Sɔntɛnde, yu kin fil pen ɛn pen na yu bɔdi? Ɛspɛshali na yu hip, yu shɔl, ɛn yu leg? Yu kin fil taya ivin afta yu dɔn du smɔl smɔl wok dɛn, ɔ i nɔ kin izi fɔ yu fɔ waka? Pan ɔl we yu go tink se dɛn tin ya na nɔmal taya, dɛn kin bi sayn fɔ se yu gɛt prɔblɛm wit yu bon dɛn. Tide wi de tɔk bɔt dis kayn sik, ‘Osteomalacia,’ we kin ambɔg big pipul dɛn.
Fɔ tɔk am simpul wan, wetin na ɔsteomalacia?
Osteomalacia na wan sik wae yu bon dɛm kin sof ɛn wik. Dis kin mek dɛn kin brok mɔ. Jɔs lɛk aw wud we dɛn dɔn mɛn fayn fɔ lɔng tɛm kin ol ɛn brok ɛn brok we ivin we wi prɛs am smɔl, na so wi bon dɛn nɔ kin gɛt trɛnk igen.
Di men rizin fɔ dis na we pɔsin nɔ gɛt bɛtɛ Vitamin 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 wi nɔ gɛt inof Vitamin D, wi bon dɛn nɔ kin strɔng. Dis na di bies fɔ di kɔndishɔn fɔ ɔstiomalasia.
wi kin kכl dis kכndyushכn ‘Rickets’, we kin apin pan yכŋ pikin dεm we dεn nכ gεt vaytam in D. Osteomalacia na di big pipul fכm fכ dis kכndyushכn.
Fɔs, yu nɔ go notis se na big tin. Bɔt as tɛm de go, yu kin bigin fɔ fil pen na yu bon dɛn, mɔ na yu bɔdi we de dɔŋ. As tɛm de go, yu wan ol bɔdi kin fil pen. Ivin fɔ du nɔmal tin dɛn kin mek yu fil pen. Bɔt mɛmba se yu nɔ nid fɔ liv wit dis pen. Yu kin go to yu dɔktɔ fɔ no di tin we mek i apin ɛn gɛt tritmɛnt.
Wetin na di sayn dɛm fɔ ɔsteomalacia?
Di men ɛn kɔmɔn sayn fɔ dis sik na pen na yu bon. Dis pen kin de mɔs fil na di hip, pelvis, ɛn leg. Apat frɔm dat, sɔm ɔda sayn dɛn kin de. Lɛ wi si wetin dɛn bi.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bɔn dɛn kin brok izi wan | Bikɔs bon dɛn wik, dɛn kin brok (fracture) ivin if pɔsin fɔdɔm smɔl ɔ aksidɛnt. |
| Mɔsul dɛn kin pen, dɛn kin stif, ɛn dɛn kin wik | Di mɔsul dɛn kin fil pen ɛn tayt, mɔ afta dɛn dɔn du sɔm tin dɛn. |
| I nɔ izi fɔ waka | Di we aw yu de waka kin chenj, ɛn dis kin mek i nɔ izi fɔ waka. Sɔm pipul dɛn kin bigin fɔ waka wit waddling gait, lɛk dɔk. |
| Mɔsul dɛn de twitch ɔ kramp | Di mɔsul dɛm, mɔ na di an ɛn leg, kin fil lɛk se dɛn de shek shek ɔltɛm. |
| Paresthesia (pin ɛn nidul) . | Yu kin fil wan strenj tin na yu an ɛn fut, lɛk fɔ tingling ɔ pin ɛn nidul. |
| Fɔ pul ɛn fɔdɔm ɔltɛm | Bikɔs di mɔsul dɛn wik, di bɔdi in balans kin go dɔŋ ɛn pipul dɛn kin fɔdɔm bɔku tɛm. |
Wetin mek ɔstiɔmalasia kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
As wi bin dɔn tɔk, di men tin we kin mek i nɔ gɛt vaytamɛn D. Dis kin bi bikɔs ɔf bɔku tin dɛn.
