Izinto ezinobungozi ezithile zingachaphazela ukufa kwabantu kwi-Osteoarthritis
I-Osteoarthritis kunye nokufa akuzange kufundwe ngokubanzi, kungaboniswa. Ininzi, i-osteoarthritis inxulumene nentlungu edibeneyo , ukukhubazeka ngokwenyama, kunye nokunciphisa ukusebenza . Ngokuqhelekileyo i- rheumatoid arthritis , ingekho i-osteoarthritis, enxulumene nokunyuka kwabantu nokunciphisa ixesha lokuphila . Okokuthi, ngokubambisana, izifo zesifo se-rheumatic asithathwa njengesibulali okanye isigxina.
Imbali yoPhando kwiSiqhagamshelo
Ngonyaka ka-2008, uHochberg washicilela iziphumo ekuphononongweni okucwangcisiweyo kwezifundo ezazibhekiselele ekufeni nokuphila kubantu abane-osteoarthritis. Wachaza ngezifundo ezisixhenxe ezidibanisa i-criteria yokungena:
- Ucwaningo lokuqala lwe-osteoarthritis kunye nokufa kwapapashwa ngo-1976 (uMonson kunye neHolo). Izigulane zivunyelwe esibhedlele ukuphumla kokulala kunye nezobugcisa zonyango zifaniswa nabantu bonke. Kwiminyaka yokuqala eyi-10 emva kokubhedlelelwa esibhedlele, iindleko zokusindiswa kwamadoda kunye nabasetyhini zifana neendawo eziqhelekileyo, kodwa zahla ngaphantsi koko. I-Arteriosclerotic isifo senhliziyo yimbangela ebangela ukufa, kubangele ama-40 ekhulwini abantu abafa. Iingxaki zesisu, ukubalwa kwama-6 ekhulwini kubo bonke abafayo phakathi kwabo abane-osteoarthritis, babephindwe kabini izinga labemi. Ukusetyenziswa kwe- Aspirin kwakunxulumene nezizathu zesisu sokufa kwiqela le-osteoarthritis.
- Ucwaningo lwesibini lwase-US (uRevva Lawrence et al., 1989) luhlola ukufa kwabantu kubantu abane-x-ray ubungqina bendoda ye-osteoarthritis xa kuthelekiswa nabantu abangenabo ubungqina be-x-ray ye-knee osteoarthritis. Iziphumo zabonisa ukufa kwabantu abangaphezu kwezinto ezibalulekileyo kubasetyhini kuphela ababenobungqina be-x-ray ye-knee osteoarthritis.
- I-Cerhan et al., E-US ngo-1995, bavavanya ukufa kwabantu kwiqela labesetyhini abasebenza kwi-radium-peal-peinting industry. Kuyabasetyhini abachazwa njengokuba babe ne-radium ephantsi, ama-joints angama-55 ahlanganiswe kwizinga le-osteoarthritis. I-osteoarthritis yezandla, zombini ngamadolo, kunye nomgudu wesibeleko yayihlanganiswe nokunciphisa ukusinda okanye ukunyusa ukufa. Okuthakazelisayo, i-osteoarthritis yamagqabi, iinyawo, okanye i-lumbar spine yayingekho. Abaphengululi baphetha ukuba ukunciphisa umzimba okanye ukusebenzisa iyeza kunokuba negalelo.
- UWatson et al, (eUnited Kingdom) bafunda iziganeko ze-osteoarthritis ngo-2003. Babecinga nabantu abane-arthritis ye-rheumatoid kunye nabantu abaneminyaka engama-40 nangaphezu kwe-arthritis. Akukho nantlukwano yecatshulwa efunyenwe ngokubhekiselele ekufeni kwegazi kunye nokufa ngokukhawuleza kumaqela amathathu. Nangona kunjalo, kwaphawulwa ukuba kukho ukulinganiselwa kunye nedatha esetyenzisiweyo.
