Kunzwisisa zvinokonzera kuwira kunogona kubatsira kudzivirira kukuvadza kukuru
Nei vanhu vakwegura vachiwa? Kusiyana nekufungidzira kwakakurumbira, kusava nemafungiro asina kunaka kana kutengesa kungave kusina mhosva, maererano nekugadzirisa kutsvakurudza kwakaitwa naSimon Fraser University yakabudiswa muna 2012.
Kudzidza, kwakabudiswa muThe Lancet , ndiyo yekutanga kushandisa dhidhiyo data kubva kumakamera akavharwa akaiswa muzvivako zvekugara kwenguva refu . Makamera akaiswa munzvimbo dzakasiyana-siyana dzakadai semakamuri okurarama nemigwagwa yemisha miviri yevanamwari yakasiyana muBritain Columbia, nemvumo kubva kune vagari nevashandi.
Chinangwa chekutsvakurudza, maererano nemunyori mukuru Stephen Robinovitch, chaiva chekutsanangura chaizvoizvo chakaita kuti kugwa kwega kwega, pane kuvimba nemubvunzo wemibvunzo kana kuti zvinonzi self-ripoti pashure pacho, sezvakaitwa zvidzidzo zvekare.
Nhamba ye 227 inowanikwa pakati pevatorwa 130 yakatorwa pavhidhiyo, uye yakaongororwa neboka raRobinovitch payunivhesiti Injury Prevention and Mobility Laboratory.
"Ichi ndicho chidzidzo chekutanga chekutora uchapupu hwechinangwa chechikonzero nemamiriro ekuwira," anodaro Robinovitch. "Dhairiro yapfuura yakaunganidzwa anecdotally uye yakavimbika pamunhu wemurangariro wezvakaita kuti vawe-kana kuti zviyeuchidzo zvepupu kana paivapo. Taida kuwana vhidhiyo yaizoita sebhokisi rakasviba mu ndege kuti rione kuti chii chakakonzera kuparara. "
Ngozi dzekuwa
Kuwira kuvanhu vakwegura kunogona kuva nengozi, zvinyorwa zvinoratidza. Ichokwadi, kuwira inowanzoita chikonzero chekukuvadza nekufa kwehupenyu hunobata vanhu kune makore anopfuura 65.
MuCanada, vanhu vanenge 27 000 vakwegura vanotambura kuputika kweputika ( rakaputsika hip ) gore roga roga, vachiita kuti kurapwa kunodhura kudarika $ 1B; muUnited States, kune 300 000 hip fractures gore negore. Chikamu chechina chevarwere vane hip fractures vachafa mukati megore, uye hafu ichabatwa nekuderera kukuru mune rusununguko, zvakadai sokumanikidzwa kutama kubva kumusha munharaunda kusvika kwenguva refu.
Chinonyatsokonzera Mafashamo
Kunyange zvazvo chirwere chezveruzhinji, mishonga yemishonga, uye mamwe mararamiro ehutano semagirthmias anogona kukonzera kuwira, dzakawanda dzinowira kare dzakarondedzerwa ku "mashizha uye kufamba" nyore, maererano naRobinovitch. Zvinokonzera zvakagadziriswa nekubvunzurudza vakwegura ivo pachavo, kana kubva kumabharatori kuenzanisira kwekutamba, vachishandisa zvidzidzo zviduku zvikuru. Asi izvi zvinokonzera kunze, kufambisa panzvimbo isina kufanira kana kubata tsoka pamusoro pechigaro chechigaro kana kufamba-famba, kwakangoita kuti zvikamu makumi maviri kubva muzana zvekuwa muSimon Fraser dziongorore.
Zvakawanda zvakajairika zvakakonzerwa ne izvo vanotsvakurudza vachiti "kutora kusina kunaka kana kuchinja kwe muviri," iyo yakareva zvikamu makumi mana nezviviri zvezvikwata. Izvi zvaisanganisira kufamba kwemuviri kwakakonzera kuti nzvimbo yekuvhiti pasi ichinje zvisina kunaka paaifamba kana kumira, uye nokuti yakaita sokuda-kana kuti zvishoma-kuzviita-vatsvakurudzi vanotsanangura chiito se "mukati" kubva pakutanga. Zvakawanda zvezvizvi zvisingafungidziki kana kudarika-kugadziriswa zvakaitika pachinotapurika kubva kune anofamba kuenda kuchigaro, kana zvimwewo.
Nechikamu chiduku zvikuru (3%) yekuwa kwakakonzerwa nekudhonza. Pamberi mberi kufamba kwaive chimwe chezvinhu zvaiwanzopfuura pakuputsika, saka saka vakanga vagere pasi vakamira vakanyarara.
