Kev Tiv Thaiv Kab Mob Cuam Tshuam

Cov ntaub ntawv dav dav txog mob qog nqaij hlav hauv plab

Kab mob qog noj ntshav yog ib yam kab mob uas malignant (cancer) hlwb tsim nyob rau hauv cov ntaub so ntswg ntawm txoj hnyuv los yog lub qhov quav.
Cov hnyuv yog ib feem ntawm lub cev digestive system.Lub plab zom mov tshem tawm thiab ua cov khoom noj (vitamins, minerals, carbohydrates, rog, proteins, thiab dej) los ntawm cov khoom noj thiab pab dhau cov khoom pov tseg tawm hauv lub cev.Lub digestive system yog tsim los ntawm lub qhov ncauj, caj pas, txoj hlab pas, plab, thiab cov hnyuv me thiab loj.Cov nyuv (loj loj) yog thawj feem ntawm txoj hnyuv loj thiab yog li 5 feet ntev.Ua ke, lub qhov quav thiab qhov quav ua rau qhov kawg ntawm txoj hnyuv loj thiab ntev li 6 txog 8 ntiv tes.Lub qhov quav qhov quav xaus ntawm qhov quav (qhov qhib ntawm txoj hnyuv loj mus rau sab nraud ntawm lub cev).

Kev Tiv Thaiv Kab Mob Cuam Tshuam

Zam kev pheej hmoo thiab kev tiv thaiv ntau ntxiv tuaj yeem pab tiv thaiv qog noj ntshav.
Kev zam txim rau mob qog noj ntshav yuav pab tiv thaiv qee yam mob qog noj ntshav.Cov xwm txheej txaus ntshai muaj xws li haus luam yeeb, rog dhau, thiab tsis tau txais kev tawm dag zog txaus.Kev tiv thaiv ntau ntxiv xws li kev txiav luam yeeb thiab kev tawm dag zog kuj tseem tuaj yeem pab tiv thaiv qee yam qog noj ntshav.Tham nrog koj tus kws kho mob lossis lwm tus kws saib xyuas kev noj qab haus huv txog seb koj yuav txo koj txoj kev pheej hmoo ntawm mob qog noj ntshav.

Cov xwm txheej hauv qab no ua rau muaj kev pheej hmoo ntawm mob qog nqaij hlav hauv plab:

1. Hnub nyoog

Qhov kev pheej hmoo ntawm mob qog nqaij hlav hauv plab yuav nce ntxiv tom qab hnub nyoog 50 xyoo. Feem ntau cov mob qog nqaij hlav hauv plab yog kuaj pom tom qab hnub nyoog 50 xyoo.

2. Tsev neeg keeb kwm ntawm mob qog nqaij hlav hauv plab
Muaj niam txiv, kwv tij, muam, lossis menyuam yaus uas muaj mob qog noj ntshav hauv plab ua rau tus neeg muaj kev pheej hmoo ntawm mob qog noj ntshav.

3. Keeb kwm ntawm tus kheej
Muaj keeb kwm ntawm tus kheej ntawm cov xwm txheej hauv qab no ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav hauv plab:

• Yav dhau los mob qog nqaij hlav hauv plab.
• Kev pheej hmoo siab adenomas (cov kab mob hauv plab uas yog 1 centimeter lossis loj dua los yog muaj cov hlwb uas zoo li txawv txav hauv lub tshuab ntsuas).
• Ovarian cancer.
• Kab mob plab hnyuv loj (xws li mob plab ulcerative lossis kab mob Crohn).

4. Cov kev pheej hmoo raug cuam tshuam

Qhov kev pheej hmoo ntawm kev mob qog nqaij hlav hauv plab yog nce ntxiv thaum qee cov noob hloov pauv txuas nrog tsev neeg adenomatous polyposis (FAP) lossis cov kab mob qog noj ntshav uas tsis yog mob qog noj ntshav (HNPCC lossis Lynch Syndrome) tau txais txiaj ntsig.

5. Cawv

Kev haus dej cawv 3 lossis ntau dua ib hnub ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav.Kev haus cawv kuj tseem cuam tshuam rau txoj kev pheej hmoo ntawm kev tsim cov qog nqaij hlav loj loj (cov qog nqaij hlav).

