Yu bon dɛn wik ɛn i izi fɔ brok? (Osteomalacia) Lɛ wi tɔk bɔt am tide!

Sɔntɛnde, yu kin fil pen na yu bon dɛn? Ɔ yu kin fil lɛk se yu bon dɛn go brok ivin if yu muv smɔl? Di rizin fɔ dis kin bi sɔntin we yu nɔ de ɛkspɛkt. Tide wi go tɔk bɔt Osteomalacia, we na wan sik we kɔmɔn bɔt nɔ kin rili kɔmɔn pan big pipul dɛn. Wetin kin apin pan dis na we wi bon dɛn kin saf ɛn wik smɔl smɔl.

So wetin na ɔstiomalasia?

Fɔ tɔk am simpul wan, ɔsteomalacia na wan sik we yu bon dɛn kin sof, nɔ kin gɛt trɛnk igen, ɛn i kin izi fɔ brok. Tink bɔt bon dɛn we bin tan lɛk kle we dɔn dray, we kin sof lɛk kle we dɛn dɔn sok insay wata.

Di men rizin fɔ dis na we pɔsin nɔ gɛt bɛtɛ vaytamɛn D . Vitamin D impɔtant fɔ mek wi bɔdi tek di minral dɛn we dɛn kɔl kalsiɔm ɛn fɔsfɔr. dis kalsiכm εn fכsfכr na in de gi wi bon dεm trεnk εn tranga. So, we vaytam in D nɔ de, di bon dɛn nɔ de gɛt dɛn minral dɛn ya fayn fayn wan. Dɔn dɛn nɔ kin tik ɛn dɛn kin wik. Dis kin fiba smɔl lɛk di sik we dɛn kɔl rikɛt we kin apin to yɔŋ pikin dɛn we nɔ gɛt bɛtɛ vaytamɛn D. Fɔs, yu nɔ go no se yu gɛt ɔsteomalacia. Bɔt as tɛm de go, yu kin bigin fɔ fil pen na yu bon dɛn. εspεshali na di lכw pat na di bכdi, dat na di hip εria εn di tכŋ dεm. Smɔl smɔl, dis pen kin go ɔlsay na di bɔdi. Sɔntɛnde, ivin smɔl muvmɛnt kin mek pɔsin fil pen. Bɔt mɛmba se yu nɔ nid fɔ liv wit dis pen . Yu kin go to dɔktɔ fɔ no di tin we mek i apin ɛn gɛt tritmɛnt.

Wetin na di sayn dɛm fɔ ɔsteomalacia?

Di men sayn fɔ dis sik na pen na yu bon . Dis pen kin de mɔs fil na yu hip, bɔt, ɛn leg. Apat frɔm dat, ɔda sayn dɛn kin bi:

• Bɔn dɛn kin brok izi wan . Sɔntɛnde, ivin if pɔsin fɔdɔm smɔl ɔ i bɔmp, i kin brok in bon.
• Mɔsul dɛn kin pen, dɛn kin stif, ɛn dɛn kin wik. Dis kin notis mɔ afta yu dɔn fɔ wok ɔ du ɛksɛsayz.
• I nɔ izi fɔ waka, ɔ chenj na di we aw yu de waka (gait) . Sɔntɛnde, yu kin fil lɛk se yu nɔ de balans we yu de waka.
• Mɔsul dɛn kin spam ɔ kramp . Dɛn tin ya kin apin mɔ na di an ɛn fut.
• Wan tin we de mek yu fil lɛk se yu de ting ɔ yu de prik na di an ɛn fut dɛn. Dɛn kɔl dis paresthesia insay mɛrɛsin.
• Fɔ fɔdɔm bɔku tɛm pas aw i bin de fɔdɔm.

Wetin na di men rizin fɔ dis?

di men tin we de afekt di divεlכpmεnt fכ כsteomalacia na we i nכ gεt vaytam in D . Bɔku tɛm dis kin apin bikɔs yu nɔ gɛt bɛtɛ san . Dɔn bak, fɔ nɔ gɛt inof vaytamɛn D frɔm di it dɛn we wi de it na rizin fɔ dis. Mɛmba se vaytamɛn D impɔtant fɔ mek di bɔdi gɛt kalsiɔm ɛn fɔ mek di bon dɛn kɔntinyu fɔ gɛt wɛlbɔdi. Ɔda tin dɛn de we kin afɛkt dis:

• sכm dijestiv sistεm kכndishכn dεm kin mek di it nכ de abzכp fayn fayn wan (malabsorption) . Fɔ ɛgzampul, if yu gɛt sik we de ridyus di absɔpshɔn na di intestinal.
• Kidni we nɔ de wok fayn .
• Liva sik.
• Yuz sɔm mɛrɛsin dɛn we de mek yu nɔ gɛt sik fɔ lɔng tɛm .
• Sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks we nɔ kin apin so ɔltɛm .

Udat de pan big risk fɔ gɛt ɔstiomalasia?

