Matenda a Matenda a Nyamakazi Angakhudze Imfa
Matenda a nyamakazi (RA) ndi matenda opweteka kwambiri omwe amachititsa kuti 1 peresenti ya anthu akuluakulu padziko lapansi apweteke kwambiri. Kufala kwa matendawa kumawonjezeka ndi ukalamba ndipo kumakhudza amayi awiri kapena atatu monga abambo.
Kawirikawiri monga matenda aakulu koma osati matenda, nyamakazi ya nyamakazi yasonyezedwa kuti ichepetse moyo wa munthu.
Izi zikhoza kukhala zosiyana kwambiri ndipo zimadalira zinthu monga matenda ena, momwe amachitira nkhanza, komanso nthawi yomwe amapezeka.
Mavuto a RA
Kawirikawiri, anthu omwe ali ndi vuto la mafupa nthawi zambiri amayang'anizana ndi zoperewera m'kugwira ntchito. Ngati mukugwirabe ntchito, mwayiwu ndi wakuti kulemala kudzakhudza ntchito yanu pasanathe zaka 10 chiyambireni matendawa, kuwonetsa kuchepa kwakukulu kwa ndalama.
Ndiyeneranso kuyerekezera kuti poyerekeza ndi anthu opanda RA, omwe akudwala matendawa amakhala ndi mavuto ambiri. Izi zikuphatikizapo ndalama zowonjezera zachipatala, kuwonjezeka kwa anthu ogwira ntchito kuchipatala, komanso maulendo ambiri a madokotala.
Zinthu zonsezi zingakhudze moyo wanu, zomwe zimakhudza odwala matenda a rheumatologist omwe amayang'anira matendawa. Kuvutika kwa thupi ndi mavuto a zachuma zingakhale zovuta komanso zimapweteketsa maganizo a munthu.
Komabe, matenda oyambirira, chithandizo choyenera, ndi njira yabwino yothandizira angathe kusintha moyo wanu wonse, ngakhale ndi RA.
Zoopsa za Anthu
Monga mwa anthu ambiri, vuto lalikulu la imfa pakati pa odwala ali ndi matenda a mtima ndi matenda a mtima ndipo chiwerengero cha matendawa ndi ofanana.
Odwala omwe ali ndi nyamakazi, ali ndi chiopsezo chachikulu cha imfa chifukwa cha matenda, matenda a chiwindi, matenda a m'mimba, kapena matenda a m'mimba.
Kufa kwambiri kuchokera ku matenda ndi matenda a chiwindi amasonyeza kuti pali matenda aakulu. Ambiri omwe amafa chifukwa cha m'mimba amachititsa mankhwala.
Matendawa amatha kupweteka kwa impso ndipo pali umboni wochuluka wosonyeza kuti izi pamodzi ndi nyamakazi ya nyamakazi imapangitsa kuti pakhale matenda a mtima. Mavuto monga vasculitis ndi amyloidosis ndi omwe chifukwa cha mankhwala monga mankhwala a golide , penicillamine, ndi cyclosporine angakhalenso ovuta.
Moyo Wopitirira
Chiyembekezo cha moyo ndi chachifupi pakati pa odwala ali ndi nyamakazi kusiyana ndi anthu ambiri. Mavuto omwe amapulumuka amafanana ndi a Hodgkin, matenda a shuga, ndi matenda atatu a mitsempha yamakono.
Ponena za kuchepa kwa moyo wa odwala matenda a nyamakazi, chiŵerengero cha imfa chokhazikika kuchokera ku maphunziro osiyanasiyana chakhalapo kuyambira 1.13 mpaka 2.98. Izi zimagwiritsidwa ntchito makamaka pa vuto la matenda a chifuwa chachikulu , ngakhale kuti chiwerengero cha matenda a chifuwa chachikulu sichikhala ndi vuto lachilendo.
Kafukufuku wamakono nthawi zambiri amaonetsetsa kuti kuchepetsedwa kochepa kwa moyo wa moyo komanso maphunziro a anthu angasamalire. Kuvuta ndi kuwerengeka kwa RA kumapangitsanso zotsatira zopindulitsa kwambiri, ngakhale kuti tili ndi maphunziro apadera oti tiwone.
