Yuav muaj dab tsi tshwm sim thaum koj pom tias koj muaj BRCA zoo?


Yuav muaj dab tsi tshwm sim thaum koj pom tias koj muaj BRCA zoo?

Nyob ib ncig ntawm 72% ntawm cov poj niam uas muaj kev sib hloov BRCA1, thiab 69% ntawm cov poj niam muaj kab mob sib hloov BRCA2, yuav muaj tus mob cancer mis los ntawm lub hnub nyoog 80, piv rau 12% ntawm cov pej xeem. Lawv tseem yuav ua mob khees xaws rau ntawm zes qe menyuam ntau dua. Hauv cov txiv neej, tib cov kev ua yuam kev tuaj yeem tuaj yeem ua rau muaj kev pheej hmoo ntawm tus txiv neej mob cancer mis thiab prostate cancer.

Tom qab Jolie cov ntaub ntawv tshaj tawm, muaj tus cwj pwm hauv cov poj niam xav nrhiav kev tshuaj ntsuam genetic test. Txawm hais tias tsuas muaj ib feem me me ntawm cov neeg mob cancer mis muaj teeb meem nrog cov xeeb ntxwv BRCA, kev hloov mus los yuav muaj kev cuam tshuam loj heev rau cov tsev neeg.

Qhov no txhais tau hais tias, rau ntau tus poj niam uas muaj keeb kwm tsev neeg mob cancer mis, kev kuaj keeb kwm tuaj yeem ua haujlwm tseem ceeb. Nws yuav lees paub lawv cov kev txhawj xeeb – lossis nws yuav qhia rau lawv cov kev xaiv txog yam yuav tau ua tom ntej.

“Yog tias koj muaj tsev neeg keeb kwm mob cancer mis, thawj kauj ruam yog mus cuag GP thiab hais tias koj txhawj xeeb, thiab yog tias koj haum tus qauv GP yuav xa koj mus rau tsev kho mob keeb kwm lossis chaw tshwj xeeb lub cev,” hais Carolyn Rogers, tus kws tshaj lij saib xyuas neeg mob ntawm Chaw Kho Mob Cancer mis. “Qee tus neeg xaiv tsis mus kuaj, txawm hais tias lawv tsev neeg muaj keeb kwm – nws yog kev txiav txim siab ntawm tus kheej.”

Ntawm no, nws yog qhov tseem ceeb kom tsis txhob ntshai – nrog mob qog noj ntshav mis cuam tshuam rau 1 ntawm 8 tus poj niam hauv lub neej, ntau tus neeg yuav muaj keeb kwm tsev neeg mob cancer tab sis tsis muaj keeb kwm caj ces. Tab sis nws tseem ceeb ib yam kom tsis txhob quav ntsej.

Cov kev xaiv yog tias koj kuaj pom zoo

Rau Gemma los ntawm East Lothian, tau txais kev sim zoo li qhov cuab yeej ua. Nws niam, uas tau dhau los ntawm tus mob cancer mis ob zaug, tau kuaj pom qhov zoo rau qhov kev sib hloov, uas txhais tau tias muaj 50% lub caij nyoog uas Gemma tseem yuav muaj cuam tshuam. Hmoov tsis zoo, thaum muaj hnub nyoog 20 xyoo xwb, nws pom tias nws muaj lub siab lim xeeb ntau dhau.

Nws tau hais tias “Kuv tau muaj kev pab tawm tswv yim ntau zaug ua ntej kuv mus kuaj ntshav, thiab tom qab ntawd kuv yuav tsum tau tos ib hlis lossis dhau ntawd kom paub cov txiaj ntsig,” “Thaum kuv hnov ​​tias kuv tau kuaj pom qhov zoo, Kuv yog lub siab tiag tiag tab sis tseem tsis meej pem txog qhov nws txhais tau tias yog dabtsi lossis qhov uas kuv yuav tsum ua. Nws yog qhov muaj peev xwm dhau mus – Kuv tau siv nrog txhua yam sib txawv kuv ‘ d yuav tsum xav txog. “

Raws li Rogers piav qhia, cov poj niam uas kuaj qhov zoo feem ntau yuav muaj peb txoj kev xaiv.

