Sida laga soo xigtay Machadka Qaranka ee Kansarka, kansarka naasaha ee khatarta ah wuxuu saameeyaa qiyaastii siddeed haween Maraykan ah, iyo qiyaastii boqolkiiba 5 ilaa 10 boqolkiiba kansarka naasaha oo dhan waa dhaxaltooyo.
Waqtigan xaadirka ah, dadka intooda badani waxay yaqaanaan BRCA1 iyo mutacalinta hiddaha BRCA2, kuwaas oo ah dhaxalka dhalmada ee dhaxaltooyada ah - ama cillado aan caadi ahayn oo ku saabsan qaabaynta DNA-taas oo kordhinaysa khatarta ah inuu ku dhaco kansarka naasaha.
Sida laga soo xigtay tirakoobyada Machadka Kansarka Qaranka, marka loo eego 70 jir, 55 boqolkiiba boqolkiiba 65 ilaa boqolkiiba haweenka uurka leh ee dhaxal-celinta hiddaha BRCA1 iyo qiyaastii 45 boqolkiiba haweenka uurka leh ee mutacal hiddesidaha BRCA2 ayaa laga yaabaa in lagu ogaado kansarka naasaha. Ilaa hadda, isbeddellada BRCA1 iyo BRCA2 waxay ku dhowaadan 20 boqolkiiba ilaa 25 boqolkiiba dhammaan kansarada naasaha oo dhan.
Hase yeeshee, warbixintan waxay kaliya ku xisaabtamaysaa qayb yar oo haween ah kuwaas oo ku dhici doona cudurka. Cilmi-yahannada ma ku dhowdahay in ay go'aamiyaan kala duwanaansho hiddesid dheeraad ah ama arrimo laga yaabo inay door ka qaataan horumarinta kansarka naasaha? Dhab ahaan, waxay yihiin.
Laba Daraasadood ayaa iftiimisay iftiinka Cusub ee Cusub
Bishii Oktoobar 2017, laba daraasadood ayaa lagu daabacay joornaalada dabiiciga ah iyo dabeecada dabiiciga ah , oo tilmaamaya natiijooyinkii 72-kii hore ee aan la ogaan karin ee ku dhacay bini-aadanka taasoo kordhinaysa khatarta ah ee dumarku ku yeelanayso kansarka naasaha. Kooxda caalamiga ah, oo daraasaddan lagu sameeyay, ayaa loo yaqaan 'OncoArray Consortium', waxaana ay isu keeneen in ka badan 500 oo cilmi-baarayaal ah oo ka kala socday in ka badan 300 oo hay'ado caalami ah-daraasaddan ayaa lagu martiqaaday inay noqoto daraasadda ugu weyn ee kansarka naasaha ee taariikhda.
Si loo helo xogta daraasaddan, cilmi baarayaashu waxay falanqeeyeen xogta hiddaha ee 275,000 oo haween ah - 146,000 oo ka mid ah kuwaas oo helay cudurka kansarka naasaha. Macluumaadkan ballaaran ee ururinta ayaa ka caawinaya saynisyahannadu inay aqoonsadaan khataro cusub oo keena haweenka qaarkood in ay kansarka naasaha ka yimaadaan oo laga yaabo inay bixiyaan aragti ku saabsan sababta noocyada kansarrada qaarkood ay u adagtahay in lagu daweeyo dadka kale.
Halkan waxa ku yaal qaar ka mid ah waxyaabaha gaarka ah ee ku saabsan cilmi-baaristaan:
Labo daraasadood, cilmi baarayaashu waxay heleen isugeyn ah 72 unugyo cusub oo hiddaha ah kuwaas oo gacan ka geysta kansarka naasaha ee la dhaxlo.
