SHE DOMINATED WITH MASTERY ALL OF THE WAVES OF THE SEA...
MINUS ONE.

BREAST CANCER

The perfect wave appeared, it was shown, armed and came.
Came beautiful…
Mariana knew a lot as well as to travel on the waters and remove of them all the delicacy of a wonderful one to surf.
As the goddess of the seas, their wet hair were slippery in the gold backs for the sun done threads cut by the masters sculptors' chisel.
When walking to the beach the shadow exhibited in the sand silhouette the board under the arm and the those 34 year-old lanky body that adored to live very closer to the beautiful nature, better.
In the face about who knew, as anybody, of the waves of the sea and of how to attract, sweetly, the men's many hearts that melted due to so much beauty, the green eyes.
Green as the waters of Caribbean, as two emeralds carefully cutted.
Mariana was enchanted with the life.
She always wanted to remove of her the best of the pleasures.
In the periods of schedule of summer it always got a knack of finishing, with competence and speed, the daily tasks that the work imposed.
She looked more at the sky that for the clock.
She didn't admit to lose the privilege of having one more hour of sun without being close to the sea and to the emotions of the waves.
She said governed by the gods from Bahia. Earth that loved and worshipped.
To live, she chose Rio de Janeiro. She was a carioca of the most vibrant.
Always surrounded by friends, per times, disappeared of everything and of all.
It was when she determined for herself moments of happiness that only to her they belonged. She knew how to hide of the world and go running to assist to the heart that dictated her.
She was always well with the life.
In one afternoon, a silence wave, silenced the friends.
Mariana needed to be operated unexpectedly. The doctors decided to remove a tumor of one of the mammas, from where, few years before she had left a beautiful and healthy boy's food.
- "But she would expire. Without a doubt."
It was the average voice among all the ones that liked her and knew about her life force.
Some months later, the wave, that was to be perfect, controllable and to enter for the ranking of so many faced by her had the course changed cruelly.
It became a diabolical seaquake.

Mariana started to frequent other seas.
She underwent herself to waves of the first mamma's retreat, of Monday, of the chemotherapy, of the loss of the hair, that for her had more force than the one of Sansão, of countless surgeries… of pains and revolts.
Even so, she didn't lose a possible minute.
She produced, wrote, loved as never the small son and as a youngster ran for the city showing a surfer cap, that with the brim for the part of behind of the head.
Oh! Yes. The red dress and cut off…. for the parties that she never stopped going, when the pain allowed her.
She didn't care with appearing, once in a while, of the tips of the adhesive plasters that covered the signs that her body, mercilessly, showed.
She and the red dress were infinitely more attractive than the healing intruders.
But, the intensity of the wave was uncontrollable.
Mariana had wasted the right time of can, who knows, change the course of those waters.
Maybe until she has noticed that something strange had appeared in one of the mammas.
A pit?
The reversion of the nipple?
To them it didn't grant the necessary and urgent attention.
Will it be that she was afraid of informing?
Will it be that she was done of ignoramus by option?
This secret, as so many that she always knew how to keep, took with herself.
We won't never be the sure of the reason Mariana preferred to hide of her own what have been expire if combatted since the beginning.
Or not?
Will it be that the cursed tumor, as a confused wave of the sea, did also appear without boasts, without revealing to a simple touch?
Another mystery of Mariana that was without being unmasked.
It was carried by her for the eternity.

Marianas, Cláudias, Mariahs, Heloísas are part of a sad statistic. The year of 2000 registered a terrifying number:
- 28 thousand women from Brazil increased the number of new cases of breast cancer.
- 4.800 women from Brazil died from breast cancer on this same year.
In the last 20 years the incidence increased by 30 percent among the Brazilians.
The numbers are of the National Institute of Cancer.
Never, in Brazil, there was such a wide campaign, as informative as the one that attended starting from the nineties.
And the women continue dying from a disease, that, if it be detected in the beginning, it can be moved away by many years and until disappearing. It is immense the number of having recovered.
E por quê as estatísticas ainda mostram crescimento na incidência do câncer de mama?

