Kwa zaka zambiri, mitundu yosiyanasiyana ya lymphoma pakati pa Palestina ndi Israeli yakhala ikuwombera nthawi zina pa radar pakupezeka kwa lymphoma padziko lonse lapansi. Kodi mitengo ya lymphoma ndi yosiyana kwambiri pakati pa Israeli ndi Palestina? Ngati ndizomwe mungathe kuziwerengera izi?
Non-Hodgkin Lymphoma Padziko Lonse, ndi mu Israeli
Mitundu ikuluikulu ya lymphoma, khansa ya maselo oyera a m'magazi, ndi Hodgkin lymphoma komanso non-Hodgkin lymphoma , kapena NHL.
Mwa awiriwo, NHL ndi yowonjezeka kwambiri, ndipo ndiyo mtundu wa lymphoma yomwe takambirana pano.
Misonkho ya NHL yawonjezeka padziko lonse kuyambira 1950-2000, ndithudi katatu mu gulu la zaka zoposa 65. Monga momwe zinanenedwa mu 2012, Israeli anali ndi kusiyana kosavomerezeka koyamba pa dziko lapansi mu nthenda za NHL, kumene NHL ndi khansa yambiri yachisanu mu Israeli. Ananenenso kuti, pafupifupi chaka chilichonse, ngati mutatenga 100,000, pafupifupi 15,7 amuna achiyuda ndi 11.8 akazi achiyuda adzakhala NHL, pamene 10.4 ndi 10.0 Amuna ndi akazi Arabia Israeli, motsatira, kukhala ndi matenda. Ngakhale mitengo ikuchepa pakati pa Arabia a Israeli, ngati muyang'ana ku Lebano, yomwe ili pafupi kwambiri ndi Israeli, iwo ali pamzere wachiwiri padziko lonse lapansi m'madera okwera kwambiri a NHL, kumbuyo kwa Israeli. Pulogalamu ya Khansa ya ku Palestina mu 2014 inanena kuti NHL ndiyo yachisanu ndi chiwiri yambiri pa West Bank amuna a Palestina ndi chachisanu ndi chinayi pakati pa akazi.
Chibadwa, Chilengedwe, ndi Ngozi ya NHL
Choyamba, ndi chiani chomwe chinachititsa mitengo ya NHL kudutsa zaka 50 kuchokera 1950 mpaka 2000? Limenelo ndi funso limene pali ziphunzitso zosiyanasiyana, komabe, kwa ochita kafukufuku ambiri, kuwuka kumapangitsa kuti ziwonongeke. Komabe, kuchuluka kwa mitundu ina ya maimfimayi amakhulupirira kuti zimasiyanasiyana ndi majini, mbiri ya banja, ndi mtundu.
Pali zinthu zochititsa chidwi makamaka kwa Aaisrael Israeli ndi Apaladineya a Aarabu chifukwa amaimira anthu osiyana ndi azisinkhu ndi azomwe amakhala m'midzi yoyandikana kwambiri. Amagawana zinthu zofanana, koma amakhala ndi moyo wosiyana, makhalidwe abwino, ndi machitidwe a zachipatala.
Pozindikira kusakanikirana kumeneku, gulu la akatswiri, Kleinstern ndi anzake, adayesa kukafufuza mbiri yachipatala, zochitika zachilengedwe ndi zoopsa za moyo wa NHL -ndipadera NHL yomwe imachokera ku B-lymphocytes, mtundu wamba wa lymphoma mu Israeli ndi Palestina. Anayang'anitsitsa malipoti okhudza matenda, ndipo odwala omwe ali ndi ma lymphomas omwe amawathandiza kuti akhale ndi CD20 kapena ena a B-selo amapezeka mu phunziro lawo.
Lymphoma mu Ayuda a Israeli ndi Arabiya a Palestina
Zotsatira kuchokera ku phunziro la Kleinstern ndi anzanu ndi zina zoyamba kufotokoza kachitidwe ka NHL makamaka makamaka mu ngodya yaying'ono, koma yapamwamba kwambiri padziko lonse lapansi. Ku United States, DLBCL ndi lymphoma yofala kwambiri. Chimodzimodzinso ndi Ayuda onse a Israeli ndi Arabia a Palestina, komabe magawo a mtundu uliwonse wa B-cell NHL ndi osiyana.