1. Nɔ gɛt inof san ɛksplɔshɔn
We wi skin de pan san, i kin mek i gɛt vaytamɛn D. Bɔt fɔ sɔm rizin dɛn, dis nɔ kin apin fayn.
- Fɔ liv na kɔntri we nɔ gɛt bɔku san: Pan ɔl we wi nɔ gɛt dis prɔblɛm na Sri Lanka, di wan dɛn we de na say dɛn we kol nɔ kin gɛt bɛtɛ san.
- Wok insay os ɔl de: If yu na pɔsin we de insay os ɔl di de, na ɔfis ɔ na os, yu nɔ go gɛt bɛtɛ san.
- Fɔ wɛr klos we kɔba di skin ɔltogɛda: Pipul dɛn we de wɛr klos we kɔba di skin ɔltogɛda fɔ rilijɔn ɔ ɔda rizin kin gɛt vaytamɛn D bak.
- Di skin we de dak: We di melanin we de mek di skin dak pasmak, di pawa fɔ mek vaytamɛn D frɔm di san layt kin stɔp smɔl.
2. Nɔ gɛt inof vaytamɛn D frɔm it
- Nɔ it milk ɛn tin dɛn we dɛn mek wit milk:Sɔm pipul dɛn kin gɛt alɛji fɔ milk ɔ dɛn nɔ kin lɛk dɛn.
- Fɔ fala wan kɔmplit vegan it: If yu nɔ it tin dɛn we gɛt bɔku vaytamɛn D, lɛk fish, mit, ɛn eg, dat kin mek yu nɔ it bɛtɛ.
- Digεstiv sistεm sik dεm: Malabsכpshכn kכndishכn dεm, lεk Crohn in sik כ Celiac sik.
- Ɔpreshɔn fɔ lɔs yu wet: Afta ɔpreshɔn lɛk gastric bypass ɔpreshɔn, di it we dɛn kin tek kin go dɔŋ.
3. Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm
- Kidni ɔ liva kɔndishɔn.
- Sɔm mɛrɛsin wae dɛn kin yuse fɔ sik dɛm lɛk epilepsy (Antiseizure medications).
- Bikɔs i dɔn pas 65 ia.
- Fɔ bi mama we gɛt bɛlɛ ɔ we de gi pikin in bɛlɛ.
- Fat.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
We yu go to dɔktɔ wit di sayn dɛn we yu bin dɔn tɔk bɔt, i go aks yu fɔs bɔt yu mɛdikal istri, yu famili mɛdikal istri, yu it, ɛn di tin dɛn we yu de du. Dɔn i go du wan ɛgzam pan in bɔdi.
Dɛn nid fɔ du bɔku tɛst fɔ no if pɔsin gɛt di sik.
| Tɛst | Wetin yu de luk? |
|---|---|
| Tɛst fɔ Blɔd | Dɛn kin chɛk di lɛvɛl we di vitamin D, kalsiɔm, ɛn fɔsfɔr de. di כstiomalasia kin kכz mεntal bay di lכw vaytam in D lεvεl . Apat frɔm dat, dɛn kin chɛk tin dɛn lɛk kriaytinin, alkaline phosphatase, ɛn paratayroyd ɔmon bak. |
| X-ray we dɛn kin du | Dɛn kin luk fɔ tin dɛn lɛk we di bon wik ɛn we smɔl smɔl brok. |
| Bon Mineral Density Skan fɔ di wan dɛn we de na di bɔdi | Dɛn kin mɛzhɔ aw yu bon dɛn kin tan. |
| Bɔn Bayɔpsi | Dis nɔto sɔntin we dɛn kin du ɔltɛm. If ɛnitin de we dɛn tink se di sik de, dɛn kin tek wan smɔl bon ɛn chɛk am fɔ no if di bon dɔn sof. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di men tritmɛnt fɔ dis na fɔ gi sɔpɔtmɛnt dɛn we gɛt vaytamɛn D, kalsiɔm, ɛn fɔsfɔr. Bɔt i nɔ fayn fɔ tek dɛn tin ya di we aw yu de fil. Yu dɔktɔ go luk yu blɔd tɛst rizɔlt ɛn tɛl yu di rayt doz we yu nid. I rili impɔtant fɔ tek da doz de jɔs lɛk aw i de.
