Kuwonjezeka Kowopsa Kwa Matenda a Mtima Omwe Amapulumuka Khansa Ya m'mawere

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Pali chiopsezo chowonjezeka cha kulephera kwa mtima / matenda mwa omwe adatsala ndi khansa ya m'mawere, patadutsa zaka zingapo atapezeka kuti ali ndi khansa (chithandizo chamankhwala chamtundu wautali). Khansara ya m'mimba odwala ayenera kuphunzitsidwa za zotsatira zoipa zimene khansa mankhwala monga radiotherapy ndi chemotherapy amatha kukhala ndi thanzi lawo lamtima.

Khansa ya m'mawere akuti ndiyachiwiri kutsogolera kufa kwa khansa kwa amayi mu 2020. Ndi kupita patsogolo kwaposachedwa kwamankhwala ndi kuzindikira koyambirira, kuchuluka kwa kufa kwa khansa ya m'mawere kwatsika ndi 40% kuyambira 1989 mpaka 2017 ndikuwonjezera kwambiri kuchuluka kwa Omwe apulumuka khansa (American Cancer Society, 2020). Komabe, kafukufuku wosiyanasiyana akuti chiopsezo chowonjezeka cha matenda opatsirana ndi khansa omwe adapulumuka khansa, patadutsa zaka zingapo atazindikira ndikuchiritsidwa. Pali umboni wochuluka wa matenda omwe si a khansa monga matenda amtima ndi matenda am'magazi omwe amachititsa kuti anthu ambiri amwalire ndi khansa ya m'mawere / opulumuka, omwe kale amathandizidwa ndi radiotherapy kapena chemotherapy (Bansod S et al, Chithandizo cha Khansa ya M'mawere. 2020; Ahmed M. Afifi et al, Khansa, 2020).

Kafukufuku akuwonetsa chiwopsezo chowonjezeka cha Matenda a Mtima mwa Opulumuka Khansa ya M'mawere

Ndi kuchuluka kwa mabere khansa opulumuka, ofufuza aku Korea ochokera ku SMARTSHIP Gulu (Study of Multi-Disciplinary Teamwork for Breast Cancer Survivorship), adachita kafukufuku wapadziko lonse lapansi kuti awone kuchuluka kwa zomwe zimachitika komanso zoopsa zomwe zimakhudzidwa ndi kulephera kwamtima kwamtima (CHF) mwa odwala khansa ya m'mawere omwe adapulumuka. patatha zaka 2 atapezeka ndi khansa (Lee J et al, Khansa, 2020). Congestive mtima kulephera ndichikhalidwe chomwe chimachitika pomwe mtima sungathe kupopa magazi mozungulira thupi moyenera. Kafukufukuyu adachitika ndi National Health Information Database yaku South Korea ndipo adaphatikizapo zambiri kuchokera kwa anthu 91,227 omwe adapulumuka ndi khansa ya m'mawere komanso kuwongolera 273,681 pakati pa Januware 2007 ndi Disembala 2013. Ofufuzawo adapeza kuti kuwopsa kwa kulephera kwa mtima kumakhala kovuta khansa ya m'mawere. opulumuka, makamaka kwa omwe apulumuka achichepere azaka zosakwana 50, kuposa zowongolera. Anapezanso kuti opulumuka khansa omwe kale amathandizidwa ndi mankhwala a chemotherapy monga anthracyclines (epirubicin kapena doxorubicin) ndi ma taxi (docetaxel kapena paclitaxel) adawonetsa chiopsezo chachikulu cha matenda amtima (Lee J et al, Khansa, 2020).

Pakafukufuku wina wofalitsidwa ndi ofufuza ochokera ku Paulista State University (UNESP), Sao Paulo, Brazil, adayerekezera chifuwa cha 96 cha postmenopausal opulumuka khansa omwe anali azaka zopitilira 45 ndi azimayi 192 omwe atha msinkhu omwe sanakhale ndi khansa ya m'mawere, kuti awone zomwe zimawopsa chifukwa cha mavuto amtima mwa omwe adapulumuka khansa ya m'mawere. Ofufuzawo adazindikira kuti amayi omwe amwalira ndi khansa ya m'mawere omwe amapulumuka khansa ya m'mawere anali ndi ubale wamphamvu ndi zomwe zimayambitsa matenda amtima komanso kunenepa kwambiri m'mimba poyerekeza ndi azimayi omwe atha msambo omwe alibe mbiri ya khansa ya m'mawere (Buttros DAB et al, Kusamba Kwa Mwezi, 2019).

