2023-08-11 04:50:00
side “Col. Asst. Prof. Dr. Naiyarat Prasongsuk” Oncologist Phramongkutklao Hospital said that the group with risk factors for lung cancer was 50-80 years old, smoked or had smoked within the past 15 years, or smoked 1 pack of 20-30 years old. At the same time, more younger patients were found. The overall image of men and women is similar. because more women smoke by professional group That results in lung cancer, pneumonia, such as occupations that are exposed to asbestos. If exposed for 10 years, it will increase the risk factors for lung cancer. Lung cancer patients are also found without risk factors. This is caused by the abnormal division of genes in the body. especially in Asia
“Screening in cancer is still the same concept, first come first served, first treated, first cured. The important thing is to avoid risk factors. Avoid smoking, whether you smoke yourself or those around you. and in the present electronic cigarette began to have information that must be monitored And PM2.5 dust is an important factor that should be avoided. in the surveillance section When you know that you have risk factors for cancer. Screening is recommended if encountered before stages 1-3. If controlled, manageable, the aim of treatment is to be cured, but if the metastases are found, do not worry. Because there is a way to treat, the aim is to support but can make a long survival rate and return to the same quality of life.
Raising awareness of cancer patients
Sirinthip Katiyakarn, Chairman of the Board of Directors of the Cancer Network Foundation Former end-stage cancer patient and pulmonary and asthma patient revealed that the foundation A working committee has been set up to collect problems, present to the government sector to acknowledge the problem, and let patients know that the government has a policy to support and push forward. Treatment rights are given to all 3 rights equally. To make cancer patients more accessible to treatment and push for screening for both at-risk groups and general people It will help our country to reduce expenses in the future a lot.
“I would like to suggest that Annual health checks are important. that changes lives Mostly we meet two groups of patients. The first group is terminal cancer. Early death, severe symptoms. The second group is accidentally detected. and early cancer Life paths are very different, cost and damage caused are different. Therefore, it is difficult to detect first, find first, treat first, cure first. But if you examine later, treat later, it will be difficult.
Jitnipa Pakdee, owner of the page Oil Cancer Diary, represents lung cancer patients. Share the experience that Detected late-stage lung cancer spread to both lungs over the past 3 years It started with a chronic cough without phlegm. At first I thought I was allergic to air. Because at that time he was 29 years old, his family had no history of cancer, did not drink alcohol and did not smoke. But following listening to the treatment plan therefore knowing that in fact cancer is not always equal to death, in the first 3 years, treatment by taking 1 pill a day with targeted drugs if cancer is not counted in the lungs The general body is strong like a normal person. Able to walk in the forest, go up the mountain, do all the daily activities normally. Having cancer has made us appreciate our time more. Take better care of your health.
“I want to say to people who don’t have cancer that Taking care of your own health is still important, including eating and sleeping, because even if one day you really get cancer, at least you won’t have fat, blood pressure, heart when you don’t have other diseases. Increasing it makes the treatment more controllable than having other diseases as well, as if we have more costs than those who do not take care of their health, ”Jitnipa said.
Raising the level to deal with dust – taking care of people
“Pinsak Suraswadee” Director-General of the Pollution Control Department spoke regarding air pollution directions and trends, stating that in 2023, PM 2.5 problems were found to increase from the previous year due to economic recovery following the COVID-19 crisis. What the Pollution Control Department including government agencies The biggest concern is public health and the environment. PM2.5 has been raised on the national agenda since 2019, following which a yearly ad hoc plan has been made. Continuing to raise the standards to be more intense by reducing the standard from 50 micrograms per cubic meter to 37.5 micrograms per cubic meter since last June
Aiming to create measures to solve problems must be solved at the point. Towns, forests, agriculture have different origins. In urban areas, focusing on solving traffic problems and factories Whether it’s upgrading oil to EURO5, setting car standards even better. Including promoting the use of electric cars. In the important part of the forest, the utilization between people and the forest must be managed better. As the agriculture sector attempts to reduce hot spots, the incinerated agricultural materials have value. and have a system for tracking, auditing, and reporting together in an integrated manner
Including the problem of transboundary haze, the Clear Sky strategy is used to enhance the solution. has developed a tracking system Check out the burning in farmland. And raise the level of burning-free agriculture or GAP PM2.5 Free. Prepare a forest care plan with the community. There is a War Room to analyze and process fire management. Set up a National Air Quality Information Center push for clean air legislation To be the core of solving the problem and preparing the budget in a strategic integrated manner to solve the problem of dust pollution by the year 2025.
