Chifukwa Chomwe Ndinayeserera Chibadwa cha Khansa ya M'mawere

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"Zotsatira zanu zakonzeka."

Ngakhale mawu owopsa, imelo yopangidwa bwino imawoneka yosangalatsa. Zosafunika.

Koma zangondiuza ngati ndili wonyamula kusintha kwa majini a BRCA1 kapena BRAC2, zomwe zitha kuyambitsa chiopsezo changa chodwala khansa ya m'mawere ndi yamchiberekero padenga. Ziri pafupi kundiuza ngati ndiyenera kuyang'anitsitsa kuthekera kwa kupewetsa kachilomboka kumaso tsiku lina. Zoonadi, zatsala pang'ono kundiuza zomwe zisankho zanga zaumoyo zizikhala kuyambira pano.

Aka si koyamba kukumana ndi khansa ya m'mawere. Ndili ndi mbiri yabanja yamatendawa, motero kuzindikira ndi maphunziro akhala mbali zazikulu za moyo wanga wachikulire. (Nazi Zomwe Zimagwiradi Ntchito Kuchepetsa Chiwopsezo Cha Khansa Yanu Ya M'mawere.) Komabe, pofika nthawi yodziwitsa Khansa ya M'mawere imafika kumapeto kwa Okutobala, ndimakhala ndikufikira malire anga a pinki maliboni ndi fundraiser 5Ks. Ponena zaukadaulo wosanja mitundu ya BRCA? Ndinkadziwa kuti kulipo, koma sindinali wotsimikiza kwenikweni kuti ndichite chiyani za izi.

Kenako ndidamva za Colour Genomics, kampani yoyesa majini yomwe imayesa malovu amasinthidwe amtundu wa 19 (kuphatikiza BRCA1 ndi BRCA2). Imeneyi inali njira yosavuta, ndinadziwa kuti yakwana nthawi yoti ndiyambe kupewa nkhaniyi ndikuyamba kupanga zisankho zokhudzana ndi thanzi langa. Ndimayang'anitsitsa zomwe zimalowa mthupi langa (werengani: ndikangowaza kagawo kakang'ono ka pizza), ndiye bwanji sindimayang'ana zomwe zikuchitika mkati thupi langa?

Sindine munthu woyamba kuganiza za izi. Amayi ambiri akupanga chisankho kuti awonedwe kowopsa chonchi. Ndipo Angelina Jolie Pitt adawunikira kwambiri pamutu wamdima zaka ziwiri zapitazo pomwe adayezetsa kuti ali ndi vuto la kusintha kwa BRCA1 ndikukambirana pagulu lingaliro lake lokhala ndi njira yopewera mastectomy iwiri.

Zokambiranazi zangochitika kuyambira pamenepo. Mayi wamba ali ndi chiwopsezo cha 12 peresenti chokhala ndi khansa ya m'mawere ndi mwayi umodzi kapena 2 peresenti yokhala ndi khansa ya m'chiberekero pa moyo wake wonse. Koma amayi omwe ali ndi kusintha kwa jini ya BRCA1 akuyang'ana mwayi wa 81 peresenti kuti adzakhale ndi khansa ya m'mawere nthawi ina, ndi mwayi wa 54 peresenti yokhala ndi khansa ya ovari.

"Chimodzi mwazinthu zomwe zasintha m'zaka zaposachedwa ndikuti mtengo wamafuta osinthasintha watsika kwambiri," akutero a Othman Laraki, woyambitsa mnzake wa Colour Genomics. Zomwe kale zinali kuyezetsa magazi okwera mtengo tsopano zasandulika msanga kwa pafupifupi gawo limodzi mwa magawo khumi a mtengo. "M'malo modula mtengo wa labu, chinthu chachikulu chotsekereza chakhala kutha kumvetsetsa ndikukonza zidziwitso," akutero.

Izi ndizomwe Mtundu umachita bwino-tikulankhula za 99% kuyesa kulondola ndi zotsatira zomwe ndizosavuta kumva. Ndi gulu la mainjiniya ochokera kumakampani apamwamba kwambiri (monga Google ndi Twitter), kampaniyo imapangitsa kuti zotsatira zanu zizikhala zowopsa-komanso monga kuyitanitsa nkhomaliro pa Seamless.

