Ka Maʻi ʻUma a me ka Osteoporosis: Nā Mea e Pono ai ʻoe e ʻIke

Inā ʻoe e hakakā nei me ka maʻi ʻaʻai umauma, ʻike mākou i ke ʻano o ka paʻakikī o ka huakaʻi. Me ka holomua o ka lāʻau lapaʻau hou, aia nā lāʻau lapaʻau kūpono loa no ka maʻi ʻaʻai umauma. ʻO ia ke kumu e piʻi nei ka nui o nā wahine e hoʻōla nei mai ka maʻi ʻaʻai. Akā i loko o kēia kaua, hiki iā ʻoe ke pilikia i kahi pilikia olakino ʻē aʻe āu e ʻike ʻole ai. ʻO ia hoʻi, lilo nā iwi i nāwaliwali, lahilahi, a maʻalahi hoʻi e haki. Kāhea mākou i kēia ma ka lāʻau lapaʻau ʻo 'Osteoporosis'. No ka mea, hele pinepine mai ia me ka ʻole o nā hōʻailona, ​​​​kapa kekahi poʻe iā ia ʻo ka "maʻi leo ʻole". No laila, he mea nui loa ia e aʻo iā ʻoe iho e pili ana i kēia.

He aha ka pilina ma waena o ka maʻi ʻaʻai umauma a me ka lahilahi o ka iwi?

I ka ʻōlelo maʻalahi, aia kahi pilina ikaika ma waena o ka maʻi ʻaʻai umauma a me ka osteoporosis. ʻO kēia ma muli o kekahi mau kumu.

E noʻonoʻo i kēia: ʻO ka maʻi ʻaʻai umauma ka mea maʻamau i nā wahine ma luna o 60 mau makahiki. Piʻi pū ka pilikia o ka nalowale o ka iwi i kēia makahiki. ʻOi loa ma hope o ka menopause, i ka wā e hāʻule ai nā pae estrogen o ke kino. ʻO ka Estrogen kahi hormone e kōkua i ka hoʻoikaika ʻana i ko mākou mau iwi. No laila, i ka wā e emi ai kēia hormone, hoʻomaka mālie ka ikaika o ko mākou mau iwi e emi.

Eia kekahi, ʻo ke kanesa ponoʻī ke kumu o ka mumū i loko o ke kino. Hoʻonui kēia i ka wikiwiki o ka haki ʻana o nā hunaola iwi kahiko a hoʻolohi i ka wikiwiki o ka hoʻokumu ʻia ʻana o nā hunaola iwi hou. ʻO kēia kekahi kumu e nāwaliwali ai nā iwi.

Pehea e hoʻonāwaliwali ai nā lāʻau lapaʻau no ka maʻi kanesa i nā iwi?

ʻAʻole wale ke kumu o ka nalowale ʻana o ka iwi e ka maʻi kanesa. Hiki i kekahi o nā lāʻau lapaʻau i hāʻawi ʻia no ia mea ke hoʻopilikia pololei i kēia. ʻO ka mea nui, hiki i ka lāʻau lapaʻau hormone a me ka chemotherapy ke hoʻemi i ka nui o ka iwi. I ka wā mua, kū mai kahi maʻi i kapa ʻia ʻo osteopenia, a ma hope aku hiki ke holomua i ka osteoporosis.

ʻO ka mea nui loa, ʻo ka pohō o ka iwi i hoʻokumu ʻia e ka mālama ʻana i ka maʻi kanesa hiki ke hana ma kahi o ʻehiku manawa wikiwiki ma mua o ka mea e hana maoli ʻia me ka ʻelemakule.

Ma kahi o ʻelua hapakolu o nā maʻi ʻaʻai umauma he hormone receptor-positive. ʻO ke ʻano kēia, ua hoʻoulu ʻia nā hunaola kanesa e ulu e nā hormones e like me ka estrogen. No laila, hana nā lāʻau lapaʻau no kēia kūlana ma ka hoʻemi ʻana i nā pae o ka estrogen i loko o ke kino, a i ʻole ma ke kāohi ʻana i ka hormone. ʻOiai he mea nui kēia no ka kaohi ʻana i ke kanesa, akā, minamina, ua hao pū ia i ko kākou mau iwi i ka estrogen a lākou e pono ai.

