E aʻo e pili ana i nā kauwā huna ʻelua e hoʻoikaika i ko kākou mau iwi: nā Osteoblasts a me nā Osteoclasts

Ua noʻonoʻo paha ʻoe pehea i ikaika ai ko kākou mau iwi? A pehea lā, i ka wā e haki ai ka lima a i ʻole ka wāwae, e ho'ōla hou ia a ulu hou? Ke noʻonoʻo kākou i nā iwi, manaʻo kākou he mau mea ola ʻole lākou, e like me ka pōhaku. Akā ʻo ka ʻoiaʻiʻo, ke ola nei ko kākou mau iwi, e loli mau ana nā ʻiʻo, e like me ke koena o ko kākou kino. Aia ʻelua mau limahana koʻikoʻi ma hope o kēia hana kupaianaha. E kamaʻilio kākou e pili ana iā lākou i kēia lā.

ʻO wai kēia mau osteoblast a me nā osteoclasts?

I ka ʻōlelo maʻalahi, ʻelua ʻano o nā pūnaewele kūikawā i loaʻa i loko o ko kākou mau iwi nā osteoblast a me nā osteoclasts. I ka hui pū ʻana, hoʻonui lākou i ko kākou mau iwi, mālama iā lākou i ikaika, a hoʻoponopono i nā wahi haki a haki.

Ke hoʻomau nei kēia mau ʻāpana ʻelua i ka hana ʻaʻole wale mai ko mākou wā liʻiliʻi a hiki i ko mākou ulu ʻana, akā ma hope o ko mākou lilo ʻana i poʻe mākua. E like me kahi hui mālama.

• Nā Osteoblast: E noʻonoʻo iā lākou he "kāhuna" o ka iwi. Kūkulu lākou i nā ʻiʻo iwi hou a hoʻoikaika i nā iwi e kū nei. Ma ka ʻōlelo Pelekania, ua kapa ʻia lākou ʻo "blasts for builders." ʻO ia hoʻi ke kūkulu nei lākou.
• ʻO nā Osteoclasts: ʻO kēia nā "mea hoʻomaʻemaʻe". Hoʻopau lākou a hoʻoheheʻe i nā ʻāpana iwi kahiko a hōʻino ʻia, e ʻae ana i ka iwi hou a ikaika aʻe e hana. Ma ka ʻōlelo Pelekania, ua kapa ʻia lākou ʻo "clasts for cleaners". ʻO ia hoʻi nā mea hoʻomaʻemaʻe.

Hana pū kēia mau mea ʻelua e like me he hui lā. Hoʻopau kekahi i ka mea kahiko, a kūkulu kekahi i ka mea hou ma kona wahi. Kāhea mākou i kēia kaʻina hana he hana hou ʻana o ka iwi.

He aha ka mea e hana maoli ai i nā pūnaewele osteoblast?

E like me kā mākou i ʻōlelo ai ma mua, ʻo nā osteoblasts ka poʻe e kūkulu i nā iwi. ʻEkolu a lākou mau hana nui:

1. Ke ulu ʻana o nā iwi hou: I ko kākou ulu ʻana mai ka wā kamaliʻi a hiki i ka wā makua, e hoʻolōʻihi a ulu nui ko kākou mau iwi ma muli o kēia mau hunaola.

2. Ka Hoʻoponopono Hou ʻana o ka Iwi: I ko kākou ʻelemakule ʻana, kōkua lākou i ka hoʻololi ʻana i ke ʻano a me ka ikaika o ko kākou mau iwi e kūpono i ko kākou nohona.

3. Ho'ōla ʻana i nā iwi haʻihaʻi a hōʻino ʻia: Ke haki ka iwi, ʻo kēia mau pūnaewele osteoblast e hana i nā ʻiʻo iwi hou e ho'ōla iā ia.

E noʻonoʻo i kahi lua ma ke alanui. E like me ka hele ʻana mai o nā mea hana alanui a hoʻopiha i ka lua me ka ʻasphalt hou, ke hōʻino ʻia kahi iwi, hele mai nā pūnaewele osteoblast a hoʻoponopono iā ia.

Pehea lā e hana ai kēia hana?

