Gender uye Rudzi Rwuchiwedzera Lupus Risk
Kunyange zvazvo systic lupus erythematosus (SLE) inokanganisa varume nevakadzi vezera rose, kuchinja kwechikwata kune vakadzi - uye kunyanya kune ivo vashoma. Kune huwandu hunotungamirira zvinhu, tsanangudzo dzaro dzinoramba dzichizviratidza pachavo kuburikidza negwaro rekuvhiringidza rinonzi "Lupus mu Minorities: Nature Versus Nurture," kana kuongorora kweLUMINA.
Recap: Ndiani Anowana Lupus
Maererano neLupus Foundation yeAmerica, kubva kune mamiriyoni mashanu eAmerica akabatwa neimwe nzira ye lupus , 90% yeavo vanoonekwa kuti ndevakadzi, vazhinji vavo vari pakati pemakore 15 kusvika ku45.
Uyezve, maererano neCDC, lupus inowanikwa katatu kana katatu yakawanda pakati pevanhu vemavara, kusanganisira vaAfrica veAmerican, vanhu veSpain, vaAsia, uye vaIndia vokuAmerica. Muzvikamu zvishoma, lupus kazhinji inoratidza zvakawanda kare uye yakaipisisa kudarika zviratidzo zvepakati uye pamwe nekufa kwepamusoro. Kunyanya, chiyero chekufa kwevanhu vane lupus chinoda kusvika katatu kupfuura vaAfrica veAmerica kupfuura vatsvene.
Kune huwandu hwehuwandu hwehupi hukuvara nekuputsika kwepvo pamwe nemararamiro epamwoyo muSpain vakadzi vane lupus uye kuwedzerwa kwezvirwere zvehupenzi zvakadai sekugumburwa, kuora ropa, uye kurwisa pakati pevakadzi veAfrica -America vane lupus.
Mubvunzo ndewokuti, sei kusaenzana kwakadaro?
Chidzidzo cheLUMINA:
Muna 1993, vaongorori vezvokurapa vakaronga kuti vaone kuti nei pakanga pasina kupesana kwakadaro pakati pe lupus mu Whites uye lupus kuvanhu vemavara. Vaya vatsvakurudzi vakataura pamusoro pemubvunzo wezvisikwa nekuenzanisa.
Chigumisiro chacho chaiva cheLumina Study.
Iko LUMINA Chidzidzo chaive nemarudzi akawanda eUnited States kutanga boka, zvichireva kuti vanotsvakurudza vakaongorora madzinza akasiyana-siyana - munyaya ino African-Americans, Caucasians uye Hispanics - vanobva kuUnited States avo vakaonekwa vane lupus kwemakore mashanu kana kuti vashomanana. Kuongorora kweboka kune imwe nzira yekudzidza kwenguva refu yakashandiswa mukurapa uye mune zvemagariro evanhu.
Zvimwe zvinokurudzira zvinhu zvakabatana nekusawirirana pakati pevatori vechidzidzo vaisanganisira zvinotevera:
- Zvibvumirano zvekukurukurirana (zvakadai semitauro yakasiyana)
- Kusakwanisa kugona kutarisirwa
- Kutadza kwehutano hwekuchengetedza
- Zvikamu zvepasi zvishoma.
Zvinotsvakurudzwa nevatsvakurudza kare kare ndezvokuti zvizvarwa nezvizvarwa, kana zvikonzero zvechisikigo, zvinoita basa guru pakugadzirisa lupus kupararira pane zvekugadzirisa hutano hwevanhu. Uyezve, chidzidzo chacho chinoratidza kuti mageneti angave ari chinhu chikuru chinosunungura chikonzero nei lupus inoshungurudza vanhu veAfrica veAmerican nevakadzi veSpain kupfuura vamwe vanhu vemavara.
Zvimwe zvakawanikwa kubva kuLUMINA kuongorora:
- Lupus varwere veMastia uye veAfrica -America vane zvirwere zvakawanda zvinoshandiswa panguva yekuongororwa, uye ine humwe hutano hwehutano hwemutambo.
- Va Whites vaiva nepamusoro pehupenyu hwemagariro evanhu uye vakwegura kupfuura vamwe vanhu veSpain kana veAfrica America.
- Kufananidzira kwakakosha kwemuitiro wezvirwere mumapoka maviri aya maiva nemhando dzakadai sezviito zvisingawanzo zvirwere-zvine chokuita.
- Sezvo nguva yakapfuura, mhirizhonga yakawanda yakanyanya kuipa kune mapoka maviri maduku kupfuura aya kune vatsvene, kunyange zvazvo kusiyana kwakange kusingaverengeki.
- Chiito chezvirwere chakave sechiitiko chinokosha chekufa kweboka iri revarwere. Inopesana nemabasa ekudzivirira chirwere, Va Whites vakaratidzira vanhu vashoma vanofa kunze kwevanhu vokuSpain kana veAfrica.
Makumi gumi mushure mekudzidza kweLUMINA
Muna 2003, masayendisiti achidzokorora chidzidzo cheLUMINA makore gumi gare gare akasvika pane zvinonakidza zvirevo:
- Lupus inowedzera inowedzera zvikuru muAfrica America uye Hispanics kubva kuTexas kupfuura iyo inonzi Whites uye Hispanics inobva kuPuerto Rico.
- Varwere ivavo vakanga vasina inshuwarhu yehutano vakawana acute lupus rose uye vakaratidza dzimwe genetics (HLA-DRB1 * 01 (DR1) uye C4A * 3 alleles) yakanga ine lupus yakawanda.
- Kuoma kwekukuvadza kune nhengo dzinokonzerwa ne lupus kana zvinokanganisa migumisiro ye lupus inogona kufanirwa zvichienderana nezera, nhamba yeAmerican College yeRheumatology criteria inosangana, chirwere chekuita, corticosteroid kushandiswa, uye maitiro asina kukodzera ekurwara.
- Zvizhinji zvinoratidzira : Chimwe chezvinhu zvinokosha pakusarudza kufa ndeyekuti munhu airemekedze mari nezvekushaya urombo . Vanhu vane lupus avo vaiva varombo mune zvemari vaisakwanisa kufa ne lupus kana zvinetso zvinokonzerwa nechirwere ichi, chikamu pamusana pokusagona kusvika kune hutano.
Mashoko anobva mukutora kwemakore gumi achashandiswa kurondedzera mberi mumamiriro ezvinhu kana kuti kubatsira mubvunzo uye anogona kupa nzira itsva dzekutarisa uye kubvisa kusagadzikana kwehutano muUnited States.
Sources:
Ndiani Anowana Lupus? Lupus Research Institute. December 2007.
Kuwanda kwevanhu kuLupus Lupus Foundation yeAmerica. December 2007.
Unoita Mumiriri wePastia neAfrica -America Kubatana nemukana weLupus Zvakaipisisa Zvirwere kupfuura Vashandi vane Lupus kubva kune vamwe Vaparidzi? The LUMINA Study Lupus Foundation of America. September 1999.
Chii chatakadzidza kubva kune chiitiko chemakore gumi nemufananidzo (Lupus mu Minorities; Kusika kana kurwisa) boka? Tiri kuenda kupi? Autoimmunity Reviews, Volume 3, Issue 4, June 2004, Mapeji 321-329. América G. Uribe, Gerald McGwin, John D. Reveille naGraciela S. Alarcón.