Lo mhlahlandlela ophelele uhlola ukwanda, izici zobungozi, ukuxilonga, ukwelashwa kanye nokuvimbela China isibindi somdlavuza. Sidlulela ocwaningweni lwakamuva kanye nentuthuko, sinikeze ukuqonda okubalulekile kwabantu ngabanye kanye nabachwepheshe bezempilo ngokufanayo. Funda ngamasu aphumelelayo wokutholwa kusenesikhathi nokwenza ngcono imiphumela ekuphatheni le nselelo yezempilo ebalulekile.
China isibindi somdlavuza, ngokuqondile i-HepatocelLellar Carcinoma (HCC), ihlala iyinkinga enkulu yezempilo yomphakathi eChina. Izigameko kanye nezilinganiso zokufa ziphakeme kakhulu ngokuqhathaniswa nezinye izingxenye eziningi zomhlaba. Kunezici eziningana zinikela kulokhu kubhebhetheka okuphezulu, kufaka phakathi ubukhona obubanzi be-hepatitis B virus (HCV) kanye ne-hepatitis C virus (HCV), ukuvezwa kwe-aflatoxin kokudla okungcolile, kanye nokusetshenziswa kogwayi. Imininingwane enemibala enemininingwane enemininingwane ingatholakala ekushicilelweni kwesikhungo samaShayina ukuze ilawulwe izifo kanye nokuvimbela (CDC).
Ukutheleleka okungamahlalakhona ne-HBV ne-HCV kuyimbangela ehamba phambili ye China isibindi somdlavuza. Lawa magciwane abangela ukuvuvukala kwesibindi okungamahlalakhona, okuholela ku-cirrhosis futhi ekugcineni kube yingozi ekhulayo yokuthuthuka kwe-HCC. Ukugoma ngokumelene ne-HBV kubalulekile ekuvinjelweni. Imininingwane nge-HBV kanye ne-HCV Ukunambitheka eChina kungatholwa ngeWorld Health Organisation (WHO) Iwebhusayithi.
I-Aflatoxins yi-Mycotoxins ye-carcinogenic ekhiqizwa yisikhunta esithile esivame ukungcolisa izilimo zokudla ezifana namantongomane kanye nommbila. Ukuchayeka kuma-aflatoxins kuyinto ebalulekile yengozi China isibindi somdlavuza Ezifundeni ezinokugcinwa okumpofu kokudla kanye nemikhuba yokucubungula. Ucwaningo luxhume ukuvezwa kwe-aflatoxin esimweni esiphakeme se-HCC.
Ezinye izinto ezinikelayo zifaka phakathi: Ukusebenzisa kabi utshwala, isifo esingewona atshwala ngokweqile (i-nafld), i-cirrhosis (ukushayisana kwesibindi), i-genetic Predisotions, nokuchayeka kumakhemikhali athile. Ukugcina impilo enempilo, kufaka phakathi ukudla okulinganiselayo nokugwema ukusetshenziswa ngokweqile, kunganciphisa ingozi.
Ukutholwa kusenesikhathi kubalulekile ukwenza ngcono imiphumela ku China isibindi somdlavuza. Ukuhlolwa njalo, ikakhulukazi kubantu abanezici zobungozi, kuyanconywa. Izindlela zokuxilonga zifaka ukuhlolwa kwegazi (i-Alpha-fetoprotein - AFP), amasu wokucabanga (amasu we-ultrasound, i-CT Scan, i-MRI), kanye ne-Biopsy. Izinketho zokwelashwa ziyahlukahluka ngokuya ngesigaba somdlavuza futhi kungafaka phakathi ukuhlinzwa, i-chemotherapy, i-radiotherapy, ukwelashwa okuhlosiwe, ukufakelwa kwesibindi. Imininingwane engaphezulu ngephrothokhokholi yokwelashwa ingatholwa ngezikhungo ze-Oncology ezihlonishwayo ezifana neNational Cancer Institute (NCI).
Ukuvimbela China isibindi somdlavuza kubandakanya ukubhekana nezici ezisengozini. Lokhu kufaka phakathi ukugonywa kwe-HCV ne-HCV, kuthuthukise izindlela zokuphepha zokudla ukuze kuncishiswe ukuvezwa kwe-Aflatoxin, ukugwema ukusetshenziswa ngokweqile, nokugcina impilo enempilo. Ukuhlolwa njalo nokuhlola kubalulekile, ikakhulukazi kubantu abanezici zobungozi. Kulabo abatholakele abane China isibindi somdlavuza, amasu wokuphatha aphelele abandakanya ithimba le-multidisciplinary libalulekile ukuthuthukisa ikhwalithi yempilo kanye nokusinda.
Ngemininingwane eningiliziwe China isibindi somdlavuza, ungaxhumana nezinsizakusebenza ezilandelayo:
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.
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