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BRCA Kev Tshuaj Ntsuam Txog Tshuaj Ntsuas - Tshuaj Kho Mob
BRCA Kev Tshuaj Ntsuam Txog Tshuaj Ntsuas - Tshuaj Kho Mob

Zoo Siab

BRCA kev kuaj mob keeb yog dab tsi?

Kev kuaj ntsuas kab mob BRCA zoo rau kev hloov pauv, paub hu ua kev sib hloov, hauv cov noob hu ua BRCA1 thiab BRCA2. Cov noob yog cov seem ntawm DNA tso tawm los ntawm koj niam thiab koj txiv. Lawv nqa cov ntaub ntawv uas txiav txim siab koj cov xeeb ceem tshwj xeeb, xws li qhov siab thiab xim qhov muag. Cov noob kuj muaj feem xyuam rau qee yam mob. BRCA1 thiab BRCA2 yog cov noob uas tiv thaiv hlwb los ntawm kev ua cov protein uas pab tiv thaiv qog tsis tuaj yeem tsim.

Kev hloov pauv hauv BRCA1 lossis BRCA2 gene tuaj yeem tsim kev puas tsuaj ntawm tes uas yuav ua rau mob qog nqaij hlav. Cov pojniam uas muaj lub cev xeeb ntxwv BRCA muaj qhov muaj feem ntau ua mob cancer mis lossis ovarian. Tus txiv neej nrog hloov pauv BRCA yog cov muaj feem yuav ua mob cancer mis lossis prostate ntau dua. Tsis yog txhua tus neeg uas tau txais keeb kwm BRCA1 lossis BRCA2 hloov pauv yuav muaj mob qog. Lwm yam, nrog rau koj txoj kev ua neej thiab ib puag ncig, tuaj yeem cuam tshuam koj kev pheej hmoo mob cancer.

Yog tias koj pom koj muaj BRCA hloov pauv, koj tuaj yeem ua cov kauj ruam los tiv thaiv koj kev noj qab haus huv.

Lwm lub npe: BRCA gene test, BRCA gene 1, BRCA gene 2, kev muaj mob qog mis mob cancer mis1, kev paub mob cancer ntawm lub mis 2


Nws siv rau dab tsi?

Qhov kev sim no yog siv los tshawb xyuas seb koj puas muaj BRCA1 lossis BRCA2 noob hloov. Kev hloov pauv BRCA tuaj yeem ua rau koj muaj feem mob qog noj ntshav.

Vim li cas kuv thiaj li xav tau BRCA kev tshuaj ntsuam genetic?

Kev kuaj ntshav BRCA tsis pom zoo rau cov neeg feem coob. BRCA noob hloov pauv muaj tsawg heev, tsuas cuam tshuam txog 0.2 feem pua ​​ntawm cov neeg nyob hauv Asmeskas. Tab sis koj yuav xav tau qhov kev ntsuas no yog tias koj xav tias koj muaj qhov pheej hmoo ntau dua los ntawm kev sib pauv. Koj muaj feem ntau yuav muaj kev hloov pauv BRCA yog tias koj:

  • Muaj lossis tau mob cancer mis uas twb kuaj ua ntej hnub nyoog 50 xyoo
  • Muaj lossis muaj mob cancer mis hauv ob lub mis
  • Muaj lossis muaj mob cancer mis thiab zes qe menyuam
  • Muaj ib lossis ntau tus hauv tsev neeg muaj mob cancer mis
  • Muaj txiv neej kev sib deev nrog lub mis o
  • Muaj ib tug txheeb ze twb tau kuaj pom tias muaj BRCA hloov pauv
  • Yog ntawm Ashkenazi (Sab Hnub Tuaj European) Jewish cajces. Kev hloov pauv BRCA muaj ntau dua nyob hauv pab pawg no piv rau cov pej xeem. Kev hloov pauv BRCA kuj tseem muaj ntau dua rau cov neeg los ntawm lwm qhov chaw ntawm Tebchaws Europe, suav nrog, Iceland, Norway, thiab Denmark.

Muaj dab tsi tshwm sim thaum kuaj BRCA?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.


Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav npaj tshwj xeeb rau kev xeem BRCA. Tab sis koj yuav xav ntsib nrog tus kws sab laj tswv yim txog caj ces kom pom tias qhov kev sim ntawd puas zoo rau koj. Koj tus kws pab sab laj tswv yim yuav tham nrog koj txog qhov txaus ntshai thiab txiaj ntsig ntawm kev kuaj ntsuas keeb kwm thiab seb cov txiaj ntsig sib txawv txhais tau li cas.

