Kuita Matanho Ekurwisa Kenza Yezamu

Zvemukati

• Ongororo ye

Kubva pakuongorora kwemajini kuenda kudhijitari mammography, nyowani chemotherapy mishonga uye nezvimwe, kufambira mberi mukenza yemazamu kuongororwa uye kurapwa kunoitika nguva dzese. Asi zvakawandisa zvakadii kuongororwa, kurapwa, uye, zvakanyanya kukosha, mwero wekupona pakati pevakadzi vane kenza yemazamu mumakore makumi matatu apfuura? Mhinduro pfupi: yakawanda.

"Shanduko huru mbiri dzakakonzera kuvandudzwa kukuru mukurapa kwegomarara rezamu kwakakurumidza kuongororwa nekuda kwekuongororwa kuri nani uye kwakapararira pamwe nekurapa kwakanangana nemunhu," anodaro Elisa Port, MD, Chief of Breast Surgery uye. Director weDubin Breast Center paMount Sinai Hospital muNew York City. Nepo kuchine rwendo rurefu rwekuenda mukurwisa chirwere ichi chinotyisa, heino tarisa pamusiyano wakaitwa makore makumi matatu.

Gore negore Mammography Mitengo

1985: 25 muzana

Nhasi: 75 kusvika 79 muzana

Chii zvachinja: Mune rimwe shoko here? Zvese. "Kuwedzera kuvharwa kweinishuwarenzi ye mammograms, kuziva nezve mabhenefiti e mammograms, uye data kubva anopfuura makore makumi matatu kusvika makumi mana ekutsvagisa ruzivo rwekuti mammogram anoponesa hupenyu zvese zvakabatsira mukukwira kwehuwandu hwemammograms anoitwa gore rega rega," Port anodaro. . Kuvandudzwa kwehunyanzvi hwekuita sekudzikira kwemwaranzi panguva yemammograms kwakavabatsirawo kuti vawedzere kushandiswa uye kugamuchirwa, anowedzera.

Makore mashanu eMakore ekupona

1980s: 75 muzana

Nhasi: 90.6 muzana

Chii zvachinja: Mammograms asati awanika muma1980, vakadzi vaiwanzoona kenza yemazamu nekutsvaga mapundu vega. "Fungidzira kuti yakakura sei kenza yemazamu panguva yavakaonekwa," Port anodaro. "Panguva iyoyo, vaiwanzopararira kumalymph nodes kuitira kuti vakadzi vaongororwe munguva dzekupedzisira kupfuura zvavari nhasi saka mararamiro akaderera zvikuru." Kana uchionekwa padanho rekutanga, makore mashanu ekupona mwero uri makumi mapfumbamwe kusvika zana muzana.

Kuongorora Kuongororwa

1980s: 102 pavakadzi 100 000

Nhasi: 130 pavakadzi 100,000

Chii chakashandurwa: "Tiri kunhonga kenza yemazamu yakawanda nhasi kupfuura zvatakaita makore makumi matatu apfuura nekuda kwekuwedzera kuongororwa," anodaro Port. Iko chaiko kuitika kwekenza yemazamu kunogona kunge kuri kuwedzerawo."Hazvikonzerwi nechinhu chimwe chete, asi kuwedzera kwekufutisa muU.S. kunogona kuita basa," Port anodaro. "Tinoziva kuti kufutisa uye mararamiro ekugara anowedzera njodzi yekenza yemazamu muvakadzi vasati vasvika uye mushure mekuenda kumwedzi."

Kurapa

1980s: 13 muzana yevakadzi vane chirwere chegomarara rekutanga vane lumpectomy

Nhasi: Vanenge makumi manomwe kubva muzana evakadzi vane gomarara repazamu rekutanga vanovhiya chipfuva (lumpectomy pamwe nemwaranzi)

Chii chakashandurwa: "Mammography uye kuongororwa kwekamberi, kanzuru diki dzakagadzira nzira yekuita zvimwe zamu kuchengetedza kuvhiya pane kubvisa zamu rese," Port anodaro. Kare, mastectomy yaiwanzoitwa nekuti mapundu aive akakura panguva yaakawanikwa. Iyo yekurapa protocol inoenderera ichichinja futi. Pakutanga, vakadzi vazhinji vane estrogen receptor-positive kenza yemazamu vakatora mushonga tamoxifen kwemakore mashanu zvichitevera kuongororwa kwavo kuti kuderedze njodzi yekudzokazve uye kugadzirisa mwero wekupona. Chidzidzo chakaburitswa gore rapfuura muThe Lancet chakawana kuti kutora mushonga wemakore gumi kunopa zvakatowanda kubatsirwa. Pakati peavo vakazvitora kwemakore mashanu njodzi yekudzokazve yaive makumi maviri neshanu muzana kana ichienzaniswa ne21 muzana pakati peavo vakazvitora kwemakore gumi. Uye njodzi yekufa nekenza yemazamu yakadzikira kubva pa15 muzana mushure memakore mashanu kusvika pa12 muzana mushure memakore gumi ekutora mushonga. "Izvo zvinhu izvo zvatakadzidza mugore rapfuura chete nezve chinodhaka chave chiripo kweanopfuura makore makumi matatu," Port anodaro. "Hatina kuvandudza mishonga, asi isu takagadzirisa nzira yatinoshandisa nayo kune rimwe boka revarwere."

Ongororo ye