So woahwe ase na woabubu wo nsa anaa wo nan pɛn? Anaasɛ wo anaa obi a wunim no ahu sɛ bere a worenyin no, woreyɛ teateaa? Ebia nea enti a saa nneɛma yi akyi ne ɔtamfo bi a ɔyɛ komm a yɛn mu biara nka ho asɛm pii, nanso ɛka nnipa pii. Ɛnnɛ yɛrebɛka saa ɔtamfo a ɔyɛ komm no ho asɛm, a ɔne nnompe mu yare .
Dɛn ne Nnompe mu Yare?
Sɛ yɛbɛka no tiawa a, nnompe mu yare yɛ yare a ɛma wo nnompe yɛ mmerɛw . Eyi ma wo nnompe yɛ teateaa sen sɛnea ɛsɛ sɛ ɛyɛ na ne duru so tew. Ɛte sɛ birikisi a wɔde si ɔfasu no mu yɛ tokuru na ɔfasu no yɛ mmerɛw. Enti sɛ eyi ba a, hokwan a ɛwɔ hɔ sɛ nnompe bɛpaapae no yɛ kɛse koraa.
Mpɛn pii no, yɛn nnompe mu yɛ den na ɛyɛ den. Wobetumi aboa yɛn nipadua mu duru na wɔatwe nneɛma a asɛe esiane asehwe nketenkete ne akuru mu ba no. Nanso bere a yɛrenyin no, yɛn nnompe no fi awosu mu hwere nea ɛyɛ den no bi na sɛnea wɔsan yɛ no foforo no so tew. Sɛ wowɔ nnompe mu yare a, wo nnompe yɛ mmerɛw na ɛyɛ mmerɛw sen sɛnea ɛte daa.
Nnipa pii nnim sɛ wɔwɔ nnompe mu yare kosi sɛ wobebubu dompe bi. Ɛwom sɛ dompe biara betumi abubu de, nanso ɛtaa ka:
- W’asen mu paapae.
- Nsateaa nnompe.
- Akyi berɛmo a abubu .
Sɛ oduruyɛfo hu nnompe mu yare ntɛm a, wubetumi atew asiane a ɛwɔ hɔ sɛ nnompe mu abubu no so kɛse. Enti, titiriw sɛ woadi boro mfe 65 , wo dompe abubu bere a woadi mfe 50 akyi, anaasɛ sɛ obi a ɔwɔ w’abusua mu wɔ nnompe mu yare a, wo ne wo duruyɛfo nkasa mfa nhwɛ sɛnea wo nnompe mu yɛ den.
Saa tebea yi abu so dɛn?
Nokwarem no, eyi abu so sen sɛnea ebia wubesusuw. Wɔ ɔman te sɛ Amerika mu no, nnipa bɛboro ɔpepem 50 na wɔte nnompe mu yare. Saa tebea yi renya nkɔanim wɔ Sri Lanka nso, titiriw bere a yɛn nnipa a wɔn mfe akɔ anim redɔɔso no.
Nnompe mu yare abu so wɔ nnipa a wɔadi boro mfe 50. Abenfo ka sɛ mmea baanu biara mu biako ne mmarima baanan biara a wɔadi boro mfe 50 mu biako betumi anya nnompe mu yare. Susuw nnipa dodow a wunim wɔn a ebia wɔwɔ saa tebea yi ho hwɛ.
Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔadi boro mfe 50 a wonnya nnyaa nnompe mu yare no mu bɛyɛ nkyem abiɛsa mu biako nnompe mu duru so tew kodu baabi. Wɔfrɛ saa tebea yiNnompe a ɛyɛ mmerɛw. Nnompe a ɛyɛ mmerɛw yɛ tebea a ɛkyerɛ nnompe mu yare ho sɛnkyerɛnne a edi kan . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛte sɛ kanea kɔkɔɔ. Sɛ wɔansa no yiye a, nnompe mu yare tebea no betumi adan nnompe mu yare.
Dɛn ne Osteoporosis ho sɛnkyerɛnne ahorow?
