{"id":24367,"date":"2022-01-12T14:51:48","date_gmt":"2022-01-12T11:51:48","guid":{"rendered":"https:\/\/zdmaa.com\/why-are-cancer-cluster-causes-so-hard-to-prove\/"},"modified":"2022-01-13T02:21:44","modified_gmt":"2022-01-12T23:21:44","slug":"why-are-cancer-cluster-causes-so-hard-to-prove","status":"publish","type":"post","link":"https:\/\/zdmaa.com\/tr\/why-are-cancer-cluster-causes-so-hard-to-prove\/","title":{"rendered":"Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor?"},"content":{"rendered":"<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span class=\"\" style=\"vertical-align: inherit;\">Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor?<\/span><\/span><\/span><\/span><\/p>\n<div>\n<p><span class=\"first-letter\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ben<\/span><\/span><\/span><\/span><\/span><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> s\u0131k s\u0131k, size b\u0131rakabilir ba\u015fl\u0131k kar\u0131\u015ft\u0131. <\/span><span style=\"vertical-align: inherit;\">30 Nisan&#8217;daki <\/span><\/span><\/span><\/span><em><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Washington Post<\/span><\/span><\/span><\/span><\/em><\/em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> haberinde oldu\u011fu gibi, \u00fc\u00e7\u00fc arkada\u015f olan 18 ki\u015fi, hepsi Kuzey Carolina ve Alabama&#8217;da nadir g\u00f6r\u00fclen bir g\u00f6z kanseri t\u00fcr\u00fc olan g\u00f6z melanomu te\u015fhisi konan iki yerde yo\u011funla\u015ft\u0131. <\/span><span style=\"vertical-align: inherit;\">\u0130lgililer, kanserlerinin ortak bir ba\u011flant\u0131s\u0131 olmas\u0131 gerekti\u011fine inan\u0131yor, ancak soru\u015fturma belirli bir neden veya vakalar\u0131 birbirine ba\u011flayan bir kaynak bulamad\u0131. <\/span><span style=\"vertical-align: inherit;\">Haber bir\u00e7ok ki\u015fiyi \u015fa\u015fk\u0131na \u00e7evirdi. <\/span><span style=\"vertical-align: inherit;\">North Carolina County Komiseri Pat Kotham, &#8220;Burada ortak bir nokta olmad\u0131\u011f\u0131na inanmak zor&#8221; diyor.<\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ayn\u0131 b\u00f6lgede ya\u015fayan, ayn\u0131 i\u015fyerinde \u00e7al\u0131\u015fan veya ayn\u0131 spor tak\u0131m\u0131nda oynayan ki\u015filerin, \u00f6zellikle de ayn\u0131 kanser t\u00fcr\u00fcyse, kansere yakalanmas\u0131 basit bir sebep sonu\u00e7 durumu gibi g\u00f6r\u00fcnebilir. <\/span><span style=\"vertical-align: inherit;\">Baz\u0131lar\u0131 su\u00e7un kirlili\u011fin oldu\u011funu varsayabilir. <\/span><span style=\"vertical-align: inherit;\">Di\u011ferleri, zeminde veya duvarlarda toksinler oldu\u011fundan \u015f\u00fcphelenebilir. <\/span><span style=\"vertical-align: inherit;\">Ancak bir ba\u011flant\u0131y\u0131 kan\u0131tlamak imkans\u0131z de\u011filse de genellikle zordur. <\/span><span style=\"vertical-align: inherit;\">Asl\u0131nda, her y\u0131l federal ve eyalet sa\u011fl\u0131k yetkililerine bildirilen 1000&#8217;den fazla \u015f\u00fcpheli kanser k\u00fcmesinden \u00e7ok az\u0131n\u0131n, ABD Hastal\u0131k Kontrol ve \u00d6nleme Merkezleri (CDC) taraf\u0131ndan tan\u0131mlanan kanser k\u00fcmeleri oldu\u011fu do\u011fruland\u0131. <\/span><span style=\"vertical-align: inherit;\">ve Ulusal Kanser Enstit\u00fcs\u00fc (NCI). <\/span><span style=\"vertical-align: inherit;\">&#8220;Belirli bir co\u011frafi b\u00f6lgede belirli bir zaman diliminde bir grup insanda meydana gelen beklenenden fazla say\u0131da kanser vakas\u0131&#8221; olarak tan\u0131mlan\u0131r.