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Mamirioni ezviitiko zvegomarara zvinoonekwa pasi rose gore rega rega. Uye, kunyangwe zvingave zvakaoma kuverenga, chikamu chikuru chenjodzi idzi chinogona kudziviswa nekuchinja mamwe maitiro ezuva nezuva. Iko hakuna bara remashiripiti ekuzvidzivirira kubva kugomarara, asi sainzi yakajeka pachinhu chimwe chete: mararamiro edu, nharaunda yatinogara, uye zvimwe zvinhu zvipenyu zvinogona kuwedzera kana kuderedza njodzi yekuzvigadzira.
Hwisisa kuti njodzi dzegomarara ndedzipi, ona mienzaniso yakajeka, uye ziva maitiro ekudzideredza. Zvinotipa mukana wekufambisa uye kuita sarudzo dzine ruzivo. Hazvisi zvekurarama mukutya, asi nezvekutamba zvinotinakira: kudya zviri nani, kufamba zvakanyanya, kudzivisa fodya nedoro rakawandisa, kudzivirira ganda redu kubva kuzuva, kubaiwa nhomba yezvimwe zvirwere, uye kuenda kunoongororwa nachiremba nguva dzose.
Chii chinonzi cancer risk factor uye inoonekwa sei?
Dambudziko regomarara chero hunhu, kuratidzwa, kana tsika inowedzera mukana wekuita bundu.Kune vanhu vane njodzi dzakawanda vasingamboite cancer, uye vamwe vanotambura nazvo vasina zvikonzero zvinooneka zvengozi, asi kana zvinhu izvi zvichiwanda, ndipo panowedzera matipi echiyero kuchirwere.
Vatsvagiri vanoona izvi zvine njodzi zvakanyanya kuburikidza nezvidzidzo zveepidemiological.Zvidzidzo izvi zvinofananidza mapoka makuru evanhu vane gomarara kune vanhu vasina chirwere. Vanoongorora kusiyana kwemararamiro, mhoteredzo, nzvimbo yebasa, nhoroondo yemhuri, uye nhoroondo yezvokurapa kuti vaone kuti ndeapi maitiro anodzokororwa.
Kana zvidzidzo zvakati wandei zvichiwana kubatana kwakafanana uye, nekuwedzera, pane zvine musoro biological mechanism inotsanangura (Semuenzaniso, chinhu chinokuvadza DNA kana utachiona hunokonzera kuzvimba kusingaperi), nzanga yesainzi inowana chivimbo chekuti hazvina kungoitika. Kubva ipapo, zvinhu izvi zvinogona kuve chikamu chekurudziro yekudzivirira yepamutemo.
Zvakakosha kusiyanisa pakati pezvinogadzirika uye zvisingachinjike njodzi zvinhu.Iyo yekutanga inoenderana zvakanyanya nemaitiro edu uye nharaunda (fodya, doro, chikafu, ultraviolet mwaranzi, hutachiona, mararamiro ekugara, nezvimwewo), nepo zvekupedzisira hazvigone kuchinjwa, senge zera, zvepabonde, kana kumwe kugarwa nhaka. Chinangwa chakajeka: kuderedza zvinhu izvo zvatinokwanisa kutsiva izvo zvatisingagoni kudzivisa.
Kune zvakare izvo zvinonzi zvinodzivirira.Ndiko kuti, maitiro kana hunhu hunodzikisira mukana wekubatwa negomarara: chikafu chakapfuma mumichero nemiriwo, kurovedza muviri nguva dzose, uremu hune hutano, kubayiwa mamwe mavhairasi kana kuchengetedzwa kwezuva kwakakwana, pakati pezvimwe.
Fodya: iyo huru inogadziriswa njodzi chinhu
Fodya inoramba iri iyo ine simba uye inodziviririka njodzi yegomarara papasiZvinofungidzirwa kuti zvinokonzeresa 14% yekenza dzese dzegomarara uye makumi maviri muzana yekufa kwegomarara mune dzimwe nyika, kunyanya kenza yemapapu, rinova gomarara rinouraya pasi rose nepasirese.
