So wo nnompe ayɛ mmerɛw na ɛnyɛ den sɛ ebebubu? (Osteomalacia) Momma yɛnka ho asɛm nnɛ!

Ɛtɔ mmere bi a, wote ɛyaw nka wɔ wo nnompe mu? Anaasɛ wote nka sɛ wo nnompe bɛbubu mpo sɛ woka wo ho kakra a? Ebia nea enti a ɛte saa ne biribi a wonhwɛ kwan. Ɛnnɛ yɛrebɛka Osteomalacia, yareɛ a ɛtaa ba nanso ɛntaa nsi koraa wɔ mpaninfoɔ mu ho asɛm. Nea ɛba wɔ eyi mu ne sɛ yɛn nnompe no de nkakrankakra yɛ mmerɛw na ɛyɛ mmerɛw.

Enti dɛn ne osteomalacia?

Sɛ yɛbɛka no tiawa a, nnompe mu yare yɛ tebea a ɛma wo nnompe yɛ mmerɛw, ɛhwere ahoɔden, na ɛyɛ mmerɛw sɛ ebebubu. Susuw nnompe a kan no na ɛte sɛ dɔte a ayow a ɛreyɛ mmerɛw te sɛ dɔte a wɔde ahyɛ nsu mu no ho hwɛ.

Ade titiriw nti a ɛte saa ne vitamin D a enni nipadua no mu . Vitamin D ho hia ma yɛn nipadua no tumi twetwe nneɛma a wɔfrɛ no calcium ne phosphorus. Saa calcium ne phosphorus yi na ɛma yɛn nnompe yɛ den na ɛyɛ den. Enti, sɛ vitamin D nnɔɔso a, nnompe no nnya saa nnuru yi yiye. Afei wɔnyɛ den sɛnea ɛsɛ na wɔyɛ mmerɛw. Eyi te sɛ yare a wɔfrɛ no rickets a ɛba mmofra nkumaa so bere a vitamin D nnɔɔso no kakra. Mfiase no, ebia wunhu sɛ wowɔ nnompe mu yare. Nanso bere kɔ so no, wufi ase te yaw wɔ wo nnompe mu. Titiriw wɔ nipadua no fã a ɛwɔ fam, kyerɛ sɛ, wɔ asen ne asen mu. Nkakrankakra, ɛyaw yi tumi trɛw kɔ nipadua no nyinaa mu. Ɛtɔ mmere bi a, sɛ obi keka ne ho kakra mpo a, ebetumi ama wate yaw. Nanso kae sɛ ɛnsɛ sɛ wo ne ɛyaw yi tra ase . Wubetumi akɔ oduruyɛfo nkyɛn akɔhwehwɛ nea ɛde ba no na woanya ayaresa.

Dɛn ne nnompe mu yare ho sɛnkyerɛnne?

Tebea yi ho sɛnkyerɛnne titiriw ne nnompe mu yaw . Wɔtaa te ɛyaw yi nka wɔ w’asen, w’asen, ne wo nan mu. Nea ɛka ho no, sɛnkyerɛnne afoforo betumi ayɛ:

• Nnompe bubu ntɛmntɛm . Ɛtɔ da bi mpo a, sɛ obi hwe ase kakra anaa ne ho to no a, ebetumi abubu dompe.
• Ntini mu yaw, ɛyɛ den, ne mmerɛwyɛ. Ebia eyi bɛda adi kɛse bere a woawie apɔw-mu-teɛteɛ anaa apɔw-mu-teɛteɛ awie no.
• Ɛyɛ den sɛ wobɛnantew, anaasɛ nsakrae a ɛba ɔkwan a wofa so nantew mu (nantew) . Ɛtɔ mmere bi a, ebia wobɛte nka sɛ worehwere wo kari pɛ bere a wonam no.
• Ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw . Eyinom betumi aba titiriw wɔ nsa ne anan mu.
• Nkate a ɛyɛ mmerɛw anaasɛ ɛyɛ nsɔe wɔ akwaa no mu. Wɔfrɛ eyi paresthesia wɔ aduruyɛ mu.
• Sɛ wɔhwe ase mpɛn pii sen kan no.

