Zowonjezereka Zowonjezereka kwa Zaka Zitatha Pambuyo pa Kuphulika kwa Hip
Kugwidwa fupa sikungakhale koopsa, koma ngati ndinu mwamuna kapena mkazi wachikulire, kupasuka kwa chiuno kungakhale chiyambi cha mavuto aakulu a thanzi. Kodi ndi choopsa chotani chomwe chimakhala chophwanyika pakati pa munthu wachikulire, ndipo chiwerengero cha anthu omwe amwalira ndi chiphuphu ndi chiyani? Mphuno yosweka , yomwe imatchedwanso kuphulika kwa mchiuno, ingachititse kulemala kwakukulu, ngakhale imfa.
Kodi Ndi Zowopsya Bwanji Zogwedezeka Hip Pamene Mukukalamba?
Mapiri ali ndi mwayi wochititsa manyazi kwambiri chifukwa choyamba kuvulaza ndi kuvulala kwa anthu oposa 65.
Kugwa kungayambitse kuchepa kwakukulu; munthu yemwe ali ndi chiphuphu cha mchiuno sangathe kukhala ndi moyo mwachindunji mderalo ndipo ayenera kusamukira kumudzi kuti athandizidwe kwambiri ntchito za tsiku ndi tsiku.
Kuchuluka kwa Anthu Omwe Amafa Pambuyo Pambuyo Pogwidwa Hip
Malinga ndi ndondomeko ya mayesero omwe amachitidwa mosavuta pa chiwongolero cha kuphulika kwa chiuno, chiwerengero cha zaka 1 chiwerengero cha anthu omwe amatha kufa chifukwa cha kupweteka kwa chiuno ndi 21 peresenti. Izi zikutanthauza kuti okalamba anayi mwa asanu aliwonse adzapulumuka chaka choyamba mutatha kupasuka. Chiwerengero cha anthuwa chakhala chosasintha kuyambira zaka za m'ma 1980 pamene chiwerengero cha anthu otha kufa chifukwa cha zochitika zina zachepa kwambiri.
Kafukufuku wambiri wasonyeza kuti chiwerengero cha anthu omwe amamwalira chimafa chifukwa cha kupweteka kwa m'chiuno. Kuphunzira kwa 2017 komwe kunatsatira anthu 122,000 ku United States ndi ku Ulaya kunapeza kuti chiwerengero cha anthu omwe anafa chiwerengero chawo chinawonjezereka kwa zaka zoposa 12 kwa iwo amene anavulala.
Kuwonjezeka kwa kufa kunali kwakukulu m'chaka choyamba mutatha kuphulika, pafupifupi katatu kuposa momwe anthu ambiri amayembekezera. Icho chinachepetsedwa patapita nthawi koma chinakhalapo kawiri zomwe zinkayembekezeka patadutsa zaka zisanu ndi zitatu kapena kuposerapo.
Pepala la 2011 lomwe linafalitsidwa mu Journal of the American Medical Association (Internal Medicine) linafufuzira akazi okwana 5,580 pazaka pafupifupi 20 za Phunziro la Osteoporotic Fractures (SOF).
Chiwerengero cha anthu omwe amamwalira chimawonjezeka kawiri pakati pa amayi omwe adathyola mchiuno chaka choyamba atadwala. Mwa kuyankhula kwina, pakatha miyezi 12 atathyola chiuno, amayiwa anali ndi chiopsezo cha imfa, kawiri poyerekeza ndi akazi a msinkhu womwewo popanda kuthyola mwendo. Oposa theka la anthu amene anamwalira anachitika miyezi itatu yoyambirira mutatha.
Kafukufuku wakale, monga kufotokoza kwa meta yosindikizidwa mu 2010 mu Annals of Internal Medicine , wasonyeza kuchuluka kwapamwamba kwa kufa kwa nthawi yochepa pambuyo pa kupasuka kwa chiuno. Phunziroli la kafukufuku wofalitsidwa pakati pa 1957 ndi 2009 (akukwana akazi 578,436 ndi amuna 154,276 oposa zaka 50), ofufuza ochokera ku Belgium ndi United States adapeza chiopsezo cha imfa mwa amuna ndi akazi mu miyezi itatu pambuyo pake Kuphulika kwa chiuno kumakhala pakati pa zisanu ndi zisanu ndi zitatu kuposa. Ngakhale kuti chiopsezo chachikulu cha imfa chinafalikira patatha zaka ziwiri chiwonongekocho, chiwerengero cha anthu akufa chinali chokwera kuposa cha anthu achikulire omwe sanathe kuswa chiuno, ngakhale patatha zaka 10 zotsatila. Kufa kwakukulu kunali kochuluka pakati pa amuna kusiyana ndi akazi mu ndemangayi.