We wi de na di san, wi skin kin mek wi skin gɛt vaytamɛn D. Bɔt if dɛn kayn tin ya apin, yu skin nɔ go ebul fɔ mek inof vaytamɛn D:

• If yu de na say usay kol ɛn san de shayn .
• If yu wok insay os ɔl di de.
• If yu wɛr klos we de kɔba bɔku pan yu bɔdi.
• If yu gɛt dak skin pigmɛnt (dak skin nid fɔ gɛt mɔ san fɔ mek yu gɛt vaytamɛn D).

Dɔn bak, yu nɔ go de gɛt inof vaytamɛn D frɔm di it dɛn we yu de it fɔ rizin dɛn lɛk:

• If yu nɔ it ɛni milk ɔ milk prodakt .
• If yu fala wan kɔmplit vegetarian ɔ vegan it (bɔt dis nɔto prɔblɛm if yu plan am fayn).
• If yu gɛt wan sik we de mek yu bɔdi nɔ de tek it fayn fayn wan (malabsorption), lɛk Crohn’s disease ɔ Celiac disease.
• If yu jɔs dɔn du bariatric ɔpreshɔn , fɔ ɛgzampul, gastric bypass ɔpreshɔn.

Apat frɔm dɛn pipul ya, ɔda grup dɛn kin gɛt mɔ risk fɔ gɛt ɔstiomalasia:

• Fɔ pipul dɛn we fat pasmak .
• EjFɔ di wan dɛn we dɔn pas 65 ia.
• Fɔ mama dɛn we gɛt bɛlɛ ɔ we de gi pikin dɛn bɛlɛ .

Aw yu kin no di kɔrɛkt we aw yu gɛt ɔsteomalacia?

We yu go to dɔktɔ, i go fɔs chɛk yu bɔdi . Dɔn, i go aks bɔt yu famili mɛdikal istri ɛn yu yon wɛlbɔdi. I go aks bak bɔt aw yu de it ɛn aw yu de du ɛksɛsayz. Neks, dɛn go ɔda fɔ mek dɛn tɛst yu blɔd fɔ chɛk if yu blɔd gɛt vaytamɛn D, kalsiɔm, ɛn fɔsfɔr . If yu gɛt ɔsteomalacia, di smɔl vaytamɛn D lɛvɛl na di men sayn . Bɔt if yu nɔ gɛt bɔku kalsiɔm ɔ fɔsfɔr, dat kin bi sayn bak fɔ di sik. Fɔ kɔnfirm di diagnosis, yu dɔktɔ kin chɛk bak di lɛvɛl dɛm fɔ:

• Kriatinin we dɛn kɔl
• Ilɛktrolayt dɛn
• Alkaline fosfataz we yu kin yuz
• Paratayroyd ɔmon `(Paratayroyd ɔmon)`

Ɔda tɛst dɛn we yu kin du na:

• Wan 24 awa urine test fɔ chɛk ɔmɔs kalsiɔm de na yu urine.
• X-ray fɔ chɛk fɔ si if di bon dɛn wik ɔ if dɛn brok.
• bon minral density scan na test we de mכsu di density fכ yu bon dεm εn mכnitor fכ bon dεm we de lכs.
• Bɔn bayɔpsi na we dɛn kin tek wan smɔl bon ɛn chɛk am fɔ si if di bon dɔn rili sof.

Wetin na di tritmɛnt fɔ ɔsteomalacia?

Dɛn kin trit ɔstiɔmalasia wit vaytamɛn D, kalsiɔm, ɛn/ɔ fɔsfɔr sɔpɔtmɛnt . Yu dɔktɔ go disayd ɔmɔs pan dɛn tin ya yu nid. If yu gɛt malabsorption ishu ɔ yu jɔs dɔn gɛt bariatric ɔpreshɔn, yu kin nid fɔ tek ay dos fɔ vaytamɛn D ɛn kalsiɔm. Pan ɔl we dɛn supamakit ya kin ɛp fɔ yu ɔstiɔmalasia, i kin tek sɔm mɔnt fɔ mek yu sik dɛn bɛtɛ.. Dipen pan aw yu sik bad, yu kin nid fɔ tek vaytamɛn D fɔ lɔng tɛm. If yu stɔp, ɔsteomalacia kin kam bak. Pipul wae gɛt dis sik lɛk liva sik ɔr kidni wae nɔr de woke fayn kin nid ɔda tritmɛnt ɛn sɔpɔt. Yu dɔktɔ go de chɛk yu blɔd lɛvɛl ɔltɛm. Dɛn kin gi yu spɛshal kayn vaytamɛn D bak.Apat frɔm dɛn tin ya, yu kin du dɛn tin ya bak fɔ ridyus ɔ kɔrɛkt di sayn dɛm we de sho se yu gɛt ɔstiɔmalasia:

• Naf fɔ de na di san .
• Yu fɔ it mɔ it dɛn we gɛt vaytamɛn D ɛn kalsiɔm.
• We yu wɛr bres fɔ ridyus ɔ mek yu nɔ gɛt di bon dɛn we nɔ fayn.
• If i rili siriɔs, dɛn kin nid fɔ du ɔpreshɔn fɔ kɔrɛkt di bon dɛn we nɔ fayn.

