Ndeapi kuchinja kwezera kunokonzera kuipa kwemaharaplasms? Ngozi yehutachiona husina kunaka inowedzera nezera. Izvi zvinoratidzwa zvakajeka nemifananidzo: mumakore makumi maviri nemana mukana wekutarisana nechirwere unokwana imwe ye 25000, kusvika kune makumi masere - imwe kusvika kune gumi. Nokudaro, chegumi chega chechecheche inofanira kuchengetedzwa. Pane zvinhu zvakawanda zvinokonzera kenza yemazamu. Zvokudya zvisina kunaka, zvokudya zvakakora zvakanyanya, kutora pamuviri kwenguva pfupi ndevamwe vavo. Pazera remakore makumi mana, zvipembenene uye zvinogadzirisa zvinokonzera zvinowanikwa muzamu. Mumwe nomumwe ane basa rake. Ikutanga kubva panguva yekuyaruka iri munharaunda yekugadzirira kurwisana kwekuzvitakura uye lactation uye mushure mokuberekwa kwekuberekwa kunoshanduka kuva chigadzirwa chemazi. Kubatana kwaro "muvakidzani" kunoita zvikamu pakati pelobes iyo inonzi mammary gland inosanganisira, uye maruchi umo mukaka waamai vanofanira kuenda kumuchu. Mafuta omufudzi muhutano hwechigadzirwa panguva ino inowanikwa.
Apo kuswedera kwemwedzi kunouya , kuwanda kwezvinyunyuti uye zvinogadzirisa zvinyama zvishoma nezvishoma, iyo interlobar septa inopfava, madota anodzimwa. Asi: nzvimbo dzisina kufanira dzichizadza nemafuta. Uye ndiyo nzvimbo yakanakisisa yekuvandudza tumarara. Ichokwadi kuti nekutanga kwechikadzi yekuvhuvhu muviri unomisa kugadzirwa kwe-estradiol, yakanaka hormone kubva mumhando yeestrogen. Panzvimbo yeEstradiol, "hama" dzake - estrone uye estriol, uyewo madzimai emadzimai evanhukadzi - pinda mumuzinda. Zvisinei, vanogona kukurudzira kukura kwemasero akaipa. Ichokwadi, estradiol inewo unyanzvi uhwu, asi kune zvishoma.
Sei avo vanowira mu "kumira" kwekenza yepamusoro yepamuviri, gore rimwe nerimwe nekuwedzera? Ndezvipi zvinokonzerwa ne "onco"?
Kuwedzerwa kwegore negore munharaunda yacho inowanikwa ne3%. Iyi nhamba inoratidzwa kuti iwedzere. Chikonzero chekutanga ndechekuwedzera yeserogen mutoro pamuviri wevakadzi. Vakadzi vemazuva ano vane mazana matatu nemakumi matatu nemakumi maviri ekuenda kumwedzi kupfuura vanambuya vavo.
Mwedzi mumwe nomumwe - rudzi rwebhodhi rwemuviri ne estrogen (zvose estradiol, uye hama dzakatarisana nemaviri). Mukuwedzera, pakutanga kwezana remakore rechigumi nemapfumbamwe, chiyero chehupenyu hwemukadzi chaive nemakore makumi matatu: kutapukirwa, zvirwere zvisina kuporesa panguva iyoyo, uye kuberekwa kwepamusoro kwakaderedzwa nehuwandu hwehutano hwakanaka.
