Yu bon dɛn de wik ɛvride? Lɛ wi lan bɔt ɔstioporosis!

Yu dɔn ɛva fɔdɔm ɛn brok yu an ɔ yu leg? Ɔ yu ɔ pɔsin we yu sabi dɔn notis se yu de tan lɛk tin we yu de ol? Sɔntɛm di rizin biɛn dɛn tin ya na ɛnimi we nɔ de tɔk natin we nɔbɔdi nɔ de tɔk bɔt bɔku, bɔt we de afɛkt bɔku pipul dɛn. Tide wi go tɔk bɔt da ɛnimi we nɔ de tɔk natin, we na ɔstioporosis .

Wetin na Ɔstioporosis?

Fɔ tɔk am simpul wan, ɔstioporosis na sik we kin mek yu bon dɛn wik . Dis kin mek yu bon dɛn tan lɛk aw dɛn fɔ tan ɛn dɛn kin stɔp. I tan lɛk se di brik dɛn we dɛn kin yuz fɔ bil wɔl kin ol ɛn di wɔl kin wik. So we dis kin apin, di chans fɔ mek di bon brok kin bɔku.

Nɔmal wan, wi bon dɛn kin strɔng ɛn dɛn kin tik. Dɛn kin sɔpɔt wi bɔdi wet ɛn absɔb di damej we wi fɔdɔm ɛn brus smɔl. Bɔt as wi de ol, wi bon dɛn kin lɔs sɔm pan dɛn density ɛn di rit we dɛn kin mek dɛn bak kin go dɔŋ. If yu gɛt ɔstioporosis, yu bon dɛn kin brok ɛn wik pas aw i kin bi.

Bɔrku pipul nɔr kin no se dɛn gɛt ɔstioporosis te dɛn brok wan bon. Pan ɔl we ɛni bon kin brok, i kin afɛkt mɔ:

• Yu hip de brok brok.
• Di bon dɛn we de na di an.
• Di vεrbra dεm we brok brok .

If dɔktɔ no se yu gɛt ɔstioporosis kwik kwik wan, yu kin ridyus di chans fɔ mek yu bɔdi brok bad bad wan. So, mɔ if yu dɔn pas 65 ia , yu bon dɔn brok afta yu ol 50 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt fɔ mek dɛn chɛk yu bon dɛnsiti.

Aw dis sik kin kɔmɔn?

Infakt, dis kin apin mɔ pas aw yu go tink. Insay kɔntri lɛk Amɛrika, i pas 50 milyɔn pipul dɛn we gɛt sik we dɛn kɔl ɔstioporosis. Dis sik de bɔku bak na Sri Lanka, mɔ we wi ol pipul dɛn de bɔku.

Ɔstioporosis kin apin pan pipul dɛm wae dɔn pas 50. Masta sabi bukman dɛm se wan pan ɛvri tu uman dɛm ɛn wan pan ɛvri 4 man dɛm wae dɔn pas 50 ia kin gɛt ɔstioporosis. Jɔs tink bɔt ɔmɔs pipul dɛn we yu no kin gɛt dis sik.

Stɔdi dɔn sho se lɛk wan pat pan tri pipul dɛn we dɔn pas 50 ia we nɔ gɛt ɔstioporosis yet kin gɛt sɔm kayn we we kin mek dɛn bon dɛn nɔ bɔku. Dɛn kɔl dis kɔndishɔnƆstiopenia we pɔsin kin gɛt. Osteopenia na wan sik wae de sho di fɔs sayn dɛm fɔ ɔstioporosis. Fɔ tɔk di kɔrɛkt tin, i tan lɛk rɛd layt. If dɛn nɔ trit am fayn, di kɔndishɔn fɔ ɔstiopenia kin tɔn to ɔstioporosis.

Wetin na di sayn dɛm wae de sho se yu gɛt Ɔstioporosis?

Lɛk bɔku sik dɛn , ɔstioporosis nɔ kin gɛt klia sayn dɛn. Na dat mek sɔmtɛm dɔktɔ dɛn kin kɔl am "saylent disease."

Yu nɔr kin fil ɔr si natin, so tɛl dɛm se yu gɛt ɔstioporosis. If yu nɔ gɛt ed we de at, fiva, ɔ bɛlɛ we de at, mek dɛn no se sɔntin nɔ de apin to yu bɔdi.

di men "simptom" fכ dis na we wan bon de brok wan wan . Dis kin apin, mɔ if yu fɔdɔm smɔl, ɔ ivin if yu gɛt smɔl aksidɛnt we nɔ kin du ɛni bad tin. Jɔs tink bɔt dat, ilɛksɛf yu stɔp smɔl we yu de grap na chia, ɔ ivin if yu bang domɔt, yu kin brok yu an ɔ yu fut.