Kusvuta hakungobatanidzwa chete nekenza yemapapuInowedzerawo njodzi yemamota emukanwa, pharynx, larynx, esophagus, chiropa, pancreas, dundira, itsvo, dumbu, cervix, colon, uye rectum, pakati pevamwe. Fodya yekutsenga nezvimwe zvinogadzirwa nefodya isina hutsi hazvina kukuvadza zvakare: zvine chekuita negomarara remukanwa, pahuro, uye pancreas.
Chikonzero chacho ndechokuti utsi hwefodya hune zvinhu zvinopfuura 5.000 70 zvemakemikari, zvinenge makumi manomwe zvacho zviri pachena kuti zvinokonzera kenza. (zvakadai semamwe nitrosamines kana benzene). Aya mamorekuru anokuvadza zvakananga DNA yemaseru uye anotadzisa kugadziriswa kwawo, anokurudzira kuenderera kusingagumi kuzvimba, uye anogona kukonzera epigenetic shanduko, kureva, kushandura majini anobatanidzwa mukukura kwebundu.
Kuramba uchisvuta mushure mekuongororwa kenza zvakare kunowedzera zvakajeka kufungidziraFodya yakaratidza kuwedzera huturu hwemishonga yakadai seradiotherapy uye chemotherapy, kuderedza kushanda kwayo, kuwedzera mhedzisiro, uye inosanganiswa nekuderera kwehupenyu hwese uye mukana mukuru wekudzoka zvakare mumapapu, musoro nemutsipa, zamu, kana colon cancer.
Hatifaniri kukanganwa basa reutsi hwevamwe vanhuKufumurwa kwehutsi hwefodya kwakabatana nenjodzi yakawedzera yemapapu, mazamu, uye mamwe magomarara, pamwe nekuomesera kosi yekiriniki kune avo vakatobatwa. Kurega kusvuta, kunyange mushure mekuongororwa, kunoderedza zvakanyanya mukana wekudzoka zvakare uye kunovandudza mararamiro asina zvirwere, saka "hazvina kumbononoka" kurega.
Doro: kenza yenhengo dzakawanda
Doro rinozivikanwa sechirwere chegomarara chakananga iyo inokanganisa zvinhu zvose kubva pakuonekwa kwebundu kusvika kune maitiro ayo mushure mekuongororwa. Pane hukama hwakajeka hwekupindura-dosi: iyo yakawanda magiramu edoro inopedzwa pazuva uye kwemakore akawanda, inowedzera njodzi yekuva nekenza.
Kunyange mari dzinonzi “dziri pakati nepakati” dzinogona kuwedzera njodzikunyanya gomarara rezamu necolon. Pakati pemamota anonyanyobatanidzwa nekunwa doro ndeaya emukanwa, pharynx, larynx, gurokuro, chiropa, colon, rectum, uye zamu. Zvimwe zvidzidzo zvepasi rose zvinoti ingangoita 1 mumakumi maviri neshanu chirwere chegomarara nekunwa doro.
Iyo yakakosha michina inosanganisira acetaldehydeIchi chigadzirwa chepakati che ethanol metabolism inokuvadza zvakananga DNA uye inoburitsa oxidative kusagadzikana mumaseru. Pamusoro pezvo, inomutsa nzira dzepro-kuzvimba uye inokonzeresa kumwe kuchinjwa kwehomoni, sekuwedzera mazinga eesrogen muvakadzi, ayo akabatana nenjodzi huru yegomarara rezamu.
Muvanhu vane gomarara, kuramba vachinwa kunowedzera kuipa. kushanda kwechiropa uye zvinodhaka metabolismkuwedzera chepfu yechemotherapy uye mamwe maitiro ekurapa. Sezvineiwo, kuderedza kana kubvisa doro mushure mekuongororwa kwave kwakabatana nekupona kuri nani uye kushoma kudzoka, kunyanya mumazamu uye colon cancer.
