-
CMgWmharIk evCbNit R)ak; BisidrgSI
GnubNitsuxPaBsaFarN - keTsGaharUbtmnigrbbGahar
-
lTplrMBwgTuk Expected outcome
)
) )
) ( VIA ) )
-
niymny
CMgWmharIkKWCakarkekItnekasikaminFmtaEdlminGacRtYtBinit)anehIyTRnan
eTAdl; CasikaEdlenACMuvijbegItCadMuBk rIkraldalbnicmg
eTAdl;srIrag
epSg eTotenAkgxn mnusS tamryRbBnLaMhVaTikkUnkNr
ehIyeCosminrYc
BIkarsab; ebImin)aneFVIeraKvinicyTan;eBl.
-
eGBIedmIsaRsnCMgWmharIk
naeBlbcb,n
CMgWmharIkKWCamUlehtumYynkarsab;rbs;RbCaCn7lan6Esnnak;
enAelIsklelakkgqaM 2008 GgkarsuxPaBBiPBelak)anrMBwgfakarsab;enH
nwg
ekIndl;11lannak;kg qaM 2030 ehIyEdl70nGksab;KWzitenAkgRbeTs
EdlmanR)ak;cMNUlTabnigmFm edaymUlehtunkgVHviFankarkarBar
kareFVIeraK
vinicy nig karBa)al.
enAkgqaM2000 mankrNIfI 47 1000
EdleKrkeXIjfaekItCMgWmharIkmat;s,Un
ehIykgenaH)ansab; 28 8000nak; ehIy80
CaRbCaCnEdlrs;enAkgRbeTs
kMBugGPivDn_
-
GRtaGaMgsIudg;nCMgWmharIkedaHnigmat;s,nenAtMbn;GasIu)asIuhVIk2008
Age-standardized incidence rate of breast and cervix uteri
cancer
Western Pacific Region, 2008
Source: IARC Globocan 2008
- mharIkenARbeTskm
- GRtasab;nGkekItmharIkenARbeTskm
-
RbsiTiPaBnyuTsaRsRbyuTnwgmharIk
Cause
Primary
Prevention
Early
Detection
Curative
Treatment
Palliative
Care
Lung cancers ++ - - ++
Colorectal cancers + + + ++
Breast cancer + / - ++ ++ ++
Prostate cancer - - +/- ++
Pancreas cancer + - - ++
Skin cancers* ++ ++ ++ ++
Bladder cancer + - + / - ++
Oropharyngeal cancers ++ + + / ++ ++
Cervix uteri cancer ++ ++ ++ ++
Lymphomas, multiple myeloma - - + ++
Leukemia - - + ++
-
mharIkmat;s,n
enARbeTskm
-
mUlehtu
mUlehtuEdlbgreGayekItmharIkmat;s,neRcInCageK HPV (Human
papillomavirus),
HIV,
Herpes simplex virus2,
Chlamydia trachomatis,
Neisseria gonorrhoeae.
ktaxageRkAman karCk;)arI karfaMBnakMeNItelIsBI5qaM
karBntkUnEdlKansuvtiPaB nig karbMBulbridan xl; Twk dI
eRKOgbriePaKepSgEdleRbIR)as;sarCatiKImI.
BBYkvIrus HPV
EdlExrniymehAfaekItesman;ehIyEdlCaCMgWpvePTekIteLIgbn bnab;
zitenACab; bgreGayQaneTAerobekItmharIknig mharIk kgryeBl 10 eTA
20qaMratt,atBaseBjmat;s,n.
-
ktahaniPyEdlbgeGayekItmharIkmat;s,n
CVD Cancer Respiratory Disease Diabetes
Cervix Liver Lung Breast Stomach
Behavioural causes
Salt consumption x x
Tobacco use x x x x x x x x
Alcohol x x x
Physical inactivity x x
Unhealthy diet x x x
Indoor air pollution x x x
Physiological causes
Hypertension x x
High cholesterol x x
Hep B& C infection x
HPV infection x
H. Pylori x
Overweight x x x
-
CMgImat;s,n
-
viFIRsavRCavrkCMgW (screening)
manviFI2ya:gEdlRbeTsPaKeRcInelIsklelak)anGnuvt
VIA ets nig Pap smear
VIA ets KWemIledayEPk edayeRbI acetic acid bk Lugol's Iodine
solution labenAelI mat;s,n.
viFIenH eKeRbIeRcIneRBaHminRtUvkarFnFaneRcIn nigsMParTMenIb
GaceRbIenAtam CnbT.
