Ingabe Ukubhema Kuyakwandisa Noma Kunciphisa Ingozi Ye-Osteoarthritis?
Ukubhema kunethonya elibi empilweni. Lona iqiniso eliqinisiwe. Ngokuphathelene nokubhema nomphumela walo ku- osteoarthritis , kukhona ubufakazi obuphikisanayo. Abacwaningi bathi ukubhema kunomthelela omubi ku-osteoarthritis, kodwa okungenani isifundo esisodwa sibonisa ukuthi kungase kube nomthelela wokuvikela osteoarthritis. Ake sibheke ubufakazi.
Ukubhema I-Worsens Knee-Osteoarthritis Kwabesilisa
Amadoda anama- knee osteoarthritis kanye nomsizi alahlekelwa ukuqina kwe- cartilage nokuzwa ubuhlungu obuningi kunamadoda angabhemi, ngokusho kwemiphumela yocwaningo eshicilelwe ku-January 2007 Annals of the Rheumatic Diseases . Ukutadisha, okuholwa yiRheumatologist yeMayo Clinic, kwahlola amadolo anomzimba amadoda angu-159. La madoda ayeqashwe izinyanga ezingaba ngu-30. Amadolo abo ahlolwe besebenzisa i-MRI kanye nezinga labo lobuhlungu. Kwabesilisa abangu-159, abangu-19 babengabokubhema abakhuthele ekuqaleni kokucwaninga. Ngokwesilinganiso, amadoda angu-19 abhema ugwayi 20 ngosuku ngeminyaka engaba ngu-40.
Imiphumela yokutadisha yembula ukuthi ababhemayo babengaphezu kokuphindwe kabili ukulahleka kwe-cartilage okuphawulekayo kunabangabhemi. Ngokusho kwabacwaningi, izizathu ezingase zichaze ukuxhumana phakathi kokubhema nokuqedwa kwe-cartilage kuhlanganisa:
- Ukubhema kungaphazamisa amangqamuzana futhi kuvimbele ukukhiqizwa kwamaseli ku-cartilage.
- Ukubhema kungakhulisa amazinga e-toxins egazini, okufaka isandla ekulahlekelweni kwe-cartilage.
- Ukubhema kungakwandisa amazinga e-carbon monoxide egazini, ephazamisa ukukhipha okwegazi, okungavimbela ukulungiswa kwe-cartilage.
Ababhemayo nabo babe namazinga aphansi kakhulu kunabangabhemi. Njengoba i-cartilage ayinayo imfucuza yobuhlungu, ubuhlungu obandayo bungase bungabangwa nokulahleka kwe-cartilage. Nokho, ukubhema kungathinta ezinye izakhiwo emadolweni noma kungaba nomthelela ekuboneni ubuhlungu.
Ukubhema Kuvikela Ukulwa Ne-Knee Osteoarthritis
Ngokomagazini ka-September 2007 we- Osteoarthritis ne-Cartilage , abacwaningi bahlaziya ukuhlobana phakathi kobufakazi be-x-ray bodolo lwe-osteoarthritis nokukhuluphala nomsebenzi. Ngalindelekile, phakathi nalolu cwaningo, abacwaningi bathola umphumela wokuzivikela omncane wokubhema ekuthuthukiseni i-osteoarthritis.
Ukuqinisekisa lokho okutholwe, abacwaningi baphinde bahlaziya idatha kusuka kuFramingham Osteoarthritis Study futhi bathola ukuthi ababhemayo babe nesilinganiso esincane se-osteoarthritis kunabangabhemi. Umphumela we-nicotine kuma-chondrocytes (ungqimba lwamaseli) ku-cartilage ye-articular ingase ilandele umphumela wokuvikela.
Ngokufanayo, ocwaningweni oludala olwanyatheliswa ngoFebruwari 1989 ku- Arthritis & Rheumatism , ngenkathi ehlolisisa i-knee osteoarthritis ohlelweni lokuqala lwezeMpilo nokuPhepha kokuHlola, abacwaningi bathola ngokungalindelekile ukuthi kukhona ukuvikela okuphakathi kokubhema ne-osteoarthritis ngemva kokulungisa iminyaka, ubulili nesisindo.
