Ðe nèsena le ɖokuiwò me be ne yele tsitsim la, ŋusẽ le yeƒe abɔwo kple afɔwo ŋu bum eye ŋusẽ mele ye ŋu be yeawɔ gbesiagbedɔwo abe alesi nèwɔna tsã ene oa? Ðe azɔlizɔzɔ ko sesẽna na wò le ŋutilã mea? Ðewohĩ adzro wò be nàgbe esia be enye tsitsi ƒe akpa si sɔ. Gake esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be “Sarcopenia” ƒe dzesiwo. Mina míatsɔ ɣeyiɣi kpui aɖe adzro nya sia me, elabena enye nya si kaka ɖe teƒe geɖe si dzi woŋea aɖaba ƒua edzi zi geɖe.
Nukae nye Sarcopenia? Kpuie ko la...
Ne míagblɔe bɔbɔe la, Sarcopenia fia lãmekawo ƒe lolome, ŋusẽ, kple dɔwɔwɔ ƒe vɔvɔ vivivi le tsitsi ta. Bu wò lãmekawo abe anyikpe siwo wotsɔ tu xɔ ene ŋu kpɔ; ne ɣeyiɣiawo va le yiyim la, ne anyikpe mawo dze gbagbã gɔme la, aƒea ƒe xɔtuɖaŋu bliboa gbɔdzɔna. Ame tsitsiwo koŋue nɔnɔme sia gblẽa nu le. Menye tsitsi ƒe akpa si sɔ ko wònye o. Ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzi vevie, aɖe wò agbenɔnɔ ƒe nyonyome bliboa dzi akpɔtɔ, eye le nɔnɔme sesẽwo me la, ana nàɖo ŋu ɖe ame bubuwo ŋu hena kpekpeɖeŋu, si abia beléle na wò ɣeyiɣi didi.
Nusi ŋu wotsi dzi ɖo vevie wue nye be Sarcopenia nana ŋutilã ƒe gbɔdzɔgbɔdzɔ dzina ɖe edzi, si wɔnɛ be nànɔ afɔku gã aɖe me be nàdze anyi enuenu eye ƒu nagbã. Zi geɖe la, nudzɔdzɔ mawo nana woxɔa ame ɖe kɔdzi kpata eye wowɔa dɔ na wo. Esia ate ŋu ahe kuxi bubuwo vɛ , siwo ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi.
Ele vevie be míade dzesii be Sarcopenia ate ŋu adze ame ɖekaɖeka siwo ƒe Body Mass Index (BMI) si lolo hã dzi—si fia be amesiwo lolo akpa gɔ̃ hã ate ŋu axɔe. Woyɔa esia be “sarcopenic lolo akpa.” Ametia ƒe kpekpeme si gbɔ eme kple lãmekawo ƒe lolome dzi ɖeɖe kpɔtɔ ƒe ƒuƒoƒo hea kuxiwo ƒe afɔku gã aɖe vɛ wu nɔnɔme eveawo dometɔ ɖesiaɖe ɖeɖeko.
Amekawoe le afɔku me be woaxɔ Sarcopenia?
Ame ɖekaɖeka siwo xɔ wu ƒe 60. Afɔkua dzina ɖe edzi ne èle tsitsim. Edzea ŋutsuwo kple nyɔnuwo siaa dzi. Togbɔ be numekuku siwo wowɔ tso ŋusẽ si wòkpɔ ɖe ameƒomevi vovovowo dzi ŋu la me mekɔ o hã la, eɖe dzesi ŋutɔ be nɔnɔmea bɔ ɖe amesiwo ŋu dɔléle siwo nɔa anyi didi le me wu.
Bu aƒelika aɖe, ɖewohĩ aƒetɔ tsitsi aɖe si doa vevie nu ŋutɔ tsã le eƒe sɔhɛmenɔɣi ŋu kpɔ. Fifia, esi wòxɔ ƒe 65 la, ate ŋu agblɔ be, “Ŋusẽ mele ŋunye be malia atrakpuiwo abe tsã ene o, mɔzɔzɔ yi fiase si le nutoa me gɔ̃ hã senɛ le eɖokui me abe avuwɔwɔ ene.” Ame sia ate ŋu anɔ Sarcopenia dɔlélea me tom ŋutɔ.
