Ka hoomaopopo ana i na kumu o Ka maʻi maʻi ʻaʻai ʻo KinaHāʻawi kēia ʻatikala i kahi hiʻohiʻona piha o nā kumu i hāpai i ka nui o ka maʻi maʻi ate ma Kina. Ke ʻimi nei mākou i ka pilina paʻakikī o ke kaiapuni, ka nohona, a me nā kumu genetic, e hāʻawi ana i nā ʻike i ka pale a me nā hoʻolālā ʻike mua. Hoʻokumu ʻia ka ʻike i hōʻike ʻia ma ka noiʻi kaulana a manaʻo e hoʻonui i ka ʻike o kēia pilikia olakino koʻikoʻi.
Nā mea e pili ana i ke kaiapuni i ka maʻi ʻaʻai ma Kina
Hepatitis B a me C Virus
ʻO nā maʻi Hepatitis B a me C (HBV a me HCV) nā kumu pilikia nui no
ʻO ka maʻi maʻi ate Kina. ʻO ka maʻi maʻi maʻi me kēia mau maʻi e hoʻonui nui i ka pilikia o ka ulu ʻana i ka cirrhosis ate a ma hope o ka maʻi hepatocellular carcinoma (HCC), ke ʻano maʻamau o ka maʻi maʻi ate. ʻO ka helu kiʻekiʻe o ka maʻi HBV ma Kina he mea hoʻokele koʻikoʻi o ka maʻi maʻi ate kiʻekiʻe o ka ʻāina. He mea koʻikoʻi ka pale ʻana i ka HBV. Loaʻa nā lāʻau lapaʻau kūpono no ka HBV a me ka HCV i kēia manawa, e kōkua ana i ka hōʻemi ʻana i ka pilikia o ka ulu ʻana o ka maʻi maʻi ate. No ka ʻike hilinaʻi e pili ana i kēia mau lapaʻau, e nīnau i kāu kauka a i ʻole e nānā i nā kumuwaiwai hilinaʻi e like me ka pūnaewele World Health Organization (WHO).
Hōʻike ʻia ʻo Aflatoxin
ʻO nā Aflatoxins, i hana ʻia e kekahi mau ʻōpala e ulu ana ma luna o nā meaʻai mālama pono ʻole e like me ka pīkī, ke kulina, a me ka raiki, he mau mea make kino. Loaʻa ka ʻike ʻana i nā aflatoxins ma kekahi mau wahi o Kina, e hāʻawi ana i ka piʻi nui o ka maʻi.
ʻO ka maʻi maʻi ate Kina. ʻO ka hoʻomaikaʻi ʻana i ka mālama ʻana i nā meaʻai a me nā ʻenehana hana he mea koʻikoʻi i ka hōʻemi ʻana i ka ʻike aflatoxin. Hāʻawi ka International Agency for Research on Cancer (IARC) i ka ʻike kikoʻī e pili ana i nā aflatoxins a me kā lākou loulou i ke kanesa. [
https://www.iarc.fr/]
Ka inu waiona
ʻO ka hoʻohana ʻana i ka waiʻona he mea koʻikoʻi koʻikoʻi no ka maʻi maʻi ate ma ka honua holoʻokoʻa, me Kina. ʻO ka hoʻomāinoino ʻana i ka waiʻona hiki ke alakaʻi i ka maʻi ate ʻona, e hoʻonui ana i ka hopena o ka cirrhosis a me ka HCC. He mea nui ka hoʻohaʻahaʻa ʻana i ka inu ʻawaʻawa no ke olakino o ke ake.
ʻO nā kumu o ke ola a me ka pilikia o ka maʻi maʻi ate
ʻAi a me ka meaʻai
ʻO ka ʻai haʻahaʻa i nā huaʻai a me nā mea kanu a me nā meaʻai i hana ʻia a me nā momona momona hiki ke hoʻonui i ka pilikia o ka maʻi ate a me ka maʻi maʻi ate. He mea koʻikoʻi ka ʻai kaulike i nā huaʻai, nā mea kanu, a me nā kīʻaha holoʻokoʻa no ka mālama ʻana i ke olakino o ke ake.
Obesity a me ke kino hana ole
ʻO ka momona a me ka nele o ka hoʻoikaika kino e pili ana i ka piʻi ʻana o ka maʻi momona momona ʻole (NAFLD), kahi maʻi hiki ke holomua i ka cirrhosis a me ka HCC. ʻO ka hoʻomaʻamaʻa maʻamau a me ka mālama ʻana i ke kaumaha olakino he mau mea pale koʻikoʻi.
Nā Kumu Genetic a me ka maʻi maʻi ate
ʻOiai ʻo nā kumu kaiapuni a me ke ʻano o ke ola ke kumu nui o ka maʻi maʻi ate, ʻo ka predisposition genetic kekahi kuleana. Hiki i kekahi mau hoʻololi genetic ke hoʻonui i ka maʻi maʻi ate. Ke hoʻomau nei ka noiʻi ʻana i nā mea genetic e hāʻawi i kahi ʻike maikaʻi aʻe o nā ʻaoʻao pilikino pilikino.
ʻIke mua a Kāohi
ʻO ka ʻike mua ʻana i ka maʻi maʻi ate e hoʻomaikaʻi nui i nā hopena lapaʻau. ʻO ka nānā mau ʻana, ʻoi aku ka nui o nā poʻe me nā mea pilikia e like me ka maʻi HBV mau a i ʻole ka maʻi HCV. ʻO ka hoʻololi ʻana i ke ola, e like me ka hōʻemi ʻana i ka inu ʻawaʻawa, mālama i ke kaumaha olakino, a me ka ʻai ʻana i ka meaʻai kaulike, hiki ke hana koʻikoʻi i ka pale ʻana i ka maʻi maʻi ate. E kūkākūkā me nā limahana mālama ola no nā loiloi pilikino pilikino a me nā ʻōlelo hōʻike ʻana. No ka ʻike hou aku e pili ana i ka noiʻi a me ka mālama ʻana i ka maʻi maʻi ate, e noʻonoʻo paha ʻoe e ʻimi i nā kumuwaiwai i hāʻawi ʻia e ka Shandong Baofa Cancer Research Institute [
https://www.baofahospital.com/].
Hōʻuluʻulu manaʻo
ʻO ka piʻi nui ʻana o
ʻO ka maʻi maʻi ate Kina he pilikia koʻikoʻi i loaʻa mai i ka hui ʻana o ka nohona, ka nohona, a me nā kumu genetic. ʻO nā maʻi Hepatitis B a me C, ka ʻike ʻana i ka aflatoxin, ka ʻai ʻana i ka waiʻona, ka meaʻai, ka momona, a me ka hana ʻole o ke kino e hoʻopili i ka pilikia. ʻO ka ʻike mua ʻana a me ka pale ʻana, me ka hoʻopaʻa ʻana i ka HBV, ka hoʻololi ʻana i ka nohona, a me ka nānā mau ʻana, he mea nui ia i ka hōʻemi ʻana i ke kaumaha o ka maʻi maʻi ate ma Kina. Ke hoʻomau nei ka noiʻi hou ʻana i ka pilina paʻakikī o kēia mau mea.