Ukucindezeleka Kwe-Arthritis I-Rheumatoid Ingathinta Ukufa
I-rheumatoid arthritis (RA) yisifo esilimazayo esinemiphumela engathà sina ngokomzimba, ngokomzwelo, nangokomnotho ehlushwa amaphesenti angu-1 abantu abadala emhlabeni wonke. Ukusabalala kwalesi sifo kwanda ngokukhula futhi kuthinta abesifazane ababili njengabesilisa njengamadoda.
Ngokubhekisela kaningi njengesifo esingelapheki kunesifo esibulalayo, isifo samathambo se-rheumatoid siboniswe ukunciphisa isikhathi sokuphila komuntu.
Lokhu kungahluka kakhulu futhi kuncike ezintweni ezinjengezinye izimo zezokwelapha, ukuthi ukwelashwa okunomthethelo kangakanani, kanye nesikhathi sokuxilongwa.
Izinselelo ze-RA
Ngokuvamile, abantu abane-rheumatoid bavame ukubhekana nokulinganiselwa okuqhubekayo emsebenzini womzimba. Uma usasebenza, kungenzeka ukuthi ukukhubazeka kuyothinta umsebenzi wakho kungakapheli iminyaka eyishumi emva kokuqala kwesifo, okwenza kube lula ukunciphisa imali engenayo.
Kuphinde kulindeleke ukuthi kuqhathaniswe nabantu abangenayo i-RA, labo ababhekana nalesi sifo bazoletha ezinye izinselele. Lokhu kufaka izindleko zokwelapha eziphakeme, ukukhulelwa esibhedlela, kanye nenani elikhulu lokuvakasha odokotela.
Zonke lezi zici zingathinta izinga lakho lokuphila, okuyinto yokukhathazeka ngama-rheumatologists asebenza ngokuphatha lesi sifo esingapheliyo. Ubuhlungu obungokomzimba nezinselelo zezezimali kungaba nzima futhi kuthathe umonakalo empilweni yengqondo yomuntu.
Kodwa-ke, ukuxilongwa okusheshayo, ukwelashwa okufanele, kanye nesistimu yokusekela okuhle kungathuthukisa inhlalakahle yakho yonke, ngisho ne-RA.
Izingozi Zokufa
Njengabantu abaningi, imbangela ehamba phambili yokufa phakathi kweziguli ezine-arthritis ye-rheumatoid isifo senhliziyo futhi izinga lalezi zimo lilinganiswa.
Nokho, iziguli ezine-arthritis ye-rheumatoid, zikhona engozini enkulu yokufa ngenxa yezifo, isifo soqhwaba, izimo zokuphefumula, noma izifo zamathunjini.
Ukufa ngokweqile kusuka ekutheleleni kanye nesifo soqhwaba cishe kubonisa ukuba khona kwezifo ezinzima. Iningi lokufa okungeziwe ngenxa yezimbangela zamathumbu kuhlobene nokwelashwa.
Izimo zama-renal zingabangela ukulimala kwezinso futhi kukhona ubufakazi obukhulayo bokuthi lokhu kanye nesifo samathambo esiyingozi kubangela ingozi yesifo senhliziyo. Izinkinga ezifana ne- vasculitis kanye ne- amyloidosis kanye nalabo ngenxa yokwelapha okunjenge- salti yegolide , i-penicillamine, ne-cyclosporine nakho kungaba inkinga.
Ukulindela Ukuphila
Isikhathi sokuphila sifushane phakathi kweziguli ezine-arthritis ye-rheumatoid kunabantu abaningi. Izinga lokusinda lifaniswa nalabo abesifo sikaHodgkin, isifo sikashukela, nesifo se-aron coronary artery.
Mayelana nokunciphisa isikhathi sokuphila kweziguli zesifo se-rheumatoid arthritis, isilinganiso esilinganiselwe sokufa kwabantu ezifundweni ezahlukene siye saba ngo-1.13 kuya ku-2.98. Lokhu kusebenza ngokuyinhloko ezimweni ezithinta izifo ze-rheumatoid, nakuba i-subgroup yezimo ezimbi zesifo se-rheumatoid esinezimo ezimbi zesikhathi eside ezikhona.
Izifundo ezisekelwe emitholampilo ngokuvamile zivame ukugcizelela ukuncishiswa kweqiniso kokuphila kwesikhathi kanye nezifundo ezisekelwe kubantu ezingase zithathwe kalula. Inkimbinkimbi nobude be-RA nakho kwenza imiphumela emihle yokutadisha impela, nakuba sinezifundo ezithile eziphawulekayo ezibhekiswe kuzo.
