Izifundo ezimbini Ukuhlolisisa umkhosi kwi-MS
Ingcamango yokuba abantu base-Afrika-baseMerika abanomngcipheko ophantsi wokuphuhlisa i-MS kukungalungi. Enyanisweni, uphando olutshanje lubonisa ukuba abafazi base-Afrika-baseMerika (kungekhona amadoda) banomngcipheko ophezulu wokuphuhlisa i-MS, kwaye iingcali aziqinisekanga ukuba kutheni.
Abasetyhini base-Afrika nabamaMerika banomngcipheko ophezulu
Kwisifundo se-2013 kwi- Neurology, abantu abangama-496 bafundiswa kunye ne-MS. Kwabo bantu, ama-37.5 ekhulwini ayenabantu baseCaucasus kunye nama-10,4 ekhulwini babengamaAfrika-Amerika.
Uphando lwafumanisa ukuba amaAfrika-aseMerika anama-47 ekhulwini ayenayo ingozi yokuba ne-MS, xa kuthelekiswa neCaucasians-kodwa lo mngcipheko ophezulu ufunyanwe kuphela kubafazi, kungekhona amadoda. Ngokubanzi, isifundo asifumananga ukuba abantu base-Afrika baseMelika babenomngcipheko ophantsi we-MS kuneCaucasians.
Uphando lwafumanisa ukuba abantu baseSpeyin babenomngcipheko we-50 engaphantsi xa kuthelekiswa nabantu baseCaucasus, kwaye abantu base-Asia babenomngcipheko ongaphantsi kwama-80. (Oku kwafunyanwa kumadoda kunye nabasetyhini).
Ukwahlukana ngakumbi kobuhlanga kwi-MS
Uphononongo luka-2004 kwi- Neurology luqhathanise ama-375 aseMerika-aseMerika ukuya kuma-427 aseCaucasian anama-MS. Amaqela afana nawo ngokwemilinganiselo yamadoda kwabesetyhini kunye nokulingana kwabantu abaneentlobo ezahlukeneyo ze-MS. Nangona kunjalo, abathathi-nxaxheba bahluke kwimigca yoluntu kule mimandla elandelayo:
- Ixesha lokuxilongwa: Amaqela ahluke kwixesha elide lithathwa ukuze afunyaniswe emva kokuqala ukufumana iimpawu ze-MS . Abathathi-nxaxheba base-Afrika nabamaMerika bafunyaniswa malunga nonyaka emva kokuqala kweempawu, ngelixa abathathi-nxaxheba baseCaucasi bafumanisa iminyaka emibili emva kokuba iimpawu zabo zaqala. Enye ingcamango ecetywayo kwiphononongo kukuba abathathi-nxaxheba base-Afrika nabamaMerika bafumana iimpawu ezinzima, ezibangele ukuxilongwa ngokukhawuleza.
- Iimpawu zokuqala: abathathi-nxaxheba base-Afrika nabamaMelika bazama ukufumana iimpawu ezininzi ezahlukahlukeneyo kwizifo ezivela, ezibangelwa zizilonda ezininzi kwiindawo ezahlukeneyo kwinkqubo yesantya ephakathi kunokuba abathathi-nxaxheba baseCaucasi. Nangona kunjalo, malunga neepesenti ezingama-18 zabathathi-nxaxheba base-Afrika nabama-Amerika babenempawu ezinqandekile kwiimbono ze-optic kunye nentambo yomgogodla, ngelixa i-8% kuphela yabathathi-nxaxheba baseCaucasia babe neengxaki ezijoliswe kule mimandla. Ukongeza, abathathi-nxaxheba baseCaucasi ekufundeni babekho amathuba okuba babe nezilonda kwiibilini zabo.
- Qala unyango ngokukhawuleza: AbaMerika baseMerika baqala unyango ngeyeza lokuguqulwa kwezifo malunga neminyaka engama-6 emva kokuqala kweempawu, xa kuthelekiswa neminyaka eyi-8 edlula phakathi kokuqala kweempawu kunye nokuqaliswa kwonyango kwiqela laseCaucasian. Kunjengekufunyaniswa ngokukhawuleza emva kokuba izibonakaliso ziqalise, kwakucatshulwa ukuba mhlawumbi abachaphazelekayo base-Afrika nabamerica babefumana iimpawu ezinzima okanye ezikhubazayo kwaye oku kwabangela ukuba oogqirha bacebisa unyango ngaphambili.
- Ukwahlukana kokuhamba: Kulolu cwaningo, kubonakala sengathi abase-Afrika baseMelika bekunokwenzeka kakhulu ukuba bakhulise iingxaki zokuhamba ngaphandle kweCaucasians. Kwakukho umngcipheko omkhulu we-1.67 wokuba abathathi-nxaxheba base-Afrika nabamerika babe kufuneke bafune inqanawa ukuba bahambe. Oku kwenzeke malunga neminyaka engama-6 ngaphambili ngaphambili kwiqela lase-Afrika nelamaMerika kuneqela laseCaucasian (emva kweminyaka eyi-16 vs vs 22).
- Ukuphuhliswa kwe-SPMS: abathathi-nxaxheba base-Afrika nabamanye amazwe baphumelele ukusuka kwi-MS yokubuyisela kwakhona kwi-MS kwimpumelelo ye -MS malunga neminyaka emithathu ngokukhawuleza kunokuba abathathi-nxaxheba beCaucasian (iminyaka eyi-18 neminyaka eyi-22).
ILizwi
Umgca wezantsi apha kukuba i-MS ivela kwininzi yamacandelo aquka ama-Afrika-aseMelika, iiCaucasians kunye ne-Hispanics.
Oko kuthethwa, kukho ukuhlukana phakathi kwamaqela, njengengozi yabo yokuphuhlisa isifo kunye nekhosi yezifo.
Uphando olutsha luye lwabonisa ukuba abafazi base-Afrika nabamaMerika banethuba eliphezulu lokuphuhlisa i-MS (xa kuthelekiswa neCaucasians) kunokuba bekufunwe ngaphambili. Izizathu ezikule nto azicaci ngokupheleleyo. Ingaba yintlangano yamahomoni, i-genetics, kunye / okanye izinto ezinobume ezifana nokutshaya, ukukhuluphala, okanye ukungafumaneki kwe-vitamin D. Njengoko uphando luqhubeka nokuguquka, ukuqonda ukungafani ngokobuhlanga kwi-MS kuya kuthemba ukuba kusisondeza ukuqonda isizathu (s) se-MS.
Imithombo:
Cree BA et al. Impawu zezonyango zabaseMerika baseMelika nabaseCaucasian baseMelika abanama-multiple sclerosis. Neurology . 2004 Umhla wama-14; 63 (11): 2039-45.
Langer-Gould A, Brara SM, Beaber BE, Zhang JL. Ingozi ye-multiple sclerosis kwiintlanga ezininzi ngokobuhlanga. Neurology. 2013 Meyi 7; 80 (19): 1734-9.
> I-MS Society Society. Ngubani ofumana i-MS?
> Ehleliwe nguDkt. Colleen Doherty, ngoSeptemba 2016.