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  • 7/3/2025
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Transcript
00:00Ito naman ha Profi, para sa kaalaman ng ating mga car speed, dito sa ating bansa po,
00:11minsan kadalasan ang dahilan ng pagpano ng isang tao ay may kaugnayan sa sakit sa puso o heart attack at maging sa cancer.
00:21Ayon po sa datos ng PSA, sa taong 2023, umabot na sa 112,789 ang bilang ng mga nasa week dahil sa heart disease.
00:29At syempre patungkol dyan ay pag-uusapan natin ha, ito yung sakit sa puso at cancer din.
00:35At ngayong araw ay may mga kinausap tayo para pag-usapan din itong tinatawag na ischemic heart disease cancer.
00:42At makasama natin ngayong umaga si Dr. Joseph Quaresma, isang cardiologist, at si Dr. Arthur Goh na isang medical oncologist.
00:51Good morning mga doc and welcome dito sa Rise and Shine, Pilipinas.
00:54Morning po sa inyo.
00:54Alright, Dr. Joseph Quaresma, bilang isang cardiologist, paano po natin papaliwanag itong schemic heart diseases?
01:05Bakit po ito diseases, hindi lang disease? At ano-ano po yung mga pangunahing uri nito?
01:10So, una sa lahat, it's already evolving.
01:13Ngayon, na hindi lang sakit sa puso, pati cancer.
01:16It's a correlation between cancer and sakit sa puso.
01:20So, nagkakaroon na ngayon ng mga taong may cancer, ay nagkakaroon na sila ng sakit sa puso.
01:26So, ngayon, collaborative na.
01:28So, as you can see, dalawa kami ngayon yung Dr. Goh.
01:30Oo nga, may medical oncologist.
01:31Dahil meron na pong correlation ang cancer sa pagkakaroon ng sakit sa puso.
01:36Well, gano'ng kalaking factor yung lifestyle ng mga Pinoy?
01:40Yung mga kinasanayan natin, yung tradisyon natin, yung mga kinakain natin sa mga sakit na ito?
01:44So, well, basically, talaga, as you can see, may mga risk factors sa cancer.
01:49May risk factors for cardiovascular disease, maschemic heart disease.
01:53So, pag inatake sa puso, usually, di ba, cholesterol, fatty food.
01:57So, gano'ng din ang cancer.
01:59Fatty food can actually lead to increased risk in cancer.
02:03Yung mga tipong, yung sedentary lifestyle, yung inactive sa mga, ano.
02:07So, sa heart disease, pwede ka magkaroon din ng heart attack, no?
02:11And for cancer, gano'ng din, pag inactivity, pwede ka rin magkaroon ng risk for cancer.
02:18So, gano'ng, meron silang mga similarities.
02:20Okay.
02:21Doc, let's go with cancer, no?
02:23Dr. Arthur Goa, as a medical oncologist, we have three, top three cancer types.
02:30Tell us more about this.
02:31So, in the Philippines, well, actually, the top, first, no?
02:34Yung top three mortality sa Philippines, so yung ischemic heart disease, so heart attack yun.
02:37Okay.
02:38And then, you have the cancers, the leading for cancer is the lung cancer.
02:43Sila yung mataas ng cost of mortality lang, kasi very aggressive ang lung cancer.
02:47Then, followed by breast, then liver.
02:49Okay.
02:49Yung yung top three.
02:49Then, the third, overall sa Pilipinas, is stroke, no?
02:53Mm-hmm.
02:53Ayun.
02:54So, sa inyong mga naging pasyente, nagiging common na po ba yung meron ng heart disease, may cancer pa?
02:59So, syempre, we have to re-stratify our patients.
03:02Okay.
03:02Ibig sabihin, bago sila i-bagkaroon ng therapy sa cancer at sa puso, inaalam namin ang kanilang mga risk.
03:09Most of them would also have hypertension.
03:11Most of them would also have diabetes and cholesterol issues.
03:15No, check, please.
03:15Hanggang ako dyan.
03:16Lahat po yun, kailangan namin inaalam at bine-prevent at we have to start them on preventive therapies para po may iwasan itong mga ito.
03:24Kasi usually, kadalasan, cancer usually starts at 50s, ganyan yung mga nagkakaroon.
03:30So, meron na kasi silang underlying na hypertension, diabetes.
03:34Okay.
03:34So, minsan nag-overlap yung mga treatments na.
03:37Okay.
03:38In terms of lifestyle, bakit dumating sa ganung punto na they have to reach those kinds of diseases
03:44or yung top three factors, no?
03:47Kasi you mentioned it's because of hypertension.
03:50Bakit po naging ganun na isang pasyente?
03:51So, ngayon kasi pabata na ng pabata ang mga tao nagkakaroon ng sakit sa puso.
03:56Okay.
03:57I think it's because of what's happening today, no?
03:59Okay.
04:00So, most of our young generations are becoming sedentary.
04:04Okay.
04:04They lack exercise.
04:06They lack mobility.
04:07Okay.
04:08And then, of course, they eat fast foods.
04:10And because of that, mas pabata ng pabata ang pagkakaroon ng sakit sa puso.
04:15At correlation to that, even, I think, cancer, no?
04:18Yes.
04:19So, it's becoming younger these days.
04:21So, again, awareness.
04:23That's why we're here.
04:24We want to make the people aware that there's already that correlation between cancer and cardiovascular disease.
