Yɛnnwen nnompe a ɛwɔ yɛn nipadua mu no ho pii wɔ yɛn da biara da asetra mu, ɛnte saa? Nanso susuw ho hwɛ, yɛahu nsɛm a obi a ne mfe akɔ anim hwe ase na ɔhwe ase wɔ fie na obubu ne nsa anaa ne nan. Nanso bere koro no ara mu no, sɛ aberante bi hwe ase a, wobetumi de akisikuru ketewaa bi aguan. Dɛn nti na nsonsonoe yi wɔ? Ade biako nti a eyi ba betumi ayɛ tebea a yɛreka ho asɛm nnɛ a wɔfrɛ no osteopenia no. Eyi yɛ yare a ɛyɛ komm a ɛma nnompe no yɛ mmerɛw nkakrankakra.
Sɛ yɛbɛka no tiawa a, dɛn ne nnompe mu yare?
Osteopenia yɛ wo nnompe a ɛyɛ den a ɛso tew. Susuw yɛn nnompe ho sɛ birikisi fasu a wɔasisi no yiye. Bere kɔ so no, birikisi a ɛwɔ ɔfasu yi mu no bi fi hɔ, na ɛma ɔfasu no yɛ mmerɛw kakra. Saa na ɛte wɔ tebea yi ho. Aboɔden abo dodow a ɛsɛ sɛ ɛwɔ nnompe no mu no so tew, na wɔn ahoɔden so tew.
Eyi nyɛ yare, nanso ɛyɛ kɔkɔbɔ sɛnkyerɛnne a ɛho hia yiye. Ɛkyerɛ sɛ wo nnompe ayɛ mmerɛw sen sɛnea ɛte daa, ma enti asiane wɔ hɔ sɛ daakye bebubu.
Nsonsonoe bɛn na ɛda Osteopenia ne Osteoporosis ntam?
Saa din abien yi di nsɛ yiye, enti nnipa pii adwene tu fra. Momma yɛnte eyi ase saa.
- Nnompe a ɛyɛ mmerɛw: Eyi ne kɔkɔbɔ a edi kan. Ɛte sɛ kanea kɔkɔɔ a ɛwɔ kar kanea so. Ɛka sɛ, "Hwɛ yiye, wo nnompe reyɛ mmerɛw." Sɛ yɛyɛ yɛn ade yiye wɔ saa bere yi mu a, yebetumi asiw tebea a edi hɔ a asiane wom no ano.
- Nnompe mu yare: Eyi ne asɛm a emu yɛ den sen biara. Ɛte sɛ kanea kɔkɔɔ a ɛwɔ kar kanea bi ho. Ɛha yi, nnompe no yɛ mmerɛw yiye, na sɛ wohwe ase kakra mpo, anaasɛ ebia ɔfe a emu yɛ den a, ebetumi ama dompe bi abubu.
Sɛ yɛbɛka no tiawa a, nnompe a ɛyɛ mmerɛw ne anammɔn a edi kan a ɛkɔ nnompe mu yare mu, enti ɛho hia sɛ woyɛ ho biribi bere a woahu ara pɛ.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ade a ɛho hia ni. Osteopenia nni sɛnkyerɛnne biara. Wonte ɛyaw anaa ahotɔ biara nka. Ɛyɛ kɛkɛ sɛ nnompe no reyɛ mmerɛw nkakrankakra fi mu. Ɛno nti na nnuruyɛfo frɛ no "yare a ɛnyɛ komm."
Mpɛn pii no, obi nam X-ray so sua tebea yi ho ade esiane biribi foforo nti, anaasɛ bere a wahwe ase kakra na ne dompe abubu akyi. Enti ntease biara nni mu sɛ wobɛtwɛn ma yare no ho sɛnkyerɛnne ahorow ada adi.
Dɛn nti na yenya nnompe mu yare? Dɛn ne nneɛma a ɛde asiane ba?
