Pancreatic cancer is one of the cancers that has increased since 2002. Ana Castro, medical expert in oncology, warning that it takes more investment in prevention.
At a time are known to data released by Eurostat of the 28 countries of the European Union, concerning cancer mortality, it is urgent to create and effective implementation of health policies, to enable primary care to the appropriate screenings, base population, and identify risk groups in which to strengthen surveillance for certain type of oncological pathologies, which would otherwise only be diagnosed late.
These new data highlight that come pancreatic cancer, as has already been reported by Globocan, is one of the cancers that has increased since 2002 and is expected to maintain this trend in the coming years. To this contribute a less healthy lifestyle with excessive consumption of fat and alcohol, smoking, diabetes and increasing life expectancy (the most common cancer in people 65 years and older).
Fourth most deadly cancer
Eurostat highlights the mortality of pancreatic cancer, compared with other types of cancer and is indicated as the fourth most deadly cancer – is 78 000 of all deaths associated with cancer. The Statistics Office also points out that Portugal remains a growing trend with regard to mortality from colon cancer, which unlike breast cancer, reflects a population-based screening policy still insufficient.
Based on the latest recommendations of the Health General Directorate on the Cancer Diseases should work to greater investment in conducting population-based surveys and that this should be made a priority.
One way to minimize the increasing pancreatic cancer, as there is no way to scientifically proven screening, may pass through the identification of risk groups and promotion of a monitoring plan for primary health care, in the sense that we can act on early diagnosis and decrease the number of patients with metastatic disease at diagnosis, where it is harder we can intervene successfully.
Although the exact causes are unknown pancreatic cancer, investigations have revealed that individuals with certain risk factors are more likely to develop this cancer. Given these investigations, the factors that can help identify and monitor more closely the risk groups are for example: smoking, high-fat diet, pancreatitis (hereditary or not), diabetes, excessive alcohol consumption.
The General Directorate of Health states that should be developed a set of comprehensive measures in different areas such as smoking cessation and dietary behaviors, which are still undervalued but that in the future may contribute to stabilizing the structural fabric of the health system.
Tobacco and cancer
In this same report is made to the reference impact of smoking on the development of pancreatic cancer, as referred to 30,8% of cases of pancreatic cancer in men is due to smoking.
Given the difficulty of early diagnosis and lack of screening tools, prevention is essential, and can be reinforced by health education and the risk of people monitoring in primary care, with a properly established plan.
In pancreatic cancer if early diagnosis is essential and makes all the difference in the therapeutic plan and purpose of each patient.
We put to the test some beliefs that many people still have to be true. Check out already withstood the scientific knowledge
Your safety is guaranteed 24 hours a day, an extremely intelligent army. It called immune system and defends the body from virus attacks, bacteria and fungi. Comprised by blood and lymphatic system, is welded listed as phagocytes, T cells and antibodies, proteins and cells that circulate in the body fluids. And rather than blindly attack, able to distinguish foreign organisms of friends cells. Its effectiveness depends mainly on the genetic inheritance, but can be influenced by lifestyle. You know what to do to help?
1. We must stimulate the immune system?
No, it’s a myth! Stimulate the immune system too much is as bad as not encouraging at all, both situations can lead to disease. For example, subjecting a child to recurrent infections can lead to disease, but protect it too prevents the immune system to learn how to defend itself against threats. The aim is to regulate and not stimulate the immune system. Contact with nature and have a varied diet, not sterile, early on, help you find that balance.
Stimulate the immune system too much is as bad as not encouraging at all, both situations can lead to disease. For example, subjecting a child to recurrent infections can lead to disease, but protect it too prevents the immune system to learn how to defend itself against threats. The aim is to regulate and not stimulate the immune system.Contact with nature and have a varied diet, not sterile, early on, help you find that balance.
2. Good nutrition helps fend off disease?
Yes it’s true! A varied diet, rich in fresh produce and non-sterile outweighs any dietary supplement, since foods contain many nutrients that work together to promote health. For example, fruit and vegetables are rich in antioxidant nutrients like vitamins C and E, beta carotene, zinc and selenium. Avoid periods of fasting, and drinking alcohol and foods high in sugar and fat.
3. The more I exercise, I am more protected?
No at all! Besides promoting the release of endorphins, hormones associated with well-being, regular physical exercise increases the level of leukocytes, a blood cell that fights infections. However, prolonged strenuous exercise and depresses the immune system. Walking three or more times a week may be sufficient.
4. Can I get a flu or a cold floor for the cold?
This is another myth! It is natural to make membership in the cold, as it is during the winter that usually arise flu outbreaks and that the decrease in body temperature affect the immune response. In fact, flu and colds are caused by viruses, which survive longer when the temperature and ultraviolet radiation are low, but the spread occurs through contact with air or contaminated surfaces. For example, to go places with poor air circulation and touch the face after giving a handshake. To protect yourself, take the flu vaccine, avoid enclosed spaces and wash your hands regularly.