<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Gruplar\u0131 tan\u0131mlay\u0131n: karma\u015f\u0131k<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Bir \u00f6rnek, g\u00f6r\u00fcn\u00fc\u015fte bariz olan ba\u011flant\u0131lar do\u011frulanamad\u0131\u011f\u0131nda ortaya \u00e7\u0131kan uzun s\u00fcreli sorular etraf\u0131ndaki kafa kar\u0131\u015f\u0131kl\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. <\/span><span style=\"vertical-align: inherit;\">Ge\u00e7en yaz d\u00fcnya \u015fampiyonu Darren Doulton, agresif bir beyin kanseri t\u00fcr\u00fc olan glioblastomdan \u00f6len d\u00f6rd\u00fcnc\u00fc Philadelphia Phillies oyuncusu oldu. <\/span><span style=\"vertical-align: inherit;\">Pek \u00e7ok insan, \u00f6zellikle eski beyzbol oyuncular\u0131, beyin kanseri ve beyzbol aras\u0131nda veya en az\u0131ndan beyin kanseri ile Phillies&#8217;in Ev dedi\u011fi Gaziler Stadyumu gibi stadyumlarda kullan\u0131lan suni \u00e7imin eski versiyonlar\u0131 aras\u0131nda net bir ba\u011flant\u0131 gibi g\u00f6r\u00fcnen \u015feyi merak ediyor. <\/span><span style=\"vertical-align: inherit;\">1971&#8217;den 2003&#8217;e. Ancak ara\u015ft\u0131rmac\u0131lar, ara\u015ft\u0131rmalar\u0131n\u0131n kanserlerin tek bir ortak kaynaktan kaynakland\u0131\u011f\u0131 inanc\u0131n\u0131 destekleyecek yeterli kan\u0131t ortaya koymad\u0131\u011f\u0131n\u0131 s\u00f6yleyerek kitlenin b\u00fcy\u00fck olas\u0131l\u0131kla bir tesad\u00fcf oldu\u011fundan \u015f\u00fcpheleniyorlar. <\/span><span style=\"vertical-align: inherit;\">\u00d6l\u00fcmlerin genel pop\u00fclasyonda meydana gelen kanser kal\u0131plar\u0131yla orant\u0131l\u0131 oldu\u011funu eklediler:<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ara\u015ft\u0131rma bulgular\u0131 hayal k\u0131r\u0131kl\u0131\u011f\u0131 yaratsa da, kanser gruplar\u0131 d\u00fcnyas\u0131nda ola\u011fand\u0131\u015f\u0131 de\u011filler. <\/span><span style=\"vertical-align: inherit;\">Baz\u0131 durumlarda, hastal\u0131k \u00e7ok yayg\u0131n oldu\u011fu i\u00e7in kanser k\u00fcmeleri normaldir, belki de bir\u00e7ok ki\u015finin d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcnden daha yayg\u0131nd\u0131r. <\/span><span style=\"vertical-align: inherit;\">Amerika Birle\u015fik Devletleri&#8217;nde, her \u00fc\u00e7 ki\u015fiden biri ya\u015famlar\u0131 boyunca kanser geli\u015ftirecektir. <\/span><span style=\"vertical-align: inherit;\">Bilardo oyununda bir s\u00fcr\u00fc topu k\u0131ran bir bilardo sopas\u0131 d\u00fc\u015f\u00fcn\u00fcn. <\/span><span style=\"vertical-align: inherit;\">Baz\u0131lar\u0131 masan\u0131n en uzak k\u00f6\u015felerine inebilir, di\u011ferleri ise bir araya toplanabilir. <\/span><span style=\"vertical-align: inherit;\">Kom\u015fular veya kanserli i\u015f arkada\u015flar\u0131 gibi baz\u0131 uzmanlar bunun tamamen rastgele oldu\u011funu s\u00f6yl\u00fcyor.