ʻAʻole mākou e noʻonoʻo nui e pili ana i nā iwi i loko o ko mākou kino i ko mākou ola o kēlā me kēia lā, ʻeā? Akā e noʻonoʻo e pili ana i ia mea, ua ʻike mākou i nā hihia kahi e paheʻe ai kahi ʻelemakule a hāʻule i ka home a haki ka lima a i ʻole ka wāwae. Akā i ka manawa like, inā hāʻule kahi ʻōpio, hiki iā lākou ke pakele me kahi ʻōpala liʻiliʻi. No ke aha kēia ʻokoʻa? ʻO kekahi kumu o kēia paha ke ʻano a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo osteopenia. He maʻi leo ʻole kēia e hoʻonāwaliwali mālie i nā iwi.
I ka ʻōlelo maʻalahi, he aha ka osteopenia?
ʻO ka Osteopenia ka emi ʻana o ka nui o kou mau iwi. E noʻonoʻo i ko kākou mau iwi e like me ka pā pōhaku i kūkulu maikaʻi ʻia. I ka hala ʻana o ka manawa, e hemo ana kekahi o nā pōhaku i loko o kēia pā, e hoʻonāwaliwali iki ai i ka pā. Pēlā nō ia me kēia ʻano. E emi ana ka nui o nā minelala e pono ai i loko o nā iwi, a e emi ana ko lākou ikaika.
ʻAʻole kēia he maʻi, akā he hōʻailona koʻikoʻi loa ia. ʻO ia hoʻi, ua nāwaliwali kou mau iwi ma mua o ka maʻamau, a no laila aia kahi pilikia o ka haki ʻana i ka wā e hiki mai ana.
He aha ka ʻokoʻa ma waena o ka Osteopenia a me ka Osteoporosis?
Ua like loa kēia mau inoa ʻelua, no laila ua huikau ka poʻe he nui. E hoʻomaopopo kākou i kēia penei.
- Osteopenia: ʻO kēia ka ʻōlelo aʻo mua. Ua like ia me ke kukui melemele ma ke kukui kaʻa. ʻŌlelo ia, "E akahele, ke nāwaliwali nei kou mau iwi." Inā hana pono kākou i kēia manawa, hiki iā kākou ke pale aku i ke kūlana weliweli e hiki mai ana.
- Osteoporosis: ʻO kēia ka hihia koʻikoʻi loa. Ua like ia me ke kukui ʻulaʻula ma ke kukui kaʻa. Maanei, ua nāwaliwali loa nā iwi, a ʻo ka hāʻule iki ʻana paha, a i ʻole ka ʻū ʻana paʻakikī, hiki ke kumu i ka haki ʻana o ka iwi.
I ka ʻōlelo maʻalahi, ʻo ka osteopenia ka hana mua ma ke ala i ka osteoporosis, no laila he mea nui e hana i ka wā e ʻike ai ʻoe.
He aha nā hōʻailona o kēia maʻi?
Eia ka mea nui. ʻAʻohe hōʻailona o ka Osteopenia. ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha. ʻO ia wale nō ke nāwaliwali mālie nei nā iwi mai loko mai. ʻO ia ke kumu i kapa ai nā kauka he "maʻi leo ʻole."
I ka manawa pinepine, ʻike ke kanaka e pili ana i kēia kūlana ma o kahi X-ray no kekahi kumu ʻē aʻe, a i ʻole ma hope o kahi hāʻule iki a me ka iwi haki. No laila, ʻaʻohe kumu e kali ai a ʻike ʻia nā hōʻailona.
No ke aha mākou e loaʻa ai i ka osteopenia? He aha nā kumu pilikia?
ʻOiaʻiʻo, ʻo ka ʻelemakule ke kumu nui. ʻO ko kākou mau iwi ka mea ikaika loa ma kahi o 25-30 mau makahiki. Ma hope o kēlā, ʻoi aku ka wikiwiki o ka hoʻokumu kūlohelohe ʻia ʻana o nā iwi hou ma mua o ka wikiwiki o ko lākou wāwahi ʻia ʻana. He ʻokoʻa kēia no kēlā me kēia kanaka. Akā no kekahi poʻe, hiki ke hoʻolalelale ʻia kēia kaʻina hana.
