He mau iwi nāwaliwali kou? He hōʻailona paha kēia o ka maʻi iwi Metabolic!

Ke manaʻo nei ʻoe i kekahi manawa ua nāwaliwali iki kou mau iwi? Malia paha ʻo ka hāʻule iki ʻana paha e haki ai ka lima a i ʻole ka wāwae. A i ʻole ke manaʻo nei ʻoe e emi ana kou kiʻekiʻe i kou wā ʻelemakule, a ke kūlou mālie nei kou kino? ʻO kekahi kumu paha ma hope o kēia mau mea he maʻi i kapa ʻia ʻo ka maʻi iwi metabolic, a mākou e kamaʻilio nei i kēia lā. E nānā kākou i kēia ma ke ʻano maʻalahi.

He aha kēia maʻi iwi Metabolic?

I ka ʻōlelo maʻalahi, ʻo ka maʻi iwi metabolic he hui o nā maʻi e hoʻopilikia ai i ka ikaika o kou mau iwi. Hiki ke hana ia i ka wā e hoʻopilikia ʻia ai ke kaulike o nā minelala i loko o ko kākou kino, i ka wā e nui loa ai a liʻiliʻi paha o nā mea e like me ka calcium, phosphorus, a i ʻole ka wikamina D. Hoʻopilikia kēia kaulike ʻole o ka minelala i ka nui o ka iwi, ka ulu ʻana, a me ka hoʻololi ʻana o ka iwi (ke kaʻina hana e pani ʻia ai ka ʻiʻo iwi hou e ka ʻiʻo iwi kahiko).

E noʻonoʻo, ʻaʻole wale ko kākou mau iwi he mau mea. Pono lākou e hoʻohou mau ʻia a hoʻoikaika ʻia. Inā ʻaʻole mākou e loaʻa i nā meaʻai kūpono, a inā paha e pili ana nā mea e like me ka genetics a i ʻole ka nele o nā huaora i ka hana o nā cell i loko o ko mākou mau iwi, e hiki mai ka mineral imbalance a e hoʻomaka ko mākou mau iwi e nāwaliwali. Hiki i kēia mau maʻi iwi metabolic ke hānau ʻia a i loaʻa paha.

He aha nā laʻana o kēia mau maʻi?

Aia kekahi mau maʻi i loko o kēia māhele o nā maʻi iwi metabolic. E nānā kākou i kekahi o lākou:

• ʻO ka Osteoporosis: ʻO kēia ka maʻi maʻamau a kaulana loa i kēia māhele. Ua manaʻo ʻia he 200 miliona mau kānaka ma ka honua holoʻokoʻa e loaʻa ana i kēia maʻi. I ka ʻōlelo maʻalahi, ʻo ka osteoporosis kahi kūlana e emi mālie ai ka nui o ko kākou mau iwi, ʻo ia hoʻi ka nui o nā paʻakai mineral i loko o nā iwi (kapa mākou i kēia iwi nui). A laila lilo nā iwi i nāwaliwali a hiki ke haki maʻalahi. ʻOiai me ka hāʻule iki ʻana, aia kahi manawa kiʻekiʻe e haki ai ka lima a i ʻole ka wāwae.
• Osteopenia: He emi ʻana kēia o ka nui o ka iwi, akā, ʻaʻole ia he koʻikoʻi e like me ka osteoporosis, a he ʻano maʻi emi iki ka koʻikoʻi.

Aia kekahi mau ʻano ʻē aʻe:

• ʻO ka maʻi Cushing: He nāwaliwali kēia o ka iwi i hoʻokumu ʻia e ka pilikia e pili ana i ka hormone.
• Hypophosphatasia: Hana ʻia kēia e ka nele o ka enzyme.
• Osteogenesis imperfecta: Ua kapa ʻia hoʻi ʻo "ka maʻi iwi brittle," he ʻano kēia e loaʻa pinepine ana i ka wā hānau. He maʻalahi loa ka haki ʻana o nā iwi.
• ʻO Osteomalacia a me Rickets: He palupalu kēia o nā iwi. Ke loaʻa kēia ʻano maʻi i nā pākeke, kapa ʻia ʻo osteomalacia, a ke loaʻa i nā keiki, kapa ʻia ʻo rickets.
• ʻO ka maʻi o Paget:ʻO kēia ka wā e ulu ai nā iwi me ke ʻano ʻē a me ka wikiwiki, e hoʻonāwaliwali ai iā lākou.

