Yini Ebangelwa Ingozi Ekhulayo?
Ingozi eyengeziwe yokwelapha i-lymphoma iye yahlotshaniswa nesifo samathambo esibizwa ngokuthi i- rheumatoid arthritis (RA) . Ucwaningo oluningi luye lwahlanganisa lezi zimo ezimbili kodwa alukacaci ngokuphelele ukuthi umsebenzi wezifo noma izifo ezisebenzisayo ukulwa nesifo samathambo ezibangelwa isifo samathambo kubangela ingozi enkulu ye-lymphoma.
Abacwaningi Bafuna Izimpendulo Kwingozi Ye-Lymphoma Ngeziguli Ze-Arthritis Ye-Rheumatoid
I-lymphoma ingumdlavuza wesimiso se-lymphatic (i-lymph nodes, i-spleen, nezinye izitho zamasosha omzimba).
Ukuxhuma phakathi kwengozi eyengeziwe yokwelashwa kwe-lymphoma kwiziguli zesifo se-rheumatoid arthritis kuphazamisa abacwaningi, odokotela, neziguli. Imibuzo engaphenduliwe isala:
- Ingabe ezinye izifo ze-rheumatoid arthritis zikhona engozini enkulu kunezinye zokuthuthukisa i-lymphoma?
- Ingabe imithi ethile noma imithi yokwelashwa kwesifo se-rheumatoid ibangela ingozi eyengeziwe yokuthuthukisa i-lymphoma?
- Uma kubangelwa ukwelashwa kungenzeka yini ukuxhumanisa ingozi ekhuphuka ye-lymphoma eklasini elithile lezidakamizwa zamagciwane?
Abacwaningi eSweden Benza Isifundo Esikhulu
Abacwaningi eSweden baye baqhuba isifundo esikhulu kunazo zonke kuze kube manje ngomzamo wokuthola izimpendulo zale mibuzo. Abacwaningi bathola amarekhodi wezokwelapha kanye nemlando yeziguli ezingama-378 ze-rheumatoid arthritis ezathuthukisa i-malignant lymphoma phakathi kuka-1964 no-1995.
Iziguli zikhethiwe kusuka kwirejista kazwelonke yeziguli ezingama-75,000 ze-rheumatoid arthritis. Iziguli ezingama-378 ze-rheumatoid arthritis ezaziphethe i-lymphoma ezinobuthi zazifaniswa neziguli ezingama-378 zesifo sofuba se-rheumatoid esizikhandla njengezilawuli ezingenalo i-lymphoma.
Ukusebenzisa ukuhlaziywa kwezibalo izingozi ezihlobene noma izilinganiso ezibhekene ne-lymphoma zihlolwe umsebenzi ophansi, ophakathi noma ophezulu ohambisana nesifo samathambo. Umsebenzi wezifo wawusekelwe esikhathini sokugula nokubala okubumbene nokuthembisa. Izilinganiso zezilinganiso zihlolwe ngezigaba zokwelashwa ezilandelayo:
- I-DMARD (izidakamizwa eziguqula izifo ezilwa namagciwane)
- Ama-NSAID (izidakamizwa ezingezona ukuvuvukala)
- i-aspirin
- corticosteroids yomlomo
- injected steroids
- izidakamizwa ze-cytotoxic
Asikho isiguli esifundweni esake saba khona kumuthi we-anti-TNF.
Iziguli ze-Lymphoma kulesi sifundo nazo zahlolwa i-Epstein-Barr virus.
Imiphumela Yokufunda Lymphoma
- Umsebenzi we-arthritis wesifo esiphakathi we-rheumatoid uhambisana nokukhuphuka kwama-8 kwengozi ye-lymphoma uma kuqhathaniswa nomsebenzi ophansi we-arthritis we-rheumatoid.
- Umsebenzi we-arthritis ophezulu we-rheumatoid wahlotshaniswa nokwanda kwama-70 kwengozi ye-lymphoma.
- Ingozi eyengeziwe yokwelapha i-lymphoma yayihlotshaniswa nokulimala okuhlangene ezandleni, ezinyaweni nasemadolweni okuqoshiwe kwirekhodi lezokwelapha zesiguli ngonyaka odlule ngaphambi kokuba kutholakale ukuthi une-lymphoma.
- Amaphesenti angaphezu kuka-70 azo zonke iziguli ezisesifundweni (ukulawula i-lymphoma ne-lymphoma-free) zithathe i-DMARD, kuhlanganise ne-methotrexate.
- Imiphumela yokufunda ayikhombisi ingozi ye-lymphoma ehlanganiswe nama-DMARD, ama-NSAID, i-aspirin, noma i-steroids.
- Umngcipheko we-Lymphoma wawuphansi phakathi kweziguli ezazithola izijovo eziningi ze-steroid emajoyini abo.
- Ezokwelapha ezihlaziywe ocwaningweni, i- Imuran kuphela (azathioprine) , engasasetshenziselwa i-DMARD yesifo se-rheumatoid arthritis, yabonisa ukuhlangana nomngcipheko we-lymphoma.
Isifundo Lymphoma - Isiphetho
Abacwaningi baphetha ngokuthi iziguli ezine-arthritis enesifo esiyingozi kakhulu eziye zahlala isikhathi eside, ukuvuvukala okusebenzayo kuyingozi enkulu kakhulu yokuthuthukisa i-lymphoma. Ukuvuvukala okungapheli futhi hhayi ukwelashwa okulwa nokuvuvukala kubonakala sengathi kuxhunywe engozini ye-lymphoma kwiziguli ze-rheumatoid arthritis. Ekuqaleni, ukwelashwa okunamandla ukulawula ukuvuvukala kubalulekile kubalulekile.
> Umthombo:
> "Ukuqonda okusha kulesi sixhumanisi phakathi kwe-arthritis ye-rheumatoid nomdlavuza" EurekAlert; I-arthritis ne-Rheumatism, ngoMashi 2006