Chii Chinokonzera Ngozi Yakawedzerwa?
Nengozi yakawedzerwa ye lymphoma yakabatanidzwa neRheumatoid arthritis (RA) . Zvidzidzo zvakasiyana-siyana zvakabatanidza mamiriro maviri aya asi hazvina kumbobvira zvakanyatsojekesa kana chirwere chezviito kana kuti kurapwa kunoshandiswa kurwisa rheumatoid arthritis kunokonzera ngozi yakawanda yerymphoma.
Vatsvakurudzi Vanotsvaga Mhinduro KuLymphoma Ngozi yeRheumatoid Arthritis Patients
Lymphoma ndiyo kenza ye lymphatic system (lymph nodes, spleen, nedzimwe nhengo dzomuviri wechirwere chemuviri).
Kuwirirana pakati pehuwandu hwehutachiwana hwemakirini e rymumine inonzi rheumatoid arthritis varwere vanosangana nevatsvakurudzi, vanachiremba, nevarwere. Mibvunzo isingapindurwi inoramba iripo:
- Pane imwe chirwere chinonzi rheumatoid arthritis varwere vari pangozi yakawanda pane dzimwe dzekuvandudza lymphoma?
- Kune mamwe mishonga kana kurapwa kwerheumatoid arthritis inokonzera ngozi yakawanda yekuvandudza lymphoma?
- Kana iyo inokonzerwa nekurapwa kunogona here kubatanidza kuwedzera kwengozi ye lymphoma kune imwe boka remishonga yeArthritis?
Vanotsvakurudza muSweden Vanoita Chidzidzo Chikuru
Vatsvakurudzi muSweden vakaita chidzidzo chikuru kupfuura ichi mukuedza kuwana mhinduro dzemibvunzo iyi. Vatsvakurudzi vakagamuchira zvinyorwa zvezvokurapa uye nhoroondo dze 378 rheumatoid arthritis varwere vakagadzira malignant lymphoma pakati pa1964 na1995.
Varwere vakasarudzwa kubva mubhuku rehurumende re 75,000 rheumatoid arthritis varwere. Iro88 rheumatoid arthritis varwere vakanga vane chirwere chinouraya chinonzi lymphoma vakafananidzwa kusvika kune 378 chirwere cherumatoid arthritis avo vaishanda seine lymphoma-asingabhadhari.
Kushandisa nhamba yekuongorora tsananguro yehutano kana kukanganiswa kwemaitiro e-lymphoma yakaongororwa kune zvakaderera, zvepakati, kana yepamusoro zvirwere zvinosanganiswa ne rheumatoid arthritis. Chiito chezvirwere chaive chakavakirwa pakureba kwezvirwere uye kuvhuvhuta uye kunyorovedzana kunowanikwa. Odds ratios dzakaongororwa nekuda kwezvipatara zvinotevera:
- DMARDs (chirwere-chinorwisa anti-rheumatic drugs)
- NSAIDs (nonsteroidal anti-inflammatory drugs)
- aspirin
- oral corticosteroids
- injected steroids
- cytotoxic madawa
Hapana ane murwere muzvidzidzo akambove ane anti-TNF zvinodhaka.
Lymphoma varwere mukudzidza vakaedza zvakare kuEppstein-Barr HIV.
Lymphoma Zvidzidzo Zvitsva
- Chirwere chepachiramu chinonzi arthritis chinopindirana neanowedzera huwandu hutatu mumwero we lymphoma kana uchienzaniswa nehutachiona hwehutamende yeArthritis.
- High rheumatoid arthritis basa raibatanidza ne-70-fold inowedzera mungozi ye lymphoma.
- Kuwedzera kwengozi ye lymphoma kwaibatanidza nekubatana kwakakomba kwemaoko mumaoko, tsoka, uye mabvi zvakataurwa muzvinyorwa zvechiremba zvevarwere mukati megore rapera vasati vaongororwa vane lymphoma.
- Vanopfuura 70 muzana yevarwere vose vari kudzidza (lymphoma uye lymphoma-free control) vakanga vatora DMARD, kusanganisira methotrexate.
- Chidzidzo chekudzidza chakanga chisina kuwedzera lymphoma ngozi yaisanganiswa neDMARDs, NSAIDs, aspirin, kana steroids.
- Dambudziko reLymphoma rakanga rakaderera pakati pevarwere vakagamuchira kazhinji steroid majojo muzvikamu zvavo.
- Pamakororo ekurapa akaongororwa muchidzidzo, Imuran chete (azathioprine) , iyo isisiri zvakare inoshandiswa DMARD ye rheumatoid arthritis, yakaratidza kushamwaridzana nekuwedzera kwerima.
Lymphoma Chidzidzo - Mhedziso
Vatsvakurudzi vakapedzisa kuti varwere vane rheumatoid arthritis yakaoma avo vakaramba vachiwedzera, kuputika kwakasimba kune ngozi yakanyanya yekukudziridza lymphoma. Kurwara kwenguva refu uye kwete zvirwere zvinopesana nokuputika zvinoratidzika kunge zvakabatana nechirwere che lymphoma mu rheumatoid arthritis patients. Pakutanga, kurapwa kwehasha kunodzora kutuka zvakajeka zvakakosha.
> Kwakabva:
> "Tsanangudzo itsva muhubatanidza hutachiwana arthritis nekenza" EurekAlert; Arthritis & Rheumatism, March 2006