Izinhlekelele Eziphakeme Iminyaka Ngemuva Kokuqothulwa Kwe-Hip
I-bone ephukile ingase ingabi yingozi, kodwa uma uyindoda noma owesifazane osekhulile, ukuphuka kwe-hip kungase kube ukuqala kwezinkinga eziningi zempilo ezinzima. Yeka ukuthi kuyingozi kangakanani ukuqhaqhaza okwephukile kumuntu osekhulile, futhi yiliphi izinga lokufa ngemuva kokuqhekeka kwe-hip? I- hip ephukile , eyaziwa nangokuthi i-hip fracture, ingaholela ekukhubazekeni okukhulu, ngisho nokufa.
Yeka ukuthi iyingozi kangakanani i-Hip ephukile uma usukhulile?
I-Falls inesihlonipho esidabukisayo sokuba imbangela enkulu yokulimala nokufa okuhlobene nokulimala kubantu abadala kuneminyaka engama-65.
Ukuwa kungabangela ukwehla okukhulu ekuzimele; umuntu onokuphuka kwe-hip angeke akwazi ukuhlala ngokuzimela emphakathini futhi kungase kudingeke athuthele ekunakekelweni kokuhlala ukuze athole usizo olukhulu emisebenzini yansuku zonke.
Ukufa Kwezindleko Zokufa Emva kwe-Hip Broken
Ngokwezibuyekezo zokuhlolwa okungahleliwe ngokulawulwa kwe-hip fracture management, izinga lokufa kwabantu abaneminyaka engu-1 ngemuva kokuphuka kwe-hip ngamaphesenti angu-21. Lokhu kusho ukuthi abantu abadala kwabangu-5 kulabo abahlanu asebekhulile bayosinda ngonyaka wokuqala ngemuva kokuqhekeka kwe-hip. Leli nani lokufa liye lashintshwa ngokuyinhloko kusukela ngawo-1980 ngenkathi izinga lokufa kwezinye izimo liye lahla kakhulu.
Ucwaningo oluthile luye lwabonisa ukuthi izinga lokufa kwabantu bonke labadala liphindwe kabili kubantu iziguli asebekhulile ngemva kokuqhekeka kwe-hip. Ucwaningo lwango-2017 olwalandela abantu abangaphezu kuka-122 000 e-United States naseYurophu lathola ukuthi inani lokufa kwabantu bonke liphindwe kabili phezu kweminyaka engaphezu kwengu-12 kulabo ababenokuhlukunyezwa kwe-hip.
Ukwanda kokufa kwakunkulu kakhulu ngonyaka wokuqala emva kokuphuka, cishe izikhathi ezintathu eziphakeme njengoba kulindelwe abantu abaningi abahlala emakhaya. Lancipha ngokuhamba kwesikhathi kodwa lahlala cishe kabili okwakulindelwe ngemva kweminyaka eyisikhombisa noma ngaphezulu.
Iphepha le-2011 elinyatheliswe kuyi- Journal of the American Medical Association (Internal Medicine) lihlolisise abesifazane abangu-5 580 asebekhulile iminyaka engaba ngu-20 ku-Study of Osteoporotic Fractures (SOF).
Inani lokufa laliphindwe kabili phakathi kwalabo besifazane ababenompheme ophukile ngonyaka wokuqala ngemuva kokulimala. Ngamanye amazwi, phakathi nezinyanga ezingu-12 ngemuva kokuphula isicupho sabo, labo besifazane babenobungozi bokufa, kabili uma kuqhathaniswa nabesifazane abaneminyaka efanayo ubudala ngaphandle kokuqhekeka kwe-hip. Amaphesenti angaphezu kwesigamu ukufa kwavela ezinyangeni ezintathu zokuqala ngemuva kwekhefu.
