
Lo mhlahlandlela ophelele uhlola ukusabalala, izici eziyingozi, ukuxilongwa, ukwelashwa, kanye nokuvinjelwa China umdlavuza wesibindi. Singena ocwaningweni lwakamuva nentuthuko, sinikeza imininingwane ebalulekile kubantu ngabanye nabasebenzi bezempilo ngokufanayo. Funda ngamasu asebenzayo okutholwa kusenesikhathi kanye nokuthuthukisa imiphumela ekulawuleni le nselele yezempilo ebalulekile.
China umdlavuza wesibindi, ikakhulukazi i-hepatocellular carcinoma (HCC), isalokhu iyinkinga enkulu yezempilo yomphakathi eChina. Izehlakalo kanye namazinga okufa aphezulu kakhulu uma kuqhathaniswa nezinye izingxenye eziningi zomhlaba. Ziningana izici ezinomthelela kulokhu kubhebhetheka okuphezulu, okuhlanganisa ukuba khona okusabalele kwegciwane le-hepatitis B (HBV) kanye negciwane le-hepatitis C (HCV), ukuchayeka kwe-aflatoxin ekudleni okungcolile, nezici zokuphila ezifana nokuphuza utshwala nokusetshenziswa kukagwayi. Imininingwane enemininingwane ye-epidemiological ingatholakala ezincwadini ezivela e-Chinese Center for Disease Control and Prevention (CDC).
Ukutheleleka okungapheli nge-HBV ne-HCV kuyimbangela ehamba phambili China umdlavuza wesibindi. Lawa magciwane adala ukuvuvukala kwesibindi okungamahlalakhona, okuholela ku-cirrhosis futhi ekugcineni kube nengozi eyengeziwe yokuthuthukiswa kwe-HCC. Ukugomela i-HBV kubalulekile ekuvimbeleni. Ulwazi ngokuvama kwe-HBV ne-HCV e-China lungatholakala ngewebhusayithi ye-World Health Organization (WHO).
Ama-aflatoxins ama-mycotoxins omdlavuza akhiqizwa isikhunta esithile esivame ukungcolisa izitshalo zokudla njengamakinati nommbila. Ukuchayeka kuma-aflatoxin kuyingozi enkulu China umdlavuza wesibindi ezifundeni ezinokugcinwa kokudla okungekuhle kanye nezinqubo zokucubungula. Ucwaningo luhlobanise ukuchayeka kwe-aflatoxin nezigameko eziphezulu ze-HCC.
Ezinye izici ezinomthelela zihlanganisa: ukusetshenziswa kabi kotshwala, isifo sesibindi esinamafutha angenaso utshwala (NAFLD), i-cirrhosis (izibazi zesibindi), izakhi zofuzo, kanye nokuchayeka kumakhemikhali athile. Ukulondoloza indlela yokuphila enempilo, kuhlanganise nokudla okunomsoco nokugwema ukuphuza ngokweqile, kunganciphisa ingozi.
Ukutholwa kusenesikhathi kubalulekile ukuze kuthuthukiswe imiphumela China umdlavuza wesibindi. Ukuhlolwa okuvamile, ikakhulukazi kubantu abanezici eziyingozi, kuyanconywa. Izindlela zokuxilonga zihlanganisa ukuhlolwa kwegazi (i-alpha-fetoprotein - AFP), amasu e-imaging (i-ultrasound, i-CT scan, i-MRI), kanye ne-biopsy yesibindi. Izinketho zokwelapha ziyahlukahluka kuye ngesigaba somdlavuza futhi zingabandakanya ukuhlinzwa, i-chemotherapy, i-radiotherapy, ukwelashwa okuhlosiwe, nokufakelwa kwesibindi. Ulwazi olwengeziwe ngezinqubo zokwelapha lungatholakala ezikhungweni ze-oncology ezihlonishwayo njengeNational Cancer Institute (NCI).
Ukuvimbela China umdlavuza wesibindi kuhlanganisa ukubhekana nezici eziyingozi eziwumsuka. Lokhu kuhlanganisa: Ukugonywa kwe-HBV ne-HCV, izindlela ezithuthukisiwe zokuphepha kokudla ukuze kuncishiswe ukuchayeka kwe-aflatoxin, ukugwema ukuphuza ngokweqile, nokugcina indlela yokuphila enempilo. Ukuhlolwa njalo nokuhlolwa kubalulekile, ikakhulukazi kubantu abanezici eziyingozi. Kulabo abaxilongwe China umdlavuza wesibindi, amasu okuphatha aphelele abandakanya ithimba lemikhakha eminingi abalulekile ukuze kuthuthukiswe izinga lempilo nokwelula ukuphila.
Ukuze uthole ukwaziswa okwengeziwe China umdlavuza wesibindi, ungabheka izinsiza ezilandelayo:
Umshwana wokuzihlangula: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.
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