Nokwarem no, onyin ne ade titiriw a ɛde ba. Yɛn nnompe no mu yɛ den sen biara bɛyɛ mfe 25-30. Ɛno akyi no, sɛnea nnompe foforo fi awosu mu ba no kɔ soro ntɛmntɛm kakra sen sɛnea wobubu no. Eyi yɛ soronko ma obiara. Nanso wɔ nnipa binom fam no, wobetumi ama saa adeyɛ yi akɔ so ntɛmntɛm.
Nneɛma pii wɔ hɔ a ɛma asiane yi yɛ kɛse.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| Mfeɛ | Nnipa a wɔadi boro mfe 50 na wɔwɔ asiane kɛse mu. |
| Bɔbea | Mmea, titiriw bere a wɔagyae brayɛ no, tumi nya yare no bɛyɛ mpɛn anan sen mmarima. |
| Sigaretnom ne nsa a wɔnom | Nnipa a wɔnom sigaret na wɔnom nsa pii da biara da no betumi ama wɔn nnompe ayɛ mmerɛw ntɛmntɛm. |
| Abusua abakɔsɛm | Sɛ obi a ɔwɔ w’abusua mu wɔ nnompe mu yare a, ebia wo nso wobɛkɔ asiane mu. |
So aduruyɛ mu tebea horow ne nnuru bi ka eyi?
Yiw, koraa. Ayaresa tebea horow bi ne nnuru a wɔde di dwuma bere tenten nso betumi ama nnompe mu ahoɔden so atew.
| Nneɛma a ebetumi aka | Nhwɛso ahorow |
|---|---|
| Aduruyɛ mu tebea horow | |
| Hormone ho haw ahorow | Ntini a ɛma mogya tu, Cushing yare |
| Nyarewa afoforo | Asikreyare, Asaabo mu yare a enni sabea (CKD), Ntini mu yare |
| Aduan pa a wonnya nni | Calcium anaa vitamin D a wonnya nni, aduan pa a wonnya nni, adidi mu haw. |
| Nnuru ahorow a wɔde di dwuma | |
| Steroid ahorow ahorow | Nnuru te sɛ corticosteroids a wɔnom bere tenten. |
| Nnuru afoforo | Proton pump inhibitors (PPI) ahorow bi a wɔde sa yafunu mu yare, nnuru a wɔde sa akisikuru, ne hormone ayaresa a wɔde sa kokoram. |
Wobɛyɛ dɛn ahu sɛ wowɔ saa tebea yi ankasa?
Ɔkwan a eye sen biara na ɛyɛ pɛpɛɛpɛ a wobɛfa so ahu ne sɛ wobɛyɛ "Bone Density Test", a wɔsan frɛ no DEXA scan.
Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw. Ɛte sɛ nea woreyɛ X-ray. Ɛkyerɛ sɛnea wo nnompe mu yɛ den, titiriw w’akyi berɛmo ne w’asen. Nea ebefi mu aba no betumi ama woahu wo duruyɛfo no pɛpɛɛpɛ sɛ ebia wo nnompe no te apɔw, nnompe mu yare, anaasɛ nnompe mu yare.
Mpɛn pii no, nnuruyɛfo kamfo nhwehwɛmu yi kyerɛ mmea a wɔadi boro mfe 50 ne mmarima a wɔadi boro mfe 70. Afei nso, sɛ wowɔ asiane ahorow a yɛadi kan aka ho asɛm no a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ ntɛm.
Ɔkwan bɛn so na wɔsa nnompe mu yare?
Asɛmpa no ne sɛ ɛnyɛ obiara a ɔwɔ nnompe mu yare no na ohia nnuru. Yɛn botae titiriw ne sɛ yebesiw nnompe no ano na ɛrenyɛ mmerɛw bio na yɛasiw nnompe mu yare ano. Eyi fi nsakrae a aba yɛn asetra kwan mu titiriw.
