2024-01-20 07:07:00
Keypoints:
- In Thailand, liver and bile duct cancer It is the number 1 common cancer in men and the 3rd most common cancer in women. There are approximately 20,000 new cases per year and 15,600 deaths.
- One cause of liver cancer that many people may not know is from the food that they eat. If you bring raw materials that contain toxic substances or certain foods that put you at risk for fatty liver Over time, it can become cancerous as well.
- Comprehensive cancer Policy of the Ministry of Public Health (MOPH) to screen patients for hepatitis B/C. Caring for and preventing liver cancer and provide additional benefits for treating liver cancer patients
Liver cancer and bile duct cancer In Thailand, it is considered the number 1 cancer found in males and number 3 in females. Data from the Thai Cancer Registry in 2018 found that there were 22,213 new liver cancer cases/year, of which 15,650 people died/year.
There are 2 types of liver cancer that are most common in Thailand:
It is found mostly in the northeast and northern regions.
Causes of liver cancer Most cases are caused by being a carrier of the hepatitis B virus. As for the cause of bile duct cancer, it is caused by liver fluke along with eating foods that contain saltpeter (nitrate) and nitrite, such as fermented fish, chom fish, som nam fish, etc.
In addition, drinking alcohol regularly Exposure to aflatoxins produced by certain fungi found in foods such as beans, corn, dried chilies, and hepatitis C are important risk factors that can cause liver cancer. And having a fatty liver increases your risk of liver cancer as well.
Ingredients in papaya salad may pose a risk of liver cancer.
The matter of drinking alcohol causing liver cancer The dangers are well known. Here, I would like to talk regarding another reason. Especially when it comes to food.
As said Aflatoxin poisoning It is one of the causes of liver cancer. And it is often found in dry foods such as peanuts, dried shrimp, corn, and garlic that have been stored improperly. This toxin was born. which the World Health Organization stipulates Aflatoxin is a very serious carcinogen.
People who have been exposed to aflatoxin Most will have no symptoms in the early stages. Will show symptoms when it becomes chronic. That is, eating food that is contaminated with fungus and that fungus produces aflatoxin. Causes chronic inflammation of the liver. Liver cirrhosis occurs. Causes liver cancer and may affect the kidney and heart systems.
Aflatoxins are often found in agricultural raw materials that have been improperly processed and stored, including:
Therefore, papaya salad with unripe fermented fish is at risk. Or where peanuts, dried shrimp, dried chilies, or garlic are added, there is a risk of receiving this toxin.
Just like other types of food that require these items as ingredients. If the seller or worker chooses raw materials that are safe and do not contain mold.
Prevention of aflatoxin can be done as follows:
1. Choose to buy food or dry ingredients that are in new condition. Standard packaging, no mold, clean.
2. Must not have a musty smell. Smells bad or is damp.
3. Do not store those dry foods for a long time. Because it can cause an accumulation of mold.
4. Put those dry foods to dry in the sun. Because the heat from the sun will cause the humidity to decrease.
Bubble milk tea – fatty liver – liver cancer
Fatty liver disease is Liver disorders are caused by the accumulation of large amounts of fat in the liver cells. have a relationship with Being overweight and high blood fat or high blood sugar
About 1 in 3 people with fatty liver may develop liver inflammation. If this happens repeatedly over a long period of time, fibrosis will accumulate. When there is a large amount, it leads to liver cirrhosis. and increases the risk of liver cancer
Asked how it is related to pearl milk tea. Drinking pearl milk tea does not cause liver cancer. But it is just an example. Popular drinks Let’s show that If you drink sweet drinks for a long time Not only bubble tea But it refers to other drinks and other foods that are sweet. Contains a large and consistent amount of fat. May cause fatty liver. It’s a risk.
Screen for hepatitis before developing liver cancer.
Hepatitis B and hepatitis C virus That is one of the causes of liver cancer as well. In Thailand, there are currently 2.2 million people infected with hepatitis B, for whom there is no cure. But there is medicine to help prevent liver damage. The best way is for us to filter quickly. And if any group can be vaccinated, they must quickly get vaccinated. The average patient is found to be 4-5%, with 90% being cured, but 10% being chronic and in the long term of 20-30 years, it is found that 10% may progress to liver cirrhosis. or liver cancer
There are approximately 300,000 – 700,000 people with hepatitis C. There is medicine to treat it and cure it for 12 weeks. Therefore, you must be screened quickly as well. Of the hepatitis C virus, 90% are not cured and 10% can be cured.
Comprehensive cancer policy The Ministry of Public Health (MOPH) moves forward with screening for hepatitis B/C. The target group is the population born before 1992 because those born following this time will already receive the hepatitis B vaccine. and risk groups The goal is to screen 1 million people by 2024 and all people with abnormal results will have access to treatment.
In addition, the National Health Security Board (NHSO Board) on December 25, 2024 passed a resolution to increase health insurance benefits.Treat cancerwith local brachytherapy to treat patients with tumors in the eye (Plaque brachytherapy) and cancer treatment using robots for surgery (Robotic Surgery) in 3 cancers, namely prostate cancer Colorectal cancer, liver, pancreas and bile duct cancer All of which previously might not be disbursed from the universal health coverage rights.
Liver and bile duct cancer symptoms
Dr. Chairat Bunchaliew, a specialist in liver and bile duct cancer. The National Cancer Institute says that each patient with liver and bile duct cancer may have different symptoms. which generally have no symptoms in the early stages Most of the symptoms found are
- Regular abdominal distension and bloating.
- tired
- Weight loss
- Pain or pricking in the right ribcage
- You may feel a lump in your abdomen.
- Yellow body, yellow eyes
- Big belly
- There is swelling in both legs, etc.
If you have these symptoms, you should consult a doctor to get a diagnosis, such as a blood test to check for liver function abnormalities. Alpha-fetoprotein level test Ultrasound to look at liver lumps Computed tomography or magnetic resonance imaging, etc.
Preventing liver cancer can be done by
- Hepatitis B vaccine for all newborns
- Do not eat raw freshwater fish.
- Change your lifestyle and health behaviors.
- Eat the correct food according to nutritional principles.
- Avoid food that contains carcinogens, such as food that may be contaminated with aflatoxin. Foods that contain saltpeter and fermented foods, etc.
If suspected of being at risk of liver and bile duct cancer You should immediately consult a doctor for a diagnosis. Especially patients with a history of hepatitis or chronic biliary cholangitis. You should get checked for cancer regularly. It will allow for timely treatment and reduce the death rate from liver cancer or bile duct cancer.
refer : Ministry of Public Health ,Department of Medical Services,Department of Disease Control ,Faculty of Medicine Ramathibodi ,Medpark Hospital
1705769609
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