Digital Catalog 1

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‫ﺴرطﺎن اﻟﺼدر‬ ‫ﻤﻌدل اﻹﺼﺎ�ﺔ وﻋواﻤﻞ اﻟﺨطر‬ ‫ﺤﯿن‬ ‫ﻓﻲ‬ ‫‪،‬‬ ‫ﺴواء‬ ‫ﻓﻲ اﻟﺒﻠدان اﻟﻤﺘﻘدﻤﺔ واﻟﻨﺎﻤ�ﺔ ﻋﻠﻰ ﺤد‬ ‫اﻟﺸﻤﯿﺘﻘودًﻋﺎﻤﺔﺒﯿﻨنظًاارﻟﻨﻟﺴﻌﺎﻤءرﻨ‪،‬ﺎ‬ ‫أﻛﺜر أﺸ�ﺎل اﻟﺴرطﺎن‬ ‫ﺴرطﺎن اﻟﺜد� ﻫو‬ ‫اﻟطو�ﻞ واﻟﺸﯿﺨوﺨﺔ اﻟﺘدر�ﺠ�ﺔ ﻟﻠﺴ�ﺎن‬ ‫ﻓﻲ ارﺘﻔﺎع ﻓﻲ اﻟﺒﻠدان‬ ‫أن ﺴرطﺎن اﻟﺜد�‬ ‫ﻓﻲ إﺴ�ﺎﻨ�ﺎ ‪ ،‬ﺘم ﺘﺸﺨ�ص أﻛﺜر ﻤن ‪ ٣٠٠٠٠‬ﺤﺎﻟﺔ ﺠدﯿدة ﻓﻲ ﻋﺎم ‪ .٢٠١٨‬و�ﺎﻨت اﻟﻐﺎﻟﺒ�ﺔ ﻤن اﻟﻨﺴﺎء ﺒﯿن ‪ ٣٥‬و ‪٨٠‬‬ ‫ﻋﺎ ًﻤﺎ ‪ ،‬و�ﺎﻨت اﻟﻤﺠﻤوﻋﺔ اﻷﻛﺒر ﺒﯿن ‪ ٤٥‬و ‪ ٦٥‬ﻋﺎ ًﻤﺎ‬ ‫ﺘﺸﯿر اﻟﺘﻘدﯿ ارت إﻟﻰ أن اﻟﻨﺴﺎء ﻟدﯿﻬن ﻓرﺼﺔ واﺤدة ﻤن أﺼﻞ ‪ ٨‬ﻓﻲ اﻹﺼﺎ�ﺔ �ﺴرطﺎن اﻟﺜد� ﻓﻲ ﻤرﺤﻠﺔ ﻤﺎ ﻤن ﺤ�ﺎﺘﻬم‬ ‫ﻻ ﻨﻌرف ﻤﺎ اﻟذ� �ﺴﺒب ﻫذا اﻟﻤرض ‪ ،‬ﻋﻠﻰ اﻟرﻏم ﻤن أﻨﻪ �ﻌﺘﻘد أﻨﻪ ﻤز�ﺞ ﻤن اﻟﻌواﻤﻞ ‪� ،‬ﻤﺎ ﻓﻲ ذﻟك ﻨﻤط اﻟﺤ�ﺎة وﺘﺄﺨر‬ ‫اﻷﻤوﻤﺔ‪ .