Dambudziko Rakawanda Kwemakore Mushure me Hip Fracture
Ivhu rakavhunika ringasave rakakosha, asi kana iwe uri murume akwegura kana mukadzi, kuputika kwechiuno kunogona kuva kutanga kwematambudziko akawanda eutano. Ndeipi inoparadza huputi hwakaputsika mumunhu akwegura, uye chii chikafu chekufa mushure mekuputika kwechiuno? Chiuno chinoputsika , chinonziwo hip kuputsika, chinogona kutungamirira kukuremara kwakakomba, kunyange rufu.
Inotyisa Sei Yakaputsika Hip Kana Wakura?
Falls ine mbiri isingadikanwi yekuva chikonzero chikuru chekukuvadza uye kufa kwehupenyu hunobata-bata kune vanhu vanopfuura 65.
Kuwa kunogona kukonzera kukanganisa kwakakura mukuzvimirira; munhu ane kuputika kwechiuno angasazokwanisa kurarama akazvimiririra munharaunda uye angazoenda kunzvimbo yekugara kuchengetwa rubatsiro rukuru mumazuva ese emabasa.
Kufa Kwemaviri Kuwedzera Pashure Pakavhunika Hip
Maererano nekuongororwa kwemiedzo yakasarudzwa yakasarudzwa pamusana pekuputika kwehuputi, zvinoreva kuti gore rekufa kwemakore 1 mushure mekuputika kwechiputi 21 muzana. Izvi zvinoreva vana kubva kune vashanu vakwegura vachararama mugore rokutanga mushure mekuputsika kwechiputi. Ichi chiyero chekufa chakave chisina kuchinjwa kubvira kuma1980 apo kufa kwehuwandu kune mamwe mamiriro ezvinhu zvakaderera zvikuru.
Tsvakurudzo dzinoverengeka dzakaratidza kuti zvose-zvinokonzera kufa kwevanhu vanowedzera kune vakwegura varwere mushure mekuputika kwechiuno. Chidzidzo che 2017 chakatevera vanhu vanopfuura 122 000 muUnited States neEurope chakawana kuti-chikonzero chekufa kwehuwandu kwakapetwa kaviri pamusoro pemakore anopfuura gumi mune avo vakange vane kuputika kwechiuno.
Kuwedzera kwekufa kwaive kwakakura mugore rekutanga mushure mekuparara, anenge katatu zvichikwirira sezvinotarisirwa kuhuwandu hwevanhu vakawanda. Yakapera kudarika kwenguva asi yakaramba inenge kaviri zvakatarirwa mushure memakore masere kana kupfuura.
Rimwe pepanhau ra2011 rakabudiswa mu Journal of the American Medical Association (Internal Medicine) rakatsvaga vakadzi vekare 5 580 munguva inenge makore makumi maviri kweChidzidzo cheOsteoporotic Fractures (SOF).
Kufa kwehuwandu kwaive kwakapetwa kaviri pakati pevakadzi vaive vakagumburwa chiuno mumwaka wekutanga mushure mekukuvara. Mune mamwe mazwi, mukati memwedzi gumi nemaviri mushure mekuputsa mahudyu avo, vakadzi ivavo vaive nechinetso chekufa, kana vachienzaniswa nevakadzi vezera rakadaro pasina kuputika kwechiputi. Inopfuura hafu yevakafa yakaitika mukati memwedzi mitatu yekutanga mushure mekuputsa.
Zvidzidzo zvekare, zvakadai semeta-yakadhindwa yakabudiswa muna 2010 muAnalals of Internal Medicine , yakaratidza uwandu hwepamusoro hwekufa kwenguva pfupi mushure mekuputika kwechiuno. Muchidzidzo ichi chezvidzidzo zvakabudiswa pakati pe 1957 na2009 (kusanganisira yevakadzi 578 436 nevarume 154 276 vanopfuura makore makumi mashanu), vatsvakurudzi vanobva kuBelgium neUnited States vakawana mukana wekufa muvarume nevakadzi mumwedzi mitatu mushure mekunge hip kuputsika kuva pakati pechishanu nere masere anodarika. Kunyange zvazvo dambudziko guru rekufa rakapera makore maviri mushure mekuputsika, kufa kwehuwandu kwakaramba kwakapfuura kune avo vakwegura vasina kumboputsa chiuno, kunyange mushure memakore gumi ekutevera. Kufa zvakanyanya kwaive kwakakwirira pakati pevarume kupfuura vakadzi mukurongwa uku.
