Ongororo ichangobva kuwanikwa yakawana pangozi duku asi inowanikwa uye inowedzera yakawanda ye lymphoma uye mamwe maviri emukenza muvarwere vane psoriasis. Asi, pangava nezvimwe kune nyaya ino kupfuura inosangana neziso.
Psoriasis
Psoriasis ndechimwe chezvirwere zveganda zvinowanzojairika, zvinosanganiswa nezviratidzo zvakadai sokucheka, kurwadziwa, kana kubuda ropa. Iyo inobatanidza nzvimbo dzeganda dzinoita sedzakatsvuka, dzakasimudza nzvimbo dzinonzi plaques, iyo inogona kuvharwa nekanyanya kuvhara silvery.
Nzira dzakasiyana-siyana dze psoriasis dzinogona kunge dzakasiyana-siyana uye maitiro akasiyana echiganda.
Psoriasis inofungidzirwa sehutachiona hwehutachiona hwemamiriro ezvinhu , iyo inogona kunge inobatsira-uye yakagoverana nengozi zvinhu pamwe-nedzimwe zvirwere, kusanganisira zvimwe zvinonyadzisa. Uye vanhu vane psoriasis vanoita sevanobatana nevamwe, zvirwere zvingangodaro zvinokonzerwa pane zvinotarisirwa zvichienderana nhamba kubva kuvanhu vazhinji, kusanganisira:
- Psoriatic arthritis
- Chirwere cheCrohn
- Zvimwe zvinyorwa
- Kuora mwoyo
- Nonalcoholic fatty chiropa chirwere
- Metabolic syndrome uye matambudziko emwoyo
Lymphoma
Lymphoma chirwere chinokanganisa lymphocytes, rudzi rwechichena chemuviri weropa rinowanikwa muropa uyewo riri mune mafupa emarara uye lymph nodes . Hodgkin's lymphoma, kana HL, uye isiri Hodgkin's lymphoma , kana kuti NHL, ndiwo mapoka makuru maviri e-lymphoma.
Nokuti lymphocytes chikamu chemuviri wechirwere chemuviri, vatsvakurudzi vakashamisika nezvehukama huripo pakati pezvirwere zvemumune uye lymphoma.
Kusvikira iye zvino, vanoramba vachiedza kunzwisisa hukama pakati pezviviri.
Psoriasis & Lymphoma: The Link
IAmerican Cancer Society (ACS) haisi kunyora psoriasis panguva ino chaiyo sechinhu chinokonzera lymphoma. Vanoita, zvisinei, vanobatanidza zvirwere zvekuzvimirira mumatambudziko avo eNHL, vachitaura rheumatoid arthritis uye systemic lupus erythematosus semuenzaniso.
Rheumatoid arthritis, psoriasis, uye zvirwere zvinoputira zvirwere (IBD) zvose zvakaratidzwa kuti zvinosanganiswa nehuwandu hwekuita lymphoma kune vamwe, asi kwete zvidzidzo zvose.
Kushandiswa kwezvirwere zvekudzivirira muviri muzvirwere zvinogona kuita kuti lymphocytes iwedzere uye iparadzanise kakawanda kupfuura yakasvibirira, inogona kuwedzera mungozi yekurwma. Sezvo ACS ichitaura, zvakadaro, vanhu vanowana NHL vanogona kunge vane zvishoma kana kuti hapana kuzivikanwa pangozi; uye kunyange kana munhu ane NHL ane chimwe kana zvimwe zvinokonzera njodzi, kazhinji kazhinji zvakaoma kuziva kuti zvinhu izvi zvingave zvakaita sei ku lymphoma.
Kuwedzerwa kwemazinga e-lymphoma kwave kuri kuziviswa mune dzinoverengeka zvidzidzo zvevarwere vane psoriasis. Uye mungozi ye lymphoma nemasikirwo emagetsi, kazhinji, ave ari hurukuro yenyaya huru. Biologic agents vane basa mukurapa zvirwere se rheumatoid arthritis uye psoriasis. Kunyange zvazvo vakaratidzirwa kunge vakachengeteka, vanoshanda nekudzivisa simba rekudzivirirwa kwezvirwere zvezvirwere zvezvirwere zvezvirwere-saka pane kunetseka kuti izvi zvinogona kukonzera njodzi kune dzimwe kenza.
