Ukuxhaphaka kokunyanya kakhulu eUnited States akuyinto emfutshane yokumangalisa kwaye iyaqhubeka iyinkinga eyandayo. Ingaphezu kweyesithathu kweyabantu abadala abadala base-US baninzi. Oku kubangela inani leengxaki ezibalulekileyo zezempilo eziquka isifo senhliziyo , isifo sikashukela, uxinzelelo lwegazi oluphezulu kunye nophuhliso lwe-osteoarthritis .
Ubunzima obuthe xaxa bubangela uxinzelelo olongezelelweyo olongezelelweyo kumalungu ethu.
Ngenxa yesi sizathu, ukunyamezela kuyimeko eqhelekileyo ukuba izigulane ezenza i-osteoarthritis ye-hip kunye namadolo. Xa zonke iinkqubo ezikhuselekileyo zingaphumeleli, ukutshintshwa kwe-hip totali kuye kwaboniswa ukuba yindlela yokucoca ngokufanelekileyo malunga ne-end-stage ye-osteoarthritis ye-hip.
Ukunyaniseka, i-Hip Arthritis, kunye noBucholo
Iingxaki ezigqithise izigulane ezine-arthritis ye-hip zijongene nokuba kukuba ukuhlinzwa kunganciphisa iimpawu zabo, izigulane ezithe gqithwa ziba nezinga eliphezulu kakhulu leengxaki emva kokuhlinzwa. Abagqirha, nabo, bajamelene neengxaki ezinzima: ukuba ngaba bayenqaba ukutyunjwa kwizigulane ezigqithiseleyo, kwaye ukuba ngaba kunjalo kangakanani enkulu kakhulu ukuhlinzwa?
Uphando olutshanje olusuka kwi-Clinical Mayo lucacisa umbandela ngokubonelela ngexabiso elikhulu lwedatha kwiirhafu zeengxaki ezisekelwe kwizigulane ze-BMI. Isalathisi sesiswini somzimba sisilinganisi esingaqhelekanga sokuthi umntu okhulu kakhulu kunjani, inqanaba lokuphakama kunzima.
I-BMI engaphezu kwe-30 ithathwa njengobunzima.
Abaphengululi beMayo Clinic baqulunqa idatha kuwo onke ama-hip substitution ayenziwa phakathi kuka-1985 no-2012. Babhekane neengxaki eziqhelekileyo zokutshintshwa kwe-hip totals njengoko zihambelana ne-BMI.
Esinye seziphumo eziphambili esi sihlolisiso sasibuyiselwa, esichazela ukubuyela kwigumbi lokusebenza nangaliphi na isizathu.
Ugqirha ungadinga ukufaka igalelo elitsha kuba iqela lihlulekile, okanye yinkqubo yokwenza utywala nje kuphela ukuphatha isifo esingenangqondo esingazibandakanya izakhi zensimbi.
Abaphandi bajonga ngokukhethekileyo ukuhlolwa ngokutsha (ukuthatha izinto ezidala kunye nokufaka ezintsha). Ezinye iingxaki eziqhelekileyo zibandakanya ukuhanjiswa, kunye nokusuleleka (kokubili okungenangqondo kunye nokujula). Iimpawu abaphandi abakwi-Mayo Clinic bafunyanisayo babenomdla.
Okokuqala, kubonakala ukuba oogqirha bama-orthopedic basebenza kwizigulane ezingaphezulu. Ubuninzi bezigulane ezine-BMI ezingaphezu kwama-40, ekwahlulwa ngokugqithiseleyo, yayingama-1.5 ekhulwini phakathi kuka-1985 no-1989. Lelo nani liphindwe kabili ukuya kuma-6.2 ekhulwini kwiqela eliye lahlinzwa phakathi kuka-2000 no-2012.
Ukwandiswa kwe-BMI kwakuxhomekeke kwingozi enkulu yokusebenza kwakhona nangona nayiphi isizathu, ukuhlaziywa kwezimpembelelo, ukutshatyalaliswa kwangaphambili (emva kweenyanga ezintandathu zokuhlinzwa), kunye nokusuleleka kunye nokutheleleka okungenangqondo. Yintoni emangalisa kukuba umngcipheko wale nkxalabo ukwanda malunga nefowuni enye kunye ne-BMI ekwandayo. Oku kuthetha ukuba ngentlawulo enye eyongezelelweyo emva kwe-BMI ethile, ingozi yezi ngxaki iyakhula.
