Haeba u le setho sa kankere ea qoqotho u tobane le kotsi e eketsehileng ea ho ba le maloetse a amanang le lilemo, ha u bapisoa le batho ba e-s'o ka ba e-ba le kankere ea qoqotho. Phuputso ea lipatlisiso e hlahisitseng sena se ile sa hatisoa koranteng ea Cancer Epidemiology, Biomarkers & Prevention.
Kotsi ea mafu a amanang le lilemo a bile a phahametse haeba u ne u le monyenyane ho feta 40 ha u fumanoa u e-na le kankere ea qoqotho.
Le hoja mefuta e mengata ea kankere ea qoqotho e nkoa e phela 'me e e-na le botumo bo botle, batho ba bacha haholo ba fumanoa ba e-na le kankere ea qoqotho. Ke habohlokoa ho utloisisa likotsi tsa nakong e tlang, e le hore baphonyohi ba kankere ea qoqotho ba ka qoba mathata a bophelo nakong e tlang bophelong.
Mabapi le Thuto
Phuputsong ena, baphonyohi ba kankere ea qoqotho e fetang 3700 ba ile ba hlahlojoa. Kaofela ha bona ba ne ba fumanoa ka nako e pakeng tsa 1997 le 2012. Sehlopha sa taolo se ne se lekana le sehlopha se se nang kankere se nang le lilemo tse tšoanang, tsa botona kapa tsa botšehali le libaka tsa tsoalo. Har'a baphonyohi ba kankere ea qoqotho ea 3700 ba ile ba ithuta, hoo e ka bang karolo ea 37 lekholong e fumanoe pele ba e-na le lilemo tse 40.
Phuputso e ile ea fumana hore sehlopha sa ba setseng ba bacha se ile sa tobana le likotsi tse kholo tsa ho hlahisa mefuta e sa tšoaneng ea potoloho e tloaelehileng e amanang le botsofali. Tsena li kenyelletsa:
- Kotsi ea khatello ea kelello, e tsejoang hape e le khatello e phahameng ea mali, e ne e phahame haholo ho sehlopha sa baphonyohi.
- Kotsi ea ho ba le lefu la pelo e ne e phahame ka ho fetisisa sehlopheng sa batho ba pholohileng kankere ea qoqotho. Cardiomyopathy ke boemo boo mesifa ea pelo e sa tloaelehang. Sena se nolofalletsa pelo ea hao ho pompa mali 'meleng,' me ho eketsa kotsi ea ho hloleha ha pelo.
Bangoli ba phethile, "Ho hlokahala lithuto tsa nakong e tlang ho hlahloba se ka etsoang ho fokotsa likotsi tse eketsehileng tsa liphello tsa nako e telele tsa bophelo bo botle."
Mabapi le khatello ea mali e phahameng
Khatello ea mali e phahameng e eketsa menyetla ea ho kula kapa lefu ho tsoa pelong ea pelo, ho otloa ke pelo, ho felloa ke pelo le mafu a liphio.
Haeba u pholositsoe ke kankere ea qoqotho, o lokela ho hlahlojoa hangata. Le hoja khatello ea meriana ea mali e se na matšoao ho hang, hlokomela hore matšoao a mang ao u ka a fumanang a kenyeletsa:
- Hlooho ea maikutlo kapa khatello ea khatello hloohong
- Pono e fosahetseng
- Bosiu kapa shakiness
- Phefumoloho e khutšoanyane
- Ho boloka metsi le ho ruruha ha maoto
- Mahlaba a sefuba
- Bothata maotong le maotong ha u tsamaea
- Maoto a thata
Ho na le liphetoho tse ling tsa bophelo ba bophelo tseo u ka li etsang ho thusa ho thibela kapa ho tšoara khatello ea meriana, ho akarelletsa:
- Ho lahleheloa ke 'mele: Ho lahleheloa ke lik'hilograma tse 10 ho ka fokotsa likotsi tsa hau haholo.