Pap smear ets eRbIRbdab;ekasykekasikamat;s,n mkviPaK vIFIenH
RtUvkaCMnaj nigeRbIfvika eRcIn PaKeRcIneFVIenAmnIreBTCMnaj
-
eKalkarN_ENnaM
eFVIkarRsavRCavRsITaMgGs;kgtMbn;NamYyEdlmanGayucab;BI 35-49 qaM
tamviFI VIA
kgkrNIEdlmanFnFanRKb;RKan; KWRsIEdlmanGayu cab;BI 30-49
qaMGaceFVI)an
kgkrNIsgSyRsbtamlkxNkMNt;KWGacBa)alenAnwgkEngeday eRbI
Cryotherapy clt
kgkrNIsgSyc,as;lal; RtUvbBaneTAmnIreBTbEgk
edIm,IrkeraKvinicyc,as;las;
CYTOLOGY/ PAP SMEAR Ba)al bbBaneTAesvaCMnaj
karcak;va:k;saMg karBar HPV KWRtUveFVIkgcMeNamyuvnarI GayuBI9
dl;12qaM
cMeBaHRsIEdleBjvynigRsIEdlFab;rYmePT KWRtUveFVIets HPV DNA
Camunsin
ebIGviCmaneTIbGaccak;)an
-
m:asIun Cryotherapy bMBg;pk NO2
rav
mNlsuxPaB
mnIreBT LINEAR ACCELERATOR
SURGERY
ANAPATHOLOGY
-
-> Col sain: sans prparation, aprs acide actique et
Lugol
-> Lsion mosaque et ponctuation aprs acide
actique:
CIN2 CIN3 Leucoplasie priorificielle
-
->Polypedelendocolblanchiaprsbadigeonnagelacideactique
->Condylomeaprstestlacideactique
Condylome plan Condylome exophytique
-
Divers
-
Sans prparation
Aprs acide
Actique 2%
Aprslugol 3%
-
kickarBar
Gb;rMsuxPaB nigpl;karRbwkSa
karelIkkMBs;suxPaBtamryGb;rMbuKlwknigsgmRKb;fak;
KWCakarCYydl;RbCaCn
eGayyl;dwgnigkat; bnynUvhaniPynkarmanCMgW
edayeCosvagnUv\riyabfNa
EdleGayTukeTas nigyl;RBmyknUvkar rs;enARbkbedaypasuxPaB.
karGb;rMdl;buKlwksuxaPi)alGMBIkarBnl;ENnaMdl;GtifiCnenAkgshKmn_EdleK
RKb;RKg nUvral;ktaeRKaHfak;EdlbgreGayekItmharIk .
karmkBinits,nedIm,IRsavRCavrk CMgWmharIkmat;s,nnigmharIks,n
nigkareGay
RbwkSadl;bIRbBnBIkareRbIeRsamGnamyedIm,Ikat;bnykarcMlgeraKtamkarrYmePT
nigkarpSBVpSaytamrysarGb;rMKWCakarcaM)ac;bMput.
-
CMgWmharIkedaH
-
lTplrMBwgTuk Expected outcome
)
)
)
) ( SBE) mmmography )
-
mharIkedaH
mharIkedaHKWCadMuedaHkMritFn;Edlcab;epImkgCalikaedaH.
dMuBkkMritFn;hak;dUcCaCab; sitnig Tn;relag bniccMuvijrgVg;edaH
ehIyenAkEngmandMuEs,kmansPaBdUcsMbkRkUc. dMuenHman
eRKaHfak;Fn;FreRBaHCa RbCMundMuxaj;nigdMuekasika.
karmandMuBktUcminQWcab;bNalmkBICati Grm:UnekIneLIgxaMgeBlmanrdUv
ehIyBMumanfy cuHmkvij yUreTAkayCadMurwgehIyekItCadMuBk.
dMuBkenHCYnkalQWxaMgeBlb:Hva dMuenHGac
maneRKaHfak;Tn;Cab; mYykEng.
GRtaekItmharIkedaHenAkm
-
mUlehtu
mUlehtuEdleKTTYlsal;faCamharIkedaHKW
qab;Gs;rdUvbRkGs;rdUv
bBaaGrm:UnERbRbYlenAkgxn
karekIneLIgxaMgnGrm:UnkgkMLugeBlmanrdUv
manpeBaHdMbUgenAeBlmanGayu30qaMbelIsBIenH
PaBFat;elIRsIeRkayeBlGs;rdUv
briePaKGaharEdlmanCatixaj;x
-
viFIRsavRCavrkdMuedaH
BinitedayeBT Binitedayxng
-
viFIRsavRCavrkdMuedaH
karBinitedaHedayxng manbIdMNak;kal
TI1 QrBinitedayqHkBak; -edaHGavecj-
dTaMBIrRct;cegHelIkdTaMgBIrdak;eRkayk,al
kg \riyabfnimYyRtUvBinitemIledaHTAMgsgagmanERbRblTMhM
bkptragrUvkEngNamYy
xYcEs,kdUc sMbkRkUc bk,aledaHmankarERbRbYl
- rYcdmagdak;eRkayk,al dmaglatRmamdsabesIelI qwg CMnI
nigrnekkedIm,IrkemIlkUn kNr
rYcsabCMuvijedaHCargVg;mUlrhUtdl;cugedaHedIm,IrkemIldMuEdl sit
Cab;nwgRkeBjTwk edaH
- pas;dBinitedaHmageTot.
