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【swisse蔓越莓】医生提醒:5种常见病,其实都是癌前病变!很少人愿意去医院治

放大字体  缩小字体 发布日期:2020-08-21  来源:互联网  作者:admin  浏览次数:3
核心提示:“小姑娘年纪不大,胃已经被折腾得不行了”,医生无奈说道。凌晨2点20分,大部分人都进入了梦乡,28岁的小桦(化名)还在电脑前敲键盘,桌子上放着没吃完的外卖。作为一名写手,她总是在深夜才有创作灵感。但时

“小姑娘年纪不大,胃已经被折腾得不行了”,医生无奈说道。

凌晨2点20分,大部分人都进入了梦乡,28岁的小桦(化名)还在电脑前敲键盘,桌子上放着没吃完的外卖。作为一名写手,她总是在深夜才有创作灵感。

但时不时,喷涌的文思会被胃痛打断。严重时别说写文,连坐着都难受。

半年多前,她到医院做了胃镜,结果查出慢性萎缩性胃炎、肠上皮化生和部分腺体增生,医生说这些都是胃癌前病变。

年纪轻轻就和癌前病变扯上关系,小桦很难接受,回家后郁郁寡欢。

又过了几周,她胃疼、胃胀的症状更加严重了。最后,她又一次来到医院。

接诊的陈卫建医生一看,萎缩性胃炎两个+,肠上皮化生三个+,属于重度肠化生,还伴随部分腺体增生,他说,小姑娘相当于已经处在胃癌前的最后阶段了。

癌前病变是什么?

大多数人一听到“癌前病变”就会默认是患上了癌症,其实癌前病变并不等于癌症。

癌前病变是在没有进行任何治疗的情况下,有可能发展为癌症的病理性改变。癌前病变中的一部分是不可逆转的,且具有癌变的高危险性,因此一旦发现有癌前病变,就需要积极进行治疗,不能不管不顾。

这5种癌前病变需要及时干预

癌症的种类多不胜数,而癌前病变也如此,接下来小九给大家介绍5种需要及时干预的癌前病变。

一、慢性萎缩性胃炎

慢性萎缩性胃炎最坏的结果就是胃癌。

胃癌的发展是有个过程的,大致是正常胃黏膜慢性浅表性胃炎慢性萎缩性胃炎肠化生、异型增生胃癌。其中慢性萎缩性胃炎有可能属于癌前病变,当胃黏膜出现上皮不典型增生、肠上皮化生时,就很有可能是癌前病变的表现。

一般通过胃镜以及黏膜活检就可以确诊慢性萎缩性胃炎,而在慢性期积极进行治疗,通常发生不会癌变。患有慢性萎缩性胃炎时,可以采取以下2点干预措施:

1.患慢性浅表性胃炎每3年做一次胃镜,而患慢性萎缩性胃炎则每1~2年做一次胃镜;

2.戒烟酒,平时饮食要细嚼慢咽,尽量少吃腌制、辛辣的食物,坚决不吃霉变的食物。

二、腺瘤性肠息肉

腺瘤性肠息肉会发展为肠癌,因为它是肠息肉中公认的癌前病变,尤其是当腺瘤性肠息肉直径大于2厘米时,癌变几率较高。调查数据表明,95%以上的结肠癌来源于结肠腺瘤。

通常,息肉演变成癌症需要5~15年,而在这时间段内可以通过肠镜切除息肉,从而降低肠癌的发生。患有腺瘤性肠息肉时,可以采取以下3点干预措施:

1.50岁以上的人,每5年做一次肠镜检查,每年进行1次肛门指检;

2.平时多吃蔬菜、水果以及粗粮,粗粮可以吃一些豆类、高粱、玉米等;

3.平时坚持运动,坚持每周运动3次以上,每次运动30分钟以上,这样有利于增强免疫系统,减少肠道炎症,降低肠癌的发生率。

三、乳腺不典型增生

乳腺癌是女性健康的杀手之一,而乳腺癌的发展过程是正常乳腺导管内增生非典型增生原位癌浸润性癌,其中乳腺不典型增生是乳腺癌的癌前病变。除了不典型增生,导管内乳头状瘤、乳腺囊性增生也被视为乳腺癌的癌前病变。

当发现患有乳腺不典型增生时,可以采取以下3点干预措施:

1.定期检查自己的乳腺,35岁以下的女性需要通过超声检查乳腺,而45~55岁的绝经期女性需要每年做一次钼靶检查;

2.平时不要私自乱服用雌激素保健品以及相关产品,否则有可能会导致乳腺导管上皮细胞增生;

3.保持良好的情绪,避免出现机体内分泌紊乱而影响乳腺的健康发展。

四、粘膜白斑

黏膜白斑也是最常见的癌前病变之一,其是一种上皮异常增生的癌前损害特征,常见的有口腔、食管、阴茎、外阴和宫颈处的白斑等。一旦发现自己有粘膜白斑,就需要及时到医院进行详细的检查并及时治疗。

五、肝硬化

肝癌发生的三步曲:肝炎肝硬化肝癌。肝癌的高危人群是患有乙肝病史且伴有肝硬化,对于这类人检查加治疗是最好的干预措施。

一般建议患有乙肝肝硬化的人,最好每3~6个月体检一次,主要查肝脏B超和甲胎蛋白。除此之外,还需要积极治疗,在治疗的过程中要戒烟戒酒,注意休息。

2018年,世界癌症研究基金会(WCRF)与美国癌症研究所(AICR)——联合发布了《抗癌指南》,从饮食、营养和运动等方面提出了防癌建议,其中饮食占了大部分比例。

WCRF和AICR建议,成年人每天至少吃30克纤维、400克水果和蔬菜,要多吃富含全谷物、蔬菜、水果和豆类的食物。

谷物、蔬菜,大多数人可以在三餐中获取,但对很多人来说,水果摄入是个大问题,加上现在水果又贵了,更消费不起。

这里推荐【助农苹果】,一天一个整好满足每天的水果量,还能帮助受疫情和暴雨影响的农民。更主要的是,它不打蜡,能带皮吃(皮含很多营养),比超市买更实惠。

反正平时也是要吃水果的,不如了解一下

虽然以上疾病可能与癌症有关,但都不是一下子就演变成癌的。因此,在转变成癌症之前,积极进行干预,积极治疗,就有可能远离癌症。

参考资料:[1].杨琳.什么叫“癌前病变”?常见的癌前病变有哪些?[J].抗癌之窗,2011(6):21-21.[2].秦卫华.癌前病变干预最靠谱[N].医药经济报,2015-10-12(F02).[3].《什么是癌前病变?常见的有哪些?》.《赤脚医生杂志》.1977年04期

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