Isifundo Esincane Sosuku Lomama: Ukuqapha Impilo Yomama

Usuku Lomama luyeza maduze. Ingabe usulungiselele umama wakho izibusiso zakho ngalolu suku olukhethekile? Ngenkathi uthumela izibusiso zakho, ungakhohlwa ukunakekela impilo kamama wakho! Namuhla, i-Bigfish ilungiselele umhlahlandlela wezempilo ozokufundisa ukuthi ungayivikela kanjani impilo kamama wakho.
Njengamanje, izimila eziyingozi ezinkulu zezifo zabesifazane ezinezinga eliphezulu lokutholakala kwabesifazane eChina umdlavuza wesibeletho, umdlavuza womlomo wesibeletho kanye nomdlavuza webele. Basongela kakhulu impilo nempilo yabesifazane. Izimbangela nezindlela zalezi zimila ezintathu zihlukile, kodwa zonke zihlobene nezakhi zofuzo, i-endocrine kanye nemikhuba yokuphila. Ngakho-ke, isihluthulelo sokuvimbela lezi zimila ukutholwa nokwelashwa kusenesikhathi, kanye nokuthatha izinyathelo zokuzivikela eziphumelelayo.

I-Ovarian Cancer

Umdlavuza wesibeletho yisimila esibulalayo esibulala kakhulu ohlelweni lokuzala kwabesifazane, esitholakala kakhulu kwabesifazane abangemva kokuya esikhathini. Izimpawu zakuqala azibonakali futhi ngokuvamile zibambezela ukuxilongwa. Ukuthuthukiswa komdlavuza we-ovarian kuhlobene nezici ezifana nefa, izinga le-estrogen, inani le-ovulation nomlando wokuzala. Ukuze uvimbele umdlavuza we-ovarian, kunconywa ukuba unake amaphuzu alandelayo:
-Ukuhlolwa okuvamile kwezifo zabesifazane, okuhlanganisa ukuhlolwa kwe-pelvic, ukuhlolwa kwe-ultrasound kanye nokuhlolwa kwe-tumor marker, ikakhulukazi emaqenjini asengozini enkulu enomlando womndeni womdlavuza wesibeletho noma ukuguqulwa kwezakhi zofuzo (isb. BRCA1 / 2), kufanele kuhlolwe minyaka yonke kusukela eminyakeni engu-30 noma 35.
- Nakani njalo ukuya esikhathini kanye nge-ovulation. Uma kunokuya esikhathini okungavamile noma ukuphuma emlonyeni, kufanele ufune iseluleko sezokwelapha ngokushesha ukuze ulawule izinga le-endocrine futhi ugweme ukukhuthazwa kwe-estrogen eyodwa yesikhathi eside.
- Lawula isisindo ngendlela efanele, gwema ukukhuluphala, futhi wandise ukuzivocavoca ukuze uthuthukise amazinga e-metabolic kanye namazinga e-estrogen aphansi.
- Khetha izindlela zokuvimbela inzalo ngokunengqondo futhi ugweme ukusebenzisa izinto zokuvimbela inzalo zomlomo ezine-estrogen noma izinto zokuvimbela inzalo ezifakelwayo, esikhundleni salokho khetha ukusebenzisa izinto zokuvimbela inzalo ezine-progestogen noma amakhondomu, njll.
- Khulisa isibalo sokuzalwa kanye nesikhathi sokuncelisa ibele ngendlela efanele, futhi unciphise inani lokuphuma kwamaqanda kanye nesikhathi sokuchayeka kwe-estrogen.
- Gwema ukuchayeka ezintweni ezinobuthi ne-carcinogenic ezifana ne-asbestos, izibulala-zinambuzane, odayi, njll.
- Ezigulini ezisengozini enkulu noma okutholwe ukuthi zinomdlavuza wesibeletho, cabangela i-prophylactic bilateral salpingo-oophorectomy noma ukwelapha okuhlosiwe (isb. I-PARP inhibitors) ngaphansi kokuqondisa kukadokotela.