Pambuyo popempha spit kit pa intaneti ($249; getcolor.com), Mtundu umapereka zonse zomwe mukufunikira kuti mutumize chitsanzo (makamaka, chubu choyesera chomwe mumalavulira). Njira yonseyi imatenga pafupifupi mphindi zisanu ndipo zidazo zimabwera ndi bokosi lolipiriratu kuti mutumize zitsanzo zanu ku labu. DNA yanu ikamapita kumalo awo oyesera, Colour amakufunsani kuti muyankhe mafunso angapo okhudza mbiri ya banja lanu pa intaneti, zomwe zimathandiza asayansi kumvetsetsa momwe chibadwa chimakhalira pachiwopsezo chanu chobadwa. Khumi mpaka 15 peresenti ya khansa imakhala ndi cholowa, kutanthauza kuti chiopsezo chanu chikugwirizana ndi kusintha kwa jini m'banja mwanu. Mwa majini 19 omwe Colour screens, m'modzi kapena awiri mwa anthu 100 alionse amayesedwa kuti atha kusintha kamodzi kapena zingapo, malinga ndi Laraki. (Dziwani chifukwa chake khansa ya m'mawere ikukula.)

Tonsefe timakhala ndi kusintha kwa majini-izi ndizomwe zimatipanga kukhala anthu amodzi. Koma kusintha kwina kumatanthauza zoopsa zaumoyo zomwe mukufunadi kudziwa-makamaka, mitundu yonse ya 19 ya majeremusi omwe amayesedwa ndi chiopsezo cha khansa ya m'mawere ndi yamchiberekero, komanso mitundu ina ya khansa ndi matenda owopsa).

Malinga ndi Laraki, zonsezi ndikungodzilimbitsa ndi chidziwitso. Ngati mungakhale ndi kusintha koopsa, kutenga khansa ya m'mawere koyambirira motsutsana mochedwa kumakhudza kwambiri kuchuluka kwa moyo. Malinga ndi American Cancer Society, tikukamba 100% ngati mungazigwire gawo la 22% pokhapokha ngati simugwira mpaka gawo IV. Uwu ndi mwayi waukulu kudziwa zoopsa zanu pasadakhale.

Pakatha milungu ingapo ku labu, Colour amatumiza zotsatira zanu mu imelo ngati yomwe ndalandira. Kudzera pazenera lawo losavuta kugwiritsa ntchito, mutha kuwona kuti ndi majini ati, ngati alipo, omwe angasinthidwe komanso zomwe kusinthako kungatanthauze thanzi lanu. Chiyeso chilichonse chimaphatikizapo kufunsa ndi mlangizi wamtundu, yemwe adzakuyenderani pazotsatira zanu ndikuyankha mafunso aliwonse. Mukafunsa, Colour itumiza zotsatira zanu kwa dokotala kuti muthane naye kupanga mapulani.

Ndiye nanga ine? Nditadina batani loyipa lija la "Onani Zotsatira", ndidadabwa kudziwa kuti sindikhala ndi masinthidwe oopsa amtundu wa BRCA kapena ayi. Onetsani kupuma kwakukulu kwa mpumulo. Poganizira mbiri ya banja langa, ndinali wokonzeka kutsutsana (kotero kuti sindinauze abwenzi kapena abale kuti ndikuyesedwa mpaka nditalandira zotsatira zanga). Akadakhala kuti ali ndi chiyembekezo, ndimafuna nthawi yoti ndidziwe zambiri ndikulankhula ndi dokotala wanga za njira yabwino yokonzekera tisanakambirane chisankhochi.

Kodi izi zikutanthauza kuti sindidzadandaula za khansa ya m'mawere? Inde sichoncho. Monga azimayi ambiri, ndili ndi chiopsezo cha 12% chodwala matendawa nthawi ina. Kodi izi zikutanthauza kuti ndikhoza kupuma mosavuta? Mwamtheradi. Pamapeto pake, ngakhale nditakhala pachiwopsezo chotani, ndikufuna kukhala wokonzeka kupanga zisankho zathanzi, ndipo nditayesedwa, ndimadzimva kuti ndikonzeka kuchita izi. (Onetsetsani kuti mukudziwa za Zosintha za American Cancer Society to Breast Cancer Screening Guidelines.)

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