Zvimwe Ngozi Njodzi Dzinogona Kuchinja Kufa Kwevanhu Ne Osteoarthritis
Osteoarthritis uye kufa hazvive zvakanyatsodzidza, kana kukurukurwa. Kakawanda, osteoarthritis inobatanidza nehutano hwakanyanyisa , kuremara mumuviri, uye kushanda kwepabonde . Inowanzoita rheumatoid arthritis , kwete osteoarthritis, iyo inobatanidza kuwedzera kwekufa nekuderedza hutariro hwehupenyu . Izvozvo zvakati, pamwe chete, zvirwere zverheumatic hazvitauri kuti zvinouraya kana kugona.
The History of Research on the Link
Muna 2008, Hochberg yakabudisa migumisiro kubva mukugadzirisa kuongororwa kwezvidzidzo zvakarangarira kufa uye kupona kune vanhu vane osteoarthritis. Akataura pamusoro pezvidzidzo zvinomwe zvakasangana nematare ekubatanidza:
- Kuongorora kwekutanga kweU.S. osteoarthritis nekufa kwakabudiswa muna 1976 (Monson neHolo). Varwere vanobvumirwa kuchipatara chekuzorora pamubhedha uye kurapa kwepanyama kwakaenzaniswa nehuwandu hwevanhu. Kwemakore 10 okutanga mushure mekurapwa, kuwedzera kwehutano hwevarume nevakadzi kwakanga kwakafanana nehuwandu hwevanhu, asi yakaderera pasi shure kweizvozvo. Chirwere chemoyo cheArteriosclerotic ndicho chaive chikonzero chikuru chekufa, zvichikonzera 40 muzana yevakafa. Matambudziko emagunha, kuenzanisa 6 muzana yevanhu vose vakafa pakati pevaya vane osteoarthritis, vaive kaviri kuwanda kwevanhu vakawanda. Aspirin kushandiswa kwakanzi yakabatanidzwa nehutachiona hunokonzera rufu muboka re osteoarthritis.
- Chidzidzo chechipiri cheUnited States (Reva Lawrence et al., 1989) chakaongorora kufa kune vanhu vane x-ray uchapupu hwemabvi osteoarthritis yakaenzaniswa nevanhu vasina x-ray uchapupu hwemabvi osteoarthritis. Zvigumisiro zvakaratidza kuwedzera kwehupfumi hwaive huwandu hunokosha kune vakadzi chete vaiva ne-x-ray uchapupu hwemabvi osteoarthritis.
- Cerhan et al., MuUnited States muna 1995, vakaongorora kufa kune boka revakadzi vakashanda mubazi radhi dial-peinting industry. Madzimai anotsanangurwa seari ane ruvara rwakadzika rudhidhi, mapeji makumi mashanu akachengetwa kuti ave nechiyero che osteoarthritis. Osteoarthritis emaoko, mabvi maviri ose, uye mutsara wemukango wakabatanidzwa nehupenyu hushoma kana kuwedzera kufa. Zvinofadza kuti osteoarthritis yehudyu, tsoka, kana lumbar spine yakanga isiri. Vatsvakurudzi vakapedzisa kuti kuderera kwekuita basa kana kushandisa mishonga kunogona kubatsira.
- Watson et al, (United Kingdom) vakaongorora zviitiko zvevascular in osteoarthritis varwere muna 2003. Vakatarisawo vanhu vane rheumatoid arthritis uye vanhu vane makore makumi mana nepamusoro vasina arthritis. Hapana kuenzana kwemaitiro akawanikwa akanangana nerufu rwevascular uye kufa kamwe kamwe mumapoka matatu. Zvisinei, zvakaonekwa kuti paiva nemiganhu ine data yakashandiswa.
- Haara et al., (Finland), muna 2003 uye 2004, vakatarisa muchibvumirano pakati peosteoarthitis yezvigunwe zvemunwe uye mutumbi we carpometacarpal wegunwe uye kufa. Vakadzi vane symmetrical osteoarthritis inobatanidza DIP pamwe chete (distal interphalangeal) yakawedzera ngozi yekufa. Asi, iyo yakanga isiri iyo yevakadzi vaiva neosteoarthritis mune chero ipi zvayo yakasangana neminwe kana varume vane osteoarthritis mune chero mimwe kana kuti iyo yakagadzikana DIP osteoarthritis. Osteoarthritis yemubatanidzwa we carpometacarpal wechigunwe chakanga chisina kubatanidzwa nehuwandu hwekufa.