If yu gɛt prɔblɛm fɔ tek it, ɔ yu dɔn gɛt ɔpreshɔn fɔ lɛf fɔ it bɔku bɔku it, yu kin nid fɔ tek di doz we pas di avɛrej pɔsin.
Afta yu dɔn bigin fɔ tek dɛn supamakit ya, i kin tek sɔm mɔnt fɔ mek di sik nɔ kam. I kin tek siks mɔnt fɔ mek di bon dɛn strɔng bak. So, peshɛnt ɛn tek tritmɛnt. Dipen pan di kɔndishɔn, yu kin nid fɔ tek vaytamɛn D fɔ lɔng tɛm. If yu stɔp fɔ tek di supamakit, di sik kin kam bak.
Ɔda tritmɛnt dɛn:
- Gɛt inof san: Aks yu dɔktɔ bɔt di rayt tɛm ɛn di rayt tɛm we yu fɔ de na di san.
- Fɔ it tin dɛn we gɛt bɔku vaytamɛn D ɛn kalsiɔm.
- We yu wɛr bres: If bon dɛn we nɔ fayn, dɛn kin yuz dɛn tin ya fɔ ridyus ɛn mek i nɔ apin.
- Ɔpreshɔn: If i rili siriɔs, dɛn kin nid fɔ du ɔpreshɔn fɔ kɔrɛkt di bon dɛn we nɔ fayn.
Wetin wi go du fɔ avɔyd dis kayn tin?
Yɛs, bɔku tɛm wi kin mek dis tin nɔ apin. Tu men tin dɛn de we wi nid fɔ du.
1. Fɔ gɛt inof san.
2. Fɔ gɛt inof vaytamɛn D ɛn kalsiɔm frɔm it.
Jɛnɛral wan, pɔsin we gɛt fayn skin fɔ de na di san fɔ 10-15 minit tu ɔ tri tɛm insay di wik. Pipul dɛn we gɛt dak skin fɔ de na di san fɔ lɔng tɛm smɔl. Dis nɔ fɔ bi san layt we de kɔmɔt na winda, bɔt na san layt we de hit di skin dairekt wan . Bɔt nɔ de na di san fɔ lɔng tɛm we yu nɔ gɛt sanglas ɔ tin fɔ protɛkt yusɛf frɔm di san. Dat kin mek di risk fɔ gɛt kansa na di skin mɔ. I bɛtɛ fɔ aks yu dɔktɔ aw lɔng yu fɔ de na di san.
Fɔd dɛn we gɛt bɔku vaytamɛn D:
- Fish we gɛt ɔyl lɛk salmɔn, tuna, makrɛl, ɛn sadin
- Rɛd mit
- Bif liva
- Eg yolk we yu kin yuz
- Mushroom dɛn we dɛn kɔl
- Kɔd liva ɔyl
- Fɔd dɛn we gɛt vaytamɛn D we dɛn ad (fɔtify) lɛk milk, yogɔt, ɛn chiz
If yu dɔktɔ tink se yu nɔ de gɛt inof vaytamɛn D frɔm di san ɛn it, i go tɛl yu fɔ tek di mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Osteomalacia na wan kכndyushכn we di bon dεm fכ big pipul dεm kin sכft εn wik, mεntal wan biכs fכ di vaytam in D we dεn nכ gεt.
- Di men sayn na di pen na di bon dɛm, mɔ di hip ɛn di leg dɛm. We di mɔsul dɛn wik ɛn di bon dɛn we kin brok izi wan na di sayn dɛn bak.
- Di bɛst we fɔ mek dis nɔ apin na fɔ gɛt bɔku san ɛn it tin dɛn we gɛt vaytamɛn D.
- If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn ɛn go to dɔktɔ wantɛm wantɛm .
- Dis sik kin wɛl ɔl if yu tek vaytamɛn D ɛn kalsiɔm sɔpɔtmɛnt ɔnda di rayt dɔktɔ advays. So nɔ fred.
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