Txoj Kev Kawm Nrhiav Teeb Meem Tseem Ceeb nrog Kev Xeem Hauv Tsev

Zoo Siab

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Ncaj-rau-tus neeg siv khoom (DTC) kev tshuaj ntsuam caj ces muaj ib pliag. 23andMe nyuam qhuav tau txais kev pom zoo los ntawm FDA los kuaj BRCA kev hloov pauv, uas txhais tau hais tias thawj zaug, cov pej xeem tuaj yeem kuaj lawv tus kheej rau qee qhov kev hloov pauv uas paub tias ua rau muaj kev pheej hmoo ntawm lub mis, zes qe menyuam, thiab mob qog noj ntshav. Dab tsi yog, cov kws paub txog caj ces tau ceeb toom tas li tias cov kev ntsuas tom tsev no muaj cov kev txwv thiab yuav tsis raug raws li qhov lawv tshwm sim. (BTW, 23andMe tsuas yog ib qho ntawm ntau lub tuam txhab uas muab kev kuaj caj ces rau mob qog noj ntshav hauv tsev-txawm tias nws tsuas yog ib qho uas tsis xav tau kws kho mob cov tshuaj.)

Tam sim no, kev tshawb fawb tshiab tso lub teeb pom tseeb ua li cas Kev ntsuam xyuas hauv tsev tsis raug yuav yog. Kev kawm tshiab hauv phau ntawv xov xwm Genetics hauv Tshuaj tau tshuaj xyuas 49 tus neeg mob piv txwv uas tau raug xa mus rau lub chaw kuaj kab mob ua noob caj noob ces, Ambry Genetics, kom raug tshuaj xyuas ob zaug tom qab kuaj tom tsev tau ua tiav lawm. Qhov kev xyaum no, hu ua "kev kuaj pom tseeb," feem ntau pom zoo los ntawm kws kho mob thaum ib tus neeg tau txais lawv cov txiaj ntsig los ntawm kev tshuaj ntsuam genetic tom tsev. Feem ntau, kev kuaj pom tseeb tau thov los ntawm kws kho mob thawj zaug tom qab tus neeg mob thov kom pab txhais lus lawv cov ntaub ntawv nyoos.

Cov ntaub ntawv "raws" no feem ntau yuav tsum tau txhais los ntawm lub chaw kuaj thib peb kom paub tseeb thiab nkag siab kom raug-ib kauj ruam uas ntau tus neeg hla. Hauv txoj kev tshawb fawb no, cov kws tshawb fawb tau sau ntau qhov kev thov txheeb xyuas qhov tseeb raws li lawv tuaj yeem pom thiab sib piv lawv tus kheej kev tshuaj xyuas cov neeg mob DNA mus rau qhov kev tshuaj ntsuam tom tsev tau tshaj tawm. Hloov tawm tias 40 feem pua ​​ntawm cov kev hloov pauv (piv txwv li, cov noob tshwj xeeb) tshaj tawm hauv cov ntaub ntawv los ntawm kev ntsuas tom tsev yog qhov tsis zoo.

Qhov tseem ceeb, qhov ntawd txhais tau hais tias cov noob sib txawv ntawm cov kev ntsuam xyuas hauv tsev tau txheeb xyuas hauv cov ntaub ntawv nyoos-ob qho tib si tsis tshua muaj kev pheej hmoo thiab muaj kev pheej hmoo siab-tsis tau lees paub los ntawm lub chaw kuaj mob caj ces. Dab tsi ntxiv, qee qhov kev sib txawv ntawm cov noob tau txheeb pom tias "nce kev pheej hmoo" cov noob los ntawm kev ntsuas tom tsev tau muab cais ua "zoo" los ntawm chav kuaj mob. Qhov ntawd txhais tau hais tias qee tus neeg uas tau txais qhov "zoo" los ntawm lawv qhov kev xeem yog * tsis* muaj kev pheej hmoo ntxiv. (Txog: Puas Muaj Kev Ntsuas Kev Kho Mob Hauv Tsev Pab lossis Ua Phem Rau Koj?)

Cov kws pab tswv yim txog caj ces tsis xav tsis thoob."Kuv zoo siab tias cov lej tau qhia cov lej siab ntawm kev nyeem tsis raug kom ntau tus neeg siv khoom yuav paub txog qhov tsis muaj zog hauv DTC kev tshuaj ntsuam genetic testing," said Tinamarie Bauman, board-certified advanced genetic nurse thiab assistant director of the high- txoj kev pheej hmoo noob caj noob ces ntawm AMITA Health Cancer Institute.

Kev daws: Tham nrog koj tus kws kho mob txog kev mus ntsib tus kws pab tswv yim caj ces. "Tus kws pab tswv yim txog caj ces ua ntau dua li ntsuas kev pheej hmoo xwb; lawv pab koj nkag siab ntau ntxiv txog qhov txiaj ntsig lossis qhov tsis zoo," Bauman hais. "Txhua tus neeg uas xeem DTC thiab tom qab ntawd tau txais cov txiaj ntsig nyoos tuaj yeem qhia qhov muag pom tias muaj ntau yam yuav tsum tau tshuaj xyuas thiab txhais lus."

Yog tias koj tiag tiag *do* muaj kev pheej hmoo ntau ntxiv rau cov kab mob caj ces, tus kws pab tswv yim caj ces tuaj yeem pab koj txiav txim siab kom txo tau koj txoj kev pheej hmoo, kuaj xyuas nws ua ntej, lossis muab kev qhia paub ntxiv thiab kho tus kheej yog tias tsim nyog.

Thiab txawm hais tias Bauman cov lus qhia rau cov neeg siv khoom txog kev kuaj DTC yog tib yam ua ntej qhov kev tshawb fawb no tawm los, nws tam sim no xav tias tseem ceeb tshaj-tshwj xeeb tshaj yog rau cov neeg uas yuav muaj caj ces mob qog noj ntshav. Nws hais tias "Kuv ua haujlwm hauv oncology, thiab kuv txhawj xeeb heev txog kev kuaj hauv tsev rau cov qog nqaij hlav cancer," nws hais. "Muaj txoj hauv kev zoo rau lub neej hloov pauv qhov tsis zoo thiab qhov tsis zoo."

Yog li yog tias koj twb tau txais cov txiaj ntsig los ntawm kev kuaj caj ces hauv tsev, tau txais kev kuaj pom tseeb yog qhov tseem ceeb, nws hais. "Nws yog qhov yuav tsum tau lees paub txhua DTC cov ntaub ntawv raw cov ntaub ntawv sib txawv hauv kev sim tshuaj kho mob," Bauman sau tseg. Nws tseem ceeb heev kom nkag siab txog cov txiaj ntsig thiab kev txwv ntawm qhov kev sim, thiab qhov tshwm sim ntawm qhov tshwm sim. Koj yuav ua dab tsi yog tias qhov tshwm sim rov zoo? Nws yuav txhais li cas yog tias nws tsis zoo? Bauman hais tias "Kev pom zoo tso cai yog ib feem tseem ceeb ntawm txoj kev," "Kev sab laj tuaj yeem tshem tawm qhov tsis meej pem."

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