Zinthu Zowopsa Zingakhudze Imfa mwa Anthu Osteoarthritis
Osteoarthritis ndi kufa sizinaphunzire mokwanira, ndipo sizinafotokozedwe. Ambiri, osteoarthritis amagwirizanitsidwa ndi ululu wamagulu , kufooka kwa thupi, ndi kuchepa kwa ntchito . Kawirikawiri ndi matenda a nyamakazi , osati osteoarthritis, omwe amagwirizanitsidwa ndi kuwonjezereka kwa chiwerengero cha anthu akufa ndi kuchepetsa nthawi ya moyo . Izi zikuti, magulu onse, matenda a chifuwa saganiziridwa kuti ndi owopsa kapena otsiriza.
History of Research on Link
Mu 2008, Hochberg inafalitsa zotsatira kuchokera ku kafukufuku wowonongeka wa maphunziro omwe anawona kuti munthu akafa ndi kupulumuka kwa anthu omwe ali ndi matenda a osteoarthritis. Iye adafotokoza kafukufuku asanu ndi awiri omwe adatsata ndondomekoyi:
- Kafukufuku woyamba wa US osteoarthritis ndi kufa kwasindikizidwa mu 1976 (Monson ndi Hall). Odwala adaloledwa kupita kuchipatala kukapuma ndi kugwiritsidwa ntchito poyerekeza ndi anthu ambiri. Kwa zaka 10 zoyambirira kuchokera kuchipatala, kupulumuka kwa amuna ndi akazi kunali kofanana ndi anthu ambiri, koma kunatsika. Matenda a mtima wa Arteriosclerotic ndiwo amachititsa anthu kufa, zomwe zimachititsa 40 peresenti ya imfa. Matenda a m'mimba, omwe amawerengera 6 peresenti ya imfa zonse pakati pa anthu omwe ali ndi matenda a osteoarthritis, anali oĊµirikiza kuchuluka kwa anthu ambiri. Kugwiritsidwa ntchito kwa aspirin kunayanjanitsidwa ndi ziwalo za imfa m'magulu a osteoarthritis.
- Phunziro lachiwiri la US (Reva Lawrence et al., 1989) linayesa kufa kwa anthu omwe ali ndi umboni wa x-ray wa knee osteoarthritis poyerekeza ndi anthu opanda umboni wa x-ray wa knee osteoarthritis. Zotsatira zinawulula kuti anthu ambiri amafa chifukwa chodziwika kwambiri ndi amayi okha omwe anali ndi umboni wa x-ray wa mafupa osteoarthritis.
- Cerhan et al., Ku US mu 1995, adawona kuti anthu amwalira mu gulu la amayi omwe ankagwira ntchito mu makina ojambula ojambula. Azimayi omwe amadziwika kuti ali ndi radium yochepa, ziwalo 55 zinkagwiritsidwa ntchito pa digiri ya osteoarthritis. Matenda a mafupa a manja, mawondo onse, ndi khola lachiberekero anali kugwirizana ndi kupulumuka kwapang'ono kapena kuwonjezeka kwa kufa. Chochititsa chidwi n'chakuti, osteoarthritis m'chiuno, mapazi, kapena mphalapala sizinali. Ochita kafukufuku anapeza kuti kuchepetsa kuchita zinthu zolimbitsa thupi kapena kugwiritsa ntchito mankhwala kungathandize.
- Watson et al, (United Kingdom) anaphunzira zochitika zazikulu m'magulu a osteoarthritis mu 2003. Iwo ankaganiziranso anthu omwe ali ndi matenda a nyamakazi komanso anthu a zaka zapakati pa makumi anayi ndi kupitirira opanda matenda a nyamakazi. Palibe kusiyana kwa chiwerengero chomwe chinapezedwa chokhudzana ndi imfa yakufa ndi imfa mwadzidzidzi m'magulu atatuwa. Komabe, zinadziwika kuti panali malire ndi deta yogwiritsidwa ntchito.