‬ﻟذﻟك ‪ ،‬ﯿوﺼﻲ اﻷط�ﺎء �ﻌﺎدات اﻷﻛﻞ اﻟﺼﺤ�ﺔ وﻤﻤﺎرﺴﺔ اﻟﺘﻤﺎر�ن �ﺎﻨﺘظﺎم وﺘﺠﻨب اﻟﺘﻌرض ﻟﻠﻤواد اﻟﻛ�ﻤ�ﺎﺌ�ﺔ‬ ‫اﻟﺘﻲ �ﻤ�ن أن ﺘؤﺜر ﻋﻠﻰ ﻨظﺎم اﻟﻐدد اﻟﺼﻤﺎء‬ ‫ﻓﻲ اﻟﺴﻨوات‬ ‫ﻓ�ﻌﻲﺘﺒاﻟرﻌدوﯿدارﺜً�ﻤﺎ‪.‬ن‬ ‫‪٪١٠‬‬ ‫ﯿﺘ اروح ﺒﯿن ‪ ٪٥‬و‬ ‫ﻋﻠﻰ اﻟرﻏم ﻤن أن ﻤﻌظم ﺤﺎﻻت ﺴرطﺎن اﻟﺜد� ﻤﺘﻔرﻗﺔ ‪ ،‬إﻻ أن ﻤﺎ‬ ‫ﻫذﻩ اﻟﺤﺎﻻت‪،‬‬ ‫‪.٤٥‬‬ ‫اﻟﺸﺎ�ﺎت دون ﺴن‬ ‫اﻷﺨﯿرة ‪ ،‬و�ﻔﻀﻞ اﻟﻔﺤوﺼﺎت ‪ ،‬ازدادت ﺘﺸﺨ�ﺼﺎت اﻟﺴرطﺎن ﻟد�‬ ‫��ون ﻟد� اﻟﻨﺴﺎء طﻔرة ﺠﯿﻨ�ﺔ و ارﺜ�ﺔ ﺘؤد� إﻟﻰ ﺴرطﺎن اﻟﺜد�‪ .‬ﻟذﻟك ‪ ،‬إذا �ﺎن ﻫﻨﺎك ﺘﺎر�ﺦ ﻋﺎﺌﻠﻲ ﻤن ﺴرطﺎن اﻟﺜد� أو‬ ‫اﻟﻤﺒ�ض ‪ ،‬ﻓﻤن اﻟﻤﺴﺘﺤﺴن إﺠ ارء اﺨﺘ�ﺎر ﻟﺘﺤدﯿد ﻤﺴﺘو� اﻟﺨطر واﺘﺨﺎذ اﻟﺘداﺒﯿر اﻟﻤﻨﺎﺴ�ﺔ ﻟﻠﺴ�طرة ﻋﻠ�ﻪ واﻟوﻗﺎ�ﺔ ﻤﻨﻪ‬ ‫اﻟﺘﻌﻠﯿق‬ ‫إن ﺴرطﺎن اﻟﺜد� ﻓﻲ ارﺘﻔﺎع ﻓﻲ اﻟﺒﻠدان اﻟﻨﺎﻤ�ﺔ ﺤﯿث أن ﻤﺘوﺴط اﻟﻌﻤر اﻟﻤﺘوﻗﻊ ﯿزداد واﻟﺴ�ﺎن ﻤﺘﻘدﻤﯿن ﻓﻲ اﻟﻌﻤر‬ ‫اﻟﺘﺸﺨ�ص واﻟﻌﻼج‬ ‫ﻻ ﯿ ازل اﻟﺘﺸﺨ�ص اﻟﻤ��ر ﻟﺘﺤﺴﯿن ﻤﻌدل اﻟﺘﺸﺨ�ص واﻟ�ﻘﺎء ﻟﺴرطﺎن اﻟﺜد� ﻫو ﺤﺠر اﻟ ازو�ﺔ ﻓﻲ ﻤ�ﺎﻓﺤﺔ ﻫذا اﻟﻨوع ﻤن‬ ‫اﻟﺴرطﺎن‬