Mukuita, kurudziro yehungwaru inovavarira kudzikamisa kunwa doro zvakanyanya sezvinobvira kana, zvakanaka, kuibvisa zvachose.Chero kuderedzwa kunobatsira, asi iyo data inoratidza kuti hapana zvachose "yakachengeteka" chiyero chekushandisa zvine chekuita nenjodzi yegomarara, zvisinei doro rakajairwa rinogona kunge riri muhupenyu hwemagariro.
Kufutisa, uremu hwemuviri uye kenza
Huremu hwakawandisa uye kufutisa ikozvino ndiyo yechipiri inodzivirika chikonzero chegomararaChechipiri kufodya chete, dzakabatanidzwa nemhando dzinenge 13 dzemamota, kusanganisira aya emudumbu, postmenopausal zamu, endometrium, itsvo, gurokuro, chiropa, pancreas, gallbladder, ovary, uye thyroid, pamwe nemultiple myeloma.
A body mass index (BMI) pakati pe18,5 ne24,9 inonzi ine hutanoKubva pazera re25 (kurema), njodzi yemamwe magomarara inowedzera zvishoma nezvishoma, uye zvakanyanya kana munhu apinda muhuwandu hwekufutisa. Hatisi kungotaura nezve njodzi yekuva negomarara: huremu hunokanganisawo mukana wekurapa uye kurarama kwenguva refu.
Kuwanda kwemafuta enyama kunokurudzira mamiriro ekusingaperi-giredhi kuzvimbaInoshandura metabolism yemahomoni akadai seestrogen uye insulin, uye inogadzirisa zvinhu zvekukura zvinobatanidzwa mukuwanda kwesero. Mune colorectal cancer, semuenzaniso, hukama hwakajeka pakati pekufutisa uye mukana wepamusoro wekugadzira bundu hwakagara huchiratidzwa.
Kufutisa kunoitawo kuti kuongororwa kwekutanga kuome uye kunonetsa kurapwaMuvanhu vakafuta, kuonekwa kwevazhinji kana kuchinja panguva yekuongorora kwemuviri kunogona kunonoka, uye bvunzo dzakadai semammograms kana mamwe mavhiya anogona kunge akaoma. Mamwe marapirwo, akadai seradiation therapy kana chemotherapy, anogona kusashanda zvakanyanya kana kuve nepamusoro mwero wematambudziko.
Zvidzidzo zvinoratidza kuti kurasikirwa kwehuremu kunovandudza mhinduro kune marapirwoInoderedza njodzi yekudzokera shure uye inoderedza kufa kwegomarara mumamota ane hukama nekufutisa, senge kenza yemazamu necolon. Kuchengeta huremu hune hutano hakusi kweaesthetics chete, asi kudyara kwakananga mukudzivirira kenza uye kushivirira kwekurapa kuri nani kana chirwere ichi chichikura.
Zvokudya zvinovaka muviri uye maitiro ekudzivirira ekudya
Madyiro atinoita zuva nezuva anogona kudzivirira pakati pe30 ne40% yekenza dzegomararakunyanya yemudumbu uye, kunyanya, colorectal cancer. Iko hakuna "chishamiso" chikafu chinorapa kana kukonzera kenza pachayo, asi kune maitiro ekudya anowedzera kana kuderedza njodzi.
Zvokudya zvakapfuma mumichero, miriwo, nyemba, uye zviyoKudya kwakapfuma mumafuta ane hutano (mafuta emuorivhi akawedzerwa, nzungu, hove dzine mafuta) uye kushandiswa zvine mwero kweprotein yemhuka kunobatanidzwa nenjodzi yakaderera yekenza dzakawanda. Mhando iyi yekudya, inoratidzirwa nekudya kweMediterranean, ine anti-inflammatory uye antioxidant mhedzisiro uye inovandudza metabolic profile.
