Muri 2017, Umuryango w’ubuzima ku isi wasabye ingamba za"gutahura hakiri kare, kwisuzumisha hakiri kare, no kuvurwa hakiri kare.", igamije kwibutsa abaturage kwitondera ibimenyetso hakiri kare.Nyuma yimyaka yamavuriro yukuri,izi ngamba uko ari eshatu zabaye inzira nziza yo kwirinda kanseri.
Nk’uko raporo ya "Global Cancer Report 2020" yashyizwe ahagaragara na OMS, biteganijwe ko umubare wa kanseri nshya ku isi uziyongera ukagera kuri miliyoni 30.2 mu 2040 naho impfu zikagera kuri miliyoni 16.3.
Muri 2020, ku isi hazaba kanseri nshya miliyoni 19.Muri icyo gihe, kanseri eshatu zikomeye zifite kanseri nyinshi ku isi ni: kanseri y'ibere (miliyoni 22,61), kanseri y'ibihaha (miliyoni 2.206), colon (miliyoni 19.31), na kanseri yo mu gifu iri ku mwanya wa gatanu na miliyoni 10.89,mu mubare wa kanseri nshya, kanseri y'amara na kanseri yo mu nda bingana na 15.8% bya kanseri nshya.
Nkuko twese tubizi, agace ka Manhua kavuga kuva kumunwa kugera kumuryango wumukororombya, urimo esofagusi, igifu, amara mato, amara manini (cecum, umugereka, colon, rectum numuyoboro wa anal), umwijima, pancreas, nibindi, nibindi. na colorectum muri kanseri nshya ku isi Kanseri na kanseri yo mu gifu byombi ni iby'igifu, bityo kanseri ifitanye isano n'inzira zifungura nazo zigomba kwitabwaho kandi ingamba za "eshatu kare" zigomba gushyirwa mu bikorwa.
Muri 2020, umubare w'abanduye kanseri nshya mu gihugu cyanjye nawo wageze kuri miliyoni 4.5, naho impfu za kanseri zikaba miliyoni 3.Ugereranyije, abantu 15.000 basuzumwe kanseri buri munsi, kandi abantu 10.4 basuzumwe kanseri buri munota.Icya gatanu ni kanseri y'ibihaha(bingana na 17.9% bya kanseri nshya),kanseri yibara (12.2%), kanseri yo mu gifu (10.5%),kanseri y'ibere (9.1%), na kanseri y'umwijima (9%).Muri kanseri eshanu za mbere zonyine,Kanseri yo mu gifu yari 31.7% ya kanseri nshya.Birashobora kugaragara ko dukeneye kwitondera cyane kumenya no gukumira kanseri yinzira zifungura.
Ibikurikira ni integuro ya 2020 (iperereza ryihariye no gukumira ikibyimba cyabantu Chang Beihui) kirimo gahunda yo gukumira ububabare bwigifu no kugenzura:
Kanseri yibara
1.Abantu badafite ibimenyetso birengeje imyaka 1.45;
2.Abantu barenga 240 bafite ibimenyetso bya anorectal ibyumweru bibiri ":
3.Abarwayi barwaye colitis igihe kirekire;
Abantu 4.4 nyuma yo kubagwa kanseri yibara;
5. Abaturage nyuma yo kuvura adenoma yibara;
6. Abavandimwe ako kanya bafite amateka yumuryango wa kanseri yibara
7. Abavandimwe bahita basuzumwa na kanseri yumura urenze imyaka 20
1. "Abaturage Rusange" Kwerekana Guhura 1-5:
.
Colonoscopy buri myaka 10 kugeza kumyaka 75;
(2) Abafite imyaka 76-85, bafite ubuzima bwiza, nabafite igihe cyo kubaho cyimyaka irenga 10, barashobora gukomeza kubungabunga imitako.
2 Mu buryo buhuye n "" Iperereza ry’amavuriro ry’abagize umuryango bafite amateka ya kanseri yibara:
.