04:30And we have to educate them to prevent these possible complications.
04:35Pilagusapan pa rin natin yung correlation ng dalawang sakit na ito, no?
04:38So, kapag sabait ang treatment nito, may complication ba?
04:43Not necessarily.
04:44So, usually, when we treat patients, no?
04:47That's why, pag may mga existing na na-hypertension, like may previous stroke na yung pasyente, may maintenance na sila.
04:54Okay.
04:55And we don't remove those maintenance na gamot nila.
04:57We continue those maintenance sila for hypertension, for diabetes, for, minsan mga blood thinners, no?
05:02With the treatment for cancer.
05:04Okay.
05:04Wonders, no, wala siyang masyadong maging problema, naman masyado.
05:08Parang lumalabas, parang nanonormalize na yung pagkakaroon ng diabetes at high blood, dahil sa hypertension, dahil sa lifestyle din, no?
05:16Yes, lifestyle talaga.
05:17Okay.
05:17Ano ba ang pwedeng gawin ng ating mga kababayan para naman, you know, mag-prevent ito?
05:23So, we advise, for example, for, ano, is more of increased activity, no?
05:27Usually, 30 minutes a day, daily yun.
05:29And then, of course, balanced diet is the key, no?
05:32Okay.
05:32Not to exaggerate things, yung iba kasi nag-extremes, no?
05:36So, we can do balanced diet as well as yung, actually, talagang more of that activity.
05:42You burn what you eat.
05:43So, dahil nga po sa ganitong mga klase ng sakit na nagsasabay pa, ano pong panawagan niyo sa publiko?
05:51So, una sa lahat, magpatingin po kayo sa inyong mga doktor.
05:55I think it's important to follow up with your doctor.
05:57Huwag po kayo matakot.
05:59The doctors are here to help you at para po ma-prevent ang complications.
06:04So, sa practice po, kailangan po natin na inumin ang ating mga maintenance.
06:10About you, daw, ano po ang inyo?
06:12So, as you can see now, bumabata na nagkakaroon ng mga heart diseases at current cancer, no?
06:19So, really advise awareness in a sense na early screening for those who have risk factors for cancers.
06:25And as well as, you know, really, if you have a healthy lifestyle, avoid smoking, definitely.
06:30Both of those, for cardiovascular and cancer risk factors, yung dalong yun, no?
06:35And then, of course, we have a society right now, the International Cardio-Oncology Society,
06:41wherein we both, the societies, will actually help, no?
06:45In improving the Filipino treatment for cardiovascular and cancer-related diseases.
06:51Okay, balikan ko lang ulit, kasi we said nga, this is relational, no?
06:57So, ano ang pwedeng gawin ng isang pasyente para maiwasan niya yung parehas na magkaroon ng sakit nito?
07:03Kasi, imagine people, I mean, people could get this magkasabay, mas malaki yung gastos.
07:10Hindi naman sa pananakot, pero hindi kasi pwede manormalize ito.
07:13What could have been done?
07:14So, it's collaborative.
07:16I think you have to seek also with your doctors.
07:20And, of course, we have to start with yourself, no?
07:23Sa ating mga pasyente, it starts with lifestyle, okay?
07:26So, increase mo yung activity, mag-exercise, at least three times a week, no?
07:3030 minutes a day of moderate intensity.
07:33Walking is not considered an exercise.
07:36It's really a little bit intense, more than that.
07:39And then, of course, iwas po sa mga masasamang pagkain, alat-taba, and weight loss, and smoking, no?
07:45So, I think yung mga basic na yun, gawin lang ng mga pasyente, may iwasan na po natin.
07:50Well, how about yung, bilang pa huli, how about yung overwork at saka lack of sleep, kulang sa tulog?
07:56The thing is, those are stress-related events, but those are not directly linked.
08:02But it could contribute.
08:03Yes, because you compensate, you compensate with the stress.
08:09So, sometimes you overeat, you over-bench.
08:12Those are the things that happens, di ba?
08:14So, yun yun yung, it's not the direct relationship, it's indirectly.
08:18Meron na bang awareness week for these kinds, or awareness day for these kinds of diseases?
08:23Or baka may event kayo na ipopromote din?
08:26Oo, so that's why we are collaborating.
08:28So, there is already a society called International Cardio-Oncology Society.
08:33It is a Philippine chapter wherein we're collaborating and trying to help alleviate, prevent, and mitigate these possible complications.
08:43So, maganda po na nagkakaroon na ng ganitong collaboration para, sabi mo nga kanina, try to prevent these complications.
08:50May activity ba for this?
08:51And then we have our society, the Philippine Medical Oncology Society, and then we have the PHA also.
08:58Philippine Heart Association.
08:59In PSM, o Philippine Medical Oncology Society of Medical Oncology, wherein we do monthly awareness naman.
09:06For example, for breast, it's October.
09:09Then for example, for March, it's colorectal cancers.
09:13So, those, we, November's lung cancer, we do awareness.
09:16We do, actually, give awareness and screenings for those patients.
09:20Importante ang awareness at, syempre, ang lifestyle change.
09:24Maraming salamat po sa inyo oras.
09:26Muli na kasama po natin ang cardiologist, si Dr. Joseph Coresma,
09:30at si Dr. Arthur Go, na isang medical oncologist.
09:35Thank you so much, doctors.

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