Si loo sii horumariyo faafinta sayniska ee ka hortagga kansarka ilmo-galeenka ee haweenka da'da saxda ah iyo hagaajinta heerka caafimaadka haweenka, bandhigga ka hortagga kansarka ilmo-galeenka ee ugu horreeya wuxuu muujinayaa mawduuca "caafimaadka wanaagsan, fasalka qasriga wanaagsan, doorka hoggaamineed ee caannimada sayniska. ” laga furay magaalada Beijing.Tan Xianjie, dhakhtarka madaxa haweenka iyo dhalmada ee Isbitaalka Kulliyada Caafimaadka ee Ururka Caafimaadka ee Beijing, Zou Shien, dhakhtarka madaxa haweenka iyo umulaha ee Jaamacadda Fudan ee ku xiran Isbitaalka Haweenka iyo dhalmada, iyo Chen Qiuping, madaxa waaxda daryeelka caafimaadka ee Xarunta Adeegga Caafimaadka Bulshada ee Liulitun , Degmada Chaoyang, Beijing, waxay qaadatay masraxa si ay ugu faafiso aqoonta kansarka ilmagaleenka ilmo-galeenka iyo ka-hortagga dadweynaha qaab cusub iyo ereyo kaftan ah, oo gacan ka geysanaya dardar-gelinta ciribtirka kansarka ilmo-galeenka.
Heerka dhacdooyinka kansarka ilmo-galeenka ayaa kor u kacaya, taas oo muujinaysa isbeddel yar
Kansarka ilmo-galeenka waa buro halis ah oo dumar ah oo caadi ah.Sannadka 2020, waxaa jiri doona ilaa 604000 xaaladood oo cusub oo kansarka ilmo galeenka ah iyo 342000 oo dhimasho ah adduunka oo dhan.Sannadka 2020, waxa dalka Shiinaha ka jira ilaa 110000 kiis oo cusub oo kansarka ilma-mareenka ah, dhimashaduna waa ilaa 59000, taas oo ka dhigan 18% kiisaska caalamiga ah ee kansarka ilma-mareenka iyo 17% wadarta dhimashada kansarka ilma-mareenka.Iyadoo horumarka dhaqaale iyo bulsho ee Shiinaha, warshadaynta iyo magaalaynta ay sii kordhayaan, deegaanka nolosha iyo qaab nololeedka dadka degganna ay si degdeg ah isu beddelaan, heerka dhacdooyinka kansarka ilmo-galeenka ayaa sii kordhaya, taas oo muujinaysa isbeddelka dhalinyarada, celceliska da'da ayaa sii socota hoos u dhaca.
Sanadka 2020, Ururka Caafimaadka Adduunka waxa uu ku dhawaaqay Istaraatiijiyadda Caalamiga ah ee Dardargelinta Ciribtirka Kansarka Ilma-galeenka.Sanadihii la soo dhaafay, Shiinuhu wuxuu muhiimad weyn siiyay caafimaadka haweenka wuxuuna si firfircoon u fuliyay siyaasado kala duwan oo ka hortagga kansarka ilmo galeenka iyo ficillada muhiimka ah.Bishii Janaayo 2023, Komishanka Caafimaadka Qaranka iyo 10 waaxood oo kale ayaa soo saaray Ogeysiinta Daabacaada iyo Qaybinta Qorshe Hawleedka Dardargelinta Ciribtirka Kansarka Ilma-galeenka (2023-2030), kaas oo si cad u tilmaamay in 2030, shaqada tijaabada ah ee tallaalka HPV hablaha da'da dugsiga ayaa sii wadi doona in la dallacsiiyo;Heerka baadhista kansarka afka ilmo-galeenka ee dumarka da'da dugsiga gaadhay 70%;Heerka daawaynta kansarka ilma-mareenka iyo nabarrada hore ee kansarka ayaa gaadhay 90%.
Tan Xianjie ayaa tilmaamay in inkasta oo kansarka ilmo-galeenka uu khatar yahay, haddana waxaa jira saddex fursadood oo lagaga hortagayo, taas oo ah, ka-hortagga saddex-heer ah, taas oo ah, ka-hortagga aasaasiga ah si loo yareeyo caabuqa HPV iyada oo loo marayo tallaalka tallaalka HPV iyo qaab nololeed caafimaad leh, ka-hortagga labaad ee waqtiga loogu talagalay. ogaanshaha iyo wax ka qabashada dhaawacyada hore ee kansarka iyada oo loo marayo baaritaanka kansarka ilmo-galeenka, iyo ka-hortagga jaamacadeed si loo sameeyo qalliin iyo daaweynta shucaaca ee kansarka ilmo-galeenka ee la xaqiijiyay.
