Chidzidzo chidiki cheZuva raAmai: Kuchengetedza Hutano hwaAmai

Zuva raAmai riri kuuya munguva pfupi iri kutevera. Wagadzirira here maropafadzo ako kuna amai vako pazuva iri rinokosha? Paunenge uchitumira maropafadzo ako, usakanganwa kutarisira hutano hwaamai vako! Nhasi, Bigfish yagadzira gwara rehutano richakuratidza nzira dzekuchengetedza hutano hwaamai vako.
Parizvino, mabundu makuru ezvirwere zvevakadzi ane huwandu hwakawanda hwekupararira pakati pevakadzi muChina igomarara remazamu, gomarara remuromo wechibereko negomarara remazamu. Anotyisidzira zvakanyanya hutano nehupenyu hwevakadzi. Zvinokonzera uye mashandiro emabundu aya matatu zvakasiyana, asi zvese zvine chekuita nemajini, endocrine uye mararamiro. Saka, chinhu chikuru chekudzivirira mabundu aya kuongororwa nekukurumidza uye kurapwa, pamwe nekutora matanho ekudzivirira anoshanda.

Kenza yeOvarian

Gomarara remazai ndiro bundu rinouraya zvikuru munhengo dzekubereka dzevakadzi, iro rinonyanya kuitika kuvakadzi vapedza kuenda kumwedzi. Zviratidzo zvekutanga hazvionekwe uye zvinowanzo nonoka kuongororwa. Kukura kwegomarara remazai kunoenderana nezvinhu zvakaita senhaka, huwandu hweestrogen, huwandu hweovulation uye nhoroondo yekubereka. Kuti udzivise gomarara remazai, zvinokurudzirwa kuti unyatsoteerera zvinhu zvinotevera:
-Kuongororwa nguva dzose kwevakadzi, kusanganisira kuongororwa kwechiuno, kuongororwa kweultrasound uye kuongororwa kwezviratidzo zvebundu, kunyanya kune mapoka ane njodzi huru ane nhoroondo yemhuri yekenza yemuzai kana majini ekuchinja kwemajini (semuenzaniso BRCA1/2), kunofanirwa kuongororwa gore rega rega kutanga pazera remakore makumi matatu kana makumi matatu nemashanu.
- Nyatsocherechedza nguva yekuenda kumwedzi uye kubuda kwembeu. Kana paine kuenda kumwedzi kusina kujairika kana kubuda kwembeu, unofanira kutsvaga rubatsiro rwechiremba nekukurumidza kuti udzore huwandu hwe endocrine uye kudzivirira kukurudzira kwe estrogen imwe chete kwenguva refu.
- Dzora huremu nemazvo, dzivisa kufuta, uye wedzera maekisesaizi kuti uvandudze mazinga emuviri uye kuderedza mazinga eestrogen.
- Sarudza nzira dzekudzivirira pamuviri zvine musoro uye dzivisa kushandisa mishonga yekudzivirira pamuviri ine estrogen kana michina yekudzivirira pamuviri inogona kuiswa, pane kudaro sarudza kushandisa mishonga yekudzivirira pamuviri ine progestogen kana makondomu, nezvimwewo.
- Wedzera huwandu hwevana vanozvarwa uye nguva yekuyamwisa zvakakodzera, uye deredza huwandu hwemazai ekuberekwa uye nguva yekusangana neestrogen.
- Dzivisa kusangana nezvinhu zvine chepfu uye zvinokonzera kenza zvakaita seasbestos, mishonga yezvipembenene, madhayi, nezvimwewo.
- Kune varwere vari panjodzi huru kana kuti vakaonekwa vaine kenza yemuzai, funga nezve prophylactic bilateral salpingo-oophorectomy kana kurapwa kwakanangana (semuenzaniso PARP inhibitors) vachitungamirirwa nachiremba.

