Ciwon daji na nono: dangantaka, dubawa, da sababbin ci gaba

  • Tasirin ciwon daji na nono akan dangantaka da jima'i, tare da shaidar kimiyya da goyon bayan psycho-oncological.
  • Jinkiri da haɓakawa a cikin shirye-shiryen nunawa: dalilai, alkaluman hukuma, da sakamako.
  • Sau uku mara kyau: wanda ke cikin haɗari mafi girma, bayyanar cututtuka, ganewar asali, da zaɓuɓɓukan magani.
  • Ƙirƙira: abemaciclib a cikin babban haɗari na HR +/HER2-, TILs, da ƙwayoyin CAR-T; dijital bibiya.

ciwon nono

El nono Yana maida hankali sosai kan zamantakewa da kiwon lafiya: shine na biyu mafi yawan kamuwa da cutar kansa a duniya (12,3%) kuma, a cikin Spain, ana sa ran dubun dubatar sabbin lokuta kowace shekara. Duk da haka, ƙasarmu tana da ƙimar rayuwa mai girma na shekaru biyar, kusa da 85%, godiya ga ganewar asali da wuri da kuma ƙara madaidaicin jiyya. halin kirki.

Daidaitawa da Ranar Ciwon Nono ta Duniya (Oktoba 19), wannan rahoto ya tattara shaidu, bayanan tantancewa, shaida kan tasirin dangantaka, da kuma bitar mafi kyawun hanyoyin kwantar da hankaliRa'ayi yana da fadi: daga m-ma'aurata da jima'i-zuwa tsarin tsarin kiwon lafiya da kuma na asibiti bidi'a.

Lokacin da ganewar asali ya girgiza ma'aurata: abin da bayanai da kwarewa ke faɗi

Bayan jiyya, cutar na iya dagula yanayin motsin rai: wasu mata sun ba da rahoto wargajewa cikin sauri na tiyata ko chemotherapy, wani lokacin kafin canje-canjen matsayi a gida da tasirin tasirin jiki da tatsuniyoyi game da amfani da tufafi kamar su. rigar rigar mama sosai. Labari irin na marasa lafiya da suka shiga mastectomies, sake ginawa da ovariectomies sun nuna cewa ciwon daji ba kawai yana buƙatar ƙarfin jiki ba; shi kuma sake kafa abubuwan fifiko kuma yana yin maganganu masu wahala a cikin ma'aurata.

Littattafan kimiyya sun nuna bambancin jinsi. Wani bincike na marasa lafiya tare da cututtuka masu tsanani sun gano cewa, lokacin suna rashin lafiya, yiwuwar rabuwa yana ƙaruwa idan aka kwatanta da lokuta inda mai haƙuri ya kasance namiji. A cikin ciwon nono, wani bincike tare da jama'ar Brazil ya gano cewa hadarin saki A cikin shekara ta farko bayan ganewar asali, matsakaicin ƙasa ya ninka sau biyu kuma mata suna jurewa Mastectomy sun fuskanci fashewa fiye da wadanda aka yi wa tiyata na mazan jiya.

Daga ilimin halin dan Adam, masu sana'a na AECC Sun yi nuni da cewa canjin matsayi - daga mai kulawa zuwa mai kulawa - yana damun ma'aurata da yawa, kuma bude sadarwa game da tsoro, sha'awa da iyaka shine mabuɗin. Jiyya suna shafar jima'iChemotherapy na iya haifar da asarar gashi da canjin jiki; maganin hormone yana rage libido kuma wani lokacin yana canza nauyin nono da taushi.

Suna kuma tashi rashin aikin jima'i Alamomin gama gari sun haɗa da bushewa, zafi, raguwar elasticity, da wahalar samun inzali. Shirye-shiryen rukuni na tushen tunani, kamar Mindfulsex A cikin yanayin asibitin Clínic na Barcelona, ​​suna aiki akan numfashi, wayar da kan jiki da girman kai don taimakawa sake haɗuwa da jiki da ma'aurata. Sauran shirye-shiryen al'umma da marasa lafiya ke tafiyar da su, sun mai da hankali akai al'ada motsa jiki, goyon bayan juna da halaye masu kyau, ƙarfafa rakiyar.