Imiphumela Yokufundwa
Ngo-1989, kwenziwa ucwaningo eFinland ngabantu abangu-1666 ababefile futhi bebelokhu bethola imithi ye-RA. Idatha yemininingwane yabantu baseFinnish kanye nezibalo zomshuwalense wokugula zasetshenziswa njengesizathu sokucwaninga. Imiphumela yabonisa ukuthi isikhathi sokuphila sezifundo ne-RA sancishiswe ngamaphesenti angu-15 kuya kuma-20% kusukela ngosuku lokuqala kokugula.
- Amaphesenti angaba ngu-40 okushona ngokweqile kwakungenxa yezimbangela zenhliziyo.
- Cishe amaphesenti angu-30 ayengenxa yezifo.
- Amaphesenti angama-15 ayengenxa ye-amyloidosis.
- Amaphesenti angu-15 asele ayengenxa yezizathu ezihlukahlukene.
Kwesinye isifundo sesikhathi eside, abacwaningi eMayo Clinic bafunde umthelela we-RA wokufa eminyakeni engaphezu kwengu-40 e-Olmsted County, Minnesota. Abantu abane-arthritis ye-rheumatoid okungenani okungama-35 ubudala abaneminyaka engu-35 ngo-1965, 1975, no-1985 bafaniswa. Abacwaningi baphinde bahlola amarekhodi amasha amasha we-rheumatoid arthritis kule minyaka engu-30 kusukela ngo-1955 kuya ku-1985.
Ngo-1965 kwakukhona amacala angu-163 asekhona e-Olmsted County. Ngo-1975 kwakukhona amacala angu-235 futhi ngo-1985 kwakukhona amacala angu-272. Inani lokusinda laliqhathaniswa nelabantu abangenawo i-RA.
Abacwaningi baphetha ngokuthi ingozi yokufa kubantu abane-rheumatoid arthritis cishe engamaphesenti angu-38 kunabantu abaningi. Ingozi yayikukhulu nakakhulu kwabesifazane, ngamaphesenti angama-55 akhula ubungozi uma kuqhathaniswa nabesifazane bendawo yonke.
Isibonelo, owesifazane oneminyaka engu-50 ubudala one-arthritis ye-rheumatoid angalindela ukuba aphile iminyaka embalwa embalwa (iminyaka engama-30 esikhundleni seminye iminyaka engu-34) kunowesifazane ongenawo isifo samathambo. Kodwa-ke, indoda eneminyaka engu-50 ubudala ene-arthritis ye-rheumatoid ingalindela ukuhlala iminyaka engaphezulu kwengu-26 ngenkathi owesilisa oneminyaka engu-50 engenawo isifo samathambo angalindela ukuba aphile iminyaka engaphezulu kwengu-27.
Izwi elivela
Kungaphetha ngokuthi isikhathi sokuphila sinciphise iziguli ezine-arthritis ye-rheumatoid. Noma kunjalo, kuye kwafakazelwa ukuthi ukwelashwa kwesifo kungakhulisa izinga lakho lokuphila, okungenzeka kube yiqiniso elibaluleke kakhulu ukulikhumbula. Ngokuvamile, izinzuzo zokwelashwa zidlula izingozi.
Ukusebenza nodokotela wakho, uzothola zonke izinketho zokwelashwa ezitholakalayo. Lezi zizocabangela umlando womndeni wakho kanye nempilo yonke ukuze ukwazi ukuthola impilo enkulu nge-arthritis ye-rheumatoid.
> Imithombo:
> I-Myllykangas-Luosujarvi R, Aho K, i-Kautiainen H, i-Isomaki H. Ukunciphisa Ukuphila Kwe-Span kanye Nezimbangela Zokufa Okungaphezu Kwezinguquko Emkhakheni Wezibalo Ezivela Ezifundweni Zezifo Ezihambisana Ne-Rheumatoid Arthritis. I-Rheumatology yezokwelapha kanye nokuhlola. 1995; 13 (2): 149-53
> van Sijl AM, et al. Ukukhubazeka Kwangqimba Kwamazinyo Kuhambisana Ngokuzimela Nezifo Zezinhliziyo E-Arthritis Ye-Rheumatoid: i-Carré Study. Ama-Annal of the Rheumatic Diseases . 2012; 71 (3): 341-4.
> Gabriel SE, et al. Ukusinda ku-Arthritis Ye-Rheumatoid: Ukuhlaziywa Kwezintambo Zabantu-Ngokweminyaka Engaphezu Kwengu-40. I-arthritis ne-Rheumatism . 2003; 48 (1): 55-58.
> Salaffi F, Sarzi-Puttini P, Girolimetti R, Atzeni F, Gasparini S, Grassi W. I-Quality-Related Quality of Life ku-Fibromyalgia Iziguli: Ukuqhathaniswa Ne-Rheumatoid Arthritis Abagulayo kanye Nezibalo Ezijwayelekile Ngokusebenzisa I-SF-36 Health Survey. I-Rheumatology yezokwelapha kanye nokuhlola . 2009; 27: S67-74.