Kwemakore iye zvino, kusiyana kwakasiyana kwe lymphoma pakati pePalestine neVaIsrael vave vachikonzera nguva nenguva blips padhara rekugoverwa kwe lymphoma pasi rose. Izvo zviyero zve lymphoma zvakasiyana chaizvo pakati peIsrael nePalestine? Kana zvakadaro chii chingave chakakonzera kusiyana uku?
Non-Hodgkin Lymphoma Munyika Yose, uye muIsrael
Izvo zvikamu zviviri zvakakura zve lymphoma, kenza yemasero machena e-lymphocyte, iHodgkin lymphoma uye isiri Hodgkin lymphoma , kana NHL.
Pakati pezviviri, NHL ndiyo yakawanda, uye iyo ndiyo iyo yerinopu ​​inokurukurwa pano.
NHL nhamba dzenharaunda dzakawedzera munyika yose kubva muna 1950-2000, chaizvoizvo katatu muchikamu chezera remakore makumi matanhatu nemashanu. Sezvakataurwa muna 2012, Israeri yakanga yakasiyana nekusaremekedzwa kwekutanga munyika yose muhuwandu hwehuwandu hweNHL, uko NHL ndiyo yechishanu inowanzosangana nekenza muIsrael. Yakaparidzirwawo kuti, pavhareji gore roga rega, kana iwe wakatora vanhu 100 000, vanenge 15.7 varume vechiJudha uye 11.8 vakadzi vechiJudha vachakudziridza NHL, asi 10,10 chete uye 10.0 varume nevakadzi vechiArab veIsrayel, pamwe chete, vanoudza chirwere chacho. Kunyange zvazvo mitero yakaderera pakati peArab yeIsrael, kana iwe ukatarisa paRebhanoni, iyo iri pedyo nekuswedera pedyo neIsraeli, inonzi yechipiri munyika yose mumitengo yakakwirira yeNHL, iri shure kweIsrael. Iyo yePalestine Cancer Registry muna 2014 yakashuma kuti NHL yaiva yechinomwe inonyanya kuwanda muWest Bank yePalestina varume uye nepfumbamwe pakati pevakadzi.
Zvisikwa, Zvakatipoteredza, uye Njodzi yeNHL
Chokutanga pane zvose, chii chakakonzera kutengesa kweNHL skyrocket kwemakore makumi mashanu kubva muna 1950 kusvika muna 2000? Uyu mubvunzo wekuti kune maonero mazhinji akasiyana, zvisinei, kune vatsvakurudzi vazhinji, kusimudzirwa kwakasimba kunoratidza kuti zvinhu zvakasikwa zvakasikwa. Zvisinei, mitsara yemamwe marudzi e-lymphomas inofanirwawo kuti yakasiyana nemajini, nhoroondo yemhuri, uye dzinza.
Pane imwe nyaya inonakidza nekuremekedza kuvaIsraeri veIsrael neArab Palestinians mune zvekuti vanomiririra mazita ezvizvarwa uye zvemagariro akasiyana-siyana ari kurarama pedyo nekuswedera pedyo kwenyika. Vanogovana pamwe chete nezvimwe zvinhu, asi vane mararamiro akasiyana-siyana, mararamiro ehutano, uye maitiro ezvoutano.
Achicherechedza kusanganiswa uku kunonakidza, boka revanotsvakurudza, Kleinstern uye vashandi, vakagadzirira kuongorora nhoroondo yezvokurapa, zvakatipoteredza uye mararamiro ehupenyu hweNHL- uye zvakananga NHL inobva kuB-lymphocytes, iyo inowanzoita lymphoma muIsrael nePalestine. Vakatarisa nezvehutano hwehutano, uye varwere chete vane lymphomas avo vakanaka kune CD20 kana mamwe maB-cell mark vaiiswa mubhuku ravo.
Lymphoma muJudhiya vaJudha neArab Palestina
Tsvaga kubva kuongororwa naKleinstern uye vashandi pamwe chete ndevamwe vekutanga kurondedzera mararamiro eNHL kunyanya mukona kadiki, asi yakakosha yekona yenyika. MuUnited States, DLBCL ndiyo inowanzoita lymphoma. Izvozvo ndezvechokwadi kune vose veIsrael nevaArab vePalestina, zvisinei kuti kugoverwa kwemarudzi ose eB-cell NHL yakasiyana.
