Ukusabalala kokukhuluphala e-United States akuyona into emangalisa kakhulu futhi iyaqhubeka yinkinga ekhulayo. Ingxenye eyodwa kwezintathu kuzo zonke abantu abadala ase-US zikhuluphele. Lokhu kubangela ukukhathazeka kwezempilo okubalulekile okuhlanganisa nesifo senhliziyo , isifo sikashukela, ukucindezelwa kwegazi eliphezulu nokuthuthukiswa kwe-osteoarthritis .
Isisindo esiningi senza ukucindezeleka okubalulekile okwenziwe kumalungu ethu.
Ngenxa yalesi sizathu, ukukhuluphala kuyisimo esivamile ukuthi iziguli ezithinta i-osteoarthritis ye-hip namadolo. Uma zonke izinyathelo ezizimele zingaphumeleli, ukushintshwa kwe-hip esiphelele kuye kwaboniswa ukuthi kuyindlela yokusebenza ephumelelayo yokuphela kwe-osteoarthritis ye-hip.
Ukukhuluphala, i-Hip Arthritis, nokuhlinzwa
Inkinga egcwala iziguli ezine-arthritis ye-hip ebhekana nayo yukuthi ngenkathi ukuhlinzwa kunganciphisa izimpawu zabo, iziguli eziningi kakhulu zinezinga eliphezulu kakhulu lezinkinga emva kwalokhu kuhlinzwa. Abahlinzayo ababhekene nobunzima obunzima: kufanele yini benqabe ukuhlinzekwa kweziguli ezikhuluphele, futhi uma kunjalo kangakanani omkhulu kakhulu ukuhlinzekwa?
Ucwaningo lwamuva olusuka eMayo Clinic luye lwacacisa inkinga ngokuhlinzeka ngevolumu enkulu yedatha kumazinga ezinkinga ezisekelwe kwiziguli ze-BMI. Inombolo yesikhumba somzimba kungukulinganiselwa okungekho emthethweni kokuthi umuntu ukhuluphele kangakanani, liyingxenye yokuphakama kwesisindo.
I-BMI engaphezu kuka-30 ibhekwa njengokukhululeka.
Abacwaningi eMayo Clinic baqoqa idatha kuwo wonke ama-hip esikhundleni sokuqashiswa okwenziwa phakathi kuka-1985 no-2012. Lokhu kwafinyelela ukuhlinza kuka-21 000 ezigulini ezingaba ngu-18 000. Babheka izinkinga ezivame kakhulu zokufakelwa esikhundleni se-hip njengoba zihlobene ne-BMI.
Omunye wemiphumela eyinhloko ukuthi lolu cwaningo lwabukeka luyi-operation, okusho ukubuyela ekamelweni lokusebenza nganoma yisiphi isizathu.
Udokotela ohlinzayo angase adinge ukufaka ingxenye entsha ngoba i-original ayiphumelelanga, noma nje inqubo yokuthungatha ukuphatha ukutheleleka okungenasisekelo okungabandakanyi izingxenye zensimbi.
Abacwaningi babheka ngokuqondile ukuhlinzwa okubukezwayo (ukuthatha izingxenye ezindala nokufaka ezintsha). Ezinye izinkinga ezivamile zihlanganisa ukuhlukaniswa, nokutheleleka (kokubili okungenasisekelo nokujulile). Izindlela abacwaningi eMayo Clinic abatholile bezijabulisa.
Okokuqala, kubonakala sengathi odokotela bama-orthopedic basebenza ngeziguli eziningi kakhulu. Ukuvama kweziguli ezine-BMI ezingaphezu kuka-40, okubhekwa njenge-obesile kakhulu, kwakungamaphesenti angu-1.5 phakathi kuka-1985 no-1989. Leyo nombolo ingaphezu kwesigamu esiphakathi kwamaphesenti angu-6.2 eqenjini elahlinzwa phakathi kuka-2000 no-2012.
Ukwandisa i-BMI kwakuhlobene nengozi eyengeziwe yokwenza kabusha ngenxa yanoma yisiphi isizathu, ukubuyekezwa kwezimila, ukususwa kokuqala (kungakapheli izinyanga eziyisithupha zokuhlinzwa), kanye nokutheleleka okujulile futhi okungenangqondo. Kuyathakazelisa ukuthi ingozi yalezi zinkinga ikhuphuke cishe ngendlela ehambisanayo ne-BMI ekhulayo. Lokhu kusho ukuthi ngekhadi ngalinye elengeziwe ngemuva kwe-BMI ethize, ingozi yalezi zinkinga iyanda.
