Ke manaʻo nei ʻoe i kekahi manawa i nā ʻeha a me nā ʻāʻī i loko o kou kino? ʻOi loa aku hoʻi ma kou mau pūhaka, nā ʻūhā, a me nā wāwae? Ke manaʻo nei ʻoe ua luhi ʻoe ma hope o ka hana ʻana i nā hana liʻiliʻi, a i ʻole he paʻakikī iā ʻoe ke hele? ʻOiai paha ʻoe e manaʻo he luhi maʻamau kēia mau mea, he hōʻailona paha ia o kahi pilikia me kou mau iwi. I kēia lā ke kamaʻilio nei mākou e pili ana i ia ʻano maʻi, ʻo 'Osteomalacia,' ka mea maʻamau e pili ana i nā pākeke.
I ka ʻōlelo maʻalahi, he aha ka osteomalacia?
ʻO ka Osteomalacia kahi ʻano e palupalu a nāwaliwali ai kou mau iwi. ʻOi aku ka maʻalahi o ka haki ʻana. E like me kahi ʻāpana lāʻau i mālama pono ʻia no ka manawa lōʻihi e lilo i ʻelemakule a palupalu a haki me ka liʻiliʻi o ke kaomi, e nalowale ana ko kākou mau iwi i ko lākou ikaika.
ʻO ke kumu nui o kēia, ʻo ia ka nele o ka Vitamin D. He mea nui ka Vitamin D no ko kākou kino e omo i nā minelala i kapa ʻia ʻo Calcium a me 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, ke nele kākou i ka Vitamin D, ʻaʻole lawa ka ikaika o ko kākou mau iwi. ʻO kēia ke kumu o ke kūlana o ka osteomalacia.
Kāhea mākou i kēia maʻi ʻo 'Rickets', kahi e loaʻa ai i nā keiki ʻōpio ke nele lākou i ka wikamina D. ʻO Osteomalacia ke ʻano makua o kēia maʻi.
I ka wā mua, ʻaʻole paha ʻoe e ʻike he mea nui ia. Akā i ka hala ʻana o ka manawa, e hoʻomaka paha ʻoe e ʻeha i kou mau iwi, ʻoi aku hoʻi ma kou kino haʻahaʻa. I ka hopena, e ʻeha paha kou kino holoʻokoʻa. ʻOiai ke hana ʻana i nā hana maʻamau hiki ke ʻeha. Akā e hoʻomanaʻo, ʻaʻole pono ʻoe e noho me kēia ʻeha. Hiki iā ʻoe ke ʻike i kāu kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.
He aha nā hōʻailona o ka osteomalacia?
ʻO ka hōʻailona nui a maʻamau o kēia ʻano, ʻo ia ka ʻeha o ka iwi. ʻIke pinepine ʻia kēia ʻeha ma nā pūhaka, pelvis, a me nā wāwae. Ma waho aʻe o kēlā, aia paha kekahi mau hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Haʻihaʻi maʻalahi nā iwi | Ma muli o ka nāwaliwali o nā iwi, hiki iā lākou ke haki (haʻihaʻi) ʻoiai me kahi hāʻule iki a ulia paha. |
| ʻEha ʻiʻo, paʻakikī, a me ka nāwaliwali | Hiki i nā ʻiʻo ke ʻeha a paʻa, ʻoiai ma hope o ke komo ʻana i kekahi mau hana. |
| Paʻakikī ka hele wāwae | Hiki ke loli ke ʻano o kou hele ʻana, e paʻakikī ai ka hele ʻana. Hoʻomaka kekahi poʻe e hele me ka hele wāwae ʻana, e like me ka ʻiole. |
| ʻŪmiʻi a ʻūmiʻi paha nā ʻiʻo | ʻO nā ʻiʻo, ʻoiai ma nā lima a me nā wāwae, e like paha me ka ʻoni mau ʻana. |
| Paresthesia (nā kui a me nā nila) | Hiki paha iā ʻoe ke manaʻo i kahi manaʻo ʻē ma kou mau lima a me kou mau wāwae, e like me ke kani ʻana a i ʻole nā pine a me nā nila. |
| Huki pinepine a hāʻule | Ma muli o ka nāwaliwali o nā ʻiʻo, emi iho ke kaulike o ke kino a hāʻule pinepine nā kānaka. |
No ke aha e ulu ai ka osteomalacia? He aha nā kumu pilikia?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui ka nele o ka wikamina D. Hiki ke hana ʻia kēia e nā kumu he nui.