Pan ɔl we ɔstioporosis nɔ kin mek yu gɛt ɛni sayn, yu kin notis sɔm chenj dɛn we de sho se yu bon dɛn nɔ de gɛt trɛnk ɛn dɛn nɔ gɛt bɛtɛ trɛnk igen. Dis na di wɔnin sayn dɛm fɔ ɔstioporosis:

• Yu kin lɔs wan inch ɔ mɔ pan yu ayt. Dis kin apin smɔl smɔl, so yu nɔ go notis am wantɛm wantɛm.
• Chenj na yu nɔmal pozishɔn (we de ledɔm bifo, hunch ova). Som pipul se "slouching", somtin laik dat.
• i at fכ brith (if yu spεnal kכd kכmprεs εn yu lכng kapasiti dכn dכn).
• Lɔwa bak pen (pen na yu lumbar spayna). Nɔr kin tink se dis na jɔs bak-ak, mɔr lɛk if nɔr ɔda kɔz nɔr de.

Sɔntɛm i nɔ kin izi fɔ yu fɔ notis chenj dɛn na yu bɔdi. I kin izi fɔ mek pɔsin we de nia yu ɔ pɔsin we de na yu fambul notis dɛn chenj ya (espɛshali pan di ayt ɔ di we aw yu de tinap). pan ɔl we sɔm pipul dɛn kin jok se yu de "shrink" as yu de ol, dis kin rili bi sayn fɔ se yu nid fɔ go to dɔktɔ fɔ mek dɛn du bon dɛnsiti tɛst.

Wetin mek ɔstioporosis kin apin?

Ɔstioporosis kin kam as yu de ol, we yu bon dɛn nɔ kin ebul fɔ mek nyu wan dɛn ɛn mek dɛnsɛf bak.

Wi bon dɛn na layf tisu, jɔs lɛk di ɔda pat dɛn na wi bɔdi. Pan ɔl we i nɔ go tan lɛk se na so i bi, dɛn de mek dɛn sɛl ɛn tisu dɛn nyu ɔltɛm ɔlsay na wi layf. Tink bɔt am lɛk we yu de mek wan ol os bak. Te to lɛk 30 ia so , wi bɔdi kin bil mɔ bon pas aw i kin lɔs. Dis min se di bon bank de gro. bכt afta i ol 35 ia, di rεt we di bon dεm de brok pas di rεt we nyu bon dεm de fכm. Dis kin mek di bon dɛn nɔ bɔku smɔl smɔl. I tan lɛk se yu de pul mɔni na bank kwik kwik wan ɛn ridyus di mɔni we yu de put.

If yu gɛt ɔstioporosis, yu bon mas kin lɔs kwik pas aw i kin lɔs. uman dεm kin lכs bon mas ivin fast afta dεn mεnopos , biכs di dכn we di כmon εstrojen de dכn de afekt di bon dεm.

Udat dɛn gɛt bɔku risk fɔ gɛt ɔstioporosis?

Ɛnibɔdi kin gɛt ɔstioporosis, bɔt sɔm grup dɛn kin gɛt am mɔ. Dɛn tin ya na:

• Ɛnibɔdi we dɔn pas 50. Dis risk kin bɔku as yu de ol.
• Uman dɛn, mɔ afta dɛn dɔn lɛf fɔ gɛt bɛlɛ. Wi don tok abaut dis bifo.
• If pɔsin na yu famili gɛt ɔstioporosis (hereditary). If yu mama, papa, ɔ yu brɔda ɛn sista dɛn bin gɛt dis sik, yusɛf kin de pan denja.
• Pipul dεm we nכmal tin, wit "sכm sכm freym dεm." Dis na bikɔs pipul dɛn we tan lɛk tin kin gɛt smɔl bon, so ivin we dɛn lɔs smɔl, dat kin afɛkt dɛn mɔ.
• Pipul dɛn we de smok ɛn yuz tin dɛn we dɛn mek wit tabak. Smok kin rili bad fɔ di bon dɛn.

Sɔm sik dɛn kin mek di sik bɔku bak.