Panali magulu atatu a B-cell NHL omwe ofufuzawa anali kuyang'ana:
- Kufalitsa lalikulu B-cell lymphoma (DLBCL)
- Follicular lymphoma (FL)
- Mantle zone lymphoma (MZL)
Poyang'ana zolemba za matenda, akatswiri ofufuza adapeza kuti Ayuda a Israeli anali ndi zikhalidwe zomwe zinali zofanana ndi za anthu a kumadzulo. Mosiyana ndi zimenezi, Arabiya a Palestina anali ndi DLBCL (71%), komanso aatali kuposa DLBCL kuposa Saudi Arabia (51 peresenti) kapena Jordan (62 peresenti).
Iwo adanenanso kuti chiwerengero cha Yordani chimafanana ndi chikhalidwe komanso chikhalidwe kwa Aarabu a Palestina, pomwe ku Lebanon kudziko lina lomwe lili ndi NHL yapamwamba kwambiri, linanena kuti 44% ya DLBCL, yomwe ili ngati Ayuda pakati pa Israeli.
Kulima ndi mankhwala ophera tizilombo
Kulima monga chizoloŵezi kunalumikizidwa ndi B-cell NHL ndi DLBCL yokha kwa Aa Palestina okha. Aarabu ambiri a Palestina ali ndi minda (47.7 peresenti) poyerekeza ndi a Israeli (36.7 peresenti). Olembawo anati nyumba zambiri za West Bank zili ndi minda, makamaka makamaka zipatso, mitengo ya azitona ndi ndiwo zamasamba, osati maluwa kapena udzu, pamene Ayuda ambiri a Israeli akukhala mu nyumba za nyumba.
Zovuta, munda wamtundu wotchedwa "munda wamaluwa" unalumikizidwa ndi B-NHL ndi DLBCL, koma kwa Ayuda a Israeli okha. Olembawo ankaganiza kuti kulima kungasonyeze kuti pali mankhwala ophera tizilombo pakati pa anthu onse, koma tawonanso kuti zowonjezereka, monga kuwala kwa dzuwa pogwiritsa ntchito dzuwa ndi kotheka.
Pansi
Phunziroli linatha kufotokoza kusiyana pakati pa anthu awiri omwe akukhala pafupi, ndipo zonse zomwe zimayambitsa zamoyo komanso zochitika zachilengedwe zikuwoneka kuti zikuwoneka, kuphatikizapo matenda, moyo, komanso mbiri ya banja.
Panali umboni wosonyeza kuti pangakhale kusiyana kwakukulu pa zifukwa za B-NHL lymphoma m'magawo awiriwa.
Komabe, chimodzi mwa zochitika zenizeni za kufufuza uku, kuphatikiza pa zomwe anazipeza, mosakayikitsa ndizowona kuti zinapangidwa, kukonzedweratu ndi zozizwitsa / zomwe zinakwaniritsidwa, zomwe zinagwidwa mosapita m'mbali ndi olemba pamapeto a pepala:
"Phunziroli likuwonetseratu ntchito yapadera ya sayansi yomwe ikuphatikizapo ofufuza a Israeli ndi Palestina, ndipo ikuwonetsa kufunika kwa kafukufuku wogwirizanitsa ngakhale m'madera osadziwika a ndale."
> Zotsatira:
> Kleinstern G, Seir RA, Perlman R, et al. Kusiyana kwa mafuko m'zochitika zamankhwala ndi zamoyo zomwe zimayambitsa matenda a B cell osati Hodgkin lymphoma: Kufufuza kwa akuluakulu pakati pa Israeli ndi Palestina. PLoS One. 2017; 12 (2): e0171709.
> World Health Organisation.Globocan 2012: Kuchuluka kwa matenda a khansa, kufa ndi kufalikira padziko lonse mu 2012, mapepala enieni a khansa.