Ðe ŋusẽ meganɔa wò ŋutilã ŋu ne èle tsitsima? Ate ŋu anye sarcopenia!

Ðe nèsena le ɖokuiwò me be yeƒe abɔwo le gbɔdzɔgbɔdzɔm ne èle tsitsim, eye ŋusẽ megale ŋuwò be nàwɔ nu siwo nèwɔna tsã oa? Ðe wòsesẽna na wò be nàzɔa? Ðewohĩ àsusu be esia nye tsitsi ƒe akpa si sɔ. Gake ate ŋu anye nɔnɔme aɖe si woyɔna be "sarcopenia" ƒe dzesi hã. Mina míaƒo nu tso esia ŋu vie egbea, elabena egblẽa nu le ame geɖe ŋu, gake enye nusi ŋu womeƒoa nu tsoe zi geɖe o.

Nukae nye sarcopenia? Kpuie ko la,...

Kpuie ko la, sarcopenia nye lãmekawo ƒe lolome kple ŋusẽ si bu vivivi ne míele tsitsim. Bu eŋu ale: míaƒe lãmekawo le abe anyikpe siwo wozãna tsɔ tua xɔ ene. Le ɣeyiɣi aɖe megbe la, anyikpe siawo vuvuna eye aƒea ƒe ŋusẽ dzi ɖena kpɔtɔna. Nɔnɔme sia gblẽa nu le ame tsitsiwo ŋu wu. Gake menye tsitsi ɖeɖeko ŋue wòku ɖo o. Ate ŋu ana gbesiagbedɔwo wɔwɔ nasesẽ eye wòaɖe agbenɔnɔ ƒe nyonyome dzi akpɔtɔ. Ɣeaɖewoɣi la, esia ate ŋu ana amewo nava nɔ te ɖe ame bubuwo dzi eye wòahiã be woakpɔ wo dzi ɣeyiɣi didi.

Nu vevitɔe nye be sarcopenia nana ŋutilãa ƒe gbɔdzɔgbɔdzɔ dzina ɖe edzi, eye mɔnukpɔkpɔ si li be wòadze anyi enuenu ahagbã hã lolo wu. Ne nusiawo dzɔ la, ele be nàdze ŋgɔ nuwo abe kɔdziyiyi kple amekoko ene. Emegbe kuxi bubuwo doa mo ɖa, eye ɣeaɖewoɣi la, woate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Sarcopenia ate ŋu adzɔ le amesiwo ƒe ŋutilã ƒe lolome ƒe dzesi (BMI) sɔ gbɔ hã me. Woyɔa esia be "sarcopenic obesity." Kuxi siwo dona tso nɔnɔme eveawo siaa me lolo wu esiwo lolo akpa ɖeɖeko, alo sarcopenia ɖeɖeko hena vɛ.

Amekae xɔa sarcopenia?

Nɔnɔme sia bɔ ɖe amesiwo xɔ wu ƒe 60. Afɔku si le eme be woaxɔe la dzina ɖe edzi ne ame tsi. Ate ŋu agblẽ nu le ŋutsuwo kple nyɔnuwo siaa ŋu sɔsɔe. Numekuku siwo wowɔ tso alesi wògblẽa nu le to vovovowo ŋui me tsonu mewɔ ɖeka tututu o. Azɔ hã, nɔnɔme sia bɔ ɖe amesiwo ŋu dɔléle siwo nɔa anyi didi le dome wu. Bu mía havi, Fofonye Nimal ŋu ​​kpɔ. Tsã la, enye ŋutsu si ƒua du nɔa tsatsam hewɔa dɔ geɖea? Fifia exɔ abe ƒe 65 ene. Egblɔ be, "Fifia nyemate ŋu alia atrakpuiwo gɔ̃ hã abe tsã ene o, ɖeviwo. Esesẽ ŋutɔ be mayi fiase me." Ðewohĩ nɔnɔme sia gblẽ nu le Fofonye Nimal hã ŋu.

