Ngaba ukubhema kukhulisa okanye kunciphise ingozi ye-Osteoarthritis?
Ukubhema kunempembelelo embi kwimpilo. Yiyo inyaniso eqinisiweyo. Ngokuphathelele ukutshaya kunye nomphumo walo kwi- osteoarthritis , kukho ubungqina obuphikisanayo. Abaphandi bacetyisa ukuba ukutshaya kunempembelelo embi kwi-osteoarthritis, kodwa ubuncinci olunye uphando lubonisa ukuba kunokubakho ukukhusela kwi-osteoarthritis. Makhe sibuke ubungqina.
Ukutshaya i-Worsens Knee Osteoarthritis kuMadoda
Amadoda aguqa i-osteoarthritis kunye nomsi omnyama alahlekelwa yintsholongwane kunye nentlungu enzima kunabesilisa abangabhemi, ngokutsho kweziphumo zophando ezipapashwe kwi-January 2007 ze- Annals ze-Rheumatic Diseases . Uphononongo, okhokelwa yi-Mayo Clinic rheumatologist, wahlola amadolo anamaqondo angama-159 amadoda. Amadoda aye ahlolisiswa kwiinyanga ezingama-30. Amadolo abo ahlolisiswa esebenzisa iMRI kunye nenqanaba lazo intlungu. Kwamadoda angama-159, aba-19 babengabatshayiyo abasebenzayo ekuqaleni kwesi sifundo. Ngokomyinge, amadoda angama-19 abhema iigareyi ezingama-20 ngosuku malunga neminyaka engama-40.
Iziphumo zophando zityhila ukuba ababhemayo babedla ngokuphindwe kabini ukuba babe nelahleko ephawulekayo ye-cartilage ngaphezu kwabangabhemi. Ngokomphandi, izizathu ezingachaza ukudibanisa phakathi kokutshaya kunye nokulahleka kwe-cartilage ziquka:
- Ukubhema kunokuphazamisa iiseli kunye nokucima imveliso yeselti kwi-cartilage.
- Ukubhema kunokuphakamisa amanqanaba e-toxins egazini, okufaka isandla ekulahlekeni kwe-cartilage.
- Ukubhema kunokunyusa izinga le-carbon monoxide egazini, elichaphazela igazi lokuphefumula, elingasimaza ukulungiswa kwe-cartilage.
Ababhemayo babenemilinganiselo ephakamileyo kunokuba abangabhemi. Ekubeni i-cartilage ayinayo intsimbi yeentlungu, ukunyuka kwentlungu kungekhona kubangelwa ukulahleka kwe-cartilage. Nangona kunjalo, ukutshaya kunokuchaphazela ezinye izakhiwo emadolweni okanye kunokuba nempembelelo kwiintlungu zokuqonda.
Ukutshaya Kukhusela I-Knee Osteoarthritis
Ngokomxholo ka-Septemba 2007 we- Osteoarthritis kunye neCarlage , abaphandi bahlalutya ukuxhamla phakathi kobufakazi be-x-ray ye-knee osteoarthritis kunye nokunyanya nokusebenza. Ngalindelekanga, ngexesha lohlalutyo, abaphandi bafumana umphumo okhuseleyo wokutshaya ekuphuhliseni i-osteoarthritis.
Ukuqinisekisa iziphumo, abaphandi baphinde bahlalutye idatha kwiFramingham Osteoarthritis Study kwaye bafumanisa ukuba ababhemayo babe nezinga elincinci le-osteoarthritis kunabangabhemi. Impembelelo ye-nicotine kwi-chondrocyte (uluhlu lweeseli) kwi-cartilage ye-articular inokuthi ilandele umphumo wokukhusela.
Ngokufanayo, kwiphando elidala elipapashwe ngoFebhuwari 1989 kwiArthritis & Rheumatism , ngelixa lifunda i-knee osteoarthritis kwi-Survey Health and Nutrition Examination Survey, abaphandi bangalindelekanga ngokungaqhelekanga ukudibanisa phakathi kokutshaya kunye ne-osteoarthritis emva kokulungelelanisa ubudala, isondo kunye nesisindo.
