Maxaa keenaya Khatarta Kordhinta?
Halista sii kordhaysa ee lymphoma ayaa lala xiriiriyay rheumatoid arthritis (RA) . Daraasado kala duwan ayaa la xiriiray labada xaaladood, laakiin weligeed ma aysan caddayn in waxqabadka cudurka ama daaweynta loo isticmaalo in lagu dagaalamo rheumatoid arthritis waxay sababtaa khatarta sare ee lenfoma.
Cilmi-baareyaasha waxay raadiyaan jawaab-celin khatar u ah lenfoma oo loogu talagalay bukaan-socodka Rheumatoid Arthritis
Lymphoma waa kansar ku dhaca habdhiska lymphatic (lymph nodes, spleen, iyo xubnaha kale ee habka difaaca jirka).
Xidhiidhka ka dhexeeya halista sii kordhaysa ee lymfoma ee bukaanka rheumatoid arthritis ayaa ka walaacsan cilmi baarayaasha, dhakhaatiirta, iyo bukaanka. Su'aalo aan la haysan ayaa weli ah:
- Qaar ka mid ah dadka bukaanka qaba ee rheumatoid-ka ayaa halis weyn ugu jira dadka kale si loo horumariyo lymphoma?
- Daawooyinka qaarkood ama daaweynta rheumatoid arthritis ma ka masuul ah khatarta sii kordheysa ee lagu dhisi karo lenfoma?
- Haddii ay keento daaweyntu ma suurtogal tahay in la xiro khatarta sii kordheysa ee lymphoma illaa heerka daaweynta xanuunka arthritis?
Cilmi baarayaasha Iswiidhen waxay qabataa daraasad ballaaran
Cilmi baarayaasha Iswiidhin ayaa sameeyay daraasadda ugu weyn ee taariikhda la isku dayey si ay u helaan jawaabaha su'aalahan. Cilmi-baadhayaashu waxay heleen diiwaanka caafimaad iyo taariikhda 378 bukaan-socodka rheumatoid arthritis-ka kuwaas oo sameeyay lymfoma malignantii u dhexeeya 1964 ilaa 1995.
Bukaannada ayaa laga soo doortay diiwaanka qaranka ee 75,000 oo ah bukaanka rheumatoid arthritis. 378 bukaan-socodka rheumatoid arthritis-ka ee lymphoma ku dhacay ayaa la isugu geeyay 378 bukaan-socodka rheumatoid arthritis-ka kuwaas oo u adeegay kantarool la'aanta lenfoma-ka.
Isticmaalka falanqaynta tirakoobka khatarta u dhaxaysa ama saamiga saamiga lymphoma ayaa lagu qiimeeyay hawlo hooseeya, dhexdhexaad ah ama mid sare oo la xidhiidha rheumatoid arthritis. Hawlgabka cudurrada waxay ku saleysneyd muddada cudurka iyo bararka wadajirka ah ee qallafsan. Tirada saamiga ayaa lagu qiimeeyay qaybaha daaweynta ee soo socda:
- DMARD (cudur-is-beddel daawooyinka ladagaallanka ah)
- NSAIDs (daawooyinka nonsteroid anti-inflammatory)
- aspirin
- Corticosteroids afka
- laysku duro steroids
- daawooyinka cytotoxic
Ma jiro bukaanka daraasaddan weligeed ku jiray daawada anti-TNF.
Bukaannada lymphoma ee daraasadda ayaa sidoo kale lagu baari jiray fayraska Epstein-Barr.
Natiijooyinka Daraasadda Lymphoma
- Dhaqdhaqaaqa rheumatoidka dhexe ee dhexdhexaad ah ayaa ku xiran 8-laab qiyaasta halista ah ee lymphoma marka la barbar dhigo dhaqdhaqaaqa rheumatoid ee hooseeya.
- Hawl-qabadka xannuunka ee rheumatoid-ka ee sareeya wuxuu la xiriiraa 70-laab kordhaya halista lenfoma.
- Khatarta sii kordhaysa ee lymphoma waxay la xiriirtay dhaawacyo daran oo wadajir ah oo gacmaha, cagaha, iyo jilbaha lagu xusay diiwaanka bukaanka ee sannadkii hore ka hor inta aan la ogaanin lymphoma.
- In ka badan 70 boqolkiiba dhammaan bukaanka daraasaddan (lymphoma iyo kontorool la'aanta bilaashka ah) waxay qaadeen DMARD, oo ay ku jiraan daawada methotrexate.
- Natiijooyinka daraasadu waxay muujin waayeen halis dheeraad ah oo lenfoma la xiriirta DMARD, NSAIDs, aspirin, ama steroids.
- Halista lenfoma waxay ku yarayd bukaanada kuwaas oo qaatay duritaan badan oo steroid ah oo ku dhaca xubnahooda.
- Daawooyinka caafimaad ee lagu falanqeeyay daraasaddan, kaliya Imuran (azathioprine) , oo aan ahayn DMARD ee loo isticmaalo rheumatoid arthritis-ka, ayaa muujisay halis ku kordhay halista lenfoma.
Daraasadda Lymphoma - Gabagabo
Cilmi baadhayaashu waxay soo gabagabeeyeen in bukaanada qaba xanuunka 'rheumatoid' ee aad u daran ee ku dhaca jimicsiga oo sii dheeraaday, bararka firfircoon wuxuu halis ugu jiraa inuu ku dhaco lymfoma. Xanuun dabadheeraad ah oo aan dawooyinka ka hortagga dabiiciga ah u muuqda inay ku xiran yihiin halista lenfoma ee bukaanka rheumatoid arthritis. Hore, daaweyn colaadeed si loo xakameeyo caabuqa ayaa muhiim u ah.
> Isha:
> "Fikrado cusub oo ku saabsan xiriirka ka dhexeeya rheumatoid arthritis iyo kansar" EurekAlert; Arthritis & Rheumatism, Maarso 2006