“Lawv tuaj yeem xav txog seb lawv puas xav muaj kev phais mob txo tus mob, lossis seb lawv xav tau kuaj mob ntau zaus, lossis puas yuav tsum tau noj cov tshuaj tshwj xeeb uas yuav txo qis kev pheej hmoo ntawm kev tsim mob qog noj ntshav mis,” nws hais.

Txawm hais tias kev phais mob txo qis tsis tshem tawm qhov kev pheej hmoo ntawm kev mob qog nqaij hlav ua rau nws tag nrho, nws txo qis qis. Thaum Angelina Jolie tau mob caj dab, nws tau tshaj tawm tias nws kev pheej hmoo ntawm kev muaj mob cancer mis tau poob los ntawm 87% mus rau 5%.

Rogers hais tias “Yog tias tib neeg xaiv kev phais mob phom sij, yuav txhais tau tias tham nrog tus kws pab tswv yim thiab kws phais neeg txog qhov kev phais zoo tshaj plaws rau lawv,” hais tias Rogers. “Qee tus neeg kuj tseem tuaj yeem xaiv lawv lub zes qe menyuam thiab Fallopian leeg tshem tawm, tab sis qhov ntawd nyob ntawm seb lawv muaj hnub nyoog li cas, txawm tias lawv muaj lossis xav kom muaj menyuam, thiab seb lawv nkag siab cov kev mob tshwm sim, vim nws yuav ua rau koj mob tam sim ntawd.”

Rau cov poj niam uas tsis xav tau kev phais mob, nws tsuas yog ib qho lus nug txog qhov kev kuaj mob qog mis ntau dua lossis MRI kuaj, uas yuav tsum tau nrhiav kom paub ntxov txog qee yam mob qog nqaij hlav. Lwm tus tuaj yeem xaiv cov tshuaj zoo li tamoxifen, uas muaj qee qhov cuam tshuam tiv thaiv, thiab tseem muaj lwm tus ua tsis muaj dab tsi hlo li. Muaj ntau yam ua rau kom nco qab, thiab qhov yog rau ib tus neeg kuj yuav tsis raug rau lwm tus.

“Qhov no yog thaj chaw kho mob nyuaj heev, thiab txawm hais tias nws tsuas cuam tshuam rau ib feem ntawm cov neeg me me xwb, nws muaj kev nyuaj siab thiab nyuaj nrog kev nyuaj,” hais tias Rogers. “Tab sis dhau los 10-15 xyoo dhau los cov ntaub ntawv uas nyob ib puag ncig los pab tib neeg kev txiav txim siab tau zoo dua, thiab yog li ntawd peb muaj kev paub txog kev cuam tshuam ntawm lub hlwb.”

Patient.info Saib tag nrho

Qhov nws zoo li yog mob cancer mis thaum koj tseem muaj txiv neej

Thaum tus mob cancer mis feem ntau pom hais tias yog poj niam mob, txiv neej kuj yuav kuaj tau tib yam. Peb hais …

6min

  • Qhov nws zoo li yog mob cancer mis thaum koj tseem muaj txiv neej

    Qhov nws zoo li yog mob cancer mis thaum koj tseem muaj txiv neej

    6min

  • Sib pauv nqaij nyuj rau nqaij qaib los txo qis kev pheej hmoo mob cancer mis, qhia kev kawm

    Sib pauv nqaij nyuj rau nqaij qaib los txo qis kev pheej hmoo mob cancer mis, qhia kev kawm

    2min

  • Kev kuaj ntshav hauv tus kheej yog kuaj pom tias muaj mob khees xaws mis

    Kev kuaj ntshav hauv tus kheej yog kuaj pom tias muaj mob khees xaws mis

    3ming

Nrhiav kev txhawb nqa

Thaum kawg, Gemma muaj ob lub mastectomy thiab rov tsim dua tshiab hauv xyoo 2016, thaum nws muaj 23. (Thaum lub sijhawm kev ua no feem ntau tsis pom zoo rau cov poj niam hnub nyoog qis dua 25 xyoo, nws tus kws phais mob thiab kws kho mob hlwb tau txaus siab tias nws tau tsim nyog.)