Aleke gbegbee esia bɔe?

Le nyateƒe me la, numekuku siwo wowɔ tso nya sia ŋu me tsonu vovovowo. Ame geɖe medea dzesi nɔnɔme sia alo dia atike o. Ke hã, wobu akɔnta be ame siwo xɔ wu ƒe 60 la dometɔ 5% va ɖo 13% ye ŋu dɔléle sia le. Le ame siwo xɔ wu ƒe 80 dome la, xexlẽme sia ate ŋu asɔ gbɔ va ɖo 11% va ɖo 50%. Esia fia be ebɔ wu alesi míesusui.

Aleke sarcopenia kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Lãmetsiŋusẽwoe nye míaƒe lãmekawo. Sarcopenia nye nɔnɔme si me lãmeka siawo ƒe xexlẽme kple woƒe lolome dzi ɖena kpɔtɔna. Emegbe lãmekaawo gbɔdzɔna. Wogayɔa esia be "lãmekawo ƒe tsɔtsrɔ̃." Ne míele tsitsim la, tɔtrɔ aɖewo vaa míaƒe ŋutilã me. Tɔtrɔ siawo koŋue hea sarcopenia vɛ. Le kpɔɖeŋu me, míaƒe ŋutilã mewɔa protein siwo hiã be lãmekawo natsi ne míele tsitsim o. Ne edzɔ alea la, lãmekawo ƒe lãmenugbagbeviwo dzi ɖena kpɔtɔna. Tsɔ kpe ɖe eŋu la, ne míele tsitsim la, tɔtrɔ siwo vaa lãmetsiwo abe testosterone kple insulin-like growth factor-1 (IGF-1) ene me kpɔa ŋusẽ ɖe míaƒe lãmekawo dzi. Esia hã nye nusi hea sarcopenia vɛ.

Nukae nye Sarcopenia ƒe dzesiwo?

Dzesi si bɔ wue nye lãmekawo ƒe gbɔdzɔgbɔdzɔ. Dzesi bubuwo ate ŋu anye:

• Ŋutete ƒe bu.
• Gbesiagbedɔwo wɔwɔ sesẽ . Ðeɖiteameŋu ƒe seselelãme le dɔ suewo gɔ̃ hã wɔwɔ me.
• Azɔlizɔzɔ blewu. Nyemate ŋu azɔ kabakaba abe tsã ene o.
• Atrakpuiwo lialia sesẽ.
• Dadasɔ ƒe bubu kple anyidzedze enuenu.
• Lãmetsiwo ƒe lolome dzi ɖe kpɔtɔ. Abɔ kple afɔwo sena le wo ɖokui me be yegbɔdzɔ.

Ne nɔnɔme siawo le tɔgbuiwò alo tɔgbuiwò si la, ele be nàtsi dzi ɖe eŋu vie.

Nukawoe hea sarcopenia vɛ?

Nusi gbɔ wòtsona wue nye tsitsi le dzɔdzɔme nu. Mí katã míedzea lãmekawo ƒe lolome kple ŋusẽ dzi ɖeɖe kpɔtɔ vivivi le míaƒe ƒe 30 alo 40-awo me. Dɔ sia yia edzi kabakaba le ƒe 65 va ɖo 80. Togbɔ be alesi wòbunae toa vovo tso ame ɖeka gbɔ yi bubu gbɔ hã la, lãmekawo ƒe lolome ate ŋu aɖiɖi va ɖo 8% le ƒe ewo ɖesiaɖe me. Lãmetsiŋusẽ meganɔa amesiame ŋu le ɣeyiɣi aɖe megbe, gake esia dzɔna kabakaba wu le amesiwo ŋu sarcopenia le gome. Togbɔ be tsitsi koŋ gbɔe wòtso hã la, numekulawo de dzesi afɔku bubu geɖe siwo ate ŋu ana sarcopenia nadze ame dzi. Esiawo dometɔ aɖewoe nye:

