Amaphuzu avelele
Iziguli ezinomdlavuza nabasindile abathole imishanguzo efana ne-aromatase inhibitors, chemotherapy, therapy ye-hormone efana ne-Tamoxifen noma inhlanganisela yalokhu, basengozini enkulu yokwanda kwamathambo, okuyisimo esinciphisa ukuqina kwamathambo, okwenza kube ntekenteke. Ngakho-ke, ukuklama uhlelo lokwelashwa oluphelele kubandakanya ukuphathwa kahle kwamathambo eziguli ezinomdlavuza akunakugwenywa.
Ukuthuthuka kwakamuva ocwaningweni lomdlavuza kusizile ekwandiseni isibalo sabasindile bomdlavuza emhlabeni jikelele. Kodwa-ke, ngaphandle kwayo yonke intuthuko ekwelashweni komdlavuza, iningi labasindile kumdlavuza bagcina sebebhekene nemiphumela engemihle ehlukene yalezi zindlela zokwelapha. I-osteoporosis ingenye yemiphumela emibi yesikhathi eside ebonwa ezigulini zomdlavuza nakwabasindile abathole ukwelashwa okufana nokwelashwa ngamakhemikhali nokwelashwa kwamahomoni. I-osteoporosis yisimo sezokwelapha lapho kuncipha khona amathambo, okwenza ithambo libe buthakathaka futhi liphuke. Ucwaningo oluningi lukhombisa ukuthi iziguli nabasindile ezinhlotsheni zomdlavuza ezifana nomdlavuza webele, umdlavuza we-prostate kanye ne-lymphoma basengozini enkulu yokwanda kwamathambo.
Ukudla Okufanele Ukudla Ngemuva Kokuxilongwa Komdlavuza!
Akukho mdlavuza owodwa ofanayo. Dlulela ngale kwemihlahlandlela ejwayelekile yokudla kuwo wonke umuntu futhi wenze izinqumo ezenziwe ngezifiso ngokudla nezithasiselo ngokuzethemba.
Izifundo eziqhakambisa ubungozi be-Osteoporosis kwabasindile kwiCancer
Ocwaningweni oluholwa ngabaphenyi abavela e-Johns Hopkins Bloomberg School of Public Health, eBaltimore, e-United States, bahlole imvamisa yesifo se-osteoporosis kanye nesinye isimo sokulahleka kwamathambo esibizwa nge-osteopenia kwabangu-211 abasinde kumdlavuza webele. kusho iminyaka yobudala engama-47, futhi waqhathanisa imininingwane nabesifazane abangama-567 abangenawo umdlavuza. (UCody Ramin et al, Ucwaningo Lomdlavuza Webele, 2018Imininingwane esetshenziselwe lokhu kuhlaziywa itholwe ocwaningweni lwe-BOSS Study (Breast and Ovarian Surveillance Service) futhi yafaka imininingwane yabesifazane abanemininingwane yokuhlolwa kokulahleka kwamathambo. I-66% yabasindile bomdlavuza webele kanye ne-53% yabesifazane abangenalo umdlavuza beye bahlolwa ukuhlolwa kokulahleka kwamathambo ngesikhathi sokulandelela okulinganiselwa eminyakeni engu-5.8 kanye nezigameko eziyi-112 ze-osteopenia kanye / noma i-osteoporosis ezibikiwe. Abaphenyi bathole ukuthi bekukhona ubungozi obuphakeme kakhulu bokulahleka kwamathambo okungama-68% kwabasinde kumdlavuza webele uma kuqhathaniswa nabesifazane abangenawo umdlavuza. Ngokwengeziwe, abacwaningi babike nokutholakele okubalulekile okulandelayo kwesifundo:
- Abasinde kumdlavuza webele abatholwe beneminyaka engu- years 50 babe nemiphetho engu-1.98 eyanda ingozi ye-osteopenia ne-osteoporosis uma iqhathaniswa nabesifazane abangenawo umdlavuza.
- Abesifazane abanezicubu ze-ER-positive (estrogen receptor positive) banamaphaphu ayi-2.1 andise amathuba ezimo zokulahleka kwamathambo uma kuqhathaniswa nabesifazane abangenawo umdlavuza.
- Abasinde kumdlavuza webele abaphathwa ngenhlanganisela ejwayelekile ye-chemotherapy kanye nokwelashwa kwama-hormone babenobungozi obungu-2.7 ubungozi be-osteopenia kanye ne-osteoporosis uma kuqhathaniswa nabesifazane abangenawo umdlavuza.
- Abesifazane abatholakala benomdlavuza webele futhi belashwa ngenhlanganisela yamakhemikhali kanye ne-tamoxifen, i-hormone therapy esetshenziswa kabanzi yomdlavuza webele, babe nezibalo ezingama-2.48 ezandisa ubungozi bezimo zokulahleka kwamathambo uma kuqhathaniswa nabesifazane abangenawo umdlavuza.