‫اﻟﯿوم ‪ ،‬و�ﻔﻀﻞ ز�ﺎدة اﻟوﻋﻲ واﻟﻔﺤوص اﻟﺴﻨو�ﺔ ﻷﻤ ارض اﻟﻨﺴﺎء ‪ ،‬ﯿﺘم اﻛﺘﺸﺎف ‪ ٪٧٠‬ﻤن اﻟﺤﺎﻻت ﻓﻲ اﻟﻤرﺤﻠﺔ‬ ‫اﻟﻤ��رة‪ .‬ﻫذا �ﺤﺴن اﻟﺘﺸﺨ�ص واﻟﻌﻼج ‪ ،‬و�ﻌزز ﻤﻌدل اﻟ�ﻘﺎء ﻋﻠﻰ ﻗﯿد اﻟﺤ�ﺎة ‪ ،‬واﻟذ� ﻫو اﻵن ‪.٪ ٩٠‬‬ ‫ﻋواﻤﻞ ﺨطر‬ ‫أ�‬ ‫ﻟم ��ن ﻫﻨﺎك‬ ‫إذا‬ ‫ﺤﻋﺎﺎﻟً�ﻤﺎﯿ ‪،‬ن‬ ‫اﻟﻌﺎم‪.‬‬ ‫ﻓﻲ‬ ‫واﺤدة‬ ‫ﻤرة‬ ‫إ�ﺸﻀ�ﺎﻓﻞ�ﺔﻋﺎ‪،‬مُﯿﻨ‪ُ ،‬ﯿﺼﻨﺢﺼاﻟﺢﻨ اﺴﻟﺎﻨءﺴﺎﺒﺈءﺠ�ارﻤءار ﺘﺠﻌﺼﺔو�طرﺒﯿﻤﺎبﻤاوﻟﻨﺠﺴارﺎمء‬ ‫‪٥٠/٤٠‬‬ ‫ﺴن‬ ‫وﻗت ﺒﻠوﻏﻬم‬ ‫ﻤن‬ ‫ﻋﺎم أو‬ ‫�ﻞ‬ ‫واﺤدة‬ ‫ﻤرة‬ ‫أﻫم ﺸﻲء ﯿﺠب اﻟﻘ�ﺎم �ﻪ ﻋﻨد ﻤواﺠﻬﺔ ﺴرطﺎن اﻟﺜد� ﻫو اﻟﺤﺼول ﻋﻠﻰ ﺘﺸﺨ�ص دﻗﯿق ﻓﻲ أﺴرع وﻗت ﻤﻤ�ن ﻤن أﺠﻞ‬ ‫اﻟﺘﺼرف �ﺴرﻋﺔ‪� .‬ﺸ�ﻞ ﻋﺎم ‪ ،‬اﻟﺨطوات اﻟواﺠب اﺘ�ﺎﻋﻬﺎ ﻫﻲ‪:‬‬ ‫‪ .١‬اﻟﻔﺤص اﻟﯿدو� وﻤﺎﻤوﺠ ارم‪ .‬ﻫذﻩ ﺘﺴﺎﻋد ﻓﻲ اﻟﻌﺜور ﻋﻠﻰ �ﺘﻞ ﻤﺸﺒوﻫﺔ ‪ٕ ،‬واذا ﻟزم اﻷﻤر ‪� ،‬ﻤ�ن دﻤﺠﻬﺎ ﻤﻊ‬ ‫اﺨﺘ�ﺎ ارت أﺨر� ‪ ،‬ﻤﺜﻞ اﻟﻤوﺠﺎت ﻓوق اﻟﺼوﺘ�ﺔ اﻟﺜد�‬ ‫�ﻤ�ن اﺴﺘﺨ ارج اﻟﺨﻼ�ﺎ ﻟﺘﺤﻠﯿﻠﻬﺎ‬ ‫ﻤﺤﺎﺸﺒﺠﺔوًﻫإﺎﻟ ‪،‬ﻰ‬ ‫ﻏ ارﻤﺔ إﺒرة‪ .