Lapho ufunda izifundo zezokwelapha, lawa mazwi ahluma kahle kakhulu
Amagama athi "isigameko" kanye "nokusabalalisa" kubhekisela kwinani labantu abanesimo esithile sezokwelapha. "Ukukhubazeka" kusho inani labantu abasanda kuthola ukuthi banezinkinga, kanti "ukusabalalisa" kuhlanganisa abantu abasanda kutholakala, kanye nabantu abaye babhekwa esikhathini esedlule, futhi, uma ulwazi lutholakala, abantu abangatholakali.
Le migomo idideka, futhi abanye abantu bayayisebenzisa ngokungahambisani (nakuba kungenakushintshaniswa!).
I-incidence ichaza ingozi yamanje yokuthola isifo esithile, kanti ukusakazeka kusitshela ukuthi bangaki abantu abaphila manje nesimo, kungakhathaliseki ukuthi (noma noma ngabe) bathole ukuthi banezifo ezithile.
Isigameko nokuHlala Kuvela e-Epidemiology
Zombili izigameko nokusabalalisa amagama asetshenziswa emkhakheni we-epidemiology. I-epidemiology iyigatsha lemithi elibukeka (mhlawumbe ucabanga ukuthi) bangaki abantu abanesifo esithile, ukuthi yiziphi izingozi zokuthola isifo, kwenzekani kubantu abathola lesi sifo, futhi ekugcineni, ukuthi bangakuvikela kanjani izifo ezingenzeki .
Igama elilodwa elivela epidemiology kufanele wazi: abantu. Ama-Epidemiologists ahlola abantu abathile-ngokwesibonelo, bangase bafunde abantu abadala abahlala e-US njengabantu abathile.
Izibalo zingaba zibanzi (zonke izingane zaseChina) noma ngaphezulu (bonke abantu asebekhulile base-Asia abahlala kahle eNew York City). Ukuchaza izibalo ezithile kuvumela izifo ze-epidemiologists ukuthi zibone ukuthi yiziphi izici ezithile ezifaka engozini engozini yazo, nokuthi lezo zingozi ezingase zibe yingozi zingase zihluke kanjani ezinkingeni zezinye izizwe.
Okuningi ku-Incidence vs. Ukuvama
Nazi ezinye izibonelo ezithile ezingakusiza ukuba uthole isibambo ngezigameko nokusabalalisa.
Uma, isibonelo, sithi izifo ze- celiac ezisezempi ezikhuthele e-US zaziyi-6.5 ku-100 000 ngo-2008, lokho kusho ukuthi amasosha ayisishiyagalolunye nesigamu asebenzayo ezempi kuwo wonke amalungu ezempi asebenzayo angu-100 000 atholakala enesifo se-celiac 2008. (Empeleni kukhona isifundo esibonisa lokhu.)
Isifo sitshela ukuthi bangaki abantu abaye bathola ukuthi banezifo ezithile kubantu abathile. Kuleso simo, lesi sifo sifunde isifo se-celiac, futhi abantu bafundela basebenzi bezempi base-US abakhuthele.
Ukuvama, okwamanje, kukutshela ukuthi bangaki abantu abanesimo esithile, kungakhathaliseki ukuthi bavele batholakale, noma ngabe ngabe babetholiwe yini nhlobo.
Ukunamathela esibonelweni sethu sesifo se-celiac, ukulinganisa kwakamuva kakhulu kwesifo se-celiac e-United States kubantu abaneminyaka eyisithupha nangaphezulu kubonisa ukuthi ukusabalala kungu-0.71%. Lokhu kusho ngomuntu oyedwa kubantu abangu-141 ubudala abaneminyaka eyisithupha nangaphezulu e-United States enezifo ze-celiac, nakuba ngokusho kwalolu cwaningo, iningi labantu abanesimo (cishe ngo-83%) abazi ukuthi banalo.
Ukuqaphelwa ekusetshenzisweni komthelela nokuvama
Awukwazi ukuthatha izinombolo ekucwaningweni olulodwa ngezigameko noma ukusabalalisa kuzosebenza kwabanye abantu.
Isibonelo, ngenxa yokuthi ukusabalala kwesifo se-celiac e-United States kungu-0.71% (oyedwa kubantu abangu-141 abangaphezu kweminyaka yobudala eyisithupha), awukwazi ukuthatha ukusabalala kwama-celiac kwamanye amazwe - kuthi, emazweni ase-Asia - afanayo njengoba kunjalo e-US, ngoba labo bantu banezakhi zofuzo ezahlukene futhi balandela ukudla okuhlukahlukene kanye nendlela yokuphila.
Eqinisweni, ukusabalala kwesifo se-celiac kuyinto ephansi kakhulu emazweni amaningi ase-Asia, ngenxa yokuthi izakhi zofuzo zesifo se-celiac azivamile kubantu base-Asia.
Kodwa-ke, ukusabalala kwesifo se-celiac eYurophu kuseduze nokusabalala e-US, ngoba izakhi zofuzo nokudla kulabo bantu ababili bafana.
Imithombo:
Altobelli E et al. Umthwalo wesifo se-celiac eYurophu: ukubuyekezwa kokukhula komntwana nokukhula kwabantu abadala kusukela ngo-September 2014. I-Annali di Igiene. 2014 Nov-Dec; 26 (6): 485-98.
Cummins AG et al. Ukukhula kwesifo se-celiac esifundeni sase-Asia-Pacific. I-Journal ye-Gastroenterology ne-Hepatology . 2009 Aug; 24 (8): 1347-51.
Rubio-Tapia A et al. Ukusabalala kwesifo se-celiac e-United States. I-American Journal ye-Gastroenterology . 2012 Oct; 107 (10): 1538-44; imibuzo 1537, 1545.