Zifukwa za Imfa Pambuyo pa Kuphulika kwa Hip
Kodi odwala amafa chifukwa cha kupasuka kwa chiuno? Kafukufuku wa 2011 adapeza kuti poyerekeza ndi zaka zofanana, amayi ambiri anafa ndi chibayo komanso matenda a chidziwitso.
Mu Annals of Internal Medicine analysis, zifukwa zingapo zomwe zimayambitsa kufa kwa kanthaŵi kochepa zinaperekedwa, kuphatikizapo mavuto omwe angachitike pambuyo pochita opaleshoni (monga mapulaneti embolism , matenda , ndi mtima wosalimba). Kuonjezera apo, mavuto a umoyo omwe angayambe kugwa - monga matenda a dementia , matenda osokoneza bongo (COPD), ndi matenda a mtima - amatchulidwanso ngati othandizira kuwonjezereka kwa imfa. Ofufuzawo amanena kuti anthu ambiri amene amathyola mchiuno amalephera kugwira ntchito poyerekeza ndi anthu omwe sagwidwa.
Ngakhale kuti zaka ndizoopsa kwambiri chifukwa cha kugwa, munthu wathanzi ndi wathanzi angaoneke kuti ali ndi zaka zochepa, zomwe zimawasiya kuti asagwe ndi kugwa.
Kuchuluka kwa Nthenda ndi Zaumoyo Za Hip Fractures ku North America
Kuphulika kwa njoka kumaimira mtengo waukulu wathanzi pa nkhani yothandizira ozunzidwa. Ku United States, anthu pafupifupi 300,000 amamva kupasuka kwa chiuno chaka chilichonse. Ku Canada, pafupifupi anthu 27,000 okalamba amathyola chiuno chaka chilichonse, ndi mtengo wamachiritsi womwe umagwiritsidwa ntchito kuposa $ 1 biliyoni.
Kafukufuku akupitirizabe momwe angapewere kugwa kumene kumapangitsa kuti fractures, kuphatikizapo mapangidwe abwino a zipangizo zothandizira monga oyendayenda, zipangizo zochepetsera pansi pa malo osungirako okalamba, komanso ntchito zothandizira komanso zakuthupi kuti likhale ndi mphamvu komanso mphamvu.
> Zotsatira:
Mapiko ndi Fractures. Bungwe la National NIH la US NIH pa Zomwe Zakalamba Zakulirapo. https://www.nia.nih.gov/health/publication/falls-and-fractures
Haentjens P, Magaziner J, Colón-Emeric CS, ndi al. Kufufuza meta: kufala kwakukulu kwa chiwindi pakati pa akazi ndi abambo achikulire. Ann Intern Med. 2010; 152 (6): 380-390
> Katsoulis M, Benetou V, Karapetyan T, et al. Anthu okalamba ochokera ku Ulaya ndi USA: Amuna ambiri okalamba amatha kupasuka. Journal of Internal Medicine . 2017; 281 (3): 300-310. lembani: 10.1111 / joim.12586.
> Leblanc ES. Kuphulika kwa Hip ndi Kuwonjezeka Kwanthawi yayitali koma Osati nthawi yayitali Kufa kwa Akazi Okalamba Achikulire. Archives of Internal Medicine . 2011; 171 (20): 1831. lembani: 10.1001 / archinternmed.2011.447.
> Mundi S, Pindiprolu B, Simunovic N, Bhandari M. Momwemonso anthu ambiri omwe ali ndi chifuwa cha chiphuphu akudwala m'zaka 31 zapitazi: Kukonzekera mwachidule kwa RCTs. Acta Orthopaedica . 2014; 85 (1): 54-59. do: 10.3109 / 17453674.2013.878831.