Yuav luag ib nrab ntawm cov neeg laus uas tuag los ntawm mob qog noj ntshav yuav tiv thaiv tau los ntawm kev hloov pauv lawv txoj kev ua neej thiab kev noj qab haus huv, raws li kev tshawb fawb tshiab los ntawm American Cancer Society. Kev tshawb fawb tshiab no qhia txog qhov cuam tshuam tseem ceeb ntawm cov yam ntxwv hloov pauv tau rau kev loj hlob thiab kev nce qib ntawm mob qog noj ntshav. Cov kev tshawb fawb pom tau tias kwv yees li 40% ntawm cov neeg laus hauv Asmeskas hnub nyoog 30 xyoo thiab laus dua muaj feem yuav mob qog noj ntshav, ua rau nws tseem ceeb heev rau kev nkag siab txog lub luag haujlwm ntawm kev xaiv txoj kev ua neej hauv kev tiv thaiv mob qog noj ntshav thiab txhawb kev noj qab haus huv tag nrho.
Dr. Arif Kamal, tus thawj coj saib xyuas neeg mob rau American Cancer Society, tau hais txog qhov tseem ceeb ntawm kev hloov pauv hauv lub neej txhua hnub kom txo tau kev pheej hmoo ntawm mob qog noj ntshav. Kev tshawb fawb tau txheeb xyuas ntau yam tseem ceeb uas hloov tau, nrog rau kev haus luam yeeb ua tus kab mob qog noj ntshav thiab kev tuag. Qhov tseeb, kev haus luam yeeb ib leeg yog lub luag haujlwm rau yuav luag ib ntawm tsib tus neeg mob qog noj ntshav thiab yuav luag ib ntawm peb tus neeg tuag los ntawm mob qog noj ntshav. Qhov no qhia txog qhov xav tau kev tso tseg haus luam yeeb thiab kev txhawb nqa rau cov tib neeg uas xav tso tseg tus cwj pwm phem no.
Ntxiv rau kev haus luam yeeb, lwm yam tseem ceeb uas ua rau muaj kev pheej hmoo suav nrog kev rog dhau, haus dej cawv ntau dhau, tsis muaj kev tawm dag zog, kev xaiv zaub mov tsis zoo, thiab kev kis kab mob xws li HPV. Cov kev tshawb pom no qhia txog kev sib txuas ntawm cov yam ntxwv ntawm kev ua neej thiab lawv qhov cuam tshuam rau kev pheej hmoo ntawm mob qog noj ntshav. Los ntawm kev daws cov yam ntxwv uas hloov pauv tau no, cov tib neeg tuaj yeem ua cov kauj ruam ua ntej los txo qhov kev pheej hmoo ntawm mob qog noj ntshav thiab txhim kho kev noj qab haus huv tag nrho.
Txoj kev tshawb fawb no, uas yog kev tshuaj xyuas txog 18 yam uas hloov tau qhov txaus ntshai rau 30 hom mob qog noj ntshav sib txawv, qhia txog qhov cuam tshuam xav tsis thoob ntawm kev xaiv txoj kev ua neej rau kev muaj mob qog noj ntshav thiab kev tuag. Xyoo 2019 ib leeg xwb, cov yam no yog lub luag haujlwm rau ntau dua 700,000 tus neeg mob qog noj ntshav tshiab thiab ntau dua 262,000 tus neeg tuag. Cov ntaub ntawv no qhia txog qhov xav tau kev kawm dav dav thiab kev siv zog los pab txhawb kom cov tib neeg txiav txim siab txog lawv txoj kev noj qab haus huv thiab kev nyob zoo.