5. If walking stressed or tired, get sick more easily?
Is true! Hormones such as cortisol and adrenaline, released when we are under stress, modify the immune system.During deep sleep, the body releases substances that strengthen, so it is important to sleep well. Heart and hypertension problems are associated with chronic stress and in the long term, the deficit of sleep is associated with increased risk of diabetes and obesity.
6. Outdoor Walking strengthens my defenses?
Yes, it stresses. Take therefore the outdoors. People exposed to natural light (sun) are less vulnerable to infections than those who live and work with artificial light. Laugh and have a stimulating social network is also beneficial.
Approximately 60,000 Portuguese suffer from this neurological disorder caused by a brain injury that in serious cases, can lead to a stroke. See all the symptoms to look out
Not all people are equal. Be the personality or physical appearance, we all have something that distinguishes us from others. However, some differences are still subject to misunderstanding. It’s the case of epilepsy, a manageable condition that derives from “a small defect in part or whole brain that causes exist discharges neuronal all at once, “explains neurologist José Lopes Lima. Find out what is hidden behind this disease, the solutions and then what should or should not do in a crisis.
What causes epilepsy?
The main cause is a brain injury. Can result from a malformation, a trauma at birth, a meningitis in early childhood or later, a tumor or stroke (CVA). Then what happens is that the brain to heal can form a focus epilepsy, an area where there are stronger discharges that will change the behavior. There is another form of epilepsy that occurs in apparently normal brains, but where linkages are not perfect. In these cases, usually there is heredity.
What are the main signs warning?
Everything depends on the affected area of the brain. For example, if the hand area, this member may enter a convulsion, but if the whole brain is affected, the individual may fall unconscious and have a generalized seizure that usually lasts a minute or two. There are other events such as changes in vision, sensitivity or suspension of consciousness for a few minutes.
Epilepsy is curable?
This disease has no cure, but there are already ways to control it. The treatment has always the same purpose. Goes through trying to control every crisis so that the person has a life as normal as possible.
How is it treated?
With drugs that exist today, we got an effective control in most crises. About 60 to 70 percent of patients is well controlled with medications. It may also be possible to surgery, but is a situation which is only about five percent of cases.
The intervention is very difficult because we first have to locate the focus of epilepsy and it is not always possible, then we have to be sure to get that part of the brain, it will not further affect the patient. Remaining 20 to the 25 per percent will have to learn to deal with the crisis for the rest of his life, with the support of the doctor and the family.
How many cases are there in Portugal?
The incidence of the disease is about five per thousand inhabitants. We can say that in Portugal, there are between 50,000 to 60,000 people with epilepsy.
What are the main difficulties faced by those who have epilepsy?
Discrimination. This often starts by parents, is a seemingly positive discrimination protection, but that turns out to be negative. For example, do not force the child to study and when it comes to school can not keep colleagues not want to comply with the homework. In addition, young people can be a little tolerant and an epileptic seizure at school can be very misunderstood.
Some teachers also might think that if a particular student has seizures, it is not worth investing too much in it. As a result, these young people reach adulthood with a personality fragile and many opportunities lost learning.
Sofia Lisbon, former vocalist of Silence 4, had everything we wanted but, in no time, the disease pushed her into a long battle that managed to win
“I did not give up”, he says. His career confirms it. Sofia Lisboa lived a quiet existence after the euphoria that the band Leiria generated at its peak. It had everything we wanted. A husband, a job, and soon would have also a baby.But on a Sunday afternoon, the world’s fourth vocalist of Silence fell when he was diagnosed with leukemia.Waiting for her a long, hard battle, who won! “On 19 September, a magnificent Sunday that ended the summer of 2010, answered the phone and my life changed. There was anything wrong in my analysis, the doctor informed me, “he recalls.
More than 24 hours after that phone call, the horror was named due to him. Acute lymphoblastic leukemia, blood cancer is characterized by uncontrolled increase in white blood cells. “In my case, I was associated with the mutation of a chromosome, a condition that doctors call Philadelphia positive, which makes even more serious illness. He was 33 years old and was pregnant 14 weeks’ desabafaria in late 2014 in the book “Never give up to live,” written with the help of Natalia Heleno Pereira and edited by Paper Moon.
The excruciating pain
The pain he felt could not have been more atrocious. “I had to immediately begin the treatments and the baby was not viable. Before the fight the Portuguese Oncology Institute of Lisbon (IPO), expected me to return to maternity, which would leave no child in her arms … I had taken the medication, to facilitate surgery interruption. At one point, I felt excruciating pain. Pedro [husband] called a nurse, that almost immediately drew the curtains around the bed and stood beside me, leaving him outside, “he recalls.
“Suddenly, a cold sound in the metal. Then silence. An eerie silence replaced the sound of the cry of life. In my soul opened up a wound that never healed, “he takes the singer. “I was admitted to the hematology unit of the IPO. It was essential to reduce the percentage of cancer cells, which had greatly increased in a few days. For this, he had to start as soon as possible chemotherapy treatments and with them come the inevitable hair loss, “he says.
