Ngokusho kwe-American Cancer Society, umdlavuza webele usona mkhuba ovame ukutholakala nomdlavuza phakathi kwabesifazane baseSpain / Latina kanye nombangela oholela ekubulaweni komdlavuza kwabesifazane baseSpain / eLatina abahlala e-US
I-Hispanics / Latinos yiyona encane esheshayo e-US Kodwa, kunezifundo ezincane mayelana nomdlavuza wesifuba abesifazane baseSpain / Latina e-US Siyazi ukuthi amazinga abo omdlavuza webele webele kanye nokufa aphansi kunabesifazane abangabomhlophe baseSpain.
Noma kunjalo, abesifazane baseSpain / baseLatina bafika ukuze banakekele ngegazi eliphakeme kakhulu lamabele okubeletha kunabesifazane abangabomhlophe baseSpanishi.
Siyazi ukuthi abesifazane baseSpanishi / baseLatina bavame ukungazi kangcono umdlavuza webele kanye nezinkinga zabo zokuthola lesi sifo. Abaningi banokufinyelela okunqunyelwe ukunakekelwa kwezempilo njengoba bengenayo umshuwalense wezempilo. Futhi, izithiyo zomlimi kanye nokuntula kolwazi mayelana nesistimu yezokunakekela impilo kungabenza abanye besifazane, abangabokuzalwa kwamanye amazwe, bangene ekunakekeleni kuze kube yilapho bebuhlungu kusukela emdlalweni webele wesifuba esiphambili.
Ama-Hispanics azalwe eMexico awakwazi ukuba nemlando yomdlavuza webele emindenini yabo njengalabo abazalwa e-US Nokho, labo abanomlando womndeni bangase babe nomngcipheko kabili wokuthola izicubu zomdlavuza webele zesithathu ezingenalutho phatha. Kanti futhi banezikhathi eziyisithupha engozini yokuthola lezi zicubu zisencane.
I-American Cancer Society inika inani labesifazane baseSpanishi / Latina abatholwe benomdlavuza webele ngo-2015 cishe ngo-19,800, ngokulinganiselwa ukuthi bafa besifo ku-2,800.
Izinga lomthelela wesifo somdlavuza webele webesifazane baseSpain / Latina, nokho, kunamaphesenti angu-28 aphansi kunabesifazane abangabomhlophe baseSpain. Lesi silinganiso singaphansi nakancane kwabesifazane abangakazalwa eNingizimu Afrika
Izinto Ezingenzeka Ekunciphisa Ingozi Yomdlavuza Webele
Eyaziwayo izici ezingenzeka ukuthi ukunciphisa ingozi yomdlavuza webele abesifazane baseSpain / Latina uma kuqhathaniswa nabesifazane abangenabo abaseSpain abamhlophe kufaka phakathi, kodwa abalinganiselwe ku:
- Ukubeletha ingane yokuqala esemncane futhi ibe nemindeni emikhulu
- Ukubeletha, okuvame ukwenziwa ngabesifazane baseSpain / Latina, ikakhulukazi labo abavela kwamanye amazwe
- Ukusebenzisa utshwala kancane
Kulabo besifazane abahlakulela umdlavuza webele, bavame ukwenza kanjalo besencane kunabesifazane abangabomhlophe baseSpain. Abesifazane abaningi baseSpain bayakunakekelwa ngegciwane lesandulela ngculaza, elinzima ukwelapha, futhi banesifo esibi kakhulu.
Izingosi Ezenzekayo Ezandisa Ingozi Yomdlavuza Webele
Ezinye izici ezingase zenze ukuthi zibe nomngcipheko wokwanda komdlavuza webele zihlanganisa:
- Ukungasebenzi ngokomzimba
- Inzuzo yesisindo emva kweminyaka engu-18 ubudala
- Ukuba okhuluphele noma ukukhuluphala ngokweqile emva kokuya esikhathini
- Umdlavuza wesibeletho emndenini
- Amabele anamandla
- Thayipha isifo sikashukela sesi-2
- Isisindo samaminerali aphezulu aphezulu
- I-Ductal carcinoma
- I-lobular carcinoma in situ
- Umlando wesimiso owaqala ekuqaleni noma waphela ekupheleni kwesikhathi sokuya esikhathini
- Izici zofuzo
Abesifazane abasebenzisa izinga eliphezulu lokuvimbela isisu nge-dorogen ukuhlela umndeni bangakhuphula ingozi yomdlavuza webele.