Sezvineiwo, pateni ine yakawanda tsvuku uye yakabikwa nyama, ultra-processedakawedzera shuga uye upfu hwakanatswa Yakave yakabatanidzwa nekuwedzera kwengozi yegomarara, kunyanya colorectal cancer. Kubika nyama pakudziya kwepamusoro (griddle inopisa kwazvo, barbecue) inogadzira mishonga yakadai seheterocyclic amines uye polycyclic inonhuwira hydrocarbons, iyo ine carcinogenic potential.
Dietary fiber inoita basa rinonyanya kudziviriraKushandisa anenge 25-30 g yefiber pazuva kwakabatana neanosvika 15-20% yakaderera njodzi yekenza yekoloni. Fiber inobatsira kudzora mafambiro emudumbu, inoderedza nguva yekubata kweanogona carcinogens necolon's lining, uye inosimudzira ine hutano gut microbiota.
Mamwe makomisheni aripo muzvirimwa-based foods anoita seanopa imwe bhenefiti.senge sulforaphane mu broccoli kana iyo polyphenols mugirini tii nemabheri. Aya makomisheni anogona kuenzanisa nzira dzekuwedzera sero, kuderedza oxidative kusagadzikana, uye kuwedzera nzira dzekudzivirira dzemuviri. Tsvakurudzo dzinoverengeka dzakaratidza mabhenefiti akanyanya mumakenza akadai segomarara rezamu.
Muvarwere vegomarara, chimiro chekudya chakanaka chinoitawo mutsaukoKudya kwakaringana kunobatsira kuchengetedza tsandanyama, kunoderedza huturu hwekurapa, kupfupisa nguva yekupora mushure mekuvhiyiwa, uye kunatsiridza hupenyu nekuderedza kuneta uye zvimwe zvinokonzeresa. Nhungamiro dzinokurudzira, pakati pezvimwe zviyero, zvingangoita zvishanu zvemichero nemiriwo pazuva (inenge 400 g), kusarudza zviyo zvakakwana, kuderedza nyama tsvuku kusvika pasi pe200 g pavhiki, uye kudzivisa nyama yakagadzirwa uye shuga yakagadzikiswa zvakanyanya.
Kuita zvemuviri, mararamiro ekugara uye njodzi yekenza
Kusaita muviri uye hunhu hwekugara kwenguva refu hwave hwakasimbiswa seyakakodzera njodzi dzegomarara.. La kurovedza muviri nguva dzoseNekudaro, zvinoderedza njodzi yeanopfuura gumi nemaviri marudzi emamota, anosanganisira colon, zamu, endometrium, itsvo uye esophagus.
Vanhu vakawanda vanoshanda vanogona kuva ne25% yengozi yakaderera yegomarara rezamu kupfuura vanonyanya kugara. Muzvidzidzo zvinoenderana nematanho ezuva nezuva, avo vanotora nhanho dzinosvika zviuru zvinomwe pazuva vanoratidza nezve 11% yakaderera njodzi yegomarara pane avo vanongosvika zviuru zvishanu, uye avo vanosvika nhanho dzinosvika zviuru zvipfumbamwe vanodzidzikisa nezvikamu gumi nematanhatu.
Zvakanakira maekisesaizi zvinopfuura kudzora uremuMovement inobatsira kudzora mahormone epabonde (estrogens, androgens) uye kukura zvinhu, inoderedza insulin uye inovandudza kunzwisiswa kwayo, inoderedza systemic kuzvimba, inosimudzira immune system kupindura uye inomhanyisa kufambisa kwemukati, kuderedza kusangana kwemucosa neanobvira carcinogens.
