Uyazi ukuba ukuzivocavoca kubalulekile kwimpilo kunye nokuphila kakuhle, kunye nokusebenza ngokomzimba kunokuba luncedo ekukhuseleni iintlobo ezithile zomhlaza. Kuze kube kutshanje, nangona kunjalo, i-leukemia ne-myeloma zazingabonakali phakathi kwale ntlobo apho unokunciphisa umngcipheko ngokuzivocavoca.
Uhlolisiso luhlolisise umbuzo wokunciphisa umzimba kunye nokunciphisa umngcipheko weentlobo ezahlukeneyo zomhlaza.
Ababhali baqaphele ukuba amandla amakhulu ekufundeni kwabo kukuba, ngolwazi lwabo, luyifunde enkulu kunazo zonke eziye zaqhutyelwa kwimisebenzi yomzimba kunye nomngcipheko womhlaza.
Abaphandi bapapasha iziphumo zabo ngo-May 2016 umcimbi we- JAMA wangaphakathi . Baqaphele imeko ekhoyo yangoku kunye nesidingo salolu cwaningo-umsebenzi wokunyusa umzimba unciphisa ingozi yesifo senhliziyo, umdlavuza wekoloni, umdlavuza webele, kunye ne-cancer ye-endometrial-kodwa engaphantsi iyaziwa malunga nokuba umzimba wenzeni unciphisa umngcipheko wamanye amagciwane, okwenene malunga namaphesenti angama-75 omatyala omtsha e-United States.
Ukuzivocavoca kunye noPhando lweCancer - FAQs
Ziyintoni Eziqhelekileyo Ukungasebenzi?
Kulinganiselwa ukuba ama-51 ekhulwini labantu base-United States kunye neepesenti ezingama-31 zabantu emhlabeni wonke abafumani amanqanaba okunyusa okwenziwa ngokomzimba. Naluphina ukwehla komngcipheko wesifo somhlaza ohambelana nomsebenzi wokwenyama, ngoko ke kuya kuhambelana nemigudu yempilo kunye nokukhusela umdlavuza .
Yintoni Ukuzonwabisa-Isikhathi Sokusebenza Ngokwenyama?
Imisebenzi yokuzilibazisa yesikhathi sokuzonwabisa yayichazwe kulolu cwaningo njengemisebenzi eyenziwa ngokwengqiqo yomntu eyenza ukuphucula okanye ukugcina impilo okanye impilo.
Iqela lophando lalibandakanya iindidi ezimbini zezinto zokuzonwabisa-kwimizuzu: imisebenzi enomlinganiselo oyimfuneko kunye neminye imisebenzi enamazinga amanqanaba amakhulu okucetyiswa yimikhombandlela yomsebenzi.
Abaphandi Bafunda Njani Abantu Abaphuhliswa Ngomdlavuza?
Kule sifundo basebenzisa i-questionnaires, kodwa baphinde bahlolisise iirekhodi zezokwelapha kunye nolwazi lokubhalisa umdlavuza. Ngokubanzi, iipesenti ezingama-99 zengxaki zomhlaza ezichongiwe ekuhlolisweni ziqinisekiswe ngxelo yezokwelapha okanye iingxelo zezilwanyana-ezibhalwe ngabachwephesha xa zihlalutya isampuli okanye i-biopsy specimen ephendulwa ngumhlaza.
Bangaphi Abantu Abakukho Esi Sifundo?
Olu pho nonongo luvela kwi-1.44 yezigidi zabantu abathathi-nxaxheba ababenomsebenzi wokuzilibazisa ngexesha lokuzilibazisa kwaye akukho mlando womhlaza kwisiseko.
Abathathi-nxaxheba abangakumbi, ama-57 ekhulwini, babengabesifazana, ubudala bomyinge kumyinge we-58, kunye ne- index ye-mass body index, okanye i-BMI yayingama-26. Amanqanaba omsebenzi ophezulu ahlanganiswe neminyaka emncinci, imfundo emfutshane, i-BMI ephantsi, kunye nokunciphisa amathuba okuba ukutshaya.
Zingaphi Iintlobo Zeengcambu Zazifundiswa?
Abaphandi bajonga iintlobo ezingama-26 ezahlukeneyo zomhlaza. Ngexesha eliphakathi kweminyaka eyi-11 yokulandelelana, i-186,932 i-cancer eyaziwayo.
Ziyintoni Izinto?
Umgangatho ophezulu ngokubhekiselele kumgangatho ophantsi wokuzilolonga ngomsebenzi wokuzilolonga wawunxulumene nemingcipheko engezantsi kwi-13 ye-khancer 26 eyayifundwa.
Umsebenzi wokwenza umsebenzi wokuzilibazisa wawunxulumene nomngcipheko ophezulu we-melanoma enobungozi, kunye nomngcipheko ophezulu wesifo somhlaza ongaphantsi.
Umgangatho ophezulu wokwenza umsebenzi wokuzilibazisa unxulumene ne-7 ekhulwini lomngcipheko wesifo somhlaza.
I-leukemia kunye ne-myeloma, olu pho nonongo lufumene ubudlelwane obuqinileyo-oko kukuthi, imisebenzi emzimbeni yayinxulumene kakhulu nomhlaza ongaphantsi-nangona kunjalo, ezi ziphumo zahluke kwi-2015 yophando engafumananga nantoni.
