Shin akwai haɗi tsakanin estrogen da cutar kanjamau? Mun san akwai bambanci tsakanin cutar kanjamau a cikin mata da cutar ciwon huhu a cikin maza. Har ila yau, mun san cewa kwayoyin cutar kanjamau sun sami masu karɓar isrogen, wato, yankunan dake kan tantanin tantanin halitta wanda zai iya haɗuwa da estrogen. Kodayake saninmu bai zama cikakke a wannan lokaci ba, menene wannan zai iya nufi ga matan da ke fama da ciwon huhu a yau, ko kuma hadarin cutar kanjamau a nan gaba?
Kafin magana game da binciken, yana da muhimmanci a bayyana dalilin da yasa wasu daga cikin sakamakon zasu iya zama masu rikitarwa. Akwai hanyoyi daban-daban (hanyoyin) wanda estrogen ke taka muhimmiyar cutar kanjamau. Har ila yau, yana da mahimmanci a nuna cewa da yawa daga cikin waɗannan nazarin suna magana ne game da al'amurra guda biyu. Ɗaya daga cikin lalacewa-mai yiwuwa ne mafi girma ko ƙananan estrogen na da tasirin ko wani zai inganta ciwon huhu a cikin huhu a farkon wuri? Sauran ci gaba ne - shin ne estrogen zai sa cutar kanjamau ta rigaya ta kasance don girma da sauri ko hankali?
Tarihin haifuwa
Ko da yake mun fahimci cewa ciwon nono yafi kowa a cikin mata da suka fara samun lokaci a ƙuruciyar ƙuruciya, binciken ba su gano cewa wannan shine lamarin da ciwon huhu ba. Kwayar ciwon huhu ya yi tunanin ba shi da yawa a cikin matan da suka sami 'ya'ya fiye da wadanda basu da' ya'ya ko a'a, musamman a mata waɗanda ba su taɓa shan taba ba.
Binciken binciken da aka yi a kwanan nan ya nuna cewa cutar ciwon huhu ba tare da ƙananan ƙwayar cutar ba , amma ba ƙwayar cutar ciwon huhu na kananan kwayoyin cutar ba , na iya zama dan kadan kadan a cikin matan da suka sami yara. Ɗaya daga cikin binciken ya gano cewa, da bambanci ga ciwon nono, cutar kanjamau ta karamin dan kadan lokacin da mata suka haifa a wani lokaci.
(A kwatanta, tare da ciwon nono na haɗarin ya rage ta hanyar kasancewa na farko a farkon rayuwar (kafin 30) amma cutar kanjamau ya rage kadan ta hanyar yarinya a baya a rayuwa.)
Wani bincike na baya-bayan nan ya nuna cewa matan da ke dauke da su biyu daga cikin ovaries (cire miki ") zai iya samun haɗari mai girma na ciwon daji na huhu. Wasu nazarin kuma sun nuna karamin haɗin tsakanin farkon mazaune da ci gaba da ciwon huhu na huhu.
Nazarin dabba
Ɗaya daga cikin binciken akan mice ya nuna cewa estrogen zai iya inganta ciwon cutar ciwon huhu. A cikin wannan binciken, 'yan mata da ke dauke da ovaries sun ci gaba da ciwon ciwon huhu a cikin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta. Bugu da ƙari, a lokacin da yanda ba tare da ovaries aka bi da su ba tare da isrogen, su ciwon sukari sun yi girma fiye da ƙuda da ba a kula da estrogen.
Hanyoyin Sauyawa
Hanyoyin maye gurbin hormone , ko HRT (estrogen da progesterone) don cututtuka na mazaopausal na iya ƙara haɗarin mutuwa daga ciwon huhu, musamman a mutanen da suke shan taba. A cikin binciken kimanin mata 16,000 da ciwon daji na marasa ciwon ƙwayar cuta, wadanda suke amfani da maganin maye gurbin haɗarin hormone sun kasance kashi 60 cikin dari na iya mutuwa daga cutar. Yana da mahimmanci a lura cewa a cikin wannan binciken, hadewar HRT ta ƙara haɗarin mutuwa daga ciwon daji na huhu idan sun riga sun sami shi, amma ba damar cewa wani zai iya ciwon ciwon huhu ba.
Binciken, binciken da ake kallon jingina a matsayin hanyar ciwon daji na mahaifa ya haɗu, tare da wasu nuna karuwa, wasu ba su nuna wata dangantaka ba, kuma wasu sababbin karatun suna nuna rashin karuwar cutar kanjamau.
Binciken da aka yi a kwanan nan ya dubi muhimmancin ciwon estrogen (ba tare da yaduwa ba) kadai akan hadarin ciwon daji a cikin mata a matsayin wani ɓangare na binciken Nazarin California. A cikin wannan binciken, babu wata ƙungiya (babu karuwa ko ragu) tsakanin amfani da maganin hade (estrogen da progesterone) da hadarin ciwon huhu na huhu. Duk da haka, ga matan da ke amfani da ciwon estrogen kawai, masu amfani da isrogen tare da ɗan gajeren lokaci (kimanin shekaru 5) suna da mummunar haɗari na ciwon daji daga cikin ciwon huhu (kashi 46 cikin 100), da kuma masu amfani da isrogen da tsawon lokaci tsawon lokacin amfani (fiye da shekaru 15) yana da mummunar haɗarin mutuwa (kashi 40 cikin 100).
Ɗaya daga cikin binciken ya sami ciwon daji na ciwon huhu a tsakanin mata da suka yi amfani da kwayoyin maganin maganin ƙwaƙwalwa.