- Haara et al., (Finland), m'chaka cha 2003 ndi 2004, adayang'ana ku mgwirizano pakati pa osteoarthitis ndi ziwalo zapadera ndi mchere wa carpometacarpal wa thupi ndi imfa. Azimayi omwe ali ndi osteoarthritis ofanana ndi a DIP (distal interphalangeal) anali ndi chiopsezo chowonjezereka cha kufa. Koma, sizinali choncho ndi amayi omwe anali ndi osteoarthritis mumphindi iliyonse yosasuntha kapena amuna omwe ali ndi osteoarthritis muyeso iliyonse kapena ya DIP osteoarthritis. Osteoarthritis ya mgwirizano wa carpometacarpal wa chala chachikulu sichinayanjanenso ndi chiopsezo chowonjezereka cha kufa.
- Kumar et al. (United Kingdom), mu 2007, adayesa zonse zomwe zimachititsa kuti anthu azifa ndi matenda okhudzana ndi matenda a mtima ndi malignancy mwa anthu omwe ali ndi matenda a nyamakazi, abambo awo ogonana ndi amuna kapena akazi okhaokha, komanso anthu omwe ali ndi ziwalo zochepa za m'mimba. Gulu la osteoarthritis linali ndi chiopsezo chochulukira cha kufa kuchokera ku matenda osokonezeka mtima a mtima, koma osati ku matenda oopsa. Ochita kafukufuku anaganiza kuti matenda a mtima wamaganizo angagwirizane ndi kuchepetsa kuchita masewera olimbitsa thupi komanso NSAID (mankhwala osokoneza bongo) .
Knee Osteoarthritis ndi Ngozi Yowonjezera ya Imfa
Akatswiri ofufuza a ku Britain (Kluzek et al), mu 2015, anafufuza deta kuchokera ku Chingford Study kuti awonetse kufa kwa amayi oyambirira omwe ali ndi matenda a osteoarthritis.
Iwo anatsimikiza kuti mafupa a bondo amagwirizanitsidwa kwambiri ndi oyambirira-chifukwa cha kufa ndi mtima wakufa. Ndipotu, amayi omwe ali ndi ululu wamadzulo komanso umboni wa x-ray wa osteoarthritis anali ndi chiopsezo cha imfa yoyambirira ndipo katatu katatu chiopsezo cha mtima wa imfa chiyerekeza ndi akazi opanda ululu wamagazi kapena umboni wa osteoarthritis. Iwo sanapeze kugwirizana pakati pa mafupa a m'mimba ndi chiopsezo chowonjezeka cha kufa.
Mu 2014, Cleveland RJ et al. zofalitsidwa zomwe zimafalitsidwa zimapezeka ku Osteoarthritis ndi Cartilage zomwe zinawulula kuti mafupa otupa a bondo (osteoarthritis (osteoarthritis) omwe amachititsa kuti thupi lizidziwika bwino ndilo liwonongeke kwambiri. Izi zinali choncho ngakhale atasintha chifukwa cha kusuta, kukula kwa thupi, ndi zina zotere . Ofufuza asonyeza kuti izi zikuwongolera zotsatira zowonongeka kwa odwala osteoarthritis, kuphatikizapo matenda odwala matenda a m'magazi.
Mawu Ochokera
Osteoarthritis ndi kufa sizowona bwino matenda. Koma, zakhala zokwanira kuti zisonyeze kuti osteoarthritis mu ziwalo zina, makamaka ziwalo zazikulu, zingagwirizane ndi chiopsezo chachikulu cha imfa.
Ngati tifuna kumvetsetsa ngati izi zimayambitsa matenda a osteoarthritis ndi zotsatira za umoyo wolemala, ntchito zochepa zolimbitsa thupi, kugwiritsa ntchito mankhwala, kapena maphunziro, maphunziro apamwamba kwambiri amafunika. Panthawi imeneyi, pali umboni wodalirika.
> Zotsatira:
> Cleveland RJ et al., Association of Large Joint Osteoarthritis Ndi Zonse-Chifukwa Imfa; Project Johnste County Osteoarthritis Project. April 2014. Voliyumu 22 S203-S204.
> Hochberg MC. Imfa mu Osteoarthritis. Kachipatala ndi Zofufuza za Rheumatology. 2008 Sep-Oct; 26 (Suppl 51): S120-4.
> Kluzek S et al., Tsoka Yamphongo Osati Kupereka Mankhwala Osteoarthritis Ndi Odziimira Odziimira Omwe Akufa Kwa Zaka Zoposa 23 Kutsatiridwa kwa Gulu la Anthu Ochokera Kumidzi la Akazi Okalamba. BMJ. Vesi 75 Nkhani 10. 2015.