Te sɛ nyarewa pii , nnompe mu yare nni sɛnkyerɛnne a ɛda adi pefee. Ɛno nti na ɛtɔ mmere bi a nnuruyɛfo frɛ no "yare a ɛnyɛ komm."
Worentumi nte biribiara nka anaasɛ wunhu biribiara, enti ka kyerɛ wɔn sɛ wowɔ nnompe mu yare. Sɛ wo tiyɛ, wo ho nyɛ wo yaw, anaa wo yafunu nyɛ wo yaw a, ma wɔnhu sɛ biribi asɛe wo nipadua.
Eyi ho "sɛnkyerɛnne" titiriw ne dompe bi a ɛpaapae mpofirim . Eyi betumi aba, titiriw fi asehwe ketewaa bi mu, anaasɛ akwanhyia ketewaa bi mpo a mpɛn pii no ɛnyɛ ɔhaw biara. Susuw ho hwɛ, sɛ woto hintidua kakra bere a woresɔre afi akongua so mpo, anaasɛ sɛ wobɔ ɔpon mpo a, wubetumi abubu wo nsa anaa wo nan.
Ɛwom sɛ ebia nnompe mu yare remma obi nnya yare no ho sɛnkyerɛnne biara de, nanso ebia wubehu nsakrae ahorow bi a ɛkyerɛ sɛ wo nnompe mu ahoɔden ne denso retew . Eyinom ne kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya nnompe mu yare:
- Ebia wo tenten bɛtew nsateakwaa biako anaa nea ɛboro saa. Eyi betumi asi nkakrankakra, enti ebia worenhu ntɛm ara.
- Nsakrae a ɛba wo gyinabea a wotaa gyina hɔ no mu (wode wo ho to w’anim, wobɔ wo nan ase). Nnipa binom ka sɛ "slouching", biribi a ɛte saa.
- Ɔhome a ɛyɛ den (sɛ w’akyi berɛmo no mia na w’ahurututu mu tumi so tew a).
- Akyi akyi yaw (ɛyaw a ɛba w’akyi berɛmo mu). Mfa no sɛ eyi yɛ akyi yaw ara kwa, titiriw sɛ biribi foforo biara nni hɔ a ɛde ba a.
Ebia ɛbɛyɛ den ama wo sɛ wubehu nsakrae a aba wo nipadua mu. Ebia ɛbɛyɛ mmerɛw ama obi a ɔbɛn wo anaa abusua muni bi sɛ obehu nsakrae yi (titiriw wɔ ne tenten anaa ne gyinabea mu). Bere a nnipa binom di aseresɛm sɛ "wotew" bere a worenyin no, eyi betumi ayɛ sɛnkyerɛnne ankasa sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔyɛ nnompe mu duru ho nhwehwɛmu.
Dɛn nti na nnompe mu yare ba?
Nnompe mu yare ba bere a worenyin no, bere a tumi a wo nnompe tumi yɛ foforo na esiesie ne ho no so tew no.
Yɛn nnompe yɛ ntini a nkwa wom, te sɛ yɛn nipadua a aka no ara pɛ. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛte saa de, nanso wɔreyɛ wɔn nkwammoaa ne wɔn ntini foforo bere nyinaa wɔ yɛn nkwa nna nyinaa mu. Fa no sɛ ɛte sɛ nea woresiesie ofie dedaw bi. Ɛde besi bɛyɛ mfe 30 , yɛn nipadua fi awosu mu yɛ nnompe pii sen nea ɛhwere. Eyi kyerɛ sɛ nnompe a ɛwɔ hɔ no renyin. Nanso bere a obi adi mfe 35 akyi no, sɛnea nnompe no mu paapae no boro sɛnea nnompe foforo ba no so. Eyi ma nnompe mu duru so tew nkakrankakra. Ɛte sɛ nea wuyi sika fi sikakorabea ntɛmntɛm na wotew sika dodow a wode sie no so.
Sɛ wowɔ nnompe mu yare a, wo nnompe mu duru yera ntɛmntɛm sen sɛnea ɛte daa. Mmea nnompe mu duru so tew ntɛmntɛm mpo bere a wɔagyae brayɛ akyi , efisɛ hormone estrogen a ɛso tew no ka nnompe.