Ngokusekelwe ekutholeni kwabo kanye nokuqhathaniswa noFramingham Osteoarthritis Study, abacwaningi baphetha ngokuthi ukubhema noma into engaziwa noma engaziwa ehlobene nokubhema ngokuzithoba ivikela ekuthuthukiseni i-osteoarthritis yamadolo.
Isifundo se-Chingford: Ukubhema noKungozi we-Osteoarthritis yabesifazane
Ucwaningo olwanyatheliswa ezincwadini zika -February 1993 lwe-Rheumatic Diseases , lubheke ukubhema ugwayi kanye nengozi ye-osteoarthritis kubantu besifazane. Njengoba izifundo zangaphambilini zaphetha ngokuthi ukubhema kunomthelela wokuzivikela ekuthuthukiseni i-knee osteoarthritis, abesifazane abangu-1 003 baseChingford (abantu abaningi baseLondon, eNgilandi) bafundiswa. Kwakukhona abesifazane abangu-463 ababekwa njengababhemayo (badla ama-cigarettes angu-14.9 ngosuku ngeminyaka engama-25.7) nabangu-540 abangewona obhemayo. Izandla kanye namadolo ama-x-rays asetshenziselwa ukuhlola i-osteoarthritis.
Imiphumela ayisekeli ukuxhumana okuphambene phakathi kokubhema ne-osteoarthritis kwabesifazane. Ukuhlangana okungafani kuyosho ukuthi ukubhema kwanda, i-osteoarthritis yehle - futhi le mbono ayisekelwe isifundo seChingford.
Isifundo se-Clearwater Osteoarthritis
Kodwa isifundo esisodwa, esaziwa ngokuthi i-Clearwater Osteoarthritis Study, eshicilelwe kuJanuwari 2003 i- Osteoarthritis ne-Cartilage saphetha ngokuthi ukubhema kwakungabonakali ngokuvikela kakhulu ekuthuthukiseni i-osteoarthritis. Isiphetho silandela ukuhlolwa kwamadoda nabesifazane abangu-2505. Abahlanganyeli bokucwaninga bahlolisiswa nge-osteoarthritis ezindaweni ezine - amadolo, isandla, unyawo nomgogodla wesibeletho. Umlando wokuzibikela wokubhema unqume isimo sokubhema.
Isiphetho Mayelana Nokubhema Ne-Osteoarthritis
Ngengozi eyaziwayo yezempilo ehlobene ne-nikotine, ngeke kwenzeke ukuncoma ukubhema, ngisho noma ezinye izifundo zikhomba umphumela wokuvikela osteoarthritis. Abacwaningi basuke baphetha ngokuthi kukhona inzuzo enkulu ehlobene nokubhema.
Imithombo:
Ukubhema i-cigarette kanye nobungozi bokulahleka kwe-cartilage namadolo emadodeni amadoda ane-osteoarthritis emadolweni. Ama-Annal of the Rheumatic Diseases . S Amin et al. Januwari 2007.
http://ard.bmj.com/cgi/content/abstract/66/1/18
Ukubhema ne-osteoarthritis: Ingabe kukhona inhlangano? Isifundo se-Clearwater Osteoarthritis. I-osteoarthritis ne-Cartilage . Wilder FW et al. Januwari 2003.
http://dx.doi.org/10.1053/joca.2002.0857
Ingabe ukubhema kuvimbela i-osteoarthritis? I-arthritis ne-Rheumatism. UFelson MD, uDavid T. et al. February 1989.
http://www3.interscience.wiley.com/cgi-bin/abstract/112207030/ABSTRACT/?CRETRY=1&SRETRY=0
Ukubhema ugwayi kanye nengozi ye-osteoarthritis kwabesifazane kubantu abaningi: isifundo seCingford. I-Hart, DJ ne-Spector, i-TD. Ama-Annal of the Rheumatic Diseases. February 1993.
http://ard.bmj.com/cgi/content/abstract/52/2/93