Wi kin mek di sik we dɛn kɔl osteomalacia nɔ kam?

Yɛs, bɔku pan wi kin ebul fɔ mek dis nɔ apin. Tu men tin dɛn de we wi nid fɔ du:

• Fɔ gɛt inof san layt fɔ di bɔdi .
• Fɔ gɛt inof vaytamɛn D ɛn kalsiɔm frɔm di it dɛn we wi de it.

Dipen pan usay yu de ɛn di tɛm insay di ia, yu kin ebul fɔ gɛt inof vaytamɛn D frɔm di san layt nɔmɔ. Jɛnɛral wan, pɔsin we gɛt fayn skin fɔ de na di san fɔ 10 to 15 minit tu to tri dez insay di wik. Pipul dɛn we gɛt dak skin kin nid fɔ de na di san fɔ lɔng tɛm smɔl. Bɔt dis fɔ bi dairekt san layt . Nɔto di san layt we de kam tru winda ɔ di san we de fɔdɔm pan klos nɔ go ebul fɔ mek yu gɛt inof vaytamɛn D. Bɔt i nɔ fayn fɔ de na di san fɔ lɔng tɛm if yu nɔ gɛt tin fɔ protɛkt yu frɔm di san . Bikɔs if yu de na di san tumɔs i kin mek yu gɛt kansa na yu skin . So, i go fayn fɔ aks yu dɔktɔ aw lɔng yu fɔ de na di san. Yu nɔ go gɛt ɔl di vaytamɛn D we yu nid frɔm it nɔmɔ. Bɔt i kin ɛp. Sɔm it dɛn de we kin gɛt vaytamɛn D. Fɔ ɛgzampul:

• Fish we gɛt ɔyl: lɛk tuna, salmɔn, sadin, makrɛl.
• Renbo trawt fish.
• Rɛd mit.
• Bif liva.
• Mushroom dɛn we dɛn kɔl.
• Eg yolks.
• Kɔd liva ɔyl.

Sɔm ɔda it dɛn gɛt vaytamɛn D we dɛn ad atifishal wan (fɔtified it dɛn). Tɔk to yu dɔktɔ bɔt us sɔs we go fayn fɔ yu. Bɔt difrɛn it dɛn gɛt gud ɛn bad tin dɛn, so yu nid fɔ tink bɔt dat. If yu stil nɔ tink se yu de gɛt inof vaytamɛn D frɔm di san ɛn it, yu dɔktɔ go tɛl yu fɔ tek wan sɔpɔtmɛnt.

Wetin na de luk fɔ pɔrsin wae gɛt ɔstiɔmalasia fɔ wɛl?

If dɛn kech dis sik kwik ɛn trit am fayn (lɛk wit sɔpɔtmɛnt) , bɔku pipul dɛn go bigin fɔ wɛl insay sɔm wiks. Bɔt i kin tek siks mɔnt fɔ mek yu bon dɛn wɛl ɛn strɔng bak .

Aw a kin kia fɔ mi bon dɛn?

As wi de ol, i kin impɔtant mɔ fɔ kia fɔ wi bon dɛn. Na sɔm tin dɛn we yu kin du fɔ ɛp fɔ mek yu bon dɛn gɛt wɛlbɔdi:

• It bɔku it dɛn we gɛt vaytamɛn D ɛn kalsiɔm.
• Gɛt inof san layt .
• Mek yu gɛt wɛlbɔdi bɔdi wet we fit yu.
• Ɛnjɔy fɔ du bɔku tin dɛn ɔltɛm .
• Nɔ smok .
• If yu drink rɔm , stɔp fɔ drink am fɔ sɔm kayn rɔm .

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt bon pen, ɔ ɛni wan pan di sayn dɛm fɔ ɔsteomalacia we wi bin dɔn tɔk bɔt, go to dɔktɔ wantɛm wantɛm . I kin chɛk yu blɔd lɛvɛl fɔ no if dis sik dɔn afɛkt yu.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

I go fayn fɔ aks dɛn kwɛstyɔn ya we yu de go to yu dɔktɔ:

• Yu tink se di tin dɛn we yu kin it nɔmɔ go du fɔ mɛn ɔstiomalasia?
• Us ɔda tritmɛnt dɛn yu kin advays?
• Us tin dɛn a fɔ avɔyd te a wɛl?
• Us kayn ɛksesaiz kin ɛp fɔ trit ɔr nɔr gɛt dis sik?
• Wetin ɔda tin a go du fɔ mek dis sik nɔ afɛkt mi tumara bambay?

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

If yu de fil pen bak na yu bɔdi we de dɔŋ, mɔ na yu bon dɛn, i kin bi ɔsteomalacia. Di men tin we kin mek dis apin na we yu nɔ gɛt vaytamɛn D. So i rili impɔtant fɔ mek yu gɛt bɔku san ɛn it tin dɛn we gɛt vaytamɛn D. If di sik nɔ de igen, mek shɔ se yu go to dɔktɔ. I kin no if yu bon pen na bikɔs yu nɔ gɛt vaytamɛn D ɛn ɛp yu fɔ bi pɔsin we gɛt wɛlbɔdi bon.