Koj kuj yuav tsum xav txog kev nrhiav tswv yim txog caj ces tom qab koj kuaj. Koj tus kws pab sab laj tswv yim tuaj yeem sab laj txog qhov koj cov kev tshwm sim tuaj yeem cuam tshuam koj thiab koj tsev neeg li cas, hauv kev muaj mob thiab kev xav.

Puas muaj kev pheej hmoo rau kev kuaj?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Cov txiaj ntsig feem ntau tau piav qhia qhov tsis zoo, tsis meej, los yog zoo, thiab feem ntau txhais tau tias hauv qab no:

  • Qhov tshwm sim tsis zoo txhais tau tias tsis muaj BRCA noob hloov tau pom, tab sis nws tsis txhais tau tias koj yuav tsis muaj mob qog nqaij hlav ntxiv.
  • Qhov tshwm sim tsis meej txhais tau tias qee yam kev hloov pauv ntawm BRCA tau pom, tab sis nws yuav lossis tsis txuas nrog kev pheej hmoo mob qog noj ntshav. Koj yuav xav tau kev ntsuam xyuas ntau ntxiv thiab / lossis saib xyuas yog tias koj cov txiaj ntsig tau tsis meej.
  • Ib qho txiaj ntsig tshwm sim txhais tau tias kev hloov pauv hauv BRCA1 lossis BRCA2 tau pom. Cov kev sib hloov no ua rau koj muaj kev pheej hmoo siab tias yuav mob qog nqaij hlav. Tab sis tsis yog txhua tus neeg nrog kev sib hloov muaj mob cancer.

Nws yuav siv sijhawm li ob peb lub lis piam mam li txais cov txiaj ntsig. Yog tias koj muaj lus nug txog koj cov txiaj ntsig tau, tham nrog koj tus kws kho mob thiab / lossis koj tus kws sab laj tswv yim.


Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Puas muaj lwm yam ntxiv uas kuv xav paub txog qhov kev kuaj mob BRCA?

Yog tias koj cov txiaj ntsig pom tau tias koj muaj BRCA noob hloov pauv, koj tuaj yeem ua cov kauj ruam uas tuaj yeem txo koj cov kev pheej hmoo mob cancer mis. Cov no suav nrog:

  • Cov kev soj ntsuam qog nqaij hlav qeev yuav nquag muaj ntau dua, xws li kev kuaj qog mis thiab tshuaj tiv thaiv. Kab mob khees xaws kho tau yooj yim dua thaum kev kuaj pom thaum ntxov.
  • Siv tshuaj tswj tsis pub muaj menyuam tsawg tsawg. Noj tshuaj tiv thaiv tsis pub muaj menyuam tau ntev tshaj tsib xyoos tau pom tias txo qis kev mob qog ntawm zes qe menyuam rau qee tus pojniam muaj BRCA noob hloov pauv. Tsis pom zoo noj tshuaj rau ntau tshaj tsib xyoos los txo tus kabmob kheesxaws tsis pom zoo. Yog tias koj noj tshuaj tiv thaiv kom tsis txhob muaj menyuam ua ntej koj mus kuaj BRCA, qhia koj tus kws kho mob tias koj muaj pes tsawg xyoo thaum koj pib noj cov tshuaj thiab ntev npaum li cas. Nws yuav qhia tias seb koj yuav tsum coj lawv mus ntxiv los tsis tsim.
  • Noj tshuaj rau mob qog noj ntshav. Qee cov tshuaj, xws li ib qho hu ua tamoxifen, tau pom tias yuav txo qis kev pheej hmoo rau cov poj niam uas muaj kev pheej hmoo mob cancer mis ntau dua.
  • Muaj kev phais, paub tias yuav tiv thaiv cov tawv nqaij, txhawm rau tshem tawm cov mis o uas muaj kev noj qab haus huv. Kev tiv thaiv cov mastectomy tau pom tias yuav txo tus mob cancer mis ntau txog li 90 feem pua ​​ntawm cov poj niam uas muaj kev hloov pauv BRCA. Tab sis qhov no yog kev ua haujlwm loj, tsuas yog pom zoo rau cov poj niam uas muaj feem pheej hmoo yuav mob qog nqaij hlav cancer.

Koj yuav tsum tham nrog koj tus kws kho mob kom pom cov qib twg zoo tshaj rau koj.

