Ingozi Ephakamileyo Iminyaka Emva kweFracture Fracture
I-bone ephukile ayinakuvakala kakhulu, kodwa ukuba uyindoda endala okanye ibhinqa, ukuphuka kwe-hip kungabangela ezininzi iingxaki zempilo ezinzima. Kuyingozi kangakanani ukuqhaqha umlenze kumntu omdala, kwaye yintoni izinga lokufa emva kokuqhekeka kwe-hip? I- hip ephukile , eyaziwa nangokuthi i-hip fracture, ingakhokelela ekukhubazekeni okukhulu, kwanokufa.
Iyingozi Kangakanani Ephukile Ngayo Xa Ukhulile?
I-Falls ihloniphekile yokuba yintloko ebangela ukulimala kunye nokufa okuhlobene nokulimala kubantu abadala kunama-65.
Ukuwa kungabangela ukuhla kwehla lokuzimela; Umntu onokuqhaqhaqhaqhaqhaqha ahlale esakwazi ukuhlala ngokuzimeleyo kuluntu kwaye kufuneka ahambe ekunyamekeleni indawo yokuhlala ngoncedo olungakumbi kwimisebenzi yemihla ngemihla.
Ukufa kwamaDual Doubles Emva kwe-Hip Broken
Ngokutsho kokuhlaziywa kwezilingo ezilawulwe ngokungapheliyo ekulawulweni kwe-hip fracture, i-mean rate ye-mortality year-year after the break-up is a 21%. Oku kuthetha ukuba abantu abahlanu abakhulileyo baya kusinda kunyaka wokuqala emva kokuqhaqha. Eli nqanaba lokufa liye langatshintshi ukususela ngo-1980 xa ixabiso lokufa kweminye imimiselo liye lancipha kakhulu.
Iziphumo eziliqela zibonise ukuba isantya sobungozi bobabili esibangele izigulane ezisebekhulile emva kokuphazamiseka kwe-hip. Isifundo se-2017 esilandela abantu abangaphezu kwe-122 000 e-United States naseYurophu yabona ukuba inani lokufa kwabantu bonke liphindwe kabini kwiminyaka engaphezu kwe-12 kulabo babebenokuqhaqha.
Ukwanda kwelokufa kwakubaluleke kakhulu kunyaka wokuqala emva kokuqhekeka, phantse kathathu ngokuphakamileyo njengoko kulindelwe kuluntu jikelele. Yanciphisa ixesha elide kodwa yahlala phantse kabini into eyayilindeleke emva kweminyaka eyisibhozo okanye ngaphezulu.
Iphepha le-2011 elipapashwe kwi- Journal ye-American Medical Association (i-Internal Medicine) kuphando lwabafazi abangama-5 580 abangaphezu kweminyaka engama-20 kwi-Study of Osteoporotic Fractures (SOF).
Inani lokufa liphindwe kabini phakathi kwabasetyhini ababenomphulo ophukileyo kunyaka wokuqala emva kokulimala. Ngamanye amagama, ngexesha leenyanga ezili-12 emva kokuphula i-hip yabo, abo bafazi babesengozini yokufa, xa kuthelekiswa nabasetyhini abanamathuba afanayo ngaphandle kokuqhekeka kwe-hip. Ngaphezu kwesahlulo sokufa kwavela kwiinyanga ezintathu zokuqala emva kokuphuka.
Izifundo zangaphambilini, ezifana nokuhlaziywa kwe-meta ezipapashwe ngo-2010 kwi- Annals of Medicine Internal , zibonise izinga eliphakamileyo kakhulu lokufa kwexesha elifutshane emva kokuphazamiseka kwe-hip. Kulo phengululo lwezifundo ezipapashwe phakathi ko-1957 no-2009 (ezibandakanya ibhinqa elingama-578 436 kunye namadoda angama-154,276 ngaphaya kweminyaka yobudala engama-50), abaphandi baseBelgium nase-United States bafumene ingozi yokufa kubini nababhinqa kwiinyanga ezintathu emva kokuba Ukuqhekeka kwe-hip isithuba esiphakathi kwamahlanu anesibhozo ngaphezulu. Nangona umngcipheko omkhulu wokufa wancipha iminyaka emibini emva kokuphuka, amaxabiso okufa ahlala aphezulu kunabo bantu abadala abazange baqhekeza umlenze, nangemva kweminyaka eyi-10 yokulandelelana. Ukufa okugqithisileyo kwakuphezulu phakathi kwamadoda kunabesifazane kulo mbononongo.