Aleke gbegbee esia bɔe?
Numekuku siwo wowɔ tso Sarcopenia ƒe bɔbɔ ŋu to vovo, vevietɔ le esi womekpɔa ame geɖe dzea sii o eye womewɔa atike nɛ o ta. Ke hã, wobu akɔnta be ame siwo xɔ ƒe 60 kple edzivɔ la dometɔ 5% va ɖo 13% kpea fu le nɔnɔme sia me. Le amesiwo xɔ wu ƒe 80 dome la, agbɔsɔsɔa ateŋu adzi ɖe edzi ŋutɔ va ɖo 11% va ɖo 50%. Esia ɖo kpe edzi be Sarcopenia bɔ wu alesi ame akpa gãtɔ nyae.
Aleke Sarcopenia kpɔa ŋusẽ ɖe wò ŋutilã dzii?
Lãmetsiŋusẽ ƒe kawoe wotsɔ wɔa wò lãmekawoe. Le Sarcopenia me la, ka siawo ƒe xexlẽme kple woƒe lolome siaa dzi ɖena kpɔtɔna, si wɔnɛ be lãmekawo gblẽna, si woyɔna le atikewɔwɔ me be “lãmekawo ƒe gbagbã.”
Ne míele tsitsim la, míaƒe ŋutilã toa ŋutilã me tɔtrɔ geɖe siwo ʋãa Sarcopenia. Le kpɔɖeŋu me, ŋutete si le wò ŋutilã ŋu be wòawɔ protein siwo hiã na lãmekawo ƒe tsitsi la dzi ɖena kpɔtɔna, si wɔnɛ be lãmekawo ƒe lãmenugbagbeviwo dzi ɖena kpɔtɔna.
Gakpe ɖe eŋu la, ne èle tsitsim la, lãmetsiŋusẽwo abe testosterone kple tsitsinu siwo le abe Insulin-like Growth Factor-1 (IGF-1) ene ƒe tɔtrɔ kpɔa ŋusẽ gbegblẽ ɖe wò lãmekawo dzi, si wɔnɛ be Sarcopenia dzɔna.
Nukae nye Sarcopenia ƒe dzesiwo?
Dzesi si ɖe dzesi enye lãmekawo ƒe gbɔdzɔgbɔdzɔ. Dzesi bubuwo ate ŋu anye:
- Ŋutete ƒe bu kple ɖeɖiteameŋu.
- Gbesiagbedɔwo wɔwɔ sesẽ . Ðewohĩ àkpɔe be dɔwɔna siwo me kɔ gɔ̃ hã tea ɖeɖi ŋuwò.
- Azɔlizɔzɔ blewu (azɔlizɔzɔ ƒe duƒuƒu). Màgate ŋu azɔ le alesi nèzɔe tsã nu o.
- Atrakpuiwo lialia sesẽ.
- Dadasɔ si dzi ɖe kpɔtɔ si hea ame ƒe anyidzedze enuenu vɛ.
- Lãmetsiwo ƒe lolome ƒe bu, si wɔnɛ be abɔ kple afɔwo dzena abe ɖe wole tsɛ wu ene.
Ne wò alo wò ƒometɔ tsitsi aɖe le dzesi siawo kpɔm la, ele vevie be nàbia lãmesẽdɔwɔla.
Nukae hea Sarcopenia vɛ?
Nusi koŋ gbɔ wòtsoe nye tsitsi le dzɔdzɔme nu. Mía dometɔ akpa gãtɔ dzea lãmekawo ƒe lolome kple ŋusẽ dzi ɖeɖe kpɔtɔ vivivi le míaƒe ƒe 30 alo 40-awo me. Dɔ sia zɔna kabakaba ŋutɔ le ƒe 65 va ɖo 80. Togbɔ be alesi wòbunae le vovovo hã la, anya wɔ be lãmekawo ƒe kpekpeme nabu va ɖo 8% le ƒe ewo ɖesiaɖe me. Togbɔ be lãmeka aɖewo buna le amesiame me le ɣeyiɣi aɖe megbe hã la, esia wɔwɔ kabakaba ŋutɔ le amesiwo ŋu Sarcopenia le gome.