‬إذا ﺒدت اﻟورم‬ ‫ﺨزﻋﺔ‬ ‫‪.٢‬‬ ‫اﻟﺜد�‬ ‫أﻨﺴﺠﺔ‬ ‫وﺘﺤﻠﯿﻞ‬ ‫إ ازﻟﺔ‬ ‫د ارﺴﺔ أﻛﺜر ﺘﻌﻤﻘﺎ ‪� ،‬ﻤ�ن ﻟﻸط�ﺎء‬ ‫اﻟﺠ ارﺤ�ﺔ‪ .‬إذا �ﺎﻨت ﻫﻨﺎك‬ ‫ﺨزﻋﺔ‬ ‫‪.٣‬‬ ‫ﻫﻨﺎك ﻋدة أﻨواع ﻤن أو ارم اﻟﺜد� ‪ ،‬اﻋﺘﻤﺎًدا ﻋﻠﻰ ﺴﻤﺎﺘﻬﺎ اﻟو ارﺜ�ﺔ‪ .‬ﻟذﻟك ‪ ،‬ﻤن اﻟﻤﻬم اﻟﺤﺼول ﻋﻠﻰ ﺘﺸﺨ�ص دﻗﯿق واﺨﺘ�ﺎر‬ ‫أﻓﻀﻞ ﻋﻼج ﻓﻲ �ﻞ ﺤﺎﻟﺔ‬ ‫�ﻤ�ن اﺴﺘﺨدام أﻨواع ﻤﺨﺘﻠﻔﺔ ﻤن اﻟﻌﻼج أو ﻤﺠﻤوﻋﺔ ﻤن اﻷﻨواع ‪:‬‬ ‫اﻟﺠ ارﺤﺔ‬ ‫اﻟﻤﻌﺎﻟﺠﺔ �ﺎﻹﺸﻌﺎع‬ ‫اﻟﻌﻼج اﻟﻛ�ﻤ�ﺎﺌﻲ‬ ‫اﻟﻌﻼج �ﺎﻟﻬرﻤوﻨﺎت‬ ‫اﻟﻌﻼﺠﺎت اﻟﺒﯿوﻟوﺠ�ﺔ اﻷﺨر� ‪ ،‬ﻤﺜﻞ اﻟﻌﻼج اﻟﻤﻨﺎﻋﻲ‬ ‫ﻓﻲ ﻤﻌظم اﻟﺤﺎﻻت ‪ ،‬ﯿﺘم ﺘﺸﺨ�ص ﺴرطﺎن اﻟﺜد� ﻗﺒﻞ أن ﯿﻨﺘﺸر إﻟﻰ اﻷﻋﻀﺎء اﻷﺨر� وﻗد �ﺸﻤﻞ اﻟﻌﻼج ﻋﻤﻠ�ﺔ ﺠ ارﺤ�ﺔ‬ ‫ﻹ ازﻟﺔ اﻟورم‪ .‬اﻟﯿوم ‪ ،‬ﺘﻌطﻲ اﻟﺒروﺘو�وﻻت اﻷوﻟو�ﺔ ﻟﻠﻌﻼج اﻟﺘﻘﻠﯿد� ﻟﻠﺤﻔﺎ� ﻋﻠﻰ اﻟﺜد�‬