Rimwe divi remari mararamire ekugaraKupedza maawa akawanda pazuva takagara kwakabatana nenjodzi yakawedzera inosvika makumi matanhatu nenhanhatu kubva muzana kune mamwe mapundu (senge colon uye endometrium), uye ne82% kuwedzera kwenjodzi yekufa kwegomarara muvanhu vasingaite zvakanyanya, sekureva kweongororo dzakaitwa nenzvimbo huru dzekenza dzepasi rose.
Kune vanhu vakatokunda gomarara, kurovedza muviri kunoratidzawo shanduko.Zvirongwa zvekuita zvemuviri zvakamisikidzwa zvinotevera kurapwa kwemamota akadai segomarara rekoloni zvakaratidzwa kuderedza mukana wekudzoka zvakare uye kunatsiridza hupenyu husina chirwere. Uyezve, kudzidziswa kwesimba uye kuchengetedza mhasuru zvinoita sekudzikamisa huturu hwemamwe mishonga (senge cisplatin) uye kuvandudza kushivirira kune chemotherapy uye radiotherapy.
Ultraviolet mwaranzi, magasi, uye zvimwe zvakatipoteredza zvinhu
Ultraviolet (UV) mwaranzi kubva kuzuva nemibhedha yekutsvuka ndiyo yakakosha njodzi yegomarara regandakusanganisira melanoma, basal cell carcinoma, uye squamous cell carcinoma. Zvinofungidzirwa kuti ma<em>melanoma 9 pagumi anogona kudzivirirwa nokupiswa nezuva zvine musoro.
Mwaranzi yeUV inokonzera kukanganisa zvakananga kuDNA yemasero egandaInowedzera kushushikana kweserura, inosimudzira kusingaperi kuzvimba, uye zvishoma inhibits yemuno immune ongororo. Ganda rine "chiyeuchidzo": kukuvadza kunowedzera kubva paudiki, saka kupisa kwezuva kunodzokororwa muhupenyu hwepakutanga kunonyorwa uye kunowedzera mukana wekuita kenza makumi emakore gare gare.
Mazano ekutanga e Zvidzivirire kuzuva Izvo zvakajeka uye zviri nyoreDzivisa kuvhenekwa nezuva panguva dzepamusoro-soro dzezuva (anenge 12:00 kusvika 16:00), shandisa mafuta ekupisa zuva ane SPF yakakwira (inenge 30-50), adzorerezve maawa maviri ega ega uye mushure mekushambira kana kudikitira, uye vhara zvipfeko, ngowani, uye magirazi ezuva. Mibhedha yekutsvuka inofanira kudzivirirwa zvachose, sezvo ichiburitsa mwaranzi yeUV yakakwana kuwedzera njodzi ye melanoma.
Pamusoro pemwaranzi yezuva, zvimwe zvezvakatipoteredza zvinoitawo basa.Kuratidzwa kwenguva refu kune zvimwe zvinosvibisa mweya uye magasi, senge radon, zvakabatanidzwa zvakanyanya nenjodzi yakawedzera yekenza yemapapu. Radon igasi reradioactive rinogaroitika rinobva pasi pevhu uye rinogona kuungana mudzimba nezvivakwa zvisina mhepo inofefetera zvakanaka.
Zvimedu zvinoburitswa neradon zvinogona kukuvadza DNA yemasero emapapu.Inoburitsa oxidative kusagadzikana uye inobatsira mukuzvimba kwakasimba, zvese zvakabatana nekukura kwemamota. Kunyange hazvo kunyatsoita kwayo kuchiri kuongororwa zvakadzama, inoonekwa seyakakura kenza, kunyanya kana yasanganiswa nefodya, iyo inowedzera njodzi.
Utachiona uye kenza: mavhairasi, mabhakitiriya uye zvipembenene zvinobatanidzwa
Zvinofungidzirwa kuti chikamu che5% chegomarara chinokonzerwa nezvirwere zvisingaperi. zvinokonzerwa nemavhairasi, mabhakitiriya, kana utachiona. Zvirwere izvi zvinogadzira kuzvimba kwakasimba, kushandura masero, uye, mune dzimwe nguva, kuburitsa mapuroteni anoshandura zvakananga maseru kuita mapundu.