• Kamedede manɔmee. Teƒe ɖeka nɔnɔ, ke menye kamedede o.
• Amidada . Lolo akpa.
• Dɔléle siwo nɔa anyi didi . Le kpɔɖeŋu me, aklãdɔléle si xea mɔ na dɔléle si nɔa anyi didi (COPD), .Ayikudɔ , suklidɔ , kansa kple HIV dɔlékui.
• Lãmetsiŋusẽ ƒe ƒunukpeƒetetedɔ.
• Insulin ƒe dɔlélenutsiŋutete.
• Lãmetsiŋusẽ ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ.
• Nunyuimakpɔɖui alo protein si sɔ ƒe anyimanɔmanɔ.
• Ŋutete si le esi be wòatrɔ protein wòazu ŋusẽ dzi ɖe kpɔtɔ.
• Lãmetsiŋusẽ ƒe lãmenugbagbevi siwo ɖoa gbedasiwo tso ahɔhɔ̃a me yia lãmekawo me be woaʋuʋu la ƒe xexlẽme dzi ɖeɖe kpɔtɔ.

Aleke wowɔna dea dzesi Sarcopenia?

Wò ɖɔkta ate ŋu ado wò kpɔ ahabia wò dzesiwo be yeakpɔe ɖa be sarcopenia le ŋuwò hã. Woate ŋu abia tso asiwò hã be nàkpe nyabiase gbalẽvi aɖe si woyɔna be SARC-F ɖo . Esia nye nyabiase gbalẽvi si nàgblɔ na ɖokuiwò tso wò dzesiwo ŋu. SARC-F ƒe ɖoɖoae nye:

• S — Ŋusẽ
• A — Kpekpeɖeŋunana le azɔlizɔzɔ me (Èhiã kpekpeɖeŋu le azɔlizɔzɔ mea?)
• R — Tso tso zikpui dzi (Ðe wòsesẽna be woafɔ tso zikpui dzia?)
• C — Atrakpuiwo lialia (Ðe atrakpuiwo lialia sesẽa?)
• F — Tsitretsitsi (Ðe anyidzedze dzɔna?) .

Wona dzesi nu siawo dometɔ ɖesiaɖe si le 0 kple 2. Dzesi si sɔ gbɔ wue nye 10. Ne SARC-F ƒe dzesi nye 4 alo esi wu nenema la, ehiã be woadoe kpɔ ake.

Dodokpɔ kawoe wozãna tsɔ dea dzesi sarcopenia?

Dodokpɔ ɖeka aɖeke meli si dzi woato anya esia o. Ðɔktaa ate ŋu aɖe gbe be woawɔ dodokpɔ geɖe atsɔ akpe ɖe ame ŋu wòanya dɔlélea ahanya eƒe sesẽme.

Dodokpɔ siwo dzidzea lãmekawo ƒe ŋusẽ:

• Asiléle dodokpɔ: Ŋusẽ si le asi ŋu be wòalé nane sesĩe ate ŋu ana woakpɔ ŋusẽ si le lãmeka bubu siwo le ŋutilãa me ŋu.
• Zikpui ƒe tsitretsitsi dodokpɔ: Esia dzidzea lãmeka ƒe ŋusẽ le afɔwo me, vevietɔ ata. Edzidzea zi nenie nàte ŋu atso le zikpui dzi ahanɔ anyi ake evɔ màzã wò asiwo le sɛkɛnd 30 me o.
• Azɔlizɔzɔ ƒe duƒuƒu dodokpɔ: Esia dzidzea ɣeyiɣi didi si wòxɔna hafi nèzɔa afɔ meta 4 (anɔ abe afɔ 13 ene) le wò azɔlizɔzɔ ƒe duƒuƒu si sɔ nu.
• Short Physical Performance Battery (SPPB): Esia nye dɔ etɔ̃ siwo woɖo ɣeyiɣi na: dodokpɔ si wowɔna be woafɔ zikpui dzi, dodokpɔ si woatsɔ ada asɔ le tsitrenu, kple azɔlizɔzɔ ƒe duƒuƒu dodokpɔ.
• Ɣeyiɣi si woɖo ɖi kple dodokpɔ yiyi (TUG): Wodzidzea ɣeyiɣi si wòxɔna hafi fɔna tso zikpui dzi, zɔa afɔ meta 3 (anɔ abe afɔ 10 ene) tso zikpui la gbɔ, zɔa afɔ meta 3 trɔna yia zikpui la gbɔ, eye wòganɔa anyi.