“Kuv tau pom muaj qog nyob hauv kuv lub mis, thiab thaum nws tig mus tsuas yog cyst, Kuv xav tias kuv tsis tuaj yeem tso kuv tus kheej dhau ntawm qhov kev ntshai ntawd ntxiv,” nws hais. “Qhov ntawd yog qhov uas kuv tau pib lub pob yob kom muaj kev sib tw.”

Txawm hais tias nws qhov kev phais mob mus tau zoo, nws siv nws lub sijhawm thaj tsam 18 lub hlis kom rov zoo li lub cev ib ce dua, thiab hauv siab nws tseem muaj nws ib ce thiab qhov qis.

“Yuav pib nrog, Kuv xav tias tsis muaj txoj hauv kev Kuv yuav muaj peev xwm saib hauv daim iav dua – nws yuav zoo li tsis txaus ntseeg – tab sis kuv tau loj hlob los cia li lees txais qhov no yog qhov kuv muaj tam sim no,” nws hais. “Thaum kuv muaj kev nyuaj siab Kuv yuav tsum rhais ib kauj ruam rov qab los thiab xav, qhov zoo yog qhov kev hloov kho, Vim tias kuv niam tau mob qog nqaij hlav cancer rau ob lub sijhawm thiab nws tau mob ntau heev.”

Thaum Gemma kuj sib txawv thaum nws tus kheej BRCA kev paub, tham tsuas yog nrog nws niam thiab lwm tus neeg nyob ze tsev neeg, tam sim no nws tuaj yeem pab dawb rau Kev Kho Mob Cancer Mis thiab Cancer Mis tam sim no muaj qee leej Zoo li kuv pabcuam. Cov kev pabcuam phim cov neeg ua haujlwm pab dawb zoo li Gemma nrog cov neeg uas tab tom nrhiav kev txhawb nqa.

“Thaum kuv dhau los ntawm nws, Kuv tau muaj tag nrho cov lus nug no nyiam. Kuv yuav hnav cov tsho khiab dab tsi, Kuv puas tuaj yeem saib zoo li qub hauv bikini dua, thiab cov no tsis yog cov lus nug uas koj tuaj yeem nug koj tus kws phais neeg. lossis tus kws sab tawm tswvyim, “nws hais. “Tib neeg tsis tshua tau nws tshwj tsis yog lawv tau dhau los. Yog li thaum kuv tuaj yeem tham txog kuv cov kev paub dhau los nrog lwm tus, nws zoo li peb sib pab.”

Ntau tshaj li peb lub xyoos txij li nws lub cev nqaij daim tawv, Gemma ua tau zoo, thiab txaus siab txog qhov nws nyob deb li cas thaum nws tseem hluas.

“Rau lwm tus poj niam hauv kuv txoj haujlwm, qhov tseem ceeb tshaj plaws yog koj yuav tsum siv koj lub sijhawm,” nws hais. “Koj yuav tsum paub tseeb tias koj tau txiav txim siab txhua yam ua ntej koj dhia thiab txiav txim siab. Thiab koj kuj yuav tsum tham txog nws. Kom txog thaum koj nyob rau hauv txoj haujlwm no, koj tsis paub tias muaj pes tsawg leej neeg mus rau hauv no – kev pab yog nyob rau ntawd, nws tsuas yog nrhiav nyuaj. “

Leave a Reply

Your email address will not be published. Required fields are marked *