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Kanser, her biri kendi risk fakt\u00f6rleri, semptomlar\u0131 ve nedenleri olan 100&#8217;den fazla farkl\u0131 t\u00fcre ayr\u0131lm\u0131\u015f karma\u015f\u0131k bir hastal\u0131kt\u0131r. <\/span><span style=\"vertical-align: inherit;\">Hastal\u0131\u011f\u0131n geli\u015fmesi genellikle y\u0131llar hatta on y\u0131llar al\u0131r. <\/span><span style=\"vertical-align: inherit;\">K\u00fcme testleri aray\u0131\u015f\u0131n\u0131 zorla\u015ft\u0131ran bir di\u011fer fakt\u00f6r: \u0130nsanlar her zaman ayn\u0131 yerde kalmazlar.<\/span><\/span><\/p>\n<blockquote><p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">&#8220;Kanser k\u00fcmeleri olu\u015fturman\u0131n zorlu\u011funun nedenleri \u00e7oktur ve rastgele \u015fans olas\u0131l\u0131\u011f\u0131n\u0131, maruz kalma s\u00fcresini ve b\u00f6lgeye farkl\u0131 insanlar\u0131n girip \u00e7\u0131kma olas\u0131l\u0131\u011f\u0131n\u0131 veya farkl\u0131 miktarlarda maruz kalma olas\u0131l\u0131\u011f\u0131n\u0131 i\u00e7erir.&#8221; <\/span><\/span><em><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">&#8211; Pamela Creeley, ABD Merkezleri Kanser Tedavisi <\/span><\/span><sup><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00ae<\/span><\/span><\/sup><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> (CTCA) <\/span><span style=\"vertical-align: inherit;\">T\u0131bbi Onkoloji Departman\u0131 Direkt\u00f6r\u00fc<\/span><\/span><\/em><\/p><\/blockquote>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Hastanemizde bir onkolog ve hematolog olan MD Asha Karibut, bu nedenle, ara\u015ft\u0131rmac\u0131lar\u0131n mesken topluluklar\u0131ndan ziyade i\u015fyerinde varl\u0131klar\u0131n\u0131 do\u011frulayabilecekleri \u00e7ok say\u0131da kanser grubu var, \u00e7\u00fcnk\u00fc test etmek genellikle daha kolay, diyor. <\/span><span style=\"vertical-align: inherit;\">Tulsa&#8217;da. <\/span><span style=\"vertical-align: inherit;\">Zaman i\u00e7inde ayn\u0131 duman\u0131 soluyan, ayn\u0131 musluktan i\u00e7en veya ayn\u0131 maddeyi kullanan i\u015f arkada\u015flar\u0131, kaynak daha k\u00fc\u00e7\u00fck bir alanla s\u0131n\u0131rland\u0131r\u0131l\u0131r ve do\u011frulanmas\u0131 daha kolayd\u0131r. <\/span><span style=\"vertical-align: inherit;\">&#8216;Zaman i\u00e7inde&#8217; y\u00f6n\u00fc, hem kanserin olu\u015fma \u015fekli hem de gruplar aras\u0131ndaki ili\u015fkiyi do\u011frulamak i\u00e7in ba\u015fka bir anahtard\u0131r. <\/span><span style=\"vertical-align: inherit;\">\u00c7evre ile ilgili kanserler, en s\u0131k olarak, insanlar (kanser gruplar\u0131 s\u00f6z konusu oldu\u011funda, ayn\u0131 insan grubu) y\u00fcksek ve tekrarlayan dozlarda kanserojenlere maruz kald\u0131\u011f\u0131nda ortaya \u00e7\u0131kar. <\/span><span style=\"vertical-align: inherit;\">\u00d6rne\u011fin, 1960&#8217;larda kanser k\u00fcmelerini