1. Apɔw-mu-teɛteɛ
Apɔw-mu-teɛteɛ ne ɔkwan a eye sen biara a wobɛfa so ahyɛ wo nnompe den. Apɔw-mu-teɛteɛ a wɔde soa mu duru ho hia titiriw. Ɛno kyerɛ sɛ yɛbɛnantew, atu mmirika, na yɛaforo antweri. Apɔw-mu-teɛteɛ te sɛ yoga ne Tai Chi betumi aboa ma wo kari pɛ. Eyi nso betumi aboa ma wɔasiw asehwe ano. Bisa wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo wɔ apɔw-mu-teɛteɛ a ɛfata wo ho.
2. Aduandi ne aduannuru a wɔde ma
Nneɛma abien a ɛho hia ma nnompe ne calcium ne vitamin D.
- Calcium: Nufusu, yogurt, kyiisi, mpataa nketewa (te sɛ sprats) a wɔde wɔn akutu di, ne nhabannuru a ɛyɛ ahabammono (spinach, kale) wɔ calcium pii.
- Vitamin D: Eyi boa yɛn nipadua ma ɛtwe calcium. Vitamin D fibea a eye sen biara ne owia hann. Ɛyɛ papa paa sɛ wode wo bɛto owia hann mu simma 15-20 anɔpa biara.
Sɛ woannya eyinom a ɛdɔɔso mfi w’aduan mu a, wo duruyɛfo no besi gyinae sɛ ebia ɛsɛ sɛ wonom nnuru a wɔde ka wo ho anaa. Mfa saa nnuru yi nni dwuma da a wonkɔ oduruyɛfo nkyɛn.
3. Twe a wobɛtwe wo ho afi subammɔne ho
- Sɛ wonom sigaret a, gyae ntɛm ara. Sigaretnom sɛe nkwammoaa a ɛyɛ nnompe no.
- Kwati nsa a wobɛnom boro so.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wuhu sɛ wowɔ nnompe mu yare a, wo ne wo duruyɛfo nka saa nneɛma yi ho asɛm.
- Mpɛn ahe na ɛsɛ sɛ meyɛ nnompe mu duru ho nhwehwɛmu?
- Asiane afoforo bɛn na mewɔ?
- Ayaresa bɛn na eye ma me?
- Apɔw-mu-teɛteɛ bɛn na eye ma me nnompe akwahosan?
- So ɛsɛ sɛ menom calcium ne vitamin D a wɔde ma?
Kae sɛ nnompe a ɛyɛ mmerɛw te sɛ asetra mu hokwan a ɛto so abien. Ɛkyerɛ sɛ bere aso sɛ wohwɛ wo nnompe so kɛse. Sɛ wuhu ntɛm na wunya asetra pa a, wubetumi asiw nnompe mu yare ano na wode nnompe a ɛyɛ den abɔ bra pa.
Nkrasɛm a Wɔde Kɔ Fie
- Osteopenia yɛ nnompe a ɛyɛ den a ɛso tew. Ɛyɛ kɔkɔbɔ sɛnkyerɛnne a edi nnompe mu yare anim.
- Esiane sɛ sɛnkyerɛnne biara nni hɔ nti, ɛho hia sɛ woyɛ nnompe mu duru ho nhwehwɛmu wɔ nnuruyɛfo afotu so sɛ wowɔ asiane ahorow (titiriw mmea a wɔadi boro mfe 50) a.
- Ɛnyɛ ayaresa botae titiriw ne sɛ wɔbɛkyerɛw nnuru ama obi, na mmom sɛ wɔbɛsakra asetra kwan. Apɔw-mu-teɛteɛ a ɛfata, aduan a calcium ne vitamin D pii wom, ne sigaretnom/nsa a wɔkwati ho hia yiye.
- Wobetumi adi tebea yi so. Sɛ wotu anammɔn a ɛfata a, ebetumi asiw nnompe no mmerɛw bio na atew asiane a ɛwɔ hɔ sɛ nnompe no mu betumi abubu no so.
- Sɛ wowɔ wo nnompe akwahosan ho dadwen bi a, wo ne wo duruyɛfo nkasa pefee.
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