Kenza yeMuromo weMuromo

Gomarara remumuromo wechibereko ndeimwe yezvirwere zvinonyanya kupararira mumuviri wevakadzi, zvinonyanya kuitika kuvakadzi vari pakati pemakore makumi matatu nemakumi mashanu. Chikonzero chikuru chegomarara remumuromo wechibereko ihutachiona hwepapillomavirus (HPV), hutachiona hunotapuriranwa kuburikidza nekuita zvepabonde nemarudzi anopfuura zana akasiyana, mamwe acho anozivikanwa seHPV ine njodzi huru uye anogona kukonzera shanduko dzisingawanzoitika mumasero emumuromo wechibereko, izvo zvinogona kuzopedzisira zvaita gomarara remumuromo wechibereko. Mhando dzeHPV dzine njodzi huru dzinosanganisira mhando 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58 ne59. Pakati padzo, mhando 16 ne18 ndidzo dzakajairika, dzichiita zvinopfuura 70% yegomarara remumuromo wechibereko. Gomarara remumuromo wechibereko chirwere chinogona kudzivirirwa uye chinorapika, uye kana maronda asati aitika gomarara akagona kuonekwa uye kurapwa nenguva, kuwanda kwegomarara remumuromo wechibereko kunogona kuderedzwa zvinobudirira. Nzira inoshanda zvikuru yekudzivirira gomarara remumuromo wechibereko kubaiwa HPV. Mushonga weHPV unogona kudzivirira mamwe hutachiona hweHPV hune njodzi huru nekudaro unoderedza njodzi yekenza yemumuromo wechibereko. Parizvino, majekiseni matatu eHPV akatenderwa kutengeswa muChina, anoti majekiseni maviri, mana uye mapfumbamwe. Pakati pawo, mushonga weHPV une mana unodzivirira hutachiona hweHPV16 neHPV18 uye unogona kudzivirira 70% yekenza yemumuromo wechibereko. Mushonga weHPV une mana unodzivirira kwete maviri chete ane mana, asiwo HPV6 neHPV11, izvo zvinogona kudzivirira 70% yekenza yemumuromo wechibereko uye 90% yeacromegaly. Mushonga weHPV une mana unodzivirira hutachiona hupfumbamwe uye unogona kudzivirira 90% yekenza yemumuromo wechibereko. Mushonga uyu unokurudzirwa kuvakadzi vane makore 9-45 vasati vabatwa neHPV kare. Pamusoro peizvi, matanho ekudzivirira anotevera anowanikwa ekenza yemumuromo wechibereko:
1. Kuongororwa kenza yemumuromo wechibereko nguva dzose. Kuongororwa kenza yemumuromo wechibereko kunogona kuona maronda emumuromo wechibereko asati aita kenza kana kenza yemumuromo wechibereko pakutanga nenguva yekurapwa kunobudirira kudzivirira kufambira mberi uye kupararira kwekenza. Parizvino, nzira huru dzekuongorora kenza yemumuromo wechibereko ndedzekuyedzwa kweHPV DNA, cytology (Pap smear) uye kuongorora nemaziso neacetic acid staining (VIA). WHO inokurudzira kuyedzwa kweHPV DNA makore ese mashanu kusvika gumi kuvakadzi vane makore anopfuura makumi matatu ekuberekwa uye, kana paine positive, triage uye kurapwa. Kana kuyedzwa kweHPV DNA kusipo, cytology kana VIA inoitirwa makore ese matatu ega ega.
2. Ngwarirai kuchena kwemuviri uye hutano hwepabonde. Hutsanana hwemuviri uye hutano hwepabonde zvinhu zvakakosha kudzivirira hutachiona hweHPV. Vakadzi vanokurudzirwa kuchinja zvipfeko zvavo zvemukati nemagumbeze nguva nenguva, kupfeka zvipfeko zvemukati zvedonje zvinofema uye zvinonyaradza, uye kudzivisa kushandisa sipo, mafuta ekuzora, nezvimwe zvinhu zvinogumbura pakugeza nhumbu. Zvakare, vakadzi vanokurudzirwa kuchengetedza kugadzikana uye kuvimbika kwevadikani vavo vepabonde, kudzivisa vadikani vakawanda vepabonde kana bonde risina kuchengetedzeka, uye kushandisa makondomu nedzimwe nzira dzekudzivirira pamuviri.
3. Rega kusvuta nekunwa doro kuti usimbise dziviriro yemuviri. Kusvuta nekunwa doro zvinogona kukanganisa dziviriro yemuviri, kuderedza kurwara nehutachiona hweHPV uye kuwedzera njodzi yekubatwa negomarara remuchibereko. Nokudaro, vakadzi vanokurudzirwa kurega kusvuta nekunwa doro, kuramba vaine tsika dzakanaka dzekurarama nadzo, kudya michero nemiriwo yakawanda ine mavhitamini nefiber, uye kuita maekisesaizi emuviri zvakakodzera kuti vawedzere hutano hwavo.
4. Rapa zvirwere zvine chekuita nemadzimai zvine chekuita nazvo.

