Usuku looMama luza kufika kungekudala. Ngaba uzilungiselele iintsikelelo zakho kumama wakho ngolu suku lukhethekileyo? Ngelixa uthumela iintsikelelo zakho, ungalibali ukunyamekela impilo kamama wakho! Namhlanje, iBigfish ilungiselele isikhokelo sempilo esiza kukubonisa indlela yokukhusela impilo kamama wakho.
Okwangoku, iithumba eziphambili zezifo zabasetyhini ezinezinga eliphezulu lokwanda kwabasetyhini eTshayina ngumhlaza wesibeleko, umhlaza womlomo wesibeleko kunye nomhlaza webele. Zisongela kakhulu impilo nobomi babasetyhini. Izizathu kunye neendlela ezisetyenziswa ngayo ezi thumba zintathu zahlukile, kodwa zonke zinxulumene nemfuza, i-endocrine kunye nemikhwa yokuphila. Ke ngoko, isitshixo sokuthintela ezi thumba kukufumanisa nonyango kwangethuba, kunye nokuthatha amanyathelo okuthintela asebenzayo.
Umhlaza we-Ovarian
Umhlaza wesibeleko sesona simila sibulalayo kakhulu kwinkqubo yokuzala yabasetyhini, esihlala senzeka kubafazi abasele beyekile ukuya exesheni. Iimpawu zokuqala azibonakali kwaye zihlala zilibazisa ukuxilongwa. Uphuhliso lomhlaza wesibeleko lunxulumene nezinto ezifana nofuzo, inqanaba le-estrogen, inani le-ovulation kunye nembali yokuzala. Ukuze kuthintelwe umhlaza wesibeleko, kucetyiswa ukuba kuqwalaselwe la manqaku alandelayo:
-Uvavanyo oluqhelekileyo lwezifo zabasetyhini, oluquka uvavanyo lwe-pelvic, uvavanyo lwe-ultrasound kunye novavanyo lwe-tumor marker, ingakumbi kumaqela asengozini enkulu anembali yosapho yomhlaza wesibeleko okanye utshintsho lwezakhi zofuzo (umz. i-BRCA1/2), kufuneka luhlolwe minyaka le ukususela kwiminyaka engama-30 okanye engama-35 ubudala.
- Nika ingqalelo kwindlela eyenzeka ngayo rhoqo ukuya exesheni kunye nokukhutshwa kweqanda. Ukuba kukho ukuya exesheni okungaqhelekanga okanye ukuqho ...
- Lawula ubunzima ngokufanelekileyo, phepha ukutyeba kakhulu, kwaye wongeze umthambo ukuze uphucule amanqanaba e-metabolic kunye namanqanaba e-estrogen aphantsi.
- Khetha iindlela zokuthintela ukukhulelwa ngokufanelekileyo kwaye uphephe ukusebenzisa izithinteli zokukhulelwa ezithathwe ngomlomo ezine-estrogen okanye izixhobo zokuthintela ukukhulelwa ezinokufakelwa, endaweni yoko khetha ukusebenzisa izithinteli zokukhulelwa ezine-progestogen okanye iikhondom, njl.
- Yandisa inani lokuzala kunye nexesha lokuncancisa ngokufanelekileyo, kwaye unciphise inani lokukhupha amaqanda kunye nexesha lokuvezwa kwe-estrogen.
- Kuphephe ukuvezwa kwizinto ezinobuthi nezibangela umhlaza ezifana ne-asbestos, izibulali-zinambuzane, iidayi, njl.
- Kwizigulane ezisengozini enkulu okanye eziye zafunyaniswa zinomhlaza wesibeleko, cinga nge-prophylactic bilateral salpingo-oophorectomy okanye unyango olujoliswe kulo (umz. i-PARP inhibitors) phantsi kwesikhokelo sikagqirha.