Aia kekahi mau kumu e hoʻonui ai i kēia pilikia.
| Kumu pilikia | Wehewehena |
|---|---|
| Makahiki | ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 50. |
| Kāne/Wahine | ʻO nā wahine, ʻoi aku hoʻi ma hope o ka menopause, ʻehā manawa ka nui o ka loaʻa ʻana o ka maʻi ma mua o nā kāne. |
| Puhi paka a me ka waiʻona | ʻO ka poʻe e puhipaka ana a inu nui ana i kēlā me kēia lā, hiki ke nāwaliwali koke ko lākou mau iwi. |
| Moʻolelo ʻohana | Inā loaʻa kekahi o kou ʻohana i ka osteoporosis, hiki paha iā ʻoe ke pilikia. |
Ke hoʻopilikia nei kekahi mau kūlana olakino a me nā lāʻau lapaʻau i kēia?
ʻAe, ʻoiaʻiʻo nō. Hiki i kekahi mau kūlana olakino a me nā lāʻau lapaʻau lōʻihi ke hoʻemi i ka ikaika o ka iwi.
| Nā mea e hiki ke hoʻopilikia | Nā Laʻana |
|---|---|
| Nā kūlana olakino | |
| Nā pilikia hormonal | ʻO ka Hyperthyroidism, ka maʻi Cushing |
| Nā maʻi ʻē aʻe | Maʻi kō, Maʻi puʻupaʻa mau (CKD), ʻAʻai rumatika |
| Nā hemahema meaʻai | Ka nele o ka calcium a i ʻole ka wikamina D, ka ʻai pono ʻole, nā maʻi ʻai. |
| Nā ʻano lāʻau lapaʻau | |
| Nā ʻano steroid | ʻO ka lawe ʻana i nā lāʻau lapaʻau e like me corticosteroids no ka manawa lōʻihi. |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO kekahi mau ʻano mea hoʻopale pamu proton (PPI) no ka gastritis, nā lāʻau lapaʻau no nā hopu ʻana, a me nā lāʻau lapaʻau hormone no ka maʻi ʻaʻai. |
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi?
ʻO ke ala maikaʻi loa a pololei hoʻi e ʻike ai, ʻo ia ka hana ʻana i kahi "Bone Density Test", i ʻike ʻia hoʻi he DEXA scan.
He hoʻāʻo maʻalahi loa kēia, ʻaʻohe ʻeha. Ua like ia me ka lawe ʻana i kahi X-ray. Ana ia i ka mānoanoa o kou mau iwi, ʻoiai kou iwi kuamoʻo a me kou mau pūhaka. Hiki i nā hopena ke haʻi pololei i kāu kauka inā olakino kou mau iwi, he osteopenia, a he osteoporosis paha.
ʻO ka maʻamau, ʻōlelo nā kauka i kēia hoʻāʻo no nā wahine ma luna o 50 a me nā kāne ma luna o 70. Eia kekahi, inā loaʻa iā ʻoe nā kumu pilikia i ʻōlelo ʻia ma mua, e ʻōlelo paha kāu kauka i kēia hoʻāʻo ma mua.
Pehea e mālama ʻia ai ka osteopenia?
ʻO ka nūhou maikaʻi, ʻaʻole pono ka lāʻau lapaʻau i nā kānaka a pau me ka osteopenia. ʻO kā mākou pahuhopu nui ka hoʻōki ʻana i ka nāwaliwali hou ʻana o nā iwi a pale i ka osteoporosis. ʻO ke kumu nui o kēia ma muli o nā loli i ko mākou nohona.
1. Hoʻoikaika kino
ʻO ka hoʻoikaika kino ke ala maikaʻi loa e hoʻoikaika ai i kou mau iwi. He mea nui loa nā hoʻoikaika kino e hāpai ana i ke kaumaha . ʻO ia hoʻi ka hele wāwae, ka holo wikiwiki ʻana, a me ke piʻi ʻana i nā alapiʻi. Hiki i nā hoʻoikaika kino e like me ka yoga a me Tai Chi ke kōkua i ka hoʻomaikaʻi ʻana i kou kaulike. Hiki i kēia ke kōkua i ka pale ʻana i ka hāʻule ʻana. E nīnau i kāu kauka a i ʻole physiotherapist e pili ana i nā hoʻoikaika kino kūpono iā ʻoe.