Nhasi, maererano nehupfumi hwemunyori weUnited Nations-General, yevoruzhinji yemakore makore makumi matanhatu nematanhatu, maererano nemakore, mararamiro evakadzikadzi pamwedzi inogara kwenguva refu. Izvozvo zvinowedzera doro: vakadzi vanowanzofarira izvi zvinodhaka, uye zvine phyto-kudya-trogen. Mahomoni emiti yakasikwa anobata mumuviri se "own". Chikonzero chechipiri ndechekuchinja munzira yehupenyu. Zvinonyatsozivikanwa: pakati pevagari vomunharaunda vanogara mumaguta emammary gland vanowanikwa kaviri kazhinji pane avo vanogara mumisha. Vagari vemaguta vanowanzoshanda usiku, ramba vakasvinura kwenguva yakareba, inotadzisa kugadzirwa kwe melatonin. Imwe yemabasa ehomoni iyi ndeyekusimudzira bhaorhythms uye kudzivirirwa kubva pakuonekwa kwemuviri. Hongu, uye zvechikadzi "zvakabatsira": hutano hwakanaka hwakatonga nyika, hutungamira makambani makuru, inokonzera bhari. Panguva iyo, muviri wevakadzi uye mahomoni ayo haafananidzi kurarama upenyu hwakanyanya. Batsirai ivo zvepabonde nematambudziko epabonde. Mushure mekurambana, vazhinji vakadzi, vasina kuronga hupenyu hwehupenyu kwechipiri, vanongororera mubasa, kusanganisa, nekurerwa kwevana. Sublimation (kushandiswa kwesimba rekuita zvepabonde mune mamwe mabasa asingaiti zvepabonde) chinhu chinoenderana nenguva yedu. Asi muviri unofunga pamusoro pepabonde sekusimbiswa kwakakosha kwezvido zvake zvepanyama zviviri kana katatu pavhiki. Hapana hondo dziri mumubhedha - hapana maronda, hapana maronda - inonzi central nerve system uye planditary gland, iyo inoberekawo mahomoni anokosha ehutano hwehuputi, hahusi kubatanidzwa. Kuwedzera kwenhamba yezviitiko zvekenza yekuputika kwepamuviri muvakadzi kunokonzerwa nezvikonzero zvakawanda. Mukuwedzera kune atove ataura, ndinogona kutumidza zita rimwe zvakare: kudya kusina kunaka. Hongu, zvinotaridzika kutarisa kudya kwako ikozvino, asi kusvika ikozvino vakadzi vakawanda vanoshandisa zviyero zvisinganzwisisi zvezvokudya zvine nyama nenyama, izvo zvinowedzera mukana wehutano.
Zvirwere zvakawanda zvino zviduku . Ndezvipi zvinogona kutaurwa munyaya iyi nezvekenza yebonde?
Iwindo rezera rekutanga rekenza ndeye makore 45-55 (pre-, menopause uye postmenopause). Ngozi yechipiri yekudzidza nezvechirwere ndeyevo vane makore 65-70. Uye chete ipapo-vechidiki. Nenzira yakanaka, zvishoma. Asi zvakanyatsozivikanwa: vaduku venguva, inonyanya kurwisa chirwere chacho. Shure kwezvose, mumutumbi muduku, zvose zvinowanzoitika nokukurumidza. Zvinotyisa, zvinosuruvarisa, zvakare. Kenza yepabonde yakura zvishoma, asi muzhinji - pamhuri yemhuri. Kazhinji zviitiko zvinorwara chirwere chiri mumakore makumi matatu nemakore chakagadzirwa.
Basa rekuita hutano rinobatsira sei mukurudzirwa kwechirwere uye zvinogona kukwikwidzana here?
Genetics inokonzera 5% yezvirwere zve "kenza yemazamu". Iwe unogona kukakavara naro. Zvakakosha kudzidza mudzidzi wako kune rumwe rutivi rwechizvarwa, chete - pamutambo wemwana, uye kana mumwe munhu ari mumhuri akatarisana nechirwere, tsvaga nguva yaitika, kupfuudza jena kuongorora. Kune majini maviri - BRCA-1 uye BRCA-2, inotakura mashoko echirwere "kenza". Mune vatakuri vekutanga geni, mukana wekuonekwa kwezvakaipa zvinotapira zvinokwana 8096. Vatengi vemarudzi maviri e "nhaka" vanoisa njodzi yekuonana nekenza yevana. Kana iwe uchiziva nezveizvi uye uchiita kuchengetedza, ezvichengetedze uye ugare uchitarisa, chirwere chinogona kuonekwa pachigamba chekutanga uye nokudaro nekuita kuti uwane kupora. Asi, sezvakaratidzwa zvinoratidzira, vanhu vomunharaunda vanowanzosarudza nzira yechipiri - musaita chero chinhu kana kunyange musingadi kuziva nezvemutakuri wezvakawanda. Chechitatu, "yakanyanyisa" nzira ndeyekubvisa chifuva chisati chaonekwa nekenza. Hapana kenza yepazamu - hapana chirwere. Kuzvidzivirira kwakadaro kunoitwa nevakadzi vane makore makumi mana, uye vanobva vatanga kuisa silicone implants. Kana chirwere ichocho chikaitika pazera duku, saka kazhinji kacho kunokonzerwa nemararamiro. Majini maviri, BRCA-1 uye BRCA-2, inobatsira pano. MuWestern Europe, anenge 10% yezvose zvinokonzerwa nekenza ndeyofa. Muhafu yavo, mhaka yacho inoshanduka mune majini maviri aya.
