Kodi Mumavulaza Magulu Anu?
Kuthamanga kungakuthandizeni kukhala ndi moyo wautali ndikupewa kulemala panthawi yonse yomwe mukulamba, koma kodi masewerawa amapanga maondo anu ndi chiuno? Chinthu chimodzi chodetsa nkhaŵa pakati pa omwe angakhale othamanga komanso othamanga nthawi yayitali ndi kuti iwo adzavulaza mabondo awo mwa kugunda nyimbo, mapepala apamwamba kapena njira. Ngati muthamangira ku thanzi lanu ndi moyo wanu, kodi ziwalo zanu zakale zimakhala ndi moyo womwewo?
Othamanga ndi Osteoarthritis
Pakhala pali zochepa zofufuza zomwe zikuyendera zotsatira za kuyendetsa pa maondo kuti mudziwe ngati masewerawa amachititsa osteoarthritis (vuto lopweteka lomwe limakhudza kutupa ndi kuwonongeka) mu ziwalo zokalamba. Mwachitsanzo, gulu la akatswiri ofufuza a Stanford University School of Medicine linatsatira gulu la okalamba achikulire (omwe ali ndi zaka zoposa 59) kwa zaka zoposa makumi awiri kuti aone ngati ali ndi thanzi labwino, chiwerengero cha olumala komanso moyo wautali. Zina mwa maphunziro awo: Kuwoneka za kuthamanga ndi nyamakazi, yofalitsidwa mu 2008 ku American Journal of Preventive Medicine , yomwe inkaphatikizapo x-rays mobwerezabwereza pa masewera akuluakulu makumi asanu ndi awiri ndi makumi asanu ndi atatu (53) omwe ankalamulira pakati pa 1984 ndi 2002.
Anali Kuthamanga Kangati?
Nkhani zogwira ntchito zinali kutseka mphindi 213 pa sabata, kumayambiriro kwa phunzirolo. Izi zimachita pafupifupi mphindi 30 patsiku, ngakhale kuthamanga kwawo sikunali tsiku ndi tsiku.
Pa nthawi ya maulendo awo otsiriza a x-ray, othamanga anali kugula pafupi theka la izo (94 minutes pa sabata).
Pambuyo pa zaka 18 zafukufuku, othamanga - omwe ali ndi zaka makumi asanu ndi awiri (70) - analibe nyamakazi yambiri kusiyana ndi zomwe sizinayende bwino, komanso kuti nyamakaziyi inali yovuta kwambiri poyerekeza ndi akulu omwe sanathamange.
James Fries, tsopano Pulofesa Emeritus ku Stanford ndi mmodzi wa olemba mabukuwo, akuti zotsatira zake zinadabwitsa gulu lake.
"Maganizo athu oyambirira ndizochita bwino, komanso kuti omwe amapindulitsa kwambiri," akutero. "Koma tinkayembekezeranso kuti othamangawo adzavutika kwambiri, ndipo adzafuna malo ambiri ogulira mawondo ndi nsalu kuposa anthu ambiri."
Fries akulemba malemba omwe akutsatira pa mawondo omwe amawongolera gululo popanga gulu lomwe likuwonetsa kuti ochepa omwe amayenera kugwada ndi mawondo awo, ndi omwe sali othamanga.
"Ena mwa omwe sanali othamanga, mawondo 12 anasinthidwa, koma 4 okha mwa othamanga," akutero. "Ndine wotsimikiza kuti padzakhala zina zotsika, mtengo wolipirira zaka zonsezi, koma palibe."
Kodi Pali Ntchito Zina Zofukufuku Ziti?
Kafukufuku wa kafufuzidwe kafufuzidwe ndi matenda a nyamakazi anachitidwa ndi ofufuza a University of Utah Orthopedic Center. Lofalitsidwa mu 2012 mu nyuzipepala ya Physical Medicine ndi Rehabilitation (PM & R) , pepalayi imatchula kafukufuku wosonyeza kusiyana kwakukulu kwa zotsatira za x pakati pa oyendetsa mpikisano komanso maphunziro omwe akukhalira pansi.
Ngakhale kuti maphunziro ambiri adasokonezeka palimodzi, mavutowa sanali ovuta kwambiri pakati pa othamanga. Nthaŵi zina, othamangawo ankakhala ndi mafupa akuluakulu a mfupa, zomwe zimawathandiza kutsimikizira kuti James Fries akugwira ntchito yotetezera maondo.
Ndi Masewera ati Amene Amawatsogolera Kukadwala Matenda a Arthritis?
Ntchito zambiri zimagwirizanitsa ndi maondo oipitsitsa m'moyo wotsatira, monga masewera omwe amafuna kuchita zinthu zolakwika, katundu kapena zotsatira monga tenisi, mpira, kulemera, ndi ballet. Kuonjezera apo, kunenepa kwambiri, kuvulala kwadondo, komanso kuwonongeka kwa zaka zolemetsa zakuthupi zonse zimakhudzidwa ndi matenda a mitsempha ya msana.
Pansi
Kodi mungathamange m'moyo mwanu, osadandaula kuti mukugwada mtsogolo? Kulumikizana kwakukulu pakati pa kafukufukuyo mpaka tsopano ndikuti "kuyendetsa patsogolo mopanda ululu" monga momwe Fries akufotokozera, sikuti amachititsa chiwerengero chachikulu cha mitsempha ya mafupa m'magulu anu. Ngati mwayamba kuvulaza bondo kapena BMI yanu ili pamtunda wathanzi (ndiko, BMI> 25), funsani dokotala wanu kapena wothandizira zaumoyo kuti akufunseni zabwino zomwe mungachite.
Zotsatira:
Eliza F. Chakravarty; Helen B. Hubert; Vijaya B. Lingala; James F. Fries. "Kuchepetsa Olemala ndi Kufa Pakati pa Othawa Okalamba: Phunziro Lakale la Zaka 21." Arch Intern Med. 2008; 168 (15): 1638-1646.
Eliza F. Chakravarty, Helen B. Hubert, Vijaya B. Lingala, Ernesto Zatarain, James F. Fries. "Kuthamanga Kwambiri Kwambiri ndi Knee Osteoarthritis: Cholinga Chophunzira." Buku la American Journal of Medicine Prevention , Volume 35, Magazini 2, August 2008, Masamba 133-138.
Kucheza ndi James Fries, MD. Pulofesa wa Medicine Emeritus, Sukulu ya Zamankhwala Yophunzitsa Yaphunziro Yaphunziro Yaphunziro Yaphunziro Yapamwamba. Inachitika pa August 23, 2013.
Pamela Hansen, Michael English, Stuart E. Willick. "Kodi Kuthamanga kwa Osteoarthritis mu Hip kapena Knee?" American Academy of Physical Medicine and Rehabilitation 1934-1482 / 12 / $ 36.00 Vol. 4, S117-S121, May 2012.
Stuart E. Willick ndi Pamela A. Hansen. "Kuthamanga ndi Osteoarthritis." Clin Sports Med 29 (2010) 417-428.