6. Kev haus luam yeeb
Kev haus luam yeeb yog txuas mus rau kev pheej hmoo ntawm mob qog noj ntshav thiab tuag los ntawm kev mob qog nqaij hlav hauv plab.
Kev haus luam yeeb kuj tseem cuam tshuam rau kev pheej hmoo ntawm kev tsim cov adenomas hauv plab.Cov neeg haus luam yeeb uas tau phais kom tshem tawm cov adenomas ntawm lub plab yog qhov muaj feem yuav ua rau adenomas rov qab los (rov qab los).

7. haiv neeg
Cov neeg Asmeskas cov neeg Asmeskas muaj kev pheej hmoo siab mob qog noj ntshav thiab tuag los ntawm mob qog nqaij hlav hauv plab piv rau lwm haiv neeg.

8. Kev rog rog
Kev rog rog yog txuam nrog kev pheej hmoo ntawm kev mob qog nqaij hlav hauv plab thiab tuag los ntawm kev mob qog nqaij hlav hauv plab.

Cov kev tiv thaiv hauv qab no txo ​​qhov kev pheej hmoo ntawm mob qog nqaij hlav hauv plab:

1. Kev ua si ntawm lub cev

Ib txoj kev ua neej uas suav nrog kev ua lub cev tsis tu ncua yog txuas rau qhov txo qis ntawm kev mob qog noj ntshav hauv plab.

2. Aspirin
Cov kev tshawb fawb tau pom tias kev noj tshuaj aspirin txo qis qhov kev pheej hmoo ntawm mob qog noj ntshav hauv plab thiab txoj kev pheej hmoo ntawm kev tuag los ntawm mob qog noj ntshav.Qhov txo qis hauv kev pheej hmoo pib 10 mus rau 20 xyoo tom qab cov neeg mob pib noj tshuaj aspirin.
Qhov ua rau muaj kev phom sij ntawm kev siv tshuaj aspirin (100 mg lossis tsawg dua) txhua hnub lossis txhua hnub suav nrog kev pheej hmoo mob stroke thiab los ntshav hauv plab thiab hnyuv.Cov kev pheej hmoo no yuav muaj ntau dua ntawm cov neeg laus, cov txiv neej, thiab cov neeg mob uas muaj feem cuam tshuam nrog kev pheej hmoo los ntshav ntau dua.

3. Kev sib xyaw tshuaj hormone hloov kho
Cov kev tshawb fawb tau pom tias kev sib xyaw ua ke ntawm kev hloov pauv tshuaj hormones (HRT) uas suav nrog cov tshuaj estrogen thiab progestin txo qis kev pheej hmoo ntawm kev mob qog nqaij hlav hauv plab hauv cov poj niam postmenopausal.
Txawm li cas los xij, hauv cov poj niam uas siv HRT sib xyaw ua ke thiab ua rau mob qog noj ntshav hauv plab, mob qog noj ntshav yuav muaj ntau dua thaum kuaj pom thiab qhov kev pheej hmoo ntawm kev tuag los ntawm mob qog noj ntshav tsis txo qis.
Cov teeb meem tshwm sim ntawm kev sib xyaw ua ke HRT suav nrog kev pheej hmoo siab ntawm kev muaj:

• Mob cancer mis.
• Mob plawv.
• Ntshav txhaws.

4. Kev tshem tawm polyp
Feem ntau cov kab mob hauv lub plab yog adenomas, uas tuaj yeem ua rau mob qog noj ntshav.Tshem tawm cov kab mob hauv plab uas loj dua 1 centimeter (pea-loj) tuaj yeem txo qhov kev pheej hmoo ntawm mob qog noj ntshav.Nws tsis paub yog tias tshem cov polyps me me yuav txo qis kev pheej hmoo ntawm mob qog noj ntshav hauv plab.
Cov kev puas tsuaj ntawm polyp tshem tawm thaum lub sij hawm colonoscopy los yog sigmoidoscopy muaj xws li lub kua muag nyob rau hauv lub phab ntsa ntawm txoj hnyuv thiab los ntshav.

