Sekuyiminyaka manje, amanani ahlukene e- lymphoma phakathi kwamaPalestina nama-Israyeli ayelokhu ebangela ukuqhuma ngezikhathi ezithile kwi-radar ekusakazweni kwe-lymphoma emhlabeni jikelele. Ingabe amazinga e-lymphoma ahluke ngempela phakathi kwama-Israyeli nama-Palestinians? Uma kunjalo yini ongayibika ngalezi zinguhluko?
I-Non-Hodgkin Lymphoma Emhlabeni Wonke, naku-Israyeli
Izigaba ezimbili eziyinhloko ze-lymphoma, umdlavuza we-lymphocyte-amangqamuzana egazi omhlophe, yi- Hodgkin lymphoma non-Hodgkin lymphoma , noma i-NHL.
Kulaba ababili, i-NHL iyinto evamile kakhulu, futhi yilona uhlobo lwe-lymphoma echazwe lapha.
Izibalo ze-NHL zenyuka emhlabeni jikelele kusukela ngo-1950-2000, empeleni zihamba kathathu eqenjini lobudala elingaphezu kuka-65. Njengoba kubikwa ngo-2012, u-Israyeli waba nokuhlukaniswa okungahlonishwayo kokuqala emhlabeni emazingeni e-NHL, lapho i-NHL ingumdlavuza wesihlanu ovamile kakhulu kwa-Israyeli. Kwabikwa futhi ukuthi, ngokulingana ngonyaka, uma uthatha abantu abayi-100 000, cishe ama-15.7 amadoda angamaJuda nabangu-11,8 besifazane abangamaJuda bayokwakha i-NHL, kuyilapho kuphela ama-10.4 no-10.0 ama-Arabhu abesilisa nabesifazane abakwa-Israyeli, ngokulandelanayo, bahlakulele lesi sifo. Nakuba amazinga aphansi phakathi kwama-Arabhu akwa-Israyeli, uma ubheka iLebhanoni, eliseduze kwase-Israel, zibekwe eceleni kwesibili emazingeni aphakeme kakhulu e-NHL, ngemuva kuka-Israyeli. I-Registry Cancer Registry ngo-2014 ibike ukuthi i-NHL yiyona eyisikhombisa ejwayelekile kunazo zonke amadoda ase-West Bank asePalestina kanye nesishiyagalolunye phakathi kwabesifazane.
Izidalwa, i-Environment, kanye noHlelo lwe-NHL
Okokuqala, yini eyabangela amazinga we-NHL skyrocket eminyakeni engama-50 kusukela ngo-1950 kuya ku-2000? Lona ngumbuzo lapho kunamathekisthi amaningi ahlukene, nokho, kubacwaningi abaningi, ukuphakama kuphakamisa kakhulu izici zemvelo. Kodwa-ke, amanani ezinhlobo ezithile zama-lymphomas nawo akholelwa ukuthi ahluke ngezakhi zofuzo, umlando womndeni kanye nobuhlanga.
Kukhona isimo esithakazelisayo ngokuqondene nama-Israyeli wama-Israyeli nama-Arabistini ase-Arab ngokuthi amelela abantu abahlukahlukene ngokwezakhi zofuzo abahlala endaweni eseduze kakhulu. Belana nge-ecosystem system, kodwa banendlela yokuphila ehlukene, ukuziphatha kwezempilo, nezinhlelo zezokwelapha.
Ukuqaphela lokhu kuhlanganiswa okuthakazelisayo, iqembu labacwaningi, iKleinstern kanye nozakwethu, lihlelwe ukuhlola umlando wezokwelapha, izimo eziyingozi zokuphila kwemvelo nezokuphila ze-NHL- futhi ngokuqondile i-NHL evela ku-B-lymphocytes, uhlobo oluvamile lwe-lymphoma ema-Israyeli nase-Palestinians. Babuye babukeza imibiko yezokwelapha, futhi kuphela iziguli ezine-lymphomas ezithandekayo ze-CD20 noma ezinye izimpawu ze-B zifakiwe ekufundweni kwazo.
I-Lymphoma kumaJuda ase-Israyeli nama-Arabhu asePalestina
Ukuthola okuvela ekutadisheni nguKleinstern nozakwabo kungokuqala ukuchaza amaphethini we-NHL ikakhulukazi kule nkinobho encane, kodwa iphrofayli ephezulu yezwe. E-United States, iDLBCL yi-lymphoma evame kakhulu. Okufanayo nakwamanye amaJuda akwa-Israyeli nama-Arabhu asePalestina, kodwa ukusabalalisa kohlobo ngalunye lwe-B-cell NHL kuhlukile.