Kana chifuva chimwe chikabatwa , ingangodaro chironda chechipiri? Chii chinovimba nacho?
Dambudziko rekutura mukati mechipiri chechifu rinenge 20%. Asi mukana wekuonekwa panguva imwe chete weeoplasm munhengo mbiri iduku zvikuru - 4-5% chete.
Mamiriro ezvinhu ekubudirira kwechirwere mumakumbo maviri emakumbo akafanana, saka mukana we "muvakidzani" ndewe 15-20%. Izvo zvose zvinotarisa apo ronda racho raionekwa (iyo gare gare, inowanzoita metastasis) uye kana kurapwa kwakanyatsogadziriswa.
Ndeipi nzira huru dzekudzivirira kenza yepamusoro yepamuviri?
Iyo yakanakisisa yekudzivirira kenza muhutano uye kenza yepamu-kunyanya-kudya kwakanaka uye mitambo, maererano neWOR recommends, zuva rekudya zvishanu zviduku zvezvibereko nemiriwo, nguva dzose. Nhoroondo yezvino yezesayenzi - kubvumidzwa kwevhitamine D kunopesana nekugadzirisa kenza yemazamu. Kana pane chiitiko chekuratidzwa kwechirwere chisina kunaka maitiro ekugadzirisa, kuongororwa kuongorora nguva dzose kana imwe nzira inogadziriswa inokurudzirwa - kubviswa kwezviviri mazamu.
1. Kufunga kwakanaka uye kuzvidzora.
2. Hurumende yakarurama yezuva racho, unyanzvi hunobatanidza basa nebasa.
3. Upenyu hwepabonde nguva dzose, kudzivisa kubvisa pamuviri (kunyanya usati waberekwa). Kudzokorora kuburitswa.
4. Kurema kusimba, nokuti kuneta ndiko chinhu chinonyanya kukosha.
5. Kudzora shuga yeropa, kunyanya kana uri chirwere cheshuga. Maererano nezvedzidzo dzakasiyana-siyana, chifuva chinokanganisa mahomoni 30 kusvika ku50, kusanganisira insulini. Inogona kukurudzira kukura kwekenza masero mairi.
6. Kushandiswa kwevhithamini, kunyanya - A, E uye D. Zve micronutrients yehutano hwehutano, calcium inobatsira.
7. Kubvira pazera remakore makumi maviri nemana zvichienda mberi, ultrasound yemakumbo anonzi mammary anoitwa gore negore, uye kubva ku 40 - mammography.
Ko kenza yemazamu inogona kukonzera chipfeko chakasimba uye yefashoni kushandisa bras?
Handifungi. Asi bhudziro harisi kufarira, izvo zvinodzivirira kusununguka kusununguka kweropa kumuviri. Kushaya ropa kwakanyanya kunogona kuva chimwe chezvikonzero mukugadzirwa kwemasimba (zita rinowanzoshandiswa pane zvisiri izvo zvinokonzera matumusi muzvinyorwa zvemamota). Ndine chokwadi chokuti: kushaya hanya hakuendi mukenza. Kune zviitiko zvekenza kukurudzirwa pamusoro pemamiriro ekusava nehanya, asi kwete nekuda kwayo. Mubvunzo wandinowanzowanzwa pamutambo. Mhinduro yacho nguva dzose ndeye - kwete.
Ichokwadi here kuti vakadzi vasina kubereka vanowanzove nekenza yemazamu? Ndeipi basa rekuyamwisa mukudzivirira? Lactation isimba rinodzivirira, asi haufaniri kubatanidzwa nekuyamwisa. Nguva yakanakisisa yekuyamwisa mudzimai nomwana ndeye mwedzi gumi nemashanu, zvisinei kuti mikana yekuwedzera huwandu hwehommone prolactin inowedzera. Inodzivisa kugadzirwa kweprogesterone, iyo inodzivirira vakadzi kubva pamagumisiro akanyanya e estrogens. Kuberekwa ndiyo nguva yakanaka mukudzivirira kurwara. Isu tinoziva: nguva refu mukadzi achidya mwana, iyo yakavimbika yakawanda muviri wake unodzivirirwa kubva kuchirwere.