inceleyen ara\u015ft\u0131rmac\u0131lar, malign mezotelyoma ile imalat, end\u00fcstri ve t\u00fcketici \u00fcr\u00fcnlerinde yayg\u0131n olarak kullan\u0131lan lifli bir mineral olan asbest aras\u0131nda bir ba\u011flant\u0131 ke\u015ffettiler. <\/span><span style=\"vertical-align: inherit;\">Daha sonra, 1970&#8217;lerin ba\u015f\u0131nda, ayn\u0131 kimyasal tesisteki i\u015f\u00e7ilere karaci\u011fer hemanjiyosarkomu te\u015fhisi konuldu\u011funda, ara\u015ft\u0131rmac\u0131lar, nadir g\u00f6r\u00fclen kanserin, i\u015f\u00e7ilerin vinil klor\u00fcre maruz kalmas\u0131ndan kaynakland\u0131\u011f\u0131n\u0131 belirlediler; bu, art\u0131k bildi\u011finiz gibi, hastal\u0131\u011f\u0131n\u0131z i\u00e7in \u00f6nemli bir risk fakt\u00f6r\u00fcd\u00fcr. <\/span><span style=\"vertical-align: inherit;\">.<\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Alakas\u0131z fakt\u00f6rler resmi g\u00f6lgeliyor<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sigara, obezite ve ya\u015f gibi di\u011fer fakt\u00f6rler kanser gruplar\u0131 i\u00e7in test yap\u0131lmas\u0131n\u0131 zorla\u015ft\u0131rabilir. <\/span><span style=\"vertical-align: inherit;\">Dr. Creeley, &#8220;Sigara veya obezite gibi de\u011fi\u015fkenler, asl\u0131nda mevcut olmad\u0131klar\u0131nda bir dizi kanserin geli\u015fimine katk\u0131da bulunabilir&#8221; diyor. <\/span><span style=\"vertical-align: inherit;\">Bir kanserojene maruz kalan t\u00fcm insanlar kanser geli\u015ftirmez (baz\u0131 insanlar genlerine g\u00f6re daha fazla veya daha az olas\u0131d\u0131r), di\u011ferleri y\u00fcksek riskli toksinlere maruz kalmasalar bile ayn\u0131 kanseri geli\u015ftirir. <\/span><span style=\"vertical-align: inherit;\">Sadece bir mahallede kanserojen ajanlar bulunsa bile, baz\u0131 sakinler bu maddeye maruz kalabilirken di\u011ferleri olmayabilir.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00d6rne\u011fin, beyin kanserinden \u00f6len eski Velez oyuncular\u0131n\u0131n hepsi Gaziler Stad\u0131&#8217;nda birlikte oynamad\u0131 veya ayn\u0131 s\u00fcre tak\u0131mda kalmad\u0131. <\/span><span style=\"vertical-align: inherit;\">Philadelphia Eagles da sahada oynad\u0131 ve antrenman yapt\u0131, ancak Ulusal Futbol Ligi, oyuncular\u0131 aras\u0131nda ola\u011fand\u0131\u015f\u0131 bir beyin kanseri vakas\u0131 bildirmedi. <\/span><span style=\"vertical-align: inherit;\">CTCA ayakta tedavi b\u00f6l\u00fcm\u00fc ba\u015fkan\u0131 Anthony Berry, \u201cBir kanser pop\u00fclasyonunun varl\u0131\u011f\u0131n\u0131 bilimsel olarak kan\u0131tlamak genellikle zordur\u201d diyor. <\/span><\/span><sup><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00ae<\/span><\/span><\/sup><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"> . <\/span><span style=\"vertical-align: inherit;\">&#8220;Kanser k\u00fcmesinin orada olmas\u0131 \u00e7ok muhtemel. Bunu kan\u0131tlayamazs\u0131n\u0131z.&#8221;<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ger\u00e7ek bir kanser grubunu do\u011frulamak i\u00e7in belirli kriterlerin kar\u015f\u0131lanmas\u0131 gerekir:<\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Belirli bir pop\u00fclasyonda beklenenden daha fazla say\u0131da kanser vakas\u0131 meydana gelmelidir.