Eminyakeni ka-2008 kuya ku-2012, cishe amaphesenti angama-57 emdlavuza webele abhekene nabesifazane baseSpain / Latina babanjwe esiteji sokuqala futhi bavalelwe esifubeni. Phakathi nalesi sikhathi esifanayo, amaphesenti angu-65 abesifazane abangebona baseSpain abomhlophe atholakala ukuthi banomdlavuza wesigaba sokuqala owawusekhaya kuya esifubeni.
Lapho abesifazane baseSpain / Latina benomdlavuza wesifuba wendawo ukuya esifubeni, isilinganiso sabo sokusinda seminyaka emihlanu sinamaphesenti angama-96. Lokhu kusho ukuthi abesifazane abangamaphesenti angu-96 abatholwe benomdlavuza wesifuba wendawo kulindeleke ukuba baphile iminyaka emihlanu ngemuva kokutholakala ukuthi banomdlavuza webele.
Lapho umdlavuza wabo webele ubhekwa njengesizinda, umdlavuza usezigulini zellimini-ikakhulukazi lezo ezisemgodini kanye nasezincelweni-kanti iminyaka emihlanu yokulinganisa okulinganiselwayo ngamaphesenti angu-85. Lapho abesifazane bethola ukuthi banomdlavuza wesifuba ode kakhulu-okusho umdlavuza osakaze ngaphesheya kwesifuba futhi manje usezitho ezikude, njengamaphaphu noma amathambo-isilinganiso esilinganiselwa eminyakeni emihlanu sokusinda singamaphesenti angu-31.
Izizathu Zengculaza Ephakeme Ezingaphezulu Kwabesifazane baseLatina
Ucwaningo lubonisa ukuthi abesifazane baseSpanishi / baseLatina abanalo izinga elifanayo lokusetshenziswa kwamakhompiyutha njengabesifazane abangabomhlophe baseSpanishi. Futhi banamazinga aphansi okulibaziseka ekulandeleni amazinga angajwayelekile okuhlola kanye nokulibaziseka ukuxilongwa kanye nokwelashwa kwezibilini zesifuba abazitholile ngokwabo. Lezi zici zingaba nomthelela ekwenzeni umdlavuza ophuthumayo ngesikhathi abethula ukunakekelwa.
Ngaphezu kwalokho, abesifazane baseSpain / baseLatina bavame ukutholakala banezifo ezivame ukuba zikhulu futhi zitholakale zingenayo i-hormone receptor, okwenza ukuba izifo zibe nzima ukuphatha. Futhi enye inkinga yabesifazane baseSpain / Latina ukuthi abancani kakhulu ukuthola ukwelashwa komdlavuza wesifuba esifanele nangesikhathi esifanele uma kuqhathaniswa nabesifazane abangabomhlophe abangabaseSpanishi.
Ukuba nezihambi zesiguli seziguli ezilandela iziguli ezixilongwa kulo lonke ukwelashwa kwazo, ukuqinisekisa ukuthi zigcina ama-aphoyintimenti futhi zizisize ukuba zibheke ohlelweni oluyinkimbinkimbi lwezempilo, zingasiza ukuqinisekisa ukuthi abesifazane bazohambisana nombuso wabo wezokwelapha. Abahamba ngezindiza ezimbili bangathuthukisa ukuxhumana phakathi kwodokotela ohlinzayo ne-oncologist kanye nesiguli, okusiza ukunciphisa izinga lesiguli sokukhathazeka. (Lapho lezi zinhlelo zisekhona, ukunganaki kokunakekelwa kwehlisiwe).
Phakathi neminyaka yami ne-American Cancer Society Navigator Program, ngahlangana nabesifazane abangamakhulu amaningana ababehlala emiphakathini yaseSpanishi / Latina ekhonza iNational Health and System System. Abaningi balaba besifazane babeneminyaka yobudala kusukela eminyakeni engama-30 kuya kwabaneminyaka engama-60 ubudala kanti abaningi babenemishuwalense ephakeme. Ngokuvamile, abesifazane beza ekwelapheni ngegumbi lokuphuthumayo, lapho beya khona ukuphumula ubuhlungu noma ngemuva kokuthola inhlamba enkulu emathunjini abo.