-
viFIRsavRCavrkdMuedaH
TI2 karBinitedaysamIxneKgRtg;elIERK -edaHGavecj
-eKgrabelIERKedayKgdmag
R BmTaMgdak; exIykl;BIeRkamxgedIm,IeGayedaHeBIg -
ykdmageTotlatRmamdrYcsab
dUcxagelI.
TI3 Rc)ac;cugedaHBinitrkemIlQambxHecjRtUveFVI
karBinitedaHedayxngCaeTogTat;
1 Exmg mYyGaTiteRkayfmanrdUv.
ebIsinCaminmanrdUv
eTogTat;bGs;rdUvRtUvBinitnUvfkMNt;NamYyCaragral;Ex.
ebIsinCarkeXIjdMucMElk bmanecjTwkBI
k,aledaHminFmtaRtUvRbjab;rYsran;eTAmnIreBT.
-
Positionnement face G
MAMMOGRAPHY
viFIRsavRCav
-
mharIkTgsYtnigsYt
- RbCaCnkm
-
mharIkTgsYtnigsYt
mUlehtu
karCk;)arIKWCamUlehtucMbgnCMgWmharIksYt
- bursEdlRbQmnigeRKaHfak;nCMgWKW 5Edl)anCk;)arIBI 1-9edImkg1f
nig 20
Edl)anCk;)arIelIsBI40edImkg1f
- RsIEdlRbQmnigeRKaHfak;nCMgWKW 1/3Edl)anCk;)arIBI 1-9edImkg1f
nig 7/5
Edl)anCk;)arIelIsBI40edImkg1f
karRbQmnwgkarekItCMgWKWGaRsyeTAtamGayuEdlcab;epImCk;)arI
ehIyebIsinCakarCk;
)arIenaHmincab;epImBIvyekgbCMTg;eTenaH
karRbQmnwgekItCMgWkgGayu60-70qaM nig
Gackat; bny)an20
-
mharIkTgsYtnigsYt
RsIEdl)anCk;)arIeRcInkg1fGacRbQmnigeRKaHfak;nkarekItCMgWqab;Cagburs
GkEdlCk;)arIBIekgehIyCk;xaMgkaenaHnwgrgnUvkarekItCMgW 25cMeBaH burs
RsIvijkan;Et
eRcInCagenHeTAeTot
cMeBaHGkEdlminCk;)arIehIyTTYlrgnUvEpSg)arI
)anRbQmnwgkarkarekItCMgW13 cMeBaHGk rs;enACamYyGkCk;)arI nig14
cMeBaHGkTTYlrgEpSg)arIBITIkEngepSg RsIGRtasab;
man 25 - 46 bursGRtasab;man 13- 37
-
mharIkTgsYtnigsYt
karRbQmnwgkargar ]sSahkm eragcRk sib,km EdlRbQmnwgsarFatuepSg
asbestos , radon, nickel, chronium, mustard gaz
ehIyPab;CamYykarCk;)arI vaeFVIeGayekIneLIgnUvhaniPyn CMgW
mharIkTgsYt-sYt. karekIneLIgnUvhaniPyenH
vaGaRsyeTAnwgeBlevla nig karRbQmcMeBaHsarFatu TaMgenaH .
karRbQmnwgkarbMBultamxl;bgeGayekItmharIkTgsYt-sYtBMuTan;)anbBaak;c,as;las;nUveLIy
eRBaHmanxVHxatkug karvas;EvgrkkMrwtBulenAtamxl;
eRBaHtamkarsikSa)anbgajeGaydwgfakgGkCMgWmharIkTgsYt-sYt 100
000nak;
nGkCk;)arImanEt GkCMgW
10nak;b:ueNaHEdlTak;TgnwgkarbMBuledayxl;.
viTskm radiation karRbQmnwgviTskmx
-
kickarBarnigkarRsavRCavrkCMgW
ral;CMgWmharIkeyIgGackarBar)antamrykarbgardMbUg
ecosvagbriePaKxaj;hYsehtu
briePaKbEnEpeQI nigRKab;FBaCatieGay)aneRcIn
rkSaTMgn;xneGay)anRtwmRtUvtamk,nevCsaRs
hat;R)aNeGay)aneTogTat;taMgBIekg
tmCk;)arI nig bnykaresBeRKOgRsvwg
BinitsuxPaB nig cUlrYmkarRsavRCavrkCMgW.
