Pamba-Kumba Kuongororwa Kwekurapa Kunobatsira Here Kana Kukukuvadza?

Zvemukati

• Yakaderera Mutengo
• User Error
• Zvishoma Mhedzisiro uye Mhinduro
• Angangoita Mativi-Mhedzisiro uye Zvisizvo
• Proactive Maitiro kune Hutano
• Ongororo ye

Kana iwe uine Facebook account, iwe ungangodaro wakaona vanopfuura vashoma shamwari uye hama vachigovana mhedzisiro yeAncestry DNA bvunzo. Zvese iwe zvunofanirwa kuita kukumbira iyo bvunzo, swab dama rako, uzvidzorere kubazi, uye mukati meimwe nyaya yemazuva kana mavhiki, iwe unowana chaizvo chaiko kwaive madzitateguru ako aibva. Akanaka anotyisa, handiti? Fungidzira kana kuita ongororo dzezvehutano *izvo* zviri nyore. Zvakanaka, kune kumwe kuyedzwa-senge kune mamwe marudzi eSTD, nyaya dzekubereka, njodzi dzekenza, uye matambudziko ekurara-izvo chaizvo ndizvo zviri nyore. Iyo chete yakadzika pasi? Vanachiremba havagutsikane kuti bvunzo dzese dziripo dzekushandisa pamba dzakakosha, kana zvinotonyanya kukosha, yakarurama.

Zviri nyore kunzwisisa kuti sei vanhu vaizofarira kuzviongorora pamba kana zvichibvira. "Kuedzwa kwepamba chigadzirwa chekuwedzera kwekushandisa kwehutano, izvo zviri kukwezva vatengi nekuwana kwayo, nyore, kugona, uye kuvanzika," anotsanangura Maja Zecevic, Ph.D., MPH, muvambi uye CEO weOpionato. "Kune vanhu vazhinji, kuyedzwa mudzimba kunoshandiswa senzira yekudzidza zvakawanda pamusoro pavo nehutano hwavo - ngazvive mukunetseka kana kuda kuziva."

Yakaderera Mutengo

Dzimwe nguva, kumba-kuyedza kunogona kuva mhinduro kumatambudziko emutengo. Tora zvidzidzo zvekurara, izvo zvinowanzoitwa nachiremba wemishonga yekurara kana mumwe munhu achifungidzirwa kuti ane dambudziko rekurara. "Kubatsira kwekuyedza kurara kumba ndekwekuti kwakachipa zvakanyanya pane imwe nzira yerabhoritari," anotsanangura kudaro Neil Kline, D.O., DABSM, mumiriri weAmerican Sleep Association. Panzvimbo pekubhadhara kushandisa lab nzvimbo husiku, vanachiremba vanogona kutumira varwere vavo kumba nemidziyo inodiwa kuita bvunzo, vobva vasangana navo kuti vatarise zvabuda. Idzi bvunzo dzepamba dzinonyanya kushandiswa kuongorora kufema kwekurara, kunyangwe hunyanzvi hwetekinoroji iri kugadzirirwa kuyedza uye kuongorora kushaya hope kumba, zvakare. Uyu unongova mumwe muenzaniso wekuti kumba-kuyedza kunogona kubatsira sei vese varwere navanachiremba-vachipa zvese neruzivo rwavanoda nemutengo wakaderera.

Imwe yeakanyanya kutaurwa kumakambani ekuyedza-kumba anoita kuti ivo vari kuita kuti ruzivo rwehutano riwanikwe nyore kune vatengi. Vanachiremba vanobvumirana nezvenyaya iyi, kunyanya pakuyedza zvidiki zvehutano zvinogona kuve zvakakura mune ramangwana-seHIVV, izvo zvinowedzera mukana wemukadzi wechibereko chechibereko. "Kubatsira kukuru kwekuongororwa kumba ndekwekuwana bvunzo kune avo vakadzi vasingawanzo kuwana rubatsiro rwehutano," anodaro Nieca Goldberg, MD, director wezvokurapa weJoan H. Tisch Center for Women's Health paNYU Langone. Kune avo vasina inishuwarenzi, kumba-STD uye bvunzo dzekubereka dzinogona kupa yakanyanya kudhura sarudzo. (Yakabatana: Sei Iyo Cervical Cancer Scare Yandiita Kuti Nditore Hangu Hwepabonde Hutano Zvakanyanya Kupfuura Zvakamboitika)

User Error

Zvakadaro, apo vari kumba-STI uye HPV bvunzo senge Biome's SmartJane inogona kuunza kuyedza kune avo vangangodaro vasina kuiwana, makambani ekuyedza ivo pachavo anongwarira kuratidza kuti bvunzo kwete chinotsiva chako chegore ob-gyn bvunzo uye pap smear. Saka nei uchinetseka nemuedzo wepamba pekutanga? Uyezve, pane zvinhu zvine chekuita nekupa urwu rudzi rweyedzo kumba. Kuongororwa kweHIVV kazhinji kunoda kukwikwidza chibereko chechibereko kuti uwane muyenzaniso wakarurama. "Vakadzi vazhinji havazive kuti vanganyatsovharisa sei chibereko chavo uye nekudaro vangangowana muyenzaniso wakaringana uye bvunzo," anodaro Fiyyaz Pirani, CEO uye muvambi we STDcheck.com.