Are we afraid of the diagnosis?
Do we think immune?
This time has to end. We have to have the conscience that we are responsible for our body and we have to take care of him.
We cannot forget that the fear and the insecurity of we know is able to take us to the conviviality with a very larger tragedy.
Today the science already gets to detect the women that have more chances of having the breast cancer. In a routine visit to the gynecologist is not difficult to foresee how they walk our possibilities of we be, or no, dredged by that evil.
The medical literature insists that those women that have cancer history in the family deserve more attention and more necessary exams. They can be subject to the genetic mutations - the one that the science fire of BRCA 1 and BRCA 2.
The genetic mutations can be detected by blood tests.
As mulheres, sujeitas as essas mutações, têm aumentadas em até 70 por cento a possibilidade de terem câncer de mama.
For those cases, specialists recommend the mastectomy sub cutaneous profilática, that is the retreat of the mammarial glands, before the emergence of the cancer.
The opportune time for the extraction should be defined by the doctor, since it is important that this is made before the woman arrive to the age in that other women of the family had the disease.
Now we can notice that in countries more developments the mastectomy subcutaneous profilática is made scientifically between the 35 and 45 years of age. The State of Israel, that has a socialized medicine, pays the mastectomy for the women that have BRCA 1 and 2 positive.
In those cases the incidence of the disease is reduced between 80 and 90 percent.
It is a difficult decision. Of course it is.
To lose the mammarial gland, to be mutilated, before even of the emergence of the disease, it is not a simple injunction.
It scares us.
It puts us in the front line against the loss.
And what loss!!!
But, still in agreement with international medical publications this has been the most efficient practice to inhibit the emergence of the breast cancer in women with family report of the disease.
The surgery preserves as much the skin as the beak of the chest and immediately a prosthesis, such constant presence is put today in the women's breasts that want to be in the fashion and to have busts as the one of the stars of Hollywood in the fifties.
To control the consequences of the genetic mutations, the advanced medicine has also been proposing the use of substances with the international acronym of SERM's - Similar Estrogen Receptor Modulators.
Those substances enter in the receivers of the estrogen, in the cells, and for a competitive mechanism they reduce the action of the estrogen in the organism.
Such substances are offered in tablets, almost without side effect.
Like you can notice the prevention possibilities are advanced and a doctor, very informed, can change the direction that your genetics imposes to you.

Therefore, write down in your agenda: to go to the doctor that it accompanies her and to do the preventive, once a year, it is more than your obligation.
It is your duty.
Although the studies, more and more deepened, consider the genetics as one of the important factors in the formation of the breast cancer, I believe that the lifestyle and the environmental influence have also been having fundamental paper when we spoke about breast cancer.
My opinion and the recent researches show that larger than the own genetic tendency, our way of living can determine our health, except the women's thirty percent that have positive marker - those that are subject to the genetic mutations - they would not be free from the disease.
They are:

Ambiental Factors:
The viruses, for modifying the structure of DNA can induce also to an irreparable mistake in the cellular multiplication, taking to the cancer.
The viral theory, for the breast cancer, doesn't defend this theory with a lot of emphasis, but I believe that the viruses will still have great participation in the increase of the incidence of that tumor type.

Irradiations:
Any irradiation type affects and it commits the mamma's epithelium ductal - the conductive channels of the maternal milk to the surface of the skin.
Irradiations in the thorax during the girl's childhood, the radiotherapy, for instance, and the successive X-rays are related to a high breast cancer incidence in the adult life. The same happens with women that live closer to stations of high tension. Those irradiations interfere in the melatonin secretion - the hormone that induces to sleep and that it revitalizes the immunological system. That because it is in the deep phase of the sleep that the immunological system is reactivated.

Atention:
The mammographies done with smaller intervals than one year, mainly in young women, they should be avoided. The excess of X-Ray doesn't protect us in anything. On the contrary.

Chemical Substances:
They act in the cells stimulating an uncontrolled multiplication that will increase the risk of the breast cancer. In this group they are also the chemical substances used in the medicines.
The medical literature has been showing that chemical substances, every day, have transformed, more and more, in the human beings enemies when used improperly and in overdoses..
It is the old and dangerous addiction of the solemnity medication.
The medicine that did or makes to your neighbor good can be poison for you.

See how the medicines can be of a high risk, in the emergence of the breast cancer, when used without the medical orientation:

-The Reserpina - used to combat the hypertension - it triplicates the risk of the emergence of the breast cancer, it is what says the American medical magazine 'The Lancet ", in published article, for the
first time, in 1974.

-The Hydralazina - a expander vase also used to reduce the blood pressure. In agreement with National "The Câncer Institute" the danger is in the long term use.

-The Espironolactona - diuretic administered by a superior time to necessary is not dangerous only for the women. In the men it can provoke the ginecomastia - that is the increase of the mammas.

-The Atenolol - hypotensor scientifically incentivator of the breast cancer. It is necessary permanent medical surveillance.

-The Metronidazol - efficient in the treatment of the infection by Cândida or Tricômonas of the vagina. Written prescriptions for women in the whole world. The medical publications alert for the dangers of this substance since 1970.

-The Nitrofurazona - the pills, the creams and the ointments that contain that substance can also increase the breast cancer incidence. Nitrofurazona is present mainly in the acquaintances yellow ointments, used for wounds, infections and burns in the skin.
The researches we show that in rodents the use of that chemical substance increases the incidence of the disease. The studies on the consequences in human beings are not still conclusive, but it is better to prevent that to remedy.