Pakati pezvinonyanya kukosha ndeye human papillomavirus (HPV)HPV inobata chikamu che90% chegomarara remumuromo wechibereko nerekumashure, uye chikamu chakakosha chemamota epeni, vulva, vagina, uye oropharynx. Mapuroteni eHPV anokanganisa maitiro anodzora kutenderera kwesero uye kugadzirisa kweDNA.
Utachiona hweHelicobacter pylori hwakabatana ne75-76% yegomarara remudumbu. uye nemamwe ma lymphomas emudumbu. Iyo inowanzoenda isingacherechedzeki, yakanganisa kuzvimba, nepo ichikuvadza gastric mucosa uye DNA yemaseru, ichikurudzira kufambira mberi kune precancerous maronda uye, pakupedzisira, kenza.
Mavhairasi eHepatitis B neC (HBV neHCV) anokonzera kuzvimba kusingaperi kwechiropaizvo zvinogona kutungamirira ku cirrhosis uye hepatocellular carcinoma. Mamwe mavhairasi, akadai seEpstein-Barr virus (EBV) kana Kaposi's sarcoma-associated herpesvirus (HHV-8), akabatana ne lymphomas uye sarcoma, kunyanya muvanhu vasina immunocompromised. Zvipembenene, zvakaita seSchistosoma haematobium (gomarara redundiro) kana Opisthorchis viverrini (gomarara remugodhi wegomarara), zvinosanganisirwawo mune mamwe matunhu epasi.
Zvishandiso zvekudzikisa njodzi idzi zvinonyatsotsanangurwa: Kudzivirira HPV mukuyaruka (inodzivirira inenge 100% yezvipembenene zvechirwere chechibereko) uye kurwisana nehepatitis B (inoderedza zvakanyanya kuitika kwekenza yechiropa), kuongorora uye kurapwa kwezvirwere zvakadai seHCV kana H. pylori mumapoka engozi, kushandiswa kwemakondomu, dzidzo yepabonde uye zviyero zvakakwana zvehutsanana.
Zvisiri-zvinogadziriswa njodzi zvinhu: zera, genetics, uye vamwe
Pane zvinhu zvine njodzi zvatisingakwanise kuchinja, asi izvo zvinobatsira kuziva kuitira kugadzirisa mwero wekutarisa.Zera nderimwe rawo: magomarara mazhinji anowanzoitika patinokura, nekuti maseru anounganidza kukuvara kweDNA uye mamwe magadzirirwo ekugadzirisa anopera.
Genetics uye nhoroondo yemhuri inoitawo basa.Zvinofungidzirwa kuti pakati pe5 ne10% yemamota imhaka yekuchinja kunenge kwagara nhaka uko kunowedzera zvakanyanya mukana wekuita mamwe marudzi egomarara. Iyi ndiyo mamiriro ekuchinja kwemajini eBRCA1 uye BRCA2 (iyo inowedzera njodzi yekenza yemazamu neovarian) kana Lynch syndrome (inosanganiswa ne colorectal, endometrial, uye mamwe magomarara).
Hadzisi dzese nyaya dzegomarara mumhuri dzinosanganisira chirwere chenhaka.Nekudaro, maitiro enhengo dzemhuri dzinoverengeka dzakabatwa nebundu rimwe chete, kana pazera diki zvisina kujairika, inoda kuongororwa kwenyanzvi. Mumamiriro ezvinhu aya, kuongororwa kwemajini uye mamwe maitiro ekutarisa zvakanyanya, kana kunyange kuvhiyiwa kwekudzivirira mune zvimwe zviitiko, zvinogona kutariswa.