Nunawa: Jinkiri, Nauyi, da Yadda Ake Magance Su

Jinkiri a cikin duban ciwon nono haifar da damuwa kuma yana iya rikitar da tsarin bincike. Wani shari'ar kwanan nan a cikin Al'ummar Valencian ta kwatanta dogon lokacin jira tsakanin mammogram, ƙarin duban dan tayi da biopsy, tare da majinyacin yin gwaje-gwaje na sirri saboda rashin amsawa. A ƙarshe, da biopsy ya kawar da malignancy, amma tsarin ya nuna gazawar sadarwa.

Dangane da bayanai, Ma'aikatar Lafiya ta Valencian ta tabbatar da cewa a cikin 2024, 232.520 dubawa, tare da ƙarami raguwa fiye da wanda aka sanar da farko, sharadi ta sabuntawa na 11 mammograms (tsayawa ta fasaha) da kuma dakatar da ayyuka a yankunan da abin ya shafa DANATsakanin Janairu da Satumba 2025, gwamnatin yankin za ta lissafta 10.000 ƙarin gwaje-gwaje fiye da lokacin da aka yi a bara.

Andalusia na fuskantar nata gwajin: dubunnan mata ba su karɓi gwajin ba sakamako na tantancewa, kuma an riga an sasanta yadda lamarin ya faru a kotu. Rigimar dai har ta barke muhawarar siyasa, a cikin mahallin da fifiko shine maido da amincewa da garantin kira, sammaci da abubuwan da aka samo asali ba tare da bata lokaci ba.

Yarjejeniya tsakanin ƙwararru ta fito fili: da ganowa da wuri yana ceton rayuka. Lokacin da wasiƙun gayyata suka zo, yana da kyau a halarci ranar da aka nuna kuma, idan akwai wani kunshin ko canji, nemi kimantawa ba tare da jiran alƙawari na gaba ba.

Triple korau: wanda ya fi fuskantar haɗari, menene alamun da za a duba, da yadda za a bi da shi

El ciwon nono mara kyau sau uku Ana nuna shi ta hanyar rashin isrogen da masu karɓa na progesterone, kuma ta hanyar rashin ƙarfi HER2. Yana wakiltar kusan kashi 10% -15% na cututtukan cututtuka, yana ƙoƙarin girma da sauri kuma yana da ƙasa makasudin warkewa musamman, da dangantakarsu da phytoestrogens ana bincike.

Abubuwan da za a yi la'akari: wasu maye gurbi ƙara haɗari; zaman kashe wando da girma kada ku taimaka; kuma a cikin 'yan mata, wasu bayanan martaba-ciki har da wasu ƙabilanci-na iya ƙara yawan lokuta. Wani ɓangare na matsalar shine, saboda shekaru, da yawa ba sa fada cikin nunawa na tsari kuma ya zo tare da ƙarin ciwace-ciwacen ciwace-ciwace.

da bayyanar cututtuka ba su bambanta da sauran ba: sababbin kullu a cikin ƙirjin ko hamma, canje-canje a girma ko siffar, zafi ko ja da kan nono, zubar da ruwa mara kyau, haushi ko ja. Sakamakon ganewar asali ya dogara ne akan mammogram, duban dan tayi da kuma, inda ya dace, biopsy don tabbatar da subtype.

A cikin jiyya, da barbarawar ya kasance ginshiƙi, kafin ko bayan tiyata dangane da girman ƙwayar cuta, da kuma radiotherapy na iya zama wani ɓangare na tsarin. Bincike yana ci gaba zuwa sababbin haɗuwa da dabarun niyya na gida da kuma cutar metastatic.