E nānā kākou i ka papa ma lalo nei e ʻike i nā lāʻau lapaʻau nui no ka maʻi kanesa e hiki ke hoʻopilikia i nā iwi.

Nā kumu ʻē aʻe e hoʻonui ai i ka pilikia

ʻOiai ʻoe e mālama ʻia nei i ka maʻi ʻaʻai umauma, ʻoi aku ka nui o kou pilikia o ka lahilahi o ka iwi inā pili pū nā mea aʻe iā ʻoe:

• ʻOiai ma luna o 65 mau makahiki.
• Puhi paka.
• Ka inu nui ʻana i kēlā me kēia lā.
• Ma muli o ka loaʻa ʻana o nā haki mua.
• Ka hoʻohana lōʻihi ʻana i nā lāʻau steroid.
• ʻO ke kaumaha o ke kino ma lalo o 57 kilokani (125 paona).

Pehea e nānā ai i ke olakino o ka iwi?

Hiki i kāu kauka ke nānā i ke olakino o kou iwi ma mua, i ka wā, a ma hope o ka mālama ʻana i ka maʻi kanesa. ʻO ka hoʻāʻo nui i hoʻohana ʻia no kēia he scan DEXA .

He hoʻāʻo maʻalahi loa kēia, ʻaʻohe ʻeha. Ua like ia me kahi X-ray kūikawā. Ana ia i ka nui o ka mineral iwi o kou iwi kuamoʻo a me kou ʻūhā. He manaʻo maikaʻi e hana i kēia scan ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau a mālama iā ia ma ke ʻano he ana kumu. A laila hiki iā ʻoe ke hoʻohālikelike ma hope e ʻike inā ua emi ka nui o kou iwi.

Hāʻawi ʻia ka hopena o kēia hoʻāʻo ma ke ʻano he T-score. Inā he -2.5 a haʻahaʻa paha kēia waiwai, ua manaʻo ʻia he osteoporosis a pono paha ke mālama ʻia.

He aha nā lāʻau lapaʻau e hāʻawi ʻia ai e hoʻoikaika i nā iwi?

Inā haʻahaʻa kou iwi a i ʻole aia ʻoe i ka pilikia no ka haki ʻana o ka iwi, hiki i kāu kauka ke kuhikuhi i nā lāʻau hoʻoikaika iwi. Hoʻohana lākou i kahi mea hana e like me ka mea hana FRAX e helu i kou pilikia.

Nā mea hiki iā ʻoe ke hana iā ʻoe iho e pale i kou mau iwi

Ma waho aʻe o nā lāʻau lapaʻau, hiki i ka hoʻololi ʻana i kou nohona ke kōkua i ka ikaika o kou mau iwi.

• E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D. He mea nui kēia mau meaola ʻelua no nā iwi. Pono ʻoe ma kahi o 1000-1200 milligrams o ka calcium a me 800-1000 international units (IU) o ka wikamina D i kēlā me kēia lā. Loaʻa kēia mau mea i ka waiū a me nā huahana waiū, yogurt, cheese, nā mea kanu ʻōmaʻomaʻo ʻeleʻele (spinach, kale), a me nā iʻa liʻiliʻi (e like me ka sardines). Inā ʻaʻole lawa kāu meaʻai, e noʻonoʻo e lawe i kahi mea hoʻohui ma lalo o ke aʻo ʻana a ke kauka .
• E hana i nā hoʻoikaika kino e hāpai ana i ke kaumaha. ʻO nā mea e like me ka hele wāwae, ke piʻi ʻana i nā alapiʻi, a me ka pāʻani tennis e kau i ke kaomi ma luna o kou mau iwi a hoʻoikaika iā lākou. He mea maikaʻi nō hoʻi ka hāpai ʻana i nā kaumaha a me ka hoʻohana ʻana i nā kāʻei kūʻē.
• E hoʻōki loa i ka puhipaka a me ka waiʻona. Hoʻonāwaliwali kēia mau mea ʻelua i nā iwi. ʻO ka puhipaka, ʻoi aku hoʻi, e hōʻemi ana i ka hiki o ke kino ke omo i ka calcium mai ka meaʻai.

I ka wā a ma hope o kāu mālama ʻana i ka maʻi kanesa, e kamaʻilio mau i kou olakino iwi me kāu kauka. Mai makaʻu e nīnau e pili ana i kekahi mau hopohopo a nīnau paha āu e loaʻa ai.