1. ʻAʻole lawa ka lā
Ke hōʻike ʻia ko mākou ʻili i ka lā, hiki iā ia ke hana maoli i ka wikamina D. Akā no kekahi mau kumu, ʻaʻole hana pono kēia.
- Noho ma kahi ʻāina me ka emi ʻana o ka lā: ʻOiai ʻaʻole nui kēia pilikia ma Sri Lanka, ʻaʻole lawa ka lā o ka poʻe e noho ana ma nā wahi anu.
- Hana i loko o ka hale i ka lā a pau: Inā ʻoe kekahi e noho ana i loko o ka hale i ka lā a pau, ma ke keʻena a ma ka home paha, ʻaʻole paha ʻoe e loaʻa i ka lawa o ka lā.
- Ke komo ʻana i nā lole e uhi piha ana i ka ʻili: ʻO ka poʻe e komo ana i nā lole e uhi piha ana i ka ʻili no nā kumu hoʻomana a i ʻole nā kumu ʻē aʻe hiki ke hoʻomohala i ka nele o ka vitamin D.
- Ka ʻeleʻele ʻana o ka ʻili: Ke nui loa ka melanin, ka pigment e hoʻopōʻeleʻele ai i ka ʻili, ua emi iki ka hiki ke hana i ka huaora D mai ka lā.
2. ʻAʻole lawa ka nui o ka wikamina D mai ka meaʻai
- Ke pale ʻana i ka waiū a me nā huahana waiū:Hiki paha i kekahi poʻe ke maʻi a i ʻole makemake ʻole i ka waiū.
- Ma hope o kahi ʻai vegan piha: ʻO ka ʻai ʻole ʻana i nā meaʻai waiwai i ka wikamina D, e like me ka iʻa, ka ʻiʻo, a me nā hua manu, hiki ke alakaʻi i ka hemahema.
- Nā maʻi o ka ʻōnaehana hoʻoheheʻe: Nā kūlana Malabsorption, e like me ka maʻi a Crohn a i ʻole ka maʻi Celiac.
- ʻO nā ʻoki pohō kaumaha: Ma hope o nā ʻoki e like me ke ʻoki bypass gastric, emi iho ka omo ʻana o ka meaʻai.
3. Nā kumu pilikia ʻē aʻe
- Nā maʻi puʻupaʻa a i ʻole ke akepaʻa.
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā maʻi e like me ka epilepsy (nā lāʻau lapaʻau Antiseizure).
- ʻOiai ma luna o 65 mau makahiki.
- ʻOiai he makuahine hāpai a hānai waiū paha.
- Ka momona.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona āu i ʻōlelo ai ma luna, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino, ka mōʻaukala olakino ʻohana, kāu ʻai, a me kāu mau hana. A laila e hana ʻo ia i kahi hoʻokolokolo kino.
Pono e hana ʻia kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
| Hoʻāʻo | He aha kāu e nānā nei? |
|---|---|
| Nā hoʻāʻo koko | Nānā ʻia nā pae o ka wikamina D, ka calcium, a me ka phosphorus. ʻO ke kumu nui o ka Osteomalacia ʻo ia ka haʻahaʻa o nā pae wikamina D. Eia kekahi, nānā ʻia nā mea e like me ka creatinine, alkaline phosphatase, a me ka parathyroid hormone. |
| Nā kukuna X | Hiki ke nānā ʻia nā mea e like me ka nāwaliwali o ka iwi a me nā haki liʻiliʻi. |
| Nānā i ka Density Mineral Bone | Ke ana lākou i ka mānoanoa o kou mau iwi. |
| Biopsy iwi | ʻAʻole kēia he mea i hana mau ʻia. Inā he kānalua no ka maʻi, lawe ʻia kahi ʻāpana iwi liʻiliʻi a nānā ʻia e hōʻoia inā ua palupalu ka iwi. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano nui o ka lāʻau lapaʻau no kēia, ʻo ia ka hāʻawi ʻana i nā mea hoʻopihapiha i loaʻa ka wikamina D, ka calcium, a me ka phosphorus. Akā, ʻaʻole maikaʻi ke lawe ʻana i kēia mau mea e like me kou makemake. E nānā kāu kauka i kāu mau hopena hoʻāʻo koko a e ʻōlelo aku i ka nui kūpono āu e pono ai. He mea nui loa ia e lawe i kēlā nui e like me ia.