Sɔm wɛl bɔdi prɔblɛm kin mek yu gɛt ɔstioporosis. Fɔ ɛgzampul:

• εndokrin dizכrd: εni kכndyushכn we de afekt di paratayroyd gland dεm, tayroyd gland dεm, εn כmon dεm (e.g., tayroyd sik, dayabitis mεllitus).
• Di sik dɛn we de na di bɛlɛ: Fɔ ɛgzampul, tin dɛn lɛk Silia sik ɛn Inflammatory Bowel Disease (IBD) kin mek di bɔdi nɔ tek di tin dɛn we de insay di bɔdi fayn fayn wan.
• כtoimyun dizכrd dεm we de afekt di bon dεm: lεk rεumatoid atraytis כ ankylosing spondylitis.
• Blɔd disɔda: Ɔ kansa wae kin afɛkt di blɔd, fɔ ɛgzampul, multiple myeloma.

Sɔm mɛrɛsin ɛn ɔpreshɔn dɛn kin gɛt prɔblɛm dɛn bak.

Di risk fɔ gɛt ɔstioporosis kin bɔku we yu de yuz sɔm mɛrɛsin dɛn fɔ lɔng tɛm ɔ sɔm ɔpreshɔn dɛn:

• Diuretiks:(Mɛdisin we de mek di blɔd prɛshɔn go dɔŋ ɛn pul di wata we pasmak na di bɔdi).
• Kɔtikosterɔyd: (Mɛdikeshɔn dɛn we dɛn kin yuz fɔ trit inflammatory kɔndishɔn lɛk asma ɛn at at). Dɛn tin ya kin denja mɔ we dɛn yuz dɛn fɔ lɔng tɛm.
• Sɔm mɛrɛsin dɛn fɔ mek pɔsin gɛt ɛpilepshi.
• Ɔpreshɔn fɔ lɔs yu wet (Bariatric ɔpreshɔn).
• Ɔmon tɛrapi fɔ kansa (fɔ brɔst kansa ɔ prɔstat kansa).
• Anticoagulants (mɛrɛsin dɛn we de mek blɔd nɔ klɔt).
• di protכn pכmp inhibito dεm ( mεdisin dεm we dεn kin yuz fכ trit asid, lεk gastritis; dεn kin afekt di kalsiכm absכpshכn).

Yu nid fɔ luk bak pan di it we yu de it ɛn ɛksesaiz.

Di it ɛn ɛksesaiz we yu de du kin afɛkt bak di divɛlɔpmɛnt fɔ gɛt ɔstioporosis. Dis na tin dɛn we wi kin kɔntrol:

• Nɔ gɛt inof kalsiɔm ɔ vaytamɛn D na yu it. Kalsiɔm na di men tin we de mek di bon dɛn. Vitamin D de ɛp di bɔdi fɔ tek di kalsiɔm.
• Nɔ de du ɛksɛsayz fɔ yu bɔdi fayn fayn wan. We yu nɔ de du ɛksɛsayz, yu bon dɛn kin wik.
• Fɔ drink ɔltɛm (mɔ pas tu tɛm insay di de).

## Aw dɛn kin no se pɔsin gɛt Ɔstioporosis?

Dɔktɔ kin no if pɔsin gɛt ɔstioporosis bay we i du wan tɛst fɔ no if pɔsin gɛt in bon dɛn . Dis de mek yu bon dɛn trɛnk. I de yuz ɛkstrem rayt fɔ no ɔmɔs kalsiɔm ɛn ɔda minral dɛn de na yu bon dɛn.

Sɔntɛnde, dɔktɔ dɛn kin kɔl dis bon dɛnsiti tɛst DEXA skan , DXA skan, ɔ bon dɛnsiti skan. Dis na ɔl nem fɔ di sem tɛst.

Dis tεst de yuz lכw lεvεl εks-ray fכ mכsu di dεnsiti εn minral kכntεnt na yu bon dεm. I tan lɛk we pɔsin kin du ɛkstrem rayt ɔltɛm. Na ɔutpatient prosidur, we min se yu nɔ nid fɔ de na ɔspitul. Yu kin go na os afta di tɛst. Nɔ nidul ɔ injɛkshɔn nɔ de we de insay dis tɛst. So natin nɔ de fɔ wɔri bɔt.

Fɔ chɛk yu bon dɛnsiti na di bɛst we fɔ kech ɔstioporosis bifo i mek yu brok.

If pɔsin na yu famili gɛt ɔstioporosis, if yu pas 50 ia, ɔ if yu gɛt ɔstiopenia, yu dɔktɔ kin tɛl yu fɔ du tɛst ɔltɛm fɔ no if yu gɛt bɔdi.

## Wetin na di tritmɛnt fɔ Ɔstioporosis?

Yu dɔktɔ go tɛl yu fɔ yuz kɔmbayn tritmɛnt dɛn we go mek yu bon slo ɛn mek yu bon tisu we dɔn de, strɔng. Di tin we impɔtant pas ɔl fɔ trit ɔstioporosis na fɔ mek yu nɔ brok.

