Sabuwar bincike na gwagwarmayar rahotanni game da hadari
Methotrexate ita ce miyagun ƙwayoyi da ke amfani da su don magance wasu ciwon daji da kuma wasu nau'in cutar ta jiki , ciki har da psoriasis mai tsanani da kuma arthritis rheumatoid (RA) .
Abin mamaki, yawancin karatu sun nuna cewa hanya zata iya haɓakar ciwon daji a cikin mutane tare da RA, ciki har da melanoma, cutar sankarar bargo, myeloma, ciwon huhu da huhu, da lymphoma.
A cikin shekaru goma tun lokacin da aka fara buga wannan binciken, an yi ta muhawara akan yadda ainihin haɗarin zai iya zama. Shin mai sauki ne don amfani, ko akwai wasu dalilai da zasu iya sanya wasu mutane mafi girma fiye da wasu?
Abin da Rukunin Farko Ya Bayyana Mu
A shekara ta 2008, nazarin binciken Australiya yayi nazarin tarihin likitocin mata 309 da maza 150 tare da RA waɗanda suka yi amfani da hanyoyi kafin 1986 kuma sun kwatanta yawan ciwon daji a cikin wannan rukuni zuwa ga jama'a.
Bisa ga binciken, mutane da RA wadanda aka bayyana a hanya sun sami kashi 50 cikin dari na haɗarin ciwon sukari na kowane irin. Bugu da ƙari, suna da karuwar sau biyar a cikin hadarin lymphoma ba Hodgkin (NHL) da kuma ninka sau uku na ciwon huhu da huhu da melanoma .
Daga cikin mutane 459 da aka hade a cikin binciken, an gano alamun mallaka 87.
Yayin da binciken ya goyi bayan binciken da aka yi a baya game da hadarin NHL da cutar kanjamau a cikin mutane a kan hanyoyin da aka tsara, mutane da yawa a cikin masana kimiyya sun kasance marasa tabbas game da ko kuma hanya ne mai laifi ko cutar kanta.
Wannan shi ne ainihin gaskiya ga melanoma tun lokacin da aka tsara nazarin bai yarda da hada irin waɗannan abubuwa masu haɗari ba a matsayin shekaru ko hasken rana.
Abin da Binciken Na Ƙarshe Ya Bayyana Mu
A shekara ta 2017, masana kimiyya a jami'ar Gothenburg a Sweden sun gudanar da nazari kan nazari kan yadda ake la'akari da haɗarin melanoma a cikin marasa lafiya da ake bi da bi tare da RA.
Ta yin amfani da kididdiga daga Hukumar Kula da Lafiya da Tafiya na kasa, masu binciken sun sake nazarin batutuwa na kowa na tsawon shekaru 18 wanda aka ba da magani daga 2005 zuwa 2014.
A cewar binciken da aka wallafa, mutane da RA waɗanda aka bi da su tare da hanya kawai sun sami kasuwa 10% mafi girma daga melanoma fiye da yawan jama'a. Bugu da ƙari, yawancin waɗannan lokuta sun hada da matan da suka fara magani bayan shekaru 70. Kamar yadda wannan ya faru, shekarun na iya taka muhimmiyar rawa da aka bayar da cewa yawancin mutane suna ganin mutane fiye da 65.
Sauran masu bincike, a halin yanzu, sun fara bincike akan ƙungiyar tsakanin RA da ciwon daji ba tare da la'akari da yadda ake bin su ba. Ɗaya daga cikin irin wannan bincike da Cibiyar Ma'aikatar Ma'aikatar Maryada ta gudanar ta sake nazarin bayanai daga binciken binciken asibiti guda bakwai da aka wallafa tsakanin 2008 da 2014.
Kundin littattafai guda tara sun haɗu da ka'idojin hadewa. Bakwai sun binciki haɗarin ciwon daji a cikin mutane tare da RA; takwas sun dubi lymphoma, melanoma, huhu, da kuma maganin ciwon daji; bakwai sun mayar da hankali ga ciwon daji na prostate; da kuma gudanar da bincike guda hudu a cikin ciwon sankarar mahaifa.
Bayan kammala wannan bita, masu bincike sun bayar da rahoton cewa yawan cutar ciwon daji shine kawai kashi 10 cikin dari fiye da yawan jama'a.
Bugu da ƙari, hadarin ƙwaƙwalwar nono, na mahaifa, da na gurguntacciyar cuta, da kuma ciwon daji na ƙwayar cuta ne ainihin ƙananan ta hanyar kwatanta.
Haka kuma bai riƙe gaskiya ga sauran cututtuka ba. Daga cikin binciken:
- Sakamakon lymphoma ya kasance mafi girma, musamman ma Hodgkin cuta wanda ya karu da ninki 12 cikin haɗari.
- Maganar ciwon huhu a kullum ya nuna karuwa biyu.
- Melanoma yana da ɗan ƙasa kaɗan da kashi 25 cikin 100
Ba abin mamaki bane, wadannan cututtuka ne da aka nuna a cikin binciken Nazarin Australia.
Wannan ba ya nuna cewa hanya ba ta da wani ɓangare a hadarin ciwon daji. Yana kawai ya gaya mana cewa dole ne a dauki karin kulawa domin tabbatar da cewa ciwon daji ke nunawa a cikin mutane tare da RA ko an tsara takaddama ko a'a.
> Sources:
> Buchbinder, R .; Barber, M .; Heuzenroeder, L. et al. "Rashin cutar melanoma da sauran malignancies a tsakanin marasa lafiya na rheumatoid marasa lafiya wanda aka bi da su." Rheum arthritis . 2008; 59 (6): 794-9. DOI: 10.1002 / art.23716.
> Polesie, S .; Gillstedt, M .; Son, H. et al. "Magungunan Methotrexate da kuma hadarin ga mummunar mummunan ƙwayoyin cuta: wani binciken da aka yi nazarin rajista a cikin rajista." Brit J Derma. 2017; 176 (6); 1492-1499. DOI: 10.1111 / bjd.15170.
> Saminu, T. Thompson, A ;; Gandhi, K. et al. "Tashin rashin lafiya a marasa lafiyar marasa lafiya da cututtuka na rheumatoid: a .meta-analysis." . Arthritis Res Ther. 2015; 17 (1): 212. DOI: 10.1186 / s13075-015-0728-9.