- I-Haara et al., (Finland), ngo-2003 kunye no-2004, ibhekiselele kumanyano phakathi kwe-osteoarthitis yamanyathelo eminwe kunye kunye kunye ne-carpometacarpal yesigxina nokufa. Abafazi abane-osteoarthritis ehambelana ne-joint DIP (i-distal interphalangeal) yabangela umngcipheko wokufa. Kodwa, kwakungenjalo nakwabasetyhini abane-osteoarthritis kunoma yiphina ingxube yomunwe okanye abantu abane-osteoarthritis kunoma yimuphi umnwe okanye u-DIP osteoarthritis. I-osteoarthritis yendibano ye-carpometacarpal yesithupha nayo yayingabandakanywa nobungozi bokufa.
- Kumar et al. (E-United Kingdom), ngo-2007, bavavanya zonke izizathu zokufa nokufa kwabantu ezihlobene nesifo senhliziyo nesifo esibuhlungu kubantu abane-arthritis ye-rheumatoid, kunye nabantwana babo abaneengxaki zesifo se-osteoarthritis. Iqela le-osteoarthritis linomngcipheko ophezulu wokufa kwabantu besifo sengqondo senhliziyo, kodwa kungekhona kwintlungu. Abaphengululi baphetha ukuba isifo senhliziyo sisicikiconi sinxulumene nokunciphisa umzimba kunye ne- NSAID (usetyenziso lwezonyango olungenakuvuthayo) .
I-Knee Osteoarthritis kunye neNgozi yokuNyuka kweMpilo
Abaphandi baseBrithani (i-Kluzek et al), ngo-2015, bahlalutya idatha esuka kwiChrisford Study ukuze bavale ukufa kwangaphambili kwintombi ephakathi-osteoarthritis.
Bazimisele ukuba i-knee osteoarthritis yayinxulumene ngokusondeleyo kunye nokufa kwabantu kunye nokufa kwegazi. Enyanisweni, abafazi abaneentlungu kunye ne-x-ray ubungqina be-osteoarthritis babenomngcipheko wokufa kwasekuqaleni kabini kwaye kaninzi kathathu umngcipheko wokufa kwentliziyo ngokuthelekiswa nabasetyhini abangenawo ubuhlungu bentolo okanye ubungqina be-osteoarthritis. Abafumananga nxu lumano phakathi kwesandla se-osteoarthritis kunye nobungozi obuninzi bokufa.
Ngo-2014, uCleveland RJ et al. iziphumo zophando ezipapashwe kwi-Osteoarthritis kunye neCartilage eveze ukuba i-knee osteoarthritis (emibini kunye ne-radiographic osteoarthritis) ixhomekeke kwingozi yokufa. Oku kwakunjalo nangemva kokutshintshwa kokubhema, ubungakanani bomzimba kunye nokunye okungahambiyo . Abaphengululi bacetyise ukuba le ngongoma kwimiphumo ye-osteoarthritis, kunye ne-osteoarthritis.
ILizwi
I-osteoarthritis kunye nokufa akusona isifo esifundekayo. Kodwa, okwaneleyo kwenziwe ukuba kuphakanyiswe ukuba i-osteoarthritis kumalungu athile, ngokukodwa amaninzi amakhulu, inokuqhagamshelaniswa nomngcipheko ophezulu wokufa.
Ukuba siyakuqonda ukuba oko kungenxa yemiphumo yesistim ye-osteoarthritis ngokumalunga nemiphumo yokukhubazeka, ukusetyenziswa okwenziwe ngokomzimba, ukusetyenziswa kwamachiza, okanye indlela yokuphila, ukufundwa kwezifundo eziphezulu. Kule ngongoma, kukho ubungqina obunokulinganisela.
> Imithombo:
> UCleveland RJ et al., UMbutho we-Osteoarthritis enkulu kunye noNobangela wokufa; Iprojekthi yaseJohnston County Osteoarthritis Project. Epreli 2014. Umqulu 22 S203-S204.
> Hochberg MC. Ukufa kwi-Osteoarthritis. I-Rheumatology yeeKliniki kunye noVavanyo. 2008 Sep-Oct; 26 (5 iSongezelelo 51): S120-4.
> Kluzek S et al., I-Knee Painful But Not Hand Handing Osteoarthritis Ngaba ngummeli ozimelayo wokufa kwabantu ngaphezu kweminyaka engama-23 ukulandelelwa kweqela elijongene noluntu labesetyhini abaphakathi. BMJ. Umqulu 75 Ingxelo 10. 2015.