Phunziro Limapeza Vuto Lalikulu Poyesedwa Pabanja Panyumba

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Kuyesa kwamtundu wa Direct-to-consumer (DTC) kuli ndi mphindi. 23andMe ali ndi chilolezo cha FDA kuti ayesere kusintha kwa BRCA, zomwe zikutanthauza kuti kwa nthawi yoyamba, anthu onse atha kudziyesa okha pazomwe zasintha zomwe zimawonjezera chiopsezo cha khansa ya m'mawere, yamchiberekero, ndi ya prostate. Chomwe chiri ndichakuti, akatswiri azamayendedwe akhala akuchenjeza kuti mayesero apanyumba awa ali ndi malire ndipo mwina sangakhale olondola momwe amawonekera. (BTW, 23andMe ndi amodzi mwamakampani angapo omwe amapereka kuyezetsa magazi kwa khansa ya m'mawere kunyumba-ngakhale ndi imodzi yokhayo yomwe sifunikira kuuzidwa ndi dokotala.)

Tsopano, kafukufuku watsopano akuwunikira kwenikweni Bwanji kuyezetsa kunyumba kungakhale kolakwika. Kafukufuku watsopano m'magazini Genetics mu Mankhwala adayang'ana zitsanzo za odwala 49 zomwe zidatumizidwa ku labu lotsogola lotsogola, Ambry Genetics, kuti akafufuze kawiri pambuyo poyesedwa kunyumba. Mchitidwewu, womwe umatchedwa "kuyesa kotsimikizira," nthawi zambiri amalimbikitsidwa ndi azachipatala wina akalandira zotsatira zake kuchokera ku mayeso a chibadwa kunyumba. Nthawi zambiri, kuyesa kutsimikizika kumafunsidwa ndi dokotala woyang'anira chisamaliro pambuyo poti wodwala apempha thandizo kutanthauzira lipoti lawo laiwisi.

Izi "zosaphika" nthawi zambiri zimayenera kumasuliridwa ndi labu wachitatu kuti zitsimikizidwe ndikumvetsetsa molondola-gawo lomwe anthu ambiri amalumpha. Pakafukufukuyu, ochita kafukufuku adasonkhanitsa zopempha zambiri zoyezetsa zotsimikizira momwe angapezere ndikuyerekeza kusanthula kwawo kwa DNA ya odwala ndi zomwe zotsatira za kuyezetsa kunyumba zidanenedwa. Zikuwonetsa kuti 40% yazosiyana (mwachitsanzo, majini ena) zomwe zafotokozedwazo poyesedwa kunyumba zinali zabodza.

Kwenikweni, izi zikutanthauza kuti majini amasintha mayesero apanyumba omwe amapezeka mu data yaiwisi-onse omwe ali pachiwopsezo chochepa komanso omwe ali pachiwopsezo-sanatsimikizidwe ndi lab lab ya genetics. Kuphatikiza apo, mitundu ina yama jini yomwe imadziwika kuti "chiopsezo chowonjezeka" poyesedwa kunyumba idasankhidwa kuti ndi "yoyipa" ndi labotale yazachipatala. Izi zikutanthauza kuti ena mwa anthu omwe adalandira zotsatira "zabwino" pamayeso awo anali *osati* pachiwopsezo chowonjezeka. (Zokhudzana: Kodi Kuyezetsa Kunyumba Kumakuthandizani Kapena Kukuvulazani?)

Alangizi a zachibadwa sadabwe."Ndili wokondwa kuti ziwerengerozi zikuwonetsa kuchuluka kwa kuwerengeka kolakwika kotero kuti ogula ambiri adziwe zofooka zomwe zimachitika pakuyezetsa majini kwa DTC," akutero Tinamarie Bauman, namwino wodziwika bwino wa chibadwa komanso wothandizira wamkulu wa mkulu- pulogalamu ya chiopsezo cha majini ku AMITA Health Cancer Institute.

Yankho: Lankhulani ndi dokotala wanu za kupita kukaonana ndi mlangizi wa majini. "Alangizi a zachibadwa amachita zambiri osati kungoyang'ana zoopsa; amakuthandizani kumvetsetsa zambiri za zotsatira zabwino kapena zoipa," akutero Bauman. "Aliyense amene amayezetsa DTC ndiyeno n'kulandira zotsatira zake, akhoza kudziwa pang'ono chabe kuti pali zambiri zoti ziwunikenso ndi kumasulira."

Ngati mulidi ndi chiopsezo chowonjezeka cha matenda obadwa nawo, mlangizi wamtundu wanu akhoza kukuthandizani kuchitapo kanthu kuti muchepetse chiopsezo chanu, mupeze kachilombo koyambitsa matendawa, kapena mupatseni chithandizo chodziwitsidwa ndi makonda ngati kuli kofunikira.

Ndipo ngakhale upangiri wa Bauman kwa ogula za kuyezetsa kwa DTC unali womwewo kafukufukuyu asanatuluke, tsopano akumva mwachangu kwambiri makamaka kwa omwe atha kukhala ndi chibadwa cha khansa. "Ndimagwira ntchito ya oncology, ndipo ndida nkhawa kwambiri ndi kuyezetsa kunyumba kuti ndidziwe za majini a khansa," akutero. "Pali mwayi waukulu wosintha zinthu zomwe zingasinthe moyo."

Chifukwa chake ngati mwalandira kale zotsatira kuchokera pakuyezetsa majini kunyumba, kuyezetsa kotsimikizira ndikofunikira, akutero. "Ndikofunikira kutsimikizira mitundu yonse ya DTC yaiwisi mu labotale yodziwika bwino yazachipatala," akutero a Bauman. Ndikofunikanso kumvetsetsa zabwino ndi zolephera za mayeso, ndi zomwe zingachitike pazotsatira zake. Kodi mungatani ngati zotsatirazo zibwerere kukhala zabwino? Kodi zitanthauza chiyani ngati zili zoipa? "Chilolezo chodziwitsidwa ndi gawo lofunikira pakukonzekera," akutero Bauman. "Kukambirana kungathe kuthetsa chisokonezo."

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