With the increase in life expectancy, there are also growing cases of diseases that reach mainly the age group above 60 years. In the case of men, the warning is for prostate cancer, the second tumor that killed most in Santa Catarina in the last 11 years, according to data from the State Department of Health. Discovered early, the disease has a 90% chance of cure and therefore the Blue november draws attention to early diagnosis and preventive care for men's health.
The survey of the Directorate of Epidemiological Surveillance of the State (Dive-SC) shows that from 2008 to 2018, 25% of deaths from different types of cancer were in the age group between 60 and 69 years. Another 24% affected men aged 70 to 79 years and 20% of deaths were among young people, 50 to 59 years. The latest data draws attention, and warns that men do not expect to reach old age to think about tracking possible health problems.
The urologist André Rodrigues explains that in the case of men there is no "milestone" in life where he goes to see the doctor periodically, as in the case of women when they start their sex life, for example. He has been active in the highly complex cancer area of Hospital São José, Criciúma for seven years, and he has been following cancer cases of all types, and stresses that early diagnosis is the starting point for a successful treatment.
– Problems related to human health can arise from the age of 40, hormonal or other prostate diseases, for example. So, it is important to do the annual checkup. People are living longer, there is this change from our only working parents. How will we live longer, so be healthy to enjoy – defended Rodrigues.
The specialist explains that screening, touch or blood tests are indicated from the age of 50. However, the genetic factor has to be considered, and for men who have had a first-degree relative, parent or sibling with the disease, prevention has to start earlier, around 45 years. Blacks, who have a higher incidence of prostate cancer, and the obese, also need earlier follow-up.
Awareness and prevention
Aware of the disease that struck two uncles, and probably his grandfather, Armando Consoni, 65, wanted to do different. For 20 years he has been undergoing periodic examinations, always at the health post of the Presidente Vargas neighborhood in Içara, where he lives. When he discovered the disease in 2017, he underwent surgery, and today visits to the doctor are only for follow-up. The son Luiz Carlos, 45, is already doing the preventive monitoring, and the next to start is Sidnei, 42.
– The ninth died saying that his bladder hurt, but at that time it was not known well. I started to take care early, and from 56 onwards, every year I do it right. The doctor said that having discovered early and walking every day, eating well, was what helped cure me – says the retiree.
Increasingly stripped of prejudice, men have understood the need to take care of their own health. Prostate cancer is asymptomatic at an early stage, so screening tests are important. The urology specialist warns that when symptoms begin to appear, such as urinary obstruction, bleeding, 95% of cases are already at an advanced stage, which increases the risk of death.
Of the 128,700 deaths of men and women from malignant tumors in Santa Catarina, presented in the Dive survey, 19% were due to prostate cancer. The malignant neoplasm that killed most men from 2008 to 2018 was the one that affects the bronchi and lungs, accounting for 36% of deaths. According to the National Cancer Institute (Inca), for Santa Catarina the estimate for 2019 is approximately 27,350 new cases per 100,000 inhabitants.
I started to take care early, and from 56 onwards, every year I do it right. The doctor said that because I found out early, walking every day and eating well was what helped me heal.
Armando Consoni, retired
Periodic Queries Saved Your Fiorini
Not even the jokes of the children retired Ary Fiorini escaped when he decided to have the prostate exam routinely, about 30 years ago, when he had another medical procedure. But that's what ended up saving his life recently when the resident of Chapeco identified a malignant tumor during a routine examination.
– In the past, not much was said about it, but I started doing it year after year, and about 15 years ago, I started to do a touch test and a blood test every year. Until February 2017 a malignant tumor was identified. I had 37 radiotherapy sessions and six more injections and I was able to heal, ”he said.
Unlike many men, Fiorini said he always sought preventive medical examinations. Thanks to this care, he was able to identify the disease early on. So he even became a poster boy for a medical cooperative in the West during the awareness period. He likes it because the blue reminds the team of the heart: Grêmio.
There are a few factors that can increase a man's chances of developing prostate cancer:
– Age: The risk increases with advancing age. In Brazil, out of ten men diagnosed with prostate cancer, nine are over 55 years old.
– Family history of cancer: men whose father, grandfather or brother had prostate cancer before age 60 are part of the risk group.
– Overweight and obesity: Recent studies show a higher risk of prostate cancer in men with higher body weight.
Factors that help prevent
– Healthy eating.
– Maintain proper body weight.
– Practice physical activity.
– Do not smoke.
– Avoid the consumption of alcoholic beverages.
Signals and symptons*
In the early stage, prostate cancer may have no symptoms, and when it does, the most common are:
– Difficulty urinating.
– It takes a while to start and finish urinating.
– Blood in the urine.
– Decreased urine jet.
– Need to urinate more often during the day or night.
These signs and symptoms also occur due to benign prostate diseases. For example:
Benign prostatic hyperplasia is the benign enlargement of the prostate. It affects more than half of men over the age of 50 and occurs naturally with advancing age.
Prostatitis is an inflammation of the prostate, usually caused by bacteria.
* In the presence of signs and symptoms, testing to investigate prostate cancer is recommended.
Source: Ministry of Health
Joinville businessman overcomes cancer with prevention
For Ingo Döhler, it has always been very clear that success depends on being careful to take responsibility for all aspects of life. This conviction leads him to continue making decisions and to make daily visits through all the corridors of the textile company where he acts as industrial director, even if he is already 80 years old. It was this caution that ensured that prostate cancer was not a fright when it first discovered it in January 2018 and was resolved quickly. Ingo had been taking exams since he was 30, far from the recommended age to begin screening.
Most men are very macho and think having a prostate exam is embarrassing. For me it never was. I took the exam and everything was fine, and that was over time. The PSA result was always close to normal. Until one day it started to increase.
The minutiae of a lifetime gained even more strength in this period. She willingly monitored the increase over the course of a few weeks and realized that very quickly the concentration of these antigens had risen.
Within three months, the possibility of cancer was assumed, confirmed and resolved. The surgery was performed in São Paulo, in the private network, through robotic technology, a method that only began to be offered in Santa Catarina this year.
– I arrived in São Paulo on Sunday, I had my exams on Monday, my surgery on Tuesday, and on Friday I was already at the company working again. After surgery, they could see that it was an aggressive cancer. Therefore, I always repeat: it is important to take periodic examination and when you feel something, have no fear because the longer it takes, the harder it will be to resolve – he says.
Medical expert warns of the importance of preventive exams
In Vale do Itajaí, Men's Health Awareness Month motivated actions such as lectures and an event at a shopping mall in Blumenau to address men over 40 and discuss the importance of prevention. Last month alone, prostate cancer was responsible for 134 treatments by the oncology department of Hospital Santo Antônio, which serves patients with a positive cancer diagnosis.
Hospital oncologist Bruno Rafael Ramos explains that the pattern of disease profile development in the region is similar to US statistics. The incidence peak occurs between 65 and 74 years, but there are records of patients from 40 to 98 years.
The doctor notes that in recent years there has been an increase in the number of men seeking preventive medical monitoring. An important part of this is, according to the doctor, due to the widespread disclosure that the screening test for the disease can be done with a simple blood test, the PSA. The examination of the touch is usually done if there is already a symptom, or if the PSA presents alteration.
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