Inā pilikia ʻoe i ka omo ʻana i ka meaʻai, a i ʻole ua hana ʻia ke ʻoki pohō kaumaha, pono paha ʻoe e lawe i kahi mahele kiʻekiʻe aʻe ma mua o ke kanaka maʻamau.
Ma hope o ka hoʻomaka ʻana i kēia mau mea hoʻohui, hiki ke hala i kekahi mau mahina e emi ai nā hōʻailona. Hiki ke hala a hiki i ʻeono mahina e ikaika hou ai nā iwi. No laila, e hoʻomanawanui a lawe i ka lāʻau lapaʻau. Ma muli o ke kūlana, pono paha ʻoe e lawe i ka wikamina D no ka manawa lōʻihi. Inā ʻoe e hoʻōki i ka lawe ʻana i ka mea hoʻohui, hiki ke hoʻi hou mai ka maʻi.
Nā lāʻau lapaʻau ʻē aʻe:
- E kiʻi i ka lawa ʻana o ka lā: E nīnau i kāu kauka e pili ana i ka manawa kūpono a me ka nui o ka lā nou.
- ʻAi ʻana i nā meaʻai waiwai i ka wikamina D a me ka calcium.
- Ke komo ʻana i nā pale lima: Inā he mau kīnā o ka iwi, hiki ke hoʻohana ʻia kēia mau mea e hōʻemi a pale aku iā lākou.
- ʻOki kino: I nā hihia koʻikoʻi loa, pono paha ke ʻoki kino e hoʻoponopono i nā kīnā o ka iwi.
He aha kā mākou e hana ai e pale aku i kēia kūlana?
ʻAe, i ka hapanui o nā hihia hiki iā mākou ke pale aku i kēia kūlana. ʻElua mau mea nui e pono ai mākou e hana.
1. Ka lawa ʻana o ka lā.
2. Ka loaʻa ʻana o ka lawa ʻana o ka wikamina D a me ka calcium mai ka meaʻai.
ʻO ka maʻamau, pono ke kanaka me ka ʻili keʻokeʻo e noho i ka lā no 10-15 mau minuke ʻelua a ʻekolu paha manawa o ka pule. Pono ka poʻe me ka ʻili ʻeleʻele e noho i ka lā no kekahi manawa lōʻihi. ʻAʻole kēia he lā e hele mai ana mai nā puka makani, akā , he lā e pā pololei ana i ka ʻili . Akā, mai noho i ka lā no nā hola me ka ʻole o nā aniani lā a i ʻole ka pale lā. Hoʻonui kēlā i ka pilikia o ka maʻi ʻaʻai ʻili. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i ka lōʻihi o kou noho ʻana i ka lā.
Nā meaʻai i waiwai i ka wikamina D:
- ʻO ka iʻa ʻaila e like me ka salmon, tuna, mackerel, a me nā sardines
- ʻIʻo ʻulaʻula
- ʻAke pipi
- Hua moa
- Nā ʻūlū
- ʻAila akepaʻa cod
- Nā meaʻai me ka wikamina D i hoʻohui ʻia (i hoʻoikaika ʻia) e like me ka waiū, ka yogurt, a me ka tīhi
Inā manaʻo kāu kauka ʻaʻole ʻoe e loaʻa ana i ka nui o ka wikamina D mai ka lā a me ka meaʻai, e paipai ʻo ia i kahi mea hoʻohui.
Leka Lawe-Home
- ʻO ka Osteomalacia kahi kūlana e palupalu a nāwaliwali ai nā iwi o ka poʻe mākua, ʻo ia hoʻi ma muli o ka nele o ka wikamina D.
- ʻO ka hōʻailona nui ka ʻeha ma nā iwi, ʻoiai nā pūhaka a me nā wāwae. ʻO ka nāwaliwali o nā ʻiʻo a me ka haki maʻalahi o ka iwi he mau hōʻailona nō hoʻi.
- ʻO nā ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka loaʻa ʻana o ka lā kūpono a me ka ʻai ʻana i nā meaʻai waiwai i ka wikamina D.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka .
- Hiki ke ho'ōla loa ʻia kēia maʻi ma ka lawe ʻana i ka wikamina D a me nā mea hoʻohui kalipuna ma lalo o ke aʻo lapaʻau kūpono. No laila, mai makaʻu.











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