How to prevent liver cancer from developing due to food choices, aflatoxins and fatty liver

‘Liver cancer’ is not only found in people who drink alcohol. But the most popular food that is eaten There is a risk that this can happen. Even the ingredients that are ingredients of papaya salad If you choose badly, it’s dangerous.

Keypoints:

• in Thailand Liver cancerAnd the bile duct is the number 1 found cancer in males and the number 3 in females. There are approximately 20,000 new cases per year and 15,600 deaths.
• One cause of birthLiver cancerWhat many people may not know is that it comes from the food that they eat. If you bring raw materials that contain toxic substances or certain foods that put you at risk for fatty liver Over time, it can become cancerous as well.
• Comprehensive cancer Policy of the Ministry of Public Health (MOPH) to screen patients for hepatitis B/C. Caring for and preventing liver cancer and provide additional benefits for treating liver cancer patients

Thailand liver and bile duct cancer It is considered the number 1 most common cancer in males and the 3rd most common cancer in females.

Data from the Thai Cancer Registry in 2018 found that there were 22,213 new liver cancer cases/year, of which 15,650 people died/year.

There are 2 types of liver cancer that are most common in Thailand: liver cell cancer and hepatic bile duct cancer. It is found mostly in the northeast and northern regions.

The most common cause of liver cancer is being a carrier of the hepatitis B virus. As for the cause of bile duct cancer, it is caused by liver fluke along with eating foods that contain saltpeter (nitrate) and nitrite, such as fermented fish, chom fish, som nam fish, etc.

In addition, drinking alcohol regularly and exposure to toxinsAflatoxinCaused by certain fungi found in foods such as beans, corn, and dried chilies, including the hepatitis C virus is an important risk factor that can cause liver cancer. And having a fatty liver increases your risk of liver cancer as well.

Ingredients in papaya salad may pose a risk of liver cancer.
The matter of drinking alcohol causing liver cancer The dangers are well known. Here, I would like to talk about another reason. Especially when it comes to food.

As mentioned, toxinsAflatoxin It is one of the causes of liver cancer. And it is often found in dry foods such as peanuts, dried shrimp, corn, and garlic that have been stored improperly. This toxin was born. The World Health Organization has designated aflatoxin as a very serious carcinogen.

People who have been exposed to aflatoxin Most will have no symptoms in the early stages. Will show symptoms when it becomes chronic. That is, eating food that is contaminated with fungus and that fungus produces aflatoxin. Causes chronic inflammation of the liver. Liver cirrhosis occurs. Causes liver cancer and may affect the kidney and heart systems.

Aflatoxins are often found in agricultural raw materials that have been improperly processed and stored, including:

1. Powder type products

2. Peanut products

3. Cashew nuts

4. Cassava

5. Dried vegetables and fruits

6. Dried fish, dried shrimp, shrimp paste

7. Dried coconut

8. Dried onions, dried garlic, dried chili, pepper, sesame
Therefore, papaya salad with unripe fermented fish is at risk. Or where peanuts, dried shrimp, dried chilies, or garlic are added, there is a risk of getting this toxin, as with other types of food that require these items as ingredients. If the seller or worker chooses raw materials that are safe and do not contain mold.

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Prevention of aflatoxin can be done by

1. Choose to buy food or dry ingredients that are in new condition. Standard packaging, no mold, clean.

2. Must not have a musty smell. Smells bad or is damp.

3. Do not store those dry foods for a long time. Because it can cause an accumulation of mold.

4. Put those dry foods to dry in the sun. Because the heat from the sun will cause the humidity to decrease.

Bubble milk tea – fatty liver – liver cancer
For fatty liver disease It is a liver disorder caused by the accumulation of large amounts of fat in the liver cells. have a relationship with Being overweight and high blood fat or high blood sugar
About 1 in 3 people with fatty liver may develop liver inflammation. If this happens repeatedly over a long period of time, fibrosis will accumulate. When there is a large amount, it leads to liver cirrhosis. and increases the risk of liver cancer
Asked how it is related to pearl milk tea. Drinking pearl milk tea does not cause liver cancer. But it is just an example. Popular drinks Let’s show that If you drink sweet drinks for a long time Not only bubble tea But it refers to other drinks and other foods that are sweet. Contains a large and consistent amount of fat. May cause fatty liver. It’s a risk.

Screen for hepatitis before developing liver cancer.
The hepatitis B/C virus is also a cause of liver cancer. In Thailand, there are currently 2.2 million people infected with hepatitis B, for whom there is no cure. But there is medicine to help prevent liver damage. The best way is for us to filter quickly. And if any group can get the vaccine, they must quickly get the vaccine. The average patient is found to be 4-5%, with 90% cured, but 10% are chronic and in the long term, 20-30 years, it is found that 10% may progress to liver cirrhosis. or liver cancer

There are approximately 300,000 – 700,000 people with hepatitis C. There is medicine to treat it and cure it for 12 weeks. Therefore, you must be screened quickly as well. The hepatitis C virus is 90% not cured and 10% can be cured.

policyComprehensive cancerThe Ministry of Public Health (MOPH) moves forward with screening for hepatitis B/C. The target group is the population born before 1992 because those born after this time will already receive the hepatitis B vaccine. and risk groups The goal is to screen 1 million people by 2024 and all people with abnormal results will have access to treatment.

In addition, the National Health Security Board (NHSO Board) on December 25, 2024 resolved to increase benefits for cancer treatment with local brachytherapy to treat patients with tumors in the eye (Plaque brachytherapy) and Cancer treatment using robots for surgery (Robotic Surgery) in 3 types of cancer: prostate cancer Colorectal cancer, liver, pancreas and bile duct cancer All of which previously could not be disbursed from the universal health coverage rights.

Liver and bile duct cancer symptoms

Dr. Chairat Bunchaliew, a specialist in liver and bile duct cancer. The National Cancer Institute says that each patient with liver and bile duct cancer may have different symptoms. which generally have no symptoms in the early stages Most of the symptoms found are Regular abdominal distension, bloating, fatigue, weight loss, pain or pain in the right ribcage. You may feel a lump in your abdomen. Yellow body, yellow eyes, enlarged stomach, and swelling on both legs, etc.

If you have these symptoms, you should consult a doctor to get a diagnosis, such as a blood test to check for liver function abnormalities. Alpha-fetoprotein level test Ultrasound to look at liver lumps Computed tomography or magnetic resonance imaging, etc.

For the prevention of liver cancer can be done by

• Hepatitis B vaccine for all newborns
• Do not eat raw freshwater fish.
• Change your lifestyle and health behaviors.
• Eat the correct food according to nutritional principles.
• Avoid food that contains carcinogens, such as food that may be contaminated with aflatoxin. Foods that contain saltpeter and fermented foods, etc.

If suspected of being at risk of liver and bile duct cancer You should immediately consult a doctor for a diagnosis. Especially patients with a history of hepatitis or chronic biliary cholangitis. You should get checked for cancer regularly. It will allow for timely treatment and reduce the death rate from liver cancer or bile duct cancer.

refer : Ministry of Public Health ,Department of Medical Services,Department of Disease Control ,Faculty of Medicine Ramathibodi ,Medpark Hospital

2024-01-20 07:07:00

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