Abavandimwe bo mu rwego rwa mbere no hejuru bafite adenoma yo mu rwego rwo hejuru cyangwa kanseri (imyaka iyo ari yo yose yo gutangira), guhera ku myaka 40 (cyangwa guhera kumyaka 10 kurenza imyaka yo gutangira umuryango muto), ikizamini cya FOBT rimwe a mwaka, rimwe mu myaka 5 Colonoscopy;
.
Tangira kugenzura ufite imyaka 40, hamwe na FOBT buri mwaka hamwe na colonoscopi buri myaka icumi.3 Kugenzura abagize umuryango wa "kanseri yumurage wa kanseri" inama 7;
Ku bagize umuryango w’abarwayi bafite FAP na HNPCC, birasabwa kwipimisha mutation mugihe ihinduka ryimiterere ya gene mubibazo byambere mumuryango bigaragara.
(1) Kubafite ibizamini bya mutation nziza, nyuma yimyaka 20, colonoskopi igomba gukorwa buri myaka 1-2;(2) Kubafite ibizamini bya mutation mbi, abaturage muri rusange bagomba gusuzumwa.4 Uburyo busabwa bwo kugenzura:
.
(2) Intego nyinshi zerekana amaraso arashobora gufasha kunoza neza kubara, kandi igiciro gihenze;(3) Niba ibintu byemewe, isuzuma rirashobora gukorwa muguhuza intebe nuburyo bwamaraso.
1. Imyitozo ngororamubiri irashobora kugabanya neza ibibyimba, gukurikiza ubuyobozi bwa siporo, no koga kugirango wirinde umubyibuho ukabije;
2. Ibiryo byiza byubwonko, byongera gufata fibre mbuto n'imbuto nshya, kandi wirinde ibiryo birimo amavuta menshi na proteyine nyinshi;
3 Imiti itari iy'umubiri irwanya inflammatory na anticancer irashobora kuba ingirakamaro mu kwirinda kanseri y'amara.Abageze mu zabukuru barashobora kugerageza aspirine nkeya, ishobora kugabanya ibyago byo kwandura indwara z'umutima n'imitsi ndetse na kanseri y'amara.Baza umuganga kugirango akoreshwe byihariye.
5.Gabanya itabi kugirango wirinde uburozi bwigihe kirekire no gukurura umuriro kuri Qinghua Dao.
Kanseri yo mu gifu
Umuntu wese ufite kimwe mubintu bikurikira ni ikintu gishobora guteza ibyago byinshi;
1. Kurenza imyaka 60;
2 Gastrite yoroheje kandi ikabije;
3. Indwara idakira yo mu gifu;
4. Igifu cyo mu gifu;
5. Ikimenyetso kinini cyerekana mucosa gastric;
6. Igifu gisigaye nyuma yindwara zindwara nziza;
7. Igifu gisigaye nyuma yo kubagwa kanseri yo mu gifu (amezi 6-12 nyuma yo kubagwa);
8. Indwara ya Helicobacter pylori;
9. Amateka yumuryango asobanutse ya kanseri yo munda cyangwa esofageal;
10. Amaraso make:
11. Polypose yumuryango adenomatous polypose (FAP), ibisekuruza byumurage utari polypose kanseri yumura (HNPCC) amateka yumuryango.
Imyaka> 40 ans hamwe nububabare bwo munda, kwaguka munda, kugarura aside, gutwika umutima nibindi bimenyetso byerekana kutamererwa neza na epigastricique, hamwe na gastrite idakira, gastric mucosal intestinal metaplasia, gastric polyps, igifu gisigaye, ikimenyetso kinini cyigifu, ibisebe bidakira bya gastric na epithelial atypia Hyperplasia nibindi bisebe nibintu bifite amateka yumuryango wibibyimba bigomba guhora gastroscopi nkuko byemejwe nabaganga.
