Izifundo ezimbili Ukuhlola Umjaho ku-MS
Umqondo wokuthi abantu base-Afrika baseMelika banengozini encane yokuthuthukisa i-MS kuyinkolelo engalungile. Eqinisweni, ucwaningo lwamuva lubonisa ukuthi abesifazane base-Afrika-Amamerica (hhayi amadoda) banengozi enkulu yokuthuthukisa i-MS, kanti ochwepheshe abaqiniseki ukuthi kungani.
Abesifazane base-Afrika nabamaMelika banengozini ephakeme
Esifundweni se-2013 ku- Neurology, abantu abangu-496 bafundela nge-MS. Kulabo bantu, amaphesenti angu-37.5 ayengamaCaucasi kanti amaphesenti angu-10,4 ayengama-African-American.
Ucwaningo lwathola ukuthi ama-Afrika aseMelika ayenamaphesenti angama-47 akhula amathuba okuba ne-MS, uma eqhathaniswa neCaucasians-kodwa le ngozi engaphezulu yayitholakala kuphela kwabesifazane, hhayi amadoda. Ngokubanzi, isifundo asizange sithole ukuthi abase-Afrika baseMelika basebenomngcipheko we-MS kunabaseCaucasus.
Ucwaningo lwathola nokuthi abantu baseSpanishi babenengozi engaphansi kwamaphesenti angu-50 uma kuqhathaniswa nabantu baseCaucasus, kanti abantu base-Asia babenengozini engaphansi kwama-80. (Lokhu kutholakala kokubili amadoda nabesifazane).
Ukungafani Okuhlukile Kwezomhlanga ku-MS
Ucwaningo luka-2004 lwe- Neurology lwaqhathanisa nabantu abangu-375 base-Afrika-baseMelika kulabo abangama-427 baseCaucasia abane-MS. Amaqembu afanayo afana nesilinganiso samadoda kuya kwabesifazane namanani abantu abanezinhlobo ezahlukene ze-MS. Kodwa-ke, abahlanganyeli bahluke emigqeni yobandlululo ezindaweni ezilandelayo:
- Isikhathi sokuxilongwa: Amaqembu ahluke ekutheni kuthatha isikhathi esingakanani ukutholakala ngemva kokuqala ukuthola izimpawu ze-MS . Abahlanganyeli base-Afrika nabamaMelika bathola ukuthi cishe ngonyaka ngemuva kokuqala kwesifo, kuyilapho abahlanganyeli baseCaucasus bethola ukuthi sekuyiminyaka emibili emva kokuba izimpawu zabo ziqale. Enye inkulumo ehlongozwayo kulolu cwaningo ukuthi abahlanganyeli base-Afrika nabamaMelika bahlangabezana nezimpawu ezinzima kakhulu, okwaholela ekuhloleni okusheshayo.
- Izimpawu Zokuqala: Abahlanganyeli base-Afrika nabamaMelika bavame ukuba nezibonakaliso eziningi ezihlukahlukene lapho izifo ziqala, ezibangelwa izilonda eziningi ezindaweni ezahlukene ohlelweni lwezinzwa ezisemkhatsini kunezakhamuzi zaseCaucasus. Kodwa-ke, cishe amaphesenti angu-18 abahlanganyeli base-Afrika nabamaMelika babe nezimpawu ezivimbelwe izinzwa zomzimba nomgogodla, kuyilapho amaphesenti ayisishiyagalombili kuphela abahlanganyeli baseCaucasia babe nezilonda kulezi zindawo. Ngaphezu kwalokho, abahlanganyeli baseCaucasus ekutadisheni babe nethuba lokuthola izilonda ebuchosheni babo.
- Qala Ukwelapha Ngokushesha: Abase- Afrika baseMelika baqala ukwelashwa ngesifo sokuguqula isifo cishe eminyakeni engaba ngu-6 emva kokuqala kwezimpawu, uma kuqhathaniswa neminyaka engu-8 eqa phakathi kokuqala kwezimpawu nokuqala ukwelashwa eqenjini laseCaucasia. Ngokufana nokutholakala ngokushesha ngokushesha ngemva kokuba izibonakaliso ziqale, kwakucatshangelwa ukuthi mhlawumbe abahlanganyeli base-Afrika nabamaMelika babebhekene nezimpawu ezikhudlwana noma ezikhubaza futhi lokhu kwaholela odokotela babo batusa ukwelashwa ekuqaleni.
- Ukwahlukana Kokuhamba: Kusukela kulolu cwaningo, kubonakala sengathi abase-Afrika baseMelika babengamathuba amaningi okuthuthukisa izinkinga zokuhamba kuneziCaucasus. Kwakukhona ingozi enkulu engama-1.67 ukuthi abahlanganyeli base-Afrika nabamaMelika bazogcina badinga umhlanga ukuhamba. Lokhu kwenzeka eminyakeni engaba ngu-6 ngaphambili kwenkampani yase-Afrika-American kuneqembu laseCaucasian (emva kweminyaka engu-16 vs vs 22).
- Ukuthuthukisa i-SPMS: Abahlanganyeli base-Afrika nabamaMelika nabo bathuthukile kusukela ekubuyiseleni i-MS kumama-SEC okuqhubekayo eminyakeni emithathu kakhulu kunabalingani baseCaucasian (iminyaka engu-18 no-22 iminyaka).
Izwi kusuka
Okubalulekile lapha ukuthi i-MS ivela eziningi zamaqembu ezizwe ezihlanganisa ama-Afrika-aseMelika, amaCaucasian kanye nama-Hispanics.
Lokho kuthiwa, kukhona ukuhlukana phakathi kwamaqembu, njengengozi yabo yokuthuthukisa isifo nezifundo zezifo.
Ucwaningo lwakamuva lwembula ukuthi abesifazane base-Afrika-Amamerica banethuba eliphakeme lokuthuthukisa i-MS (uma kuqhathaniswa neCaucasus) kunalokho okuphakanyisiwe ngaphambilini. Izizathu zalokhu azicaci ngokuphelele. Kungaba inhlanganisela yamahomoni, izakhi zofuzo, kanye / noma izimo eziphilayo ezifana nokubhema, ukukhuluphala, noma ukuntuleka kwe-vitamin D. Njengoba ucwaningo luqhubeka nokuguquka, ukuqonda umehluko wobuhlanga ku-MS ngokuqinisekile kuzosenza sisondele ekuqondeni imbangela (s) ye-MS.
Imithombo:
I-Cree BA et al. Izimpawu zomtholampilo zabase-Afrika baseMelika baseMelika baseCaucasus abanama-multiple sclerosis. I-Neurology . 2004 Dec 14; 63 (11): 2039-45.
Langer-Gould A, Brara SM, Beaber BE, Zhang JL. Isimo se-multiple sclerosis emaqenjini amaningi nezinhlanga. I-Neurology. 2013 Meyi 7; 80 (19): 1734-9.
> National MS Society. Ubani othola i-MS?
> Ehlelwe nguDkt. Colleen Doherty, ngo-September 2016.