Hena na ɔwɔ asiane kɛse sɛ obenya nnompe mu yare?
Obiara betumi anya nnompe mu yare, nanso akuw bi betumi anya bi. Eyinom bi ne:
- Obiara a wadi boro mfe 50. Asiane yi kɔ soro bere a worenyin no.
- Mmea, titiriw bere a wɔagyae brayɛ akyi. Yɛaka eyi ho asɛm pɛn.
- Sɛ obi wɔ w’abusua mu wɔ nnompe mu yare (agyapade) a. Sɛ na wo maame, wo papa, anaa wo nuanom wɔ yare no a, ebia wo nso wobɛkɔ asiane mu.
- Nnipa a fi awosu mu yɛ teateaa, a "wɔn ntama nketewa." Nea enti a ɛte saa ne sɛ mpɛn pii no, nnipa a wɔyɛ teateaa no nnompe sua, enti sɛ wɔhwere ade ketewaa bi mpo a, ɛka wɔn kɛse.
- Nnipa a wɔnom sigaret na wɔde tawa nneɛma di dwuma. Sigaretnom pira nnompe paa.
Nyarewa bi nso betumi ama asiane no ayɛ kɛse.
Akwahosan tebea horow bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya nnompe mu yare no ayɛ kɛse. Nhwɛsoɔ:
- Endocrine disorders: Tebea biara a ɛka parathyroid ntini, thyroid ntini, ne hormone ahorow (e.g., thyroid yare, asikreyare).
- Yafunu mu nyarewa: Sɛ nhwɛso no, tebea horow te sɛ Celiac yare ne Inflammatory Bowel Disease (IBD) betumi ama nipadua no ntumi nnye aduannuru yiye.
- Nyarewa a nipadua no tumi ko tia nyarewa a ɛka nnompe no: te sɛ ntini mu yare anaa ankylosing spondylitis.
- Mogya mu yare: Anaasɛ kokoram a ɛka mogya no, sɛ nhwɛso no, multiple myeloma.
Nnuru ne oprehyɛn ahorow bi nso de asiane ahorow ba.
Asiane a ɛwɔ hɔ sɛ obi benya nnompe mu yare no betumi ayɛ kɛse bere a wɔde nnuru bi di dwuma bere tenten anaa oprehyɛn ahorow bi no:
- Nnuru a ɛma nsu fi nipadua mu:(Aduru a ɛma mogya mmoroso so tew na eyi nsu a ɛboro so fi nipadua no mu).
- Corticosteroids: (Nnuru a wɔde sa ɔyare a ɛma obi ho hyehye no te sɛ ayamtu ne ntini mu yare). Eyinom yɛ nea asiane wom kɛse bere a wɔde di dwuma bere tenten a.
- Nnuru bi a wɔde sa akisikuru.
- Oprehyɛn a wɔde ma obi mu duru so tew (Bariatric oprehyɛn).
- Hormone ayaresa a wɔde sa kokoram (ma nufu mu kokoram anaa prostate kokoram).
- Anticoagulants (nnuru a ɛmma mogya ntumi nkɔ).
- Proton pump inhibitors ( nnuru a wɔde sa acidity, te sɛ gastritis; eyinom betumi aka calcium a wɔtwe).
Ɛsɛ sɛ wohwɛ w’aduan ne w’apɔw-mu-teɛteɛ nso.
W’aduan ne w’apɔw-mu-teɛteɛ nso ka sɛnea wunya nnompe mu yare no. Eyinom yɛ nneɛma a yebetumi adi so:
- Calcium anaa vitamin D a ɛdɔɔso a wunnya wɔ w’aduan mu. Calcium ne ade titiriw a ɛwɔ nnompe mu. Vitamin D boa nipadua no ma ɛtwe calcium.
- Apɔw-mu-teɛteɛ a ɛdɔɔso a wonnya. Sɛ woanteɛteɛ w’apɔw mu a, wo nnompe yɛ mmerɛw.