Si loo helo noocyada kala duwan ee hidda, cilmi baarayaashu waxay falanqeeyeen DNA-da tijaabooyinka dhiigga ee haweenka ku jira daraasadda; Qiyaastii nus ayaa heley qalliinka kansarka naasaha. DNA-da ayaa lagu qiyaasey in ka badan 10 milyan oo xarumo ah oo ku yaal genome-da si ay u raadiyaan sheekooyin macquul ah sida in DNA-da dumarka laga helay kansarka naasuhu ay ka duwan yihiin DNA-ga kuwa aan la ogaan.
72 ka mid ah noocyada kala duwan ee cilmi-baarayaasha ku yaala, 65 ka mid ah ayaa si wayn u la xiriiray khatarta sii kordheysa ee lagu kobcin lahaa kansarka naasaha.
Toddobada kala duwan ee kala duwan ayaa isku xiran khatarta sare ee hormarka kansarka naas-nuujinta-naas-nuujinta. Ururka Cancer Society wuxuu qeexayaa nooca kansarka naasaha isagoo tilmaamaya, "Kormeeraha hormoonka-hormoonka (hormoon-diidmo) kansarka naasuhu ma laha asaasiin ama hormoonada hormoonada progesterone. Daaweynta daawooyinka hoormoonka daaweynta hormoonka ma aha mid waxtar u leh kansarradaas. "Si kale marka loo eego, noocyada hidde-galayaasha ayaa sababi kara nooc ka mid ah kansarka naasaha kaas oo daawooyinka hoormoonka iyo daaweynta, sida Tamoxifen ama Femara, aysan ku filneyn.
Marka lagu daro helitaankii hore, natiijooyinkan cusubi waxay keenaan tirada guud ee isbeddellada hidda-socodka ee la xidhiidha khatarta sii kordheysa ee lagu kobcinayo kansarka naaska ilaa 180.
Sida lagu sheegay daraasaddan, ayaa dhowaan la ogaaday in noocyada hidde-wanaaga ay kordhinayaan halista dumarka inay ku dhacdo kansarka naasaha iyagoo qiyaastii boqolkiiba 5 ilaa 10 boqolkiiba. Inkasta oo isbeddeladani aysan ahayn mid saameynaya sida BRCA1 iyo BRCA2, cilmi-baaristu waxay soo jeedineysaa noocyada yar-yar ee laga yaabo in ay saameyn ku yeeshaan haweenka iyaga qaba, taas oo kordhin karta suurtogalnimada in cudurka la horumariyo.
Maxay Tan Tani u Fahmi Doonta Haweenka Khatarta Horumarinta Kansarka Naasaha
Breastcancer.org, oo ah hay'ad aan faa'iido doon ahayn oo ka go'an hawlaha ururinta macluumaadka iyo abuurista bulsho loogu talagalay dadka ay saameeyeen kansarka naasku, waxay wadaagaan macluumaadkan, "Dadka badankood ee ku dhaca kansarka naasku ma laha taariikhda qoyska ee cudurka.
Si kastaba ha noqotee, marka taariikhda qoyseedka qoysku xoog u leeyahay kansarka naasaha iyo / ama kansarka ugxan-sidaha, waxaa laga yaabaa inay jiraan sababo la rumaysan karo in qofku dhaxlay hannaan aan caadi ahayn oo ku xiran halista kansarka naaska. Dadka qaarkood waxay doortaan in ay maraan baaritaanka genetic si ay u ogaadaan. Imtixaanka hidda-guurka waxaa ka mid ah bixinta sambal dhiig ama calyada candhuufta oo lagu falanqeyn karo si loo soo qaado wax-is-beddel ku yimaada unugyadaas. "
Waqtigaan, baaritaanada hiddaha ugu badan ee cudurkan waa BRCA1 iyo mutacalinta hiddaha BRCA2. Hase yeeshee, sayniska ayaa soo saaraya kala duwanaansho hiddaha oo ku xiran kansarka naasaha, dhakhtarkaagu wuxuu kugula talin karaa baaritaan dheeraad ah la taliyaha hidda . Haddii taariikhda shakhsi ahaaneed ama qoyskaaga ay kuu soo jeedinayso inaad noqon karto sidaan kale oo aan caadi ahayn, baaritaanka hiddaha oo dheeraad ah ayaa laga yaabaa inuu kuu noqdo faa'iido. Horumarinta beerta hidaha ayaa sii socota, hababka tijaabada ah ee saxda ah ayaa u oggolaanaya in hore loo ogaado ciladaha khatarta kansarka naasaha, habab badan oo khuseeya daryeelka, iyo doorashooyin daaweyn wanaagsan.