Kenza yemazamu

Gomarara repazamu ndiro bundu rinonyanya kuipa muvakadzi, iro rinokanganisa hutano hwevakadzi nehupenyu hwavo zvakanyanya. Zviratidzo zvaro zvinosanganisira: mapundu epazamu, kubuda kwezvironda mumazamu, kuwanda kwemazamu, kuchinja kweganda, kukura kwema lymph nodes muhudyu uye kurwadziwa kwemazamu.
Kudzivirira kenza yemazamu kunonyanya kusanganisira zvinhu zvinotevera:
I. Kudzora huremu nekudya zvakanaka

Kufuta zvakanyanya chinhu chinokonzera kenza yemazamu, kunyanya kuvakadzi vasvika panguva yekupedza kuenda kumwedzi. Kufuta zvakanyanya kunogona kukonzera estrogen yakawanda, zvichikurudzira kuwanda kwemasero emazamu uye kuwedzera njodzi yekenza yemazamu. Nokudaro, kuchengetedza huremu hwakanaka uye kudzivirira kufuta zvakanyanya inzira inokosha yekudzivirira kenza yemazamu.
Panyaya yekudya, zvinokurudzirwa kudya zvekudya zvakawanda zvine mavitamini, zvicherwa uye antioxidants, zvakaita semichero mitsva, miriwo, bhinzi nenzungu, izvo zvinogona kusimbisa dziviriro yemuviri uye kudzivirira kenza. Panguva imwe chete, zvakakosha kudya zvishoma zvekudya zvine mafuta akawanda, macalorie akawanda, munyu wakawanda, zvakakangwa, zvakagochwa nezvimwe zvisina hutano, izvo zvinogona kuwedzera kugadzirwa kwemafree radicals mumuviri, kukanganisa DNA yemasero uye kukurudzira shanduko dzekenza.
2. kurovedza muviri zvine mwero
Kurovedza muviri kunogona kuvandudza kutenderera kweropa, kukurudzira kushandiswa kwemuviri mumuviri, kuderedza huwandu hweestrogen uye kuderedza mukana wekuti estrogen iwedzere masero emazamu. Kurovedza muviri kunogonawo kuderedza kushushikana, kudzora manzwiro uye kuwedzera kunaka kwepfungwa, izvo zvinobatsira kudzivirira kenza yemazamu.
Vhiki rega rega, zvinokurudzirwa kushandisa maminetsi zana nemakumi mashanu ekurovedza muviri zvine mwero kana maminetsi makumi manomwe nemashanu ekurovedza muviri zvine simba, zvakaita sekufamba, kumhanya, kushambira, kuchovha bhasikoro, nezvimwewo. Panguva imwe chete, zvakakoshawo kuita mamwe kudzidzira kweplyometric uye flexibility, senge kuita push-ups, sit-ups, kutambanudza, nezvimwewo. Kurovedza muviri kunofanirwa kutarisisa huwandu hwakakodzera hwepakati, kudzivirira kushanda zvakanyanya uye kukuvara.
3. kuongororwa nguva dzose
Kune vakadzi vane nhoroondo yemhuri yekenza, kuongororwa kwemajini ekenza ndeimwe yenzira dzinoshanda dzekudzivirira kenza. Kenza pachayo haisi nhaka, asi majini ekenza anogona kugarwa nhaka. Kuongororwa kwemajini kunogona kuona mhando yekuchinja kwemajini ekenza mumurwere pachake. Kuongororwa kwemapoka ane njodzi huru ane majini akachinja hakungogone kufanotaura njodzi yekenza chete, asiwo kugadzira zvirongwa zvehutano zvakananga zvekudzivirira nekupindira. Semuenzaniso, 15% kusvika 20% yevarwere vane kenza yemazamu vane nhoroondo yemhuri. Vanhu vane njodzi huru vane tsika yekuve nenhoroondo yemhuri yekenza vanogona kutariswa kuti vaongororwe kenza chaiyo. Ropa diki remutsinga rinogona kutorwa, uye kana rine majini ekenza kana majini anotungamira rinogona kuonekwa mumazuva angangoita gumi kuburikidza nekuongororwa kwePCR quantitative kana tekinoroji yekutevera ropa rechipiri. Kune varwere vakaonekwa vaine kenza, kuongororwa kwemajini kunogona kubatsira mukurapa kwakanyatsojeka uye kuona kana mishonga yekurapa yakanangwa inogona kushandiswa. Saizvozvo, kuongororwa kwemajini kunodiwa usati waenderera mberi nekurapa tumor immunotherapy kuti uone kana murwere akakodzera kurapwa kwemuviri.
Pazuva raAmai, Bigfried Sequence inoda kushuvira vanaamai vese pasi rose hutano hwakanaka. Tumira iyi tweet kushamwari dzako uye nyora pasi zvaunoshuvira amai vako, tora skrini uye utitumire meseji yakavanzika, isu tichasarudza shamwari yekutumira chipo cheZuva raAmai kuna amai vako mushure mezororo. Chekupedzisira, usakanganwa kutaura "Mazororo Anofadza" kuna amai vako.