Bincike-canza ayyuka: abemaciclib, TILs, da CAR-T

A babban haɗari tare da mai karɓa na hormone tabbatacce kuma HER2 mara kyau (HR+/HER2-), gwajin lokaci na 3 na duniya SarkiE ya nuna cewa yana karawa abmaciclib Adjuvant hormone far na shekaru biyu yana rage haɗarin sake dawowa ta kusa 27%, tare da alamun farko na fa'idar rayuwa gabaɗaya a tsaka-tsaki na bin shekaru 6,3. Fiye da 5.600 marasa lafiya daga kasashe 38.

Cibiyar Ciwon Kankara ta Clínic Barcelona kuma tana haɓaka manyan layukan jiyya na ƙwayoyin cuta. A gwaji tare da TILs (tumor infiltrating lymphocytes) hari marasa lafiya da metastatic sau uku korau, yayin da wani aiki tare da CAR-T don HER2-tabbataccen cututtukan metastatic yana jiran amincewar tsari. Waɗannan hanyoyi ne na keɓaɓɓu waɗanda ke bincika yuwuwar tsarin rigakafi da ƙari.

Ciwon nono a cikin maza: ƙasa da kowa, daidai yake da mahimmanci

Maza suna wakiltar ƙaramin kashi na bincike (kimanin. 1% -2%), amma ciwon nono na namiji yana wanzu kuma sau da yawa ana samun shi cikin shiru ta hanyar ƙyamaBayyanar dunƙule, ja da baya, ko fitarwa ya kamata ya sa a tuntuɓi; gwajin daya ne: imagen kuma, idan ya dace, biopsy.

Samun goyon bayan iyali kuma kada ku jinkirta ziyarar zuwa ga likita kawo bambanci. Kamar yadda yake a cikin mata, ganowa da wuri yana ba da damar ƙarin ra'ayin mazan jiya da ingantattun jiyya. sakamakon.

Fasaha da tallafi: rawar e-Health

Canji na dijital yana sauƙaƙe ƙarin agile saka idanu na haƙuri tafiya, daga zato zuwa tsarin kulawa. Rukunin tallafi suna daidaita tattaunawa mai sauri na asibiti, daidaita su hadarin da kuma tsara hanyoyin warkewa, kwantar da hankali, bincike da kuma hanyoyin ilimi.

Masana sun nace: babban makiyin kansa shine lokaci. Gano abin da ke faruwa a baya kuma kunna hanyoyin tafiya tare da ilimi akan halaye - nauyi, motsa jiki, barasa da taba- iya ba da ma'auni.

Rigakafin da halaye da ke ƙarawa

Binciken kai yana taimakawa wajen sanin abin cambios na jiki da kanta da yin alƙawari idan wani sabon abu ya bayyana, ba tare da maye gurbin dubawa ba, kuma ana iya haɗa shi da abincin da ya hada da 'ya'yan itatuwa don hana ciwon nono.

Baya ga halartar dubawa, yana da kyau a kula da salon: motsa jiki na yau da kullun, daidaitaccen abinci, iyakance barasa da rashin shan taba, gami da abinci irin su flax tsaba. Tuntuɓi ƙungiyar kula da lafiya game da tarihin dangi ko shakkun kwayoyin halitta suna ba da damar kimanta gwaje-gwajen da aka keɓance da kuma bin diddigin.

Gaskiyar ciwon nono yana da rikitarwa kuma ya shafi sirri, kiwon lafiya da zamantakewa: yana bukata bayyanar cututtuka na farko, albarkatun da aka haɗa da kyau, ci gaban warkewa da cibiyar sadarwar tallafi wanda ke kula da lafiyar motsin rai da kawanceTare da ƙarin shaida, mafi kyawun da'irori da fasaha waɗanda ke rage lokaci, manufar da aka raba a bayyane take: ƙarancin koma baya, ƙarin rayuwa da mafi kyau. ingancin rayuwa.

Labari mai dangantaka:
Kiyaye kansar nono da abinci mai zuwa