Ngozi Yogwirizana ndi Khansa Yam'mimba ku Asia vs ku United States
Kodi n'zoona kuti anthu a ku Japan amasuta zambiri koma amakhala ndi kansa ya m'mapapo mobwerezabwereza kuti amuna ku United States ndi Europe, ngakhale akusuta kwambiri?
Iyi si nthano, ndizoona. Koma chifukwa chiyani?
Mbalame Yopanga Khansa Kusuta Zosokonezeka
Zikuwoneka ngati zosakayikitsa kuti anthu a ku Japan amasuta kwambiri koma ali ndi chiwerengero cha khansa ya m'mapapo yochepa kusiyana ndi United States, amadziwika kuti "Kusuta kwa khansa ya m'mapapu ya Japan." Seweroli silikunena za kusuta chifukwa tikudziwa kuti kusuta kumayambitsa khansa ya m'mapapo.
Chotsutsanacho ndi chifukwa chake anthu a ku Japan (ndi ena a ku Asia) omwe amasuta fodya amakhala ndi matenda a khansa ya m'mapapo, ngakhale kuti amasuta kwambiri. Yankho la mafunso okhudzana ndi chisokonezochi mwachiwonekere ndi zifukwa zofanana.
Mitengo ya Khansa ya Lung vs Kusuta ku Japan ndi ku United States
Atazindikira kuti pamakhala anthu ambiri osuta fodya ku Japan koma odwala khansa ya m'mapapo, amakhala ochepa kwambiri. Iwo adapeza kuti kusiyana kwake sikukugwirizana ndi kuchuluka kwa kusuta. Amuna ochokera ku United States komanso ochokera ku Japan ankasuta chiwerengero cha zaka zomwezo, komanso ankasuta fodya tsiku lililonse.
Komabe, ku United States "chiwerengero cha makoswe" a kansa ya m'mapapo pakati pa amuna osuta fodya ndi osakhala fodya anali 40.1 (mwachitsanzo mawu, anthu osuta fodya anali oposa 40 nthawi zambiri kuti azikhala ndi kansa ya m'mapapo kusiyana ndi amuna osuta fodya ku US) chiwerengero cha ku Japan chinali 6.3. M'mawu ena, anthu osuta fodya ku Japan anali maulendo 63 okha omwe angakhale ndi kansa ya m'mapapo monga amuna osasuta.
Zotsatira za Khansa ya Lung M'mayiko Ena Achi Asia
Zokwanira za khansa ya m'mapapo ndi zoona, ndipo sizing'onozing'ono ku Japan. Kuopsa kwa khansa ya m'mapapo m'chaka cha 2016 kunapeza kuti, poyerekeza ndi vuto la 40: 1 ku United States, anthu osuta fodya ku Korea anali ndi 4.0 mpaka 4.6 nthawi zambiri omwe amakhala ndi khansa ya m'mapapo kusiyana ndi osuta fodya.
Kuopsa kwadzidzidzi ku Japan mu phunziroli kunali 3.7 mpaka 5.1, ndipo ku China kunali 2.4 mpaka 6.5.
Olemba a phunziro lino adachenjeza kuti kusokonezeka sikuyenera kutanthauzira molakwika kutanthauza kusuta ndiko kosavuta kwa Asiya.
Zowoneka Zowonjezera za Khansa ya M'magazi Kusuta Kwambiri
Zifukwa zomwe zimapangitsa kuti khansa ya m'mapapo iwonongeke kwambiri ku United States ndi mayiko ena a ku Asia ndi awa:
- Zida zochepa zomwe zimayambitsa khansa mu ndudu za ku Japan. Ku United States, mankhwala pafupifupi 70 omwe amapezeka mu ndudu amaganiza kuti amachititsa khansa. Ngakhale kuti fodya amapezeka mumasuta ambiri, mtundu ndi chiwerengero cha mankhwala enawa amasiyana kwambiri.
- Zinthu zamtunduwu zomwe zimapangitsa amuna a ku Japan kukhala otsutsana kwambiri ndi chitukuko chokhudzana ndi khansa ya m'mapapo. Ngakhale mungaganize za khansara yamapapo ngati matenda okhudzana ndi kusuta, pali zifukwa zambiri, ndipo anthu ena amanyamula zinthu zomwe zimayambitsa matendawa. Izi zikhoza kukhala zosavuta kumvetsetsa ngati mwatsata nkhani za Angelina Jolie, komanso zomwe adasankha nazo podziwa kuti ali ndi choloŵa cholowa cha khansa ya m'mawere. Ndipotu, imodzi mwa izi "khansa ya m'mawere" yotchedwa BRCA2 imayanjanitsidwa ndi chiopsezo chachiwiri cha khansa ya m'mapapo mwa amayi omwe amasuta.