Hospitalized, his days passed now without a great story. “I talked, read everything he could ward off negative thoughts and tried to sleep, for the time go faster. I was constantly taking exams or receiving some kind of treatment. My whole body was controlled by the medical team millimeter. Having leukemia, the cells that were sick were those which previously protected me from the dangers of the world. The first step was to destroy my immune system, which then and if all went well, would be replaced by a transplant, “explains Sofia Lisbon.
The second cycle of chemotherapy treatment
From the second cycle, the chemotherapy began to be also given by lumbar puncture, and the syringe placed directly between the vertebrae. “This procedure required me to stand still for four hours and caused me excruciating headaches,” he recalls. “Easier to endure the pain was caused by medulogramas [the exam that allows the differential count of cellular elements of the bone marrow], requiring that pierce the bone and is invasive.However, anesthesia is so powerful that the pain disappears rapidly “he says.
“My body always reacted the best way to treatment and went into remission molecular, ie, cancer cells decreased.It seemed that within a few months, it would be possible to transplant, ‘says yet. “The October 21, knew he had a compatible donor, my sister. A bone marrow transplant seems something simpler, closer to the blood transfusion.This perception, some of the donor’s perspective, it is extremely misleading from the perspective of the receiver.What we received does not bring the donor protection, it is rather a neutral ground where we can start from scratch “, considers the singer.
“On May 10, 2011, the day of transplantation, reborn. I started to have two birthdays. A marking the day of my birth and the other marking the day that escaped almost certain death. In fact, it makes perfect sense that the day of transplantation, the day zero, as they call it medical, is seen in this way, because the transplant are fragile like babies, maybe even more, because babies can embrace the world of immediate and we do not. With the immune system of a newborn baby should join me in progressively society so that my weakened organism could adapt to the world hardships and cruelties, “says.
The second battle
After all the walking has realizasa, the worst was yet to come. Literally! “One of the more predictable side effects of a bone marrow transplant is a condition which is called graft versus host, a reaction of the body to the genetic material that is foreign. This condition is desirable for transplant because it is a reflection of a successful transplant. However, should manifest too aggressively can be fatal or turning out into a chronic disease, “explains Sofia Lisbon.
“In my case, it began to manifest after the transplant, but was passed over a year that completely took over my body. It started with a persistent knee pain that extended to the rest of the body. Before long, I lost mobility, could not move me, I could not walk or feed me by my own hands, I was paralyzed, full of pain, which worsened with the increased weight caused by the barbaric doses of cortisone which was necessary take. I, Sofia Lisboa, 35-year-old former lead singer of Silence 4, former teacher of fitness, was completely unrecognizable, “collapsed.
The turning point in the life of Sofia Lisboa
Deal with their image and their new condition was anything but easy. «I found myself with over 25 kilos, lying on a bed, unable to move, covered with hair, wearing diaper, to be fed,” he recalls. “In a body that did not belong to me and only brought me pain, I began to feel the weight of the futility of my life. It was a burden to my family, had stabbing pains, nothing made any sense, existed only to suffer. Was lying in bed at home, unable to get up, “he says.
“I left the house in a wheelchair, only to go to appointments or to receive treatment in the IPO. It was an existence, but it was not a life. The idea of giving up and going from me repeatedly over his head. I started to improve, regain the ability to move. One day, my patience was rewarded. I managed to get up alone », he says. Right now, he thought “Now, no one will stop me!” He says. “As babies make the first move, I would not rest until he could not run. He was eager for life, “bails.
The power of music
In the midst of all the suffering, not everything was bad. “Three years after the phone call that divided my life into two, the second life was about to start and I had a plan. At a time of deep uncertainty, David [Fonseca] promised me he would gather the Silence 4. It was time to call you and throw the challenge “, he says. “We will do it?” He asked.The answer could not have been more convinced. “The day April 5, 2014 was the day of the great concert in Lisbon.In the darkest period of my illness I thought I’d die, “she confessed later.
“That night, I was with my sister and I asked him to let me go,” he says. To the song “Invincible”, the Muse, she asked him to believe that his spirit was invincible. “When I finished singing in concert, I saw that my sister had been brought to the stage. They hugged us. It was an emotional moment that left 18,000 people silent, turning Silence Silence 4 in 18,000. We were all one soul “, believes Sofia Lisbon.
In the book he published, “Never give up to live”, Sofia Lisbon shares some useful advice that made her win the battle against the disease. These are some of the teachings that sufferers of this condition must take into account:
– Chore all the sadness.
– Dry the tears and believe it will get.
– Know your enemy. Interest to the disease and the various cures. Anything goes!
– Find complementary strategies to improve their health.
– Keep your mind occupied.
– Relativize the opinions of others.
– Share what you will in the soul and ask for help when necessary.
– Do not miss the mankind.
– Forgive yourself.
– Break all the rules.