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Kanserler, ayn\u0131 kanser t\u00fcr\u00fcn\u00fc veya ayn\u0131 nedene sahip farkl\u0131 kanser t\u00fcrlerini i\u00e7ermelidir.<\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">T\u00fcm kanserler birincil kanser olmal\u0131d\u0131r, bu da hastal\u0131\u011f\u0131n yay\u0131lm\u0131\u015f olabilece\u011fi organlarda de\u011fil, v\u00fccudun ayn\u0131 b\u00f6lgesinde ba\u015flad\u0131\u011f\u0131 anlam\u0131na gelir.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Sa\u011fl\u0131k g\u00f6revlileri bir kanser grubunu ara\u015ft\u0131rmak i\u00e7in att\u0131klar\u0131 bir dizi belirli ad\u0131ma dayanarak, a\u015fa\u011f\u0131dakiler dahil olmak \u00fczere bilgi toplarlar:<\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Vakalar\u0131n meydana geldi\u011fi co\u011frafi b\u00f6lge<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u0130lgili sorunlar\u0131n say\u0131s\u0131<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Etkilenen kanser t\u00fcr\u00fc<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Etkilenen ki\u015filerle ilgili ya\u015f, cinsiyet, etnik k\u00f6ken ve meslek gibi demografik bilgiler.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Yetkililer bazen kanserin a\u015fa\u011f\u0131daki durumlarda oldu\u011fu gibi daha fazla ara\u015ft\u0131rmaya gerek olmad\u0131\u011f\u0131na karar verirler:<\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">\u00d6zellikle kanserlerin g\u00fc\u00e7l\u00fc bir genetik ba\u011fa sahip oldu\u011fu biliniyorsa, kanla ilgili aile \u00fcyeleri aras\u0131nda bulunurlar.<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ayn\u0131 fakt\u00f6rlerin neden olmad\u0131\u011f\u0131 farkl\u0131 t\u00fcrleri vard\u0131r.<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ayn\u0131 t\u00fcrdendirler, ancak yaln\u0131zca az say\u0131da insanda, \u00f6zellikle de bu kanser t\u00fcr\u00fcn\u00fc geli\u015ftirme riski y\u00fcksek olanlarda g\u00f6r\u00fcl\u00fcrler.<\/span><\/span><\/span><\/span><\/li>\n<li><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Maruziyetin meydana geldi\u011fi s\u0131rada ayn\u0131 yerde ya\u015famayan insanlar aras\u0131nda meydana gelirler.<\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Daha fazla ara\u015ft\u0131rmaya ihtiya\u00e7 duyulursa, yetkililer, ayn\u0131 ya\u015f ve cinsiyetteki bir grup gibi kanser n\u00fcfus say\u0131mlar\u0131ndan ve kay\u0131tlar\u0131ndan al\u0131nan benzer verilerle toplanan bilgileri kar\u015f\u0131la\u015ft\u0131r\u0131r. <\/span><span style=\"vertical-align: inherit;\">Yetkililerin, co\u011frafi s\u0131n\u0131rlar\u0131 ve kimlerin etkilenebilece\u011fi gibi bir grubun temel unsurlar\u0131n\u0131 belirlerken verdi\u011fi ki\u015fisel kararlar\u0131 hesaba katt\u0131\u011f\u0131n\u0131zda, resim daha da kafa kar\u0131\u015ft\u0131r\u0131c\u0131 hale geliyor. <\/span><span style=\"vertical-align: inherit;\">Bu, baz\u0131 durumlarda iki sa\u011fl\u0131k departman\u0131n\u0131n kanserli bir kitlenin ger\u00e7ek mi yoksa tesad\u00fcf m\u00fc oldu\u011fu konusunda farkl\u0131 sonu\u00e7lara varabilece\u011fi anlam\u0131na gelir.