Zotsatira Zophunzira
Mu 1989, phunziro linachitika ku Finland anthu 1666 omwe anamwalira ndipo adalandira mankhwala kwa RA. Deta ya chiwerengero cha anthu ku Finland ndi ziwerengero za inshuwalansi za matenda zinagwiritsidwa ntchito monga maziko a malemba. Zotsatira zikuwonetsa kuti nthawi yayitali ya maphunziro ndi RA infupikitsidwa ndi 15 peresenti mpaka 20 peresenti kuyambira tsiku lomwe adayamba kudwala.
- Pafupifupi 40 peresenti ya imfa yochulukirapo idayambitsa matenda a mtima.
- Pafupifupi 30 peresenti anali chifukwa cha matenda.
- Pafupifupi 15 peresenti anali chifukwa cha amyloidosis.
- Otsala 15 peresenti anali chifukwa cha zifukwa zina.
Mu kafukufuku wina wa nthawi yayitali, ofufuza a ku Mayo Clinic anaphunzira zotsatira za kufa kwa RA zaka zoposa 40 ku Olmsted County, Minnesota. Anthu odwala nyamakazi omwe anali ndi zaka 35 mu 1965, 1975, ndi 1985 anafanizidwa. Ofufuza anafufuzanso zolemba za matenda atsopano a nyamakazi kwa zaka 30 kuyambira 1955 mpaka 1985.
Mu 1965 panali 163 matenda odwala nyamakazi mu nyamakazi ya Olmsted. Mu 1975 panali milandu 235 ndipo mu 1985 panali milandu 272. Chiwerengero cha opulumuka chimafanizidwa ndi cha anthu opanda RA.
Akatswiri ofufuza anapeza kuti chiopsezo cha kufa kwa anthu omwe ali ndi matenda a nyamakazi ndi pafupifupi 38 peresenti kuposa anthu onse. Zowonjezera zinali zoopsa kwambiri kwa amayi, ndipo 55 peresenti yowonjezera ngozi poyerekeza ndi akazi a anthu ambiri.
Mwachitsanzo, mayi wina wa zaka 50 ali ndi nyamakazi yodwala nyamakazi akhoza kuyembekezera kukhala ndi zaka zinayi (zaka 30 m'malo mwa zaka zina 34) kusiyana ndi mkazi wopanda nyamakazi. Komabe, mwamuna wa zaka 50 ali ndi nyamakazi ya nyamakazi akhoza kuyembekezera kukhala ndi zaka 26 pamene mwana wamwamuna wa zaka 50 wopanda matenda a nyamakazi angathe kuyembekezera kukhala ndi zaka zina 27.
Mawu Ochokera
Zingaganize kuti kuyembekezera kwa moyo kwafupikitsidwa kwa odwala nyamakazi. Komabe, zatsimikiziranso kuti chithandizo cha matendawa chingakulitse umoyo wanu, womwe ukhoza kukhala chofunikira kwambiri kukumbukira. Kawirikawiri, phindu la mankhwala likuposa zoopsa.
Kugwira ntchito ndi dokotala, mudzapeza njira zonse zomwe mungapezere mankhwala . Izi ziyenera kuganizira mbiri yakale ya banja lanu komanso thanzi labwino kuti muthe kupeza moyo wambiri ndi matenda a nyamakazi.
> Zotsatira:
> Myllykangas-Luosujarvi R, Aho K, Kautiainen H, Isomaki H. Kufupikitsa kwa Moyo Zomwe Zimapangitsa Anthu Kufa Mopitirira Muyeso M'magulu Omwe Amakhala ndi Anthu Omwe Amakhala ndi Matenda a Nyamakazi. Kachipatala ndi Zofufuza za Rheumatology. 1995; 13 (2): 149-53
> Sijl AM, ndi al. Kusokonezeka kwa Matenda a Mphindi Kumakhala Wovomerezeka Wosagwirizana ndi Zochitika Zamtima M'thupi la Matenda a Nyamakazi: Carre Study. Annals wa Rheumatic Diseases . 2012; 71 (3): 341-4.
Gabriel SE, et al. Kupulumuka mu Matenda a Nyamakazi: Nyamakazi Yophatikizira Anthu Yophatikizapo Miyambo Kwa Zaka Zoposa 40. Arthritis & Rheumatism . 2003; 48 (1): 55-58.
> Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W. Moyo wokhudzana ndi thanzi la a Fibromyalgia Odwala: Kuyerekezera ndi Chifuwa chachikulu cha Arthritis Odwala ndi Anthu Omwe Amagwiritsa Ntchito SF-36 Health Survey. Kachipatala ndi Zofufuza za Rheumatology . 2009; 27: S67-74.