Umhlaza woMlomo
Umhlaza womlomo wesibeleko yenye yezona zifo zixhaphakileyo kwinkqubo yokuzala yabasetyhini, eyenzeka kakhulu kubasetyhini abaphakathi kweminyaka engama-30 ukuya kwengama-50. Eyona nto ibangela umhlaza womlomo wesibeleko kusulelo lwe-human papillomavirus (HPV), intsholongwane edluliselwa ngokunxibelelana ngokwesondo neentlobo ezahlukeneyo ezingaphezu kwe-100, ezinye zazo ezaziwa ngokuba yi-HPV enobungozi obukhulu kwaye zinokubangela utshintsho olungaqhelekanga kwiiseli zomlomo wesibeleko, ezinokuthi emva koko zibe ngumhlaza womlomo wesibeleko. Iintlobo ze-HPV ezinobungozi obukhulu ziquka iintlobo ze-16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58 kunye ne-59. Phakathi kwazo, iintlobo ze-16 kunye ne-18 zezona zixhaphakileyo, ezibalelwa ngaphezu kwe-70% yazo zonke iintlobo zomhlaza womlomo wesibeleko. Umhlaza womlomo wesibeleko sisifo esinokuthintelwa kwaye sinyangeke, kwaye ukuba izilonda ezingaphambi komhlaza zinokufunyanwa kwaye zinyangwe ngexesha, ukwanda kunye nezinga lokufa komhlaza womlomo wesibeleko kunokuncitshiswa ngempumelelo. Eyona ndlela isebenzayo yokuthintela umhlaza womlomo wesibeleko kukugonywa kwe-HPV. Ugonyo lwe-HPV lunokuthintela ezinye izifo ze-HPV ezinobungozi obukhulu kwaye ngaloo ndlela lunciphise umngcipheko womhlaza womlomo wesibeleko. Okwangoku, kuvunyelwene ngemithi emithathu ye-HPV ukuba ithengiswe eTshayina, ethi imijovo ye-bivalent, i-quadrivalent kunye ne-nine-valent. Phakathi kwayo, ugonyo lwe-bivalent HPV lujolise kwizifo ze-HPV16 kunye ne-HPV18 kwaye lunokuthintela i-70% yomhlaza womlomo wesibeleko. Ugonyo lwe-quadrivalent HPV alugubungeli kuphela ezimbini ezi-bivalent, kodwa lukwagubungela ne-HPV6 kunye ne-HPV11, ezinokuthintela i-70% yomhlaza womlomo wesibeleko kunye ne-90% ye-acromegaly. Ugonyo lwe-nine-valent HPV, kwelinye icala, lujolise kwiintlobo ezincinci ze-HPV ezilithoba kwaye lunokuthintela i-90% yomhlaza womlomo wesibeleko. Ugonyo lucetyiswa kubasetyhini abaneminyaka eyi-9-45 abangosulelwanga yi-HPV ngaphambili. Ukongeza koku, la manyathelo okuthintela alandelayo ayatholakala kumhlaza womlomo wesibeleko:
1. Ukuhlolwa rhoqo komhlaza wesibeleko. Ukuhlolwa komhlaza wesibeleko kunokubona izilonda zomlomo wesibeleko ezingaphambi komhlaza okanye umhlaza wesibeleko kwangethuba ngexesha elifanelekileyo ukuze kufumaneke unyango olusebenzayo ukuze kuthintelwe ukuqhubeka nokukhula komhlaza. Okwangoku, iindlela eziphambili zokuhlolwa komhlaza wesibeleko kukuhlolwa kwe-HPV DNA, i-cytology (i-Pap smear) kunye nokuhlolwa ngokubonakalayo nge-acetic acid staining (VIA). I-WHO icebisa uvavanyo lwe-HPV DNA rhoqo emva kweminyaka emi-5-10 kubasetyhini abangaphezu kweminyaka engama-30 ubudala, kwaye ukuba kukho i-positive, i-triage kunye nonyango. Ukuba uvavanyo lwe-HPV DNA alufumaneki, i-cytology okanye i-VIA yenziwa rhoqo emva kweminyaka emi-3.
2. Nika ingqalelo kucoceko lomntu kunye nempilo yesondo. Ucoceko lomntu kunye nempilo yesondo zizixhobo ezibalulekileyo zokuthintela usulelo lwe-HPV. Abafazi bayacetyiswa ukuba batshintshe iimpahla zabo zangaphantsi kunye neebhedi rhoqo, banxibe iimpahla zangaphantsi zekotoni eziphefumlayo nezikhululekileyo, kwaye baphephe ukusebenzisa isepha, iiloshini, kunye nezinye izinto ezicaphukisayo ukuhlamba i-vulva. Kwakhona, abafazi bayacetyiswa ukuba bagcine uzinzo kunye nokuthembeka kwamaqabane abo esondo, baphephe amaqabane amaninzi esondo okanye isondo esingakhuselekanga, kwaye basebenzise iikhondom kunye nezinye iindlela zokuthintela ukukhulelwa.
3. Yeka ukutshaya nokusela ukuze uqinise amasosha omzimba. Ukutshaya nokusela utywala kunokonakalisa amasosha omzimba, kunciphise ukumelana nosulelo lwe-HPV kwaye kwandise umngcipheko womhlaza womlomo wesibeleko. Ke ngoko, abafazi bayacetyiswa ukuba bayeke ukutshaya nokusela, bahlale bephila ubomi obulungileyo, batye iziqhamo nemifuno etyebileyo kwiivithamini kunye neefayibha, kwaye benze umthambo ngokufanelekileyo ukuze baphucule impilo yabo yomzimba.
4. Nyanga ngenkuthalo izifo ezinxulumene nokuzala.
Umhlaza webele
Umhlaza webele lolona hlobo luxhaphakileyo lwethumba elibi kubasetyhini, elichaphazela kakhulu impilo yabasetyhini kunye nomgangatho wobomi babo. Iimpawu zalo ziquka: amaqhuma ebele, ukuvaleka kweengono, ukuphuphuma kweengono, utshintsho lolusu, ukwanda kwee-lymph nodes ze-axillary kunye nentlungu yebele.