Nɔnɔmetatawo dodokpɔ siwo dzidzea lãmekawo ƒe lolome:

• Ŋusẽ eve ƒe X-ray absorptiometry (DEXA alo DXA - Ŋusẽ eve ƒe X-ray absorptiometry):Esia zãa X-ray siwo me ŋusẽ boo mele o tsɔ dzidzea wò lãmekawo ƒe lolome, ami ƒe lolome, kple ƒu ƒe kpekpeme.
• Bioelectrical impedance analysis (BIA): Dodokpɔ sia mexɔ asi boo o eye ewɔwɔ le bɔbɔe wu DEXA. Edzidzea wò ŋutilã me ami le wò ŋutilã si me ami mele o ƒe lolome nu.

Aleke wodaa sarcopeniae?

Zi geɖe la, wodaa sarcopenia to tɔtrɔwɔwɔ le agbenɔnɔ me me . Tɔtrɔ siawo ate ŋu akpe ɖe ame ŋu wòakpɔ nɔnɔmea gbɔ eye wòatrɔe gɔ̃ hã vaseɖe afi aɖe.

• Lãmesẽfefe: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàhe ŋusẽdodo vivivi si wotu ɖe dɔlélenutsiŋutete dzi . Kamedede sia ƒomevi ate ŋu akpe ɖe ŋuwò nàtu ŋusẽ ɖo eye nàtrɔ lãmekawo ƒe bublu. Bu eŋu abe kpekpemewo kɔklɔ ene.
• Nuɖuɖu Siwo Naa Lãmesẽ: Tsɔ kpe ɖe kamedede edziedzi ŋu la, nuɖuɖu si naa lãmesẽ ɖuɖu ate ŋu akpe ɖe ame ŋu hã be woaɖe sarcopenia ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ. Ele vevie ŋutɔ be woakpɔ protein si sɔ, eɖanye tso nuɖuɖu alo kpeɖeŋutɔ me o .

Nukawoe nye atike siwo wozãna na sarcopenia?

Numekulawo gale numekuku wɔm kokoko be lãmetsiŋusẽtikewo ate ŋu ana lãmekawo nadzi ɖe edzi hã. Gake fifia la, atike aɖeke meli si dzi FDA da asi ɖo be woatsɔ ada sarcopenia o.

Ðe woate ŋu axe mɔ ɖe sarcopenia nua?

Esia nye dzɔdzɔme tsitsi ƒe akpa aɖe, eyata womate ŋu axe mɔ nɛ keŋkeŋ o. Ke hã, nanewo li míate ŋu awɔ atsɔ aɖe dɔléle sia ƒe ŋgɔyiyi dzi akpɔtɔ. Esiawoe nye:

• Nuɖuɖu Siwo Naa Lãmesẽ Tiatia: Lé nuɖuɖu nyui si me nuɖuɖu siwo me protein deŋgɔ le hã le me ɖe asi . Taɖoe be protein gram 20 va ɖo 35 nanɔ nuɖuɖu ɖeka me.
• Kamedede: Lé kamedede ƒe agbenɔnɔ me ɖe asi, si me kamedede abe tsitretsitsi ƒe hehexɔxɔ ene hã le .
• Atikewɔlawo ƒe dodokpɔ edziedzi: Kpɔ wò ɖɔkta edziedzi . Gblɔe nɛ ne tɔtrɔ aɖewo va le wò lãmesẽ me.

Nukae dzɔna ne sarcopenia le ŋunye?

