Ruzivo Rwose Pamusoro Pegomarara Remudumbu
Gomarara remudumbu (gomarara remudumbu) chirwere chinoumba masero akaipa (cancer) mudumbu.
Dumbu inhengo yakaita saJ iri kumusoro kwedumbu.Icho chikamu chegadziriro yekugaya, iyo inoshandisa kudya (mavhitamini, zvicherwa, makabhohaidhiretsi, mafuta, mapuroteni, nemvura) muzvokudya zvinodyiwa uye zvinobatsira kubvisa tsvina kunze kwemuviri.Chikafu chinofamba kubva pahuro kuenda mudumbu nemuchubhu ine mhasuru inonzi gurokuro.Mushure mekubva mudumbu, chikamu-chakagayiwa chikafu chinopinda mudumbu mudiki uye ipapo mumukati mahombe.
Gomarara remudumbu ndizvowechinagomarara rinonyanya kuitika munyika.
Kudzivirira gomarara remudumbu
Izvi zvinotevera zvinogona kukonzera gomarara remudumbu:
1. Zvimwe zvirwere
Kuve nechero yeanotevera mamiriro ekurapa anogona kuwedzera njodzi yekenza yemudumbu:
- Helicobacter pylori (H. pylori) chirwere chemudumbu.
- Intestinal metaplasia (mamiriro ezvinhu umo masero anotenderera mudumbu anotsiviwa nemaseru anowanzo kurongedza ura).
- Chronic atrophic gastritis (kuonda kwemukati medumbu kunokonzerwa nekuzvimba kwenguva refu kwemudumbu).
- Pernicious anemia (rudzi rweanemia runokonzerwa nekushaikwa kwevhitamini B12).
- Mudumbu (gastric) polyps.
2. Mamwe mageneti ezvinhu
Genetic mamiriro anogona kuwedzera njodzi yekenza yemudumbu muvanhu vane chero cheicho chinotevera:
- Amai, baba, hanzvadzi, kana mukoma ane gomarara remudumbu.
- Type A ropa.
- Li-Fraumeni syndrome.
- Familial adenomatous polyposis (FAP).
- Hereditary nonpolyposis colon cancer (HNPCC; Lynch syndrome).
3. Kudya
Ngozi yegomarara remudumbu inogona kuwedzera muvanhu vano:
- Idya kudya kwakaderera mumichero nemiriwo.
- Idya chikafu chine munyu kana kusvuta.
- Idya zvokudya zvisina kubikwa kana kuchengetwa sezvazvinofanira kuitwa.
4. Zvikonzero zvezvakatipoteredza
Zvinhu zvakatipoteredza zvinogona kuwedzera njodzi yegomarara remudumbu zvinosanganisira:
- Kuiswa pachena nemwaranzi.
- Kushanda muindasitiri yerabha kana marasha.
Ngozi yegomarara remudumbu inowedzerwa muvanhu vanobva kunyika dzine gomarara remudumbu.
Izvi zvinotevera zvinhu zvinodzivirira zvinogona kuderedza njodzi yegomarara remudumbu:
1. Kurega kusvuta
Ongororo dzinoratidza kuti kusvuta kwakabatana nenjodzi yakawedzera yegomarara remudumbu.Kurega kusvuta kana kusamboputa kunoderedza njodzi yegomarara remudumbu.Vanosvuta vanorega kusvuta vanoderedza njodzi yavo yekuva negomarara remudumbu nekufamba kwenguva.
2. Kurapa chirwere cheHelicobacter pylori
Zvidzidzo zvinoratidza kuti chirwere chisingaperi chine Helicobacter pylori (H. pylori) bhakitiriya inobatanidzwa nekuwedzera kwengozi yekenza yemudumbu.Apo H. pylori bhakitiriya inopinda mudumbu, mudumbu unogona kupisa uye kukonzera kuchinja mumasero anotenderera mudumbu.Nokufamba kwenguva, masero aya anova asina kujairika uye anogona kuita gomarara.