Kulo pho nonongo, "i-myeloid" ichazwe ngamakhowudi akhethekileyo, okanye i-ICD-0-3 i-histology iindidi, kunye ne-leyeloem engama-myeloid ziquka: i-leukemia enomzimba, i-leukemia engapheliyo kunye nezinye i-leocemia leukemia.
Ezinye izazinzululwazi ziye zachaza ukuba izibonelelo ezivela kumzimba wokunciphisa umngcipheko womhlaza zivela kwi-loss-weight loss-loss loss of fat, kwaye uya kunciphisa ingozi.
Nangona kunjalo ngokuqinisekileyo kwizifo ezininzi, ezi ziphumo zifunyanise ukuba imisebenzi yomzimba kunye nomdlavuza ngokuqhelekileyo zimelele kwi-index mass body, okanye i-BMI, echasene nale ngxowanxu ye-fat for most cancer.
Ukuzivocavoca, isifo sikashukela, kunye neengozi zeCancer
Kulabo banenkxwaleko yokugqithisa nokugqithisa, enye yeendumiso ezinokukunceda kukuqonda ukuba nokuba ukulahleka kobunzima kungenza umehluko ngokuphathelele kwiprofayili yakho yengozi, kwaye apha sithetha ngengozi yakho ye-cardiovascular, kwaye akunjalo wakho mngcipheko.
Ucwaningo lweNkqubo yoThuseleko lweSifo seSetyibhile, okanye i-DPP yophando, lubonise ukuba ukulahlekelwa kwesisindo se-7 ekhulwini kunye nokungenelela kokuziphatha okunzulu kunokunciphisa umngcipheko wokuphuhlisa isifo sikashukela se-2 ngama-58 ekhulwini. Uphononongo lwe-DPP luyilo luphawu oluphawulekayo apho babonisa ukuba indlela yokuphila iyakwazi ukutshintsha ukuphuhliswa kwesifo sikashukela.
Xa uhlobo lwe-2 lwesifo sikashukela luye lwafundwa njengento ebangela ingozi yokuphuhliswa kwezidlova ze- hematologic, okanye i-cancer cancers , iziphumo azizange zihambelane.
Ezinye izifundo zifumene ubudlelwane phakathi kohlobo lwesifo sikashukela kunye nomngcipheko wokwakha i-lymphoma, i-leukemia, ne-myeloma. Izifundo ezinjalo azichazi ukuba isifo sikashukela sinokunyusa njani umngcipheko womntu.
Ngokomzekelo, ukukhuluphala, ukutya, amanqanaba omsebenzi kunye ne-glucose-ukunciphisa amayeza afana ne-metformin kunye nezinye iziyobisi zizinto zonke ezihamba nesifo sikashukela. Ngoko ukuba ikhonkco ifumaneka nesifo sikashukela, kuya kufuneka uhlolisise izinto abantu abanesifo sikashukela ababelana ngazo ukuze babone oko ku noxanduva lokunyuka kwengozi.
Ngokomphando ochazwe kumagazini kaMeyi ka-2012 othi "Igazi," uhlobo lwesifo sikashukela ludibene nomngcipheko othe wancinci ngokuthe ngcembe we- non-Hodgkin lymphoma, kodwa kungekhona iHodgkin lymphoma . Kwaye, xa i-non-Hodgkin lymphoma subtypes i-Ware ihlolwe, ingozi eyongeziweyo kunye nohlobo lwesifo sikashukela se-2 yayikho kwi-T-cell lymphoma yechungechunge, kodwa kungekhona kwezinye i- subtypes ze-non-Hodgkin lymphoma .
Kwiimeko ezininzi, abaphandi abakwaziyo oko kubangela ukuba izidlova ze-hematologic ziphuhlise. Ezinye izifo ezifana ne-Epstein-Barr virus, izifo ezithintekayo ezifana ne- rheumatoid arthritis, i-Sjögren's syndrome, kunye ne-systemic lupus erythematosus , okanye imbali yolondolozo yentsapho ingabaluleka ekuphuhliseni ezinye zee cancer.
Akukho bubungqina obucacileyo obubonisa ukuba uhlobo lwesifo sikashukela luyisimo esinobungozi obukhulu bokuphuhliswa kwezidlova ze-hematologic, nangona kunjalo.
Okukwintsusa
Nangona esi sifundo malunga nokulahlekelwa kwesisindo kunye nomngcipheko womhlaza sasisisisiseko ngokupheleleyo, kwaye zonke iziphumo zalo zikhohlakeleyo, ukuvandlakena okucwangcisiweyo kuya kuphakanyiswa ngokusekelwe kuzo zonke ezinye iingeniso zempilo, eziquka ukuqina komzimba jikelele kunye nokubanzi impilo nempilo.
Qaphela ukuba eli nqaku libhekiselele kwendima yokusebenza ekukhuseleni umdlavuza. Isihloko sokusetyenziswa ngexesha lotyando lomhlaza sisifundo esihluke ngokupheleleyo .
Imithombo:
UMorgan SC, uLee IM, Weiderpass E, et al. Umbutho woLonwabo-Ixesha lokuSebenza ngokomzimba onoMngcipheko wee-26 iiNdidi zeKhansela kwi-1.44 yezigidi zabantu abadala. AMA Intern Med. 2016.
I-Hallal PC, Andersen LB, iBull FC, et al. ILancet Umsebenzi wePhysical Activity Series Group Working Group. Amanqanaba omsebenzi womhlaba wonke: inkqubela phambili, iipiti, kunye nethemba. Lancet . 2012; 380 (9838): 247-257.