Neeftu ma kordhisaa halista kansarka sanbabada?

by Lynne Eldridge, MD; Waxaa ku jawaabay Grant Hughes, MD

Miyay dadka qaba Neef-yada Waxyaabaha Looga Hortagi Karo Kansarka Sambabka?

Neeftu ma kordhisaa halista kansarka sanbabada?

Neeftu waxay kordhin kartaa khatarta kansarka sanbabada inkastoo aynu bilawnay inaan aragno xiriirka iyo sida ay caadi u tahay. Marka la eego tirada dadka qaba neefta , iyo sidoo kale aqoonta in kansarka sanbabadu ay tahay sababta ugu weyn ee keenta dhimashada kansarka labadaba ragga iyo dumarka labadaba ee Mareykanka ah, tanina waa su'aal aad u muhiim ah.

Guud ahaan, waxay u muuqataa in xidhiidhku yahay midka ugu adag marnaba sigaar cabbista . Maxaan illaa iyo hadda wax ka baranay?

Daraasado ku xirma neefta ilaa kansarka sanbabada

Marka la eego kansarka sanbabada unugyada yaryar , baaritaanada Shiinaha waxay soo jeedinayaan xidhiidh ka dhexeeya neefta iyo kansarka sanbabada taas oo muhiim u ah. Khatarta sii kordhaysa way kala duwantahay daraasaddan, dadka qaba neefta oo 2 ilaa 6 jeer ka badan ayaa u badan inay ku dhacaan kansarka sanbabada marka loo eego kuwa aan lahayn asmada. Waa muhiim in la xusuusto in kansarka sanbabada unugyada yaryar ee unugyada yaryar ee sambabada uu yahay mid aan caadi ahayn ee kansarka sanbabada, taasoo laga yaabo inay tahay 15 boqolkiiba kiisaska.

Cilmi-baarisyada eegaya khatarta kansarka sanbabada iyo neefta guud waxay u muuqdaan inay soo jeedinayaan in halistu ay ka weyn tahay kuwa aan sigaarka cabbin marka loo eego sigaarka.

Dib-u-eegis ballaadhan oo eegay daraasado badan ayaa sheegay, in celcelis ahaan, kansarka sanbabku uu ahaa 1.8 jeer ka badan kuwa aan sigaarka cabbin ee qaba asmada marka loo eego dadka aan sigaarka cabbin ee aan lahayn neef. Marka daraasadu ay eegtay dadka guud ahaan Maraykanka - oo ay ku jiraan dadka sigaarka cabba - khatarta ayaa ah in dadka qaba neefta ay 1.4 jeer ka badan tahay inay ku dhacdo kansarka sanbabada.

Daraasad cusub oo la sameeyey ayaa la ogaaday in neefta ay la xiriirto khatarta sii kordheysa ee dhammaan noocyada kansarka sanbabada oo ay ku jiraan kansarka sanbabada unugyada yaryar sida hore loo sheegay, iyo kansarrada unugyada yaryar ee sanbabada oo ay ku jiraan adenocarcinoma sanbab, xummad unugyo sambabada ah ee sanbabada, iyo ballaadhan kansarka sanbabada.

Maxay asmada u sii kordhinaysaa halista kansarka sanbabada?

Mid ka mid ah fekerka ayaa ah in wax kasta oo wax ku ool ah ay ka qayb qaataan horumarinta neefta ay ka qayb qaadan karto kansarka sanbabada.

Waan ognahay in sigaar-cabista ama soo-gaadhista qiiqa sigaarka ah uu noqon karo astaamo khatar ah neefta iyo sidoo kale kansarka sanbabada. Hase yeeshee inta badan daraasadaha fiiriya xiriirka ka dhexeeya neefta iyo kansarka sanbabada "xakamaynta" sigaarka. Taas macnaheedu waa inay siyaabo badan oo sigaar ah u ciribtiri karaan xiriirka si ay u eegi karaan arrimo kale (oo lagu magacaabo daraasado la xakameeyey). Marka arrintan la dhammeeyo, halista kansarka sanbabada ee la xidhiidha neefta ayaa wali ah.

Fikrad kale ayaa ah in infakshanka muddada dheer ee sanbabada ay sabab u tahay neefta ay sabab u tahay sababaha hoose. Xanuun muddada dheer ah ayaa la qiimeeyay dhawaan sababo badan oo kansarro badan. Daraasado dhowr ah ayaa soo jeedinaya in caabuqyada daba-galka ah ee sanbabada ay sabab u tahay neefta oo ay sababi karto "cofactor" oo keenaya kansarka sanbabada taasoo macnaheedu tahay in neefta la raaciyo waxyaabo kale, ay wada shaqeyn karaan si ay uga qayb qaataan halista kansarka sanbabada.