Umdlavuza Womlomo wesibeletho

Umdlavuza womlomo wesibeletho ungenye yezifo ezivame kakhulu ezithinta uhlelo lokuzala lwabesifazane, ezenzeka kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Imbangela enkulu yomdlavuza womlomo wesibeletho ukutheleleka nge-human papillomavirus (HPV), igciwane elisakazwa ngokuthintana nocansi ngaphezu kwalokho. Izinhlobo ezingaphansi eziyi-100 ezihlukene, ezinye zazo ezaziwa nge-HPV enobungozi obukhulu futhi ezingabangela izinguquko ezingavamile kumaseli omlomo wesibeletho, ezingase zithuthuke zibe umdlavuza womlomo wesibeletho. Izinhlobo ze-HPV ezinobungozi kakhulu zihlanganisa izinhlobo 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58 kanye no-59. Phakathi kwazo, izinhlobo 16 no-18 yizona ezivame kakhulu, ezibalwa ngaphezu kuka-70% we wonke umdlavuza womlomo wesibeletho. Umdlavuza womlomo wesibeletho yisifo esingavinjelwa futhi eselaphekayo, futhi uma izilonda eziyingozi zingatholwa futhi zelashwe ngesikhathi, izinga lokushona komdlavuza womlomo wesibeletho lingancishiswa ngempumelelo. Indlela ephumelela kakhulu yokuvimbela umdlavuza womlomo wesibeletho ukugonyelwa i-HPV. Umgomo we-HPV ungavimbela ezinye izifo eziyingozi kakhulu ze-HPV futhi ngaleyo ndlela unciphise ingozi yomdlavuza womlomo wesibeletho. Njengamanje, imigomo emithathu ye-HPV igunyazelwe ukumakethwa e-China, okuyimithi yokugomela i-bivalent, i-quadrivalent kanye neyisishiyagalolunye. Phakathi kwawo, umuthi wokugomela i-HPV we-bivalent uhlose izifo ze-HPV16 kanye ne-HPV18 futhi ungavimbela u-70% womdlavuza womlomo wesibeletho. Umuthi wokugomela i-HPV we-quadrivalent awubandakanyi nje kuphela okubili kwe-bivalent, kodwa futhi i-HPV6 ne-HPV11, engavimbela ama-70% omdlavuza womlomo wesibeletho kanye nama-90% we-acromegaly. Umuthi wokugomela i-HPV onamazinga ayisishiyagalolunye, ngakolunye uhlangothi, uqondise izinhlobo ezingaphansi eziyisishiyagalolunye ze-HPV futhi ungavimbela ama-90% omdlavuza womlomo wesibeletho. Umuthi wokugoma uyanconywa kwabesifazane abaneminyaka engu-9-45 abangakaze batheleleke nge-HPV ngaphambilini. Ngaphezu kwalokhu, izinyathelo zokuvimbela ezilandelayo ziyatholakala kumdlavuza womlomo wesibeletho:
1. Ukuhlolelwa umdlavuza womlomo wesibeletho njalo. Ukuhlolwa komdlavuza womlomo wesibeletho kungathola izilonda eziyingozi zomlomo wesibeletho noma umdlavuza womlomo wesibeletho kusenesikhathi ukuze welashwe ngempumelelo ukugwema ukuqhubekela phambili kanye nokumetastases komdlavuza. Njengamanje, izindlela eziyinhloko zokuhlola umdlavuza womlomo wesibeletho ukuhlola i-HPV DNA, i-cytology (i-Pap smear) kanye nokuhlola okubukwayo nge-acetic acid staining (VIA). I-WHO incoma ukuhlolwa kwe-HPV DNA njalo eminyakeni emi-5-10 kwabesifazane abangaphezu kweminyaka engama-30 ubudala futhi, uma benayo, ukuhlolwa nokwelashwa. Uma ukuhlolwa kwe-HPV DNA kungatholakali, i-cytology noma i-VIA yenziwa njalo eminyakeni emi-3.
2. Naka inhlanzeko yomuntu siqu kanye nempilo yezocansi. Ukuhlanzeka komuntu siqu kanye nempilo yezocansi kungamathuluzi abalulekile okuvimbela ukutheleleka nge-HPV. Abesifazane bayelulekwa ukuba bashintshe izingubo zabo zangaphansi nezokulala njalo, bagqoke izingubo zangaphansi zikakotini eziphefumulayo nezinethezekile, futhi bagweme ukusebenzisa insipho, amafutha okugcoba nezinye izinto ezicasulayo ukuze bawashe isitho sangasese. Futhi, abesifazane bayelulekwa ukuthi balondoloze ukuzinza nokwethembeka kwabalingani babo bocansi, bagweme abalingani bocansi abaningi noma ucansi olungaphephile, futhi basebenzise amakhondomu nezinye izindlela zokuvimbela inzalo.
3. Yeka ukubhema nokuphuza ukuze uqinise amasosha omzimba. Ukubhema nokuphuza utshwala kungalimaza amasosha omzimba, kwehlise ukumelana ne-HPV futhi kwandise ingozi yomdlavuza womlomo wesibeletho. Ngakho-ke, abesifazane bayelulekwa ukuba bayeke ukubhema nokuphuza, balondoloze imikhuba emihle yokuphila, badle izithelo nemifino eyengeziwe okunothe ngamavithamini nemicu, futhi bavivinye umzimba ngendlela efanele ukuze bathuthukise ukuqina kwabo ngokomzimba.
4. Phatha ngenkuthalo izifo eziphathelene nezifo zabesifazane.

