Ukubukeka kwezici zobungozi nezixhumanisi eziqinisekisiwe
Ngaphambi kokufunda ngezimbangela ze- non-Hodgkin lymphoma , noma i-NHL, kubalulekile ukwazi ukuthi kunezinhlobo eziningi ze-NHL.
Zizo zonke izidakamizwa zamangqamuzana egazi omhlophe lymphocyte, kodwa ezimweni eziningi, i-subtypes ye-NHL ihluke ezimpawu zabo, iziguliso kanye nohlobo lwe-lymphocytes ezihilelekile. Izimbangela ezibalulekile ze-NHL nazo kungenzeka zihluke kuye ngokuthi yi- NHL subtype ethize okhuluma ngayo.
Lokho kusho ukuthi ososayensi abahlola i-epidemiology noma amaphethini we-lymphoma basathola kubalulekile ukukhuluma ngezimbangela ezihlukahlukene ezikhona ze-NHL-iphuzu lokuthatha izinyawo ukuthi, uma okuthiwa "ingozi yengozi ye-NHL," noma "ehambisana ne-NHL," lokho akusho ukuthi kuyisici esiyingozi kuzo zonke izinhlobo ezahlukene ze-NHL.
I-Microbial Connection
NjengoHodgkin's lymphoma, i-NHL iye yaxhunyaniswa nezinambuzane eziningi:
- I-Epstein-Barr virus, noma i-EBV, ixhunywe ne-Burkitt lymphoma, i-NHL ejwayelekile kunazo zonke ezinganeni nasebancane emhlabeni jikelele.
- Iziguli ezinegciwane lesandulela ngculaza zihlelwe ezihlukahlukene ze-non-Hodgkin lymphomas. I-Burkitt lymphoma futhi isakaza i-B-cell lymphoma enkulu, noma i-DLBCL, yi-two ye-lymphomas ehambisana ne-HIV evamile.
- Lapho i-Burkitt lymphoma ihlotshaniswa ne-HIV, iziguli ezingaba ngu-30 kuya kwangu-50 ezigulini nazo zi-EBV-positive. Impendulo ye-immune engalungile ngokumelene ne-EBV kubantu abane-HIV kucatshangwa ukuthi ifaka isandla ku-Burkitt lymphoma.
- I-T-cell ye-T-cell i-lymphotropic virus type-1, noma i-HTLV-1, ayidlangalaleni eNyakatho Melika, kodwa iningi ezindaweni zaseJapane, e-Afrika naseCaribbean. I-HTLV-1 ibangela i-Adult T-cell i-leukemia-lymphoma, noma i-ATL, eyi-NHL yama-T-lymphocytes.
- U-Helicobacter pylori , i-bacterium ehlotshaniswa nezilonda esiswini, ingabangela nezinye izifo ezingenalo i-Hodgkin zomuthi wesisu.
- Ukutheleleka kwesifo se-hepatitis C esingajwayelekile kuhlobene ne-B-cell engeyona i-Hodgkin lymphomas.
Isivikelo Sokuzivikela Emzimbeni
I-lymphoma ingumdlavuza we-lymphocytes, futhi i-lymphocytes yizona eziyingxenye esemqoka ohlelweni lomzimba lomzimba. Izimo ezenza buthakathaka isimiso somzimba sokuzivikela singakhuphula ingozi yezinhlobo eziningi zezinto eziphilayo, kuhlanganise ne-NHL:
- I-HIV inciphisa amandla omzimba, futhi kukhona ukuxhumana okucacile phakathi kokunciphisa ukubalwa kwe-CD4 lymphocyte kanye nengozi yokuthuthukisa i-NHL.
- Iziguli ezithola ukuguqulwa komzimba zidinga ukuthatha izidakamizwa ezivimbela isistimu yomzimba. Lokhu kubonakala nokwandisa amathuba okuba i-lymphoma.
- Ezinye izifo ezizuzwe njengefa ezihlasela isimiso somzimba sokuvikela umzimba, isibonelo, i- ataxia telangiectasia ingandisa ingozi ye-lymphoma.
Amakhemikhali kanye nokuziveza
Amanani amasha amasha eNHL aphindwe kabili kusukela ngawo-1960 kuya kuma-1990, ehola abantu ukuba bazibuze ngezimbangela ezikhona. Umbuzo oqhuba ucwaningo oluningi, kufaka phakathi uphenyo lwezinambuzane.
Ama-pesticides ashiwo njengesisusa se-NHL, kodwa ubufakazi abuhambisani. Ucwaningo oluthile lwezibulala-zinambuzane lube lukhulu ngokwanele ukuhlola ukuxhumana okukhona okungenzeka phakathi kwe-NHL subtypes kanye nokucaciswa okuyi-pesticide ethize.
Ucwaningo lwabasindile bamabhomu e-athomu kanye nezingozi ze-nuclear reactor babonise ukuthi baneengozi eyengeziwe yokuthuthukisa izinhlobo eziningana zezifo ezimbi , kuhlanganise ne-non-Hodgkin lymphoma.
Ukwelashwa Kwangaphambili Kwezinye Kansela
Abantu abaye bathola i-chemotherapy noma ukwelapha imishanguzo yegciwane lesandulela ngculaza banethuba elincane kakhulu lokuthuthukisa i-non-Hodgkin lymphoma kamuva ekuphileni.
Ubudala nobulili
Lapho abacwaningi beqoqa izinombolo, bathola ukuthi amathuba okuthola i- NHL akhula njengoba ukhula. Kubuye kuvame kakhulu emadodeni kunabesifazane.
Izwi elivela
Izinhlobo ezahlukene ze-NHL yizo zonke izidakamizwa zamangqamuzana egazi elimhlophe, kodwa zingase zihluke ngokweqile ngokwezifo zesifo nokubikezela-futhi zingase zihluke ngezindlela ezibalulekile ngokuqondene nezimbangela nezinkinga eziyingozi.
Kwezinye izinhlobo ze-NHL, izifo zesifo sezofuzo nezemvelo ziqala ukuqondwa kangcono, futhi izixhumanisi zitholwe izifo ezithile nezimpendulo nge-immune system.
Imithombo:
I-Peveling-Oberhag J, Arcaini L, Hansmann ML, et al. I-hepatitis C-ehlobene ne-B-cell engeyona i-Hodgkin lymphomas. I-epidemiology, isignesha yamangqamuzana nokuphathwa kwemitholampilo. J Hepatol . 2013; 59 (1): 169-77.
I-National Cancer Institute. I-Helicobacter pylori ne-Cancer.
Lymphoma Association (UK). I-gastric MALT lymphoma.
Hansson LE, Nyrén O, Hsing AW, et al. Ingozi yomdlavuza wesisu kulabo abanezifo zesisu esiswini noma se-duodenal ulcer. N Engl J Med. 2006; 335: 242-249.