Shekaru da dama yanzu, lymphoma daban-daban tsakanin Palasdinawa da Isra'ilais sun haifar dashi akan radar a ɗaukar lymphoma a duniya. Shin rates of lymphoma gaske daban-daban tsakanin Isra'ilais da Palasdinawa? Idan haka menene zai iya lissafa wadannan bambance-bambance?
Non-Hodgkin Lymphoma Duniya, kuma a Isra'ila
Hakanan lymphoma guda biyu, ciwon daji na kwayoyin lymphocyte-white, sune lymphoma Hodgkin da lymphoma ba Hodgkin , ko NHL.
Daga cikin biyu, NHL shine mafi yawan kowa, kuma wannan shi ne irin lymphoma da aka tattauna a nan.
Lambobin hawan NHL sun karu a dukan duniya daga 1950-2000, hakika za su haɓaka a cikin shekaru 65 da suka wuce. Kamar yadda aka ruwaito a shekara ta 2012, Isra'ila tana da rashin bambanci na kasancewa na farko a duniya a cikin NHL, wanda NHL ita ce ta biyar da aka fi sani da ciwon daji a Isra'ila. An kuma bayar da rahoton cewa, a kowane shekara, idan ka ɗauki mutane 100,000, kimanin 15.7 maza na Yahudawa da 11.8 matan Yahudawa zasu ci gaba da NHL, yayin da kawai Larabawa 10.4 da 10.0 na Larabawa suka ci gaba da cutar. Kodayake yawan raguwa ne a tsakanin Larabawa na Isra'ila, idan ka dubi Labanon, wanda ke kusa da Isra'ila kusa da su, ana bin su a karo na biyu a duniya a cikin mafi girma na NHL, a bayan Isra'ila. Rahoton Palasdinawa na Cibiyar Cancer a shekara ta 2014 ya ruwaito cewa NHL ita ce karo na bakwai a cikin yankunan Palasdinawa a yammacin West Bank da tara a cikin mata.
Yan Adam, Muhalli, da Hadarin NHL
Da farko, menene lamarin da NHL ya haifar ya kai tsawon shekaru 50 daga 1950 zuwa 2000? Wannan tambaya ne da akwai ra'ayoyi daban-daban, ga masu bincike da yawa, hawan ya nuna mahimman abubuwan da ke cikin muhalli. Duk da haka, yawancin lymphomas an yarda su bambanta da jikinsu, tarihin iyali, da kabilanci.
Akwai yanayin da ke da ban sha'awa musamman game da Isra'ilawan Yahudawa da Larabawa Palasdinawa saboda suna wakiltar yawancin al'ummomi da ke zaune a kusa da kusa da ƙasa. Suna raba irin wannan yanayi, duk da haka suna da salon rayuwa daban-daban, halin lafiyar jiki, da tsarin kiwon lafiya.
Da yake lura da wannan tasiri mai ban sha'awa, ƙungiyar masu bincike, Kleinstern da abokan aiki, sun fara nazarin tarihin kiwon lafiya, muhalli da kuma yanayin haɗarin rayuwa ga NHL- kuma musamman NHL wanda ya fito ne daga B-lymphocytes, wani nau'i na lymphoma a Isra'ila da Palasdinawa. Sun yi nazari akan rahotannin cututtuka, kuma marasa lafiya kawai da lymphomas wadanda ke da kyau ga CD20 ko wasu alamar B-cell sun haɗa su cikin binciken su.
Lymphoma a cikin Isra'ila da Isra'ila da Larabawa Palasdinawa
Sakamakon binciken da Kleinstern da abokan aiki suka yi sune wasu daga cikin na farko da zasu kwatanta siffofin NHL musamman a wannan karami, duk da haka babban kusurwar duniya. A Amurka, DLBCL shi ne lymphoma na kowa. Gaskiyar ita ce gaskiya ga Yahudawa Isra'ila da Larabawa Palasdinawa, duk da haka rarraba kowane nau'in BH-cell NHL ya bambanta.
Akwai nau'o'i uku na B-cell NHL waɗannan masu bincike suna duban:
- Yada manyan lymphoma B-cell (DLBCL)
- Lymphoma follicular (FL)
- Mantle zone lymphoma (MZL)
Da yake kallon rahotanni, masu binciken sun gano cewa Yahudawa suna da alamun da suke kama da irin mutanen da ke yammacin Turai. Ya bambanta, Larabawa na Palasdinawa sun sami DLBCL (71 bisa dari), kuma mafi girma daga DLBCL fiye da Saudi Arabia (kashi 51) ko Jordan (kashi 62).
Har ila yau, sun lura cewa jama'ar Jordan suna kama da al'adu da al'adun Larabawa ne, yayin da wani binciken a Labanon-wata ƙasa mai girma-NHL-ya ruwaito DLBCL kashi 44, wanda ya fi kama da yawan kuɗin tsakanin Yahudawa na Isra'ila.
Komawa da magungunan kashe qwari
Gidajen abinci a matsayin abin sha'awa ya danganci B-cell NHL da DLBCL kawai ga Larabawa Palasdinawa. Sauran Larabawa Palasdinu sun yi watsi da (47.7 bisa dari) tare da jama'ar Yahudawa na Isra'ila (kashi 36.7). Mawallafa sun lura cewa mafi yawan gidajen bankin West Bank suna da gonaki, ana amfani dasu musamman ga 'ya'yan itace, itatuwan zaitun da kayan lambu, ba don furanni ko lawn ba, yayin da yawancin mutanen Isra'ila na Isra'ila suna zaune a cikin gine-gine.
A gaskiya, aikin lambu da aka gano a bayyane a matsayin "aikin lambu" ya danganta da B-NHL da DLBCL, amma kawai ga Yahudawa na Isra'ila. Mawallafa sunyi tunanin cewa aikin lambu na iya yin tasiri ga magungunan kashe qwari a cikin al'ummomin biyu, amma ya lura cewa wasu shafuka, irin su radiation ta UV ta hanyar yin amfani da su a rana.
Layin Ƙasa
Wannan binciken ya iya bayyana wasu bambance-bambance tsakanin mazauna biyu da suke zaune a kusa da juna, kuma dukkanin kwayoyin halitta da kuma yanayin muhalli sunyi kamar sun kasance a cikin wasa, ciki har da cututtuka, salon rayuwa, da kuma tarihin tarihin iyali.
Akwai hujjoji da suke nuna cewa akwai wasu bambanci da yawa a cikin haddasa lymphoma B-NHL a cikin waɗannan biyun.
Duk da haka, daya daga cikin nasara na wannan bincike, baya ga binciken da ya samu, ya kasance tabbas cewa an haife shi, an tsara shi kuma ya kasance wanda aka samu sosai, wanda mawallafin ya kama shi a taƙaice:
"Wannan binciken ya nuna wani aikin kimiyya na musamman wanda ya shafi Isra'ila da kuma masu binciken Palasdinawa, kuma ya nuna muhimmancin bincike na hadin kai har ma a fannin tattalin arziki ba tare da tabbas ba."
> Sources:
> Kleinstern G, Seir RA, Perlman R, et al. Bambancin bambancin kabilanci da salon rayuwa don B lymphoma na cell B ba da Hodgkin: Nazarin nazari tsakanin Isra'ila da Palasdinawa. PLoS Daya. 2017; 12 (2): e0171709.
> Kungiyar Lafiya ta Duniya.Globocan 2012: An kiyasta ciwon daji, mace-mace da kuma yaduwa a duniya a shekara ta 2012, zane-zane ta hanyar ciwon daji.