Le dzɔdzɔme ƒe tsitsi megbe la, numekulawo de dzesi afɔku geɖe siwo hea Sarcopenia vɛ, siwo dometɔ aɖewoe nye:
- Lãmesẽfefewɔmawɔmawɔ, abe agbenɔnɔ si me ame aɖeke mele o ene.
- Amidada .
- Dɔléle siwo nɔa anyi didi . Kpɔɖeŋu aɖewoe nye aklãdɔléle si xea mɔ na ame ɣeyiɣi didi (COPD – Aklãdɔléle si xea mɔ na ame ɣeyiɣi didi ), ayikudɔléle , suklidɔ ( Suklidɔ ), kansa, kple HIV dɔlékui.
- Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ.
- Insulin ƒe dɔlélenutsiŋutete.
- Lãmetsiŋusẽ ƒe agbɔsɔsɔ si le ɖiɖim.
- Nunyuimakpɔɖui alo protein ƒe agbɔsɔsɔ si mesɔ gbɔ o.
- Ŋutete si le esi be wòatrɔ protein wòazu ŋusẽ dzi ɖe kpɔtɔ.
- Lãmetsiŋusẽ ƒe lãmenugbagbevi siwo ɖoa dzesiwo tso ahɔhɔ̃a me yia lãmekawo me be woadze ʋuʋu gɔme la ƒe xexlẽme dzi ɖeɖe kpɔtɔ.
Aleke wowɔna dea dzesi Sarcopenia?
Wò ɖɔkta ado wò kpɔ ahabia wò dzesiwo be yeanya ne Sarcopenia ate ŋu adzɔ hã. Woate ŋu abia tso asiwò be nàkpe SARC-F ƒe nyabiase gbalẽvi, si nye dɔwɔnu si wozãna tsɔ doa ame ɖokui kpɔna tsɔ doa nɔnɔmea kpɔna la ɖo:
- S — Ŋusẽ
- A — Kpekpeɖeŋunana le azɔlizɔzɔ me
- R — Tso tso zikpui dzi
- C — Atrakpuiwo lialia
- F — Tsitsetsewo
Wodea dzesi nu ɖesiaɖe tso 0 va ɖo 2, eye dzesi si sɔ gbɔ wue nye 10. Ne woxɔ dzesi 4 alo esi wu nenema le SARC-F ƒe dzidzenu dzi la, efia be ehiã be woagawɔ dɔdamɔnu ƒe dodokpɔ bubuwo.
Dodokpɔ kawoe wozãna tsɔ dea dzesi Sarcopenia?
Dodokpɔ ɖeka aɖeke meli si woatsɔ anya Sarcopenia o. Wò ɖɔkta ate ŋu abia be woawɔ numekuku vovovowo atsɔ aɖo kpe dɔlélea dzi ahanya eƒe sesẽme.
Lãmetsiŋusẽ dodokpɔ:
- Asiléle dodokpɔ: Wò asiléle ƒe ŋusẽ nye wò lãmekawo ƒe ŋusẽ bliboa ƒe dzesi si ŋu kakaɖedzi le le wò ŋutilã bliboa me.
- Zikpui ƒe tsitretsitsi dodokpɔ: Esia dzidzea wò afɔ ƒe lãmekawo ƒe ŋusẽ, vevietɔ ata. Míeléa ŋku ɖe zi nenie nàte ŋu atso tso zikpui dzi agbugbɔ anɔ anyi le sɛkɛnd 30 me evɔ màzã wò asiwo atsɔ ado alɔe o.
- Azɔlizɔzɔ ƒe duƒuƒu dodokpɔ: Míedzidzea ɣeyiɣi si wòxɔna hafi nèzɔa afɔ meta 4 (anɔ abe afɔ 13 ene) le wò afɔɖeɖe si sɔ nu.
- Short Physical Performance Battery (SPPB): Esia lɔ dɔ etɔ̃ siwo woɖo ɣeyiɣi na ɖe eme: zikpui ƒe tsitretsitsi dodokpɔ, wò dadasɔ dodokpɔ ne èle tsitrenu, kple azɔlizɔzɔ ƒe duƒuƒu dodokpɔ.