Kuzviongorora kwakanaka kana nzvimbo ye psychosis?
Dhaka re psychosis. Iwe hauongorori mhepo yacho pachayo, asi itai iyo kune vanyori pa SRT. Zviri nani "kuratidza" chiremba. Takaitisa kuedza: 1, 2, 3 uye 5 cm mabhora akaiswa mukati mazamu kuvhara.Vabatanidzwa vekuedza, vachinzwa "chifuva" maererano nemazano emabhuku ekuzviongorora, vakawana "matumire" ane chidimbu chemasendimita matatu ne5. Hapana ainzwa chero "madumbu"! Chirwere chakaita mamita 3-5 cm - ichi chikamu chechina chekenza, yakanyanya kutorerwa. Mhedziso ndeyezvitsanangudzo.
Kubudirira kwekuzviongorora hakuna kubvumidzwa, asi, sezvinoratidzira zvinoratidza, kazhinji zviratidzo mubhokisi zvinowanikwa nevakadzi pachavo. Saka, ndinoda kukurudzira kuti vakadzi varambe vachitarisa pamusana pavo. Isu, muGermany, tine mafundo ekuzviongorora.
Chii chakashanduka mukurapa kweurwere mumakore mashanu kusvika ku10?
UUkraine yakagadziridza kuongororwa maitiro: pane zvidzidzo zvemajini uye iye-vatengesi, mitsva ye ultrasound nemammographe. Nezvevanokurudzira munyika yedu kune kukanganisa kunoramba kuripo kwavanoshandiswa kuti vasarudzire. Kuongororwa kutsvaga kuonekwa kwezvirwere kune kenza masero. Kana kusina kenza, ma antibodies, pamwe chete, zvakare. Nzira yacho inoshanda chete nokuda kwekuongororwa kwekudzokorora kana kushandiswa kwemitambo. Uyezve, pane dzimwe nguva pane zviitiko zvenhema zvekudzidza uku.
Mu chemotherapy yezvirwere zvinouraya, zvinodhaka zvinokuvadza kumasero masero chete zvakaonekwa. Kurapa kwakadaro kunonzi kunangwa, kureva kuti, "point". Ikozvino zvigadzirwa zvemishonga nemishonga yezvokurapa zvinowanzotarirwa mumasangano ezvokurapa ari oga. Izwi rekushanda harina kuchinja: muUkraine, kazhinji pamwe chete nechirwere, mazamu anobva abviswawo. Ndinoda kuona psycho-oncology ichibudirira munyika yedu - sayenzi inoongorora simba rehupenyu hwemukadzi pamusoro pekuonekwa kwechirwere uye inobatsira kukurira dambudziko mushure mokusiya kliniki.
Mushure mezvose, mukadzi anogara achiita tet-a-tet ane dambudziko rake, uye izvi zvinopedzisira zvichitarisa tarisiro yehupenyu mushure mekushanda. Mumakore achangobva kupfuura, kurapwa kwave kwakanyanya kunyanya, mumwe nomumwe. Vanachiremba veYunivhesiti Hospital Freiburg vanocherechedza maitiro mashomanana ehupenyu hwemurwere mumwe nomumwe. Zvichida mune ramangwana rava pedyo tichaita sarudzo yekuongorora, uye sarudza kana kana kwete murwere achida chemotherapi zvachose. Nhasi, mishonga yemakemikari inoshandiswa apo kenza yemasero inopinda mumakirini emakirini kana munyaya yemukadzi wechidiki.
Kanzera yepabonde inoporesa uye muna 80% yezviitiko zvinokwanisika kutaura pamusoro pekuporesa (kana chirwere chikaonekwa mune imwe nguva). Muzviitiko zvakawanda, tinochengetedza mazamu madzimai, kubviswa kwayo ikozvino kusingabatsiri. Zvimwe chete zvipembenene zvakasiyana-siyana panguva imwechete "mumakona" akasiyana emuviri. Kunyange kana chiremara chimwe chete chiri chekukura kwakakosha, nekubatsirwa kwepakutanga chemotherapy, tinogona kuderedza ushu hwayo uye tinozoita basa, kuchengeta chifuva.