Yin Ciwon Kankara Kan Nono
Wadatacce
Daga gwajin kwayoyin halitta zuwa mammography na dijital, sabbin magungunan chemotherapy da ƙari, ci gaba a cikin binciken kansar nono da magani yana faruwa koyaushe. Amma nawa ne wannan ya inganta ganewar asali, magani, kuma, mafi mahimmanci, yawan rayuwa tsakanin mata masu ciwon nono a cikin shekaru 30 da suka wuce? Amsar a takaice: mai yawa.
"Manyan manyan canje -canjen guda biyu waɗanda suka haifar da manyan ci gaba a cikin hanyoyin warkar da cutar sankarar nono sun kasance farkon gano cutar saboda mafi kyawu kuma mafi yaduwa tare da ƙarin niyya, jiyya na musamman," in ji Elisa Port, MD, Babban Tashin tiyata. Daraktan Cibiyar Nono ta Dubin a Asibitin Mount Sinai da ke Birnin New York. Duk da yake akwai sauran rina a kaba a yaƙi da wannan muguwar cuta, ga irin bambancin shekaru 30 da aka samu.
Lambobin mammography na shekara -shekara
1985: 25 bisa dari
A yau: 75 zuwa 79 bisa dari
Abin da ya canza: A cikin kalma? Komai. "Ƙarin inshora don mammogram, wayar da kan jama'a game da fa'idar mammogram, da bayanai daga sama da shekaru 30 zuwa 40 na bincike da ke tabbatar da bayanan da mammogram ɗin ke ceton rayuka duk sun taka rawa wajen haɓaka yawan mammogram ɗin da ake yi kowace shekara," in ji Port . Ingantattun fasahohi kamar raguwar fiddawa a lokacin mammogram ya kuma taimaka musu su zama mafi amfani da karbuwa, in ji ta.
Ƙimar Rayuwa Ta Shekaru Biyar
1980s: 75 bisa dari
A yau: 90.6 %
Me ya canza: Kafin samun mammogram a cikin 1980s, mata da farko sun gano kansar nono ta hanyar gano kumburi da kansu. "Ka yi tunanin yadda manyan kansar nono suka kasance lokacin da aka gano su," in ji Port. "A wannan matakin, sau da yawa sun riga sun yadu zuwa ƙwayoyin lymph don haka an gano mata a matakai da yawa fiye da yadda suke a yau don haka yawan rayuwa ya ragu sosai." Lokacin da aka gano cutar a farkon matakin, ƙimar rayuwa na shekaru biyar shine kashi 93 zuwa 100 cikin ɗari.
Ƙididdigar Bincike
1980s: 102 bisa 100,000 mata
A yau: 130 a cikin 100,000 mata
Abin da ya canza: "Muna daukar karin cutar kansar nono a yau fiye da yadda muka yi shekaru 30 da suka gabata saboda karuwar gwajin," in ji Port. Haƙiƙanin cutar sankarar nono na iya ƙaruwa kuma."Ba saboda wani abu bane, amma karuwar kiba a Amurka da alama tana taka rawa," in ji Port. "Mun san cewa kiba da salon rayuwa na kara haɗarin kamuwa da cutar kansar nono a cikin mata masu zuwa da kuma bayan al'ada."
Magani
1980s: Kashi 13 na matan da ke da cutar sankarar nono da wuri suna da lumpectomy
A yau: Kimanin kashi 70 na matan da ke da cutar sankarar nono da wuri ana yi musu aikin tiyata (lumpectomy da radiation)
Abin da ya canza: "Mammography da ganewar asali a baya, ƙananan ciwon daji sun share hanya don yin ƙarin tiyata don kiyaye nono maimakon cire dukan nono," in ji Port. A baya, mastectomy an saba yin shi saboda ciwace -ciwacen sun yi yawa a lokacin da aka same su. Hakanan tsarin kulawa yana ci gaba da haɓaka. A baya can, yawancin matan da ke da ciwon nono mai karɓar isrogen sun sha maganin tamoxifen na tsawon shekaru biyar bayan ganewar asali don rage haɗarin sake dawowa da kuma inganta yawan rayuwa. Wani binciken da aka buga a bara a The Lancet ya gano cewa shan maganin na tsawon shekaru 10 yana ba da ƙarin fa'ida. Daga cikin wadanda suka dauki ta tsawon shekaru biyar hadarin sake komawa ya kai kashi 25 cikin dari idan aka kwatanta da kashi 21 cikin dari na wadanda suka dauka shekaru 10. Kuma hadarin mutuwa daga cutar sankarar mama ya ragu daga kashi 15 bayan shekaru biyar zuwa kashi 12 bayan shekaru 10 na shan maganin. "Waɗannan abubuwa ne da muka koya a cikin shekarar da ta gabata game da wani magani da aka shafe fiye da shekaru 30," in ji Port. "Ba mu inganta maganin ba, amma mun inganta yadda muke amfani da shi don takamaiman rukunin marasa lafiya."