Nws yog ib qho tseem ceeb uas yuav tsum paub tias mob qog noj ntshav tshwm sim los ntawm kev puas tsuaj ntawm DNA lossis kev hloov pauv ntawm cov khoom noj khoom haus hauv lub cev. Txawm hais tias cov yam ntxwv ntawm caj ces thiab ib puag ncig kuj ua lub luag haujlwm, kev tshawb fawb qhia tau hais tias cov yam ntxwv hloov pauv tau suav nrog feem ntau ntawm cov neeg mob qog noj ntshav thiab kev tuag. Piv txwv li, kev raug tshav ntuj tuaj yeem ua rau DNA puas tsuaj thiab ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav ntawm daim tawv nqaij, thaum cov tshuaj hormones tsim los ntawm cov hlwb rog tuaj yeem muab cov khoom noj khoom haus rau qee hom mob qog noj ntshav.
Kab mob qog noj ntshav loj hlob vim DNA puas tsuaj lossis muaj cov khoom noj khoom haus, Kamal hais. Lwm yam tseem ceeb, xws li cov noob caj noob ces lossis ib puag ncig, kuj tuaj yeem ua rau muaj cov xwm txheej no, tab sis kev pheej hmoo hloov pauv piav qhia txog feem ntau ntawm cov neeg mob qog noj ntshav thiab kev tuag ntau dua li lwm yam uas paub. Piv txwv li, kev raug tshav ntuj tuaj yeem ua rau DNA puas tsuaj thiab ua rau mob qog noj ntshav ntawm daim tawv nqaij, thiab cov hlwb rog tsim cov tshuaj hormones uas tuaj yeem muab cov khoom noj khoom haus rau qee cov mob qog noj ntshav.
"Tom qab muaj mob qog noj ntshav, feem ntau cov neeg xav tias lawv tsis muaj peev xwm tswj tau lawv tus kheej," Kamal hais. "Cov neeg yuav xav tias nws yog hmoov phem lossis cov noob caj noob ces phem, tab sis cov neeg xav tau kev tswj hwm thiab kev ywj pheej."
Cov kev tshawb fawb tshiab qhia tau tias qee yam mob qog noj ntshav yooj yim dua los tiv thaiv dua li lwm yam. Tab sis hauv 19 ntawm 30 hom mob qog noj ntshav uas tau soj ntsuam, ntau dua ib nrab ntawm cov neeg mob tshiab yog tshwm sim los ntawm cov yam ntxwv hloov pauv tau.
Yam tsawg kawg 80% ntawm cov neeg mob tshiab ntawm 10 hom mob qog noj ntshav tuaj yeem yog vim muaj cov yam ntxwv hloov pauv tau, suav nrog ntau dua 90% ntawm cov neeg mob melanoma txuas nrog rau lub teeb ultraviolet thiab yuav luag txhua tus neeg mob qog noj ntshav hauv tsev menyuam txuas nrog kev kis tus kab mob HPV, uas tuaj yeem tiv thaiv tau los ntawm kev txhaj tshuaj tiv thaiv.
Mob qog noj ntshav hauv lub ntsws yog tus kab mob uas muaj cov neeg mob coob tshaj plaws los ntawm cov yam ntxwv uas hloov tau, nrog rau ntau dua 104,000 tus neeg mob hauv cov txiv neej thiab ntau dua 97,000 tus neeg mob hauv cov poj niam, thiab feem ntau yog cuam tshuam nrog kev haus luam yeeb.
Tom qab haus luam yeeb, kev rog dhau yog qhov thib ob ua rau muaj mob qog noj ntshav, suav txog kwv yees li 5% ntawm cov neeg mob tshiab hauv cov txiv neej thiab yuav luag 11% ntawm cov neeg mob tshiab hauv cov poj niam. Kev tshawb fawb tshiab pom tias kev rog dhau muaj feem cuam tshuam nrog ntau dua ib feem peb ntawm kev tuag los ntawm mob qog noj ntshav endometrial, gallbladder, esophageal, siab thiab raum.
Tsis ntev los no, muaj lwm txoj kev tshawb fawb pom tias cov neeg uas noj cov tshuaj poob phaus thiab tshuaj ntshav qab zib nrov xws li Ozempic thiab Wegovy muaj kev pheej hmoo qis dua ntawm qee yam mob qog noj ntshav.