- Ho fokotsa lijo tse nang le sodium le letsoai: Haeba u feteletse ho feta, esita le keketseho e nyenyane ea sodium e ka eketsa kotsi ea hau ea khatello ea kelello le lefu la pelo. Litsebi li u khothalletsa hore u fokolise matla a sodium e fetang 100 mmol ka letsatsi (hoo e ka bang 2.4 g ya sodium)
- Ho ja ka tsela e lekaneng ea potassium ea lijo tse fetang 3 500 mg ka letsatsi
- Koetliso ea 'mele e eketsehileng: Metsotso e 30 ea ho ikoetlisa ka matsatsi a mangata a beke e ka fokotsa kotsi ea khatello ea mokuli le mathata a amanang le eona
- Ho noa joala haholo: Ho fokotsa ho noa joala ho 10 oz. veine, kapa 2 oz. tsa lino tse ling tse fokolang (ho fokotsa basali le batho ba boima bo bobebe) li ka fokotsa kotsi ea khatello ea meriana le mathata a amanang le eona
- Supplementation ea potassium: e theola khatello ea mali, haholo-holo haeba u sebelisa litekanyetso tse phahameng tsa sodium
- Liphetoho tsa lijo: Dash Diet - Mekhoa ea lijo ea ho khaotsa ho hatelloa haholo e theola khatello ea mali le ho fokotsa likotsi tsa mathata
Hape ho na le meriana e mengata e ka sebelisetsoang ho fokotsa khatello e phahameng ea mali le ho laola khatello ea meriana, ho kenyelletsa:
- Meriana ea khatello ea mali
- Beta blockers le calcium channel blockers, ho fokotsa sekhahla sa pelo
- ACE inhibitors, e tsejoang hape e le angiotensin e fetolelang enzyme (ACE) inhibitors
- Li-Angiotensin II Receptor Blockers (ARBs)
- Diuretics (lipilisi tsa metsi), ho fokotsa maemo a sodium le ho boloka metsi
Mabapi le Cardiomyopathy
Haeba u le setho sa kankere ea qoqotho, u lokela ho tseba matšoao a lefu la pelo , e ka kenyeletsang:
- Phefumoloho e khutšoanyane
- Ho ruruha ha maoto, likoti le maoto
- Ho fokotsa mpa (ascites), ka lebaka la ho fetela ha metsi
- Ho hooa, haholo-holo ha u robetse
- Mokhathala
- Lits'oants'o tsa pelo tse sa tloaelehang, liphallelo, ho otloa ha pelo ka potlako
- Mahlaba a sefuba
- Ho ba le botsoa le ho tsieleha
Lintho tse ling tseo u ka li etsang ho thusa ho thibela kapa ho tšoara lefu la pelo ho kenyeletsa:
- Lijo tse nepahetseng le tahlehelo ea boima ba 'mele (kapa ho thibela boima ba' mele)
- Ho ikoetlisa kamehla
- Boroko bo lekaneng
- Ho fokotsa khatello ea maikutlo
- Qoba joala le / kapa cocaine
- Ho laola khatello ea mali e phahameng
- Ho laola k'holeseterole e phahameng
- Ho laola lefu la tsoekere
Hape ho na le meriana e ka thusang ka lefu la pelo, ho akarelletsa le:
- Aldosterone blockers, ho leka-lekanya electrolyte le ho thusa mesifa ea pelo ho sebetsa hantle
- Lithethefatsi tsa antiarrhythmia ho boloka pelo ea 'mele e tloaelehile
- Meriana ea ho fokotsa khatello ea mali
- Li-anticoagulants kapa li-thinners tsa mali, ho thibela mali a tsoang mali
- Corticosteroids le lithethefatsi tse ling tse khahlanong le ho ruruha
- Diuretics (lipilisi tsa metsi), ho fokotsa maemo a sodium le ho boloka metsi
- Li-block, li-calcium channel blockers, le digoxin, ho liehisa pelo le ho fokotsa khatello ea mali
Maemong a mang, lefu la cardiomyopathy le sa sebetsaneng le liphetoho tsa bophelo le meriana e ka 'na ea hloka li-pacemakers kapa li-defibrillators, kapa phekolo ka ho se sebetse ho sa buuoeng.
Lentsoe le Tsoang ho
Le hoja lipatlisiso li ntse li hlokahala ho hlahloba lits'ebetso tse bakoang ke kotsi e eketsehileng ea khatello ea kelello le lefu la pelo ho batho ba pholohileng kankere ea qoqotho, hoa utloahala ho tseba matšoao le matšoao a maemo ana, ho lula u lebelloa, le ho etsa liphetoho tse phelang hantle tse phelang hantle fokotsa kotsi ea hau.
> Mehloli:
> Blackburn BE, Ganz PA, Roe K, le al. Matšoao a amanang le botsofali a ka ba kotsi likotsing tsa bacha ba kankere ea qoqotho [e hatisitsoeng Inthaneteng ka la 22 November, 2017]. Kankere Epidemiol Biomarkers Pele . doi: 10.1158 / 1055-9965.EPI-17-0623 Inthaneteng: h ttp: //cebp.aacrjournals.org/content/early/2017/11/20/1055-9965.EPI-17-0623
> Mekhatlo ea Sechaba ea Bophelo. "Cardiomyopathy e Tšoaroa Joang?" Lethathamo la 'nete. https://www.nhlbi.nih.gov/health/health-topics/topics/cm/ ho hlekefetsoa
> Mekhatlo ea Sechaba ea Bophelo. "Tataiso ea hau ea ho fokotsa khatello ea mali ea hau ka DASH." Tataiso ea PDF: https://www.nhlbi.nih.gov/files/docs/public/heart/dash_brief.pdf
> Lefapha la Bophelo la US le Litšebeletso tsa Botho. "Thibelo e ka Sehloohong ea Chefo ea Mafu." Tataiso ea PDF: https://www.nhlbi.nih.gov/files/docs/resources/heart/pphbp.pdf