Zifukwa Zomwe Zingatheke Kuti Japan Akhalitse Khansa Yopsereza Kusuta Kwambiri
Kuphatikiza pa zizoloŵezi za majeremusi ndi khansa ya ndudu, palinso zinthu zina zomwe zingawononge, kapena kuti zithetsera, kusiyana pakati pa kusuta ndi khansa ya m'mapapo ku US ndi Japan. Izi ziphatikizapo:
- Musamamwe mowa ndi amuna a ku Japan. Kumwa mowa mopitirira muyeso kumakhala ndi chiopsezo chachikulu cha khansa ya m'mapapo , ngakhale mitundu ina ya zakumwa zoledzeretsa zingabweretse chiopsezo chachikulu kuposa ena. Zomwe zimayambitsa matenda zimathandizanso pazinthu izi, monga momwe kafukufuku wina anapeza kuti palibe kugwirizana pakati pa khansa ya mowa ndi mapapo m'magulu achi China.
- Mankhwala ochepetsedwa amodzi ndi amuna a ku Japan. Mafuta ochepa omwe amadya mu zakudya amakhala ndi chiopsezo chochepa cha khansa ya m'mapapo.
- Kusuta kwapamwamba kwambiri kwa ndudu za ku Japan. Pali magwiritsidwe ntchito kwambiri amakala omwe amawotchera muzisakani za ndudu za ku Japan kusiyana ndi ndudu zomwe zilipo ku United States. Mwinamwake mumadziwika ndi makala otsegulidwa monga momwe amagwiritsidwira ntchito m'chipinda chodzidzimutsa kuti athetse poizoni ndi overdose. Kuwotcha makala kumamanga mankhwala ena, koma osati onse. Kuonjezerapo, kuyaka moto kumagwiritsidwa ntchito mu zakudya zina zowonjezera zakudya .
- Zakale za kusuta zikuyamba mwa Amamerika. Amuna Achimereka amayamba kusuta, pafupifupi, zaka 2.5 kale kuposa amuna achi Japan. Kawirikawiri, ngozi ya khansa ya m'mapapo imakula ndi chiwerengero cha zaka-paketi kusuta, kapena chiwerengero cha fodya. Koma omwe ayamba kusuta panthawi yaying'ono amawoneka kuti ali pangozi kuposa omwe ayamba kusuta pambuyo pake, ngakhale magulu onse awiriwa akusuta fodya yomweyo.
- Zochita zamoyo kusiyana ndi kusuta . Zinthu zina zodyera zimakhala ndi chiopsezo chochepa cha khansa ya m'mapapo . Komanso, kuchita masewera olimbitsa thupi-ngakhale ngakhale pang'ono-kumawoneka kuchepetsa chiopsezo cha khansa ya m'mapapo.
Kodi Mungatani Ngati Mukudziwa Zambiri?
Zoonadi, zibadwa zathu sitingathe kuzilamulira, koma amuna a ku America omwe akusuta angafune kuganizira kumwa mowa mwauchidakwa komanso kudya zakudya zamtengo wapatali.
Onetsetsani kuti muwone nsonga 10 izi kuti muteteze khansa yamapapo , kaya musasute kapena musasute. Kumbukirani kuti khansara yamapapu ikhoza, ndipo imatero, imachitika nthawi zonse osasuta konse. Aliyense yemwe ali ndi mapapu akhoza kutenga khansa ya m'mapapo.
> Zotsatira:
> Jung, K., Jeon, C., ndi S. Jee. Zotsatira za Kusuta pa Khansara Yam'mimba: Kusiyana kwa Amitundu ndi Kusuta Zosokonezeka. Epidemiology ndi Health . 2016. 38: e2016060.
> Marugame, T. et al. Kufa kwa khansa ya m'magazi kumawerengeka chifukwa cha kusuta fodya: Kufanizira Phunziro la Gulu la Atatu la Chigawo ku Japan ku Phunziro lachidziwitso cha khansa ku USA. Cancer Science . 2005. 96 (2): 120-6.
> Nakaji, S. et al. Ndemanga za chisokonezo chosuta fodya ku Japan. European Journal of Epidemiology . 2003. 18 (5): 381-3.
> Stellman, S. et al. Kuopsa kwa khansa ya fodya ndi mapapu m'magulu a anthu a ku America ndi ku Japan: maphunziro apadziko lonse. Khansa Epidemiology Zida ndi Kupewa . 2001. 10 (11): 1193-9.
> Takahashi, I. et al. Kusiyanasiyana kwa chikoka cha kusuta fodya pa khansara yamapapu pakati pa Japan ndi USA: zifukwa zotheka za 'kusokoneza fodya' ku Japan. Thanzi Labwino . 2008. April 15 (Epub pasanapite nthawi).