Kodi Chimachititsa Kuti Ngozi Iwonjezeke?
Kuwonjezeka kwa chiopsezo cha lymphoma kwagwirizanitsidwa ndi nyamakazi ya nyamakazi (RA) . Kafukufuku wosiyanasiyana wasonyeza zinthu ziwirizi koma sizinaoneke bwino ngati mankhwala kapena mankhwala omwe amagwiritsidwa ntchito polimbana ndi nyamakazi ya nyamakazi amachititsa kuti pakhale ngozi ya lymphoma.
Ofufuza Amafufuza Mayankho ku Lymphoma Ngozi Zachilombo cha Amuna Odwala Matenda a Khunyu
Lymphoma ndi khansa ya lymphatic system (minofu, nthenda, ndi ziwalo zina za chitetezo cha mthupi).
Kugwirizana pakati pa chiopsezo chowonjezeka cha lymphoma mu matenda a nyamakazi akudwala akatswiri ofufuza, madokotala, ndi odwala. Mafunso osayankhidwa otsalira:
- Kodi nyamakazi yodwala nyamakazi imakhala pachiopsezo chachikulu kusiyana ndi ena kuti apange lymphoma?
- Kodi pali mankhwala enaake kapena mankhwala odwala nyamakazi omwe amachititsa kuti pakhale ngozi yowopsa?
- Ngati zimayambitsidwa ndi mankhwala ndizotheka kugwirizanitsa chiopsezo chowonjezeka cha lymphoma kuchipatala china cha mankhwala a nyamakazi?
Ofufuza ku Sweden Achita Phunziro Lalikulu
Ofufuza ku Sweden apanga phunziro lalikulu kwambiri mpaka pano pofuna kuyesa mayankho a mafunso awa. Ochita kafukufuku anapeza zolemba zachipatala ndi mbiri ya anthu 378 odwala matenda a nyamakazi omwe anadwala malignant lymphoma pakati pa 1964 ndi 1995.
Odwalawo anasankhidwa kuchokera ku kaundula kaamba ka anthu 75,000 odwala nyamakazi. Odwala matenda a nyamakazi 378 omwe anali ndi lymphoma yoopsa anali ofanana ndi anthu 378 odwala matenda a nyamakazi omwe ankagwira ntchito ngati ma lymphoma.
Kugwiritsa ntchito chiŵerengero cha zovuta zomwe zimakhala zoopsa kapena zovuta zogwirizanitsa za lymphoma zinayesedwa kuti zikhale zochepa, zapakati, kapena zapamwamba zomwe zimagwirizanitsidwa ndi nyamakazi ya nyamakazi. Ntchito yolimbana ndi matenda inachokera pa nthawi ya matenda ndi kutupa komanso kuwerengera. Zotsatira za mavutowo zinayesedwa pazinthu zotsatirazi:
- DMARD (matenda osinthira anti-rheumatic drugs)
- NSAIDs (mankhwala osakanizika ndi mankhwala osagwiritsidwa ntchito)
- aspirin
- pakamwa corticosteroids
- injected steroids
- cytotoxic mankhwala
Palibe wodwalayo mu phunziroli amene adakhalapo ndi mankhwala oletsa anti-TNF.
Odwala matenda a Lymphoma akuyesedwa kachilombo ka Epstein-Barr.
Lymphoma Zotsatira Zotsatira
- Zochitika zapakati pamagulu a nyamakazi zimagwirizanitsidwa ndi kuwonjezeka kwa 8 patsiku la lymphoma poyerekeza ndi ntchito yochepa ya nyamakazi ya nyamakazi.
- Ntchito yaikulu yamagulu ya nyamakazi inagwirizanitsidwa ndi kuwonjezeka kwa 70 pa lymphoma.
- Kuwonjezeka kwa ngozi ya lymphoma kunagwirizanitsidwa ndi kuwonongeka kwakukulu pakati pa manja, mapazi, ndi mawondo omwe amapezeka mu mbiri yachipatala ya wodwalayo m'chaka chatha asanayambe kupezeka ndi lymphoma.
- Oposa 70 peresenti ya odwala onse mu phunziro (lymphoma ndi lymphoma-free controls) adatenga DMARD, kuphatikizapo methotrexate.
- Zotsatira za phunziro sizinapangitse ngozi yowopsa ya lymphoma yogwirizana ndi DMARD, NSAIDs, aspirin, kapena steroids.
- Matenda a mitsemphayi anali ochepa pakati pa odwala omwe analandira ma jekeseni ambirimbiri m'magulu awo.
- Za mankhwala omwe adalongosola mu phunzirolo, Imuran yekha (azathioprine) , yomwe siigwiritsidwe ntchito kwambiri kwa DMARD yodwala nyamakazi, imasonyeza mgwirizano ndi kuwonjezeka kwa ngozi ya lymphoma.
Lymphoma Phunziro - Kutsiliza
Ochita kafukufuku anapeza kuti odwala omwe ali ndi nyamakazi yoopsa kwambiri ya kutupa nyamakazi, omwe ali ndi nthawi yaitali, amatha kutentha kwambiri chifukwa chokhala ndi lymphoma. Kutupa kosatha osati mankhwala oletsa-kutupa kumawoneka kuti akugwirizana ndi vuto la lymphoma mu odwala nyamakazi. Poyambirira, chithandizo chamanyazi choletsa kutupa mwachiwonekere n'kofunika.
> Chitsime:
> "Zatsopano zokhudzana ndi chifuwa chachikulu cha nyamakazi ndi khansa" EurekAlert; Arthritis & Rheumatism, March 2006