Nws tsis paub meej yog tias cov hauv qab no cuam tshuam rau kev pheej hmoo ntawm mob qog noj ntshav hauv plab:

1. Nonsteroidal anti-inflammatory tshuaj (NSAIDs) uas tsis yog tshuaj aspirin
Nws tsis paub yog tias kev siv cov tshuaj nonsteroidal anti-inflammatory los yog NSAIDs (xws li sulindac, celecoxib, naproxen, thiab ibuprofen) txo qis kev pheej hmoo ntawm mob qog noj ntshav.
Cov kev tshawb fawb tau pom tias kev noj cov tshuaj nonsteroidal anti-inflammatory tshuaj celecoxib txo qhov kev pheej hmoo ntawm cov qog nqaij hlav hauv plab (cov qog nqaij hlav zoo) rov qab los tom qab lawv raug tshem tawm.Nws tsis paub meej yog tias qhov no ua rau muaj kev pheej hmoo tsawg ntawm kev mob qog noj ntshav hauv plab.
Kev noj sulindac lossis celecoxib tau pom tias txo tus naj npawb thiab qhov loj ntawm polyps uas tsim nyob rau hauv txoj hnyuv thiab lub qhov quav ntawm cov neeg uas muaj familial adenomatous polyposis (FAP).Nws tsis paub meej yog tias qhov no ua rau muaj kev pheej hmoo tsawg ntawm kev mob qog noj ntshav hauv plab.
Cov teeb meem tshwm sim ntawm NSAIDs suav nrog:

• Teeb meem raum.
• Los ntshav hauv plab, hnyuv, lossis hlwb.
• Teeb meem plawv xws li mob plawv nres thiab mob plawv tsis ua hauj lwm.

2. Calcium
Nws tsis paub yog tias noj cov tshuaj calcium uas txo qis qhov kev pheej hmoo ntawm mob qog noj ntshav hauv plab.

3. Kev noj haus
Nws tsis paub yog tias kev noj zaub mov tsis muaj rog thiab nqaij thiab muaj fiber ntau, txiv hmab txiv ntoo, thiab zaub txo qis kev pheej hmoo ntawm mob qog noj ntshav.
Qee cov kev tshawb fawb tau pom tias kev noj zaub mov muaj roj, cov protein, calories, thiab nqaij ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav, tab sis lwm cov kev tshawb fawb tsis tau.

Cov hauv qab no tsis cuam tshuam qhov kev pheej hmoo ntawm mob qog nqaij hlav hauv plab:

1. Kev kho tshuaj hormone hloov nrog tshuaj estrogen nkaus xwb
Kev hloov tshuaj hormones nrog tshuaj estrogen tsuas yog tsis txo qis kev pheej hmoo ntawm kev mob qog noj ntshav hauv plab lossis kev pheej hmoo tuag los ntawm mob qog noj ntshav.

2. Cov tshuaj statins
Cov kev tshawb fawb tau pom tias noj statins (cov tshuaj uas txo cov roj cholesterol) tsis nce lossis txo qhov kev pheej hmoo ntawm mob qog noj ntshav.

Kev tiv thaiv kab mob qog noj ntshav yog siv los kawm txog kev tiv thaiv kab mob qog noj ntshav.
Kev tiv thaiv kab mob qog noj ntshav yog siv los kawm txog txoj hauv kev kom txo qis kev pheej hmoo ntawm kev tsim qee yam mob qog noj ntshav.Qee qhov kev sim tiv thaiv kab mob qog noj ntshav tau ua nrog cov neeg noj qab haus huv uas tsis muaj mob qog noj ntshav tab sis leej twg muaj kev pheej hmoo mob qog noj ntshav.Lwm qhov kev tiv thaiv kev sim yog ua nrog cov neeg uas tau mob qog noj ntshav thiab tab tom sim tiv thaiv lwm tus mob qog noj ntshav ntawm tib hom lossis txo lawv txoj hauv kev los tsim hom mob qog noj ntshav tshiab.Lwm qhov kev sim ua tiav nrog cov neeg ua haujlwm noj qab haus huv uas tsis paub tias muaj kev pheej hmoo rau mob qog noj ntshav.
Lub hom phiaj ntawm qee qhov kev sim tshuaj tiv thaiv kab mob qog noj ntshav yog txhawm rau tshawb xyuas seb cov neeg ua li cas tuaj yeem tiv thaiv qog noj ntshav.Cov no yuav suav nrog kev tawm dag zog ntau dua lossis txiav luam yeeb lossis noj qee yam tshuaj, vitamins, minerals, lossis khoom noj.
Txoj hauv kev tshiab los tiv thaiv kab mob qog noj ntshav tau raug kawm hauv kev sim tshuaj.

Tau qhov twg los: http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR258007&type=1