Abaningi bakholelwa inkolelo yokuthi uma kungekho mlando womndeni wesifo somdlavuza webele , abengeke bathole lesi sifo. Babengazi ukuthi kuphela amaphesenti angu-10 kuphela alabo abatholakala benomdlavuza wesifuba nomlando womndeni wawo. Ngenxa yalokho, iningi lalingakaze libe ne- mammogram noma ngisho nokuhlolwa kokubeletha kwebele. Babona kuphela udokotela lapho begula noma bekhulelwe.
Izithiyo zolimi nokungazi indlela yokuhamba ohlelweni lwezempilo oluyinkimbinkimbi kwakuyizizathu ezinikezwa ngabesifazane abathile ukuthi kungani balinde ukuthola ukwelashwa ngemuva kokuthola inhlama. Abanye babela ukuthi abesifazane abaningi bazizwa kanjani, naphezu kobuhlanga noma ubuzwe-lokho kwesaba kwabenza bafika ekunakekelweni ngokushesha.
Babesaba lesi sifo, ukwelashwa, ukulahlekelwa izinwele, isifuba nesifazane. Ukwesaba ukulahlekelwa okunye okubalulekile kwakuyinkinga enkulu. Abanye abazange babheke umdlavuza webele njengesifo, kodwa besaba ukuthi kwakuyisijeziso sento abayenzile ekuqaleni.
Lokho abesifazane baseSpanishi / baseLatina babelana ngokucacile isidingo sezinhlelo zokuqwashisa umdlavuza wamabele ezisekelwe emphakathini eziholwa abesifazane baseSpain / Latina, ikakhulukazi abasindile abangakwazi ukukhuluma nesidingo sokuthola nokutholwa kokuqala.
Ngo-2007, i-National Cancer Institute kanye ne-American Cancer Society babika ucwaningo olubonisa ukuthi, naphezu kokulingana okulingene nezinsizakalo zezempilo, umehluko uqhubeka ngobukhulu, isiteji, kanye nebanga lomdlavuza webele labesifazane baseSpain / Latina uma kuqhathaniswa nama-non-Hispanic amhlophe abesifazane. Ucwaningo luqhathanisa abesifazane baseSpain / baseLatina nabesifazane abangenabo baseSpegiya abamhlophe ngesifo somdlavuza webele. Bonke babengamalungu omsebenzi wePaiser Permanente Health plan.
Owesifazane waseSpanishi / waseLatina watholakala ukuthi usemncane futhi unezifo zesifuba esilandelayo kamuva. Amathumba abo ayekhulu kakhulu, ebangeni eliphakeme, futhi kaningi kwakuyi-estrogen- ne-progesterone-negative. UDkt. A. Tyler Watlington, umphenyi oholele eNyuvesi yaseColorado Health Sciences Center, wabika, "Imiphumela yalolu cwaningo iqinisekisa lezo zifundo eziningi zangaphambilini, ukuthi umdlavuza wesifuba uhlukile ngokuhlukile kwabesifazane baseSpain / Latina."
Uma sizokwehlisa ukukhubazeka kwabesifazane baseSpain / Latina abethulela ukunakekelwa nge-late-stage isifo somdlavuza webele, isifo sokuqwashisa umdlavuza webele kufanele senzeke emiphakathini lapho abesifazane baseSpain / Latina bebuthene khona emihlanganweni noma imicimbi yezenhlalakahle, njengezikole, izindlu yokukhulekela kanye nezikhungo zomphakathi. Izinto ezidingekayo ukuba zibe ngabafundisi baseSpain nabomphakathi, ikakhulukazi abasindile, badinga ukulingana ngokobuhlanga namasiko kulabo abahlala kulezo zindawo.
Umlayezo udinga ukucaca: Yazi izingozi zakho zomdlavuza webele. Thola i-mammogram njalo. Ukuzigwema ukugwema nokuphika ngeke kukuvimbele ekutholeni umdlavuza webele, kodwa ukutholakala kokuqala nokungenelela kungasindisa impilo yakho.
Imithombo:
Iqiniso le-Cancer Amanani & Izibalo ze-Hispanics / Latinos 2015-2017 . I-American Cancer Society. 2015.
I-Aggressive More Breast Cancer In-Hispanics Ngokuzimele Ukusetshenziswa Kwezempilo. I-American Cancer Society. 2007.