Ma jiraan Caddeyn ka hortag ah Haweenka Qaad?
Breastcancer.org waxay ku talineysaa in haweenka ka warqabo in ay leeyihiin isbeddel hidde-ku-xiran oo ku xiran kansarka naasku inay tixgeliyaan fulinta tallaabooyinka soo socda ee looga hortago khatarta :
Miisaanka ku hay meelo caafimaad leh
Ka qeybgal barnaamijka jimicsiga caadiga ah
Ka fogow sigaarka
Tixgeli yareynta ama ka takhalusida khamriga
Cun cunto nafaqo leh oo qani ah
Istaraatijiyado ka hortag ah oo xoog leh ayaa waxaa ka mid ah:
Ku bilaw baaritaanka kansarka naasaha ee da'da hore, iyadoo ku xiran taariikhda qoyska haweeneyda
Daaweynta Hormonal
- Naas-nuujin cilmi-baaris ah, ama qalliin looga saaro naasaha caafimaadka leh
Ereyga
Taariikhda qoyska dumarku waa mid gaar ah, sidaa daraadeed ma jiro hal-cabbir oo dhan-qaab kasta oo looga hortago ama loo daweeyo kansarka naasaha. Haddii aad halis u tahay in aad qaaddo kansarka naasaha ee la iska dhaxlo, u noqo mid firfircoon lana hadal dhakhtarkaaga sida ugu habboon ee loo yareeyo khatarta cudurka iyo, haddii loo baahdo, waxqabadyada caafimaad ee ku haboon ee aad heli karto.
Haddii aad adigu naftaada u aragto calaamadaha cabsida leh ee kansarka naasaha, la xiriir dadka kale taageerada. Bulshada kansarka naasuhu waxay ku fiican tahay, waxayna ka buuxsameysaa qaar ka mid ah haweenka ugu adkeysanaya ee aad la kulmi doonto. Waxay kugu dhiirigelin doonaan safarkaaga. Waxaa intaa dheer, in taageerada dheeraadka ah ay fududeyn karto dareenka kali-taliska ee laga yaabo inuu ku dhaco cudurka kansarka naasaha.
> Ilo:
Xaaladda Degdega Neefta Kansarka Naasaha. Website-ka Mareykanka ee Kansarka. https://www.cancer.org/cancer/breast-cancer/understanding-a-breast-cancer-diagnosis/breast-cancer-hormone-receptor-status.html
Xaqiiqooyinka Xaaladaha Kansarka: Kansarka Naasaha. Bogga Machadka Kansarka Qaranka. https://seer.cancer.gov/statfacts/html/breast.html
> Michailidou K, Lindstrom S, Dennis J, iyo al. Falanqaynta ururka ayaa tilmaamaya 65 halis cusub oo kansarka naasaha ah. Dabeecadda. 2017. doi: 10.1038 / nature24284
> Milne RL, Kuchenbaecker, KB, Michailidou K, et al. Aqoonsiga toban nooc oo la xiriira halista kansarka naas-nuujinta-kansarka naasaha. Dabeecada Dabeecadda. 2017. doi: 10.1038 / ng.3785
> Daraasad lagu ogaanayo 72 Isku-dhafanaanta Cusub ee Cusub ee La Xiriira Kansarka Naasaha. Website-ka Breastcancer.org. http://www.breastcancer.org/research-news/72-new-genetic-mutations-linked-to-bc-found