- Nsa a wɔnom daa (bɛboro mprenu da biara).
## Ɔkwan bɛn so na wohu Osteoporosis?
Oduruyɛfo bi nam nnompe mu duru ho nhwehwɛmu a ɔyɛ so hu nnompe mu yare . Eyi na ɛkyerɛ sɛnea wo nnompe mu yɛ den. Ɛde X-ray susuw calcium ne nneɛma afoforo dodow a ɛwɔ wo nnompe mu.
Ɛtɔ mmere bi a nnuruyɛfo frɛ saa nnompe mu density nhwehwɛmu yi DEXA scan , DXA scan, anaa bone density scan. Eyinom nyinaa yɛ din ahorow a wɔde frɛ sɔhwɛ koro.
Saa sɔhwɛ yi de X-ray a ɛba fam di dwuma de susuw sɛnea wo nnompe mu yɛ den ne nea ɛwɔ mu. Ɛte sɛ X-ray a wɔyɛ no daa. Ɛyɛ ayaresa a wɔde kɔ ayaresabea, a ɛkyerɛ sɛ ɛnsɛ sɛ wotra ayaresabea. Wubetumi akɔ fie bere a wɔawie sɔhwɛ no. Nnade anaa nnuru a wɔde twitwiw nipadua no mu biara nni sɔhwɛ yi mu. Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.
Wo nnompe mu duru a wobɛhwɛ no ne ɔkwan a eye sen biara a wobɛfa so akyere nnompe mu yare ansa na ama woabubu.
Sɛ obi wɔ w’abusua mu wɔ nnompe mu yare, sɛ woadi boro mfe 50, anaasɛ wo nnompe mu yare a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ nnompe mu duru ho nhwehwɛmu daa.
## Dɛn ne ayaresa a wɔde sa Osteoporosis?
Wo duruyɛfo bɛkamfo ayaresa ahorow a wɔaka abom a ɛbɛma wo nnompe a ɛbɛyera no ayɛ brɛoo na ahyɛ wo nnompe mu ntini a ɛwɔ hɔ dedaw no mu den. Ade a ɛho hia sen biara wɔ nnompe mu yare a wɔsa mu ne sɛ wobesiw nnompe mu akisikuru ano.
Nnompe mu yare a wɔtaa de di dwuma ne:
- Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a wobɛyɛ no daa hyɛ wo nnompe (ne ntini a ɛka ho nyinaa te sɛ ntini, ntini, ne ntini a ɛma wo ho yɛ den) den. Ebia wo duruyɛfo bɛkyerɛ sɛ fa apɔw-mu-teɛteɛ a ɛbɛma wo mu duru ayɛ den na ama wo ntini mu ayɛ den na woakari pɛ. Apɔw-mu-teɛteɛ a ɛko tia tumi a ɛtwe ade ba fam te sɛ nantew, yoga, Pilates, ne Tai Chi betumi aboa ma w’ahoɔden ne w’akari pɛ atu mpɔn a ɛremma wo nnompe so adwennwen pii. Ebia ɛho behia sɛ wo ne apɔw-mu-teɛteɛ ho ɔyaresafo bi yɛ adwuma na ama woanya apɔw-mu-teɛteɛ ne kankyee a ɛyɛ adwuma ma wo.
- Vitamin ne mineral a wɔde ma: Ebia wubehia calcium anaa vitamin D a wɔtɔn wɔ aduruyɛdan mu anaasɛ wɔkyerɛw ma wo. Wo duruyɛfo bɛkyerɛ wo ɔkwan a wuhia, mpɛn dodow a ɛsɛ sɛ wofa, ne dodow a wuhia. Ɛho hia sɛ wunya vitamin D fi nnuan a calcium pii wom te sɛ nufusu, kyiisi, yogurt, nhabannuru a ɛyɛ ahabammono, ne mpataa nketewa mu, ne owia a wode bɛtra mu nso.
