Amathuba okuthuthukisa izicubu ze-oropharyngeal aphezulu kubantu ababhemayo
abanabalingani abangaphezu kwabahlanu empilweni yabo. Lonke iphutha legciwane le-papilloma, isitha esikhohlisayo ngisho nakwabesilisa. Kodwa imithi yokugoma iyasebenza
ngu-TIZIANA MORICONI NO-MARA MAGISTRONI 02 Novemba 2017
Esihlokweni esifanayo uVictoria, Bella no-Avril: nansi indlela esalwa ngayo nesifo seLyme Ukuba nesisindo esincane lapho osemncane enyusa ingozi yokuya esikhathini ngaphambi kwesikhathi
SIKhuluma ngeHpv bese sicabanga ngokushesha ngomdlavuza wesibeletho kwabesifazane. Kodwa kunemidlavuza ehlukene ebangelwa i-human papillomavirus, futhi ingozi nayo iyabathinta abesilisa. Ngokuya ngokwanda. Leli gciwane, elidluliswa ikakhulu ngokuya ocansini, empeleni libhekene nengxenye yomdlavuza womthondo, cishe ama-90% omdlavuza we-anus futhi, ngamanani andayo, womdlavuza we-oropharynx. Balinganisela amacala ayi-2017, okuyi-1900 emadodeni, nokwesithathu kwalokhu kubangelwa i-HPV. Ngokuvamile, abesilisa banamathuba aphindwe kahlanu kunabesifazane okutheleleka ngalo, futhi kaningi abazi ukuthi banalo leli gciwane.
Izimila zomlomo nepharynx. Ucwaningo olwenziwe yiJohns Hopkins Bloomberg School of Public Health, olushicilelwe kuAnnals of Oncology, luphenye ubungozi bamadoda abathola igciwane emgodini womlomo, bathola ukuthi alifani nawo wonke umuntu, kodwa ukuthi kuya ngenani labalingani olala naye ngomlomo nokuthi uyabhema noma cha. Uma kubantu besifazane amathuba ehlukahluka phakathi kuka-0,7 no-1,5% (kuya ngenani labalingani), uma ungowesilisa obhemayo futhi ulala ngomlomo nabantu abangaphezu kuka-5 kufinyelela cishe ku-15%. Izinombolo zocwaningo ezaseMelika, kunjalo, kepha ukuthambekela kuyafana nase-Italy. "Kusukela ekuqaleni konyaka ka-9, kube nokwanda kwezicubu zomzimba emadodeni, ezihlobene ne-HPV - kuchaza uLisa Licitra, umqondisi we-oncology yezokwelapha yomdlavuza wekhanda nentamo eNational Cancer Institute eMilan - isifundo esisha sine Bekungifanele ukuthi ngichaze ubungozi enanini labantu elikhulu kakhulu kunalokho okwake kwenziwa phambilini, ngaphezu kuka-XNUMX ”.
Indlela yokudlulisa igciwane.
“Leli gciwane - liyaqhubeka nodokotela womdlavuza - livame ukutholakala endaweni yezitho zangasese neye-perianal. Uma lezi zihlangana nomlomo, ukungena ku-mucosa ye-oropharyngeal kusobala impela. Ezimweni eziningi, ukutheleleka kuxazululeka ngokuzenzekelayo futhi igciwane liyanyamalala. Kwezinye izimo, noma kunjalo, iyaqamekela futhi ingadala izilonda zokuzenzisa. Ukuba nabalingani abaningi kumane kusho ukuba namathuba amaningi okuhlangana negciwane. Akuwona umbuzo wokuthambekela kwezocansi: okungukuthi, akubonakali kunendlela evumayo yokudlulisa (owesifazane-indoda noma indoda-indoda, ed.) ".
Indima yokubhema. Usikilidi uqobo lwalo seluyingcuphe yemidlavuza ehlukahlukene yezindiza, kufaka phakathi i-oropharynx. "Ngakho-ke kungacatshangwa - kuqhubeka i-Licitra - ukuthi kumuntu oseke waba nabalingani bezocansi abaningana, futhi ngenxa yalokho okungenzeka ukuthi uhlangane ne-HPV, ukubhema kwenza isimo sokuvuvukala futhi kusize ukuvela kwezicubu ezibheke kumdlavuza. Kungenzeka ukuthi ukubhema futhi kusebenze emandleni okuzivikela amasosha omzimba ezingeni lolwelwesi lwamafinyila: intuthu yensangu, ngokwesibonelo, ihlotshaniswe nengozi enkulu yokutheleleka ngomlomo kwe-Hpv, kukholakala ukuthi kungenxa yomsebenzi wayo wokungaziphathi kahle . Kufanele kuqinisekiswe ukuthi ngabe lokho kuyasebenza yini nakulo kagwayi ".
Ungazivikela kanjani. Ukunciphisa inani labalingani bobulili bomlomo, abangabhemi, nokugomela i-HPV ngamasu amathathu okunciphisa ubungozi. E-Italy, umkhankaso wokugoma waqala ngo-2007 owawubhekise emantombazaneni aneminyaka eyi-11 kanti, kusukela kulo nyaka, ubandakanya nabesilisa abalinganayo. Imishanguzo etholakalayo ivikela izinhlobo ezi-9 ze-oncogenic zegciwane. "Kwamanye amazwe afana ne-Australia, lapho kuqhubeka khona umkhankaso omkhulu wokugoma obulokhu ubandakanya nabesilisa kusukela ngo-2013, imininingwane yokuqala isitshela ukuthi umuthi wokugoma usebenza kakhulu ekwehliseni ukutheleleka ngokobulili kubo bobubili ubulili - kuchaza u-Antonio Cristaudo, umqondisi we-Infectious I-Dermatology e-Hospitaller Physiotherapy Institutes of Rome - nocwaningo, olwethulwe e-Asco (American Society of Cancer Oncology) ngoJuni lukhombise nokuthi umthamo owodwa wanele ukunciphisa ukutholakala kwaleli gciwane ngo-88% emgodini womlomo "
Ngaphezu kwe-Australia, amanye amazwe afana ne-Austria, New Zealand, i-United States kanye namanye amazwe aseCanada nawo asungule imikhankaso yokugoma evuleleke ezinganeni. “Ngakho-ke silindele ukuthi eminyakeni embalwa ezayo - kuyaqhubeka no-Cristaudo - imininingwane ephathelene nokusebenza kokuvikela kwemithi yokugomela umdlavuza wesilisa oyinhloko: i-oropharynx, i-anus nepipi nayo izokwanda ngokushesha”. Isikhathi esihle sokugonywa kulapho useminyakeni yokuthomba ngaphambi kokuthomba, kepha eminye imininingwane ikhombisa ukuthi ingasebenza nakwalabo asebeke bahlangana naleli gciwane.
umthombo: Repubblica.it
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