Mɔkpɔkpɔ na sarcopenia nɔ te ɖe ƒe si nèxɔ dzi koŋ. Nɔnɔmea ate ŋu agblẽ ɖe edzi ne èle tsitsim. Tsɔ kpe ɖe eŋu la, etoa vovo le wò lãmesẽ kple agbenɔnɔ hã nu. Dɔléle sia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi. Àte ŋu atrɔ nɔnɔme sia ƒe nugbegblẽwo ne èwɔ tɔtrɔ le agbenɔnɔ me.Gake ne mèwɔ tɔtrɔ siwo wokafu o la, dɔlélea ayi edzi agbɔdzɔ wò lãmekawo. Le ɣeyiɣi aɖe megbe la, ɖewohĩ ahiã beléle na wò ɣeyiɣiawo katã hafi wòate ŋu awɔ dɔ le wò agbe me.

Ðe sarcopenia nye dɔlélea?

Le ƒe 2016 me la, Dɔlélenutsitsi Kple Mɔxexe Ðe Enu Dɔwɔƒe (CDC) na Dukɔwo Dome Dɔlélewo ƒe Ƒomedodo (ICD-10) ƒe sedede nɔnɔmea, eye wogblɔ be sarcopenia nye dɔléle si to vovo. Esia na wòzu nɔnɔme si ŋu ɖɔktawo ate ŋu agblɔ nya le. Esia na wova de dzesi dɔlélea geɖe wu eye wodae. Ŋkɔ sia na numekulawo te ŋu de vovototoe tso dɔléle mawo tɔgbe abe sarcopenia ene gbɔ eye wodze nyatakaka veviwo nuƒoƒoƒu gɔme tso nɔnɔmea ŋu.

Vovototo kae le Sarcopenia kple Muscle Atrophy dome?

Sarcopenia nye lãmekawo ƒe gbagbã ƒomevi aɖe. Ame tsitsiwo koŋue wògblẽa nu le. Lãmetsiwo ƒe gbagbã nye lãmekawo ƒe bu. Togbɔ be nɔnɔme evea siaa sɔ kple lãmekawo ƒe bublu hã la, mɔnu siwo gbɔ wòtsona la to vovo. Sarcopenia dzɔna ne lãmekawo ƒe lolome kple nɔnɔme dzi ɖe kpɔtɔ. Le lãmekawo ƒe gbagbã me la, kaawo ƒe lolome dzi ɖena kpɔtɔna, gake kaawo ƒe xexlẽme ya nɔa nenema.

Amesiame ƒe lãmeka aɖewo buna ne ele tsitsim. Gake le sarcopenia me la, lãmekawo ƒe agbɔsɔsɔ sia si bu la dzɔna kabakaba wu sã. Nya nyuiae nye be mɔ aɖewo li siwo dzi woato ada dɔléle sia eye woatrɔ eƒe ŋusẽkpɔɖeamedziwo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ne lãmekawo ƒe gbɔdzɔgbɔdzɔ, lãmetutudɔ, alo sarcopenia ƒe dzesi bubu aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ate ŋu anya dɔlélea ahawɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò. Esia ate ŋu akpe ɖe ŋuwò nàkpɔ lãmekawo ƒe tsɔtsɔ dzi eye wòana wò nɔnɔmea nanyo ɖe edzi. Ðo ŋku edzi be togbɔ be womate ŋu atɔ te tsitsi o hã la, míate ŋu aɖe nɔnɔmewo abe sarcopenia ene ƒe ŋusẽkpɔɖeamedzi dzi akpɔtɔ ŋutɔ to agbenɔnɔ si me lãmesẽ le me , si fia be míaɖu nu nyuie ahade kame edziedzi . Eyata, lé be na wò ŋutilã. Lé be na ame tsitsi siwo nèlɔ̃. Sarcopenia, lãmekawo ƒe gbɔdzɔgbɔdzɔ, tsitsi, lãmekawo ƒe bu, kamedede, protein