- Nnuru a wɔde sa nnompe mu yare: Wo duruyɛfo bɛkyerɛ wo nnuru a eye ma wo ne wo nipadua. Nnuru a wɔtaa de di dwuma no bi ne nnuru a wɔde sa yare a ɛma nipadua no nya ahoɔden te sɛ estrogen anaa testosterone a wɔde si ananmu, ne nnuru a wɔfrɛ no bisphosphonates . Ebia nnipa a nnompe mu yare a emu yɛ den anaa wɔn a asiane kɛse wom sɛ wobebubu no behia nnuru te sɛ parathyroid hormone (PTH) analogs, denosumab, ne romosozumab . Wɔtaa de nnuru yi ma sɛ nnuru a wɔde twitwiw nipadua mu.
## Sɛ wowɔ nnompe mu yare a, dɛn na wobɛhwɛ kwan?
Sɛ wowɔ nnompe mu yare a, ɛsɛ sɛ wohwɛ kwan sɛ wubedi tebea no ho dwuma bere tenten, mpɛn pii no w’asetra nyinaa. Eyi kyerɛ sɛ ɛrenyɛ yiye anadwo biako pɛ. Ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn daa na woyɛ nnompe mu duru ho nhwehwɛmu. Wo duruyɛfo bɛhwɛ wo nnompe mu den na wayɛ nsakrae wɔ w’ayaresa no mu sɛnea ɛho hia. Enti ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi yiye.
## Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya nnompe mu yare no so?
Mpɛn pii no, apɔw-mu-teɛteɛ ne hwɛ a wobɛhwɛ sɛ wubenya calcium ne vitamin D a ɛdɔɔso wɔ w’aduan mu ne nneɛma a ɛho hia sen biara a wubetumi ayɛ na asiw nnompe mu yare ano. Wo duruyɛfo betumi aboa wo ma woanya ayaresa ahorow a eye sen biara a wɔaka abom ama wo ne wo nnompe akwahosan.
Kae saa nneɛma yi na ama woabɔ wo ho ban afi akwanhyia ho:
Di ahobammɔ ho nyansahyɛ ahorow yi akyi na ama asiane a ɛwɔ hɔ sɛ dompe bi bebubu wɔ akwanhyia mu no so atew:
- Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no.
- Hyɛ ahobammɔ ho nneɛma a ɛfata ma dwumadi ne agumadi biara.
- Ma nneɛma a ɛho nhia a ebetumi ahinhim wo anaa afoforo nni wo fie ne w’adwumam. Ma w’adwene si nhama, agode, ne nneɛma afoforo a ɛwɔ fam no so titiriw.
- Fa nnwinnade a ɛfata di dwuma bere nyinaa na ama woatumi afi soro adu nneɛma ho. Mforo nkongua, apon, anaa counter so da.
- Ɛsɛ sɛ wudi aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe akyi.
- Sɛ ɛyɛ den ma wo sɛ wobɛnantew anaasɛ asiane kɛse wom sɛ wobɛhwe ase a, fa poma anaa nea wɔde nantew di dwuma. Aniwu biara nni ho sɛ wode eyinom bedi dwuma, ɛyɛ w’ahobammɔ nti.
## Meyɛ dɛn hwɛ me ho?
Sɛ wudi aduan pa ne apɔw-mu-teɛteɛ nhyehyɛe akyi a, ɛbɛboa wo ma woakura wo dompe (ne ne nyinaa) akwahosan mu. Kɔ kɔhwɛ wo daa. Wobetumi aboa wo ma woakyere ɔhaw anaa sɛnkyerɛnne biara a ebia ɛreka wo nnompe ntɛm ara sɛnea wubetumi.
Sɛ woadi boro mfe 65, anaasɛ sɛ obi a ɔwɔ w’abusua mu wɔ nnompe mu yare a, wo ne wo duruyɛfo nkasa mfa nnompe mu duru ho nhwehwɛmu ho. Mma nsuro anaa ɛnwu sɛ wubebisa eyi ho asɛm.
## Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wuhu nsakrae biara wɔ wo nipadua mu a ebetumi ayɛ nnompe mu yare ho kɔkɔbɔ sɛnkyerɛnne (te sɛ wo tenten a wobɛyera, woayɛ mmerɛw) a, kɔ oduruyɛfo nkyɛn. Ka sɛnkyerɛnne foforo biara a worehu nso kyerɛ wo duruyɛfo, titiriw sɛ wo nnompe mu yɛ wo yaw anaasɛ ɛyɛ den ma wo sɛ wobɛkanyan wo nipadua a.
## Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?
Sɛ wususuw sɛ wo dompe abubu, anaasɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ER) ntɛm ara:
- Ɛyaw a emu yɛ den.
- Sɛ wuntumi ntutu wo nipadua no fã bi a.
- Sɛ nipadua no fã bi te sɛ nea ɛyɛ soronko anaasɛ asesa afi baabi a na ɛwɔ kan no (te sɛ nea wɔakotow, atrɛw mu).
- Sɛ wo honam ani atrɛw na wo dompe no da adi a.
- Rehono.
- Nea ɛka sɛnkyerɛnne afoforo yi ho no, akuru foforo da adi.
## Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?
Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm yi:
- Asiane bɛn na ɛwɔ me sɛ menya nnompe mu yare?
- Mpɛn ahe na ebehia sɛ wɔyɛ me nnompe mu duru ho nhwehwɛmu?
- Ayaresa ahorow bɛn na mihia? Dɛn ne wɔn nsunsuanso bɔne?
- Apɔw-mu-teɛteɛ pa bi bɛn na metumi ayɛ de ahyɛ me nnompe mu den?
- So mehia nipadua mu ayaresa?
- Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ m’aduan mu?
## Bere tenten ahe na wubetumi de nnompe mu yare atra ase?
Nnompe mu yare nyɛ yare a ɛde wo nkwa to asiane mu, a ɛkyerɛ sɛ ɛnsakra wo nkwa nna (bere tenten a wobɛtra ase). Nanso, ɛma asiane a ɛwɔ hɔ sɛ nnompe bebubu no yɛ kɛse. Ɛma asiane a ɛwɔ hɔ sɛ wubebubu a emu yɛ den anaa nsɛnnennen a efi akisikuru mu ba nso yɛ kɛse. Nhwehwɛmu ahorow bi ada no adi sɛ asen a ɛpaapae wɔ mpanyimfo a wɔadi boro mfe 65 mu no ne wɔn a wɔntumi nkɔ baabiara, wɔtaa kɔ ayaresabea, na ebia wowu ntɛm wɔ abusuabɔ.
Sɛ ɛhaw wo sɛ wobɛbɔ wo ho ban afi asehwe anaa abubuw ho a, wo ne wo duruyɛfo nkasa. Wobetumi aboa wo ma woanya ahobammɔ ne apɔwmuden.
## Enti, dɛn ne ade titiriw a ɛsɛ sɛ yɛkae fi eyi mu?
Nnompe mu yare yɛ tebea a ɛma wo nnompe yɛ mmerɛw na ɛyɛ mmerɛw sen sɛnea ɛsɛ sɛ ɛyɛ. Eyi betumi ayɛ nea asiane wom efisɛ ɛma ɛyɛ mmerɛw sɛ wubebubu dompe bi. Nnipa pii nnim mpo sɛ wɔwɔ nnompe mu yare kosi sɛ wobebubu dompe bi.
Ɔkwan a eye sen biara a wobɛfa so asiw nnompe mu akisikuru ano ne sɛ wobɛkyere nnompe mu yare ansa na apira wo.
Enti, kɔ kɔhwɛ wo daa. Bisa wo duruyɛfo bere a ɛsɛ sɛ woyɛ nnompe mu duru ho nhwehwɛmu ne mpɛn dodow a ɛsɛ sɛ wohwɛ wo nnompe akwahosan so. Kae sɛ nnompe a ɛte apɔw ho hia na ama woanya asetra a ahoɔden wom! Wo nnompe a wobɛhwɛ so fi wo mmofraase no fata bere a worenyin no.
` Nnompe mu yare, nnompe akwahosan, abubu, nnompe a ɛyɛ den, calcium, vitamin D, apɔw-mu-teɛteɛ, brayɛ, Dexa scan











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