Ikoko kunogona kuwedzera kuwedzerwa kwekenza yekenza yakadai se lymphoma kune vanhu vane psoriasis, asi kune matambudziko akawanda mukudzidza rudzi urwu rwekubatanidza:
- Kunyange zvazvo lymphoma inonyanya kukosha kwehutano hwehutano, inowanzoita zvisinganzwisisiki yakaenzaniswa ne psoriasis, iyo yakaita kuti zvive nyore kuwana nhamba dzakakwana zvakakwana kuti dziongorore.
- Kuva ne psoriasis inowanzobatanidzwa nezvinhu zvakasiyana-siyana, zvakadai sekusvuta, kuneta, uye ultraviolet therapy uye zvinodhaka zvinoderedza masimba ezvirwere. Izvi zvinogona kuwedzera mungozi ye-lymphoma nemamwe makondombera, asingabatanidzi psoriasis pachake.
Munguva pfupi yapfuura, vatsvakurudzi vakaongorora zvinyorwa kubva muna 198,366 varwere vane psoriasis uye 937 716 vasina psoriasis vachishandisa database yeUnited Kingdom. Mhinduro yakaratidza kuti pane zvishoma asi "zvinyorwa zvechokwadi" yakawedzerwa njodzi yekange isina-melanoma yechirwere cheganda, lymphoma, uye mapapu emapapu muvanhu vaive ne psoriasis.
Ava vanotsvakurudza vakawana kuti kenza yekenza yakanga yakanyanya kudarika kune varwere avo vairondedzerwa sevari kuva ne-modori-to-severe-psoriasis kusiyana nezvirwere zvishoma. Pakanga pasina hukama hunokosha pakati pe psoriasis nekenza yezamu, koni, prostate, kana leukemia, zvakadaro.
Kunyanya ichangopfuura, vanachiremba vanobva kuCentral for Dermatology Research ku Wake Forest School of Medicine muWinston-Salem, North Carolina vakaita chidzidzo chakafanana. Vakataura kuti psoriasis inobatanidza nemamwe mhando dzakawanda dzoutano kana comorbidities.
Vaionawo kuti kuyerwa kwechiitiko kubva ku psoriasis-kazhinji kunoparidzirwa kuvanachiremba uye nevarwere sehuwandu hwehuwandu-hungave husingaenzaniswi. Kunyange zvazvo ngozi yakawanda inogona kubatsira, vanyori vakafunga kuti kufunga nezvezvipingamupinyi muhutano, panzvimbo yekutaura kwakakwana, kunowanzoita kuti vanhu vafunge nezvemaitiro e psoriasis.
Nokudaro, boka rekutsvakurudza rakaronga kuverenga mungozi yakakwana inokonzerwa ne psoriasis yezvirwere zvakasiyana-siyana. Mamiriro ezvinhu akabatanidzwa nemaporioriasis akanyanya kusimba (ane pangozi yakakura yepamuviri) akanga ari kanamusi yeganda rekunamanoma, melanoma, uye lymphoma sezvinoonekwa pano:
Dendaase Relative Risk Psoriasis-Risk Nhamba yevarwere
Kenza yeganda 7.5 0.64 1,551
Melanoma 6.12 0.05 29,135
Lymphoma 3.61 0.17 5,823
* Kuti ataure imwe nyaya ye lymphoma ku psoriasis, chiremba aifanira kuona varwere 5 823 vane psoriasis.
Sources:
Saleem M, Kesty C, Feldman S. Kuenzanisa nehuwandu hwehutano hwemagidhi muvarwere vane psoriasis. J Am Acad Dermatol . 2016 Dec 13. pii: S0190-9622.
Fuxench ZC, Shin DB, Beatty AO, Gelfand JM. Ngozi yekenza mune varwere vane psoriasis: vanhu vanoongorora boka rekudzidzisa muHurumende Improvement Network [yakabudiswa paIndaneti mberi kwekudhinda December 16, 2015]. JAMA Oncol.
Boehncke WH, Boehncke S. Kupfuura ganda-rakadzika: huwandu hwakawanda hwechirwere cheporiori. Swiss Med Wkly. 2014; 144: w13968.