Mpata wokhala ndi zotupa za oropharyngeal ndizoposa kwa omwe amasuta
omwe ali ndi zibwenzi zoposa zisanu m'moyo wawo. Vuto lonse la kachilombo ka papilloma, mdani wonyenga ngakhale wamwamuna. Koma katemera ndiwothandiza
lolembedwa ndi TIZIANA MORICONI NDI MARA MAGISTRONI 02 Novembala 2017
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Timalankhula za Hpv ndipo nthawi yomweyo timaganizira za khansa ya pachibelekero mwa amayi. Koma pali mitundu ina ya khansa yoyambitsidwa ndi papillomavirus ya anthu, ndipo chiwopsezo chimakhudzanso amuna. Zambiri. Kachilomboka, kamene kamafalikira makamaka pogonana, ndiko kwenikweni komwe kumayambitsa theka la khansa ya mbolo, pafupifupi 90% ya khansa ya anus ndipo, powonjezeka, ndi khansa ya oropharynx. Akuti pafupifupi milandu 2017, ya zomwe 1900 mwa amuna, ndipo gawo limodzi mwa magawo atatu a awa zimayambitsidwa ndi HPV. Mwambiri, abambo ali ndi mwayi wochulukirapo kasanu kuposa momwe amayi amatenga kachilombo, ndipo nthawi zambiri samadziwa kuti ali ndi kachilomboka.
Zotupa mkamwa ndi pharynx. Kafukufuku wopangidwa ndi a Johns Hopkins Bloomberg School of Public Health, wofalitsidwa mu Annals of Oncology, adasanthula za chiopsezo cha amuna kutenga kachilomboka mkamwa, kuzindikira kuti sikofanana kwa aliyense, koma kuti zimatengera kuchuluka kwa omwe akuchita nawo ndi omwe umagonana nawo mkamwa komanso ngati u akusuta kapena ayi Ngati mwa amayi kuthekera kumasiyana pakati pa 0,7 ndi 1,5% (kutengera kuchuluka kwa omwe mumagwirizana nawo), ngati ndinu bambo wosuta ndipo mukugonana ndi anthu opitilira 5 kumafikira pafupifupi 15%. Manambala ofufuzira ndi aku America, zachidziwikire, koma zomwezo zikuchitanso chimodzimodzi ku Italy. "Chiyambireni chaka cha 9, pakhala kuwonjezeka kwa zotupa za oropharyngeal mwa amuna, zokhudzana ndi HPV - akufotokoza Lisa Licitra, director of oncology of cancer and head khosi ku National Cancer Institute ku Milan - kafukufukuyu watsopano ali ndi Ndimayenera kunena za kuwopsa kwa anthu ochulukirapo kuposa zomwe zidachitika kale, opitilira XNUMX ”.
Njira yotumizira kachilomboka.
“Tizilombo toyambitsa matenda - timapitiliza oncologist - nthawi zambiri timapezeka kumaliseche ndi perianal. Ngati izi zimakumana ndi pakamwa, kulowa mu mucosa wa oropharyngeal kumawonekeratu. Nthawi zambiri, matendawa amatha mwadzidzidzi ndipo kachilomboka kamatha. Nthawi zina, imabisalira ndipo imatha kuyambitsa zotupa. Kukhala ndi zibwenzi zingapo kumangotanthauza kukhala ndi mwayi wambiri wokumana ndi kachilomboka. Silo funso lachiwerewere: ndiye kuti, zikuwoneka kuti palibe njira yabwino yotumizira (akazi-amuna kapena amuna-amuna, ed.) ".
Udindo wosuta. Ndudu kale ndiyomwe ili pachiwopsezo cha mitundu ingapo ya khansa yapamtunda, kuphatikizapo oropharynx. "Chifukwa chake titha kuyerekezera - akupitilizabe Licitra - kuti mwa munthu amene adagonana ndi munthu angapo, ndipo yemwe atha kukhala kuti wakumanapo ndi HPV, kusuta kumakulitsa mkhalidwe wakutupa ndikuthandizira kusinthika kwa minyewa yolimbana ndi khansa. Ndizotheka kuti kusuta kumathandizanso kuteteza chitetezo cha mthupi pamlingo wam'mimba: utsi wa chamba, mwachitsanzo, umakhala pachiwopsezo chachikulu chotenga kachilombo ka Hpv, imakhulupirira makamaka chifukwa chazovuta zake . Ziyenera kutsimikiziridwa ngati zomwezo zikugwiranso ntchito kwa ndudu ".
Momwe mungadzitetezere. Kuchepetsa kuchuluka kwa omwe amagonana nawo pakamwa, osasuta, komanso katemera wa HPV ndi njira zitatu zochepetsera chiopsezo. Ku Italy, ntchito yopatsira katemera idayamba mu 2007 yokhudza atsikana azaka 11 ndipo, kuyambira chaka chino, imakhudzanso amuna azaka zomwezo. Katemera omwe alipo amapezeka amateteza mitundu 9 ya oncogenic ya kachilomboka. "M'mayiko ena monga Australia, komwe kukuchitika katemera waukulu womwe wakhala ukukhudzanso amuna kuyambira 2013, deta yoyamba imatiuza kuti katemerayu ndiwothandiza kwambiri pochepetsa matenda opatsirana pogonana mwa amuna ndi akazi - akufotokoza a Antonio Cristaudo, director of Infectious Dermatology ku Hospitaller Physiotherapy Institutes of Rome - ndi kafukufuku, woperekedwa ku Asco (American Society of Cancer Oncology) mu Juni adawonetsanso kuti mlingo umodzi wokha ndiwokwanira kuchepetsa kupezeka kwa kachilomboko ndi 88% mkamwa "
Kuphatikiza pa Australia, mayiko ena monga Austria, New Zealand, United States ndi mayiko ena aku Canada akhazikitsanso ntchito zokomera ana. "Chifukwa chake tikuyembekeza kuti mzaka zingapo zikubwerazi - akupitiliza Cristaudo - zomwe zimafotokoza za katemera woteteza pa khansa yayikulu yamphongo: oropharynx, anus ndi mbolo iwonjezekanso mwachangu". Nthawi yabwino yopezera katemera ndi pamene mudakali otha msinkhu, koma deta ina imawonekeranso kuti ingakhale yothandiza kwa iwo omwe adakumana kale ndi kachilomboka.
Chitsime: Repubblica.it
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