I-Rheumatoid Arthritis Complications ingachaphazela ukufa
I-rheumatoid arthritis (RA) isifo esibhubhisayo esinemiphumo engathintekiyo emzimbeni, engqondweni, kunye nezoqoqosho ezibuhlungu malunga neepesenti ezili-1 zabantu abadala. Ukuxhaphaka kwesi sifo kwanda ngobudala kwaye kuthintela amaxesha amabini ukuya kathathu maninzi a mabhinqa njengamadoda.
Ngokubhekiselele kwisigulo esingapheliyo kunokuba sisifo esibulalayo, i-rheumatoid arthritis iboniswe ukunciphisa ixesha lokuphila komntu.
Oku kuyahluka kakhulu kwaye kuxhomekeke kwiimeko ezinjengezinye iimeko zonyango, ukuba unyango olunjani, kunye nexesha lokuxilongwa.
Iingxaki ze-RA
Ngokuqhelekileyo, abantu abane-rheumatoid bavame ukuhlangabezana nokukhawulela okuqhubekayo kwimisebenzi yomzimba. Ukuba usasebenza, ubunzima kukuba ukukhubazeka kuya kuthintela umsebenzi wakho kwiminyaka eyi-10 emva kokuqala kwesi sifo, kubangele ukunciphisa ngokukodwa kwimali engenayo.
Kwakulindelwe ukuba xa kuthelekiswa nabantu abangenabo i-RA, abo bajongene nesi sifo baza kubangela ezinye iimeko ezinzima. Ezi ziquka iindleko zonyango eziphezulu, ukwandiswa kwezibhedlele, kunye nenani elikhulu lokutyelela ugqirha.
Zonke ezi zinto zinokuchaphazela umgangatho wobomi bakho, oko kukukhathalela i-rheumatologist ejongene nokulawula lesi sifo esingapheliyo. Intlungu yomzimba kunye nemingeni yemali inokuba nzima kwaye ithathe umthwalo wayo kwimpilo yengqondo.
Nangona kunjalo, ukuxilongwa kwangaphambili, unyango olufanelekileyo, kunye nenkqubo efanelekileyo yokuxhasa inokuphucula uphuhliso lwakho jikelele, kunye ne-RA.
Ubungozi bokufa
Njengomntu jikelele, imbangela ebangela ukufa phakathi kwezigulane ezine-arthritis ye-rheumatoid isifo se-cardiovascular and the rate of incidence sifana.
Kodwa izigulane ezine-arthritis ye-rheumatoid, nangona kunjalo, zisengozini enkulu yokufa ngenxa yezifo, isifo sesisu, imeko yokuphefumula, okanye isifo sesisu.
Ukufa okugqithiseleyo ukususela kwiintsholongwane kunye nokusukela kwisifo sokuqhawula isifo kubonisa ukuba kukho ukugula kwesifo esibi. Uninzi lwabantu abafayo kubangelwa kwizizathu zesisu kubangelwa unyango.
Izimo ze-Renal zingakhokelela ekumonakaleni kweengtso kwaye kukho ubungqina obuninzi bokuthi oku kunye ne-rheumatoid arthritis kwandisa umngcipheko wesifo senhliziyo. Iingxaki ezifana ne- vasculitis kunye ne- amyloidosis kunye nezo ngenxa yonyango lwezonyango ezifana ne- salts zegolide , i-penicillamine kunye ne-cyclosporine zinokuba yingxaki.
Izinto ozilindile emhlabane
Ukulindela ubomi kufutshane phakathi kwezigulane ezine-arthritis ye-rheumatoid kunabantu bonke. Izinga lokusinda lifaniswa nezo zifo zeHodgkin, isifo sikashukela, kunye nesifo se-coronary disease.
Ngokubhekiselele ekunciphiseni ixesha lokuphila kwezilwanyana ze-rheumatoid arthritis, i-standard standard mortal from a variety of studies ivela kwi-1.13 ukuya ku-2.98. Oku kusebenza kakhulu kwiimeko zengxubusho ze-rheumatoid, nangona igalelo leengxaki ze-rheumatoid ezingekho phantsi kwexesha elide elichasayo likhoyo.
Izifundo ezisekelwe kliniki mhlawumbi zivame ukuphazamisekisa ukunciphisa okwenyaniso kwenkqubela yobomi kunye nezifundo ezisekelwe kuluntu zingazincipha. Ubunzima kunye nobude be-RA benza kwakhona iziphumo eziphambili zezifundo, nangona sinezifundo ezithile eziphawulekayo.