Ua tim khawv

  1. American Society of Clinical Oncology [Internet]. Miskas Chaw Kho Mob oncology; Xyoo 2005-2018. Cov Kab Mob Txuas Qog Mis thiab Ovarian Cancer; [hais 2018 Mar 19]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cancer.net/cancer-types/hereditary-breast-and-ovarian-cancer
  2. Hinkle J, Cheever K. Brunner & Suddarth phau ntawv ntawm Kev Kuaj Xyuas thiab Kuaj Xyuas Ntsuas. 2nd Ed, Kindle. Philadelphia: Wolters Kluwer Kev Noj Qab Haus Huv, Lippincott Williams & Wilkins; c2014. BRCA Kev Tshuaj Ntsuam Xyuas; 108 p.
  3. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2018. BRCA Kev Tshuaj Ntsuam Neeg Txog Kev Hloov [kho tshiab 2018 Jan 15; raug nplua 2018 Feb 23]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/brca-gene-mutation-testing
  4. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2018. Kev kuaj ntshav BRCA rau kev pheej hmoo mob cancer mis thiab zes qe menyuam; 2017 Dec 30 [raug nplua 2018 Feb 23]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/tests-procedures/brca-gene-test/about/pac-20384815
  5. Memorial Sloan Kettering Cancer Center [Internet]. New York: Memorial Sloan Kettering Cancer Center; c2018. BRCA1 thiab BRCA2 Genes: Qhov Uas Yuav Muaj Kab Mob Khees Xaws thiab Zaus Qog [hais qhia 2018 Feb 23]; [txog 5 ntxaij]. Muaj los ntawm: https://www.mskcc.org/cancer-care/risk-assessment-screening/hereditary-genetics/genetic-counseling/brca1-brca2-genes-risk-breast-ovarian
  6. National Cancer Institute [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kev Hloov Chaw BRCA: Kev Tshuaj Ntsuam Mob Cancer thiab Kev Tshawb Fawb Txog Cag [muab los ntawm 2018 Lub Ob Hlis 23]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q1
  7. National Cancer Institute [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; NCI phau ntawv txhais lus ntawm Cancer Cov Lus Cog Tseg: kev sib hloov [hais tawm 2018 Feb 23]; [txog 3 ntxaij]. Muaj los ntawm: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q ;=mutation
  8. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav [cited 2018 Feb 23]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
  9. NIH Lub Tebchaws Asmeskas Cov Tsev Kuaj Tshuaj (Genetics) Hauv Tsev [Hauv Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; BRCA1 noob; 2018 Mar 13 [raug nplua 2018 Mar 18]; [txog 3 ntxaij]. Muaj los ntawm: https://ghr.nlm.nih.gov/gene/BRCA1#conditions
  10. NIH Lub Tebchaws Asmeskas Cov Tsev Kuaj Tshuaj (Genetics) Hauv Tsev [Hauv Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; BRCA2 noob; 2018 Mar 13 [raug nplua 2018 Mar 18]; [txog 3 ntxaij]. Muaj los ntawm: https://ghr.nlm.nih.gov/gene/BRCA2#conditions
  11. NIH Lub Tebchaws Asmeskas Cov Tsev Kuaj Tshuaj (Genetics) Hauv Tsev [Hauv Is Taws Nem]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Lub noob no yog dab tsi ?; 2018 Lub Ob Hlis 20 [qhia 2018 Lub Ob Hlis 23]; [txog 3 ntxaij]. Muaj los ntawm: https://ghr.nlm.nih.gov/primer/basics/gene
  12. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2018. Cov Ntawv Teev Kev Noj Qab Nyob Zoo: BRCA [hais 2018 2018 23; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid ;=brca
  13. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Kev Kuaj Mob Cancer (BRCA) Kev Kuaj Rau Noob: Yuav Npaj Li Cas [kho tshiab 2017 Jun 8; raug nplua 2018 Feb 23]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/breast-cancer-brca-gene-test/tu6462.html#tu6465
  14. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Kev kuaj mob Cancer mis (BRCA) Kev Ntsuas Hauv Ntsuas: Qhov Tseeb [kho tshiab 2017 Jun 8; raug nplua 2018 Feb 23]; [txog 9 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/breast-cancer-brca-gene-test/tu6462.html#tu6469
  15. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Kev Mob Cancer Mis (BRCA) Kev Ntsuas Noob: Ntsuam Xyuas Tag Nrho [kho tshiab 2017 Jun 8; raug nplua 2018 Feb 23]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/breast-cancer-brca-gene-test/tu6462.html
  16. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2018. Kev Kuaj Mob Cancer (BRCA) Kev Tshawb Nrhiav Gene: Vim Li Cas Nws Thiaj Ua Tau Zoo Li Cas [kho tshiab 2017 Jun 8; raug nplua 2018 Feb 23]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/breast-cancer-brca-gene-test/tu6462.html#tu646

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.

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