Kafukufuku waposachedwapa anapeza chiwopsezo chaching'ono koma chodziŵika bwino chokwanira cha lymphoma ndi khansa zina ziwiri kwa odwala psoriasis. Koma, pakhoza kukhala zambiri ku nkhaniyi kuposa momwe zimakhalira ndi diso.
Psoriasis
Psoriasis ndi imodzi mwa matenda omwe amafala kwambiri pakhungu, omwe amapezeka ndi zizindikiro monga chifuwa, ululu, kapena magazi. Malo okhudzidwa a khungu amaoneka ngati ofiira, amakulira kumadera otchedwa plaques, omwe angakhale odzaza ndi kutseka kwa silvery.
Mitundu yosiyanasiyana ya psoriasis ikhoza kukhala ndi maonekedwe osiyanasiyana komanso maonekedwe osiyanasiyana a khungu.
Psoriasis amaonedwa kuti ndi yotupa kwambiri , yomwe ingakhale nayo tanthauzo-ndipo inagawana zinthu zoopsa ndi matenda ena, kuphatikizapo malungo ena. Ndipo anthu omwe ali ndi psoriasis amawoneka kuti akugwirizanitsa matenda ena okhudzidwa kwambiri kuposa momwe angaganizire pogwiritsa ntchito manambala kuchokera kwa anthu ambiri, kuphatikizapo:
- Psoriatic nyamakazi
- Matenda a Crohn
- Zina zabodza
- Kusokonezeka maganizo
- Nthenda ya chiwindi ya mafuta osakaniza
- Matenda a mitsempha ndi matenda a mtima
Lymphoma
Lymphoma ndi khansa yomwe imakhudza lymphocytes, mtundu wa selo loyera la magazi limene limapezekanso m'magazi komanso limapezeka m'mafupa ndi mafupa . Hodgkin's lymphoma, kapena HL, osati ya Hodgkin's lymphoma , kapena NHL, ndiwo magulu awiri akuluakulu a lymphoma.
Chifukwa chakuti ma lymphocytes ndi mbali ya chitetezo cha m'thupi, ofufuza amadzifunsa za kugwirizana pakati pa matenda a chitetezo cha mthupi ndi lymphoma.
Mpaka pano, akupitiriza kuyesa kumvetsetsa ubale pakati pa awiriwa.
Psoriasis & Lymphoma: The Link
American Cancer Society (ACS) sinalembedwe psoriasis makamaka ngati chiopsezo cha lymphoma. Amatero, komabe amaphatikizapo matenda omwe amadzipangitsa kuti asatengeke m'ndandanda wa zifukwa zoopsa za NHL, kutchula nyamakazi ya nyamakazi ndi machitidwe a systemic lupus erythematosus monga zitsanzo.
Matenda a nyamakazi, psoriasis ndi matenda opatsirana (IBD) onse asonyezedwa kuti ali ndi chiopsezo chowonjezeka cha lymphoma, koma osati maphunziro onse.
Ma chitetezo a chitetezo cha mthupi mwachangu m'matenda omwe amadzimadzimadzika amachititsa kuti ma lymphocytes amakula ndikugawanitsa nthawi zambiri kuposa zomwe zimachitika, zomwe zingawonjezere chiopsezo cha mlimbamtima. Monga momwe ACS imasonyezera, komabe anthu amene amapeza NHL angakhale ndi zifukwa zochepa kapena zosadziwika; ndipo ngakhale munthu yemwe ali ndi NHL ali ndi zifukwa chimodzi kapena zingapo zoopsa, nthawi zambiri zimakhala zovuta kudziŵa kuti zinthu izi zingakhale zathandiza bwanji ku lymphoma.
Kuwonjezeka kwa mitengo ya lymphoma kwafotokozedwa m'mabuku angapo a odwala okhala ndi psoriasis. Ndipo chiopsezo cha lymphoma ndi zamoyo, makamaka, akhala akukangana kwambiri. Akatswiri a zamoyo amathandizira kuchiza matenda monga matenda a nyamakazi ndi psoriasis. Ngakhale kuti atsimikiziridwa kuti ndi otetezeka, amagwira ntchito poletsa chitetezo cha mthupi-kotero pali kudandaula kuti izi zingachititse ngozi za khansa zina.
