Ingabe Ukugijima Kulimaza Amalungu Akho?
Ukugijima kungakusiza ukuthi uphile isikhathi eside futhi ugweme ukukhubazeka ngokujwayelekile njengoba uneminyaka yobudala, kodwa ingabe lo mdlalo uzokwenza amadolo akho akhokhe ukulimala? Enye yezinkathazo ezivame kakhulu phakathi kwabagijimi bebagijimi kanye nabagijimi besikhathi eside ngokufanayo ukuthi bazolimaza amadolo abo ngokushaya ithrekhi, isitatimende somzila noma umzila. Uma ugijima ukuze uthole impilo yakho nempilo yakho, ingabe izixhugu zakho zokuguga ziyojabulela ukuphila okufanayo?
Abagijimi kanye ne-Osteoarthritis
Kube nezifundo ezimbalwa ezihlukene ezihlola umphumela wokusebenza ngamadolo ukucacisa ukuthi ngabe le mdlalo ibangelwa yini i-osteoarthritis (isimo esibuhlungu esingapheli esihlanganisa ukuvuvukala nokulimala) emajoyini asegugile. Isibonelo, iqembu labacwaningi baseStanford University School of Medicine balandela iqembu labagijimi abadala (abaneminyaka engama-59 ubudala) iminyaka engaphezu kwamashumi amabili ukulandelela impilo yabo jikelele, izinga lokukhubazeka nokuphila isikhathi eside ngokujwayelekile. Phakathi kwezifundo zabo: Ukubukeka kokusebenza nesifo samathambo, eshicilelwe ngo-2008 ku- American Journal of Preventive Medicine , ehilela ukuphindaphindiwe kwama-x-rays kubagijimi abangu-45 nabaphathi abangu-53 okwenziwa phakathi kuka-1984 no-2002.
Zingakanani Ukugijima?
Izifundo zokugijima zazivinjelwe isilinganiso semaminithi angu-213 ngesonto, ekuqaleni kocwaningo. Lokho kusebenza cishe imizuzu engama-30 ngosuku, nakuba ukugijima kwabo kwakungekho ngempela nsuku zonke.
Ngesikhathi sokuhlolwa kwabo kokugcina kwe-x-ray, abagijimi babemayelana nesigamu salokho (94 amaminithi ngesonto).
Ngemuva kweminyaka engu-18 yophenyo, abagijimi - manje abaneminyaka engama-70 ubudala - babengenayo i-arthritis engaphezu kwezihloko zokulawula okungezona ezisebenzayo, futhi ama-arthritis akhona ayenamandla nakakhulu kulabo abagijimayo uma kuqhathaniswa nabantu abadala abangazange bagijime.
UJames Fries, manje uProfesa Emeritus eStanford kanye noyedwa wabalobi bezocwaningo, uthi imiphumela yafika njengamangala eqenjini lakhe.
"Isizathu sethu sokuqala siwukuthi lo msebenzi uzuzisa wena, nokuthi labo abasebenzisa kakhulu inzuzo," usho kanje. "Kodwa sasilindele ukuthi abagijimi babezobhekana nokukhubazeka okuhlangene, futhi badinga ukuguqulwa kwamadolo nezinyawo ngaphezulu kunabantu abaningi. Sasiyamangala ukuthola okuhlukile!"
Amafries acaphuna idatha yokulandelela emadodeni ashintshiwe eqoqweni lokutadisha abonisa ukuthi abagijimi abambalwa badinga ukuguqa ngamadolo, ngokuphathelene nabangewona abagijimi.
"Phakathi kwabangewona abagijimi, amanye ama-knees angu-12 ashintshwe, kodwa amane kuphela abagijimi," usho kanje. "Ngangiqiniseke ukuthi kuzoba nokunye okuphazamisayo, enye intengo ezokhokhela yonke leyo minyaka yokugijima, kodwa ayikho ngempela."
Yikuphi Olunye Ucwaningo Oluye Lwenziwe?
Ukubuyekezwa kokucwaninga ngokuphenya nokusebenza kwamathambo kwenziwa ngabacwaningi abavela e-University of Utah Orthopedic Centre. Ishicilelwe ngo-2012 emaphephandabeni ethi Physical Medicine nokuvuselela (PM & R) , leli phepha lisho ucwaningo olungabonisi umehluko omkhulu emiphumeleni ye-ray phakathi kwabagijimi bezokuncintisana nabaphathi bokuhlala phansi.
Ngenkathi izifundo eziningi zishaywa phansi, izinkinga zazingekho nakakhulu phakathi kwabagijimi. Kwezinye izimo, abagijimi baqhubeka benesitembu esikhulu samathambo amaningi, okutholakele okusekela iziphetho zikaJames Fries mayelana nokusebenza ngokuvikelwa ngamadolo.
Yimuphi Umdlalo Oholela Ekuqhubeni I-Arthritis?
Imisebenzi eminingi ixhunyaniswe namadolo amakhulu nakakhulu ekuphileni okulandelayo, njengezemidlalo ezidinga izenzo ezingavamile, ukulayisha noma umthelela njenge-tennis, ibhola lezinyawo, ukulinganisa umzimba kanye ne-ballet. Ngaphezu kwalokho, ukukhuluphala, ukulimala kwangaphambili kwamadolo, nokulimala okubangelwa yiminyaka yokusebenza komzimba obuthakathaka konke kuhloswe nge-osteoarthritis engaphambi kwesikhathi kwamadolo.
Ngaphansi
Ungakwazi yini ukugijima kamuva ekuphileni, ngaphandle kokukhathazeka ukuthi uchitha amadolo akho ngekusasa? Ukuvumelanisa okujwayelekile okuvela kulolu cwaningo kuze kube manje ukuthi "ukuhamba phambili ngaphandle kokubuhlungu" njengoba uFries echaza, akuholeli ekwenzeni okukhulu kwe-osteoarthritis kumalungu akho. Uma uye waba nokulimala kwangaphambili kwamadolo noma i- BMI yakho ingaphezulu kwebanga eliphilile (okungukuthi, i-BMI> 25), thintana nodokotela wakho noma omunye umhlinzeki wezempilo ukuze uthole iseluleko ngokuzivocavoca kangcono kuwe.
Imithombo:
Eliza F. Chakravarty; UHelen B. Hubert; I-Vijaya B. Lingala; UJames F. Fries. "Ukukhubazeka Nokunciphisa Ukunciphisa Abantu Abagijimi Abaguga: Isifundo Sezinsuku Ezingu-21 Sokufunda." I-Arch Intern Med. 2008; 168 (15): 1638-1646.
U-Eliza F. Chakravarty, uHelen B. Hubert, u-Vijaya B. Lingala, u-Ernesto Zatarain, uJames F. Fries. "Ukugijimela Okude Kude kanye ne-Knee Osteoarthritis: Isifundo Esifunayo." I-American Journal of Medicine Prevention , Volume 35, Issue 2, Agasti 2008, amakhasi 133-138.
Ingxoxo noJames Fries, MD. UProfesa we-Medicine Emeritus, iSchool School Medical School. Kuthathwa ngo-Agasti 23, 2013.
Pamela Hansen, Michael English, Stuart E. Willick. "Ingabe Ukugijima I-Osteoarthritis Ku-Hip noma Knee?" I-American Academy Yezokwelapha Kanye Nokuvuselelwa 1934-1482 / 12 / $ 36.00 Vol. 4, S117-S121, Meyi 2012.
Stuart E. Willick noPamela A. Hansen. "Ukugijima ne-Osteoarthritis." I-Clin Sports Med 29 (2010) 417-428.