Malinga ndi kafukufuku wofalitsidwa ndi Dr Carolyn Larsel ndi gulu lochokera ku Mayo Clinic, Rochester, United States, kutengera khansa ya m'mawere ya 900+ kapena odwala lymphoma ochokera ku Olmsted County, MN, United States, zidapezeka kuti khansa ya m'mawere ndi odwala lymphoma anali atadwala chiwopsezo chowonjezeka chakulephera kwamtima pambuyo pa chaka choyamba chazomwe zidapitilira zaka 20. Kuphatikiza apo, odwala omwe amathandizidwa ndi Doxorubicin anali ndi chiwopsezo chowirikiza kawiri cha kulephera kwa mtima poyerekeza ndi mankhwala ena (Carolyn Larsen et al, Journal of the American College of Cardiology, Marichi 2018).

Zomwe zapezazi zikutsimikizira kuti mankhwala ena a khansa ya m'mawere amatha kuonjezera chiopsezo chokhala ndi vuto la mtima ngakhale zaka zingapo atalandira chithandizo (nthawi yayitali ya chemotherapy side effect). Mfundo yaikulu ndi yakuti, odwala khansa ya m'mawere ayenera kulangizidwa pazovuta zomwe mankhwala ambiri omwe alipo panopa angakhale nawo pa thanzi lawo lamtima. Mankhwala osiyanasiyana a chemo omwe amagwiritsidwa ntchito pa khansa ya m'mawere amatha kukhala oopsa kumtima ndikuchepetsa mphamvu yakupopa kwa mtima pomwe ma radiation ndi mankhwala ena amatha kuyambitsa mabala amtima, zomwe zimabweretsa mavuto akulu amtima. Chifukwa chake, panthawi komanso pambuyo pochiza khansa ya m'mawere, m'pofunika kuyang'anitsitsa thanzi la amayi omwe adapezeka ndi chifuwa chachikulu. khansa ndipo yang'anani zizindikiro zilizonse za kulephera kwa mtima.

Chakudya chomwe mumadya komanso chomwe chimakupatsani thanzi ndi chisankho chomwe mumapanga. Lingaliro lanu liyenera kuphatikizapo kulingalira za kusintha kwa majini a khansa, khansa, chithandizo chamankhwala chopitilira muyeso, zovuta zilizonse, zidziwitso za moyo, kulemera, kutalika ndi zizolowezi.

Kukonzekera kwa khansa kuchokera ku addon sikudalira pakusaka kwa intaneti. Zimakusankhirani zomwe mungasankhe malinga ndi sayansi yamayendedwe omwe asayansi athu ndi akatswiri a mapulogalamu. Mosasamala kanthu kuti mumasamala kumvetsetsa zomwe zimayambira zamagulu am'thupi kapena ayi - pakukonzekera zakudya za khansa kumvetsetsa kumafunikira.

Yambirani TSOPANO ndikukonzekera zakudya zanu poyankha mafunso okhudzana ndi khansa, kusintha kwa majini, mankhwala opitilira muyeso ndi zowonjezera, chifuwa chilichonse, zizolowezi, moyo, gulu la zaka komanso jenda.

Odwala khansa nthawi zambiri amakhala ndi zovuta zosiyanasiyana chemotherapy mavuto zomwe zimakhudza moyo wawo ndikuyang'ana njira zina zochiritsira khansa. Kutenga chakudya choyenera ndi zowonjezera zowonjezera kutengera zomwe asayansi amalingalira (kupewa kuyerekezera ndi kusankha mwachisawawa) ndiye njira yabwino kwambiri yachilengedwe ya khansa ndi zovuta zina zokhudzana ndi chithandizo.

• Chemotherapy ndi zoyipa zake mu khansa
• Zovuta Za Chithandizo Chaukali mwa Omwe Apulumuka Khansa Yaubwana - Kuopsa Kwa Zovuta Zam'mapapo
• Opulumuka Khansa Yaubwana Amathandizidwa ndi Chemotherapy Ali Ndi Chiwopsezo Chambiri Chotsatira Khansa
• Kugwiritsa Ntchito Zakudya Zosinthidwa ndi Kuopsa kwa Khansa
• Chakudya Chamtundu Wokha cha Khansa ya M'mawere ya Metastatic