Pehea ka maʻamau o kēia mau maʻi?

E like me kā mākou i ʻōlelo ai ma mua, ʻoi aku ka maʻamau o kekahi mau maʻi iwi metabolic ma mua o nā mea ʻē aʻe. ʻO ka Osteoporosis ka mea maʻamau o kēia. No ka laʻana, ma ʻAmelika Hui Pū ʻIa, ma kahi o 12.6% o ka poʻe ma luna o 50 mau makahiki i loaʻa i kēia maʻi.

Akā, he mea kākaʻikahi loa nā kūlana e like me ka Osteogenesis imperfecta. ʻOiai ma ʻAmelika Hui Pū ʻIa, hoʻopilikia wale kēia maʻi i kahi poʻe liʻiliʻi, ma kahi o 25,000 a 50,000. ʻAʻole like ka maʻamau o nā kūlana e like me ka Osteomalacia, Hypophosphatasia, a me ka maʻi Paget me ka osteoporosis.

No ke aha e loaʻa ai kēia mau maʻi iwi metabolic?

ʻO ke kumu nui, ʻaʻole lawa nā minelala i ko kākou mau iwi. Ma muli o kēia nele o nā minelala, nāwaliwali a hōʻino mālie nā iwi, a hiki ke alakaʻi i kēia mau maʻi. Hiki ke loaʻa kēia kūlike ʻole o nā minelala i ka wā hānau, a i ʻole hiki ke ulu ma hope.

Loaʻa i ko kākou kino kahi ʻōnaehana e mālama i nā mea e like me ka calcium, ka wikamina D, a me ka phosphorus i nā nui kūpono. Ua kapa ʻia kēia he homeostasis mineral . Hoʻomaka nā pilikia ke hoʻopilikia ʻia kēia. No ka mea, mālama ko kākou mau iwi i kēia mau minelala, hoʻohana iā lākou e ulu i nā mea hou, a lilo i mea ikaika.

He aha nā kumu e hoʻonui ai i ka pilikia?

Aia kekahi mau mea e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia maʻi iwi metabolic. E nānā kākou i ke ʻano o lākou:

• ʻOiai he 65 mau makahiki a ʻoi paha.
• Puhi paka.
• Hoʻomaka ka menopause mua ma mua o 45 mau makahiki.
• ʻAʻole lawa ka ʻike ʻana i ka lā (nele ka wikamina D). ʻOiai he nui ka lā o ko kākou ʻāina, ʻaʻole lawa ka ʻike ʻana o kekahi poʻe i ka lā. Hoʻemi kēia i ka hana ʻana o ka wikamina D.
• He kino liʻiliʻi (Petite frame).
• Ma hope o ka loaʻa mua ʻana o ka lāʻau lapaʻau hormone no ka maʻi ʻaʻai umauma a i ʻole ke kanesa prostate.
• ʻOiai he mea loaʻa i ka hoʻoili ʻana o nā kino.
• ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau antiseizure.
• ʻO ka loaʻa ʻana o kahi moʻolelo ʻohana o ka osteoporosis, ʻoiai inā he osteoporosis kou makuahine a makuakāne paha a i ʻole he haki ka ʻūhā, e hoʻonui ai i kou pilikia.
• ʻAʻole lawa ka hoʻoikaika kino.

Nā pilikia olakino ʻē aʻe e kōkua i ka ulu ʻana o kēia mau maʻi

ʻOi aku ka nui o ka poʻe me kekahi mau kūlana olakino e loaʻa i kēia maʻi iwi metabolic. ʻO ia mau kūlana:

• Hyperparathyroidism: Hana nui ʻia ka hormone parathyroid.
• Hypophosphatemia: Haʻahaʻa ka pae phosphorus i loko o ke koko.
• Ka nele o ka wikamina D.
• Ka nele o ka kalipuna.
• Maʻi puʻupaʻa.
• Ka pilikia o ka hoʻohana ʻana i ka waiʻona.
• Ka hoʻopili ʻole ʻana.
• Ka ʻai pono ʻole.

He aha nā hōʻailona o kēia mau maʻi?