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">2015 y\u0131l\u0131nda, k\u00fc\u00e7\u00fck Pelius Creek kasabas\u0131nda \u015f\u00fcpheli bir grup beyin kanseri rapor edildi\u011finde, Kuzey Karolina Merkez Kanser Kay\u0131t Merkezi, k\u00f6m\u00fcr k\u00fcl\u00fc depolama tesislerine sahip il\u00e7elerdeki kanser vakalar\u0131n\u0131 ara\u015ft\u0131rd\u0131. <\/span><span style=\"vertical-align: inherit;\">\u015eehir sakinlerinin \u00e7o\u011fu i\u00e7me suyu i\u00e7in kuyulara g\u00fcveniyor ve bir\u00e7o\u011fu Duke Energy&#8217;nin yak\u0131ndaki k\u00f6m\u00fcrle \u00e7al\u0131\u015fan elektrik santralinden at\u0131k toplamak i\u00e7in kulland\u0131\u011f\u0131 bir depolama havuzunu su\u00e7luyor. <\/span><span style=\"vertical-align: inherit;\">Ancak soru\u015fturma, Pelius Creek&#8217;teki kanser insidans\u0131n\u0131n eyaletteki di\u011fer benzer b\u00f6lgelerden daha y\u00fcksek oldu\u011funu teyit edemedi. <\/span><span style=\"vertical-align: inherit;\">Ancak ele\u015ftirmenler, \u00e7al\u0131\u015fman\u0131n il\u00e7e \u00e7ap\u0131ndaki say\u0131lar\u0131 haks\u0131z bir \u015fekilde kulland\u0131\u011f\u0131n\u0131 ve bunun kar\u015f\u0131la\u015ft\u0131rma amac\u0131yla bir k\u00f6m\u00fcr k\u00fcl\u00fc g\u00f6leti yak\u0131n\u0131nda ya\u015fayan kanser hastalar\u0131n\u0131n say\u0131s\u0131n\u0131 do\u011fru bir \u015fekilde yans\u0131tmayabilece\u011fini s\u00f6yl\u00fcyor. <\/span><span style=\"vertical-align: inherit;\">Aral\u0131k 2017&#8217;de, \u00e7evre ve sivil haklar gruplar\u0131, Duke&#8217;e dava a\u00e7t\u0131 ve toplulu\u011fun su kayna\u011f\u0131n\u0131 kirletti\u011fini iddia etti. <\/span><span style=\"vertical-align: inherit;\">Dava halen mahkemede.<\/span><\/span><\/span><\/span><\/p>\n<h2><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Bilim s\u0131n\u0131rl\u0131d\u0131r, ancak daha iyi hale gelir<\/span><\/span><\/h2>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Uzmanlar, kanser pop\u00fclasyonlar\u0131 hakk\u0131nda bir sonuca var\u0131lamamas\u0131 nedeniyle h\u00fcsrana u\u011frayanlar\u0131n bilimin s\u0131n\u0131rlar\u0131n\u0131 da g\u00f6z \u00f6n\u00fcnde bulundurmalar\u0131 gerekti\u011fini s\u00f6yl\u00fcyor. <\/span><span style=\"vertical-align: inherit;\">M\u00fcfetti\u015fler genellikle ba\u011flant\u0131 kurmak i\u00e7in gerekli kesin kan\u0131tlardan yoksundur. <\/span><span style=\"vertical-align: inherit;\">\u00d6rne\u011fin, \u00e7o\u011fu ki\u015fi asbestin su\u00e7lu oldu\u011funa inan\u0131yorsa, ancak mineralin t\u00fcm izleri zamanla ortadan kaybolduysa, ara\u015ft\u0131rmac\u0131lar\u0131n g\u00fcvenecek hi\u00e7bir kan\u0131t\u0131 yoktur. <\/span><span style=\"vertical-align: inherit;\">Veya baz\u0131lar\u0131 kuyu suyunun kanserojenle kirlendi\u011finden \u015f\u00fcphelenirse, ara\u015ft\u0131rmac\u0131lar suyu kimin i\u00e7ti\u011fini ve kimin