Ke pono ka iwi e ulu a i ʻole ke hōʻino ʻia, loaʻa i kēia mau pūnaewele osteoblast kahi hōʻailona mai nā hormones a me nā kemika i loko o ko mākou kino. A laila hana lākou i kahi hui kūikawā o nā protein. Ua kapa ʻia ʻo ia he matrix iwi . ʻO kēia ke collagen.Loaʻa iā ia ka protein, nā minelala e like me ka calcium a me ka phosphate.

A laila waiho ʻia kēia ʻōpū iwi i hoʻomākaukau ʻia i loko o ka iwi e like me ka sima sima. I ka hala ʻana o ka manawa, paʻa kēia hui ʻana a lilo i ikaika, e hana ana i nā ʻiʻo iwi hou.

ʻO wai kēia mau osteocytes?

ʻO nā Osteocytes nā "kiaʻi" a i ʻole "luna hoʻomalu" i loko o nā iwi. ʻO kēia mau pūnaewele ka mea nui loa i nā iwi. Ke nānā mau nei lākou i ke kaomi a me ke kaumaha e manaʻo nei ka iwi. Inā he māwae liʻiliʻi a i ʻole ka hōʻino ʻana i ka iwi, ʻo kēia mau pūnaewele osteocyte ka mea mua e ʻike. Ke ʻike lākou, hoʻouna lākou i nā hōʻailona i nā osteoblasts (nā mea e kūkulu ana) a me nā osteoclasts (nā mea e haki ana) a mākou i kamaʻilio ai ma mua, me ka ʻōlelo ʻana, "Aia kahi pilikia ma ʻaneʻi, e hele mai e nānā." A laila hele mai kēlā mau hui ʻelua a hoʻomaka i ka hana hoʻoponopono.

No laila he aha ka mea e hana ai i nā pūnaewele osteoclast?

ʻO nā Osteoclasts ka "hui wehe ʻōpala" i loko o nā iwi. Hoʻoheheʻe lākou a wehe i nā ʻiʻo iwi kahiko, nāwaliwali, a hōʻino ʻia. Hana lākou i kēia e hana i ala no nā pūnaewele osteoblast e kūkulu i nā ʻiʻo iwi hou a ikaika.

Hoʻokuʻu lākou i kahi ʻano enzyme kūikawā. Hoʻoheheʻe kēia mau enzyme i nā ʻiʻo iwi kahiko. Akā, ʻaʻole kēia he mea ʻino e like me kou manaʻo. ʻAʻole ia e like me ka metala hoʻoheheʻe waikawa e like me nā kiʻi ʻoniʻoni. He hana i kāohi ʻia a pololei loa kēia. ʻO nā wahi wale nō i hōʻailona ʻia e nā osteocytes me he "ʻo kēia ʻāpana wale nō e wehe ʻia" e hoʻoheheʻe ʻia a wehe ʻia e nā cell osteoclast.

Ke wehe ʻia kēlā mau ʻāpana kahiko, e hana ʻia nā lua liʻiliʻi ma luna o ka iwi. A laila, hoʻomaka nā osteoblast e hana. Hele mai lākou a hoʻopiha i kēlā mau lua me ka matrix iwi hou, e hana ana i kahi iwi hou a ikaika aʻe.

Aia kekahi mau maʻi e hoʻopilikia i ka hana a kēia mau hunaola?

ʻAe. Ola kino ko kākou mau iwi inā hana like kēia mau ʻāpana ʻelua. ʻO ia hoʻi, pono ke kaulike maikaʻi ma waena o ka wikiwiki o ke kūkulu ʻia ʻana a me ka wikiwiki o ka wehe ʻana. Akā inā nalowale kēia kaulike, hiki ke loaʻa nā ʻano maʻi like ʻole.

E noʻonoʻo i ka mea e hiki mai ana inā ʻoi aku ka wikiwiki o ka wehe ʻana o ka iwi kahiko (hana nā osteoclasts) ma mua o ka wikiwiki o ka hana ʻana o ka iwi hou (hana nā osteoblasts)? A laila e lilo mālie nā iwi i mea lahilahi, nāwaliwali, a maʻalahi hoʻi e haki.

