Ubulili kunye nobuhlanga Ukwandisa ingozi yeLupus
Nangona i- systemic lupus erythematosus (i-SLE) ithinta amadoda kunye nabasetyhini babo bonke ubudala, ukutshintshwa kwesikali kuninzi kubasetyhini - kwaye nangakumbi ukwenzela amancinci. Kukho iinkalo eziliqela ezikhokelayo, iinkcukacha eziqhubeka zibonakalisa ngokwabo ingxelo ephazamisayo ebizwa ngokuba yi "Lupus in Minorities: Nature Versus Growture," okanye isifundo seLUMINA.
Recap: Ngubani ofumana uLupus
Ngokutsho kweLupus Foundation yaseMelika, kwi-1.5 million yezizwe zaseMerika ezichaphazelekayo ngeendlela ezithile ze- lupus , ama-90% abo afunyanwe ngabafazi, uninzi lwabantu abaphakathi kweminyaka eyi-15 ukuya kwe-45 ubudala.
Ngaphezu koko, ngokwe-CDC, i-lupus ibini ephindwe kathathu phakathi kwabantu abemibala, kuquka nabase-Afrika baseMelika, abantu baseSpeyin, amaAsia namaNdiya aseMerika. Kwiimfuno ezincinci, i-lupus idla ngokubanzi kwaye imbi kakhulu kuneempawu eziqhelekileyo kunye nezinga eliphezulu lokufa. Ngokukodwa, izinga lokufa labantu abane-lupus liphantse ngokuphindwe kathathu kuma-Afrika aseMerika kunabamhlophe.
Kukho ukunyuka kwenyango yezintso kunye nokungaphumeleli kwezintso kunye nesifo senhliziyo kubantu baseSpeyin abano-lupus kunye nesiganeko sokwanda kweengxaki ze-neurological ezifana ne-seizures, i-hemorrhage, kunye nokubetha phakathi kwamabhinqa ase-Afrika-aseMerika ane-lupus.
Umbuzo kukuba, kutheni ukungafani okunjalo?
Isifundo seLUMINA:
Ngomnyaka we-1993, abaphandi bezezigqirha baqaphela ukuba kutheni ukungafani phakathi kwe-lupus kwi-Whites kunye ne-lupus kubantu bemibala. Abo baphandi bajolise kumbuzo wendalo kunye nokunyusa.
Isiphumo sasiyi-Study LUMINA.
Isifundo se-LUMINA sasiyinkqubo yamanyathelo aseMelika asekuqaleni, oko kuthetha ukuba uphando baphando ngezizwe ezahlukileyo-kulolu hlobo i-Afrika-American, iCaucasian kunye ne-Hispanics-evela eUnited States efunyanwe ne-lupus iminyaka emihlanu okanye embalwa. Uphando oluthile luhlobo lwexesha elide elisetyenziselwa unyango kunye nesayensi yoluntu.
Ezinye zikhusela izinto ezinxulumene nokungafani phakathi kwabafundi abathathi-nxaxheba zibandakanya oku kulandelayo:
- Imithintelo yokunxibelelana (njengokwahlukileyo kolwimi)
- Ukungabikho kokufikelela kwinkathalo
- Ukungabikho kwenkxaso yezempilo
- Amanqanaba angeniso engaphantsi.
Yintoni abaphandi abayifumene ngayo kwangaphambili kukuba izinto zokuzalwa kunye neentlanga, okanye izinto zendalo, zidlala indima enkulu ekunqumeni ukuxhaphaka kwe-lupus kunezinto zokukhulisa ezentlalo. Ngaphezu koko, uphando lubonisa ukuba i-genetics ingaba yintloko evulela isizathu sokuba i-lupus ithinte ama-Afrika aseMelika kunye nabesifazane baseSpeyin ngaphezu kwabanye abantu bombala.
Ukufunyaniswa okuqhubekayo ukusuka kwisifundo seLUMINA:
- Izigulane zeLupus zeSpeyin kunye ne-Afrika yaseMelika-zinezifo ezikhutheleyo ngexesha lokuxilongwa, kunye nokubandakanyeka komzimba.
- Ama-Whites ayenesimo esiphezulu se-socioeconomic kunye nabadala kunabantu baseSpeyin okanye abantu base-Afrika baseMelika.
- Ukubaluleka kokubaluleka kwezifo zesibini kwezi zimbalwa zifana neziganeko ezinxulumene nokugula okungavamile.
- Njengoko ixesha lidlulileyo, umonakalo ogqithisiweyo waba mbi kakhulu kumaqela amancinci amabini kunokuba abamhlophe, nangona ukungafani kwakungabalulekanga.
- Umsebenzi wezifo uye wavela njengento ebalulekileyo yokufa kwesi sigidi sezigulane. Ngokuhambelanayo nomsebenzi ophantsi kwesifo, ama-Whites abonisa inani eliphantsi lokufa kwabantu kunabantu baseSpeyin okanye abantu base-Afrika baseMelika.
Kwiminyaka elishumi emva kokufunda kweLUMINA
Ngowe-2003, izazinzulu ezibuye zihlaziya i-LUMINA ishumi eli-10 kamva zafika kwizigqibo ezibangel 'umdla:
- ULupus uzibonakalisa kakhulu kakhulu kumaAfrika aseMelika kunye nama-Hispanics aseTexas kunokuba angama-Whites nama-Hispanics asePuerto Rico.
- Ezi zigulane ezingenayo i-inshurensi yezempilo zafumana i-lupus i-acute kwaye zachaza i-genetic ethile (i-HLA-DRB1 * 01 (DR1) ne-C4A * 3 alleles) yayine-lupus enamandla.
- Ubunzima bomonakalo kwizitho ezivela kwi-lupus okanye iziphumo ezimbi ze-lupus zingacingelwa ngokusekelwe kwiminyaka yobudala, inani le-College College ye-Rheumatology edibeneyo, umsebenzi wesifo, ukusebenzisa i-corticosteroid, kunye nokuziphatha okungavamile kokuziphatha.
- Ininzi yokutyhila : Enye yezinto ezibalulekileyo ekunqumeni ukufa kwaye apho umntu wayemele ngokwezemali ngokubhekiselele kwintlupheko . Abantu abaneipulus ababengamahlwempu kakhulu babenokufa ngenxa ye-lupus okanye iingxaki ezibangelwa sisifo, ngenxa yendlela yokungakwazi ukufikelela kwiinkonzo zempilo.
Ulwazi oluvela kwisifundo se-10 luya kusetyenziswa ukucanda ngakumbi kumbuzo okanye umbuzo wokunyusa kwaye unokuvelisa iindlela ezintsha zokugxila kunye nokuphelisa ukungalingani kwempilo e-United States.
Imithombo:
Ngubani Ofumana uLupus? Lupus Research Institute. Disemba 2007.
Amanani abantu kwiLupus Lupus Foundation yaseMelika. Disemba 2007.
Ngaba izigulane zaseSpeyin kunye ne-Afrika-yamazwe aseMelika kunye neziphumo zeLupus Iziphumo ezimbi kunezigulane kunye neLupus ezivela kwezinye iindawo? I-LUMINA Study Lupus Foundation yaseMelika. Septemba 1999.
Yintoni esiyifundile kumava eminyaka eli-10 ngomfanekiso (uLupus kwiMinorities; Uhlobo kunye nokukhulisisa) iqela? Siya kuphi? Izimpendulo ze-Autoimmunity Reviews, Volume 3, Issue 4, Juni 2004, iphepha 321-329. América G. Uribe, uGerald McGwin, uJohn D. Reveille noGraciela S. Alarcón.