{"id":8246,"date":"2022-09-08T10:47:52","date_gmt":"2022-09-08T07:47:52","guid":{"rendered":"http:\/\/doctorexpres.ro\/?p=8246"},"modified":"2022-09-08T10:47:08","modified_gmt":"2022-09-08T07:47:08","slug":"mamografiile-implicate-in-inmultirea-cazurilor-de-cancer-de-sin","status":"publish","type":"post","link":"https:\/\/doctorexpres.ro\/index.php\/2022\/09\/08\/mamografiile-implicate-in-inmultirea-cazurilor-de-cancer-de-sin\/","title":{"rendered":"Mamografiile, implicate \u00een \u00eenmul\u0163irea cazurilor de cancer de s\u00een"},"content":{"rendered":"

Milioane de femei fac mamografii \u00een fiecare an, dar pu\u021bine \u015ftiu la c\u00eet de multe pericole se expun \u00een numele preven\u0163iei: diagnostice gre\u015fite, supradiagnosticare \u0219i chiar expunere la cancer.
\n\u00a01. Trauma psihic\u0103.<\/strong> Un studiu privat publicat \u00een Annals of Family Medicine, intitulat \u201eConsecin\u021bele psihosociale pe termen lung ale screening-ului fals pozitiv\u201d, aduce \u00een prim plan un prejudiciu important, dar subevaluat, al programelor de screening pentru cancerul<\/a> de s\u00een: trauma foarte real\u0103 \u0219i de durat\u0103.<\/p>\n

Studiul a constatat c\u0103 femeile cu diagnostic fals pozitiv de cancer de s\u00een<\/a>, chiar \u0219i la trei ani dup\u0103 ce au fost declarate c\u0103 nu au cancer, \u201eau raportat consecin\u021be negative psihosociale\u201d: sentiment de marginalizare, anxietate<\/a>, impact negativ asupra comportamentului, impact negativ asupra somnului, impact negativ asupra sexualit\u0103\u021bii \u015fi asupra sentimentului de atractivitate, perturbarea calmului interior, a re\u0163elei sociale \u015fi degradarea valorilor existen\u021biale.<\/p>\n

Ceea ce este \u0219i mai important este c\u0103 \u201e\u015fase luni dup\u0103 diagnosticul final, femeile cu rezultate fals pozitiv au raportat modific\u0103ri ale valorilor existen\u021biale \u0219i ale calmului interior la fel de mari ca cele raportate de femeile cu un diagnostic real de cancer la s\u00een<\/em>\u201d. Cu alte cuvinte, chiar \u0219i dup\u0103 ce au fost \u201eexcluse de la cancer\u201d, efectele psiho-sociale adverse ale traumei<\/a> generate de diagnostic au fost echivalente cu cele din cancerul de s\u00een corect diagnosticat.<\/p>\n

Av\u00eend \u00een vedere c\u0103 probabilitatea recomand\u0103rii de biopsii sau a rechem\u0103rii la teste \u00een 10 ani de mamografii<\/a>, este de cel pu\u021bin 50%, aceasta este o problem\u0103 care va afecta starea de s\u0103n\u0103tate a milioane de femei supuse screeningului de rutin\u0103.
\n\u00a02. Boli \u00een plan fizic.<\/strong> De asemenea, trebuie s\u0103 fim con\u0219tien\u021bi de faptul c\u0103 aceste efecte adverse psihosociale \u0219i existen\u021biale observate nu provoac\u0103 doar o angoas\u0103 definit\u0103 vag, ci se traduc \u00eentr-o consecin\u021b\u0103 fiziologic\u0103 obiectiv\u0103 cuantificabil\u0103. \"MAMOGRAPHY\"<\/p>\n