ʻO kekahi o nā maʻi nui i hoʻokumu ʻia e ia mau pilikia:

• Osteoporosis: ʻO kēia ke kūlana maʻamau. Lilo nā iwi i porous, nāwaliwali, a hiki ke haki me ka hāʻule iki ʻana.
• Osteopenia: ʻO kēia ke kahua mua ma mua o ka osteoporosis. He emi ʻana ia o ka nui o ka iwi ma lalo o nā pae maʻamau.
• Hyperparathyroidism: ʻO ka hoʻokuʻu nui ʻia ʻana o ka hormone parathyroid e nalowale ai ka calcium mai nā iwi, e hoʻonāwaliwali ana iā lākou.
• ʻO ka maʻi o Paget o ka iwi: He ʻano kēia e hele hewa ai ke kaʻina hana o ka hoʻoponopono hou ʻana o ka iwi, e lilo ai nā iwi i mea ʻino a nāwaliwali.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o ko kākou mau iwi?

ʻAʻole e hoʻāʻo maʻamau kāu kauka i kēia mau pūnaewele kūikawā ma ke kaʻawale. Akā, e hana lākou i nā hoʻokolohua e hiki ke nānā i ke olakino o ka ʻōnaehana iwi holoʻokoʻa. E kauoha ʻia kēia mau hoʻokolohua inā he kānalua no kahi maʻi e like me ka osteoporosis.

• Hoʻāʻo mānoanoa o ka iwi: Hana ʻia kēia me ka hoʻohana ʻana i kahi scan DXA.Ua kapa ʻia hoʻi ia he scan iwi. Hoʻohana ia i nā kukuna X-pae haʻahaʻa e ana i ka ikaika o kou mau iwi. He mea nui loa kēia e ʻike ai inā e nāwaliwali ana kou mau iwi i kou wā ʻelemakule.
• Hoʻāʻo Vitamin D: Nānā inā loaʻa i ke kino ka lawa o ka vitamin D.
• Hoʻāʻo kalipuna: Nānā i nā pae kalipuna i loko o ke koko a me ka mimi 24 hola.
• Hoʻāʻo ʻia ka hormone parathyroid (IPTH) piha.
• Hoʻāʻo Creatinine: Hana ʻia kēia hoʻāʻo e nānā i ka hana o nā puʻupaʻa, no ka mea, he mea nui loa ke olakino o nā puʻupaʻa no ke kaulike o ka wikamina D a me ka calcium.

He aha kā kākou e hana ai e mālama i ke olakino o ko kākou mau iwi?

Aia i loko o ko kākou mau lima ka mālama ʻana i ko kākou mau iwi i ka ikaika. Eia kekahi mau mea maʻalahi hiki iā kākou ke hana:

• E ʻai i ka meaʻai momona maikaʻi, ʻoi aku hoʻi i nā meaʻai waiwai i ka calcium a me ka wikamina D (waiū, yogurt, tīhi, iʻa liʻiliʻi, nā mea kanu ʻōmaʻomaʻo).
• E hana i nā hoʻoikaika kino e hāpai ana i ke kaumaha. He mea maikaʻi nā hana e like me ka hele wāwae, ka holo ʻana, a me ke piʻi ʻana i nā alapiʻi no ka hoʻoikaika ʻana i nā iwi.
• E pale loa i ka puhipaka. ʻO ka puhipaka kekahi kumu nui o nā iwi nāwaliwali.
• E lawe i nā mea hoʻopihapiha calcium a me ka wikamina D inā pono, e like me ke kuhikuhi a kāu kauka. Eia nō naʻe, pono e hana ʻia kēia ma hope o ke kūkākūkā ʻana me kāu kauka .
• E hana i nā hoʻokolohua lapaʻau maʻamau. He mea nui loa ia no ka poʻe ma luna o 65 mau makahiki, nā wahine postmenopausal, a me ka poʻe me nā maʻi maʻi ʻē aʻe e ʻike pinepine i kā lākou kauka e nānā i ke olakino o ko lākou iwi.

I kēia manawa hiki iā ʻoe ke ʻike i ke koʻikoʻi o kēia mau hunaola liʻiliʻi ʻelua i ka mālama ʻana i ko kākou mau iwi i ke olakino. Ke hana mau nei lākou i kā lākou hana leo ʻole, e hoʻohou a hoʻoikaika i ko kākou mau iwi. No laila, ʻo ko kākou kuleana ke kōkua iā lākou e hana pono i kā lākou hana.