Catherine Nchimbi
SYLVIA Phiri (35) is a mother of seven. For sometime now she has been experiencing a smelly discharge and sometimes bleeds after sexual contact with her husband.
She tried to get rid the discharge by having frequent baths and using some traditional herbs but the condition did not improve. Recently, her husband started to shun her and she could not talk to anyone about her condition because she regarded it as “too personal.”
Ms Phiri decided to go to hospital when her condition became unbearable. After doing some tests, the doctors found out she had cervical cancer and it was advanced.
Acting Executive Director of the new Cancer Diseases Hospital, Dr Kennedy Lishimpi said such cases were many in Zambia due to lack of awareness on the symptoms of cervical cancer.
Between April 2007 and 2008, the cancer hospital has recorded 1,019 cases of cancer, 60% of them, already advanced.
“It is very difficult to cure them at this stage because the disease has already spread,” Dr Lishimpi said.
He said the most common type of cancer was cervical followed by breast cancer, prostate cancer, blood cancer and head and neck cancer.
Dr Lishimpi said programmes were underway to conduct cervical and breast cancer screening nationwide.
“We have programmes to go down to district hospitals and schools to educate people on cancer but we have not yet reached every district,” Dr Lishimpi said.
Cancer patients access free medical services at the Cancer Diseases Hospital but they will have to share the cost in the near future to reduce the burden on the hospital.
According to the Zambia National Cancer Registry for 2004, the age groups affected most by cancer are between 35-44 years at 22% followed by 25-34 at 19.1%.
“The reason for cancer affecting younger persons more is mainly HIV/AIDS, otherwise most cancers are supposed to affect people from 45 years,” Dr Lishimpi said.
Dr Lishimpi said there was a relationship between obesity and breast cancer. Some studies had reported links between the two.
He said obesity and physical inactivity may account for some cancers. People should try to establish healthy eating habits and physical activity early in life to prevent obesity.
Those who are already overweight are advised to avoid additional weight gain and to lose some weight through a low-calorie diet and exercise.
“Even a weight loss of only 5 to 10 percent of total weight can provide health benefits,” he said.
Dr Lishimpi said breast cancer is more likely to be detected at a later stage in obese woman than in lean women.
“The detection of a breast tumor is more difficult in obese that a lean woman,” he said.
Dr Lishimpi said people should eat healthy traditional foods which have mechanisms to protect them from cancer.
Traditional foods have certain antioxidants which protect cells from cancer. The foods include a variety of fruits and vegetables.
Examples of antioxidants include beta-carotene, lycopene, vitamin C, E and A. They are also in abundant in fruits and vegetables,a swell as nuts, grains and some meats, poultry and fish, tomatoes, watermelon, guava, pawpaw, apricots, pink grapefruit, orange and other foods.
And commenting on public awareness about cancer, Ministry of Health Acting Director of Technical Support Services Dr Canisius Banda said that it was “still very low” and there was a lot of work to be done in informing the public.
“We have to make sure all women, including those from remote areas understand the symptoms of cancer and the importance of going to the hospital early. If detected in its early stages, cervical cancer is curable,” Dr Banda said.
The ministry of health has initiated radio programmes on radio Phoenix where information is provided adding that the Cancer Diseases Hospital was built not only to treat cancer patients but also to create awareness about the disease.
Dr Banda said the real cause of cancer was not known but several factors can trigger cervical cancer in people. The factors include early sexual activity (before the age of 18).
The Human Papilloma Virus which is believed to cause cervical cancer, is sexually transmitted. It can also cause warts.
Other causes are HIVand AIDS, having frequent births as repeated delivery causes trauma in the vagina, use of herbs for dry sex and family history. Age is also a contributing factor. Any woman over 40 might be at risk of suffering from cervical cancer.
Apart from bleeding and smelly discharge, other cervical cancer symptoms include anemia and growth on the cervix.
According to the International Agency for Research on Cancer, cervical cancer is the second most common cancer in women, and the third most frequent cause of cancer death worldwide, especially in middle and low income countries, accounting for nearly 300,000 deaths annually.
Discussing breast cancer, Dr Banda said it was the second most common cancer killing many women in Zambia, insisting that women aged 30 and above should visit the hospital regularly for check ups.
“We now have the Cancer Disease Hospital which does mammography (breast checks). Women are also taught how to examine their breasts for any signs of cancer,” Dr Banda said.
He said women with no children or those who had them only after the age of 30 were more prone to breast cancer.
“Being pregnant more than once or becoming pregnant at an early age reduces the risk of breast cancer,” Dr Banda said.
Like in cervical cancer, age is a factor in breast cancer. As women get older (over 40), their bodies produce excess estrogen which feeds cancer cells.
“The majority of advanced breast cancer cases are found in women over the age of 50 and women are more likely to get breast cancer than men,” he said.
And some people have genes that make them more prone to developing breast cancer.
“These genes normally produce proteins that protect people from cancer but if parents pass on a defective gene, someone might have an increased risk of breast cancer,” he said.
The menstrual cycle is also a factor. Women who experience their periods early (before the age of 12) or those who start menopause late (after the age of 55) have an increased risk of breast cancer.
Other causes are smoking because tobacco smoke contains thousands of chemical agents including over 60 substances that are known to cause cancer. The use of contraceptives without progesterone can also cause cancer.
The symptoms of breast cancer include a lump in the breast or armpit. The lump is hard, has uneven edges and usually does not hurt. The nipple might also be inverted, averted or it can be destroyed.
The breast can be red and dimpled like the skin of an orange and a bloody, clear to yellow-green fluid or pus coming out of the nipple.
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