Zvinokonzera Rufu Shure Hip Fracture
Chii chinonzi varwere vanofa kubva mushure mekuputsika kwechiuno? Chidzidzo che2011 chakawana kuti kana ichienzaniswa nemitemo yemakore akafanana, chikadzi chikuru chevakadzi chakafa nechirwere chepineum uye zvinetso zvekuziva.
MuAnalals Internal Medicine analysis, zvinokonzera kukanganisa kwenguva pfupi zvakataurwa, zvinosanganisira zvinetso zvinogona kuitika mushure mekuvhiyiwa (zvakadai seplmmm embolism , utachiona , uye kukanganisa kwemwoyo). Mukuwedzera, matambudziko ehutano angave akaita kuti kuwira panzvimbo yekutanga -kuda kwehutano hwemararamiro , chronic obstructive pulmonary disease (COPD), uye chirwere chemwoyo-inonziwo inobatsira pakuwedzera kufa. Vatsvakurudzi vanocherechedza kuti kazhinji kutaura, vanhu vanovhuna chiuno vanonyanya kushanda musati vasati vafa kana vachienzaniswa nevaya vasina kuputsika.
Kunyange zvazvo zera iri dambudziko guru rekuwira, munhu ane hutano uye akakodzera angafungidzirwa ane nguva yakaderera yezvizvarwa , achiita kuti vasanyanya kunetseka kuwira uye kuputsika.
Nharaunda uye Utano Zvinodhura zveHu Hip Fractures muNorth America
Hip fractures inomiririra mari yakakura yehutano maererano nekurapa avo vakaurayiwa. MuUnited States, vanenge 300 000 vanhu vanoona kuputika kwehudyu gore negore. MuKanada, vanhu vanenge 27 000 vakwegura vanovhuna huputi gore roga roga, nemari yekurapa inofungidzirwa kune inopfuura $ 1 bhiriyoni.
Kutsvakurudza kunopfuurira kune nzira yakanakisisa yekudzivirira kuwira kunokonzera kuputsika, kunosanganisira kugadzirwa kwakanakisisa kwezvipfeko zvinotsigira zvakadai sevatambi, zvishoma pasi zvigadzirwa mumisha inochengeterwa vakwegura, uye zvinotarisirwa kuita zvepabonde uye zvepanyama kuti kuwedzere kuwedzera uye simba.
> Sources:
Falls uye Fractures. US NIH National National Institute on Aging Public Information Sheets. https://www.nia.nih.gov/health/publication/falls-and-fractures
Haentjens P, Magaziner J, Colón-Emeric CS, et al. Meta-kuongorora: kuwedzera kwehutano mushure mekuputika kwechiuno pakati pevakadzi vakwegura nevarume. Ann Intern Med. 2010; 152 (6): 380-390
> Katsoulis M, Benetou V, Karapetyan T, et al. Kuwedzera kwekufa mushure mekuputika kwechiuno kune vanhu vakwegura vanobva kuEurope uye USA: chirongwa cheCHANCES. Journal of Internal Medicine . 2017; 281 (3): 300-310. doi: 10.1111 / joim.12586.
> Leblanc ES. Hip Fracture uye Kuwedzerwa Nguva pfupi asi kwete Yenguva refu-Kufa muVakadzi Vakwegura Vakwegura. Archives of Internal Medicine . 2011; 171 (20): 1831. doi: 10.1001 / archinternmed.2011.447.
> Mundi S, Pindiprolu B, Simunovic N, Bhandari M. Saizvozvowo kufanana kwevanhu muhuputi hwechipembenene varwere mumakore 31 akapfuura: Kuongorora kwehutano hweRCTs. Acta Orthopaedica . 2014; 85 (1): 54-59. doi: 10.3109 / 17453674.2013.878831.