Ua nāwaliwali kou mau iwi a ua maʻalahi ka haki ʻana? (Osteomalacia) E kamaʻilio kākou e pili ana i kēia lā!

Ke ʻeha nei ʻoe i kou mau iwi i kekahi manawa? A i ʻole ke manaʻo nei ʻoe e haki ana kou mau iwi me ka neʻe iki ʻana? ʻO ke kumu o kēia paha kekahi mea āu i manaʻo ʻole ai. I kēia lā e kamaʻilio mākou e pili ana iā Osteomalacia, kahi maʻi maʻamau akā ʻaʻole maʻamau loa i waena o nā pākeke. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka palupalu a me ka nāwaliwali o ko mākou mau iwi.

No laila he aha ka osteomalacia?

I ka ʻōlelo maʻalahi, ʻo ka osteomalacia kahi kūlana e palupalu ai kou mau iwi, nalowale ko lākou ikaika, a lilo i mea maʻalahi i ka haki ʻana. E noʻonoʻo i nā iwi i like me ka lepo maloʻo i lilo i palupalu e like me ka puʻu lepo i hoʻomoʻa ʻia i ka wai.

ʻO ke kumu nui o kēia, ʻo ia ka nele o ka wikamina D. He mea nui ka wikamina D no ko kākou kino e omo i nā minelala i kapa ʻia ʻo ka calcium a me ka phosphorus. ʻO kēia calcium a me ka phosphorus ka mea e hāʻawi ai i ko kākou mau iwi i ka ikaika a me ka paʻakikī. No laila, i ka wā ʻaʻole lawa ka wikamina D, ʻaʻole i loaʻa pono i nā iwi kēia mau minelala. A laila, ʻaʻole lākou e mānoanoa a lilo i nāwaliwali. Ua like iki kēia me ka maʻi i kapa ʻia ʻo rickets e loaʻa ana i nā keiki liʻiliʻi i ka wā ʻaʻole lawa ka wikamina D. I ka wā mua, ʻaʻole paha ʻoe e ʻike he osteomalacia kou. Akā i ka hala ʻana o ka manawa, hoʻomaka ʻoe e ʻeha i kou mau iwi. ʻOi loa aku ma ka ʻaoʻao haʻahaʻa o ke kino, ʻo ia hoʻi, ma ka ʻaoʻao ʻūhā a me nā ʻūhā. Ma ka mālie, hiki i kēia ʻeha ke laha ma ke kino holoʻokoʻa. I kekahi manawa, hiki i kahi neʻe liʻiliʻi ke hōʻeha. Akā e hoʻomanaʻo, ʻaʻole pono ʻoe e noho me kēia ʻeha . Hiki iā ʻoe ke ʻike i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.

He aha nā hōʻailona o ka osteomalacia?

ʻO ka hōʻailona nui o kēia maʻi, ʻo ia ka ʻeha o ka iwi . ʻO ka hapa nui o kēia ʻeha e ʻike ʻia ma kou mau pūhaka, puʻupuʻu, a me nā wāwae. Eia kekahi, hiki i nā hōʻailona ʻē aʻe ke komo pū me:

• He maʻalahi loa ka haki ʻana o nā iwi. I kekahi manawa, ʻoiai he hāʻule iki a he puʻupuʻu paha hiki ke haki ka iwi.
• ʻEha nā ʻiʻo, ka ʻoʻoleʻa, a me ka nāwaliwali. Hiki ke ʻike nui ʻia kēia ma hope o kou pau ʻana i ka hoʻoikaika kino a i ʻole ka hoʻoikaika kino ʻana.
• Paʻakikī i ka hele wāwae, a i ʻole kahi loli i ke ʻano o kou hele wāwae (gait) . I kekahi manawa e manaʻo paha ʻoe me he mea lā e nalowale ana kou kaulike i ka wā e hele ana.
• ʻO nā ʻūmiʻi a i ʻole nā ​​ʻūmiʻi o nā ʻiʻo. Hiki ke hana ʻia kēia mau mea ma nā lima a me nā wāwae.
• He ʻano ʻūlū a ʻūlū paha i nā lālā. Ua kapa ʻia kēia he paresthesia ma ka ʻōlelo lapaʻau.
• Hāʻule pinepine ʻana ma mua o ka wā ma mua.