Di tritmɛnt dɛm wae dɛn kin yuse fɔ gɛt ɔstioporosis na:

• Ɛksesaiz: Ɛksesaiz ɔltɛm de mek yu bon dɛn (ɛn ɔl di tisu dɛn we de kɔnɛkt dɛn, lɛk di mɔsul dɛn, di tɛndon dɛn, ɛn di ligamɛnt dɛn) strɔng. Yu dɔktɔ kin tɛl yu fɔ du ɛksɛsayz fɔ bia yu wet fɔ mek yu mɔsul dɛn strɔng ɛn fɔ mek yu balans fayn. Ɛksesaiz dɛn we de agens graviti, lɛk fɔ waka, yoga, Paylet, ɛn Tai Chi, kin ɛp fɔ mek yu gɛt mɔ trɛnk ɛn balans ɛn nɔ put tumɔs strɛs pan yu bon dɛn. Yu kin nid fɔ wok wit pɔsin we de mɛn yu bɔdi fɔ fɛn ɛksesaiz ɛn muvmɛnt dɛn we go wok fɔ yu.
• Vitamin ɛn minral supamakit: Yu kin nid fɔ gɛt kalsiɔm ɔ vaytamɛn D we yu kin bay ɔva di kɔwnta ɔ we yu kin gi yu. Yu dɔktɔ go tɛl yu us kayn yu nid, aw ɔltɛm yu fɔ tek am, ɛn us doz yu nid. I impɔtant fɔ gɛt vaytamɛn D frɔm it dɛn we gɛt bɔku kalsiɔm, lɛk milk, chiz, yogɔt, grɛn vɛjitebul, ɛn smɔl fish, ɛn bak we yu de na di san.
• Ɔstioporosis mɛrɛsin: Yu dɔktɔ go tɛl yu us mɛrɛsin go fayn fɔ yu ɛn yu bɔdi. Sɔm mɛrɛsin dɛn we dɛn kin yuz na ɔmon, lɛk ɛstrojen ɔ tɛstostɛron riplesmɛnt tritmɛnt, ɛn mɛrɛsin dɛn we dɛn kɔl bisphosphonates . Pipul wae gɛt siriɔs ɔstioporosis ɔ wae gɛt bɔrku risk fɔ frakt kin nid mɛrɛsin lɛk paratayroyd ɔmon (PTH) analɔg, denosumab, ɛn romosozumab . Dɛn kin gi dɛn mɛrɛsin ya as injɛkshɔn.

## Wetin fɔ ɛkspɛkt if yu gɛt ɔstioporosis?

If yu gɛt ɔstioporosis, yu fɔ ɛkspɛkt fɔ kɔntrol di sik fɔ lɔng tɛm, bɔku tɛm yu ɔl yu layf. Dis min se i nɔ go bɛtɛ wan nɛt. Yu go nid fɔ go to yu dɔktɔ ɔltɛm ɛn du tɛst fɔ no if yu gɛt bon. Yu dɔktɔ go wach yu bon dɛnsiti ɛn ajɔst yu tritmɛnt as nid de. So i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan.

## Aw fɔ ridyus di risk fɔ gɛt ɔstioporosis?

Fɔ ɛksesaiz ɛn mek shɔ se yu gɛt inof kalsiɔm ɛn vaytamɛn D na yu it na di impɔtant tin dɛn we yu kin du fɔ mek yu nɔ gɛt ɔstioporosis. Yu dɔktɔ kin ɛp yu fɔ fɛn di bɛst kɔmbayn tritmɛnt fɔ yu ɛn yu bon wɛlbɔdi.

Mɛmba dɛn tin ya fɔ protɛkt yusɛf frɔm aksidɛnt:

Fɔ fala dɛn sefty advays ya fɔ ridyus di risk fɔ brok bon we aksidɛnt apin:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka.
• Wear di rayt sef gia fɔ ɛni aktiviti ɛn spɔt.
• Kip yu os ɛn wokples fri frɔm tin dɛn we nɔ nid we go mek yu ɔ ɔda pipul dɛn trip. Yu fɔ pe atɛnshɔn mɔ pan waya, tɔys, ɛn ɔda tin dɛn we de na grɔn.
• Yuz di rayt tin dɛn ɔltɛm fɔ rich to tin dɛn frɔm ɔp. Nɔ ɛva klaym pan chia, tebul, ɔ kɔnta.
• Yu fɔ fala wan fayn it ɛn ɛksesaiz plan.
• If yu gɛt prɔblɛm fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken ɔ waka. No shem nɔ de fɔ yuz dɛn tin ya, na fɔ yu sef.