Zvimwe zvidzidzo zvinoratidza kuti kurapa chirwere cheH. pylori nemishonga inorwisa mabhakitiriya kunoderedza njodzi yegomarara remudumbu.Ongororo dzakawanda dzinodiwa kuona kuti kurapa H. pylori nemishonga inorwisa mabhakitiriya kunoderedza nhamba yevanofa negomarara remudumbu here kana kuti kuchengetedza shanduko mudumbu, izvo zvinogona kukonzera gomarara, kubva pakunyanya kuipa.
Imwe ongororo yakawana kuti varwere vakashandisa proton pump inhibitors (PPIs) mushure mekurapwa kweH. pylori vainyanya kubatwa negomarara remudumbu pane vasina kushandisa maPPI.Zvidzidzo zvakawanda zvinodikanwa kuona kana maPPI achitungamira kugomarara muvarwere vanorapwa H. pylori.
Hazvizivikanwe kana zvinotevera zvinoderedza njodzi yegomarara remudumbu kana zvisina mhedzisiro panjodzi yegomarara remudumbu:
1. Kudya
Kusadya michero nemiriwo mitsva yakakwana kwakabatana nenjodzi yakawedzera yegomarara remudumbu.Dzimwe ongororo dzinoratidza kuti kudya michero nemiriwo zvine vhitamini C yakawanda uye beta carotene kunogona kuderedza njodzi yegomarara remudumbu.Zvidzidzo zvakare zvinoratidza kuti zviyo zvezviyo, carotenoids, green tea, uye zvinhu zvinowanikwa mugariki zvinogona kuderedza njodzi yegomarara remudumbu.
Ongororo dzinoratidza kuti kudya chikafu chine munyu wakawanda kunogona kuwedzera njodzi yegomarara remudumbu.Vanhu vakawanda muUnited States vava kudya munyu mushoma kuti vaderedze njodzi yeBP.Ichi chinogona kunge chiri chikonzero nei huwandu hwegomarara remudumbu hwadzikira muUS
2. Zvokudya zvinowedzera
Hazvizivikanwe kana kutora mamwe mavhitamini, zvicherwa, uye zvimwe zvekudya zvinowedzera kunobatsira kuderedza njodzi yegomarara remudumbu.MuChina, ongororo yebeta carotene, vhitamini E, uye selenium supplements mukudya yakaratidza nhamba yakaderera yevakafa negomarara remudumbu.Chidzidzo ichi chinogona kunge chaisanganisira vanhu vaive vasina chikafu ichi mukudya kwavo kwemazuva ese.Hazvizivikanwi kana kuwedzerwa kwezvokudya zvinowedzera zvingave nemigumisiro yakafanana kune vanhu vanotodya kudya kunovaka muviri.
Zvimwe zvidzidzo hazvina kuratidza kuti kutora zvekudya zvakadai se beta carotene, vhitamini C, vhitamini E, kana selenium kunoderedza njodzi yegomarara remudumbu.
Makiriniki ekudzivirira kenza anoshandiswa kudzidza nzira dzekudzivirira cancer.
Makiriniki ekudzivirira kenza anoshandiswa kudzidza nzira dzekudzikisa njodzi yemamwe marudzi egomarara.Mimwe miedzo yekudzivirira kenza inoitwa nevanhu vane hutano vasina kuve nekenza asi vane njodzi yakawedzera yegomarara.Mimwe miedzo yekudzivirira inoitwa nevanhu vakamboita gomarara uye vari kuedza kudzivirira rimwe gomarara rerudzi rumwe cheterwo kana kuderedza mukana wavo wekubatwa negomarara idzva.Mimwe miedzo inoitwa nevazvipiri vane hutano vasingazivikanwe kuti vane chero njodzi dzegomarara.
Chinangwa chemamwe makiriniki ekudzivirira gomarara ndechekuona kuti zviito zvinoitwa nevanhu zvinogona kudzivirira gomarara.Izvi zvingasanganisira kudya michero nemiriwo, kurovedza muviri, kurega kusvuta, kana kuti kunwa mimwe mishonga, mavhitamini, mamineral, kana kuti zvokudya zvinowedzerwa.
Nzira itsva dzekudzivirira kenza yemudumbu dziri kudzidzwa mumakiriniki ekuedzwa.
Kwakabva:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62850&type=1
Nguva yekutumira: Aug-15-2023