Kugadzirisa Nguva uye Kuputika Kwekuwa
Kunyangwe vanhu vazhinji vanofunga kuti munhu akwegura haagoni kuita zvakakurumidza kuti aputse-kuwa-kana kuti angave asingazivi kuti vari kuwira kusvikira zvanyanyisa kudzivirira-vatsvakurudzi vakaona kuti yakanga isiri nyaya yacho.
"Mazana 75% ezvakaitika izvi zvinosanganisira ruoko," anodaro Robinovitch, "asi hazvina maturo. Nenzira, izvi ndezvemashoko akanaka: vanhu vane nguva yekuita, uye kuziva kuti vari kuwira, saka maoko anobuda kunze. Dambudziko nderokuti chiito hachigoni kuputsa mapofa avo, ayo angave akaenzana nekushaya simba kwemasumbu mumuviri wavo wepamusoro. "
Nzira dzekudzivirirwa kweMapapiro
Kuva nemashoko akajeka pamusoro pemamiriro ezvinhu uye zviito zvinotungamirira kuwa kunogona kubatsira vanochengetedza kudzidza kudzivirira sei, maererano naRobinovitch.
Semuenzaniso, vhidhiyo inogona kushandiswa kuratidza vanopa utano hwehutano, sai physotherapists uye vashandi vehutano, zviitiko zvinokonzera matambudziko kuvakuru vakwegura vane nharo kana kukwira, vachibatsira kupindura mubvunzo, "sei murwere wangu achiwa?" Uye sezvo vakawanda vakawira pasi zvakaitika somunhu aifamba achifamba achigara pachigaro, kana kuti akamira kubva pachigaro kuti ashandise kufamba, anofunga kuti zvigadzidzo zvakadaro zvinoshandurwa kuti zvive nyore kuchinja.
Imwe tsvakurudzo yakadanawo kuti kuve nekugadziridzwa kwevanhu vanowanzofamba, pamwe nedzidzo iri nani pamusoro pokuti ungashandise sei zvakachengeteka. Kubvunzurudzwa kwakaitwa muna 2009 kuendeswa kumadhipatimendi ekukurumidzira kwakaratidza kuti vanhu vanopfuura 47 000 vakwegura vanobatwa gore roga roga muU.S. nokuda kwekuwa kunoshamwaridzana nevanofamba nemakona. Mutungamiriri wekutsvaga, uye epidemiologist ane US Centers for Disease Control and Prevention, Judy A. Stevens anonyora kuti 87% yezviitiko izvi zvinosanganisira kufamba-nevakadzi vane chirwere chekukuvadza zvakanyanya mumakore ose emarudzi. Chidzidzo, chakabudiswa mu Journal of the American Geriatrics Society , chakaonawo kuti 60% yekukuvara kwekugumburwa kunoitika pamba uye 16% chete yemisha yevanamukoti.
Stefano Robinovitch anoratidza kuti deta rake ingashandiswa zvakare kugadzirisa mazano ekuvakira mune remangwana rekuchengetedza kwenguva yakareba, kusanganisira zvinhu zvakadai sezvishoma zvakaderera pasi. Bato rake riri kuongorora kana kushandiswa kwemajenya pasi pechipatara-gorosi vinyl inoshanda kuti dzichengetedze vagari vakukuvadzwa kwakakomba apo kuwira kunoitika.
"Zvishoma isu isu pakupedzisira tine dambudziko rakasimba, rine chinangwa pamusoro pezvinokonzera kuwira, uye kuti vangadzivirirwa sei."
Sources:
Falls uye Fractures. US National Institutes of Health National Institute paAging Public Information Sheet.
https://www.nia.nih.gov/health/publication/falls-and-fractures
Judy A. Stevens, Karen Thomas, Leesia Teh, Arlene I. Greenspan. "Kuerekana Kusina Kuzvivhiringidza Kushamwaridzana neVatambi uye Canes muVakuru Vakuru Vanotungamirirwa muMasangano Emergency United States." Nyaya yeAmerican Geriatrics Society Volume 57, Issue 8, mapeji 1464-1469, August 2009.
Stefano N Robinovitch, Fabio Feldman, Yijian Yang, Rebecca Schonnop, Pet Ming Lueng, Thiago Sarraf, Joanie Sims-Gould, naMarius Loughin. "Vhidhiyo inoshandiswa mumamiriro ekuwira muvanhu vakwegura vanogara kwenguva refu yekuchengetedza: chidzidzo chekucherechedza." The Lancet , Early Early Publication, 17 Oktober 2012. doi: 10.1016 / S0140-6736 (12) 61263