Ucwaningo lwangaphambili, njengokuhlaziywa kwe-meta eshicilelwe ngo-2010 ku- Annal of Medicine Internal , libonise izinga eliphakeme nakakhulu lokufa okufishane ngemuva kokuqhekeka kwe-hip. Kulesi sibuyekezo sezinyathelishi ezishicilelwe phakathi kuka-1957 no-2009 (okubandakanya abesifazane abangu-578 436 nabesilisa abangu-154 276 abangaphezu kweminyaka engama-50), abacwaningi baseBelgium nase-United States bathola ingozi yokufa kokubili amadoda nabesifazane kulezi zinyanga ezintathu emva ukuphuka kwe-hip kube phakathi kuka-5 no-8 izikhathi eziphakeme. Ngenkathi ingozi enkulu yokufa iyancipha eminyakeni emibili emva kokuphuka, izinga lokushona lahlala liphakeme kunelabo asebekhulile abangakaze baphule umlenze, ngisho nangemva kweminyaka eyi-10 yokulandelwa. Ukufa ngokweqile kwakuphakeme phakathi kwamadoda kunabesifazane kulokhu kubuyekezwa.
Izimbangela Zokufa Emva kwe-Hip Fracture
Iziguli zifa nini ngemuva kokuqhekeka kwe-hip? Ucwaningo lwango-2011 lwathola ukuthi uma kuqhathaniswa nokulawulwa kwaminyaka afanayo, abesifazane abaningi babulawa yi-pneumonia nezinkinga zokuzicabangela.
Kuhlaziywa kwe-Annals of Internal Medicine , kwaphakanyiswa izimbangela eziningi zokufa okufishane, kufaka phakathi izinkinga ezingase zenzeke ngemva kokuhlinzwa (njenge- pulmonary embolism , ukutheleleka , nokuhluleka kwenhliziyo). Ngaphezu kwalokho, izinkinga zezempilo ezingase ziholele ekutholeni kuqala-njengokusho komqondo wokugula komzimba , isifo esingenasifo se-pulmonary chronic obstructive (COPD), kanye nesifo senhliziyo-futhi sishiwo njengabafaka isandla ekufeni kwabantu abengeziwe. Abacwaningi bathi ukukhuluma ngokuvamile, abantu abaphula isicupho bangasebenzi kahle ngaphambi kokuqhekeka uma kuqhathaniswa nalabo abangenalo ukuphuka.
Ngenkathi yobudala buyinto enkulu engozini yokuwa, umuntu onempilo futhi onempilo angabhekwa njengenkathi ephansi yokulandelana kwesikhathi , ebashiye kancane ukuthi angakwazi ukuwa nokuwaphuka.
Izindleko Nempilo Yezindleko ze-Hip Fractures eNyakatho Melika
Ama-Hip fractures amelela izindleko ezinkulu zempilo ngokuphatha izisulu. E-United States, abantu abangaba ngu-300,000 babhekana nokuqhekeka kwe-hip unyaka ngamunye. ECanada, abantu abangaba ngu-27 000 asebekhulile baphula umlenze ngonyaka ngamunye, ngezindleko zokwelashwa ezilinganisiwe ezingaphezu kwezingu-R6 billion.
Ukucwaninga kuqhubeka ngendlela engcono yokuvimbela ukuwa okungabangela ukuhlukana, kuhlanganise nomklamo ongcono wezinsiza zokusiza ezifana nabahambahambayo, izinto eziphansi zokugcina phansi emakhaya asebekhulile, kanye nokwelashwa okusebenzayo nokwenyama ukuze kukhuliswe ibhalansi namandla.
> Imithombo:
I-Falls ne-Fractures. I-US NIH National Institute on Aging Information Public Sheet. https://www.nia.nih.gov/health/publication/falls-and-fractures
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> Katsoulis M, uBenetou V, uKarapetyan T, et al. Ukufa ngokweqile ngemuva kokuphuka kweqhwa kubantu asebekhulile abavela eYurophu nase-USA: iphrojekthi ye-CHANCES. I-Journal of Medicine yangaphakathi . 2017; 281 (3): 300-310. i-doi: 10.1111 / i-joim.12586.
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