- Kumar et al. (United Kingdom), muna 2007, yakarongedza zvose-zvinokonzerwa nekufa uye kufa kune zvakakonzerwa nechirwere chemwoyo chinonzi ischemic uye malignancy kune vanhu vane rheumatoid arthritis, vana vavo vanoita zvepabonde pamwe chete, uye vanhu vane chikwata chepasi chinonzi osteoarthritis. Hondo ye osteoarthritis yaiva nehuwandu hwekufa kubva kune chirwere chemwoyo chinonzi ischemic, asi kwete kubva pakuipa. Vatsvakurudzi vakagumisa kuti chirwere chemwoyo chinonzi ischemic chinogona kunge chakabatana nekuderera kwekuita muviri uye NSAID (nonsteroidal anti-inflammatory drug use ) .
Knee Osteoarthritis uye Kuwedzera Kwengozi yekufa
Vatsvakurudzi vechiBritish (Kluzek et al), muna 2015, vakaongorora dhamari kubva kuChingford Study kuti vaone kuti vanhu vanofa vangave vari pakati pevakadzi vane makore anorema neasteoarthritis.
Vakatarisa kuti mabhepa osteoarthritis aibatanidzwa zvakasimba nekutanga-zvose-zvinokonzera kufa uye mwoyo yevanhu vakafa. Kutaura zvazviri, vakadzi vane marwadzo emabvi uye x-ray hupupuriro hwehasteoarthritis yakave nehuviri hwekufa kwekutanga uye kanopfuura katatu dambudziko rekufa kwepfungwa rinofananidzwa nevakadzi vasina marwadzo emabvi kana uchapupu hwehasteoarthritis. Havana kuwana kuwirirana pakati pezvakaitwa nemaoko osteoarthritis uye kuwedzerwa ngozi yekufa.
Muna 2014, Cleveland RJ et al. kubudiswa kwakawanikwa kunoguma muna Osteoarthritis uye Cartilage iyo yakaratidza kuti gumbo rinonzi osteoarthritis (zvose zviratidzo uye radial knee osteoarthritis) raibatanidza nehuwandu hwekufa kwekufa. Izvi ndizvo zvakaitika kunyange mushure mekugadzirisa kusvuta, chimiro chemuviri, nezvimwe zvinokonzera . Vatsvakurudzi vakaratidza kuti izvi zvinotaura kuhutano hwehutano hukuru hwehutachiona hwemaostearthritis, uyewo zviratidzo zveansteoarthritis.
Shoko Rinobva
Osteoarthritis uye kufa haisi chirwere chinodzidza zvakagadziriswa. Asi, zvakakwana zvakaitwa kuti aratidze kuti osteoarthritis mune mamwe masangano, kunyanya masangano makuru, angave akabatanidzwa kune ngozi yakanyanya yekufa.
Kana isu tichida kunzwisisa kana izvi zvichienderana nehutachiona hwehutachiona hwehutachiona hwehutachiona hwehurema, kushandiswa kwemuviri, kushandiswa kwemishonga, kana mararamiro emararamiro, zvimwe zvidzidzo zvepamusoro zvinodiwa. Panguva ino, kune uchapupu huripo huripo.
> Sources:
> Cleveland RJ et al., Association of Large Joint Osteoarthritis Nezvose-Chikonzero Rufu; Johnston County Osteoarthritis Project. April 2014. Bhuku 22 S203-S204.
> Hochberg MC. Kufa muOsteoarthritis. Clinical uye Ongororo Rheumatology. 2008 Sep-Oct; 26 (5 Kubva 51): S120-4.
> Kluzek S et al., Painful Knee Asi Kwete Hand Osteoarthritis Ndiyo Mutungamiri Wekuzvimirira wekufa Kwemakore anopfuura makumi matatu nemakumi mashanu ekutevedzwa kweboka revanhu rakagadzirwa nevakadzi vekuyaruka. BMJ. Bhuku 75 Nyaya 10. 2015.