in part of Bangkok “Suksan Kittisupakorn” Deputy Permanent Secretary for Bangkok said that Bangkok There is a policy from upstream, midstream, downstream, such as expanding the dust monitoring and notification system to 1,000 districts, public communication to monitor the PM2.5 dust situation through various media, forecasting, alerting, preventing PM2.5 dust, new models, accurate more Developing a dust-free area (BKK Clean Air Area) with trees for open areas and air purifiers for closed areas. planting millions of trees create green space Detection of black smoke from the source establishment and organizing a dust detective team Study the problem of dust and modify cars that use diesel fuel. to use more electrical energy Create cooperation from all sectors, private sector, state and various sectors.
for the care of people and patients in the Bangkok area In the past, there was a network of the Ministry of Public Health. Institute of Medical Studies Bhumibol Military Network Hospital and some private hospitals by dividing the Bangkok Health Zoning area into 7 zones, inviting various hospitals Take care at the area level together with the Bangkok Public Health Volunteers (BMA) Warm Clinic Public Health Service Center Seamless care for faster treatment, including working with the NHSO. The policy in the second year of the Bangkok Governor is to screen 1 million people for lung cancer to increase access to screening. better filter
Lung-respiratory diseases No. 1 OPD
“Dr. Winai Boweja”, a specialist in respiratory diseases and respiratory crisis, said that most of the patients who came to see the doctor It comes with a chronic cough, chronic phlegm in the throat. Coughing with wheezing. The main causes are seasonal infections, viruses, bacteria or tuberculosis, while allergies are associated with the seasons and the dust that is increasingly common in the past 5 years. The rate of patients who use the service The pulmonary and respiratory disease group ranked number 1 in all OPD and some hospitals ranked number 2.
“The lung disease trend in the next 10 years is coming 100% because of the changing climate. being more tightly Burning more energy, but the problem is that many people are not checked and lose opportunities. Lung cancer screening is difficult. Many people said that they had no symptoms, but they went to detect stage 4 when taking a real history. Then there are symptoms, but endure, while other lung diseases are not difficult to detect, take a history, use a stethoscope and X-rays, with an X-ray cost of regarding 600-700 baht.
Dr. Winai further explained that At present we find asthma in the elderly. It’s a phenomenon that lures with Climate Change or the weather. The elderly start to have asthma. Some people encounter it in their 70-80 years because their homes are near the roadside, they inhale dust and have bronchial problems. in terms of respiratory lung disease The elderly are also the first targets from choking on food. When getting older, sphincter, slippery freckles, next is lung infection due to lower immunity The value of vaccination has not yet arrived. The weather has changed and the medicines taken because many elderly people take medicines that indirectly affect the lungs, such as immunosuppressants and blood pressure medicines.
In addition, in the weather where the particulate matter exceeds the standard both in China and India It clearly shows that PM2.5 stimulates cancer. There is a phenomenon why cancer is more common in children and adolescents in the North. Short-term effects are itchy eyes, burning eyes, itchy nose, nasal congestion, coughing, phlegm in the throat. People with lung disease may have a cough. bronchospasm shortness of breath Long-term cumulative incidence of cancer is reported more and more.
“The way to observe the symptoms is that panting is not the same as exhaustion. The symptoms are rapid breathing or having to stop various noble passages to rest, breathing with the mouth and having a faster pulse, sweating, and if it is more, you may only be able to say 2-3 words, this is a lot of symptoms. already Or just walking to the bathroom if you don’t feel the same means your symptoms have come. Including being exposed to air and coughing easily, especially coughing in the middle of the night shows what the trachea is telling Do not buy self-medication for relief. You should consult a doctor to find out the cause, ”said Dr. Winai.
“Nipawan Klakasikij”, a representative of lung and respiratory disease patients who previously had allergies, asthma, easily tired, coughing at night and wheezing when breathing So decided to go to the doctor and found out that he had allergies following taking the nebulizer as the doctor suggested. Even though the symptoms are getting better now Able to walk up the overpass But we have to be careful of both PM2.5 dust and rain because the body is more sensitive than others. Always try to wear a hygienic mask. Do not go to crowded places, so tell everyone that if there are symptoms, it is advisable to hurry to see a doctor. To detect the cause, if known first, treat first, the symptoms will not be heavy.
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