‫اﻟﻌﻼﻤﺎت اﻟﺘﺤذﯿر�ﺔ‬ ‫�ﺸ�ﻞ ﻋﺎم ‪ُ ،‬ﯿﻨﺼﺢ اﻟﻨﺴﺎء �ﻤﻘﺎﺒﻠﺔ أﺨﺼﺎﺌﻲ إذا وﺠدوا ‪:‬‬ ‫ورم ﻓﻲ اﻟﺜد� و ‪ /‬أو اﻹ�ط‬ ‫اﻟﺘﻐﯿﯿ ارت ﻓﻲ ﺤﺠم أو ﺸ�ﻞ اﻟﺜد�‬ ‫ﺘﻐﯿﯿ ارت ﻓﻲ ﻨﺴﯿﺞ اﻟﺠﻠد )اﻟﺘﻘﺸﯿر(‬ ‫اﻟﺘﻐﯿ ارت ﻓﻲ اﻟﻠون )اﺤﻤ ارر(‬ ‫اﻟﺘﻐﯿﯿ ارت ﻓﻲ اﻟﺤﻠﻤﺔ )اﻻﻨﻘﻼب(‬ ‫اﻟﺘﻐﯿﯿ ارت ﻓﻲ اﺘﺠﺎﻩ اﻟﺤﻠﻤﺔ‬ ‫ﻀﯿق اﻟﺠﻠد ﻋﻠﻰ اﻟﺜد� و ‪ /‬أو اﻟﺤﻠﻤﺔ‬ ‫اﻓ ار ازت اﻟﺤﻠﻤﺔ‬ ‫ﻫذﻩ اﻷﻋ ارض ﻻ ﺘﻌﻨﻲ �ﺎﻟﻀرورة ﺴرطﺎن اﻟﺜد� ‪ ،‬ﻟﻛن ﻻ ﯿ ازل ﻤن اﻟﻤﺴﺘﺤﺴن رؤ�ﺔ طﺒﯿب أﻤ ارض اﻟﻨﺴﺎء‬ ‫اﻟوﻗﺎ�ﺔ‬ ‫‪ .١‬اﻟﺤﺼول ﻋﻠﻰ ﻓﺤوﺼﺎت ﻤﻨﺘظﻤﺔ‪.‬‬ ‫ﺘﺘم ﻤ ارﻗ�ﺔ اﻟﺴ�ﺎن �ﻞ ﻋﺎم أو ﻋﺎﻤﯿن ﺒد ًءا ﻤن ‪ ٥٠/٤٠‬ﻋﺎ ًﻤﺎ )وﻫذا ﻫو اﻟﺤد اﻷدﻨﻰ اﻟﻤوﺼﻲ �ﻪ(‬ ‫‪ .٢‬ﻗم �ﻔﺤص ﻟﺠﺴدك ﻤرة واﺤدة ﻓﻲ اﻟﺸﻬر‪.‬‬ ‫�ﻤ�ﻨك اﻟﻘ�ﺎم ﺒذﻟك ﻓﻲ أ� ﯿوم ‪ ،‬أو �ﻌد �ﻞ ﻓﺘرة‬ ‫‪ .٣‬ﻤﻤﺎرﺴﺔ اﻟر�ﺎﻀﺔ �ﺎﻨﺘظﺎم‪.‬‬ ‫ﻟﻠﻤﺴﺎﻋدة ﺤًﻘﺎ ﻓﻲ اﻟوﻗﺎ�ﺔ ﻤن اﻟﺴرطﺎن‪� ،‬ﻘﺘرح اﻷط�ﺎء أر�ﻊ ﺴﺎﻋﺎت ﻋﻠﻰ اﻷﻗﻞ ﻓﻲ اﻷﺴﺒوع‪� .‬ﻌﺘﻤد ﻨوع اﻟﻨﺸﺎ� ﻋﻠﻰ‬ ‫ﻋﻤرك وﻨوع ﺠﺴﻤك واﻫﺘﻤﺎﻤﺎﺘك‪ .‬اﻷﻓﻀﻞ ﻫو اﻟﺘﻤﺎر�ن اﻟر�ﺎﻀ�ﺔ‪ ،‬وﻟﻛن ﻟ�س �ﺎﻟﻀرورة أن ﺘﻛون ر�ﺎﻀﺔ ﺘﻨﺎﻓﺴ�ﺔ‬