1. Gushiraho akamenyero keza ko kurya no kurya indyo yuzuye, kutarya cyane;
2. Kurandura indwara ya Helicobacter pylori;
3. Mugabanye kurya ibiryo bikonje, ibirungo, ubushyuhe bwinshi, hamwe nibiryo bikomeye, hamwe nibiryo byumunyu mwinshi nkumwotsi hamwe nunyunyu;
4. Kureka itabi;
5. Kunywa inzoga nke cyangwa ntizibe;
6. Humura kandi ushishoze neza
Kanseri ya Esophageal
Imyaka> imyaka 40 kandi uhure nimwe mubintu bikurikira bikurikira:
1. Uhereye mu gace gakunze kwibasirwa na kanseri yo mu bwoko bwa Esophageal mu gihugu cyanjye (agace gakunze kwibasirwa na kanseri yo mu bwoko bwa Esophageal mu gihugu cyanjye giherereye mu ntara za Hebei, Henan na Shanxi mu majyepfo y’umusozi wa Taihang, cyane cyane mu Ntara ya Cixian, muri Qinling, Umusozi wa Dabie, mu majyaruguru ya Sichuan, Fujian, Guangdong, mu majyaruguru ya Jiangsu, Sinayi, n'ibindi.
2. Ibimenyetso byo mu gifu cyo hejuru, nko kugira isesemi, kuruka, kubabara mu nda, kongera aside, kurya nabi n'ibindi bimenyetso;
3. Amateka yumuryango wububabare bwa Esophageal:
4. Kubabazwa n'indwara ya Esophageal preancerous cyangwa ibisebe bibanziriza:
5. Kugira ibintu byinshi bishobora gutera kanseri yo mu nda nko kunywa itabi, kunywa inzoga nyinshi, kubyibuha birenze urugero, gukunda ibiryo bishyushye, kanseri y'udukoko twa kanseri yo mu mutwe no mu ijosi cyangwa mu myanya y'ubuhumekero;
6. Kubabazwa n'indwara ya periesophageal reflux (CERD);
7. Indwara ya papillomavirus (HPV).
Abantu bafite ibyago byinshi byo kurwara kanseri yo mu nda:
1. Endoskopi isanzwe, rimwe mu myaka ibiri;
2 Endoskopi hamwe nubushakashatsi bwibibazo bya dysplasia yoroheje, endoskopi rimwe mu mwaka;
3 Endoskopi hamwe nubushakashatsi bwibibazo bya dysplasia igereranije, endoskopi buri mezi atandatu
1. Ntunywe itabi cyangwa ngo ureke itabi;
2. Inzoga nkeya cyangwa nta nzoga;
3. Kurya indyo yuzuye, kurya imbuto n'imboga nyinshi
4. Kongera imyitozo no gukomeza ibiro byiza;
5. Ntukarye ibiryo bishyushye cyangwa ngo unywe amazi ashyushye.
Kanseri y'umwijima
Abagabo barengeje imyaka 35 nabagore barengeje imyaka 45 murimwe muritsinda rikurikira:
1. Indwara ya hepatite B idakira (HBV) cyangwa virusi ya hepatite C idakira (HCV);
2. Abafite amateka yumuryango wa kanseri yumwijima;
3. Abarwayi barwaye umwijima cirrhose iterwa na schistosomiya, inzoga, cirrhose yibanze ya biliary, nibindi.;
4. Abarwayi bafite umwijima watewe n'umwijima;
5. Abarwayi bafite indwara ziterwa na metabolike barazwe, harimo: hemochromatose a-1 ibura rya antitrypsin, indwara yo kubika glycogene, gutinda kwa porphiriya itinze, tyrosinemiya, nibindi.;
6. Abarwayi bafite hepatite ya autoimmune;
7. Indwara zumwijima zidafite inzoga (NAFLD) abarwayi
1. Abagabo barengeje imyaka 35 nabagore barengeje imyaka 45 bafite ibyago byinshi byo kurwara kanseri yumwijima;
2. Gukomatanya gukoresha serumu alpha-fetoprotein (AFP) numwijima B-ultrasound, gusuzuma buri mezi 6
1. Urukingo rwa Hepatite B;
2. Abarwayi bafite hepatite idakira bagomba guhabwa imiti igabanya ubukana bwa virusi kugira ngo bagenzure ikwirakwizwa rya virusi ya hepatite
