Kungani iHawaii Inesilinganiso Somdlavuza Wesikhumba Esiphansi Kakhulu eMelika?

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Noma nini lapho inhlangano yezempilo yembula izifundazwe ngezigameko eziphakeme kakhulu zomdlavuza wesikhumba, akumangazi kakhulu lapho indawo eshisayo eshisayo, unyaka wonke ifinyelela endaweni eseduze noma eseduze. (Sawubona, Florida.) Ini kuyinto Kuyamangaza-ke ukubona isimo esinjalo ezansi impela kohlu. Kodwa kwenzekile: Embikweni wakamuva wezeMpilo waseMelika ovela kwiBlue Cross Blue Shield Association (BCBSA), iHawaii ithole indawo ethandekayo abambalwa kakhulu ukuxilongwa komdlavuza wesikhumba.

Ngokwalo mbiko, obubukeza ukuthi mangaki amalungu eBlue Cross neBlue Shield atholakale enomdlavuza wesikhumba, kutholakale amaphesenti ayi-1.8 kuphela abantu baseHawaii. Lezi zihlanganisa i-basal cell carcinoma kanye ne-squamous cell carcinoma, izinhlobo ezimbili ezivame kakhulu zomdlavuza wesikhumba, kanye ne-melanoma, uhlobo olubulala kakhulu, ngokwe-American Academy of Dermatology (AAD).

Ukuqhathanisa, iFlorida yayinesibalo esiphezulu sokuxilongwa ngamaphesenti ayi-7.1.

Yini enikezayo? UShannon Watkins, MD, udokotela wesikhumba ozinze eNew York okhulele eHawaii, uthi indlela yokuphila idlala indima enkulu. “Ngithanda ukucabanga ukuthi, ukuhlala endaweni enelanga unyaka wonke, abantu baseHawaii bayakwazi ukubaluleka kokuvikelwa elangeni nokuvikela ilanga futhi bakwazi kangcono ukuvimbela ukushiswa yilanga,” usho kanje. "Ukukhula eHawaii, ukuvikelwa yilanga kanye nezingubo zokuvikela ilanga bekuyingxenye yokuphila kwansuku zonke kimi, emndenini wami, nakubangane." (I-PS: I-Hawaii ivimbela izinto zokuvikela ilanga zamakhemikhali ezilimaza izixhobo zayo zamakhorali.)

Kepha ngokuqinisekile izakhamizi zaseFlorida ziyazi ngokukhanya kwazo kwelanga, nazo. Ngakho-ke kungani lezi zifundazwe zombili zikleliswe ekugcineni ngakunye kwe-spectrum? Ubuzwe buyinto engenzeka, kusho uDkt. Watkins. "Baningi abantu base-Asiya naseziQhingini zasePacific eHawaii, kanti i-melanin, enika i-pigment esikhunjeni, ingasebenza njenge-sunscreen esakhelwe ngaphakathi," kuchaza yena.

Ukuthi othile une-melanin eningi akusho ukuthi baphephile kumdlavuza wesikhumba, noma kunjalo. Eqinisweni, i-AAD ibika ukuthi ezigulini ezinombala wesikhumba omnyama, umdlavuza wesikhumba uvame ukutholakala ngezigaba zawo zakamuva, okwenza kube nzima ukwelashwa. Ucwaningo luye lwabonisa nokuthi lezi ziguli mancane amathuba okuthi zingasinda kwi-melanoma kunaseCaucasus. Futhi umbiko wango-2014 ovela kuCenters for Disease Control and Prevention uthi uMbuso wase-Aloha ubenezigameko eziningi ezibikiwe ze-melanoma entsha kunesilinganiso sikazwelonke.

Ngokudabukisayo, esinye sezizathu sokuthi amazinga omdlavuza wesikhumba aphansi kakhulu kungenzeka ukuthi amaHawaii awahlolisiswa kangako, ngoba bacabanga ukuthi abasengozini encane. "Ngingakholwa ukuthi izinga lokuvakashela ehhovisi likadokotela wesikhumba ukuze ahlolwe njalo ngonyaka, nokuvikela isikhumba liphansi uma kuqhathaniswa nezindawo zezwe eziphakeme kakhulu ngezinhlobo zesikhumba ezikhanyayo," kusho uJeanine Downie, MD, i-New. Udokotela wesikhumba waseJersey kanye nochwepheshe wezokwelapha onikela kuZwivel. "Lokhu kungaziphambanisa izinombolo."

Kungakhathaliseki ukuthi uhlala kuphi nokuthi zingaki izimo zomdlavuza wesikhumba ezikhona ngempela, kuyacaca ukuthi izinto ezimbili ezibalulekile: ukuvikela ilanga nokuhlolwa komdlavuza wesikhumba okuvamile. Khumbula, umdlavuza wesikhumba umdlavuza ovame kakhulu e-United States, cishe abantu abayizi-9,500 XNUMX abatholakala bexilongwa nsuku zonke, ngokusho kwe-AAD. Kepha uma ibanjwa kusenesikhathi, i-basal cell kanye ne-squamous cell carcinomas iyelapheka kakhulu, futhi izinga lokusinda leminyaka emihlanu lokuthola i-melanoma (ngaphambi kokuba lisabalalele kuma-lymph node) lingamaphesenti angama-99.

Uma ungenayo umshuwalense wezempilo-noma udokotela wesikhumba ojwayelekile ukwenza ukuskena-ungabheka nezinkampani ezinikezela ngezinsizakalo zamahhala. I-Skin Cancer Foundation, ngokwesibonelo, ibambisene namaWalgreens ngokuya kwabo: Umkhankaso weSikhumba esinempilo, ukubamba ama-pop-ups weselula ngaphesheya kwe-U.S. Ahlinzeka ngokuhlolwa kwamahhala kusuka kudokotela wesikhumba. Futhi ungakhohlwa ngokuzihlola okujwayelekile-nansi isifundo ngesinyathelo ngesinyathelo sokuthi ungakwenza kanjani kahle, ngokuhlonishwa yi-Skin Cancer Foundation.

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