Page 68 - Petelin, Ana, Nejc Šarabon, Boštjan Žvanut, eds. 2017. Zdravje delovno aktivne populacije ▪︎ Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 68
avje delovno aktivne populacije | health of the working-age population 66 and Conclusions: The results indicate that women are very aware about the im-
portance of physical activity during pregnancy and its positive impact on child-
birth, postpartum period, and psychological and physical well-being. The inter-
viewees were the opinion that physical activity helped to facilitate childbirth
and recovery after childbirth. The time taken by the individuals dedicated to
physical activity differed between the interviewees. Most women during preg-
nancy were engaged in physical activity individually. They usually choose walk-
ing and swimming.
Key words: physical exercise, childbirth outcomes, pelvic floor muscle
exercises, qualitative methodology

Učinkovitost mamografije za odkrivanje rakavih sprememb
pri ženskah pod 50. letom starosti
The mammography efficiency in breast cancer detection
in women under 50 years of age
Anja Brčan, Maruša Kebe, Maša Pintar, Andrej Starc
University of Ljubljana, Faculty of Health Sciences, Zdravstvena pot 5, 1000 Ljubljana
anja.brcan@gmail.com
Rak dojk je tako v Sloveniji kot tudi drugod po svetu najpogostejši rak pri žen-
skah. Število novih pacientk z rakom dojk se povečuje zaradi znanih dejavnikov
tveganja. Leta 2005 je bilo v Sloveniji na novo rak dojk odkrit pri 1111 ženskah,
leta 2016 pa je število naraslo na 1307 (17,6 %). V Sloveniji in Evropi uspešno de-
luje državni presejalni program za raka dojk – DORA. V okviru istoimenske-
ga programa so vse ženske med 50. in 69. letom vabljene na mamografijo. Ra-
zlične tuje študije so pokazale, da mamografija ni tako zanesljiva za zgodnje
odkrivanje raka na dojkah pri ženskah mlajših od 50 let, zaradi gostote tkiva
dojk. Senzitivnost znaša 73,4 % (< 50 let). Obstaja nevarnost lažno pozitivnih
rezultatov in dokazano je, da kar 22 % vseh diagnosticiranih rakov predstavl-
ja prediagnosticiranje. To pa pomeni, da se žensko napoti na invazivno diag-
nosticiranje, ki ga v resnici ne potrebuje, kar predstavlja zanjo čustven napor in
stisko. Pri mlajših ženskah je tveganje za lažno pozitiven rezultat 61,3 %, med-
tem ko je pri starejših ženskah 49,7 %. Dodatni metodi odkrivanja raka pose-
bno pri mlajših ženskah (< 50 let) sta ultrazvok in magnetna resonanca. Upo-
rabljena je bila deskriptivna metoda dela s kritičnim pregledom domače in tuje
znanstvene in strokovne literature.
Ključne besede: rak dojk, mamografija, presajanje, DORA
Breast cancer is the most common type of cancer at women in Slovenia and
around the world. The number of patients increases because of risk factors.
In 2015, there was 1111 breast cancer cases in Slovenia, in 2016 the number in-
creased to 1307 (17.6%). In Slovenia and Europe exists a successful screening
test program for breast cancer, named DORA. All women between 50 and
69 years are invited in the program to perform a mammography. Several for-
eign studies have shown that mammography is not the most reliable meth-
od for early breast cancer detection for women less than 50 years of age. The
sensitivity is 73.4% (< 50 years). In relation to mammography exists a possibil-
ity for false positive results. It has been proven that 22% of all diagnoses were
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