Izingozi ezithile zeengozi zingathinta ukufa kwabantu kubantu abane-osteoarthritis
I-osteoarthritis nokufa akuzange kufundwe kabanzi, futhi akukhulunywe ngakho. Ngokuyinhloko, i-osteoarthritis ihlotshaniswa nobuhlungu obuhlangene , ukukhubazeka ngokomzimba, nokulinganiselwa kokusebenza . Ngokuvamile i- arthritis ye-rheumatoid , hhayi i-osteoarthritis, ehlangene nokwehla kokufa nokunciphisa isikhathi sokuphila . Lokho kusho ukuthi, izimbangela ze-rheumatic azibhekwa njengezibulala noma ezibulalayo.
Umlando Wokucwaninga Ngesixhumanisi
Ngonyaka ka-2008, uHochberg washicilelwa imiphumela kusukela ekuhlolisweni okuhlelekile kwezifundo ezazibheka ukufa nokuphila kubantu abane-osteoarthritis. Ubike ngezifundo eziyisikhombisa ezahlangabezana nenqubo yokungena:
- Ucwaningo lokuqala lwase-US lwe-osteoarthritis nokufa lwashicilelwa ngo-1976 (uMonson noHholo). Iziguli zamukelwa esibhedlela ngenxa yokuphumula kombhede kanye nokwelashwa ngokomzimba zazifaniswa nomphakathi jikelele. Eminyakeni eyishumi yokuqala emva kokubhedlela, izinga lokuphila labesilisa nabesifazane lalifana nabantu abaningi, kodwa lahlehla ngemuva kwalokho. Isifo senhliziyo se-Arteriosclerotic yisisusa esivame kakhulu sokufa, esibangela amaphesenti angu-40 okufa. Izinkinga zamathumbu, ukubalwa kwamaphesenti angu-6 azo zonke ukufa phakathi kwalabo abane-osteoarthritis, babephindwe kabili izinga labantu. Ukusetshenziswa kwe- aspirin kuthiwa kuhlotshaniswa nezimbangela zokufa emgodini we-osteoarthritis.
- Ucwaningo lwesibili lwase-US (u-Reva Lawrence et al., 1989) luhlola ukufa kwabantu abantu abane-x-ray ubufakazi bodolo lwe-osteoarthritis uma kuqhathaniswa nabantu abangenabo ubufakazi be-x-ray we-knee osteoarthritis. Imiphumela yabonisa ukuthi abantu abafayo babulawa ngokweqile kwabesifazane kuphela ababenesifo se-x-ray se-knee osteoarthritis.
- I-Cerhan et al., E-US ngonyaka ka-1995, yahlola ukushona kweqembu labantu besifazane ababesebenza embonini yokudweba i-radium. Kulaba besifazane abahlukaniswa ngokuthi banesidumbu esincane se-radium, amalunga angama-55 athengiswa ngezinga le-osteoarthritis. I-osteoarthritis yezandla, zomabili amadolo, nomgogodla womlomo wesibeletho wawuhlotshaniswa nokusinda okunciphise noma ukwandisa ukufa. Ngokuthakazelisayo, i-osteoarthritis yamagqabha, izinyawo, noma i-lumbar spine yayingekho. Abacwaningi baphetha ngokuthi ukwehlisa umzimba noma ukusebenzisa imithi kungase kube nomthelela.
- U-Watson et al, (e-United Kingdom) bafunde izenzakalo zamathambo ezigulini ze-osteoarthritis ngonyaka ka-2003. Babuye bacabangela abantu abane-arthritis ye-rheumatoid nabantu abaneminyaka engama-40 nangaphezulu abangenayo i-arthritis. Azikho umehluko wezibalo ezitholakala ngokuphathelene nokufa kwamasongo nokufa okungazelelwe emaqenjini amathathu. Kodwa-ke, kwaphawula ukuthi kunemikhawulo nedatha esetshenzisiwe.
- I-Haara et al., (Finland), ngonyaka ka-2003 no-2004, yabheka ubudlelwane phakathi kwe-osteoarthitis yamalungu omunwe nokuhlanganiswa kwe-carpometacarpal yesithupha nokufa. Abesifazane abane-osteoarthritis ehambisana nendawo ehlanganisa ukuhlanganiswa kwe-DIP (i-distal interphalangeal) yayinengozi yokufa. Kodwa, kwakungenjalo nakwabesifazane abanesifo se-osteoarthritis kunoma yikuphi ukuhlangana komunwe okungahleliwe noma amadoda ane-osteoarthritis kunoma yimuphi umunwe we-DIP osteoarthritis. I-osteoarthritis yomhlanganiso we-carpometacarpal wesithupha nayo ayizange ihlangane nengozi eyengeziwe yokufa.