Dɛn titiriw nti na ɛte saa?

Ade titiriw a ɛka nnompe mu yare a ɛma obi nya nnompe mu yare no ne vitamin D a enni nipadua no mu . Mpɛn pii no eyi fi owia hann a ɛnnɔɔso a wonnya . Afei nso, vitamin D a yennya mfi nnuan a yedi mu no yɛ nea enti a ɛte saa. Kae sɛ vitamin D ho hia na ama wɔatumi atwe calcium na ama nnompe a ɛte apɔw no akɔ so atra hɔ. Nneɛma afoforo nso wɔ hɔ a ɛka eyi:

• Nkwammoaa mu tebea horow bi betumi ama aduan ntumi nkɔ nipadua no mu yiye (malabsorption) . Sɛ nhwɛso no, sɛ wowɔ yare bi a ɛtew nsu a ɛtwetwe wɔ dwensɔtwaa mu no so a.
• Asaabo a entumi nyɛ adwuma yiye .
• Mmɛn mu yare.
• Nnuru bi a wɔde ko tia akisikuru a wɔde di dwuma bere tenten .
• Awosu mu tebea horow bi a wɔntaa nhu koraa .

Hena na ɔwɔ asiane kɛse sɛ obenya nnompe mu yare?

Sɛ yɛde owia hann to yɛn honam ani fi awosu mu a, ɛma vitamin D. Nanso, wɔ nsɛm te sɛ eyinom mu no, ebia wo honam ani rentumi nyɛ vitamin D a ɛdɔɔso:

• Sɛ wote beae a wim yɛ nwini na owia bɔ kɛse a .
• Sɛ woyɛ adwuma wɔ dan mu da mũ nyinaa a.
• Sɛ wohyɛ ntade a ɛkata wo nipadua fã kɛse no ara so a.
• Sɛ wowɔ honam ani kɔla a ɛyɛ tuntum (wohonam ani tuntum hia owia pii na ama woanya vitamin D).

Afei nso, ebia wunnya vitamin D a ɛdɔɔso mfi nnuan a wudi no mu esiane nneɛma te sɛ:

• Sɛ woanni nufusu anaa nufusu mu nneɛma biara a .
• Sɛ wudi aduan a ɛnyɛ afifide anaa vegan koraa akyi (nanso eyi nyɛ ɔhaw sɛ woyɛ ho nhyehyɛe yiye a).
• Sɛ wowɔ tebea bi a ɛmma wo nipadua ntumi nnye aduan yiye (malabsorption), te sɛ Crohn yare anaa Celiac yare.
• Sɛ nnansa yi ara wɔayɛ wo bariatric oprehyɛn , sɛ nhwɛso no, yafunu mu oprehyɛn.

Sɛ saa nnipa yi da nkyɛn a, akuw afoforo wɔ asiane kɛse mu sɛ wobenya nnompe mu yare:

• Wɔ nnipa a wɔayɛ kɛse mmoroso fam no .
• MfeɛWɔn a wɔadi boro mfe 65 fam no.
• Wɔ ɛnanom a wɔyem anaa wɔma nufu fam no .

Wobɛyɛ dɛn ahu nnompe mu yare no pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ayɛ nipadua mu nhwehwɛmu . Afei, obebisa w’abusua aduruyɛ ho abakɔsɛm ne w’ankasa w’akwahosan ho asɛm. Obebisa w’aduan ne w’apɔw-mu-teɛteɛ nso ho asɛm. Afei, wɔbɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu na wɔahwɛ sɛnea vitamin D, calcium, ne phosphorus wɔ wo mogya mu . Sɛ wowɔ osteomalacia a, vitamin D dodow a ɛba fam ne sɛnkyerɛnne titiriw . Nanso, calcium anaa phosphorus dodow a ɛba fam nso betumi ayɛ tebea no ho sɛnkyerɛnne. Nea ɛbɛyɛ na wo duruyɛfo no asi yare no so dua no, obetumi nso ahwɛ sɛnea:

• Creatinine a wɔde yɛ aduru
• Nneɛma a ɛma anyinam ahoɔden
• Alkaline phosphatase a ɛwɔ nipadua no mu
• Parathyroid hormone `(Parathyroid hormone)`

Sɔhwɛ afoforo a wubetumi ayɛ ne:

• Nnɔnhwerew 24 nsu mu nhwehwɛmu de hwɛ sɛnea calcium dodow a ɛwɔ wo nsu mu.
• X-ray a wɔde hwɛ sɛ nnompe ayɛ mmerɛw anaasɛ abubu anaa.
• Nnompe mu mineral density scan a wɔde susuw wo nnompe mu density na wɔhwɛ sɛ nnompe no ayera anaa.
• Nnompe mu nhwehwɛmu yɛ adeyɛ a wɔde fa dompe ketewaa bi na wɔhwehwɛ mu hwɛ sɛ dompe no ayɛ mmerɛw ankasa anaa.

Dɛn ne nnuru a wɔde sa nnompe mu yare?

Wɔtaa de vitamin D, calcium, ne/anaasɛ phosphorus nnuru sa nnompe mu yare . Wo duruyɛfo na obesi eyinom mu dodow a wuhia ho gyinae. Sɛ wowɔ nsɛm a ɛfa sɛnea obi ntumi nnom nsu yiye ho anaasɛ wɔayɛ wo oprehyɛn a ɛma wo ho yɛ hyew nnansa yi a, ebia ebehia sɛ wonom vitamin D ne calcium dodow a ɛkɔ soro. Ɛwom sɛ saa nnuru yi betumi aboa ma wo nnompe mu yare no de, nanso ebetumi agye asram pii ansa na wo sɛnkyerɛnne ahorow no atu mpɔn.. Ɛdenam sɛnea wo tebea no mu yɛ den so no, ebia ebehia sɛ wonom vitamin D bere tenten. Sɛ wugyae a, ebia nnompe mu yare asan aba bio. Ebia nnipa a wɔwɔ tebea horow te sɛ mmerɛbo mu yare anaa asaabo a entumi nyɛ adwuma yiye no behia ayaresa ne mmoa foforo. Wo duruyɛfo bɛhwɛ wo mogya mu dodow daa. Ebia wɔbɛma wo vitamin D soronko bi nso.

• Owia a wɔde bɛbɔ wɔn ho ban a ɛdɔɔso .
• Di nnuan a vitamin D ne calcium wom pii .
• Nnompe a wɔde hyɛ nipadua no mu de tew nnompe mu dɛmdi so anaasɛ wɔasiw ano.
• Wɔ tebea horow a emu yɛ den yiye mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie nnompe a asɛe no.

So yebetumi asiw osteomalacia a ɛbɛba no ano?

Yiw, yebetumi asiw eyi ano kɛse. Nneɛma atitiriw abien na ɛsɛ sɛ yɛyɛ:

• Owia hann a ɛdɔɔso a wobenya ama nipadua no .
• Vitamin D ne calcium a ɛdɔɔso a yebenya afi nnuan a yedi mu.

Ɛdenam baabi a wote ne afe no mu bere so no, ebia wubetumi anya vitamin D a ɛdɔɔso afi owia hann nkutoo mu. Mpɛn pii no, ɛsɛ sɛ obi a ne honam ani yɛ fitaa no tra owia mu simma 10 kosi 15 nnansa kosi nnansa dapɛn biara. Ebia ɛho behia sɛ nnipa a wɔn honam ani yɛ tuntum no tra owia mu kyɛ kakra. Nanso ɛsɛ sɛ eyi yɛ owia hann tẽẽ . Owia hann a ɛfa mfɛnsere mu ba anaa owia hann a ɛtɔ ntade so no ntumi mma vitamin D a ɛdɔɔso. Nanso, ɛnyɛ papa sɛ wobɛtra owia mu akyɛ dodo a wunhia aduru a ɛbɔ wo ho ban fi owia ho . Efisɛ owia a wɔde di dwuma pii no ma honam ani kokoram ho asiane no yɛ kɛse . Enti, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo bere tenten a ɛsɛ sɛ wotra owia mu. Worennya vitamin D a wuhia nyinaa mfi aduan nkutoo mu. Nanso ebetumi aboa. Nnuan bi wɔ hɔ a efi awosu mu no vitamin D. Sɛ nhwɛso no:

• Mpataa a srade wom: te sɛ tuna, salmon, sardines, mackerel.
• Rainbow trout mpataa a wɔfrɛ wɔn rainbow trout.
• Nam kɔkɔɔ.
• Nantwinam mmerɛbo.
• Nnua a wɔde yɛ nsenia.
• Nkwaa a wɔayam.
• Cod mmerɛbo mu ngo.

Nnuan afoforo bi wɔ hɔ a wɔde vitamin D ka ho wɔ ɔkwan a wɔayɛ so (nnuan a wɔahyɛ no den). Wo ne wo duruyɛfo nkasa mfa fibea ahorow a eye ma wo ho. Nanso, nnuan ahorow wɔ mfaso ne ɔhaw ahorow, enti ɛsɛ sɛ wususuw saa asɛm no ho. Sɛ woda so ara nsusuw sɛ worenya vitamin D a ɛdɔɔso afi owia hann ne aduan mu a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aduru bi a wɔde ka ho.

Dɛn ne obi a ɔwɔ nnompe mu yare a ɛbɛma ne ho atɔ no?

Sɛ wɔkyere yare yi ntɛm na wɔsa no yiye (te sɛ nnuru a wɔde ka ho) , nnipa dodow no ara befi ase anya ahoɔden wɔ adapɛn kakraa bi mu. Nanso, ebetumi agye asram asia ansa na wo nnompe no ayɛ yiye na ayɛ den bio .

Mɛyɛ dɛn ahwɛ me nnompe so?

Bere a yɛrenyin no, ɛbɛyɛ nea ɛho hia kɛse mpo sɛ yɛhwɛ yɛn nnompe so. Nneɛma bi a wubetumi ayɛ de aboa ma wo nnompe ayɛ yiye ni:

• Di nnuan a vitamin D ne calcium wom a ɛdɔɔso .
• Nya owia hann a ɛdɔɔso .
• Kura wo nipadua mu duru a ɛfata a ɛfata wo mu.
• Fa wo ho hyɛ apɔw-mu-teɛteɛ mu daa .
• Mma nnom sigaret .
• Sɛ wonom nsa a , to dodow pɔtee bi so .

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ nnompe mu yaw, anaasɛ nnompe mu yare ho sɛnkyerɛnne biara a yɛadi kan aka ho asɛm a, kɔ oduruyɛfo nkyɛn ntɛm ara . Obetumi ahwɛ sɛnea wo mogya mu te ahwɛ sɛ saa tebea yi aka wo anaa.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Ebia ɛbɛyɛ nea mfaso wɔ so sɛ wubebisa nsɛm yi bere a worekɔ wo duruyɛfo nkyɛn no:

• So aduan a wɔde ka aduan ho nkutoo dɔɔso sɛ ɛbɛsa nnompe mu yare?
• Ayaresa afoforo bɛn na wokamfo kyerɛ?
• Dwumadi ahorow bɛn na ɛsɛ sɛ mekwati kosi sɛ me ho bɛtɔ me?
• Apɔw-mu-teɛteɛ ahorow bɛn na ebetumi aboa ma wɔasa tebea yi anaasɛ wɔasiw ano?
• Dɛn bio na metumi ayɛ na amma tebea yi anka me daakye?

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Sɛ worehu ɛyaw wɔ wo nipadua ase nso, titiriw wɔ wo nnompe mu a, ebetumi ayɛ nnompe mu yare. Nea ɛde eyi ba titiriw ne vitamin D a wunni Enti, ɛho hia yiye sɛ wubenya owia a ɛdɔɔso na woadi nnuan a vitamin D wom.Sɛ sɛnkyerɛnne no kɔ so a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Obetumi ahu sɛ ebia wo nnompe mu yaw no fi vitamin D a wunni mu na waboa wo ma woabɛyɛ obi a wowɔ nnompe a ɛte apɔw.