Ngokusekelwe kwiziphumo zabo kunye nokuqhathaniswa noFramingham Osteoarthritis Study, abaphandi baphetha ukuba ukutshaya okanye into engaziwayo okanye engaziwayo ngokubhema ukuthoba ngokuzithoba kukukhusela i-knee osteoarthritis.
Isifundo seKingford: UkuSaza kunye neengozi ye-Osteoarthritis yabasetyhini
Uphononongo olushicilelwe kwi- Annals ka -Febhuwari ka-1993 ye-Rheumatic Diseases , lubheka ukubhema ugwayi kunye nomngcipheko we-osteoarthritis kwabasetyhini ngokubanzi. Ukususela ekubeni uphando oludlulileyo lugqiba ukuba ukutshaya kunemiphumo yokukhusela ekuphuhlisweni kwe-knee osteoarthritis, abafazi aba-1,003 abavela kwiCingford (enkulu yaseLondon, eNgilani) babemi. Kwakukho abesifazana abangama-463 abachazwe njengababhemayo (besetyenziswe i-cigarettes eyi-14.9 ngosuku ngeminyaka engama-25.7) kunye nabangama-540 abangabhemi. Isandla kunye nama-x-rays asetyenziswe ukuhlola i-osteoarthritis.
Iziphumo azizange zisekele ubudlelwane obuphambene phakathi kokutshaya kunye ne-osteoarthritis kwabasetyhini. Uhlobo oluphambeneyo luya kuthetha ukuba ukutshaya kwanda, i-osteoarthritis yancipha - kwaye le ngqungquthela ayixhaswanga yiCingford.
Isifundo se-Clearwater Osteoarthritis
Kanti olunye uphando oluthile, olubizwa ngokuba yi-Clearwater Osteoarthritis Study, olupapashwe ngoJanuwari 2003 i- Osteoarthritis neCarlage lugqiba ukuba ukutshaya akubonakali kukukhusela kakhulu ekuphuhliseni i-osteoarthritis. Isiphetho salandelwa ukuhlolwa kwama-2505 amadoda nabasetyhini. Abafundi abathathi-nxaxheba bahlolisiswa kwi-osteoarthritis kwiindawo ezine-idolo, isandla, unyawo kunye nomlomo wesibeletho. Ukuzibika ngokwembali yokubhema isimo esibhekiweyo sokutshaya.
Isiphelo Ngokubhema kunye ne-Osteoarthritis
Ngamazibulo ezempilo aziwayo ezinxulumene ne-nicotine, akunakwenzeka ukuncoma ukutshaya, nokuba ngaba uphando olongezelelweyo lubhekiselele kumphumo wokukhusela kwi-osteoarthritis. Abaphandi banakufikelela ekugqibeleni ukuba kukho nayiphi na inzuzo enxulumene nokutshaya.
Imithombo:
Ukubhema i-cigarette kunye nomngcipheko wokulahleka komzimba kunye nokuguquka kwamadolo ngamadoda nge-knee osteoarthritis. Iziganeko zeeRheumatic Diseases . S Amin et al. Ja nuwari 2007.
http://ard.bmj.com/cgi/content/abstract/66/1/18
Ukubhema kunye ne-osteoarthritis: Ngaba kukho umbutho? Isifundo se-Clearwater Osteoarthritis. I-Osteoarthritis kunye neKartilage . Wilder FW et al. Ja nuwari 2003.
http://dx.doi.org/10.1053/joca.2002.0857
Ngaba ukutshaya kukhusela kwi-osteoarthritis? Arthritis & Rheumatism. UFelson MD, uDavid T. et al. Fe bruwari 1989.
http://www3.interscience.wiley.com/cgi-bin/abstract/112207030/ABSTRACT/?CRETRY=1&SRETRY=0
Ukubhema i-cigarette nomngcipheko we-osteoarthritis kwabasetyhini ngokubanzi: isifundo seCingford. Hart, DJ kunye noMtsalane, TD. Iziganeko zeeRheumatic Diseases. Fe bruwari 1993.
http://ard.bmj.com/cgi/content/abstract/52/2/93