- Timed-up and Go (TUG) dodokpɔ: Míedzidzea ɣeyiɣi didi si wòxɔna hafi nàtsi tre tso zikpui dzi, azɔ meta 3 (anɔ abe afɔ 10 ene), atrɔ, atrɔ ayi megbe, eye nàgabɔbɔ nɔ anyi ake.
Nɔnɔmetatawo dodokpɔ siwo wowɔna tsɔ dzidzea lãmekawo ƒe lolome:
- Dual-energy X-ray absorptiometry (DEXA alo DXA): Esia zãa X-ray-ya siwo me ŋusẽ mele o tsɔ dzidzea wò lãmekawo ƒe lolome, ami ƒe lolome, kple ƒu ƒe kpekpeme pɛpɛpɛ.
- Bioelectrical impedance analysis (BIA): Dodokpɔ sia ƒe asi bɔbɔ eye woate ŋu akpɔe wu DEXA scan. Ebua wò ŋutilã me ami ƒe akɔnta ne wotsɔe sɔ kple wò ŋutilã si me ami mele o.
Aleke wodaa Sarcopeniae?
Wotoa agbenɔnɔ ƒe tɔtrɔ koŋ dzi kpɔa sarcopenia gbɔ . Tɔtrɔ siawo ate ŋu akpe ɖe ame ŋu wòaɖu nɔnɔmea dzi eye le go geɖe me la, woate ŋu atrɔ lãmeka siwo bu la ƒe akpa aɖe.
- Lãmesẽfefe: Anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàhe ŋusẽdodo vivivi si wotu ɖe dɔlélenutsiŋutete dzi . Wotrɔ asi le kamedede siawo ŋu be woatu wò ŋusẽ ɖo eye woatrɔ lãmekawo ƒe gbegblẽ, abe kpekpeme kɔkɔ bɔbɔe alo tsitretsiɖeŋuha ƒe hehexɔxɔ ene.
- Nuɖuɖu si naa lãmesẽ: Tsɔ kpe ɖe kamedede edziedzi ŋu la, nuɖuɖu si naa lãmesẽ le vevie ŋutɔ be woaɖe Sarcopenia ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ. Ele vevie ŋutɔ be nàkpɔ egbɔ be yele protein si sɔ xɔm to wò nuɖuɖu alo kpeɖeŋutɔ siwo nèɖuna me.
Ðe atikewo li na Sarcopenia?
Numekulawo le numekuku wɔm fifia be lãmetsiŋusẽtikewo ate ŋu akpe ɖe ame ŋu wòadzi lãmekawo ƒe lolome ɖe edzi hã. Gake le ɣeyiɣi sia me la, atike aɖeke meli si dzi FDA (Food and Drug Administration) da asi ɖo koŋ be woatsɔ ada Sarcopenia o.
Ðe woate ŋu axe mɔ ɖe Sarcopenia nua?
Esi wònye be nɔnɔme sia nye dzɔdzɔme tsitsi ƒe akpa aɖe ta la, ɖewohĩ womate ŋu axe mɔ ɖe enu keŋkeŋ o. Gake àte ŋu aɖe afɔ aɖewo atsɔ aɖe eƒe ŋgɔyiyi dzi akpɔtɔ ŋutɔ:
- Nuɖuɖu siwo naa lãmesẽ tiatia: Lé nuɖuɖu nyui si me protein deŋgɔ le me ɖe asi . Dze agbagba nàde protein gram 20 va ɖo 35 nuɖuɖu ɖesiaɖe me.
- Kamedede: Wɔ agbenɔnɔ si me dzo le si me hehexɔxɔ edziedzi le tsitretsitsi ɖe dɔlékuiwo ŋu hã le .
- Atikewɔlawo ƒe dodokpɔ edziedzi: Kpɔ wò ɖɔkta edziedzi . Ne ède dzesi tɔtrɔ aɖewo le wò lãmesẽ me la, gblɔe na wò lãmesẽdɔwɔla enumake.
Nukae dzɔna ne Sarcopenia le ŋunye?
Sarcopenia ƒe mɔkpɔkpɔ nɔ te ɖe wò ƒexɔxɔ dzi koŋ, elabena nɔnɔmea ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Wò lãmesẽ kple agbenɔnɔ ƒe tiatia bliboa hã kpɔa ŋusẽ ɖe edzi.
Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ ƒe nyonyome dzi vevie. Gake zi geɖe la, àte ŋu atrɔ eƒe ŋusẽkpɔɖeamedziwo to agbenɔnɔ ƒe tɔtrɔ siwo nètsɔ ɖokuiwò na me. Le go bubu me la, ne womewɔ ɖe tɔtrɔ siawo siwo wokafu dzi o la, dɔlélea ate ŋu ayi edzi agbɔdzɔ wò lãmekawo. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana ame maganɔ eɖokui si o eye wòahiã be woakpɔ egbɔ ɣeyiɣiawo katã.
Ðe wobua Sarcopenia be enye dɔlélea?
Le ƒe 2016 me la, Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒe (CDC) na ICD-10 ƒe sedede sia, eye wotsɔ Sarcopenia da ɖe hatsotso si to vovo me le se nu. Esia nye ŋgɔyiyi ɖedzesi aɖe, elabena ena ɖɔktawo te ŋu ŋlɔ dɔlélea ɖi le se nu hegblɔe. Ƒomedodo sia na dɔlélewo didi kple wo dada ƒe agbɔsɔsɔme nyo ɖe edzi esime wòle kpekpem ɖe numekulawo ŋu be woaƒo nyatakaka veviwo nu ƒu be woatsɔ ade vovototo Sarcopenia kple dɔléle bubu siwo do ƒome kple lãmekawo dome.
Vovototo kae le Sarcopenia kple lãmekawo ƒe tsɔtsrɔ̃ dome?
Sarcopenia nye lãmekawo ƒe tsɔtsrɔ̃ ƒomevi aɖe koŋ , gake edzea ame tsitsi tsitsiwo koŋ dzi. Lãmetsiwo ƒe tsɔtsɔ fia lãmekawo ƒe bublu le goawo katã me. Togbɔ be wo ame evea siaa lɔ lãmekawo dzi ɖeɖe kpɔtɔ ɖe eme hã la, nusiwo gbɔ wòtso la to vovo. Sarcopenia ƒe dzesi enye be lãmekawo ƒe lolome kple agbɔsɔsɔ siaa dzi ɖena kpɔtɔna. Le lãmekawo ƒe gbagbã le goawo katã me la, kaawo ƒe lolome dzi ɖena kpɔtɔna, gake zi geɖe la, kaawo ƒe agbɔsɔsɔ nɔa nenema ke.
Amesiame ƒe lãmekawo buna vaseɖe afi aɖe ne ele tsitsim. Gake le Sarcopenia me la, nusi bu sia dzɔna kabakaba wu sã. Nya nyuiae nye be mɔ nyui aɖewo li siwo dzi woato ada dɔléle sia eye woatrɔ ŋusẽ si wòkpɔna ɖe ame dzi.
Gbedasi mamlɛtɔ si woatsɔ ayi aƒemee tso Nirogi Lanka gbɔ
Ne lãmekawo ƒe gbɔdzɔgbɔdzɔ, ŋutilã me ɖeɖiteameŋu ƒe seselelãme, alo Sarcopenia ƒe dzesi bubu aɖe le fu ɖem na wò la, taflatse yi ɖɔkta gbɔ. Woate ŋu ana woakpɔ dɔlélea nyuie eye woawɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò be wòakpe ɖe ŋuwò nàkpɔ lãmekawo ƒe tsɔtsrɔ̃ gbɔ eye wòana wò agbenɔnɔ nanyo ɖe edzi.
Ðo ŋku edzi be togbɔ be míate ŋu adzudzɔ tsitsi o hã la, míate ŋu aɖe nɔnɔmewo abe Sarcopenia ene ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ ŋutɔ to agbenɔnɔ nyui me léle ɖe asi me , si me nunyiame nyui kple kamedede ɣesiaɣi hã le. Lé be na wò ŋutilã, eye nàlé ŋku ɖe ame tsitsi siwo nèlɔ̃ la ƒe nyonyo ŋu.
Sarcopenia, Lãmetsiŋusẽ ƒe gbɔdzɔgbɔdzɔ, Tsitsi, Lãmetsi ƒe lolome ƒe bu, Kamedede, Protein