Ku tallaal sida ugu dhakhsaha badan, ha ku dheggan tallaalka HPV ee qiimaha sarreeya
Shiinaha waa dalka ugu tirada badan ee tallaalka HPV ee la ansixiyay adduunka oo dhan.Waxaa jira shan tallaal oo HPV ah oo loogu talagalay haweenka da'doodu u dhaxayso 9 ilaa 45 jir, oo ay ku jiraan tallaalka HPV ee laba-jibbaaran ee dibadda laga keeno, tallaalka HPV ee afar-valent ah, tallaalka HPV-ga sagaal-valent ah iyo laba tallaal oo HPV ah oo laba-laab ah.Tirakoobku wuxuu muujinayaa in laga bilaabo 2018 ilaa 2020, tirada tallaalka HPV ee Shiinaha ay korodhay sannadba sannadka ka dambeeya, laga bilaabo 3.417 milyan qiyaasood 2018 ilaa 12.279 milyan oo qiyaasood 2020, laakiin heerka tallaalka ayaa weli u baahan in la hagaajiyo.
Zou Shien ayaa sheegtay in qaar ka mid ah saaxiibada dumarka ah ay ku adkaysteen inay sugaan tallaalka HPV ee qiimaha sarreeya halkii ay ka tallaali lahaayeen, sidaa darteed waxay seegeen "waqti dahab ah" si looga hortago kansarka ilmo-galeenka.Waa inaan iska ilaalinaa si indho la'aan ah oo aan u sugno tallaalka HPV ee qiimaha sarreeya, kaas oo aan u qalmi doonin khasaaraha haddii uu cudurku ku jiro habka sugitaanka.Waa inaan ku dhiirigelinaa dadweynaha inay u hoggaansamaan mabda'a "tallaalka hore iyo ilaalinta hore", oo ay doortaan dabacsanaan iyadoo loo eegayo ilaha tallaalka iyo xaaladahooda dhaqaale.
Dalka Shiinaha, in ka badan 84.5% kiisaska kansarka ilma-mareenka squamous cell waxay la xidhiidhaan caabuqa HPV nooca 16 iyo 18.Marka la eego arrintan, Zou Shien wuxuu tilmaamay in HPV16 iyo HPV18 ay yihiin noocyada ugu muhiimsan ee noocyada halista ah ee HPV, iyo laba-bivalent, afar-valent iyo sagaal-valent tallaallada HPV la dabooli karo.Tallaalka laba-geesoodka ah ee HPV wuxuu ka hortagi karaa inta badan kansarka ilmo-galeenka iyo nabarrada hore ee kansarka, ka hortagga kansarku waa "ku filan".Si kasta oo uu ahaado qiimaha tallaalka, tallaalka hore waa "qiimo".
Dardar gelinta tallaalka da'da yar oo wanaaji ka hortagga asaasiga ah iyo difaaca ee kansarka ilmo-galeenka
Maadaama oo ah "albajoogaha" caafimaadka dadka deegaanka, xarunta adeegga caafimaadka bulshada ee xididdada-cawsku waxay door muhiim ah ka ciyaartaa ka hortagga kansarka ilmo-galeenka ee heerka xididdada cawska.Iyadoo la fulinayo hawlo ay ka mid yihiin faafinta sayniska cudurka kansarka ilmo-galeenka iyo tallaalka tallaalka HPV, waxay faafisaa sayniska, saxda ah oo wax ku ool ah macluumaadka sayniska kansarka ilmo galeenka waxayna wanaajisaa heerka tallaalka tallaalka HPV.Isla markaana, bixinta adeegyada tallaalka HPV ee haweenka da'da dugsiga sidoo kale waa mid ka mid ah hawlaha muhiimka ah ee waaxda daryeelka caafimaadka ee xarunta adeegga bulshada.
