马来西亚有患高肥胖率肝癌的风险

StephenW

Malaysia Risks Liver Cancer With High Obesity Rate
By Ashswita Ravindran | 18 December 2020

Deaths from liver cancer in Malaysia have risen by 31.5% from 1990 to 2020.

Consultant hepatologist Dr Rosmawati Mohamed, a professor from University Malaya.

KUALA LUMPUR, Dec 18 — Obesity, which is seen commonly in Malaysia as one of the causes of non-alcoholic fatty liver disease, could lead to liver cancer, a consultant hepatologist said.

Consultant hepatologist Dr Rosmawati Mohamed, a professor from University Malaya, highlighted that liver cancer is the cause of premature deaths in Malaysia and according to the trend, death cases have increased by 31.5 per cent since 1990 to 2020.

Dr Rosmawati, in a virtual workshop last month, said that fatty liver or non-alcoholic fatty liver disease is now a major health problem and has emerged as the commonest liver disease, worldwide, including Malaysia.

Non-alcoholic fatty liver disease is mainly related to globebsity (global obesity), which is also seen in Malaysia. Obesity is defined as a body mass index (BMI) of more than 30kg/m2. Non-alcoholic fatty liver disease is caused by the build-up of fat in the liver.

“The recent data from the National Health and Morbidity Survey 2019 that was published a few months ago, showed that one in two adults in Malaysia are either overweight or obese and one in two have abdominal obesity,” Dr Rosmawati said.

According to Dr Rosmawati, 90 per cent of liver cancer occurs in patients who have liver cirrhosis (scarring of the liver tissue), with most commonly results from chronic liver disease like Hepatitis B, Hepatitis C, non-alcoholic liver disease, excessive alcohol consumption etc.

During the virtual workshop, Dr Rosmawati also pointed out that fatalities from liver cancer have been increasing worldwide and is the fourth most common cancer in causing deaths globally.

She said that although liver cancer doesn’t feature in the top 10 causes of cancer globally, it is the fourth most common cancer worldwide in causing deaths, with 700,000 deaths every year.

“From the comparison made from 1990 and you can see the 2017 data shows that the new cases of liver cancer has increased by 100 per cent from 1990 and 2017,” Dr Rosmawati said, referring to global statistics.

From recent data published in October by the World Health Organization’s (WHO) internal agency for research in cancer, it was found that in Malaysia, liver cancer is the sixth most common cancer and also ranked the fourth most common cancer deaths.

“So, here, it is clearly shown that liver cancer is extremely deadly. Most with liver cancer will end up dying within a very short period of time and this is actually true for most cases presenting at a very late stage,” Dr Rosmawati said.

Furthermore, Dr Rosmawati highlighted that liver cancer symptoms are uncommon hence, one should not be waiting for liver cancer symptoms to develop before presenting themselves to the doctor.

From the year 1989 onwards, the government has made it mandatory for all babies to be vaccinated with Hepatitis B. Hence, Dr Rosmawati urged those who were born before 1989 to check for Hepatitis B at least once, since they are at higher risk of contracting Hepatitis B that could lead to liver cancer.

“Those born before 1989 are at high risk of development of Hepatitis B. So, everyone born before 1989 should get a one-time test for Hepatitis B, particularly if they have a family history of Hepatitis B,” Dr Rosmawati stressed.

Secondly, she also mentioned that testing for Hepatitis C, which spreads through blood, was only made available after 1990. So, all those who were given either blood transfusion, or even platelet transfusion for dengue before 1990 would also have the risk of Hepatitis C.

StephenW

马来西亚有患高肥胖率肝癌的风险
作者：Ashswita Ravindran | 2020年12月18日

从1990年到2020年，马来西亚因肝癌死亡的人数增加了31.5％。

顾问肝病学家Rosmawati Mohamed博士，马来亚大学教授。

吉隆坡，12月18日-顾问肝病专家说，肥胖在马来西亚普遍被视为非酒精性脂肪肝的病因之一，可能导致肝癌。

马来亚大学（University Malaya）教授，肝病顾问Rosmawati Mohamed博士强调指出，肝癌是马来西亚过早死亡的原因，根据这种趋势，自1990年至2020年，死亡病例增加了31.5％。

罗斯玛瓦蒂（Rosmawati）博士在上个月的虚拟研讨会上说，脂肪肝或非酒精性脂肪肝现在是一个主要的健康问题，已成为包括马来西亚在内的全球最常见的肝病。

非酒精性脂肪肝疾病主要与全球肥胖（全球肥胖）有关，这在马来西亚也很常见。肥胖定义为体重指数（BMI）大于30kg / m2。非酒精性脂肪肝疾病是由肝脏中脂肪堆积引起的。

Rosmawati博士说：“几个月前发表的《 2019年全国健康和发病率调查》的最新数据显示，马来西亚有两分之一的成年人超重或肥胖，而二分之一的人则患有腹部肥胖。”

根据Rosmawati博士的说法，肝硬化患者（肝组织瘢痕化）患者中90％的肝癌发生，最常见的原因是慢性肝病，例如乙型肝炎，丙型肝炎，非酒精性肝病，过量饮酒等等

在虚拟研讨会上，Rosmawati博士还指出，全世界范围内因肝癌致死的人数正在增加，并且是导致全球死亡的第四大常见癌症。

她说，尽管肝癌并不是全球十大致癌因素，但它是导致死亡的全球第四大常见癌症，每年有700,000例死亡。

Rosmawati博士说：“从1990年进行的比较中，您可以看到2017年的数据显示，从1990年至2017年，新发肝癌病例增加了100％，”

根据世界卫生组织（WHO）内部癌症研究机构于10月发布的最新数据，发现在马来西亚，肝癌是第六大最常见的癌症，同时也是第四大最常见的癌症死亡。

“因此，在这里清楚地表明，肝癌极为致命。 Rosmawati博士说：“大多数肝癌患者将在很短的时间内死亡，实际上，对于大多数在很晚才出现的病例来说，这都是正确的。”

此外，Rosmawati博士强调说，肝癌的症状并不常见，因此，在向医生介绍自己之前，不应等待肝癌症状的发展。

从1989年开始，政府已强制所有婴儿接种乙型肝炎疫苗。因此，罗斯玛瓦蒂医生（Rosmawati）敦促那些在1989年之前出生的婴儿至少要进行一次乙型肝炎检查，因为他们患感染乙肝的风险更高乙肝可能导致肝癌。

Rosmawati博士强调：“ 1989年之前出生的人罹患乙型肝炎的风险很高。因此，在1989年之前出生的每个人都应接受一次乙型肝炎检查，特别是如果他们有乙型肝炎家族史。”

其次，她还提到只有在1990年以后才可以进行通过血液传播的丙型肝炎的检测。因此，所有在1990年之前接受输血甚至血小板输血登革热的人群也将有丙型肝炎的风险。