‫‪ .٤‬اﻟﺤﻔﺎ� ﻋﻠﻰ وزن ﺼﺤﻲ‪.‬‬ ‫اﻟﺴﻤﻨﺔ ﻫﻲ ﻋﺎﻤﻞ ﺨطر �ﺒﯿر ﺠدا ﻟﺴرطﺎن اﻟﺜد�‪ .‬ﯿﺘم اﺴﺘﻘﻼب اﻟﻬرﻤوﻨﺎت اﻟﻤﻨﺘﺸرة ﻓﻲ اﻟدﻫون وﺘؤد� إﻟﻰ ﺘﺤﻔﯿز‬ ‫اﻟورم‪ .‬ﻤ�ﺎﻓﺤﺔ اﻟﺴﻤﻨﺔ ﻫﻲ ﺠزء ﻤﻬم ﻤن ﺼﺤﺔ اﻹﻨﺴﺎن‪ .‬ﻟﻤﻌرﻓﺔ ﻤﺎ إذا �ﻨت ﻓﻲ وزﻨك اﻟﺼﺤ�ﺢ‪ ،‬ﺘﺤﺘﺎج إﻟﻰ ﺤﺴﺎب‬ ‫ﻤؤﺸر �ﺘﻠﺔ اﻟﺠﺴم )ﻤؤﺸر �ﺘﻠﺔ اﻟﺠﺴم(‬ ‫‪ .٥‬أﻛﻞ ﺼﺤﻲ‪.‬‬ ‫�ﻤ�ﻨك اﺴﺘﺸﺎرة أﺨﺼﺎﺌﻲ اﻟﺘﻐذ�ﺔ ﻟﻠﺤﺼول ﻋﻠﻰ اﻟﻤﺴﺎﻋدة‪ .‬ﺤﻤ�ﺔ اﻟ�ﺤر اﻟﻤﺘوﺴط ﻫﻲ ﻨﻤوذج ﺠﯿد‬ ‫‪ .٦‬ﺸرب �ﻤ�ﺎت أﻗﻞ ﻤن اﻟﻛﺤول‪.‬‬ ‫اﻟﻛﺤول �ﺴﺎﻋد ﻋﻠﻰ ﺒﻨﺎء اﻟدﻫون وﻫو ﺘﺴﻤم اﻟﻛﺒد‪� .‬ﻞ ﻤن ﻫذﻩ �ﻤ�ن أن ﺘز�د ﻤن ﺨطر اﻻﺼﺎ�ﺔ �ﺴرطﺎن اﻟﺜد�‬ ‫‪ .٧‬اﻟﺤﻔﺎ� ﻋﻠﻰ اﻟوزن �ﻌد اﻨﻘطﺎع اﻟطﻤث‪.‬‬ ‫أظﻬر اﻟﺘﻤر�ن اﻟﻤﻨﺘظم ﻓﻲ ﻫذا اﻟوﻗت ﻤن اﻟﺤ�ﺎة أﻨﻪ �ﻘﻠﻞ ﻤن ﺨطر اﻹﺼﺎ�ﺔ �ﺴرطﺎن اﻟﺜد�‬ ‫‪ .٨‬اﻟﺤﺼول ﻋﻠﻰ اﻹرﺸﺎد اﻟﺠﯿﻨﻲ‪.‬‬ ‫ﺘرﺘ�ط �ﻌض اﻟطﻔ ارت ‪ ،‬ﻗﺒﻞ �ﻞ ﺸﻲء ﻓﻲ ﺠﯿﻨﺎت ‪ BRCA1, BRCA2‬و‪ P53‬ﺒز�ﺎدة ﺒﻨﺴ�ﺔ ‪ % 30 - % 20‬ﻓﻲ ﺨطر ﻫذا اﻟﻨوع‬ ‫ﻤن اﻟﺴرطﺎن‪ .‬وﻤﻊ ذﻟك ‪ ،‬ﻓﻬﻲ ﻨﺎدرة وﺘﺸ�ﻞ ﺴو� ﺠزء ﺼﻐﯿر ﻤن إﺠﻤﺎﻟﻲ ﺤﺎﻻت اﻹﺼﺎ�ﺔ �ﺴرطﺎن اﻟﺜد�‪ .‬إذا �ﺎن ﻟد�ك‬ ‫ﺘﺎر�ﺦ ﻋﺎﺌﻠﻲ أو �ﺎن ﻟد�ك ورم ﺤﻤﯿد ‪ ،‬ﻓﯿﺠب أن ﺘر� ﺨﺒﯿًار‬ ‫‪ .٩‬ﺘﺠﻨب اﻟﺘﻌرض ﻟﻠﻤواد اﻟﺴﺎﻤﺔ‪.‬‬ ‫�ﻌض اﻟﻤواد اﻟﺴﺎﻤﺔ ﻗد ��ون ﻟﻬﺎ ﺘﺄﺜﯿر ﻋﻠﻰ ﺴرطﺎن اﻟﺜد�‪ ،‬ﻋﻠﻰ اﻟرﻏم ﻤن أن ﻫذا ﻟم ﯿﺜﺒت‪ .‬ﻻ ﯿﺒدو أن اﻟﺘ�ﻎ ﯿرﺘ�ط‬ ‫ﻤ�ﺎﺸرة �ﺴرطﺎن اﻟﺜد� ‪ ،‬وﻟﻛن ﺠرﻋﺎت ﻋﺎﻟ�ﺔ ﻤن اﻹﺸﻌﺎع ﺘرﺘ�ط �ﻪ‪� .‬ﻤ�ﺔ اﻹﺸﻌﺎع اﻟﻤﺴﺘﺨدﻤﺔ ﻓﻲ ﺘﺼو�ر اﻟﻤﺎﻤوﺠ ارم‬ ‫ﺼﻐﯿرة ﺠًدا وﻻ ﺘﺸ�ﻞ ﺨطًار ﻋﻠﻰ اﻟﺴرطﺎن‬ ‫‪ .١٠‬اﻟﺠ ارﺤﺔ اﻟوﻗﺎﺌ�ﺔ‪.‬‬ ‫ﯿﺘم اﺠ ارء اﺴﺘﺌﺼﺎل اﻟﺜد� اﻟوﻗﺎﺌﻲ ﻓﻘط ﻓﻲ اﻟﺤﺎﻻت ﺸدﯿدة اﻟﺨطورة ﻤﻊ اﻻﺴﺘﻌداد اﻟو ارﺜﻲ ﻟﺴرطﺎن اﻟﺜد�‪ .‬إﻨﻬﺎ ﺠ ارﺤﺔ‬ ‫ﻤؤﻟﻤﺔ و�ﺠب أن ��ون ﻫﻨﺎك ﺴﺒب ﻋﻠﻤﻲ ﻻﺨﺘ�ﺎرﻫﺎ‬