- Kumar et al. (U-United Kingdom), ngo-2007, wahlola konke okubangelwa ukufa nokufa okuhlobene nesifo senhliziyo nesifo sofuba kubantu abane-arthritis ye-rheumatoid, izingane zabo zobulili obufanayo, nabantu abanesifo se-osteoarthritis esincane. Iqembu le-osteoarthritis linomngcipheko owandayo wokufa ngenxa yesifo senhliziyo yesisu, kodwa hhayi ekubulaleni. Abacwaningi baphetha ngokuthi isifo senhliziyo ischemic kungenzeka sihlobene nokunciphisa umsebenzi wokuzivocavoca kanye ne- NSAID (ukusetshenziswa okungavumeleki kwezidakamizwa eziphikisayo) .
I-Oneoarthritis Yenyuka Neengozi Lokunyuka Lokufa
Abacwaningi baseBrithani (Kluzek et al), ngo-2015, bahlaziya idatha evela eSifundweni SaseChingford ukuze bahlole ukufa kwabantu besifazane asebekhulile abane-osteoarthritis.
Bazimisele ukuthi i-knee osteoarthritis yayihlotshaniswa kakhulu nokuqala kokufa kwabantu kanye nokufa kwenhliziyo. Eqinisweni, abesifazane abanezinhlungu zamadolo kanye nobufakazi be-x-ray be-osteoarthritis babenobungozi bokufa kokufa kabili futhi izikhathi ezingaphezu kwezingu-30 ingozi yokufa kwenhliziyo ifaniswa nabesifazane ngaphandle kokubuhlungu kwamadolo noma ubufakazi be-osteoarthritis. Abatholanga ukuxhumana phakathi kwesifo se- osteoarthritis kanye nokwanda kwezinga lokufa.
Ngo-2014, uCleveland RJ et al. imiphumela yocwaningo eshicilelwe ku-Osteoarthritis ne-Cartilage eveze ukuthi i-knee osteoarthritis (i-osteoarthritis (i-osteoarthritis) kanye ne-radiographic knee) yayihlotshaniswa nengozi yokufa. Lokhu kwenzeka ngisho nangemva kokulungiswa kokubhema, usayizi womzimba, nokunye okungafani . Abacwaningi basikisela ukuthi la maphuzu abe nemiphumela yesistimu ye-osteoarthritis enkulu yama-radiographic, kanye ne-osteoarthritis yesifo.
Izwi elivela
I-osteoarthritis kanye nokufa akuyona isifo esifundwe kahle. Kodwa, okwanele kwenziwe ukuthi ukuphakamisa ukuthi i-osteoarthritis emajoyini athile, ikakhulukazi amalunga amakhulu, angaxhunyaniswa nengozi ephezulu yokufa.
Uma sifuna ukuqonda ukuthi lokho kungenxa yemiphumela yesistimu ye-osteoarthritis ngokuhambisana nemiphumela yokukhubazeka, umsebenzi wokulinganisa ngokomzimba, ukusetshenziswa kwemithi, noma indlela yokuphila, izifundo eziphakeme kakhulu ezidingekayo. Kuleli phuzu, kukhona ubufakazi obulinganisiwe obukhona.
> Imithombo:
> Cleveland RJ et al., Association of Large Joint Osteoarthritis Ngayo Yonke Inzathu Ukufa; Iprojekthi yase-Johnston County Osteoarthritis. April 2014. Umqulu 22 S203-S204.
> Hochberg MC. Ukufa e-Osteoarthritis. I-Rheumatology yezokwelapha kanye nokuhlola. 2008 Sep-Oct; 26 (5 Isl. 51): S120-4.
> Kluzek S et al., I-Knee Knee Not Hand Isifo se-Osteoarthritis Siyisandulela Sokuzibulala Esiyiminyaka Engaphezu Kwengu-23 Ukulandelwa Kwenkampani Yabahlali Abaneminyaka Ephakathi. BMJ. Umqulu 75 Issue 10. 2015.