I-Hodgkin lymphoma ibilokhu iyingxenye yalezo zomshukela lapho kungekho okuningi okuqondwa khona ngenxa yesibindi se-lymphoma. Into eyaziwa yodwa ebonakala ibalulekile ukuthi isifo nge- Epstein Barr Virus (EBV). Kodwa ucwaningo olusanda kushicilelwa luye lwabonisa ukuthi ukubhema kungaba nengxenye engozini ye-Hodgkin lymphoma.
Isifundo Sithola Ukunyuka Kwengozi Ye-Hodgkin Lymphoma Phakathi Kwabasodi
Ucwaningo olwanyatheliswa encwadini ehamba phambili ngoJanuwari 2007, lubonise ukuthi ukubhema kungaba yinto eholela ekuthuthukiseni i-Hodgkin lymphoma noma okungenani ukwandisa ingozi yayo.
Esicwaningweni esenziwa phakathi kwabagulayo bakaHodgkin lymphoma kanye nabantu abaphilile, izibalo zokubhema nokudla kotshwala zilinganiselwa. Imiphumela yaba mnandi kakhulu:
- Ngokuvamile, ababhemayo bavame ukuba nengozi ephezulu engama-40% yokuthuthukisa i-Hodgkin lymphoma.
- Ingozi yayiphakeme phakathi kwabokubhema bamanje (labo abaye bebhema eminyakeni emibili edlule) kunelabo abayeke ukubhema. Ingozi iyanciphisa izinga elifanayo nabangewona abokubhema eminyakeni eyishumi emva kokuyeka. Lezi zindaba ezinhle zokuziyeka kanye nesizathu sokucabangela ukwenza kanjalo uma ungumuntu obhemayo wamanje.
- Labo abane-Hodgkin lymphoma abane-Epstein Barr Virus (EBV) ukutheleleka kubonakala sengathi banesixhumanisi esinamandla kakhulu nokubhema kunelabo abangenalo i-lymphoma e-EBV engalungile. Lokhu kusikisela ukuthi ukubhema kanye ne-EBV bangase bahlanganyele ekwandiseni amathuba okuthuthukisa i-Hodgkin lymphoma. Asazi ukuthi lokhu kungenziwa kanjani. Kodwa umuntu obhemayo owaziyo ukuthi u-EBV positive unokukhuthaza ngisho nokuyeka ukubhema.
- Kubonakala sengathi akukho ukuhlobana phakathi kokungenisa utshwala neHodgin lymphoma engozini. Lezi zindaba ezinhle kulabo abajabulela ukuphuza okungajwayelekile noma okulinganiselayo.
Ukubuyekezwa Kwezingqinamba Thola Ingozi Ekhulayo Yabokubhema
Ukubuyekezwa kwezifundo kusukela isifundo se-2007 saqhubeka sithola ingozi eyengeziwe phakathi kwababhemayo nge-Hodgkin lymphoma. I-Cancer Research UK ithi itholakala ku-10-15% engozini enkulu kubantu abaye baphuza uma kuqhathaniswa nabantu abangazange bapheze.
Kodwa njengoba kuhlolisiswa ngo-2007, ingozi ihlotshaniswa nabantu abasebenza njengamanje. Kubuye futhi kuxhomeke emithonjeni - uma ubhema ngaphezulu, ingozi yakho iphinda ikhuphuke, futhi uma ubhema kancane, akuyona ephakanyisiwe. Umphumela ubonakala ngezinga elikhulu ngamadoda, ngakho ubulili bubonakala budlala indima. Kubuye kubonakale nakakhulu uma umuntu omdala uthola, okungase ahlobanise nenani leminyaka umuntu obhemayo.
Izindaba ezinhle ukuthi i-Hodgkin lymphoma ebuntwaneni ayinayo ingozi enkulu uma umama ephuza ngesikhathi sokukhulelwa. Nakuba kunezizathu eziningi zokuthi kungani owesifazane okhulelwe engabhemi, ukuphakamisa ingozi yeHodgkin lymphoma kubonakala ingekho.
Le miphumela ingeza omunye umdlavuza ohlwini lwamanqamu ahlobene nokubhema. Uma ubhema, nansi esinye isizathu sokuyeka. Cishe akuyona ohlwini oluphezulu lwezizathu, kodwa uma unomzali, umngane noma isihlobo noHodgkin kungase kube isizathu sokuthi uthathe isinyathelo sokuba yisitoreji.
Imithombo:
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USergentanis TN, Kanavidis P, Michelakos T, et al. Ukubhema ugwayi kanye nengozi ye-lymphoma kubantu abadala: ukuhlaziywa okuphelele kwe-Hodgkin nesifo esingesi-Hodgkin (isixhumanisi singaphandle). I-Eur J Cancer Prev 2013; 22 (2): 131-50.
Kamper-Jørgensen M, uRostgaard K, Glaser SL, et al. Ukubhema ugwayi kanye nengozi ye-Hodgkin lymphoma nama-subtypes ayo: ukuhlaziywa okuhlanganisiwe okuvela ku-International Lymphoma Epidemiology Consortium (InterLymph) (isixhumanisi singaphandle). U-Ann Oncol 2013; 24 (9): 2245-55.
I-Castillo JJ, uDalia S, i-Shum H. Ukuhlaziywa kwe-meta-ukuhlaziywa kobudlelwane phakathi kokubhema ugwayi kanye nezimo ze-Hodgkin's Lymphoma (isixhumanisi singaphandle). J Clin Oncol. 2011; 29 (29): 3900-6.
Antonopoulos CN, Sergentanis TN, Papadopoulou C, et al. Ukubhema komama ngesikhathi sokukhulelwa kanye nengane lymphoma: ukuhlaziywa kwe-meta (isixhumanisi singaphandle). Int J Cancer 2011; 129 (11): 2694-703.