womensecret.com/idocare :

post- surgery bras.



Women’secret is committed to women and wants to maintain this commitment, more and more. We strive to improve our products, as well as be- ing actively involved in issues that affect women directly. And breast cancer is undoubtedly one of these, and one of the most important. It affects not only the physical health of women but also their emotional health, intimacy and daily life. Here at Women’secret we can’t solve the pro- blem, but we can help make the day-to-day life of women who have had this disease a bit easier to handle by making sure they don’t have to give up femininity and their identity (woman, part- ner, mother, etc.)



Post—SurgeryBras A collection created to make you feel as pretty as ever. The line of Post-Surgery Brashas been designed by Women’secret specialists with help from orthopaedic and gynaecology professionals from the oncology unit. The goal is for breast cancer patients who have had mastectomies to continue to feel pretty both inside and out, offering a collection that is comfortable, feminine and affordable.

Bras for Prostheses The collection features 2 bras, in and 1. cotton with lace trim, in different colours with Wider, padded straps - matching panties. Each of these items has been nal prostheses and breasts. The padding designed with patients’ needs and comfort in makes this item more comfortable and mind. nicer to wear. In addition to the bras, we also have a model in 2. the swimwear collection: a swimsuit to make patients feel pretty and comfortable at the Lining with pocketsfor prostheses. beach or in the pool. These pockets are on both sides to adapt to women of all needs (single or SWIMWEAR double mastectomy, larger or smaller prostheses, etc.) 3. Soft fabric and cotton lining, soft elas- tags so as not to irritate areas that have undergone operation or radiotherapy.

2. 1. 3. Lining with Wide, padded Soft cotton pockets straps fabric without seams inside 4. 5. 4. 7. 6. High bridge between the two High side High bridge No underwire Adjustable cups to protect breasts and band or hard pieces back strap hide any lack of volume. MODELS 5. Cotton High side band to pro- tect underarm area. 6. Adjustable back strap in case of swelling. 7. No underwire or hard pieces to avoid rubbing in sensitive areas.

Post-Surgery 1. Bras Front close with a soft zip to make it The collection features 2 cotton bras with easy to put on The biggest news in terms of products is the 2. cotton post-surgery bra with front zip. It has Wide padded straps with soft elastic to surgery, to make sure patients are ascomforta- ensure comfort. ble as possible. 3. It is a top-style bra with azip in front and hooks in the back to make it easier to put on and Soft fabric and seamless cotton lining, adjust. no inner tags so as not to irritate areas that have undergone operation or radio- therapy. 4. No underwire or hard pieces to avoid rubbing in sensitive areas. 5. Back close with hooks to better adjust the band

2. 5. Wide straps Hook back close 3. Soft cotton fabric without seams inside 1. 4. Zip front close No underwire or hard pieces MODEL

Post-Surgery 1. Bras Front hook close to put on easily. Another model from the collection is thecotton post-surgery brawith front hook fastener. It is a 2. top-style bra with hooks in front that close in the centre of the chest to help patients with reduced Wide padded straps with soft elastic to arm mobility. ensure comfort. 3. Soft fabric and seamless cotton lining, no inner tags so as not to irritate areas that have undergone operation or radio- therapy. 4. No underwire or hard pieces to avoid rubbing in sensitive areas.