Hiki ke ʻokoʻa nā hōʻailona o kēia mau maʻi mai kekahi i kekahi. ʻOkoʻa nō hoʻi lākou ma muli o ke ʻano o ka maʻi. Eia kekahi mau hōʻailona maʻamau:

• ʻO ka pohō kiʻekiʻe (ka pohō ʻana o hoʻokahi ʻīniha ma ka liʻiliʻi).
• Nā haki iwi pinepine. ʻOiai ka hāʻule iki ʻana a i ʻole ka ulia paha hiki ke kumu i nā haki iwi.
• Nā loli o ke kūlana (kūlou i mua, kūlou).
• Ka paʻakikī o ka hele wāwae.
• ʻEha hope haʻahaʻa.
• Ka nāwaliwali o nā ʻiʻo.
• ʻEha ma nā iwi a i ʻole ka ʻūhā.
• Paʻakikī ka hanu ʻana. Hana ʻia kēia ke emi ka hiki o ka māmā ma muli o ke kaomi ʻana o ke kaula iwi kuamoʻo.

Akā, hoʻokahi mea āu e hoʻomanaʻo pono ai. ʻO ka Osteoporosis pinepine he "maʻi leo ʻole." ʻO ke ʻano kēia i nā pae mua, hiki i nā iwi ke nāwaliwali mālie mai loko mai me ka ʻole o ka ʻeha a i ʻole nā ​​​​hōʻailona nui.

Pehea e ʻike ʻia ai kēia mau maʻi?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​a inā he mau kumu pilikia kou, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka nānā ʻana. E nānā ke kauka iā ʻoe a, inā pono, e kauoha i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua:

Nā hoʻāʻo koko

Hiki i kēia mau hoʻokolohua ke nānā i nā pae o ka calcium, phosphorus, a me ka wikamina D i loko o ke koko. No ka laʻana, ʻo nā pae haʻahaʻa o ka calcium, ka wikamina D, a i ʻole ka phosphorus hiki ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo osteomalacia. Pēlā nō, ʻo nā pae haʻahaʻa o ka alkaline phosphatase a me nā pae kiʻekiʻe o ka wikamina B6 i loko o ke koko hiki ke lilo i hōʻailona o ka hypophosphatasia.

Nā kukuna X

Hoʻohana ʻia nā kukuna X-ray e nānā i nā māwae a me nā haki i nā iwi, hiki ke lilo i mau hōʻailona o nā kūlana e like me ka osteoporosis.

Hoʻāʻo ʻana i ka nui o ka mineral iwi (BMD)

Ua kapa ʻia kēia he scan DEXA a i ʻole scan DXA . Ana ia i ka ikaika o kou mau iwi ma nā wahi e like me kou pulima, ʻūhā, a me ka iwi kuamoʻo. Hoʻohana ia i kahi liʻiliʻi o ka radiation, no laila ʻaʻohe mea e hopohopo ai. Ma ke ʻano laulā, ma ke ʻano he hana pale, he manaʻo maikaʻi e hana i kēia hoʻāʻo BMD i ka makahiki 65 no nā wahine a me 70 no nā kāne. Eia nō naʻe, inā nui kou pilikia o ka nalowale o ka iwi a me nā haki, hiki i kāu kauka ke ʻōlelo aku e hana mua i kēia scan.

Aia kekahi lāʻau lapaʻau no kēia?

ʻAe, aia nō nā lāʻau lapaʻau no kēia mau maʻi iwi metabolic.ʻO ka lāʻau lapaʻau kūpono loa iā ʻoe e hilinaʻi ʻia ma ke kumu kumu o ke kūlana. Aia kekahi mau koho lapaʻau:

• Nā wikamina a me nā mea hoʻopihapiha meaʻai: Hāʻawi ʻia kēia mau mea, ʻoiai inā he hemahema ka calcium a me ka wikamina D.
• Nā mea anabolic: He mau lāʻau lapaʻau kēia e kūkulu ai i nā iwi hou a hoʻoikaika iā lākou.
• ʻO Bisphosphonates: ʻO kēia nā lāʻau lapaʻau e hōʻemi ai i ka pohō o ka iwi.
• Nā inikini Denosumab.
• Nā lāʻau lapaʻau hormone: Aia kekahi mau hihia kahi e hoʻohana ʻia ai nā hormones e like me ka testosterone, calcitonin, a me ka estrogen.
• Hoʻōla kino: Hoʻokomo pū kēia i nā hoʻomaʻamaʻa a me nā lāʻau ʻē aʻe e hoʻoikaika i nā ʻiʻo, hoʻomaikaʻi i ke kaulike, a maʻalahi ka hele wāwae.
• Nā hoʻoikaika kino e hāpai ana i ke kaumaha: Nā hana e like me ka hele wāwae, ka holo ʻana, a pēlā aku.
• ʻO ke ʻoki kino: Hana pinepine ʻia kēia i nā manawa ʻole, ʻoiai inā loaʻa kahi mea paʻakikī, e like me ka haki.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki i kekahi mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao. Eia nō naʻe, pili ia i ke ʻano o ka lāʻau lapaʻau i hoʻohana ʻia. ʻO kekahi o nā hopena ʻaoʻao maʻamau :

• Nā hōʻailona e like me ka maʻi palū.
• ʻEha poʻo.
• ʻĀhaʻi puʻuwai.
• Nā hopena ma ka hana o nā puʻupaʻa.
• ʻEha ʻiʻo.
• ʻUlaʻula ka ʻili, maloʻo, maneʻo.
• Hoʻonui ʻia ka ʻeha o ka iwi (i nā wā mua).

ʻAʻole i piha kēia papa inoa. Inā ʻike ʻoe i kekahi mea ʻē a i ʻole he mau hōʻailona hou kāu i ka wā e loaʻa ana iā ʻoe ka lāʻau lapaʻau, pono ʻoe e haʻi i kāu kauka.

ʻEhia ka manawa e hiki ai iaʻu ke manaʻo e hoʻōla ma hope o ka lāʻau lapaʻau?

Hoʻomaka ka nui o ka poʻe e ʻike i kahi holomua o ko lākou ikaika ma hope koke iho o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, he manawa ka lōʻihi no ka hoʻonui ʻana o ka nui o ka iwi a no ka hoʻokumu ʻana o ka iwi hou a olakino. E wehewehe kāu kauka i ka lōʻihi o ka manawa a me nā mea e manaʻo ai, ma muli o kou kūlana.

He aha ka mea e hana ai inā loaʻa iaʻu kēia ʻano maʻi iwi?

Inā ua ʻike ʻia ʻoe me kahi maʻi iwi metabolic e like me ka osteoporosis a i ʻole osteomalacia, e hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā lapaʻau kūpono iā ʻoe. Hiki i kēia ke komo pū me nā lāʻau lapaʻau, nā mea hoʻohui meaʻai, ka hoʻōla kino, a, i kekahi manawa, ke ʻoki kino. Hiki ke lōʻihi ka manawa e ʻoluʻolu ai ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Akā me ka lāʻau lapaʻau kūpono, e hoʻomaka ana kou mau iwi e ikaika i ka hala ʻana o ka manawa.

He aha ka manaʻo no kēia mau kūlana?

Me ka mālama kūpono, maikaʻi ka nānā ʻana no kēia mau maʻi iwi metabolic.Inā mālama ʻia i ka manawa kūpono, hiki iā ia ke kōkua i ke kūkulu hou ʻana i kou mau iwi a kaohi i ka nalowale o ka iwi. Hiki i kēia ke hōʻemi i kou pilikia o ka haki ʻana a hoʻomaikaʻi i kou ʻano ola.

Pehea e hiki ai iā ʻoe ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia mau maʻi?

No ka mea, he mana hoʻoilina ko kekahi mau maʻi iwi metabolic, ʻaʻole paha e hiki ke pale ʻia i nā manawa a pau. Eia nō naʻe, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ko kākou pilikia:

• E hana i nā hoʻokolohua pale no nā maʻi e like me ka osteoporosis i nā manawa maʻamau.
• Inā ʻoe e puhipaka, e hoʻōki.
• Inā ʻoe e inu i ka waiʻona, e kaupalena iā ia.
• E hoʻoikaika kino i nā manawa a pau.
• E ʻai i ka meaʻai waiwai i ka calcium a me ka wikamina D (waiū, tīhi, yogurt, nā mea kanu ʻōmaʻomaʻo, iʻa liʻiliʻi).
• E nīnau i kāu kauka e pili ana i nā mea hoʻopihapiha meaʻai e hiki ke kōkua i ka mālama ʻana i kou mau iwi.