De exemplu, anul trecut, a fost publicat un studiu revolutionar \u00een New England Journal of Medicine, care arat\u0103 c\u0103, pe baza datelor despre mai mult de 6 milioane de suedeze \u00een v\u00eerst\u0103 de cel pu\u0163in 30 de ani, riscul de sinucidere<\/a> a fost de p\u00een\u0103 la 16 ori mai mare, riscul de deces cauzat de boli de inim\u0103 a fost de p\u00een\u0103 la 26,9 ori mai mare \u00een prima s\u0103pt\u0103m\u00een\u0103, dup\u0103 un diagnostic <\/a>pozitiv.
\n\u00a03. Iradiere.<\/strong> Cercet\u0103rile indic\u0103 \u00een mod clar faptul c\u0103 procesul de screening<\/a> conven\u021bional duce la riscuri pentru s\u0103n\u0103tate. De exemplu, potrivit unui studiu revolutionar publicat \u00een New England Journal of Medicine, 1,3 milioane de americance au fost supradiagnosticate \u015fi supratratate \u00een ultimii 30 de ani. Acestea au fost declarate fals pozitive, suport\u00eend iradieri inutile, intoxica\u021bii prin chimioterapie \u0219i interven\u021bii chirurgicale la aproximativ 43.000 de femei, \u00een fiecare an. Acum, c\u00eend ad\u0103uga\u021bi la aceast\u0103 statistic\u0103 sumbr\u0103<\/a> milioane de femei fals pozitive care au suferit traume crez\u00eend c\u0103 s\u00eent bolnave, screening-ul la s\u00een \u00eencepe s\u0103 par\u0103 un veritabil co\u0219mar.
\n\u00a04. Cancer<\/strong>. Diagnosticul fals pozitiv poate provoca o epidemie de cancer de s\u00een indus de radia\u021bii. \u00cen 2006, o lucrare publicat\u0103 \u00een Jurnalul britanic de radiobiologie, intitulat\u0103 \u201eEficacitatea biologic\u0103 \u00eembun\u0103t\u0103\u021bit\u0103 a razelor X de joas\u0103 energie \u0219i implica\u021biile pentru programul britanic de screening al s\u00eenului\u201d, a ar\u0103tat c\u0103 tipul de radia\u021bie utilizat \u00een radiografia mamar\u0103 e mult mai carcinogen dec\u00eet se credea anterior. Razele X <\/a>de energie sc\u0103zut\u0103, a\u0219a cum s\u00eent cele folosite \u00een mamografie, s\u00eent de aproximativ patru ori – dar, posibil, de \u0219ase ori – mai eficiente \u00een producerea de leziuni muta\u021bionale dec\u00eet razele X de energie \u00eenalt\u0103. \"a53baead588a5d_11b-lymph-node-contrast\"<\/p>\n

Chiar \u015fi protocoalele de tratament al cancerului de s\u00een <\/a>s-au dovedit recent c\u0103 ar contribui la cre\u0219terea cancerului \u0219i a mortalit\u0103\u021bii. Chimioterapia \u0219i radia\u021biile par s\u0103 \u00eembog\u0103\u021beasc\u0103 popula\u021biile de celule stem canceroase<\/a>, care se afl\u0103 la r\u0103d\u0103cina malignit\u0103\u021bii \u0219i a invazivit\u0103\u021bii cancerului de s\u00een<\/a>. Anul trecut, revista de prestigiu Cancer, a publicat un studiu, realizat de cercet\u0103torii de la Departamentul de Radiologie Oncologie de la UCLA Jonsson Comprehensive Cancer Center, care arat\u0103 c\u0103 chiar \u015fi atunci c\u00eend radia\u0163iile ucid jum\u0103tate din celulele tumorale, celulele supravie\u021buitoare care s\u00eent rezistente la tratament, cunoscute ca celule stem induse de cancer de s\u00een (iBCSC), au avut de p\u00een\u0103 la de 30 de ori mai multe \u015fanse de a forma tumori <\/a>dec\u00eet celulele canceroase de s\u00een neiradiate. Cu alte cuvinte, tratamentul cu radia\u021bii regleaz\u0103 popula\u021bia total\u0103 de celule canceroase<\/a>, gener\u00eend aspectul fals c\u0103 tratamentul func\u021bioneaz\u0103, dar cre\u0219te de fapt raportul dintre celulele maligne \u0219i benigne din interiorul acelei tumori, ceea ce duce \u00een cele din urm\u0103 la decesul <\/a>pacientului.<\/p>\n

Strategia \u0219i protocoalele de prevenire \u0219i tratare a cancerului <\/a>de s\u00een conven\u021bional s\u00eent \u00een faliment. Sau, din perspectiva unui observator mai cinic, acestea s\u00eent un mare succes, datorit\u0103 faptului c\u0103 genereaz\u0103 venituri de miliarde de dolari \u00een industria farmaceutic\u0103.<\/p>\n

Sursa: greenmedinfo.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Milioane de femei fac mamografii \u00een fiecare an, dar pu\u021bine \u015ftiu la c\u00eet de multe pericole se expun \u00een numele<\/p>\n","protected":false},"author":4,"featured_media":8247,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[96,93,98,1359,86],"tags":[12329,294,1559,12350,12354,5554,12358,12356,12353,12355,12349,12351,3489,1824,12352,9037,1702,12357],"class_list":["post-8246","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-boli","category-cancer","category-controverse","category-investigatii","category-mame-si-copii","tag-biopsie","tag-cancer-de-san","tag-celule-canceroase","tag-celule-rezistente-la-tratament","tag-celule-tumorale","tag-chimioterapie","tag-consecinte-psihosociale","tag-diagnostic-fals-pozitiv","tag-efecte-secundare-mamografie","tag-eficienta-radioterapie","tag-ibcsc","tag-mamografie","tag-raze-x","tag-risc-de-deces","tag-riscuri-mamografie","tag-screening-cancer-de-san","tag-sinucidere","tag-trauma-psihica"],"yoast_head":"\nMamografiile, implicate \u00een \u00eenmul\u0163irea cazurilor de cancer de s\u00een - 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