-The Psicotrópicos - the tranquilizers, the antidepressants and antipsychotics increase the prolactin production. It is the prolactin that stimulates the development and the growth of the breast cancer "invasive", that it is the fastest of them, mainly in the women in the pre-menopause.

-The substances that lower the Cholesterol - they block the antioxidant system of the cells leaving them without defense.

-The Antiacids - some interfere in the metabolism of the estrogen, reducing the good estrogen and increasing the bad, that induces to a cellular multiplication without criterion, strengthening the growth of the cancerous cells besides so much in the women's organisms as us of the men. In them, it evidences the ginecosmatia (the increase of the mammas).

-The Synthetic hormones - in the hormonal replacement with synthetic estrogen, used for more than 15 years, it increases the breast cancer incidence because the cells of the conductive ducts of the maternal milk are super stimulated to the multiplication, besides to the multiplication of the cancerous cells also of the ovary.

-The birth-control - when used precocemente, between 13 and 18 years, and for lingering time, they enlarge the possibilities as the breast cancer as the one of uterus, and unhappily, in the general consensus, the good modern mother is the one that takes the 15 year-old daughter to the doctor to take birth-control pill.

-The alcoholic drink, in excess, interferes in the hepatic metabolization of the estrogen, doing with that in this process, stay a larger amount of estrogen than recommended.
Besides, the alcoholic drink stimulates, in the woman, the prolactin secretion, hormone, knowingly, linked to mamma's carcinoma.
The women that already make hormonal replacement, even with the natural hormone, are more susceptible to the alcohol. Stocking cup of wine is enough, daily, so that the estrogen levels in the blood bend. The intense consumption of the alcoholic drinks and the precocity of the habit of drinking increase the risk of the emergence of the breast cancer in the age ripens.

- The obesity does with that the fatty fabric metabolizes the steroidal hormones badly, transforming, like this, the testosterone in 16 OH estrone, that is the hormone that superstimulate the cells of the ducts of the mammas predisposing to the evil degeneration. The obesity also contributed to this disease for the hiperinsulinismo, linked condition to chronic and excessive consumption of carbohydrates.
We cannot forget that the sedentarismo, the lack of frequent physical exercises, is a great incentivador of the breast cancer.
As we aged produced a larger amount of postagladina E 2 that it is, comprovadamente, cancerous.
And a treacherous trio exists for the woman's health after the 30 years. The conjuncture of the factors alcoholic drink + birth-control pill + tobacco potentiates the possibilities of the breast cancer in a future that cannot be that far away from you.
The action of the nicotine to it reduces the power of the estrogen, but the leaf of the tobacco is extremely polluted for pesticides and pesticides, mainly in the cigarettes.
Pay attention to your feeding. The rich goodies in carbohydrates and the bad fat saturated, the one of the fry, they are not also recommended. Besides they make you to gain weight contribute for the development of cancerous cells.
The depression also mine the defenses of your body for this disease.
You should already be tired of so many no in your life. I imagine how it owes, almost with certainty, to be thinking…
"- But we can´t do nothing about it?
- Everything bring us to this cursed disease?
- How to live like this, where almost everything what make it is wrong?
Or, then, while you read on so many forbidden things, you remembered a friend that never made anything of that, never took a medicine without before go to the doctor, never liked to drink, neither smoking, never went by a hormonal replacement, didn't have cases of breast cancer in the family and had the disease…
Or still, your memory brought you to the story of that aunt grandmother or of that friend of your mother that always lived to the pleasure of all of the excesses of the life and died of old…
Yes, you can and should make an evaluation of everything that reads on the breast cancer. But doesn't forget that today the information is there, agile as never, to instruct you, to help you the to see and taking precautions. Individual cases don't express the medical science. Statistical evaluations with great samples are that show the reality.
But always has, plenty clear in you, that your largest ally is the doctor.
Present to him your fears, insecurities, certainties, doubts, intuition…
Surprise any possible sign that your organism cannot be more the same. Before that sign shows your force.
Of our body, we know.
Nobody knows it better.
No. They are not your friend of the club, your work friend, neither that doctor's acquaintance woman that can show the right road.
This decision is in your hands.
Learn how to order in yoursef.
Be imposed cares.
Feel the value that you always imagined was recognized only by the other ones.
Nobody will recognize it better than yourself.
Gift yourself with those happiness.
Live soundly, same when something doesn't run so well like this.
The development of the science is our reach. Of ii we have to remove everything that we can.
You can get better in a lot your style and quality of life. Without sacrifices. Sacrifices don´t exist when show us how pleaseful can be to live soundly every minute of our lives.
A note:
- Did you already marked your visit to the doctor?
- So mark now.
The good news and an immense happiness of living with health wait you.
- It´s almost right. Run there.

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