Abin da ke haifar da Ƙarin Haɗari?
An kara yawan kwayar cutar lymphoma da aka haɗa da cututtuka na rheumatoid (RA) . Bayanai da yawa sun danganta wadannan yanayi guda biyu amma ba a tabbatar da su ba ko aikin cututtuka ko maganin da ake amfani da ita wajen yaki da cutar wariyar launin fata ya haifar da haɗarin ƙwayar lymphoma.
Masu bincike nema neman amsoshin ga lafiyar cutar Lymphoma ga marasa lafiya na Rheumatoid Arthritis
Lymphoma shi ne ciwon daji na tsarin lymphatic (kwayoyin lymph, spleen, da sauran sassan kwayoyin cuta).
Hadin tsakanin haɗarin lymphoma na ƙari a cikin marasa lafiya na cututtuka na rheumatoid ya shafi masu bincike, likitoci, da marasa lafiya. Tambayoyin da basu amsa ba sun kasance:
- Shin wasu marasa lafiya na wutsiya na rheumatoid sun fi hatsari fiye da wasu don bunkasa lymphoma?
- Shin wasu magunguna ne ko jiyya don cututtukan arthritis da ke dauke da kwayoyin cutar da ke da alhakin ƙara yawan hadarin lymphoma?
- Idan an lalacewa ta hanyar jiyya yana yiwuwa ya danganta haɗarin ƙwayar lymphoma zuwa wani nau'i na magungunan maganin ƙwaro?
Masu bincike A gudanar da Nazarin Gudanarwa a Sweden
Masu bincike a Sweden sun gudanar da bincike mafi girma a yau a cikin ƙoƙarin neman amsoshin waɗannan tambayoyin. Masu bincike sun sami labarun likita da kuma tarihin 378 marasa lafiya da ke dauke da cututtuka wadanda suka sami ilimin lymphoma mai tsanani tsakanin 1964 zuwa 1995.
An zaɓi marasa lafiya daga wani asalin ƙasa na marasa lafiya na karuwanci 75,000. Wadanda marasa lafiya na marasa lafiya na marasa lafiya a ciki sun kai 378 wadanda ke da lymphoma mai tsanani wadanda suka dace da marasa lafiya marasa lafiya na zuciya guda 378 waɗanda suka yi aiki a matsayin iko na lymphoma.
Yin amfani da mahimmanci na nazari akan halayen dangi ko rashin daidaituwa ga lymphoma an kiyasta saboda rashin ƙarfi, matsakaici, ko kuma babban cututtuka da ke hade da cutar arthritis. Ayyukan cututtuka sun danganta ne akan tsawon lokacin cutar da kumbura da haɗin gwiwa. An kiyasta yawan jituwa don wadannan nau'in kulawa:
- DMARDs (cututtuka-anti-rheumatic maganin cutar)
- NSAIDs (kwayoyin anti-inflammatory marasa amfani)
- aspirin
- magunguna corticosteroids
- injected steroids
- kwayoyin cytotoxic
Babu mai haƙuri a cikin binciken da ya taba kasancewa a kan magunguna na TNF.
An kuma gwada marasa lafiya na Lymphoma a cikin binciken don cutar Epstein-Barr.
Lymphoma binciken binciken
- Ayyukan althritis na rheumatoid matsakaici wanda aka haɗu da ninkawa sau 8 a cikin hadarin lymphoma idan aka kwatanta da aikin hawan ƙwaƙwalwar ƙwayar cuta na rheumatoid.
- Babban aikin hakar ƙwayar cuta na rheumatoid ya haɓaka da karuwar ninki 70 a ilimin lymphoma.
- Rashin haɗarin lymphoma ya haɗu da haɗar haɗar haɗin gwiwa a hannun, ƙafafu, da kuma gwiwoyi da aka lura da rikodin likitancin mai haƙuri a cikin shekarar bara kafin a gano shi tare da lymphoma.
- Fiye da kashi 70 cikin 100 na marasa lafiya a cikin binciken (lymphoma da kyautar free lymphoma) sun ɗauki DMARDs, ciki har da methotrexate.
- Sakamakon binciken ya nuna babu ƙananan ƙwayar lymphoma da aka haɗa da DMARDs, NSAIDs, aspirin, ko steroids.
- Rashin lafiyar Lymphoma ya ragu ne a tsakanin marasa lafiya wanda ya karbi maganin steroid a cikin ɗakansu.
- Daga magungunan likita da aka bincikar a cikin binciken, kawai Iranran (azathioprine) , wanda ba shi da amfani da DMARD don cutar arthritis, ya nuna wata ƙungiya tare da ƙananan hadarin lymphoma.
Ilimin Lymphoma - Ƙarshe
Masu bincike sun tabbatar da cewa marasa lafiya da cututtukan da suka kamu da ƙwayar cutar da suka kamu da ƙwayar cuta, sun kasance mafi haɗari ga ƙaddamar da lymphoma. Kunawa na kwanan baya kuma ba magungunan anti-inflammatory ya zama alamar haɗuwa da ilimin lymphoma a marasa lafiya na rheumatoid marasa lafiya. Da farko, mummunan magani don sarrafa kumburi yana da mahimmanci.
> Source:
> "Sabuwar fahimtar hanyar haɗi tsakanin cututtuka na huhu da ciwon daji" EurekAlert; Arthritis & Rheumatism, Maris 2006