## Aw a go tek kia ɔf misɛf?

If yu fala fayn it ɛn ɛksesaiz plan, dat go ɛp yu fɔ mek yu bon (ɛn ɔltin) gɛt wɛlbɔdi. Go fɔ chɛk-ap ɔltɛm. Dɛn kin ɛp yu fɔ kech ɛni prɔblɛm ɔ sayn we kin de afɛkt yu bon dɛn kwik kwik wan.

If yu dɔn pas 65 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt aw fɔ tɛst yu bon dɛnsiti. Nɔ fred ɔ shem fɔ aks bɔt dis.

## Ustɛm a fɔ go si dɔktɔ?

Si dɔktɔ if yu notis ɛni chenj na yu bɔdi we kin bi wɔnin sayn fɔ ɔstioporosis (lɛk fɔ lɔs ayt, fɔ wik). Tɛl yu dɔktɔ bak bɔt ɛni ɔda sayn we yu de gɛt, mɔ if yu gɛt bon pen ɔ i nɔ izi fɔ muv yu bɔdi.

## Ustɛm yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu tink se yu bon brok, ɔ if yu gɛt ɛni wan pan dɛn sayn ya, go na imejensi rum (ER) wantɛm wantɛm:

• I kin fil pen bad bad wan.
• If yu nɔ ebul fɔ muv wan pat pan yu bɔdi.
• If wan pat pan di bɔdi luk lɛk se i nɔ kɔmɔn ɔ i dɔn chenj frɔm usay i bin de bifo (lɛk se i bɛn, i strɛch).
• If yu skin strɛch ɛn yu bon de si.
• De swɛl.
• Apat frɔm dɛn ɔda sayn ya, nyu brus dɛn kin apia.

## Us kwɛstyɔn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya:

• Wetin na di risk we a kin gɛt fɔ gɛt ɔstioporosis?
• Aw ɔltɛm a go nid fɔ du bon dɛnsiti tɛst?
• Us kayn tritmɛnt dɛn a nid? Wetin na dɛn sayd ɛfɛkt dɛn?
• Wetin na sɔm gud ɛgzampul dɛn we a kin du fɔ mek mi bon dɛn strɔng?
• A go nid fɔ gɛt fizik tritmɛnt?
• Us chenj dɛn a nid fɔ mek na mi it?

## Aw lɔŋ yu kin liv wit ɔstioporosis?

Ɔstioporosis nɔto sik we de mek yu layf de pan denja, we min se i nɔ de chenj di layf we yu de liv (aw lɔng yu go liv). Bɔt i kin mek yu bon dɛn brok mɔ ɛn mɔ. I kin mek bak yu gɛt siriɔs fraktrɔs ɔ kɔmplikeshɔn frɔm fraktrɔs. Sɔm stɔdi dɛn dɔn sho se we big pipul dɛn we dɔn pas 65 ia kin brok hip , dat kin mek dɛn nɔ ebul fɔ muv, dɛn kin go na ɔspitul bɔku tɛm, ɛn sɔntɛm dɛn kin day kwik kwik wan.

If yu de wɔri fɔ protɛkt yusɛf frɔm fɔdɔm ɔ fɔ brok, tɔk to yu dɔktɔ. Dɛn kin ɛp yu fɔ de sef ɛn gɛt wɛlbɔdi.

## So, wetin bi di most impotant tin we wi nid to memba from dis?

Ɔstioporosis na wan sik we de mek yu bon dɛn tan ɛn wik pas aw dɛn fɔ tan. Dis kin denja bikɔs i kin mek yu gɛt mɔ chans fɔ brok yu bon. Bɔrku pipul nɔr kin ivin no se dɛn gɛt ɔstioporosis te dɛn brok wan bon.

Di bɛst we fɔ mek yu nɔ brok na fɔ kech ɔstioporosis bifo i ambɔg yu.

So, go fɔ chɛk-ap ɔltɛm. Aks yu dɔktɔ ustɛm yu fɔ du bon dɛnsiti tɛst ɛn aw ɔltɛm fɔ wach yu bon wɛlbɔdi. Mɛmba se bon dɛn we gɛt wɛlbɔdi impɔtant fɔ mek yu gɛt wɛlbɔdi! Fɔ kia fɔ yu bon dɛn frɔm we yu yɔŋ, i fayn fɔ du am as yu de ol.

` Ostioporosis, bon hεlth, fraktכs, bon dεnsiti, kalsiכm, vaytam in D, εksεsayz, mεnopos, Dexa skan