- Abasinde kumdlavuza webele abaphethwe ngama-aromatase inhibitors anciphisa ukukhiqizwa kwe-estrogen, babe nama-fold angu-2.72 no-3.83 anda ubungozi be-osteopenia kanye ne-osteoporosis lapho belashwa bodwa noma behlanganiswe ne-chemotherapy, ngokulandelana, uma kuqhathaniswa nabesifazane abangenawo umdlavuza.
Ngamafuphi, ucwaningo luphethe ngokuthi kunengozi eyengeziwe yezimo zokulahleka kwamathambo kulabo abasinde kumdlavuza webele abasebancane, abane-ER (estrogen receptor) -izicubu ezinhle, belashwa ngama-aromatase inhibitors kuphela, noma inhlanganisela ye-chemotherapy kanye ne-aromatase inhibitors noma i-tamoxifen. (UCody Ramin et al, Ucwaningo Lomdlavuza Webele, 2018)
Kwesinye isifundo somtholampilo, idatha evela ezigulini ezingama-2589 zaseDenmark, ezitholwe zine-B-cell lymphoma enkulu noma i-follicular lymphoma, ejwayele ukuphathwa ngama-steroids afana ne-prednisolone, phakathi kuka-2000 no-2012 kanye nezihloko zokulawula eziyi-12,945 zahlaziywa ngezimo zokulahleka kwamathambo. Imiphumela ikhombise ukuthi iziguli ze-lymphoma zazinengozi eyengeziwe yezimo zokulahleka kwamathambo uma kuqhathaniswa nokulawulwa, kanti izingozi zeminyaka emi-5 kanye nezingu-10 zokuqongelela ezibikwe njenge-10.0% kanye ne-16.3% yeziguli ze-lymphoma uma kuqhathaniswa no-6.8% no-13.5% wokulawulwa. (UBaech J et al, uLeuk Lymphoma., 2020)
Zonke lezi zifundo zisekela iqiniso lokuthi ayanda amathuba okuba ne-osteoporosis ezigulini ezinomdlavuza kanye nabasindile abalandela ukwelashwa okuhlukile komdlavuza. Izindlela zokwelapha umdlavuza zivame ukukhethwa ngenhloso yokuthuthukisa amazinga okusinda, ngaphandle kokunikeza ukubaluleka kumthelela wazo olimazayo empilweni yamathambo. Okubalulekile ukuthi, ngaphambi kokuqala ukwelashwa, kubalulekile ukufundisa iziguli ezinomdlavuza ngemiphumela emibi engaba khona yalezi zindlela zokwelapha empilweni yazo yamathambo futhi kufaka phakathi uhlelo oluphelele lokwelapha umdlavuza oluhlanganisa nokuphathwa okuphelele kwempilo yamathambo. umdlavuza iziguli.
Ukudla okudlayo nokuthi yikuphi okunezelayo okwenzayo yisinqumo osithathayo. Isinqumo sakho kufanele sifake ukucutshungulwa kwezakhi zofuzo zomdlavuza, okuwumdlavuza, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imininingwane yokuphila, isisindo, ubude nemikhuba.
Ukuhlelela okunomsoco komdlavuza kusuka ku-addon akususelwa ekusesheni kwe-inthanethi. Kwenzela wena ukuthathela izinqumo ngokuya ngesayensi yamangqamuzana eyenziwe ososayensi bethu nonjiniyela be-software. Kungakhathalekile ukuthi ngabe uyakukhathalela ukuqonda okuyisisekelo kwamakhemikhali amakhemikhali noma cha - wokuhlelela umsoco ukuhlela lokho kudinga ukuqonda.
Qalisa MANJE ngokuhlela kwakho okunomsoco ngokuphendula imibuzo egameni lomdlavuza, ukuguquka kwezakhi zofuzo, ukwelashwa okuqhubekayo kanye nezithasiselo, noma yikuphi ukungezwani komzimba, imikhuba, indlela yokuphila, iqembu lobudala nobulili.
Ukudla Okungokwakho Komdlavuza!
Umdlavuza uyashintsha ngokuhamba kwesikhathi. Enza ngendlela oyifisayo futhi uguqule umsoco wakho ngokusekelwe kunkomba yomdlavuza, ukwelashwa, indlela yokuphila, okuncamelayo kokudla, izinto ezingakuphathi kahle nezinye izici.
Iziguli ezinomdlavuza ngokuvamile kufanele zibhekane nokuhlukile imiphumela emibi ye-chemotherapy okuthinta ikhwalithi yempilo yabo futhi babheke ezinye izindlela zokwelapha umdlavuza. Ukuthatha ukudla okunomsoco nezithasiselo ezisuselwa ekucabangeni kwesayensi (ukugwema ukuqagela nokukhetha okungahleliwe) ikhambi lemvelo elingcono kakhulu umdlavuza kanye nemiphumela engemihle ehlobene nokwelashwa.