He aha ke kumu nui o kēia?

ʻO ke kumu nui e hoʻopilikia ai i ka ulu ʻana o ka osteomalacia ʻo ia ka nele o ka wikamina D. Hoʻokumu pinepine ʻia kēia e ka loaʻa ʻole o ka lā lawa . Eia kekahi, ʻo ka loaʻa ʻole o ka wikamina D lawa mai nā meaʻai a mākou e ʻai ai kekahi kumu no kēia. E hoʻomanaʻo, he mea nui ka wikamina D no ka omo ʻana o ka calcium a me ka mālama ʻana i nā iwi olakino. Aia kekahi mau kumu ʻē aʻe e hoʻopilikia ai i kēia:

• Hiki i kekahi mau maʻi o ka ʻōnaehana hoʻoheheʻe ke kumu i ka omo pono ʻole ʻia o ka meaʻai (malabsorption) . Eia kekahi laʻana, inā he maʻi kou e hōʻemi ana i ka omo ʻana i loko o ka ʻōpū.
• Ka hāʻule ʻana o nā puʻupaʻa .
• Maʻi akepaʻa.
• Ka hoʻohana lōʻihi ʻana i kekahi mau lāʻau antiseizure .
• ʻO kekahi mau kūlana genetic kakaikahi loa.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka osteomalacia?

Ke hōʻike ʻia i ka lā, hana maoli ko mākou ʻili i ka wikamina D. Eia nō naʻe, i nā hihia e like me kēia, ʻaʻole hiki i kou ʻili ke hana i ka wikamina D lawa:

• Inā ʻoe e noho ana ma kahi me ke aniau anu a lā .
• Inā ʻoe e hana i loko o ka hale i ka lā a pau.
• Inā ʻoe e ʻaʻahu i nā lole e uhi ana i ka hapa nui o kou kino.
• Inā he ʻeleʻele iki kou ʻili (pono ka ʻili ʻeleʻele i ka nui o ka lā e hana ai i ka huaora D).

Eia kekahi, ʻaʻole paha ʻoe e loaʻa ana i ka nui o ka wikamina D mai nā meaʻai āu e ʻai ai no nā kumu e like me:

• Inā ʻaʻole ʻoe e ʻai i ka waiū a i ʻole nā ​​​​huahana waiū .
• Inā ʻoe e hahai i kahi papaʻai mea kanu a vegan paha (akā ʻaʻole kēia he pilikia inā ʻoe e hoʻolālā pono).
• Inā loaʻa iā ʻoe kahi maʻi e pale ai i kou kino mai ka omo pono ʻana i ka meaʻai (malabsorption), e like me ka maʻi a Crohn a i ʻole ka maʻi Celiac.
• Inā ua loaʻa iā ʻoe kahi ʻoki bariatric i hala koke nei, no ka laʻana, ʻoki ʻoki bypass gastric.

Ma waho aʻe o kēia poʻe, aia nā hui ʻē aʻe i ka nui o ka pilikia o ka hoʻomohala ʻana i ka osteomalacia:

• No nā kānaka me ka momona .
• MakahikiNo ka poʻe ma luna o 65.
• No nā makuahine hāpai a hānai waiū paha .

Pehea e ʻike pono ai i ka osteomalacia?

Ke ʻike ʻoe i ke kauka, e hana mua ʻo ia i kahi hoʻokolokolo kino . A laila, e nīnau ʻo ia e pili ana i ka mōʻaukala olakino o kou ʻohana a me kou olakino ponoʻī. E nīnau pū ʻo ia e pili ana i kāu ʻai a me nā hana hoʻoikaika kino. A laila, e kauoha lākou i kahi hoʻāʻo koko e nānā i kou pae koko o ka wikamina D, calcium, a me ka phosphorus . Inā loaʻa iā ʻoe ka osteomalacia, ʻo ka haʻahaʻa o ka wikamina D ka hōʻailona nui . Eia nō naʻe, hiki i ka haʻahaʻa o ka calcium a i ʻole ka phosphorus ke lilo i hōʻailona o ke kūlana. No ka hōʻoia ʻana i ka hōʻailona, ​​​​hiki i kāu kauka ke nānā i nā pae o:

• Creatinine
• Nā electrolytes
• ʻO ka phosphatase alkaline
• ʻO ka hormone parathyroid `(Hormone parathyroid)`

ʻO nā hoʻokolohua ʻē aʻe hiki iā ʻoe ke hana me:

• He hoʻāʻo mimi 24-hola e nānā i ka nui o ka calcium i loko o kou mimi.
• Nā kukuna X-ray e nānā i nā iwi nāwaliwali a i ʻole nā ​​haki.
• ʻO ke scan density mineral bone kahi hoʻokolohua e ana i ka mānoanoa o kou mau iwi a nānā no ka pohō o ka iwi.
• ʻO ka biopsy iwi kahi hana e lawe ʻia ai kahi ʻāpana iwi liʻiliʻi a nānā ʻia e ʻike inā ua palupalu maoli ka iwi.

He aha nā lāʻau lapaʻau no ka osteomalacia?

Hoʻomaʻamaʻa pinepine ʻia ka Osteomalacia me nā mea hoʻohui huaora D, calcium, a/a i ʻole phosphorus . Na kāu kauka e hoʻoholo i ka nui o kēia mau mea āu e pono ai. Inā loaʻa iā ʻoe nā pilikia malabsorption a i ʻole ua hana ʻia ke ʻoki bariatric i hala koke nei, pono paha ʻoe e lawe i nā dosis kiʻekiʻe o ka huaora D a me ka calcium. ʻOiai e kōkua paha kēia mau mea hoʻohui i kou osteomalacia, hiki ke hala i kekahi mau mahina e hoʻomaikaʻi ai kāu mau hōʻailona.Ma muli o ke koʻikoʻi o kou kūlana, pono paha ʻoe e lawe i ka wikamina D no ka manawa lōʻihi. Inā ʻoe e hoʻōki, hiki ke hoʻi hou mai ka osteomalacia. Pono paha ka poʻe me nā maʻi e like me ka maʻi akepaʻa a i ʻole ka hāʻule ʻana o ka puʻupaʻa i ka mālama hou a me ke kākoʻo. E nānā pinepine kāu kauka i kou mau pae koko. Hiki ke hāʻawi ʻia iā ʻoe kahi ʻano kūikawā o ka wikamina D. Ma waho aʻe o kēia mau mea, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi a hoʻoponopono paha i nā hōʻailona o ka osteomalacia:

• Ka lawa ʻana o ka lā .
• E ʻai i nā meaʻai hou aʻe i loaʻa ka calcium a me ka wikamina D.
• Ke kau nei i nā pale lima e hōʻemi a pale aku paha i nā kīnā o ka iwi.
• I nā hihia koʻikoʻi loa, pono paha ke ʻoki ʻana e hoʻoponopono i nā kīnā o ka iwi.

Hiki iā mākou ke pale i ka ulu ʻana o ka osteomalacia?

ʻAe, hiki iā kākou ke pale aku i kēia. ʻElua mau mea nui e pono ai kākou e hana:

• Ka lawa ʻana o ka lā no ke kino .
• ʻO ka loaʻa ʻana o ka lawa ʻana o ka wikamina D a me ka calcium mai nā meaʻai a mākou e ʻai ai.

Ma muli o kou wahi e noho ai a me ka manawa o ka makahiki, hiki paha iā ʻoe ke loaʻa ka lawa o ka wikamina D mai ka lā wale nō. Ma keʻano laulā, pono i kahi kanaka me ka ʻili keʻokeʻo ke noho i ka lā no 10 a 15 mau minuke ʻelua a ʻekolu mau lā o ka pule. Pono paha ka poʻe me ka ʻili ʻeleʻele e noho i ka lā no kekahi manawa lōʻihi. Akā, pono kēia he lā pololei . ʻAʻole hiki i ka lā e komo mai ana ma nā puka makani a i ʻole ka lā e hāʻule ana ma luna o nā lole ke hana i ka lawa o ka wikamina D. Eia naʻe, ʻaʻole maikaʻi ke noho i ka lā no ka lōʻihi me ka ʻole o ka sunscreen . No ka mea, ʻo ka nui o ka lā e hoʻonui ai i ka pilikia o ka maʻi ʻili . No laila, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ka lōʻihi o kou noho ʻana i ka lā. ʻAʻole ʻoe e loaʻa i ka wikamina D āpau āu e pono ai mai ka meaʻai wale nō. Akā hiki ke kōkua. Aia kekahi mau meaʻai i loaʻa maoli ka wikamina D. Eia kekahi laʻana:

• ʻO ka iʻa ʻaila: e like me ka tuna, ka samona, ka sardines, ka mackerel.
• Iʻa ʻōpae ʻānuenue.
• ʻIʻo ʻulaʻula.
• ʻAke pipi.
• Nā ʻūlū.
• Nā hua moa.
• ʻAila akepaʻa iʻa.

Ua hoʻohui ʻia kekahi mau meaʻai ʻē aʻe i ka wikamina D i hana ʻia (nā meaʻai i hoʻoikaika ʻia). E kamaʻilio me kāu kauka e pili ana i nā kumu kūpono loa iā ʻoe. Eia nō naʻe, he mau pono a me nā pōʻino ko nā meaʻai like ʻole, no laila pono ʻoe e noʻonoʻo i kēlā. Inā ʻaʻole ʻoe e manaʻo nei ua lawa kāu wikamina D mai ka lā a me ka meaʻai, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e lawe i kahi mea hoʻohui.

He aha ka manaʻolana no ka ho'ōla hou ʻana no kekahi me ka osteomalacia?

Inā loaʻa koke kēia maʻi a mālama pono ʻia (e like me nā mea hoʻohui) , e hoʻomaka ka hapa nui o ka poʻe e hoʻōla i loko o kekahi mau pule. Eia nō naʻe, hiki ke hala a hiki i ʻeono mahina no kou mau iwi e ho'ōla a ikaika hou .

Pehea e mālama ai au i koʻu mau iwi?

I ko kākou ʻelemakule ʻana, ʻoi aku ka nui o ka mālama ʻana i ko kākou mau iwi. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua ai i ka mālama ʻana i kou mau iwi i ke olakino:

• E ʻai i nā meaʻai e lawa ana i ka wikamina D a me ka calcium.
• E kiʻi i ka lawa ʻana o ka lā .
• E mālama i ke kaumaha o ke kino olakino e kūpono iā ʻoe.
• E hana i ka hana kino maʻamau .
• Mai puhi paka .
• Inā ʻoe e inu i ka waiʻona , e kaupalena iā ia i kahi nui i koho ʻia .

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha o ka iwi, a i ʻole kekahi o nā hōʻailona o ka osteomalacia a mākou i kūkākūkā ai ma mua, e ʻike koke i ke kauka . Hiki iā ia ke nānā i kou pae koko e hoʻoholo ai inā ua hoʻopilikia kēia ʻano iā ʻoe.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

He mea kōkua paha ke nīnau i kēia mau nīnau ke kipa aku ʻoe i kāu kauka:

• Ua lawa anei nā mea hoʻohui meaʻai wale nō e ho'ōla ai i ka osteomalacia?
• He aha nā lāʻau lapaʻau ʻē aʻe āu e paipai nei?
• He aha nā hana e pono iaʻu e pale aku a hiki i koʻu ho'ōla ʻana?
• He aha nā ʻano hoʻoikaika kino e hiki ke kōkua i ka mālama ʻana a i ʻole ka pale ʻana i kēia maʻi?
• He aha hou kaʻu e hana ai e pale aku ai i kēia maʻi mai ka hoʻopilikia ʻana iaʻu i ka wā e hiki mai ana?

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

Inā ʻoe e ʻeha nei hoʻi ma kou kino haʻahaʻa, ʻoi aku hoʻi ma kou mau iwi, he osteomalacia paha ia. ʻO ke kumu nui o kēia, ʻo ia ka nele o ka wikamina D. No laila, he mea nui loa ka loaʻa ʻana o ka lā lawa a me ka ʻai ʻana i nā meaʻai i loaʻa ka wikamina D. Inā hoʻomau nā hōʻailona, ​​e ʻike pono i ke kauka. Hiki iā ia ke hoʻoholo inā ʻo kou ʻeha iwi ma muli o ka nele o ka wikamina D a kōkua iā ʻoe e lilo i kanaka me nā iwi olakino.