3. Irinde cyangwa kugabanya kunywa inzoga;
4. Kurya indyo yoroheje kandi ugabanye gufata ibiryo byamavuta
5. Irinde gufata ibiryo byoroshye.
Kanseri y'urwagashya
Abantu barengeje imyaka 40, cyane cyane barengeje imyaka 50, hamwe nimwe mubintu bikurikira (ingingo ya gatandatu ntabwo yongera ibyago byo kurwara kanseri yandura, ariko kwisuzumisha ntabwo bikorwa):
1. Amateka yumuryango wa kanseri yandura na diyabete;
2. Hariho amateka yo kunywa itabi igihe kirekire, kunywa, ibinure byinshi na proteine nyinshi;
3. Inda yo hagati no hejuru yuzuye, kutamererwa neza, kubabara munda nta mpamvu igaragara, nibimenyetso nko kubura ubushake bwo kurya, umunaniro, impiswi, guta ibiro, kubabara umugongo, nibindi.;
4. Ibice bisubirwamo bya pancreatite idakira, cyane cyane pancreatite idakira hamwe n'amabuye ya pancreatic, amabyi manini yo mu bwoko bwa pancreatic papilloma, mucinous cystic adenoma, na kanseri ikomeye ya pseudopapillary, hamwe na serumu ya CA19-9;
5. Vuba aha gutangira indwara ya diyabete idafite amateka yumuryango;
6. Helicobacter pylori (HP) nziza, amateka ya parontontitis yo mu kanwa, syndrome ya PJ, nibindi.
1. Amasomo yavuzwe haruguru arasuzumwa hamwe n ibisubizo byo gupima amaraso yibimenyetso byibibyimba nka CA19-9, CA125 CEA, nibindi, bifatanije ninda ya CT na MRI, na B-ultrasound nayo irashobora gutanga ubufasha bukwiye;
2. Ikizamini cya CT cyangwa MR rimwe mu mwaka kubaturage bavuzwe haruguru, cyane cyane abafite amateka yumuryango nibisebe byanduye
1. Kureka kunywa itabi no kurwanya inzoga;
2. Guteza imbere indyo yoroheje, igogorwa byoroshye, ibinure bike;
3. Kurya inkoko nyinshi, amafi na shrimp, kandi utezimbere kurya imboga zindabyo "+", nk'icyatsi kibisi, imyumbati, radis, broccoli, nibindi.;
4. Guteza imbere ibikorwa byo mu kirere hanze
5. Kugirango wirinde kwangirika kw'ibisebe byiza, abafite amabuye y'umuyoboro wa pancreatic, papilloma ya intraductal mucinous papilloma na cystic adenoma cyangwa ibindi bisebe byiza bya pancreatic bagomba kwivuza mugihe gikwiye.
Twebwe, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., Ni uruganda mu Bushinwa ruzobereye mu gukoresha endoskopi, nkaimbaraga za biopsy, hemoclip, umutego wa polyp, urushinge rwa sclerotherapi, gutera catheter, guswera cytologiya, kuyobora, igiseke cyo kugarura amabuye, amazuru ya biliary drainage catheter nibindi.zikoreshwa cyane muri EMR, ESD, ERCP.Ibicuruzwa byacu byemewe na CE, kandi ibihingwa byacu byemewe na ISO.Ibicuruzwa byacu byoherejwe mu Burayi, Amerika y'Amajyaruguru, Uburasirazuba bwo hagati ndetse no muri Aziya, kandi bigera ku bakiriya bamenyekana kandi bashimwe!
Igihe cyo kohereza: Nzeri-09-2022