2. ʻAi a me ka meaʻai
ʻElua mea e pono ai no nā iwi, ʻo ia ka calcium a me ka wikamina D.
- Kalipuna: ʻO ka waiū, ka yogurt, ka tīhi, nā iʻa liʻiliʻi (e like me nā sprats) i ʻai ʻia me ko lākou mau pūpū, a me nā mea kanu ʻōmaʻomaʻo (spinach, kale) he waiwai nui i ka kalipuna.
- Wikamina D: Kōkua kēia i ko mākou kino e omo i ka calcium. ʻO ka lā ke kumu maikaʻi loa o ka wikamina D. He mea maikaʻi loa ke kau ʻia i ka lā no 15-20 mau minuke i kēlā me kēia kakahiaka.
Inā ʻaʻole lawa kēia mau mea mai kāu meaʻai, na kāu kauka e hoʻoholo inā pono ʻoe e lawe i nā mea hoʻohui. Mai hoʻohana i kēia mau mea hoʻohui me ka ʻole o ke kūkākūkā ʻana me ke kauka.
3. Ke noho mamao aku mai nā ʻano maikaʻi ʻole
- Inā ʻoe e puhipaka, e hoʻōki koke. Hoʻopōʻino ka puhipaka i nā pūnaewele e hana ana i nā iwi.
- E pale i ka inu nui ʻana i ka waiʻona.
Nā nīnau e nīnau aku ai i kāu kauka
Inā ʻike ʻoe he osteopenia kou, e kamaʻilio me kāu kauka e pili ana i kēia mau mea.
- ʻEhia pinepine e pono ai iaʻu ke hana i kahi hoʻāʻo paʻa o ka iwi?
- He aha nā kumu pilikia ʻē aʻe i loaʻa iaʻu?
- He aha nā lāʻau lapaʻau maikaʻi loa iaʻu?
- He aha nā hoʻomaʻamaʻa kino maikaʻi no ke olakino o koʻu mau iwi?
- Pono anei iaʻu e lawe i nā mea hoʻohui calcium a me ka wikamina D?
E hoʻomanaʻo, ua like ka osteopenia me kahi manawa lua i ke ola. ʻO ia hoʻi, ua hiki i ka manawa e mālama pono ai i kou mau iwi. Me ka ʻike mua ʻana a me ke ʻano olakino, hiki iā ʻoe ke pale i ka osteoporosis a ola i ke ola olakino me nā iwi ikaika.
Leka Lawe-Home
- ʻO ka Osteopenia ka emi ʻana o ka nui o ka iwi. He hōʻailona ia e hōʻike ana ma mua o ka osteoporosis.
- ʻOiai ʻaʻohe hōʻailona, he mea nui e hana i kahi hoʻāʻo paʻa o ka iwi ma ke ʻōlelo aʻoaʻo a ke kauka inā he mau kumu pilikia kou (ʻoi aku hoʻi nā wahine ma luna o 50).
- ʻAʻole ka pahuhopu nui o ka lāʻau lapaʻau ke kuhikuhi ʻana i nā lāʻau lapaʻau, akā, e hoʻololi i ke ʻano o ka nohona. He mea nui loa ka hoʻoikaika kino kūpono, ka ʻai waiwai i ka calcium a me ka wikamina D, a me ka pale ʻana i ka puhipaka/waiʻona.
- Hiki ke kāohi ʻia kēia kūlana. ʻO ka lawe ʻana i nā hana kūpono e hiki ke pale i ka nāwaliwali hou ʻana o nā iwi a hōʻemi i ka pilikia o ka haki ʻana.
- Inā he mau hopohopo kou e pili ana i ke olakino o kou iwi, e kamaʻilio ākea me kāu kauka.
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