Pehea e hiki ai iaʻu ke mālama iaʻu iho me kēia ʻano maʻi?

Ma waho aʻe o nā nānā pale a me nā hoʻololi ʻana i ke ʻano o ka nohona, he mea nui e makaʻala i ka hāʻule ʻana, no ka mea, hoʻonui lākou i ka pilikia o ka haki ʻana o ka iwi. Hiki iā ʻoe ke hana i nā mea e like me:

• E aʻo e pili ana i nā ʻano hana pale hāʻule.
• E ʻike i nā pōʻino hāʻule i loko o kou home a hana i nā hoʻololi e pono ai (no ka laʻana, ke kau ʻana i nā moena ma nā wahi pahee, ke kau ʻana i nā kaola hopu i loko o ka lumi ʻauʻau).
• E kūkākūkā me kāu kauka e loiloi i kou pilikia o ka hāʻule ʻana a, inā pono, e kiʻi i nā mea kōkua e kōkua iā ʻoe e hele.

He mea weliweli anei kēia mau maʻi iwi metabolic?

Inā ʻaʻole i ʻike koke ʻia a mālama ʻia, hiki i nā maʻi iwi metabolic ke koʻikoʻi. Hiki i kekahi ke hoʻoweliweli i ke ola. No ka laʻana, hoʻonui ka osteoporosis i ka pilikia o ka haki ʻana o ka iwi. Hiki i nā kūlana e like me Cushing's syndrome ke make inā ʻaʻole mālama ʻia.

No laila, ʻo ka maʻi iwi metabolic he hui o nā kūlana e hoʻopilikia ai i ka nui o ka iwi, ka hoʻololi ʻana o ka iwi, a me ka ulu ʻana o ka iwi. ʻOi aku ka maʻamau o kekahi ma mua o nā mea ʻē aʻe, akā hoʻopilikia lākou āpau i ke olakino o kou mau iwi. Akā e hoʻomanaʻo, me ka ʻike pono a me ka mālama ʻana, hiki iā ʻoe ke ola i kahi ola hana a hoʻokō. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia mau hōʻailona, ​​​​kāu hoʻolālā lapaʻau, a i ʻole kou manaʻo, mai kānalua e kamaʻilio me kāu kauka. Hiki iā ia ke kōkua iā ʻoe.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

ʻAe, no laila ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i nā maʻi iwi metabolic a mākou i kamaʻilio ai i kēia lā. I ka pōkole:

• E mālama i ke olakino o kou iwi. He mea nui nā iwi ikaika no ke ola olakino.
• ʻO nā maʻi iwi metabolic nā kūlana e hoʻonāwaliwali ai i nā iwi a hoʻemi i ko lākou ikaika.
• ʻO ke kaulike ʻole o nā minelala (ʻoi aku ka calcium, ka huaora D, ka phosphorus) kekahi kumu nui o kēia.
• Hiki i nā mea e like me ka makahiki, ke ʻano o ka nohona, a me ka mōʻaukala ʻohana ke hoʻonui i ka pilikia.
• ʻO kekahi mau maʻi, e like me ka osteoporosis, ʻaʻole paha e hōʻike i kekahi mau hōʻailona i ka wā mua, no laila ʻoi aku ka maikaʻi o ka hoʻāʻo ʻia inā he mau mea pilikia kāu.
• Aia nā ala e ʻike ai a mālama ai i kēia mau maʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai hoʻokaʻulua i ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau.
• Me ka mālama kūpono a me nā loli o ke ʻano o ka nohona, hiki ke mālama maikaʻi ʻia kēia mau kūlana a alakaʻi i kahi ola maikaʻi.

E mālama i kou mau iwi! No ka mea, ʻo nā iwi olakino ka ikaika e hāʻawi iā ʻoe i ke kūʻokoʻa a me ka hauʻoli e ola i kahi ola kūʻokoʻa a hauʻoli hoʻi.

ʻO ka maʻi iwi Metabolic, Osteoporosis, Nāwaliwali o ka iwi, Calcium, Vitamin D, Density o ka iwi, Fracture