Ichi ndicho chimwe chezvikonzero zvinoverengeka kambani yaPirani isinga vape yekuyedza-kumba sarudzo yevatengi. Panzvimbo iyoyo, ivo vanofanirwa kushanyira imwe yeanopfuura mazana mana nemazana mashanu akabatana labs munyika yese kuti vaedzwe. “Dzimba dzevarwere hadzina kuenzana neCLIA-certified labs dzinobatsira kuona kuti masampuli anotorwa haana kusvibiswa uye achengetwa nemazvo,” anodaro. Nzvimbo yekuyedza isina kuchena inogona kureva mhedzisiro yebvunzo shoma. Uyezve, pane chokwadi chekuti marabhoti avanoshanda nawo anokwanisa kupa murwere mhedzisiro mukati memaminetsi makumi maviri nemana kusvika makumi mana nemasere - tsamba yekuyedza-isati yambosvika kubazi rekuyedzwa. Izvi zvinoreva nguva yekumirira shoma, iyo inogona kunge iri runyararo rukuru, kunyanya kuyedzwa kweSTD.

Zvishoma Mhedzisiro uye Mhinduro

Kunyangwe yekuyedzerwa kwekurara-imwe nzvimbo uko kuedzwa-pamba kunoita sekuvimbisa zvakanyanya-pane zviri pachena zvinokanganisa. "Izvo zvakaipira ndezvekuti data rakaunganidzwa ishoma," anodaro Dr. Kline. Uyezve pane mashoma chete mamiriro ekurara ayo anogona kuyedzwa kumba. Asi chinhu chinonyanya kusiyanisa bvunzo dzekurara idzi kubatanidzwa kwachiremba. Kwete chete kuti chiremba ari kuodha bvunzo yakakodzera kumurwere uye nekupa yakatarwa mirawo yekuti ungazviita sei, asi ivo varipowo kuti vabatsire kududzira mhedzisiro.

"Kuedzwa kwepamba kunotsamira pane imwe-nguva data point iyo kazhinji isingaratidze biology yako, physiology, uye / kana chirwere," anodaro Zecevic. Semuenzaniso, kumba ovarian reserve tests, iyo inoyera mamwe mahomoni ekufungidzira kuti mangani mazai ane mukadzi, anozivikanwa kune vakadzi vari kuedza kubata pamuviri. Asi ongororo yazvino yakabudiswa mukati JAMA vakawana kuti kuve nenzvimbo dzakadzika dzeovarian haina kuratidza zvakavimbika kuti mukadzi haazove nepamuviri. Izvi zvinotoreva kuti ovarian reserve tests inopa ruzivo rushoma nezve kubereka. "Kuzvara inyaya yakaoma uye ine zvakawanda zvekuita zvinoenderana nenhoroondo yekurapa, mararamiro, nhoroondo yemhuri, genetics, nezvimwe. Imwe bvunzo haigone kutaura zvese," anodaro Zecevic. Kune mumwe munhu asiri kupindirana nachiremba kuti awane ruzivo irworwo, idzi mhando dzekumba-kumba dzinogona kutsausa. Uye izvozvowo zvinoenda kune zvimwe zvinonetsa pahutano, senge kenza yematambudziko. "Mamiriro mazhinji ehutano akaomesesa kupfuura poindi yedata-nguva imwe," anodaro.

Angangoita Mativi-Mhedzisiro uye Zvisizvo

Ku-kumba DNA kuyedza ingangoita gaba rehonye, ​​sekureva kwaKeith Roach, MD, chiremba wekutanga wekurapa uye vanobatana nekuenda kunachiremba kuNewYork-Presbyterian / Weill Cornell Medical Center. Kunze kwemiedzo yakanyanya kunakidzwa, senge 23andMe's madzitateguru bvunzo kana maDNAFit majini kugwinya uye maprofayera edhayeti, kune zvekare kumba-bvunzo kubva kumakambani seColour ayo anoona hutachiona hwehutachiona hwezvimwe zvirwere, sekenza, Alzheimer's, nezvimwe. Dr. Roach vanocherekedza kuti nepo bvunzo idzi dzichipa ruzivo rwakanyanya kunaka, iwo mabhengi e data avanoshandisa haana chiyero chakaenzana uye hupamhi hwemashoko anoitwa nemakirabhu echinyakare emakiriniki ekuenzanisa masampuli. "Ndine chokwadi chekuti pane zvakawanda zvakakanganiswa, asi ndine chokwadi chekuti pane zvimwe, uye izvo zvinogona kunetsa, nekuti kukuvara chaiko nemhando iyi yekuyedza kune chekuita nezvakanaka uye nepashoma, nhema zvakaipa, "anotsanangura. (Inoenderana: Iyi Kambani Inopa Kuongorora kweGenetic kweCancer Yemazamu Kumba)