Umdlavuza Webele

Umdlavuza webele yisimila esiyingozi esivame kakhulu kwabesifazane, esithinta kakhulu impilo yabesifazane kanye nezinga lempilo. Izimpawu zayo zihlanganisa: izigaxa zamabele, ukungena kwengono, ukuchichima kwengono, ukushintsha kwesikhumba, ukwanda kwama-axillary lymph nodes kanye nobuhlungu bebele.
Ukuvimbela umdlavuza webele ikakhulukazi kuhlanganisa izici ezilandelayo:
I. Ukulawula isisindo nokudla

Ukukhuluphala ngokweqile kuyisici esiyingozi somdlavuza webele, ikakhulukazi kwabesifazane abangemva kokuya esikhathini. Ukukhuluphala ngokweqile kungaholela emazingeni e-estrogen aphakeme, kukhuthaze ukwanda kwamangqamuzana ebele futhi kwandise ingozi yomdlavuza webele. Ngakho-ke, ukugcina isisindo esinempilo nokugwema ukukhuluphala ngokweqile kuyisinyathelo esibalulekile sokuvimbela umdlavuza webele.
Mayelana nokudla, kunconywa ukudla ukudla okunothe ngamavithamini, amaminerali kanye nama-antioxidants, njengezithelo ezintsha, imifino, ubhontshisi namantongomane, okungaqinisa amasosha omzimba futhi kuvimbele umdlavuza. Ngesikhathi esifanayo, kuyadingeka ukuthi udle ukudla okuncane okunamafutha amaningi, okunekhalori, okunosawoti omningi, okuthosiwe, okugazingiwe nokunye okungenampilo, okungakhuphula ukukhiqizwa kwama-radicals mahhala emzimbeni, kulimaze i-DNA yamangqamuzana futhi kukhuthaze izinguquko zomdlavuza. .
2.ukuzivocavoca umzimba okulingene
Ukuvivinya umzimba kungathuthukisa ukujikeleza kwegazi, kukhuthaze umzimba, amazinga e-estrogen aphansi futhi kunciphise ithuba lokushukunyiswa kwe-estrogen yamangqamuzana ebele. Ukuzivocavoca kunganciphisa ukucindezeleka, kulawula imizwa futhi kuthuthukise ikhwalithi yengqondo, okuyinzuzo ekuvimbeleni umdlavuza webele.
Okungenani imizuzu engu-150 yokuqina okumaphakathi noma imizuzu engu-75 yokuzivocavoca kwe-aerobic okunamandla, njengokuhamba, ukugijima, ukubhukuda, ukuhamba ngebhayisikili, njll., kunconywa isonto ngalinye. Ngesikhathi esifanayo, kuyadingeka futhi ukwenza ukuqeqeshwa kwe-plyometric nokuguquguquka, njengokwenza ama-push-ups, ama-sit-ups, ukwelula, njll. Ukuzivocavoca kufanele kunake inani elifanele lokulinganisela, ukugwema ukucindezeleka nokulimala.
3.ukuhlolwa njalo
Kwabesifazane abanomlando womdlavuza emndenini, ukuhlolwa kofuzo komdlavuza kungenye yezindlela ezisebenzayo zokuvimbela umdlavuza. Umdlavuza ngokwawo awulona ufuzo, kodwa izakhi zofuzo ezisengozini yomdlavuza zingazuzwa njengefa. Ukuhlolwa kofuzo kunganquma cishe uhlobo lokuguqulwa kofuzo lwesimila esigulini ngokwaso. Ukuhlolwa kwamaqembu asengozini enkulu aphethe izakhi zofuzo eziguquliwe akukwazi nje ukubikezela ingozi yomdlavuza, kodwa futhi kwenza izinhlelo ezihlosiwe zokuphatha impilo zokuvimbela nokungenelela kusenesikhathi. Thatha umdlavuza webele njengesibonelo, u-15% kuya ku-20% weziguli ezinomdlavuza webele unomlando womndeni. Abantu abasengozini enkulu abanomkhuba wokuba nomlando womndeni wesimila bangacatshangelwa ukuze bathole ukuhlolwa okuqondile kokuvimbela umdlavuza. Inani elincane legazi le-venous lingadonswa, futhi noma liphethe izakhi zofuzo zokungenwa umdlavuza noma izakhi zofuzo zomshayeli zingatholwa cishe ezinsukwini eziyi-10 ngokuhlolwa kwe-fluorescent quantitative PCR noma ubuchwepheshe bokulandelana kwesizukulwane sesibili sezibonelo zegazi. Ezigulini ezitholwe ukuthi zinomdlavuza, ukuhlolwa kofuzo kungasiza ekwelapheni okunembile futhi kunqume ukuthi imithi yokwelapha ehlosiwe ingasetshenziswa yini. Ngokunjalo, ukuhlolwa kofuzo kuyadingeka ngaphambi kokuqhubeka ne-tumor immunotherapy ukuze kutholwe ukuthi isiguli siwufanelekela yini uhlobo lwe-immunotherapy.
Ngesikhathi soSuku Lomama, i-Bigfried Sequence ithanda ukufisela bonke omama emhlabeni impilo enhle. Dlulisela le-tweet kubangani bakho futhi ubhale phansi izifiso zakho ngomama wakho, thatha isithombe-skrini bese usithumela umlayezo oyimfihlo, sizokhetha ngokungahleliwe umngane ozothumela isipho soSuku Lomama sikamama wakho ngemva kweholide. Okokugcina, ungakhohlwa ukuthi "Amaholide Ajabulisayo" kumama wakho.