Umngcipheko ophantsi kakhulu ufunyenwe nge-BMI ephantsi. Umngcipheko wokuqhutyelwa kweso sizathu saqala ukunyuka emva kwe-BMI ye-32. Ingozi yokuhlaziywa kokuveliswa yanda emva kwe-BMI ye-32. Ukufuduswa kwangaphambili kwingozi yobungozi emva kwe-BMI ye-35, kwaye umngcipheko wosulelo lwaqala ukwanda emva kwe-BMI ye-25 kuphela.
Ubunzima Kangakanani Bakhulu?
Uphononongo aluniki impendulo kumbuzo wendlela enkulu kangakanani enkulu yokuhlinzwa? Ngethuba lini ingozi eyongeziweyo yeengxaki ezigqithiseleyo kuneenzuzo zokutshintshwa kwe-hip. Ndiyathemba, lo ngumbuzo oya kuphendulwa ngokukhawuleza ngokufundiswa kokulandela.
Inani lezibhedlele sele liqalise ukunyanzelisa iinqununu zokunyusa izithintelo ngokuphindaphindiweyo. Ukunqunyulwa okuqhelekileyo kusetyenziswa i-BMI ye-40. Oku kubonakala kunzima, kodwa ingxabano ingenziwa ukuba yinto enomdla yezigulane ngokunciphisa ubunzima beengxaki.
Lo mgaqo-nkqubo unokuthi, ngamanye amaxesha, ubeke izigulane kwiimeko ezinzima. Abaninzi banomuvo wokuthi abanako ukunciphisa umzimba ngaphandle kwengqumbo-ntlungu, kwaye abanako ukuhlinzwa ukuze banciphise intlungu yabo ngaphambi kokuba banciphise ubunzima. Ukuguqulwa kokutya kunye nokuphuculiswa kwesondlo kuyisiluleko esiqhelekileyo kulawo gulane.
Yintoni oku kuthetha ngayo kuwe
Ukubeka la manani ngombono, i-BMI ye-25 ehamba ngamanqanaba ama-intshi ama-25 inch inomlinganiselo weeyure ezili-169, i-BMI ye-32 ihambelana nokulingana kwama-pounds angama-216, kwaye i-BMI ye-35 ifana nama-236.
Ngoko ke singayenza ntoni ngale nkcazelo? Okokuqala kwaye okubalulekileyo oku kufuneka kusebenze umgqugquzeli omkhulu wokunciphisa ubunzima kubantu abacinga ukuba baphumelele. Akukho mntu oya kutyando enethemba lokwenza inkathazo kwaye olu cwaningo lubonisa ukuba indlela efanelekileyo yokuyiphepha kukuba kuchithe ubunzima obuninzi.
Ukugxininiswa ekulahlekeni kwesisindo ngaphambi kokutshintshwa ngokubambisana kuye kwanyuswa ngaphambili. Uphando olutshanje olwenziwe kwiSibhedlele soPhando oluPhezulu luphando lweendleko-mpu melelo ye-bariatric phambi kokuba kugqitywe ngamadolo. Abaphandi bafumene ukuba utyando lwe-bariatry kule nkqubo liyabangela ixabiso elinempumelelo.
Le ndlela yindlela ephikisana ngayo kwaye abanye oogqirha bamazinyo bahlala bexhala malunga nesiphumo somnxeba wokuhlinzwa. Esi simiso senza imeko apho ezinye izigulane zingenakondliwa ngenxa yokutya okuncinci. Ukunqongophala kungabangela iziphumo ezimbi emva kokutshintshwa okuhlangeneyo.
Ukubaluleka kokulahlekelwa kwesisindo
Idatha ephakanyiswe ngabaphandi abavela kwi-Clinical Mayo igxininisa ukubaluleka kokulahlekelwa kwesisindo ngaphambi kokuba ithathe indawo yokutshintsha i-hip. Umgangatho kwiingqinisiso zengxaki zibonisa ukuba zonke iilidi zibala. Ngokufanelekileyo, oku kuya kubangela izigulane ezininzi zifuna uncedo kubaniki bezondlo kunye neenkqubo zokuzivocavoca ukubanceda banciphise ubunzima ngaphambi kokuba baqhutywe. Oku kuya kubakho ukulibazisa ukuhlinzwa kunye nokwandisa inkqubo yokwenza unyango jikelele, endaweni yokugxila ekuqhutyweni kwangoko ngaphambi kokuba isiguli sinikwe ithuba lokunciphisa umzimba, kodwa ngokubanzi ukulibaziseka kunyango kuyafaneleka kwiziphumo ezingcono. Ukuba ukulahlekelwa isisindo kunokuthintela isifo sokusulela emva koko, zonke izigulane kufuneka zenze konke okusemandleni ukuba zenze njalo.