Ingozi ephansi kunayo yonke itholakele nge-BMI ephansi. Ingozi yokusebenza kabusha nganoma yisiphi isizathu yaqala ukwanda ngemuva kwe-BMI ye-32. Ingozi yokuguqulwa kokufaka kabusha yanda ngemuva kwe-BMI ye-32. Ukususwa kokuqala kwangena engozini enkulu ngemva kwe-BMI engama-35, kanti ingozi yokutheleleka yaqala ukwanda ngemuva kwe-BMI yama-25 kuphela.
Yeka ukuthi Big Big Too Big?
Ucwaningo alunikeli impendulo kumbuzo wokuthi ubukhulu bunkulu kangakanani ekuhlinzekeni? Ngengozi ngayiphi ingozi yengozi yezinkinga ezingaphezu kwezinzuzo zendawo yokuqashiswa kwe-hip. Sethemba, lo mbuzo ozophendulwa maduzane ngezifundo zokulandela.
Izibhedlela eziningi ziye zaqala ukuphoqelela ama-cutoffs wesisindo ngokuphindaphindiwe okuhlangene. Ukunqunywa okuvamile okusetshenziswayo yi-BMI engama-40. Lokhu kubonakala kunzima, kodwa ingxabano ingenziwa ukuthi inesithakazelo esiphezulu seziguli ngokunciphisa amathuba okuba nezinkinga.
Le nqubomgomo, ngezinye izikhathi, ingabeka iziguli esimweni esinzima. Abaningi banomuzwa wokuthi abakwazi ukwehlisa isisindo ngaphandle kosizi olungenabuhlungu, futhi abakwazi ukuhlinzwa ukuze banciphise ubuhlungu babo ngaphambi kokuba banciphise isisindo. Ukuguqulwa kwesidlo kanye nokwenza ngcono kokudla okunomsoco kuyincenye evamile kulabo abagulayo.
Lokhu kusho ukuthini lokhu
Ukuze ubeke lezi zinombolo ngendlela ebonakalayo, ngokuba umuntu oyedwa ongamamitha angu-9 ububanzi obunama-BMI angu-25 ahambisana nesisindo samakhilogremu angu-169, i-BMI ye-32 ihambisana nesisindo samakhilogremu angu-216, kanti i-BMI ye-35 ihambisana namakhilogremu angu-236.
Ngakho-ke singenzenjani ngalolu lwazi? Okokuqala futhi okubaluleke kakhulu lokhu kufanele kusebenze isisusa esikhulu sokwehla isisindo kubantu abacatshangelwayo abaphindaphindiwe. Akekho ongena ekuhlinzekeni enethemba lokuzibandakanya futhi lolu cwaningo lubonisa ukuthi indlela engcono kakhulu yokuzigwema ukuchitha isisindo esengeziwe.
Ukugcizelela ukulahlekelwa isisindo ngaphambi kokushintshaniswa kokujoyina sekukhulunywe ngaphambili. Ukucwaninga kwakamuva kweSibhedlela Sokuhlinzwa Okukhethekile kuhlolisise izindleko zokusebenza kwe-bariatric ngaphambi kokuguqulwa kwamadolo. Abacwaningi bathola ukuthi ukuhlinzekwa nge-bariatric kulesi silungiselelo kuyabiza ngempela.
Lokhu kuyindlela ephikisanayo futhi abanye odokotela bamazinyo bahlala bekhathazekile ngomphumela wokudla okunomsoco wokuhlinzwa kwe-bariatric. Lesi silungiselelo sidala isimo lapho ezinye iziguli zingase zingadli kahle ngenxa yokudla okulinganiselwe. Ukungondleki kungaholela emiphumeleni embi emva kokushintshaniswa kokuhlanganyela okuphelele.
Ukubaluleka kokulahlekelwa kwesisindo
Idatha eyenziwe abacwaningi abavela eMayo Clinic igcizelela ukubaluleka kokulahlekelwa isisindo ngaphambi kokuba ibuyele endaweni ephelele ye-hip. Umkhuba wezinga lokuncintisana uphakamisa ukuthi yonke i-pounds ibalwa. Okungcono, lokhu kuzoholela ezigulini eziningi ezifuna usizo lwabalimi bokudla kanye nezinhlelo zokuzivocavoca ukuzisiza ukuba zilahlekelwe isisindo ngaphambi kokuba zisebenze. Lokhu cishe kuzolinda ukuhlinzekwa kanye nokwandisa inkambo yokwelashwa jikelele, esikhundleni sokugxuma ekuhlinzekeni ngokushesha nje ngaphambi kokuba isiguli sinikezwe ithuba lokunciphisa isisindo, kepha jikelele ukubambezeleka kokwelashwa kuwufanele imiphumela emihle. Uma ukulahlekelwa isisindo kungavimbela ukutheleleka kokususelwa emuva, khona-ke zonke iziguli kufanele zenze konke okusemandleni azo ukwenza kanjalo.