Ukuhlolwa Okusha Kwegazi Kungase Kubikezele Umdlavuza Webele
-Delile
Ukuba nama-boobs akho agxishwe phakathi kwamapuleti ensimbi akuwona umqondo womuntu wokuzijabulisa, kepha ukuhlushwa umdlavuza webele kubi impela, okwenza ama-mammograms-okwamanje abe yindlela engcono kakhulu yokubona isifo esibulalayo-ububi obudingekayo. Kodwa lokho kungase kungabi njalo isikhathi eside. Ososayensi abavela e-University of Copenhagen basanda kumemezela ukuthi benze ukuhlolwa kwegazi okungabikezela ngokunembile amathuba okuthi uzothola umdlavuza webele eminyakeni emihlanu ezayo.
Yize noma zisindisa izimpilo ngokungangabazeki, ama-mammogram anezinkinga ezimbili ezinkulu kwabesifazane abaningi, kusho u-Elizabeth Chabner Thompson, MD, udokotela we-radiation oncologist owasungula i-Best Friends For Life, inhlangano ezinikele ekusizeni abesifazane ukuthi balulame kumdlavuza webele, ngemuva kokukhetha ukuba ne-prophylactic. i-mastectomy uqobo. Okokuqala, kunesici sokungakhululeki. Ukususa ingubo yakho phezulu nokuvumela abantu ongabazi baphathe enye yezingxenye zakho ezibucayi kakhulu emshinini kungaba buhlungu ngokwengqondo nangokomzimba kangangokuthi abesifazane bangakugwema ukuhlolwa ngokuphelele. Okwesibili, kunendaba yokunemba. I-World Health Organization ibika ukuthi i-mammography inembe ngamaphesenti angaba ngu-75 kuphela ekutholeni umdlavuza omusha futhi inezinga eliphezulu lemiphumela engelona iqiniso, okungaholela ekuhlinzweni okungadingekile. (Kungani Ukuhlinzwa Okuvimbela Okusha Kakhulu kuka-Angelina Jolie Pitt Kwakuyisinqumo Esilungile -Kwakhe.)
Ngokudonsa igazi okulula kanye nokunemba okungaphezu kwamaphesenti angu-80, ososayensi bathi lokhu kuhlola okusha kuzozixazulula zombili lezi zinkinga. Ubuchwepheshe bunqenqemeni-isivivinyo sisebenza ngokwenza iphrofayli yegazi emzimbeni kumuntu, kuhlaziywa izinkulungwane zamakhemikhali ahlukene atholakala egazini labo kunalokho kubheka i-biomarker eyodwa, indlela ukuhlolwa kwamanje okwenzayo ngayo. Okungcono nakakhulu, ukuhlolwa kungahlola ingozi yakho ngaphambi kokuba ube nomdlavuza. "Lapho inani elikhulu lezilinganiso ezifanele ezivela kubantu abaningi lisetshenziselwa ukuhlola ubungozi bezempilo-lapha umdlavuza webele-kudala imininingwane esezingeni eliphezulu kakhulu," kusho uRasmus Bro, PhD, uprofesa we-chemometric eMnyangweni Wezokudla eSayensi e-University of Copenhagen kanye noyedwa wabacwaningi abaholayo kuphrojekthi, ekukhululweni kwabezindaba. "Ayikho ingxenye eyodwa yephethini empeleni edingekile noma eyanele. Yiphethini yonke ebikezela umdlavuza."
Abaphenyi benza "umtapo wolwazi" wezinto eziphilayo ngokubambisana neDanish Cancer Society ukulandela abantu abangaphezu kuka-57,000 iminyaka engama-20. Bahlaziye amaphrofayili egazi abesifazane abanomdlavuza nangaphandle kwawo ukuze beze ne-algorithm yokuqala base beyihlola eqenjini lesibili labesifazane. Okutholwe kuzo zombili izifundo kugcizelele ukunemba okuphezulu kokuhlolwa. Yize kunjalo, uBro uyaqaphela ukuthi kufanele kwenziwe ucwaningo oluningi ezinhlotsheni ezahlukahlukene zabantu ngaphandle kwamaDanes. "Le ndlela ingcono kune-mammography, engasetshenziswa kuphela uma isifo sesivele senzekile. Ayiphelele, kepha kumangalisa ngempela ukuthi singabikezela iminyaka yomdlavuza webele esikhathini esizayo, "kusho u-Bro.
UThompson uthi ngenkathi abesifazane abaningi besaba izivivinyo zokubikezela, ukwazi ingozi yakho yomdlavuza webele ngokuhlolwa kofuzo, umlando womndeni, nezinye izindlela kungenye yezinto ezinamandla kakhulu ongazenza. "Sinezindlela ezimangalisayo zokuhlola kanye nokunquma ubungozi, futhi sinezinketho zokuhlinzwa nezokwelashwa zokunciphisa leyo ngozi," kusho yena. "Ngakho-ke noma uthola imiphumela emihle ngokuhlolwa, akusona isigwebo sentambo." (Funda ukuthi "Kungani Ngithole Uvivinyo Lwe-Alzheimer's.")
Ekugcineni, kumayelana nokusiza abesifazane ukuthi balawule impilo yabo, kusho uThompson. "Ukuhlolwa okusha namasu, ukuba nezinketho kuyakunika amandla." Kepha ngenkathi silinde ukuthi lokhu kuhlolwa kwegazi okusha kutholakale esidlangalaleni, uyanezela ukuthi kusenokuningi ongakwenza ukuhlola ubungozi bakho bomdlavuza webele, azikho izivivinyo zokwelashwa ezidingekayo. "Wonke umuntu wesifazane udinga ukwazi umlando wakhe! Thola ukuthi ngabe unaso yini isihlobo sokuqala esake saba nomdlavuza webele noma wesibeletho esemncane. Bese ubuza ngo-anti bakho kanye nabazala bakho." Uthi futhi uma usengozini enkulu kufanele wenze ukuhlolwa kofuzo lwe-BRCA futhi ukhulume nomeluleki wezofuzo. Uma unolwazi oluthe xaxa, uzokwazi ukuzinakekela kangcono. (Funda ngezimpawu zomdlavuza webele nokuthi ubani osengozini Ezintweni Eziyisi-6 Ongazi Ngomdlavuza Webele.)