Laakiin xeerbeegtu way baxdaa. Mid ka mid ah daraasadda, oo lagu siiyay jiirarka kiimiko in uu sababo kansarka sanbabku kuma dhicin burooyin kale oo jiirarka qaba neefta. (Xaqiiqdii, asmada oo aan u muuqan inuu sababay OR wuxuu saameynayaa jiirka jimicsi oo hore u lahaa kansarka sanbabada.) Sidoo kale, daraasad ka timid Canada waxay ogaatay in dadka qaba neefta ay halis ugu jiraan inay horumariyaan 8 nooc oo kansar ah. Waxaa lagu dareemay daraasadahan in habka "difaaca jirka" ee loo yaqaan 'asthma', sida loo arko neefta, laga yaabo inay caawiso in la tirtiro unugyada kansarka noqon kara.

Hase yeeshee fikradda kale waxay tahay in ay jirto geedi socodka hoosta kudhisan marka lagu daro infakshinka oo kordhin kara halista. Waxaan ognahay in qabitaanka COPD ay tahay arrin toos ah oo khatarta kansarka sanbabada. Si kale haddii loo dhigo, dadka qaba COPD waxay u badan tahay inay ku dhacaan kansarka sanbabada intii la saadaalin lahaa iyada oo ku saleysan taariikhdooda sigaarka.

Maxaan sameeyaa haddii aan qabo neeftu?

Maxaad sameyn kartaa haddii aad qabto neef? Dhab ahaan, haddii aad sigaarka cabto, waa muhiim inaad iska joojiso. Ka fogaanshaha qiiqa sigaarka ah sidoo kale waa muhiim. Laakiin kuwa aan sigaarka cabbin, waxay macno u sameeyaan (inkastoo aanan haysan wax daraasad ah oo caddaynaya in ay isbedeleyso) si loo hubiyo in asmadaada ay si fiican u xakameyso.

Kadib, xitaa haddii aysan wax isbeddel ah u lahayn khatarta kansarka sanbabada, ku noolaanshaha neefta oo la koontaroolo ayaa ah habka ugu wanaagsan ee lagu noolaado.

Kansarka sanbabadu waa cudur aad u ba'an waxaana imika ah sababta ugu weyn ee keenta dhimashada kansarka ee ragga iyo haweenka Maraykanka. Kansarka sambabada marnaba sigaar cabbin waa sababta 6aad ee keenta dhimashada kansarka guud ahaan. Fiiri talooyinkan ku saabsan ka hortagga kansarka sanbabada - qaar ka mid ah waxaa laga yaabaa inaad aad u yartahay, iyo qaar ka yaabi kara. Xasuusnow: qof kasta oo qaba sambabada ayaa ku dhici kara kansarka sanbabada.

_Ilaha:

_{Brown, D. et al.} _{Xiiqda iyo halista dhimashada kansarka sanbabada: NHANES II Daraasada dhimashada.} _{Xogta Neefta .} _{2005. 42 (7): 597-600.}

_{Doris, K. et al.} _{Xasaasiyadda xasaasiyaddu ma saameynayso kiimikada kansarka kiimikada ee sanbabada ee jiirarka.} _{Cilmi-baarista Neefsashada .} _{2010. 11: 118.}

_{El-Zein, M. et al.} _{Taariikhda asmada ama cambaarta iyo khatarta kansar ee ragga: daraasad ku salaysan kantaroolka kantaroolka dadweynaha ee Montreal, Quebec, Canada.} _{Annals Allergy, Asthma & Immunology .} _{2010. 104 (5): 378-84.}

_{Fan, Y. et al.} _{Cudurka sambabada hore iyo khatarta kansarka sanbabada ee kudhisan shaqaale ku salaysan xirfad ku yaalo Yunnan, China.} _{Kansarka Sambabka .} _{2011. 72 (2): 258-63.}

_{Huang, J., Jian, Z., Nfor, O. et al.} _{Saameynta cudurada sanbabada ee ku dhaca noocyada histologic ee kansarka sanbabada labada jinsi: daraasad dadweyne ku salaysan Taiwan.} _{Kansarka BMC .} _{2015. 15: 834.}

_{Liang, H. et al.} _{Khatarta kansarka sanbabada ka dib markii xaalad nafaqo la'aan ah oo ka dhexjirta haweenka aan khamriga lahayn ee ku nool Shenyang, Waqooyi-bari ee Shiinaha.} _{Wargeyska Womens Health} _{2009. 18 (12): 1989-95>}

_{Lim, W. et al.} _{Polymorphisms oo ku jira jeermisyada wadnaha, baraha kansarka sanbabada iyo khatarta kansarka sanbabada ee aan weligood sigaar cabbin.} _{Kanserogenesis .} _{2011. 32 (4): 522-9.}

_{Pirie, K., Peto R., Green, J. et al.} _{Kansarka sanbabada ee aan sigaar cabbin.} _{Wargeyska Caalamiga ah ee Kansarka .} _{2016 Mar 8 (Epub ka hor daabac).}

_{Santillan, A. et al.} _{Falanqaynta macaamiisha ee neefta iyo halista kansarka sanbabada (Maraykanka).} _{Kansarka Sababta iyo Xakamaynta .} _{2003. 14 (4): 327-34.}

_{Sanz, G. et al.} _{Neef iyo halista kansarka sanbabada.} _{Bukaan-socodka Daaweynta iyo Muuqaalka .} _{2011. 13 (10): 728-30.}