"Qee txoj kev, kev rog dhau heev ua rau tib neeg muaj teeb meem ib yam li kev haus luam yeeb," Dr. Marcus Plescia, tus thawj coj kho mob rau Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Xeev thiab Hauv Zos, uas tsis koom nrog txoj kev tshawb fawb tshiab tab sis yav dhau los tau ua haujlwm los ntawm cov kev pab cuam tiv thaiv kab mob qog noj ntshav hais.
Plessia hais tias kev cuam tshuam rau ntau yam "cov yam tseem ceeb ntawm kev pheej hmoo ntawm tus cwj pwm" - xws li kev tso tseg haus luam yeeb, kev noj zaub mov zoo thiab kev tawm dag zog - tuaj yeem "hloov pauv qhov tshwm sim thiab cov txiaj ntsig ntawm kab mob ntev mus ntev." Kab mob qog noj ntshav yog ib qho ntawm cov kab mob ntev mus ntev, xws li kab mob plawv lossis ntshav qab zib.
Nws hais tias, cov neeg tsim cai thiab cov neeg ua haujlwm hauv kev noj qab haus huv yuav tsum ua haujlwm los "tsim kom muaj ib puag ncig uas yooj yim dua rau tib neeg thiab ua rau kev noj qab haus huv yooj yim xaiv. Qhov no tseem ceeb heev rau cov neeg nyob hauv cov zej zog uas muaj keeb kwm tsis zoo, qhov twg nws yuav tsis muaj kev nyab xeeb rau kev tawm dag zog thiab cov khw muag khoom noj qab haus huv yuav tsis yooj yim mus txog.
Raws li tus nqi ntawm cov mob qog noj ntshav uas pib thaum ntxov nce siab hauv Tebchaws Meskas, nws yog ib qho tseem ceeb heev uas yuav tsum tsim kom muaj tus cwj pwm noj qab haus huv thaum ntxov, cov kws tshaj lij hais. Thaum koj pib haus luam yeeb lossis poob qhov hnyav uas koj nce, kev tso kev haus luam yeeb yuav nyuaj dua.
Tab sis "nws yeej tsis lig dhau los ua cov kev hloov pauv no," Plescia hais. "Kev hloov (kev coj cwj pwm noj qab haus huv) tom qab hauv lub neej tuaj yeem muaj cov txiaj ntsig loj heev."
Cov kws tshaj lij hais tias kev hloov pauv hauv lub neej uas txo qis kev raug rau qee yam yam yuav txo tau kev pheej hmoo ntawm mob qog noj ntshav sai sai.
"Kab mob qog noj ntshav yog ib yam kab mob uas lub cev tawm tsam txhua hnub thaum lub sijhawm faib cell," Kamal hais. "Nws yog ib qho kev pheej hmoo uas koj ntsib txhua hnub, uas txhais tau tias kev txo nws kuj tuaj yeem pab tau koj txhua hnub."
Cov ntsiab lus ntawm txoj kev tshawb fawb no muaj ntau yam vim lawv qhia txog lub peev xwm rau kev tiv thaiv los ntawm kev hloov pauv hauv lub neej. Los ntawm kev muab qhov tseem ceeb rau kev noj qab haus huv, kev tswj qhov hnyav, thiab kev noj qab haus huv tag nrho, cov tib neeg tuaj yeem txo lawv txoj kev pheej hmoo ntawm mob qog noj ntshav. Qhov no suav nrog kev noj zaub mov kom zoo thiab muaj txiaj ntsig zoo, koom nrog kev tawm dag zog tsis tu ncua, tswj qhov hnyav kom noj qab nyob zoo thiab zam kev coj cwj pwm tsis zoo xws li kev haus luam yeeb thiab kev haus cawv ntau dhau.
Lub sijhawm tshaj tawm: Lub Xya Hli-15-2024