Kukhona izigaba ezintathu eziyisisekelo ze-B-cell NHL laba baphandi babheka:
- Ukusakaza i-B-cell lymphoma enkulu (i-DLBCL)
- I-follicular lymphoma (FL)
- Indawo ye-Mantle lymphoma (MZL)
Lapho bebheka imibiko yezokwelapha, abacwaningi bathola ukuthi amaJuda ase-Israyeli ayenamaphethini afana nalawo ajwayelekile eNtshonalanga. Ngokuphambene nalokho, ama-Arabhu asePalestina ayeneDLBCL engaphezulu (amaphesenti angu-71), namanani aphezulu e-DLBCL kunase-Saudi Arabia (amaphesenti angu-51) noma iJordani (ngamaphesenti angu-62).
Baphinde baqaphele ukuthi inani laseJordane lifana nezakhi zofuzo kanye namasiko kuma-Arabhu asePalestina, kuyilapho isifundo eLebhanoni-izwe elinamazinga aphezulu e-NHL-libike ngamaphesenti angu-44 iDLBCL, okufana namazinga phakathi kwamaJuda akwa-Israyeli.
Ukutshala nezidakamizwa
Ukutshala izimbali njengento yokuzilibazisa kwakuhlanganiswe ne-B-cell NHL ne-DLBCL kuphela kuma-Arabhu asePalestina. Ama-Arabhu amaningi asePalestina agcinwe ngezitshalo (amaphesenti angu-47.7) ngokulingana nesibalo samaJuda ase-Israyeli (amaphesenti angu-36.7). Ababhali bathi amakhaya amaningi aseWest Bank anemigodi, esetshenziselwa ikakhulu izithelo, izihlahla zeminqumo kanye nemifino, hhayi izimbali noma utshani, kuyilapho iningi lamaJuda ase-Israyeli lihlala ezindaweni zokuhlala.
Ngokudabukisayo, ukulimala okuchazwe ngokucacile ngokuthi "ingadi yemifino" kuhlanganiswe ne-B-NHL ne-DLBCL, kodwa kumaJuda akwa-Israyeli kuphela. Abalobi babenomuzwa wokuthi ukulima kungabonakalisa ukutholakala kwezibulala-zinambuzane kuzo zombili izilwane, kodwa kwaphawula ukuthi ezinye izinto ezibonakalayo, njenge-radiation UV nge-sun exposure nazo zingenzeka.
Ngaphansi
Lolu cwaningo lwakwazi ukuchaza umehluko phakathi kwabantu ababili abahlala eduze komunye nomunye, futhi zombili izithonya zofuzo nezomvelo kubonakala sengathi zidlala, kufaka phakathi izifo, indlela yokuphila, nokuchayeka komlando womndeni.
Kube nobufakazi bokuthi kungase kube khona umehluko omkhulu ezimbangela ze-B-NHL lymphoma kulaba bantu ababili.
Kodwa-ke, enye impumelelo ebonakalayo yalolu uphenyo, ngaphezu kwalokho okutholakele, futhi nakungangabazeki ukuthi yayithwetshiwe, yahlelwa futhi yafezwa / yafezwa, eyathathwa ngokucophelela ngabalobi ekuphethweni kwephepha:
"Lolu cwaningo lubonisa umzamo oyingqayizivele wesayensi ohlanganisa abaphenyi base-Israel nabasePalestina, futhi ubonisa ukubaluleka kokucwaninga okubambisana ngisho nasezindaweni ezingaqiniseki zezombusazwe."
> Imithombo:
> Kleinstern G, Seir RA, Perlman R, et al. Ukuhluka kwezinhlanga ezenzakalweni zezokwelapha nezokuphila ezibangelwa yi-B cell engeyona i-Hodgkin lymphoma: Ucwaningo lokulawula icala phakathi kwama-Israyeli namaPalestina. PLoS One. 2017; 12 (2): e0171709.
> I-World Health Organization.Globocan 2012: Kulinganiselwa ukuthi umdlavuza wezehlakalo, ukushona nokusabalala emhlabeni wonke ngo-2012, amaphepha amancane ngomdlavuza.