Iimbangela Zokufa Emva kweFrac Fracture
Ziziphi iigulane ezifa emva kokuqhekeka kwe-hip? Uphononongo luka-2011 lufumene ukuba xa kuthelekiswa nokulawulwa kwamaxesha afanayo, inani elininzi labasetyhini lafa ngepheneyoni kunye neengxaki zengqondo.
Uhlalutyo lwangaphakathi lwamayeza lwe- Annals lwangaphakathi , kwacetyiswa izimbalwa ezinobangela bokufelwa kwexesha elifutshane, kubandakanywa iingxaki ezinokuthi zenzeke emva kokuhlinzwa (ezifana nokumbumba , ukusuleleka , kunye nokungaphumeleli kwentliziyo). Ukongezelela, iingxaki zempilo ezinokubangela ukuwa kwindawo yokuqala-ukuchithwa kwengqondo , isifo esingasigxina se-pulmonary disease (COPD) kunye nesifo se-cardiovascular-zichazwe njengabafaka isandla ekufeni kwabantu. Abaphandi baqaphela ukuba ngokuqhelekileyo, abantu abaphula i-hip banokukhubazeka kakhulu ngaphambi kokuba kuqhekeke xa kuqhathaniswa nalabo abangenalo ukuphuka.
Nangona ubudala bubunobungozi obukhulu bokuwa, umntu onempilweni kwaye ufanelekile unokucingelwa ukuba uneminyaka engaphantsi kwexesha , abashiye abaphantsi kokuwa kunye nokuqhekeka.
Iindleko kunye nezeMpilo Iindleko ze-Hip Fractures eNyakatho Melika
Iimfucumfucu ze-Hip zimela iindleko ezinkulu zempilo ngokuphatha amaxhoba. EUnited States, malunga nama-300,000 abantu bafumana ukuphuka kwe-hip ngonyaka. ECanada, malunga nabantu abangama-27 000 abadala bayaphula umlenze ngamnye kunyaka, kunye neendleko zonyango elinganiselwa kuma-1 billion.
Uphando luqhubela phambili ekuthintekeni kokuthintela ukuwa okubangela ukuhlukana, kubandakanywa ukucwangciswa okungcono kwezixhobo zokuncedisa ezifana nabahambahambayo, izinto ezincinci zokubeka phantsi kumakhaya asebekhulile, kunye nokuchithwa kwemisebenzi yomzimba kunye neyonyango yokukhuthaza ukulinganisela namandla.
> Imithombo:
IAff and Fractures. ISiko leSizwe le-US NIH kwiPhepha leNgcaciso yoluntu oluguga. https://www.nia.nih.gov/health/publication/falls-and-fractures
Haentjens P, Magaziner J, Colón-Emeric CS, et al. Uhlalutyo lwe-Meta: Ukufa okungekho emva kokuqhekeka kwenyuka phakathi kwabasetyhini nabadala. Ann Intern Med. 2010; 152 (6): 380-390
> Katsoulis M, uBenetou V, uKarapetyan T, et al. Ukufa okugqithisileyo emva kokuqhaqha kwentambo kubantu asebekhulile bevela eYurophu nase-USA: Iprojekthi ye-CHANCES. Umbhalo weMithi yoPhakathi . 2017; 281 (3): 300-310. i-doi: 10.1111 / joim.12586.
> Leblanc ES. I-Fracture ye-Hip kunye nokwandiswa kwexesha elifutshane kodwa kungekho ixesha elide lokufa kwabesetyhini abakhulileyo. IiNcwadi zoLondolozo lwangaphakathi . 2011; 171 (20): 1831. i-doi: 10.1001 / archinternmed.2011.447.
> Mundi S, uPindiprolu B, uSimunovic N, Bhandari M. Ukulingana okufana nokufa kwezigulane kuphulukana nezigulane kwiminyaka engama-31 edlulileyo: Ukuhlaziywa ngokufanelekileyo kwe-RCT. Acta Orthopaedica . 2014; 85 (1): 54-59. i-doi: 10.3109 / 17453674.2013.878831.