Ikoko kwakanga kune zvitatu zvakakosha zveB-cell NHL ava vaongorori vaitarisa:
- Kuparadzira guru B-cell lymphoma (DLBCL)
- Follicular lymphoma (FL)
- Mantle zone lymphoma (MZL)
Tichifunga nezvehutano hwehutano, vatsvakurudzi vakawana kuti vaJudha veIsrael vakanga vane maitiro akange akafanana neavo vanowanikwa kuMadokero. Kusiyana neizvi, maArabina ePalestina aiva neDLBCL yakawanda (71 muzana), uye yakareba zviyero zveDLBCL kupfuura muSaudi Arabia (51 muzana) kana Jordani (62 muzana).
Vakatarisawo kuti huwandu hweJorodhani hwakafanana nehutano nehutsika kune maArab Palestina, apo kuongorora muRebhanoni-nyika ine NHL yakakwirira-yakashuma 44 muzana DLBCL, iyo yakafanana nemitengo pakati pevaJudha vechiIsraeri.
Kuronga uye Pesticides
Kuronga semidziyo yekufambisa kwakabatanidzwa neB-cell NHL neDLBCL chete yeArab Palestina. Mamwe maArab vePalestina akachengetwa (47.7 muzana) zvichienderana nehuwandu hwevaJudha (36.7 muzana). Vanyori vakataura kuti vazhinji veWest Bank dzimba dzine minda, yakashandiswa zvikuru pamichero, miti yemiorivhi nemiriwo, uye kwete yemaruva kana mashizha, asi vazhinji vevaIsraeri veIsrael vanogara muzvivakwa zvemba.
Zvinoshamisa, munda wekurima wakanatsanangurwa se "munda wekurimwa" wakabatanidzwa neB-NHL neDLBCL, asi chete yevaIsraeri vechiIsraeri. Vanyori vaifunga kuti kubesa kunogona kuratidza kufanirwa kune zvinouraya mishonga kune vanhu vose, asi vakaona kuti zvimwe zvakasununguka, zvakadai sehudhi yehuvha kuburikidza nekubuda kwezuva zvinogonawo.
Pasi Pasi
Ichi chidzidzo chakakwanisa kurondedzera zvimwe zvekusiyana pakati pevanhu vaviri vanogara vari pedo kune umwe neumwe, uye zvose zvinokonzerwa nemararamiro uye zvakatipoteredza zvakaita sokuti zvinogona kunge zviri kutamba, kusanganisira zvirwere, mararamiro, uye nhoroondo yemhuri.
Ikoko kwakanga kune uchapupu hunoratidza kuti panogona kuva nekusiyana kukuru kwezvikonzero zve B-NHL lymphoma mune izvi vanhu vaviri.
Zvisinei, chimwe chekubudirira kunoshamisa kwekutsvakurudza uku, kuwedzera kune zvaakawana, uyewo pasina mubvunzo kuti chokwadi chakanga chakaumbwa, chakarongeka uye chakanyatsozivikanwa / chakaitwa, chakatorwa zvakanyanyiswa nevanyori mupepeti yekupedzisira:
"Chidzidzo ichi chinoratidza kushanda kwakasiyana-siyana kwesayenzi kunobatanidza vatsva veIsrael nePalestine, uye inoratidza kukosha kwokutsvakurudza kwekushandira pamwe kunyange munzvimbo dzezvematongerwe enyika dzisina chokwadi."
> Sources:
> Kleinstern G, Seir RA, Perlman R, et al. Rudzi rwakasiyana-siyana mune zvehutano uye hupenyu hwehutano hunokonzerwa neB cell kwete Hodgkin lymphoma: A-control control yekudzidza pakati peIsrael nePalestine. PLoS One. 2017; 12 (2): e0171709.
> World Health Organisation.Globocan 2012: Inofungidzirwa nezvechirwere chetachiona, kufa nehuwandu hwepasi pose muna 2012, chokwadi mapepa nekenza.