Ukuba unesalamane esheshayo efunyenwe ukuba unomhlaza wesibeleko okanye i-ovari, ungathatha ukuguquka komzimba okwandisa ingozi yezi zifo. Iipesenti ezingaphantsi kwe-10 yazo zonke iiscibisi zebele ezixilongwa kwi-US zihambelana nokuguquka kwemfuyo.
Ezinye izigulo zemizimba azizukuzuzwa njengelifa kodwa ziyi-somatic, oko kuthetha ukuba iizakhi zitshintsha ngexesha lokuphila kwakho kwaye azilungiswa.
Abantu abalezi zigaba banokukhetha ngokuthintela nokunyanga umdlavuza webele, kodwa kufuneka baqiniseke ukuba ngaba banezo zinguqu zoguquko.
Uvavanyo lweGenesis
Abasetyhini kunye namadoda aguqulwe iinguqu ze- BRCA1 ne-BRCA2 zegeni ziphezulu kunomngcipheko omkhulu wokuvelisa umdlavuza webele. Ezi zifo zentlobo nazo zidibene nomngcipheko omkhulu we-ovarian, pancreatic, kunye ne-prostate cancer.
Njengoko uphando lwezofuzo luyaqhubeka, izazinzulu zifumana ezinye izakhi zofuzo ezibonisa umngcipheko webele kunye nezinye i-cancer, kunye nezimo ezinobungozi. Uvavanyo luyenziwa kwi-sampuli yegazi, kodwa ekubeni iziphumo zinokutshintsha ubomi, ukucetyiswa ngokwemizimba kukhuthazwa kwakhona.
Ukwenza isigqibo
Abantu abanomdla wentsapho yesifo somhlaza okanye umdlavuza we-ovari ungathwala i-BRCA gene gene. Amadoda nabasetyhini abakhathazekile ngomngcipheko wesifo somhlaza wesifuba bangathanda ukutyelela umcebisi wezofuzo ukuba baxoxe ngembali yabo yempilo yentsapho, kunye nezinye izinto, ukuqinisekisa ukuba ukuhlolwa kofuzo kuya kuba luncedo.
Ukuba usuvele ufumene ukuba unomdlavuza webele, isampuli yegazi ingavanywa, ngoko ugqirha wakho unokuyila ngokufanelekileyo, ngexesha elifanelekileyo, kunye nelo elifanelekileyo lokubulala umhlaza wakho nokukhusela ukuphindaphinda. Amaqela aphezulu kakhulu anokubandakanya:
- U-Ashkenazi okhokho abangamaYuda (eMpuma naseMntla Yurophu)
- Enye okanye ngaphezulu kwe-BRCA izihlobo ezintle, ibhinqa okanye indoda
- Umhlaza wesifuba kwizihlobo ezimbini okanye eziseduze (iintsapho ezisondeleyo)
- Amalungu entsapho afunyanwe ngumhlaza wesibele ngaphambi kokuba aneminyaka engama-50
- Ilungu lentsapho elikhawulezileyo elinomhlaza kumabele amabini
- Uninzi lweentsapho zengculaza yomhlaza
Kukho nezizathu ezithile zokuba uvavanyo lwemizimba, njengoku:
- Qinisekisa ukuba ngaba ugugu lweGNA lwe-BRCA
- Vavanya ukhetho lokuthintela
- Yenza okukhethiweyo unyango
- Gwema ngaphezu okanye ngaphantsi kweyeza
- Ukunciphisa iziphumo zonyango
- Ukunyanga okufanelekileyo ukukhusela ukuphindaphinda
Ukufihla iindleko
Ngokuxhomekeke kwiyiphi inkampani onikwe i-insured kuyo, i-inshorensi yakho yonyango okanye iyakwazi ukuvavanya uvavanyo. Ukulandelelana ngokupheleleyo kweezakhi zofuzo ze-BRCA ezihlolisisa nayiphi na inguquko engenzekayo iya kubiza i-$ 2,400. Iimvavanyo ze-genetic zasekhaya zixabisa phakathi kwe-$ 295 ukuya kwi-$ 1,200. Okanye unokuvavanywa kwezinto ezintathu eziqhelekileyo zinguqulelo ze-BRCA ezinokuzibiza nge-$ 650. I-Medicaid ayifihla indleko yovavanyo.
Iziphumo kunye nokuLandela
Ukuba unquma ukuqhubeka nokuhlolwa kofuzo, uza kunika i-sampuli okanye iisampuli eziza kuthunyelwa kwi-lab ekhethekileyo yokuvavanya. Iziphumo ziza kubuyiselwa kwiiveki ezine okanye ezintlanu kwaye kufuneka udibane nomcebisi wezofuzo ukuhlaziya nokuxoxa ngeziphumo zakho.
Uya kufumana nesishwankathelo esibhaliweyo seziphumo zakho zokuvavanya.
Qinisekisa ukuba uyaziqonda iziphumo zakho kunye nezinketho zokukhusela okanye unyango. Awuyi kufuna enye ilandelelwano kunokuba uhlale uqaphile kwaye unesiqiniseko sokuba nemammogram kunye nokuhlolwa kwebele .
Ukuthatha Isenzo
Uvavanyo oluchanekileyo lwe-BRCA1 okanye i-BRCA2 lunokuba ngumnxeba wesenzo kwinqanaba lakho. Unokufuna ukuqwalasela ngokucophelela iinketho zakho zokuthintela nokukhusela kunye nezinye izinto ezinobungozi-ubudala, ubuhlanga, indawo, ukutya, impilo yonke-ngaphambi kokuba uqalise ukuhlinzwa, i-chemotherapy, okanye iziyobisi ze-hormonal.
Ngakolunye uhlangothi, ukuvavanya kakubi akuyikho isiqinisekiso sokuthi awuyi kuvelisa umdlavuza webele ngenxa yezinye izinto ezinjengokusetyenziswa kotywala , ukutshaya , ukuhlala kwindlela yokuphila, ubudala, isimo se-menopausal , okanye enye ingozi engabonakaliyo yemfuyo enokuthi ingabangela ingozi.
Uvavanyo lwe-DIY
Unokuyalela i-kit ye-genetic test kit, kodwa ngokungafani novavanyo lokukhulelwa kwezidakamizwa, awuyi kufumana iziphumo kwimizuzu. Xa ithe ikethi ifika, kuya kufuneka uhambe kwikliniki ukuze udwebe igazi kwaye isampuli yakho iya kuthunyelwa kwibha.
Iziphumo ziya kubuya malunga nenyanga, ezixelwe kuwe kwifowuni kunye nokubhala. Iziphumo ziya kuba zichanekileyo njengalezo ozifumana kumcebisi wezofuzo, kodwa akuyi kuba nexhaswa lwengqondo kwaye akukho khokelo lonyango malunga nokusingatha iziphumo.
Ulwahlulo lweGenesis
E-US, uMthetho we-Federal Health Portability and Accountability Act (i-HIPAA) unqanda ulwaphulo-mthetho ngokwezendalo. Ngeke ulahlekelwe okanye unqatshelwe i-inshorensi yempilo ukuba unesifo somhlaza wesifuba.
> Imithombo:
> IKhomishini yoRhwebo yeSithili. Iimpawu zabathengi. Uvavanyo lwe-Genetic Home-Home: I-Dose Healthy of Skeptic May Ingaba yimibuzo engcono kakhulu. Julayi 2006.
> INational Cancer Institute. Iimpawu zeebenki, iVol. I-6, Issue 3, Meyi 23, 2006. I-Diagnostics yeCans: Ukukwazisa ukuPhuhliswa kweTranscer Treatment.