Chen Qiuping waxa uu tilmaamay in wakhtigan xaadirka ah, xarumaha adeegga caafimaadka bulshadu ay ka tallaali karaan tallaallada HPV ee dibadda laga keeno iyo kuwa gudaha;Isla mar ahaantaana cudurada caanka ah ee sayniska, iyada oo la kaashanayo goobta boos celinta ee internetka, dad badan oo u baahan in lagu tallaalo tallaalka HPV ayaa la siin doonaa kanaal boos celin degdeg ah.Caawi dardargelinta ciribtirka kansarka makaanka afkiisa adiga oo si joogto ah u hagaajinaya adeegyada tallaalka HPV."Waxaan sidoo kale si firfircoon u xasuusineynaa haweenka da'da saxda ah si ay u yareeyaan labala'aantooda la xiriirta tallaalka oo ay iska ilaaliyaan inay waayaan waqtiga ugu wanaagsan ee tallaalka sababtoo ah ku adkeysiga sugitaanka tallaallada HPV ee qiimaha sarreeya."
Waqtigan xaadirka ah, dhacdooyinka kansarka ilmo-galeenka ayaa sii yaraanaya, haween badana waxay bilaabeen inay carruurtooda keenaan si ay ugala tashadaan tallaalka HPV.Isagoo ka jawaabaya, Chen Qiuping wuxuu sheegay in dukumeentiga booska tallaalka HPV ee ay soo saartay Ururka Caafimaadka Adduunka uu ku nuuxnuuxsaday in dadka bartilmaameedka u ah tallaalka HPV ay yihiin gabdhaha da'doodu u dhaxayso 9 ilaa 14 jir, iyo laba qiyaasood oo tallaalka HPV ah ayaa lagula taliyay.Habkan tallaalku waa ka dhaqaale badan yahay oo ku habboon yahay, taas oo muhiimad weyn u leh horumarinta helitaanka tallaalka iyo heerka tallaalka.
Ka-hortagga kansarka ilmo-galeenka waa inuusan noqon "hal tallaal", laakiin waa inuu u hoggaansamaa baaritaanka joogtada ah
Ka dib ka hortagga aasaasiga ah ee tallaalka HPV, oo ay weheliso baaritaanka caadiga ah ee kansarka ilmo-galeenka ee ka-hortagga labaad, sidoo kale waa muhiim in la joojiyo nabarrada kansarka ilmo-galeenka ee marxaladaha kansarka hore iyo kuwa hore.Kansarka ilmo-galeenka waxaa lagu baari karaa baaritaanka HPV ee ilmo-galeenka iyo baaritaanka TCT (baaritaanka unugyada lakabka khafiifka ah ee dareeraha ah).Si loo ogaado nabarrada ka horreeya kansarka ilma-mareenka iyo kansarka ilmo-galeenka sida ugu dhakhsaha badan, khubaradu waxay ku talinayaan in dumarka da'doodu ka weyn tahay 25 sano ee galmada la sameeyo ay tahay in si joogto ah loo baaro.Waxay aadi karaan qaybta ilmo-galeenka, qaybta haweenka ama waaxda caafimaadka haweenka ee cusbitaalka oo ay dejiyaan qorshe baadhiseed sida waafaqsan talooyinka dhakhtarka.
Tan Xianjie ayaa sheegay in kahortaga kansarka ilmo galeenka uusan noqonin "hal tallaal".Haweenka da'da saxda ah ee galmooda waxay sidoo kale u baahan yihiin inay maraan baaritaanka kansarka ilmo-galeenka ka dib markay dhammeeyaan tallaalka HPV.Guud ahaan, waxaa lagu talinayaa in la hubiyo labadii sanaba hal mar oo la hagaajiyo inta jeer ee sida waafaqsan natiijooyinka baaritaanka koowaad.Ogaanshaha hore iyo daawaynta kansarka ilmo-galeenka waxay ka caawin kartaa bukaanada inay ka takhalusaan cudurka sida ugu dhakhsaha badan waxayna yareeyaan dhimashada kansarka ilmo-galeenka.Zou Shien waxa kale oo uu soo jeediyay in aan loo baahnayn in la argagaxo marka la helo caabuqa HPV ama nabarrada ilmo-galeenka, kaliya u tag xarun caafimaad oo caadi ah.Haddii uu qabo HPV iyo haddii kale, kansarka ilmo-galeenka waxaa lagaga hortagi karaa tallaalka HPV oo ay weheliso baadhista kansarka ilmo galeenka.
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Waqtiga boostada: Meey-17-2023