i\u00e7medi\u011fini s\u00f6yleyemeyebilir. <\/span><span style=\"vertical-align: inherit;\">\u00c7o\u011fu k\u00fcme ara\u015ft\u0131rmas\u0131n\u0131n az say\u0131da vakay\u0131 i\u00e7ermesine yard\u0131mc\u0131 olmaz, bu da ara\u015ft\u0131rmac\u0131lar\u0131n istatistiksel olarak anlaml\u0131 sonu\u00e7lar \u00e7\u0131karmas\u0131n\u0131 zorla\u015ft\u0131rabilir. <\/span><span style=\"vertical-align: inherit;\">Dr. Perry, &#8220;Rapor edilen bir\u00e7ok kanser kohortu, ara\u015ft\u0131rmac\u0131lar\u0131n beklenen vaka say\u0131s\u0131ndan istatistiksel bir fark oldu\u011funu belirlemelerine izin verecek kadar yeterli vakay\u0131 i\u00e7ermiyor&#8221; diyor.<\/span><\/span><\/p>\n<p><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Ancak uzmanlar, teknolojinin resmin en az\u0131ndan bir k\u0131sm\u0131n\u0131 a\u00e7\u0131klamaya yard\u0131mc\u0131 oldu\u011funu s\u00f6yl\u00fcyor. <\/span><span style=\"vertical-align: inherit;\">Son y\u0131llarda, bilim adamlar\u0131 maruziyeti \u00f6l\u00e7mek i\u00e7in daha hassas ara\u00e7lar geli\u015ftirdiler ve Hastal\u0131k Kontrol Merkezleri (CDC) ve Ulusal Kanser Enstit\u00fcs\u00fc (NCI) art\u0131k gruplar\u0131n istatistiksel olarak anlaml\u0131 olup olmad\u0131\u011f\u0131n\u0131 belirlemek i\u00e7in co\u011frafi kanser verilerini analiz etmek i\u00e7in tasarlanm\u0131\u015f yaz\u0131l\u0131mlar kullan\u0131yor. <\/span><span style=\"vertical-align: inherit;\">Kanser insidans\u0131 i\u00e7in bir temel olu\u015fturmaya ve anormallikleri daha kolay tespit etmeye yard\u0131mc\u0131 olan Ulusal Kanser Kay\u0131tlar\u0131, toplu ara\u015ft\u0131rmalarda ara\u015ft\u0131rmac\u0131lar i\u00e7in bir ba\u015fka \u00f6nemli kaynak haline geldi. <\/span><span style=\"vertical-align: inherit;\">Dr. Creely, &#8220;Kanser i\u00e7in bir kohortu test etmede hala bir\u00e7ok zorluk var, ancak bilim ilerlemeye ve epidemiyolojik \u00e7al\u0131\u015fmalar geli\u015fmeye devam ediyor&#8221; diyor.<\/span><\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor? Ben s\u0131k s\u0131k, size b\u0131rakabilir ba\u015fl\u0131k kar\u0131\u015ft\u0131. 30 Nisan&#8217;daki Washington Post haberinde oldu\u011fu gibi, \u00fc\u00e7\u00fc arkada\u015f olan 18 ki\u015fi, hepsi Kuzey Carolina ve Alabama&#8217;da nadir g\u00f6r\u00fclen bir g\u00f6z kanseri t\u00fcr\u00fc olan g\u00f6z melanomu te\u015fhisi konan iki yerde yo\u011funla\u015ft\u0131. \u0130lgililer, kanserlerinin ortak bir ba\u011flant\u0131s\u0131 olmas\u0131 gerekti\u011fine inan\u0131yor, ancak soru\u015fturma belirli &hellip;<\/p>\n","protected":false},"author":1,"featured_media":23315,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-24367","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor? - zdmaa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/zdmaa.com\/tr\/why-are-cancer-cluster-causes-so-hard-to-prove\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor? - zdmaa\" \/>\n<meta property=\"og:description\" content=\"Kanser k\u00fcmesinin nedenlerini kan\u0131tlamak neden zor? 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