Kusiyana kwa Amuna ndi Amitundu Kuwonjezera Lupus Risk
Ngakhale kuti systemic lupus erythematosus (SLE) imakhudza amuna ndi akazi a misinkhu yonse, kusintha kwakukulu kwa amayi - komanso mochulukira kwa ochepa. Pali zifukwa zambiri zomwe zikutsogolera, zomwe zikupitiriza kudziwonetsera okha kudzera mu lipoti lopweteka lotchedwa "Lupus mu Minorities: Nature Versus Nurture," kapena kafukufuku wa LUMINA.
Kubwereza: Ndani Amapeza Lupus?
Malingana ndi Lupus Foundation ya America, mwa anthu 1,5 miliyoni a ku America akukhudzidwa ndi mtundu wina wa lupus , 90% mwa omwe amapezeka ndi amayi, ambiri omwe ali pakati pa zaka 15 mpaka 45.
Kuwonjezera apo, malinga ndi CDC, lupus ndi kaŵirikaŵiri katatu kwambiri pakati pa anthu a mtundu, kuphatikizapo African American, anthu a ku Puerto Rico, Asiya, ndi Amwenye a ku America. M'magulu ang'onoang'ono, lupus kawirikawiri imakhalapo kale komanso ndizoipa kwambiri kusiyana ndi zizindikiro komanso imfa yapamwamba. Makamaka, chiŵerengero cha imfa cha anthu okhala ndi lupus ndi pafupifupi katatu kuposa Aamerika Achimwenye kuposa azungu.
Pali kuwonjezeka kwakukulu kwa kuwonongeka kwa impso ndi kufooka kwa impso komanso matenda a mtima m'mayiko a ku Puerto Rico omwe ali ndi lupus komanso kuwonjezeka kwa mavuto a ubongo monga kupweteka, kutaya magazi, ndi kupweteka pakati pa akazi a ku Africa ndi America omwe ali ndi lupus.
Funso ndilo, chifukwa chiyani kusiyana koteroko?
Phunziro LUMINA:
Mu 1993, ofufuza azachipatala adafuna kudziwa chifukwa chake panali kusiyana pakati pa Whus ndi lupus mwa anthu a mtundu. Ochita kafukufukuwo anafotokoza za chilengedwe ndi zokolola.
Zotsatira zake zinali Phunziro la LUMINA.
Phunziro la LUMINA linali gulu laling'ono la United States loyambirira, kutanthauza kuti ochita kafukufuku ankafufuza mafuko osiyanasiyana - mwaichi, African-American, Caucasians ndi Hispanics - ochokera ku United States omwe anapezeka ndi lupus kwa zaka zisanu kapena zochepa. Kuphunzira kwa gulu ndi mtundu wa maphunziro a nthawi yaitali omwe amagwiritsidwa ntchito pa zamankhwala ndi sayansi.
Zina zomwe zimayambitsa kusiyana pakati pa ophunzira ndizo zotsatirazi:
- Zosokoneza zotsutsana (monga kusiyana kwa chinenero)
- Kusasowa kwa mwayi wosamalira
- Kupanda chithandizo cha zaumoyo
- Malire ochepa.
Zimene ofufuza adapeza kale zinali kuti zibadwa ndi mafuko, kapena chilengedwe, zimathandiza kwambiri kuti azindikire kuchuluka kwa lupus kusiyana ndi chitukuko cha chilengedwe. Kuwonjezera apo, phunziroli likusonyeza kuti chibadwa chingakhale chofunikira chomwe chimatsegula chifukwa chomwe lupus imakhudzira amayi a ku America ndi Amanyalase kuposa anthu ena a mtundu.
Zomwe zinafukufuku kuchokera ku phunziro la LUMINA:
- Odwala a Lupus a ku Puerto Rico ndi a ku America ndi a ku America ali ndi matenda ochulukirapo pa nthawi ya matenda, komanso kukhala ndi ziwalo zoopsa kwambiri za thupi.
- Azungu anali ndi udindo wapamwamba kwambiri wa chikhalidwe cha anthu ndipo anali akulu kuposa anthu ena a ku Spain kapena a ku Africa.
- Kuwunika kwakukulu kwa zochitika m'thupi mwa magulu awiriwa kunali zosiyana monga makhalidwe osagwirizana ndi matenda.
- Pamene nthawi idapita, chiwonongeko chathunthu chinakula kwambiri kwa magulu awiri ochepa kusiyana ndi a azungu, ngakhale kuti kusiyana kunali kosawerengeka.
- Ntchito yolimbana ndi matenda yakhala ikuyimira imfa yofunikira kwa gulu ili la odwala. Malingana ndi zochitika zochepa za matenda, A Whites amasonyeza anthu ochepa kwambiri kuposa anthu a ku Spain kapena a ku Africa.
Patapita zaka khumi kuchokera ku phunziro la LUMINA
Mu 2003, asayansi akuyambiranso phunziro la LUMINA zaka 10 pambuyo pake anapeza mfundo zosangalatsa kwambiri:
- Lupus imadzidzimutsa kwambiri mu African American ndi Hispanics kuchokera ku Texas kusiyana ndi Whites ndi Hispanics ku Puerto Rico.
- Odwalawo omwe analibe inshuwalansi ya umoyo anali ndi lupus onse oopsa ndipo anafotokoza kuti maselo a HLA-DRB1 * 01 (DR1) ndi C4A * 3 alleles) anali ndi lupus kwambiri.
- Kupweteka kwa ziwalo zochokera ku lupus kapena zotsatira zovuta za lupus zikhoza kunenedweratu malinga ndi zaka, chiwerengero cha American College of Rheumatology criteria chinagwirizanitsa, ntchito za matenda, ntchito ya corticosteroid, ndi makhalidwe osayenera achilendo.
- Zowonjezera zambiri : Chimodzi mwa zifukwa zazikulu pakukhazikitsa imfa ndi pamene munthu adayimilira ndalama pa umphawi . Anthu omwe ali ndi lupus omwe anali osauka kwambiri azachuma anali okhoza kufa ndi lupus kapena mavuto omwe amabwera chifukwa cha matendawa, chifukwa cha kuchepa kwa chithandizo chamankhwala.
Zolinga za phunziro la zaka 10 zidzagwiritsidwa ntchito kuti zifufuze mopitirira kufunso la chikhalidwe kapena kukulitsa ndipo zikhoza kupereka njira zatsopano zoganizira ndi kuthetsa kusiyana kwaumoyo ku United States.
Zotsatira:
Ndani Amalandira Lupus? Lupus Research Institute. December 2007.
Chiwerengero cha anthu pa Lupus Lupus Foundation of America. December 2007.
Kodi Odwala Ambiriya ndi Afirika-Amwenye Amitundu Amakhala ndi Zochitika Zapamwamba kuposa Odwala ndi Lupus Kuchokera kwa Anthu Ena? LUMINA Phunziro Lupus Foundation ya America. September 1999.
Kodi taphunzira chiyani kuchokera ku zochitika zaka khumi ndi chifaniziro (Lupus mu Minorities; Chachilengedwe ndi kulera) gulu? Kodi tikupita kuti? Kukhazikitsa Magetsi, Voliyumu 3, Magazini 4, June 2004, masamba 321-329. América G. Uribe, Gerald McGwin, John D. Reveille ndi Graciela S. Alarcón.