Pakhoza kukhala kuwonjezeka kwa chiopsezo cha khansa monga lymphoma mwa anthu omwe ali ndi psoriasis, koma pali mavuto angapo pakuphunzira mgwirizano woterewu:
- Ngakhale kuti lymphoma ndi yofunika kwambiri pa thanzi labwino, chiwerengero ndi chosowa poyerekeza ndi psoriasis, zomwe zakhala zovuta kupeza nambala yokwanira kuti iganizire.
- Kukhala ndi psoriasis kumagwirizanitsa ndi zifukwa zingapo, monga kusuta, kunenepa kwambiri, ndi mankhwala omwe amachititsa kuti chitetezo cha mthupi chitetezeke. Zinthu izi zingapangitse ngozi ya lymphoma ndi khansa zina, popanda psoriasis yokha.
Posachedwapa, ofufuza anafufuza zolemba kuchokera kwa odwala 198,366 omwe ali ndi psoriasis ndi 937,716 opanda psoriasis pogwiritsa ntchito deta ku United Kingdom. Zotsatira zinasonyeza kuti panali chiopsezo chochepa koma "chenicheni" chomwe chinawonjezeka chifukwa cha khansa ya khungu yopanda khansa ya khansa, lymphoma, ndi khansa ya m'mapapo mwa anthu omwe anali ndi psoriasis.
Ofufuzawa anapeza kuti vuto la khansa linali laling'ono kwambiri kwa odwala omwe ankadziwika kuti anali ndi psoriasis wamba kusiyana ndi matenda ochepa. Panalibe mgwirizano wofunika pakati pa psoriasis ndi khansa ya m'mawere, koloni, prostate, kapena khansa ya m'magazi, komabe.
Ngakhale posachedwapa, madokotala ochokera ku Center for Dermatology Research ku Wake Forest School of Medicine ku Winston-Salem, North Carolina anachita phunziro lofanana. Iwo adanena kuti psoriasis ikugwirizanitsidwa ndi zikhalidwe zina zambiri za thanzi kapena comorbidities.
Iwo amamvanso kuti kuyeza kwa chiopsezo chochokera ku psoriasis-kawirikawiri kupoti kwa madokotala ndi odwala monga chiopsezo chachikulu-sikungakhale koyeso kwambiri. Ngakhale chiopsezo chachikulu chingakhale chothandiza, olembawo amaganiza kuti kulingalira za zoopsa pamaganizo, m'malo momveka bwino, kungayambitse anthu kuganizira za zotsatira za psoriasis.
Choncho, gulu lofufuzira linayesa kuwerengera chiopsezo chenicheni chomwe chimapangidwa ndi psoriasis kwa matenda osiyanasiyana. Mavuto okhudzana ndi psoriasis kwambiri (omwe ali ndi chiwopsezo chachikulu) anali khansa ya khungu ya nonmelanoma, khansa ya khansa, ndi lymphoma.
Matenda Omwe Amayambitsa Matenda Aakulu Odwala Matenda a Pachirombo
Khansara ya khungu 7.5 0.64 1,551
Melanoma 6.12 0.05 29,135
Lymphoma 3.61 0.17 5,823
* Pofuna kunena kuti vuto limodzi la lymphoma likhale psoriasis, adokotala ayenera kuwona odwala 5,823 okhala ndi psoriasis.
Zotsatira:
Saleem M, Kesty C, Feldman S. Zotsutsana ndi zowopsya za comorbidities kwa odwala okhala ndi psoriasis. J Am Acad Dermatol . 2016 Dec 13. pii: S0190-9622.
Fuxench ZC, Shin DB, Beatty AO, Gelfand JM. Kuopsa kwa khansa kwa odwala psoriasis: maphunziro a anthu omwe amagwira ntchito m'bungwe la Health Improvement Network [lofalitsidwa pa Intaneti patsogolo pa kusindikiza December 16, 2015]. JAMA Oncol.
Boehncke WH, Boehncke S. Kuposa khungu-lakuya: kuchuluka kwa matenda a psoriatic. Swiss Med Wkly. 2014; 144: w13968.