Bonde nedzinza rinoitawo basa.Mamwe magomarara anosanganisirwa kune imwe bonde (prostate muvarume, ovarian muvakadzi) kana yakawanda kazhinji mune imwe yadzo (zamu muvakadzi, kunyangwe ichigonawo kuitika muvarume). Mamwe madzinza anoratidzawo kuwanda kwemamwe mapundu, kazhinji nekuda kwekusanganiswa kwemajini, zvakatipoteredza, uye zvemagariro nehupfumi zvinhu.
Zvimwe zvirwere zvisingaperi zvinowedzera mukana wekuita mapundu mune dzimwe nhengo.Somuenzaniso, chirwere chinoputika (ulcerative colitis kana chirwere cheCrohn) chinowedzera njodzi yekenza yemavara; cirrhosis, pasinei nechikonzero chayo, inomutsa ngozi yekenza yechiropa; uye kumwe kusagadzikana kwehomoni kunogona kufanotungamira kumamota ethyroid, endometrium, kana mamwe matishu.
Nzira yekudzikisa sei njodzi: maitiro ekudzivirira anoshanda
Kunyangwe zvisingakwanisi "kuzvidzivirira" zvachose kubva kugomarara, humbowo hunoratidza kuti kusvika ku40-50% yezviitiko zvinogona kudzivirirwa. Kubatanidza kuchinja kwehupenyu nemaitiro ekutanga ekuona. Hazvisi zvekuwana kukwana, asi nezvekuwedzera diki, sarudzo dzinoenderana zuva nezuva.
Mamwe mazano anoshanda anosanganisira kurega kusvuta zvachose. (uye dzivisa kusvuta fodya), deredza doro kuti rive shoma kana kuti ribvise, tevera kudya kwakapfuma muzvikafu zvitsva zvinogadzirwa nezvirimwa uye kushomeka kwezvekudya zvakabikwa zvakanyanya, chengetedza uremu hune hutano uye ita zvishoma 150 maminetsi ekusimbisa muviri zvine mwero pasvondo kana 75 maminetsi ekuita basa rakasimba.
Izvo zvakakoshawo kuti uzvidzivirire kubva kune ultraviolet mwaranzi ine sunscreen, zvipfeko zvakakodzera, uye nekudzivisa zuva remasikati.Izvi zvinosanganisira kudzikisira kuratidzwa kune zvinosvibisa uye magasi zvakanyanya sezvinobvira (kufemesa imba, kutevedzera kurudziro ine chekuita neradon uye mamwe majekiseni ezvakatipoteredza). Kudzivirira HPV neHepatitis B, uye kuona uye kurapwa kweutachiona hwakadai seH. pylori kana HCV, zadzisa chirongwa chekudzivirira hutachiona.
Pakupedzisira, nguva dzose kuongororwa kwechiremba uye Zvinokurudzirwa kuongorora bvunzo nezera uye zvepabonde Iwo chikamu chakakosha chekudziviriraMammograms, cytology uye HPV bvunzo, colonoscopies kana fecal occult kuongororwa ropa, kuongorora ganda, kana, muvanhu vakasarudzwa, mapapu ekuongorora ane yakaderera-dose tomography, inobvumira kuonekwa kwezvironda mumatanho ekutanga kwazvo, apo mikana yekurapa yakakwira zvakanyanya.
Kuziva nezvese izvi zvinhu zvine njodzi, kudzidza nezve chaiyo mienzaniso, uye kuziva kuti ndeapi matanho aratidza kushanda Inobvumira kudzivirira kenza kuti ishandurwe kuita kuzvipira kwezuva nezuva kuhutano: mudzanga wese usina kubatidzwa, imwe neimwe yekuwedzera yemuriwo, kufamba kwese kunotsiva masikati ese agere pamberi pechidzitiro, chese chezuva chakaiswa nemazvo kana chese chekudzivirira chinopihwa matanho madiki ayo, akabatanidzwa pamwechete, anonongedza zvikero mukufarira hupenyu hurefu uye huri nani.