Ukuthintela umhlaza webele kubandakanya ikakhulu ezi zinto zilandelayo:
I. Ukulawula ubunzima kunye nokutya
Ukutyeba kakhulu yinto ebangela umhlaza wamabele, ingakumbi kubasetyhini asele beyekile ukuya exesheni. Ukutyeba kakhulu kunokukhokelela kumanqanaba aphezulu e-estrogen, kukhuthaze ukwanda kweeseli zamabele kwaye kwandise umngcipheko womhlaza wamabele. Ke ngoko, ukugcina ubunzima obusempilweni kunye nokuphepha ukutyeba kakhulu yindlela ebalulekileyo yokuthintela umhlaza wamabele.
Ngokuphathelele ukutya, kucetyiswa ukuba utye ukutya okuninzi okutyebileyo kwiivithamini, iiminerali kunye nee-antioxidants, ezifana neziqhamo ezintsha, imifuno, iimbotyi kunye namandongomane, okunokuqinisa amasosha omzimba kwaye kuxhathise umhlaza. Kwangaxeshanye, kuyimfuneko ukutya ukutya okunamafutha amaninzi, iikhalori eziphezulu, ityuwa ephezulu, okuqhotsiweyo, okuthosiweyo kunye nokunye ukutya okungenampilo, okunokunyusa imveliso yee-free radicals emzimbeni, konakalisa i-DNA yeseli kwaye kukhuthaze utshintsho lomhlaza.
2. umthambo ophakathi
Ukuzilolonga kunokuphucula ukujikeleza kwegazi, kukhuthaze imetabolism, kunciphise amanqanaba e-estrogen kwaye kunciphise amathuba okuvuselelwa kwe-estrogen kwiiseli zebele. Ukuzilolonga kunokunciphisa uxinzelelo, kulawule iimvakalelo kwaye kuphucule umgangatho wengqondo, nto leyo eluncedo ekuthinteleni umhlaza webele.
Kucetyiswa ubuncinane imizuzu eli-150 yokuqina okuphakathi okanye imizuzu engama-75 yokuzivocavoca ngamandla aphezulu, njengokuhamba, ukubaleka, ukudada, ukukhwela ibhayisekile, njl.njl., veki nganye. Kwangaxeshanye, kuyimfuneko ukwenza uqeqesho oluthile lwe-plyometric kunye nokuguquguquka, olufana nokwenza ii-push-ups, i-sit-ups, ukolula, njl.njl. Ukuzivocavoca kufuneka kuthathelwe ingqalelo kubungakanani obufanelekileyo bokuqiniswa okuphakathi, ukuze kuthintelwe ukudinwa kakhulu kunye nokwenzakala.
3. Ukuhlolwa rhoqo
Kwabasetyhini abanembali yomhlaza kwintsapho, uvavanyo lwemfuza lomhlaza yenye yeendlela ezisebenzayo zokuthintela umhlaza. Umhlaza ngokwawo awulofuzo, kodwa ii-genes ezithintela umhlaza zinokufunyanwa njengelifa. Uvavanyo lwemfuza lunokumisela uhlobo lotshintsho lwemfuza ye-tumor kwisigulana ngokwaso. Uvavanyo lwamaqela asemngciphekweni ophezulu aphethe ii-genes eziguquliweyo alunakuxela nje kuphela umngcipheko womhlaza, kodwa lukwaqulunqa izicwangciso zolawulo lwempilo ezijolise ekuthinteleni kwangethuba kunye nokungenelela. Thatha umhlaza webele njengomzekelo, i-15% ukuya kwi-20% yezigulana ezinomhlaza webele zinembali yosapho. Abantu abasemngciphekweni ophezulu abanembali yosapho ye-tumor banokuqwalaselwa ukuze bahlolwe umhlaza ngokuchanekileyo. Inani elincinci legazi elinomhlaza lingatsalwa, kwaye nokuba lithwala ii-genes ezithintela umhlaza okanye ii-genes eziqhubayo zinokufunyanwa kwiintsuku ezili-10 ngovavanyo lwe-PCR olune-fluorescent okanye iteknoloji yokulandelelana kwesizukulwana sesibini kwiisampuli zegazi. Kwizigulana ezifunyaniswe zinomhlaza, uvavanyo lwemfuza lunokunceda kunyango oluchanekileyo kwaye lumisele ukuba amayeza onyango ajoliswe kuwo angasetyenziswa na. Ngokufanayo, uvavanyo lwemfuza luyimfuneko ngaphambi kokuba kuqhutyekwe ne-immunotherapy ye-tumor ukumisela ukuba isigulana sifanelekile na kwirejimeni ye-immunotherapy.
Ngomhla woSuku looMama, iBigfried Sequence ingathanda ukunqwenelela bonke oomama kwihlabathi liphela impilo entle. Thumela le tweet kubahlobo bakho kwaye ubhale phantsi iminqweno yakho ngomama wakho, thatha umfanekiso-skrini kwaye usithumelele umyalezo wabucala, siza kukhetha umhlobo oza kumthumelela isipho soSuku looMama emva kweholide. Okokugqibela, ungalibali ukuthi "Iiholide ezimnandi" kumama wakho.

Ixesha lokuthumela: Meyi-14-2023
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