Iziphumo zophando
Ngo-1989, kwenziwa isifundo e-Finland yabantu abangama-1666 abaye bafa kwaye babefumana unyango kwi-RA. Idatha yoluntu malunga nabantu baseFinland kunye neenombolo ze-inshorensi yokugula zazisetyenziselwa njengesiseko seenkomfa. Iziphumo zibonise ukuba ubude bezinto zezifundo kunye ne-RA bufutshane ngeepesenti ezili-15 ukuya kuma-20 ekhulwini ukususela ekuqaleni kokugula.
- Phantse iipesenti ezingama-40 zokufa ngokugqithiseleyo zibangelwa zizizathu zomoya.
- Phantse iipesenti ezingama-30 zibangelwa izifo.
- Phantse ama-15 ekhulwini ngenxa ye-amyloidosis.
- Iipesenti ezili-15 eziseleyo zibangelwa ezinye izizathu.
Kwenye uphando lwexesha elide, abaphandi beMayo Clinic bafunde impembelelo yokufa kwe-RA engaphezu kweminyaka engama-40 e-Olmsted County, eMinnesota. Abantu abane-arthritis ye-rheumatoid abaneminyaka engama-35 ubudala ubudala ngo-1965, 1975, no-1985 bafaniswa. Abaphandi baphinde bahlola iingxelo zamatyala amatsha e-rheumatoid arthritis kwiminyaka engama-30 ukususela ngo-1955 ukuya ku-1985.
Ngowe-1965 kwakukho iziganeko ezingama-163 ezikhoyo ze-rheumatoid arthritis e-Olmsted County. Ngowe-1975 kwakukho amacala angama-235 kwaye ngowe-1985 kwakukho amacala angama-272. Umlinganiselo wokusindiswa wawufaniswa kunye nabantu abangenabo i-RA.
Abaphengululi baphetha ukuba umngcipheko wokufa kwabantu abantu abane-arthritis ye-rheumatoyi malunga nama-38 ekhulwini kunabantu bonke. Umngcipheko wawubaluleke kakhulu kwabasetyhini, ngama-55 ekhulwini ayenayo ingozi xa kuthelekiswa nabasetyhini bemihlali.
Ngokomzekelo, umfazi oneminyaka engama-50 ubudala onesifo se-rheumatoid arthritis angalindela ukuba aphile iminyaka emine emininzi (iminyaka engama-30 esikhundleni seminyaka engaphezulu kwe-34) ngaphezu komfazi ongenalo i-rheumatoid arthritis. Nangona kunjalo, indoda eneminyaka engama-50 ubudala ene-rheumatoid arthritis inokulindela ukuba iphile iminyaka engama-26 ubudala xa umntu oneminyaka engama-50 engenawo i-rheumatoid arthritis angalindela ukuba aphile iminyaka engama-27.
ILizwi
Ingagqitywa ukuba ukulinda komntu kufutshane kwizigulane ezine-rheumatoid arthritis. Sekunjalo, kuye kwavunywa ukuba unyango lwesi sifo lunokuphucula umgangatho wakho wobomi, oku kungabaluleke ngakumbi ukukhumbula. Ngokuqhelekileyo, iinzuzo zonyango zigqithise ngaphezu kweengozi.
Ukusebenza nogqirha wakho, uza kufumana zonke iindlela zokonyango ezikhoyo. Ezi ziza kuthathelwa ingqalelo imbali yakho yentsapho kunye nempilo yonke ukuze ufumane uninzi lwabomi nge-rheumatoid arthritis.
> Imithombo:
> I-Myllykangas-Luosujarvi R, Aho K, i-Kautiainen H, Isomaki H. Ukunciphisa Ubomi be-Span kunye neZibangela zokufa ngokweqile kwi-Series-based Based Subjects nge-Rheumatoid Arthritis. I-Rheumatology yeeKliniki kunye noVavanyo. 1995; 13 (2): 149-53
> van Sijl AM, et al. Ukuxhatshazwa kwe-Renal Dental Usetyenziso ngokuzimeleyo ezibandakanya iziganeko ze-Cardiovascular in Arthritis: iCarré Study. Iziganeko zeeRheumatic Diseases . 2012; 71 (3): 341-4.
> Gabriel SE, et al. Ukusinda kwi-Rheumatoid Arthritis: Uhlalutyo oluluntu olusisiseko lweMigqaliselo engaphezu kweminyaka engama-40. Arthritis & Rheumatism . 2003; 48 (1): 55-58.
> Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W. Umgangatho ofanayo ojongene nezoMpilo kwi-Fibromyalgia Izigulane: Ukuthelekiswa neRumatoid Arthritis Izigulane kunye ne-General Population Using Survey of SF-36. I-Rheumatology yeeKliniki kunye noVavanyo . 2009; 27: S67-74.