2. 3. Wide straps Soft cotton fabric without seams inside 1. 4. Front close No underwire or hard pieces MODEL

Breast Cancer Incidence rate and risk factors Breast cancer is the most common form of cancer in women, both in developed and developing countries. Breast cancer is on the rise in developed countries due to our longer lifespan and the progressive ageing of the population. In Spain, over 30,000 new cases were diagnosed in 2018. The majority were women between 35 and 80 years old, with the biggest group between 45 and 65. Women are estimated to have a 1 in 8 chance of having breast cancer at some point in their life. We don’t know what causes this disease, although it is believed to be a combination factors, including lifestyle and delayed maternity. So, doctors recommend healthy eating habits, regular exercise and avoiding exposure chemical substances that can a ect the endocrine system. Although most cases of breast cancer are sporadic, between 5% and 10% are considered hereditary. In recent years, thanks to check-ups, cancer diagnoses in young women, under 45, have increased. In many of these cases, the women have a hereditary gene mutation that leads to breast cancer. So, if there is a family history of breast or ovarian cancer, it is advisable to do a test to determine risk level and take appropriate measures to control and prevent it. Diagnosis and treatment Early diagnosis to improve the prognosis and survival rate for breast cancer remains the cornerstone in the fight against this type of cancer.

Today, thanks to greater awareness and yearly gynaecological check-ups, 70% of cases are caught in the early stage. This improves diagnosis and treatment, boosting the survival rate, which is now 90%. In general, women are advised to see the gynaecologist once a year. Currently, if there aren’t any additional risk factors, women are advised to have a mammogram once every year or two from the time they are 40/50. The most important thing to do when facing breast cancer is to get a precise diagnosis as soon as possible in order to act quickly. In general, the steps to follow are: 1. Manual exam and mammogram. These help find suspicious lumps and, if necessary, can be combined with other tests, like a breast ultrasound. 2. Fine-needle biopsy. If a lump seems suspicious, cells can be extracted to be analysed. 3. Surgical biopsy. If a more in-depth study is needed, doctors can remove and analyse breast tissue. There are several types of breast tumours, depending on their genetic traits. So, it is important to get an accurate diagnosis and choose the best treatment in each case. Di erent types of treatment or a combination of types may be used: Surgery Radiotherapy Chemotherapy Hormone therapy Other biological therapies, like immunotherapy. In most cases, breast cancer is diagnosed before it can spread to other organs and treatment may include surgery to remove the tumour. Today, protocols prioritise conservative treatment to preserve the breast.

Warning signs In general, women are advised to see a specialist if they find: • A lump in the breast and/or underarm. • Changes in the size or shape of the breast. • Changes in skin texture (dimpling). • Changes in colour (redness). • Changes to nipple (inversion). • Changes in nipple direction. • Tightness of the skin on the breast and/or nipple. • Nipple discharge. These symptoms don’t necessary mean breast cancer, but it is still advisable to see the gynaecologist. Prevention 1. Get regular check-ups. Population control is done every one or two years starting at 40/50 years old (this is the minimum recommended). 2. Do a self-check once a month. You can do it any day, or after every period. 3. Exercise regularly. To truly help prevent cancer, doctors suggest at least four hours a week. The type of activity depends on your age, body type and interests. The best is aerobic exercise, though not necessarily competitive sport.

4. Maintain a healthy weight. Obesity is a very significant risk factor for breast cancer. Circulating hormones are metabolised in fat and result in tumour instigators. The fight against obesity is an important part of human health. To know if you’re at your right weight, you need to calculate your BMI (body mass index). 5. Eat healthy. You can consult a nutritionist for help. The Mediterranean diet is a good model. 6. Drink less alcohol. Alcohol helps build fat and is a liver toxin. Both of these can increase the risk of breast cancer. 7. Keep in shape after the menopause. Regular exercise in this time of life has shown to decrease the risk of breast cancer. 8. Get genetic guidance. Some mutations, above all in the BRCA1, BRCA2 and p53 genes, are associated with a 20%-30% increase in the risk of that sort of cancer. However, they are rare and only make up a small part of the total incidence of breast cancer. If you have a family history or have had a benign tumour, you should see an expert. 9. Avoid exposure to toxic substances. Some toxic substances may have an impact on breast cancer, although this hasn’t been proven. Tobacco doesn’t seem to be directly linked to breast cancer, but high doses of radiation do. The amount of radiation used in a mammogram is very small and it is not a cancer risk. 10. Preventive surgery. Prophylactic mastectomy is only called for in very high-risk cases with hereditary predisposition to breast cancer. It is a traumatic surgery and there must be a scientific reason for choosing it.

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