Phytoestrogens
Ana amfani da ciwon estrogens (phytoestrogens) mai gina jiki, irin su wadanda aka samu a cikin soya, a cikin wasu bincike da ciwon daji na huhu. A wasu daga cikin wadannan, ya bayyana cewa matan da suke cin abincin da ake ci a cikin phytoestrogens suna da mummunan cutar daji, musamman a tsakanin matan da basu taba taba taba taba ba.
Layin Ƙasa
Tun da ciwon huhu a cikin mahaifa, a hanyoyi da yawa, wata cuta dabam dabam a cikin mata, yana da muhimmanci muyi la'akari da yiwuwar yaduwar estrogen. Amma kamar yadda aka gani a sama, abin da muka fahimta game da cutar ciwon estrogen da huhu na har yanzu a farkon matakai.
Tare da kowace hanya ko magani, yana da mahimmanci a auna nauyin magani a kan yiwuwar hadarin. Alal misali, idan likitanka ya bada shawarar cewa an cire ovaries don wasu dalilai, amfani da hanya zai iya wucewa akan yiwuwar karuwar cutar kanjamau.
A halin yanzu, waɗannan karatun suna tunawa da kyau don yin magana da likitanka idan kun kasance a kan maye gurbin hormone, musamman idan kuna shan taba, kuma ku tambayi tambayoyi. Kuna buƙatar ɗaukar magunguna? Akwai wasu hanyoyi? Akwai wadata da zasu iya wuce hadarin mace mai girma daga cutar ciwon huhu (ko ciwon nono)?
A bayanin ƙarshe, fahimtar cewa kwayoyin cutar kanjamau ta karu da masu karɓar isrogen sun buɗe ƙofofin ko wasu magunguna da aka yi amfani dasu a al'ada don ciwon nono zai iya taka muhimmiyar rawa wajen maganin ciwon daji a cikin nan gaba.
Sources:
Chlebowski, R. et al. Maganin Lung Cancer Daga cikin matan Postmenopausal da aka yi amfani da ita tare da isrogen kawai a cikin Shirin Harkokin Kiwon Lafiyar Mata Matsalar Random. Journal of the National Cancer Institute . 2010 Aug 13 (Epub gaba da bugu).
Chlebowski, R. et al. Estrogen da progestin da kuma ciwon huhu a cikin mahaifa a cikin mata postmenopausal (Mataimakin Lafiya Initiative): wani bincike na ƙarshe na gwajin gwagwarmaya bazuwar. Lancet . 2009. 374 (9697): 1243-51.
Clague, J., Reynolds, P., Henderson, K. et al. Menopausal Hormone Far da Lung Cancer-Musamman Mutuwa Bayan Bin hankali: Sanarwar Nazarin California. 2014. Doi.org/10.1371/journal.pone.0103735.
Hammoud, Z. et al. Estrogen na cigaba da cigaba da ci gaba a cikin tsarin ƙwayar ƙwayar ƙwayar cuta ta adenocarcinoma. Endocrine-Related Cancer . 2008. 15 (2): 475-83.
Koushik, A. et al. Abubuwan halayen haila da ciki da kuma hadarin ciwon huhu a cikin mata. Jaridar Duniya na Ciwon Cutar . 2009. 125 (10): 2428-33.
Meinhold, C. et al. Abubuwan haifuwa da abubuwan hormonal da kuma hadarin ciwon daji na suturar ƙwayoyin cuta. Jaridar Duniya na Ciwon Cutar . 2011. 128 (6): 1404-13.
Pesatori, A. et al. Amfani da mahaukaci da kuma hadarin ciwon daji na huhu: binciken da aka samu daga Cibiyar Kwayar Cancer ta Duniya (ILCCO). Jaridar British Journal of Cancer . 2013 Sep 3. (Epub gaba da bugu).
Pesatori, A. et al. Abubuwan haifuwa da halayen hormonal da ciwon daji na huhu: Nazarin EAGLE. Jaridar Duniya na Ciwon Cutar . 2012 Nov 6. (Epub gaba da bugu).
Rodriquez, C. et al. Magungunan hormone na postmenopausal da cutar kanjamau na hadarin gaske a cikin binciken rigakafin ciwon daji na II. Magungunan Ciwon Halitta da Ciwon Halitta da Ciwon Buka . 2008. 17 (3): 655-60.
Seow, A. et al. Rarraban haifuwa, soya, da kuma ciwon daji na ciwon huhu a cikin mata masu ba da launi a cikin Harkokin Kiwon Lafiya na Singapore. Magungunan Ciwon Halitta da Ciwon Halitta da Ciwon Buka . 2009. 18 (3): 821-7.
Shimazu, T. et al. Isoflavone ci da kuma hadarin ciwon daji na huhu: wani binciken soja mai yiwuwa a Japan. American Journal of Clinical Nutrition . 2010. 91 (3): 722-8.
Siegfried, J. Farkon canje-canje a cikin furcin kalma na kwayoyin halitta bayan shan taba taba ya ba da haske game da muhimmancin ciwon estrogen metabolism a cikin kwayar cutar huhu. Ciwon Rigakafin Lafiya (Philadelphia, Pa) . 2010. 3 (6): 692-5.
Slatore, C. et al. Ciwon daji na huhu da kuma maye gurbin hormone: ƙungiya a cikin bitamin da kuma nazarin rayuwa. Journal of Clinical Oncology . 2010. 28 (9): 1540-6.
Yao, Y. et al. Hanyoyin sauyawa na mata a cikin mata na iya rage yawan cutar ciwon huhu na huhu: wani zane-zane. PLoS Daya . 2013. 14 (8): e71236.