwanji munthu wina woti akuthandizeni?
Mabungwe a khansa ya m'mimba amapereka chitsime chimodzi chabwino. Mabungwewa amapereka chithandizo kwa amayi ambiri omwe angakhale akugwa ming'alu. Ambiri mwa mabungwe amenewa amachita ntchito yabwino yowonjezera mafunso ambiri okhudzana ndi matenda enaake.
Malo odabwitsa, koma nthawi zambiri opambana kuti aphunzire zamakono ndi kutenga nawo mbali pa zochitika zokhudzana ndi khansa. Madokotala ndi ofufuza omwe ali ndi chidwi ndi chibadwa cha khansa ya m'mawere amatha kumunda wamtundu ndi odwala, osamalira, ndi ochirikiza pa Twitter. Ngati mulibe akaunti ya Twitter, zimangotenga miniti kuti mulembe. Malangizo ochepa ali mu dongosolo kotero kuti musataye pa intaneti. Gwiritsani ntchito hashtags. Hashtag #BCSM imayimira "kansa ya m'mawere a m'mawere" ndipo ingakuthandizeni kupeza anthu omwe amagwira ntchito pa intaneti, kuphatikizapo madokotala.
Mungafune kugwiritsa ntchito ma hashtag ena monga #breastcancer ndi #cancergenetics. Tengani nthawi kuti mumvetse bwino malo, tsatirani omwe akufufuza mayankho a mafunso omwe mukufunsako, ndipo pitirizani kuyankha mafunso anu, mwachitsanzo, "Ndani amene akufuna chidwi ndi chibadwa cha khansa ya m'mawere kapena mbiri ya banja la m'mawere khansa? "
Kodi Mungatani Ngati Banja Lanu Simukufuna Kukambirana?
Ngakhale kuphunzira za mbiri ya banja lanu za khansara kungakhale kofunikira, osati mabanja onse alandire zokambiranazi. Mabanja ambiri safuna kuti apite mumsewu chifukwa cha zifukwa zingapo, ndipo ndikofunika kulemekeza mamembala awa. Zikomo chifukwa choganizira pempho lanu. Pali njira zambiri zomwe mungachepetsere chiopsezo cha khansa ya m'mawere .
Pambuyo pa Chakudya Chamadzulo: Pitirizani Kukambirana
Kodi mayi aliyense akufuna chiyani? Kukhala wathanzi ndi chimwemwe kwa ana ake. Kodi ana amafunanji kwa amayi awo? Kukhala wathanzi ndi chimwemwe. Kukambirana za mbiri ya banja lanu ya khansa ndi mphatso yomwe mungapatsane.
Monga ndemanga yomaliza, pamene tayankhula za tsiku la amayi ndi amayi omwe ali ndi khansara ya m'mawere, tiyenera kunena kuti amuna amatenga khansa ya m'mawere, nayenso . Ndipo mosiyana ndi mmodzi mwa akazi atatu omwe adzakhala ndi khansa m'moyo wawo wonse, adzakhala mmodzi mwa amuna awiri. Mwina mungayambe kukonza zokambirana za abambo anu asananyamuke.
> Zotsatira:
> American Cancer Society. Cancer Family Syndromes. Kusinthidwa 03/15/17. https://www.cancer.org/cancer/cancer-causes/genetics/family-cancer-syndromes.html
> American Society of Clinical Oncology. Cancer.net. Kusonkhanitsa Mbiri ya Banja Lanu. Kusinthidwa 02/16. http://www.cancer.net/navigating-cancer-care/cancer-basics/genetics/collecting-your-cancer-family-history
> Heald, B., > Marguard >, J., ndi P. Funchain. Njira zothandizira odwala kuti azitsatira njira zowonetsera matenda a khansa yaumphawi. Masemina a Oncology . 2016. 43 (5): 609-614>.
> Chikondi, Susan M., Elizabeth Love, ndi Karen Lindsey. Buku la Dr. Susan Love. Boston, MA: Da Capo Moyo Wonse, 2015. Print.
> Shekar, S., Duffy, D., Youl, P. et al. Phunziro Lochokera ku Azimayi Amapasa a ku Australia ndi Melanoma Amapereka Mphamvu Yambiri Yopatsa Mavuto ku Dala. Journal of Investigational Dermatology . 2009. 129 (9): 2211-9.