Yintoni Ebangelwa Ingozi Ekhulayo?
Ingozi eyongezelelekileyo ye-lymphoma iye yadibana ne- rheumatoid arthritis (RA) . Izifundo ezahlukahlukeneyo ziye zadibanisa le mibini miba kodwa ayizange icaciswe ngokupheleleyo ukuba umsebenzi wesifo okanye unyango olusetyenziselwa ukulwa nesifo se-rheumatoid arthritis kubangela ingozi ephezulu ye-lymphoma.
Abaphandi bafuna iimpendulo kwiLymphoma mngcipheko kwizigulane ze-Rheumatoid Arthritis
I-Lymphoma ngumhlaza wesimiso se-lymphatic (i-lymph nodes, i-spleen kunye nezinye izitho zamasosha omzimba).
Ukuqhagamshelana phakathi kwengozi yokwandisa i-lymphoma kwizigulane ze-rheumatoid arthritis kubandakanya abaphandi, oogqirha kunye nezigulane. Imibuzo engaphenduliweyo ihleli:
- Ngaba ezinye izigulane ze-rheumatoid arthritis zibeka ingozi ngakumbi kunezinye zokuphuhlisa i-lymphoma?
- Ingaba imithi ethile okanye unyango lwe-rheumatoid arthritis ejongene nobungozi obandayo bokuphuhlisa i-lymphoma?
- Ukuba kubangelwa unyango kunokwenzeka ukudibanisa ingozi yokwandisa i-lymphoma kwiklasi ethile yeziyobisi ze-arthritis?
Abaphandi eSweden Baqhuba Isifundo Esikhulu
Abaphandi baseSweden baye baqhuba isifundo esikhulu kunomhla wokuzama ukufumana iimpendulo kule mibuzo. Abaphandi bafumene iirekhodi zezokwelapha kunye neembali zezigulane ezingama-378 ze-rheumatoid i-arthritis eziye zenza i-lymphoma embi phakathi ko-1964 no-1995.
Izigulane zikhethwe kwiRejista kazwelonke yezigulane ezingama-75,000 ze-rheumatoid arthritis. Izigulane ezingama-378 ze-rheumatoid arthritis ezine-lymphoma ezinobungozi zazifanelwe nezigulane ezingama-378 ze-rheumatoid i-arthritis eziye zasebenza njenge-lymphoma-free controls.
Ukusebenzisa uhlalutyo lwamanani olunxulumene neengxaki okanye ukungalingani kwimizimba ye-lymphoma bavavanyelwe umsebenzi ophantsi, ophakathi okanye ophezulu ochaphazelekayo ochaphazelekayo ne-rheumatoid arthritis. Umsebenzi wezifo wawusekelwe kwisithuba seesifo kunye nokubala okubhaliweyo kunye nesinexabiso. Izilinganiso zeziphumo ziye zahlolwa kwiindidi zonyango ezilandelayo:
- I-DMARD ( izidakamizwa zokuguqula izidakamizwa zesifo sengqondo)
- Ii-NSAID (izidakamizwa ezingabhubhisiyo)
- aspirin
- corticosteroids yomlomo
- injected steroids
- iziyobisi ze-cytotoxic
Akukho si gulane kwisifundo esake sasiye kwi-anti-TNF.
Izigulane zeLymphoma ekufundweni ziye zavavanywa ne-Epstein-Barr virus.
Iziphumo zophando lweLymphoma
- Umsebenzi ophezulu we-rheumatoid arthritis ohambelana nokunyuka kwama-8 kwengozi ye-lymphoma xa kuthelekiswa nomsebenzi we-arthritis ophantsi we-rheumatoid.
- Umsebenzi ophezulu we-rheumatoid arthritis wahlanganiswa nokunyuka kwamaxesha angama-70 kwingozi yecymphoma.
- Umngcipheko ophezulu we-lymphoma wawudibene nomonakalo omkhulu ohlangeneyo ezandleni, ezinyaweni kunye namadolo aphawulwe kwingxelo yonyango yesigulane kunyaka ophelileyo ngaphambi kokuba ufumane i-lymphoma.
- Iipesenti ezingama-70 zazo zonke izigulane kwisifundo (i-lymphoma ne-lymphoma-free controls) zithathe i-DMARD, kuquka i-methotrexate.
- Iziphumo zophando azibonanga ukwanda komngcipheko we-lymphoma ezixhomekeke kwi-DMARD, i-NSAID, i-aspirin, okanye i-steroids.
- Umngcipheko we-Lymphoma wawuphantsi phakathi kwezigulane ezafumana ama-injections e-steroid rhoqo kwiindawo zawo.
- Ngonyango lwezokwelapha oluhlalutyiweyo kwisifundo, i- Imuran kuphela (azathioprine) , engasetshenziswanga i-DMARD yesifo se-rheumatoid arthritis, yabonisa umbutho kunye nomngcipheko we-lymphoma.
Isifundo seLymphoma - Isiphetho
Abaphengululi baphetha ukuba izigulane ezinesifo esiyingozi kakhulu se-rheumatoid arthritis esinexesha elide, ukuvuvukala ngokukodwa kukungozi enkulu yokuphuhlisa i-lymphoma. Ukuqhaqhazeka okungapheliyo kwaye kungabikho unyango oluchasayo lubonakala ludibene nomngcipheko we-lymphoma kwizigulane ze-rheumatoid arthritis. Ekuqaleni, unyango olunefuthe lokulawula ukuvutha kubalulekile.
> Umthombo:
> "Ukuqonda ezintsha kwikhonkco phakathi kwe-rhyumineid arthritis kunye nomhlaza" EurekAlert; I-Arthritis & Rheumatism, ngoMatshi 2006