Vanachiremba vekutanga vanochengetedzwa dzimwe nguva vanotsamwiswa nekubata nevarwere vakaita-kumba kuongororwa majini, kunyanya nekuti kune vanhu vazhinji, bvunzo dzinogona kukonzera matambudziko akawanda kupfuura iwo akakosha. "Mimwe bvunzo idzi dzinogona kutungamira mukukuvara pane kubatsirwa nekuda kwekushushikana uye nemubhadharo, uye zvingangoita kukuvadzwa kubva kuongororo yekutevera yakashandiswa kuratidza kuti bvunzo yekutanga yaive nhema," anodaro Dr. Roach. "Vanhu vanouya ndokuti, 'Ndine uyu muedzo wakaitwa uye mhinduro iyi ndakaiwana izvozvi uye ndiri kunetseka nazvo uye ndinoda kuti mundibatsire ndizive izvi," anotsanangura. "Sekiriniki, unogumbuka nekuti uyu hausi muyedzo ungadai wakakurudzira murwere iyeye."

Tora mumwe munhu asina nhoroondo yemhuri yekenza yemazamu, haasi muboka redzinza iro riri panjodzi kwazvo nezvaro, asi zvakadaro, anodzoka aine yakanaka BRCA shanduko mushure mekupedza ye-kumba-geneti bvunzo. Panguva ino, chiremba anowanzo dzokorora muyedzo kubazi ravo kuti aone kana munhu wacho aine chokwadi chekuchinja. Kana bvunzo inotevera isingabvumirani, pamwe ndiwo magumo ayo. "Asi kana marabhoritari yechipiri ichisimbisa mhedzisiro yebvunzo, saka unofanirwa kutora imwe nhanho kumashure uye woziva kuti zvisinei nemhedzisiro yebvunzo, kunyangwe iyo yakanyanya bvunzo inogona kunge isiriyo. Kune munhu asina imwe njodzi, kunyangwe mhedzisiro inovapo kubva pabvunzo yakaitwa zvakanaka ichiri mukana wekuti uve wechokwadi kwete wechokwadi. " Mune mamwe mazwi, kuunganidza ruzivo nezve hutano hwako kushoma nezve kuve nerakawanda vhoriyamu yeruzivo uye zvimwe nezve kuva ne * kurudyi * ruzivo.

Proactive Maitiro kune Hutano

Izvo hazvireve kuti kumba-kuyedza kweDNA kune njodzi majini hakubatsiri zvachose, zvakadaro. Dr.Roach anoziva nezvemumwe chiremba akaitwa ongororo yeDNA nekuti aiita rimwe basa kukambani yekuongorora DNA, uye akaona kuti aive nenjodzi yakakwira yekuderera kwe macular, mamiriro anokonzera kushomeka kana kusaona. Nekuda kweizvi, aikwanisa kutora matanho ekudzivirira kuti abatsire kudzikisa njodzi yake uye kuchengetedza chiono chake. "Saka kune vamwe vanhu, pane mukana wekuti ubatsirwe nekuita aya marudzi ebvunzo. Asi zvakawandisa, kuita zvekuongororwa nemakiriniki usina chikonzero chakanaka zvacho zvinokonzeresa kukuvadza pane kunaka."

Hapana yeruzivo urwu rwekuyambira kutaura kuti bvunzo dzese dzekumba dzakashata. "Pakupera kwezuva, chero kuongororwa kumba uko kunokonzeresa kuti munhu aone kuti ane chimwe chinhu chinotapukira (senge njovhera) inobatsira pane hutano hweveruzhinji, sezvo ivo vava kugona kuita izvo uye kutsvaga kurapwa," " anodaro Pirani. Uye nepo kurara, kuberekwa, uye kuyedzwa kwekubereka kusiri nyore, kuchine zvimwe zvakanaka, kunyanya kana iwe wakurukura nezvakakodzera bvunzo nachiremba wako zvisati zvaitika.

Pakazere, ndiro zano rakakura kwazvo ravana chiremba kune vatengi vanofarira bvunzo dzekumba: "Ndinowanzo kurudzira kambani uye kuyedza chete kana vakapa mukana wekutaura nenyanzvi yekurapa yakadzidziswa (zvichida chiremba) kana wawana mhinduro, "anodaro James Wantuck, MD, cofounder uye mukuru wezvekurapa wePlushCare. Saka kana sarudzo yekutaura nachiremba nguva isati yasvika iripo kwauri, edza kure.

Ongororo ye