Omubiri gwo gukendeera amaanyi ng’okaddiwa? Kiyinza okuba nga kya sarcopenia!

Owulira ng’ebitundu byo eby’omubiri byeyongera okunafuwa ng’ogenda okaddiwa, ate nga tolina maanyi gakola bintu bye wali okola? Kikuzibuwalira okutambula? Oyinza okulowooza nti kino kitundu kya bulijjo mu kukaddiwa. Wabula era kiyinza okuba akabonero k'embeera eyitibwa "sarcopenia." Kino ka twogereko katono leero, kubanga kikosa abantu bangi, naye kintu ekitatera kwogerwako.

Sarcopenia kye ki? Mu ngeri ennyangu...

Mu ngeri ennyangu, sarcopenia kwe kufiirwa ebinywa n’amaanyi mpolampola nga bwe tukaddiwa. Lowooza ku kino: ebinywa byaffe biringa amatoffaali agakozesebwa okuzimba ennyumba. Ekiseera bwe kigenda kiyitawo, amatoffaali gano gakaddiwa era amaanyi g’ennyumba ne gakendeera. Embeera eno esinga kukwata bakadde. Naye si kukaddiwa kwokka. Kiyinza okukaluubiriza okukola emirimu egya bulijjo n’okukendeeza ku mutindo gw’obulamu. Oluusi, kino kiyinza okuvaako abantu okwesigama ku balala ne beetaaga okulabirira okumala ebbanga eddene.

Ekisinga obukulu nti sarcopenia eyongera obunafu bw’omubiri, era n’emikisa gy’okugwa ennyo n’okumenya nayo giri waggulu. Ebintu bino bwe bibaawo, olina okwolekagana n’ebintu ng’okuweebwa ekitanda mu ddwaaliro n’okulongoosebwa. Olwo ebizibu ebirala ne bibaawo, era oluusi ne bituuka n’okutta omuntu.

Sarcopenia era esobola okubaawo mu bantu abalina body mass index (BMI) enkulu. Kino kiyitibwa "omugejjo gwa sarcopenic." Ebizibu ebikwatagana n’embeera zombi bisinga ku ebyo ebiva ku mugejjo gwokka, oba sarcopenia yokka.

Ani afuna obulwadde bwa sarcopenia?

Embeera eno esinga kubeera mu bantu abasukka mu myaka 60. Obulabe bw’okubufuna bweyongera n’emyaka. Kiyinza okukosa abasajja n’abakazi kyenkanyi. Ebyavudde mu kunoonyereza ku ngeri gye bikosaamu amawanga ag’enjawulo tebikwatagana nnyo. Ate era embeera eno esinga kubeera mu bantu abalina endwadde ezitawona. Lowooza ku muliraanwa waffe, Uncle Nimal. Edda yali musajja ng’adduka n’akola nnyo? Kati alina emyaka nga 65. Agamba nti, "Kati sisobola na kulinnya madaala nga bwe nnali nkola, abaana. Kizibu nnyo okugenda mu dduuka." Mpozzi ne Uncle Nimal abadde akosebwa embeera eno.

Kino kya bulijjo kitya?

Mu butuufu, ebyava mu kunoonyereza ku mulamwa guno bitabuddwatabuddwa. Abantu bangi tebamanyi mbeera eno oba okunoonya obujjanjabi. Wabula kiteeberezebwa nti wakati w’ebitundu 5% ne 13% ku bantu abasukka emyaka 60 balina embeera eno. Mu bantu abasukka mu myaka 80, omuwendo guno guyinza okutuuka ku bitundu 11% okutuuka ku 50%. Kino kitegeeza nti kitera okubaawo okusinga bwe tulowooza.

Obulwadde bwa sarcopenia bukosa butya omubiri gwange?

Ebinywa byaffe bikolebwa obuwuzi bw’ebinywa. Sarcopenia mbeera ng’omuwendo n’obunene bw’ebinywa bino bikendeera. Olwo ebinywa ne binafuwa. Kino era kiyitibwa "okukendeera kw'ebinywa." Bwe tukaddiwa, enkyukakyuka ezimu zibaawo mu mibiri gyaffe. Enkyukakyuka zino ze zisinga okuvaako obulwadde bwa sarcopenia. Ng’ekyokulabirako, emibiri gyaffe tegikola puloteyina ezeetaagisa okukula kw’ebinywa nga bwe tukaddiwa. Kino bwe kibaawo, obutoffaali bw’ebinywa bukendeera. Okugatta ku ekyo, bwe tukaddiwa, enkyukakyuka mu busimu nga testosterone ne insulin-like growth factor-1 (IGF-1) zikwata ku binywa byaffe. Kino nakyo kivaako obulwadde bwa sarcopenia.

Bubonero ki obulaga obulwadde bwa Sarcopenia?

Akabonero akasinga okulabika kwe kunafuwa kw’ebinywa. Obubonero obulala buyinza okuli:

• Okufiirwa sitamina.
• Obuzibu mu kukola emirimu gya buli lunaku . Okuwulira ng’okooye ne bw’okola emirimu emitonotono.
• Okutambula mpola mpola. Sisobola kutambula sipiidi nga bwe nnali nkola.
• Obuzibu okulinnya amadaala.
• Okufiirwa bbalansi n’okugwa enfunda eziwera.
• Okukendeera kw’obuzito bw’ebinywa. Ebitundu by’omubiri biwulira nga binafu.

Jjajja wo oba jjajja wo bw’aba alina engeri zino, olina okuzifaako katono.

Biki ebivaako obulwadde bwa sarcopenia?

Ekisinga okuvaako kwe kukaddiwa okw’obutonde. Ffenna tutandika okufiirwa ebinywa n’amaanyi mpolampola mu myaka gyaffe 30 oba 40. Enkola eno eyanguwa wakati w’emyaka 65 ne 80. Wadde ng’omuwendo gw’okufiirwa gwawukana okusinziira ku muntu, ebinywa bisobola okukendeera ebitundu 8% buli myaka kkumi. Buli muntu afiirwa ebinywa okumala ekiseera, naye kino kibaawo mangu nnyo mu bantu abalina obulwadde bwa sarcopenia. Wadde ng’okukaddiwa kwe kusinga okuvaako, abanoonyereza bazudde ebintu ebirala ebiwerako ebiyinza okuvaako okulwala obulwadde bwa sarcopenia. Mu bino mulimu:

• Obutabeera na mirimu gya mubiri. Okutuula mu kifo kimu, so si kukola dduyiro.
• Obunene . Okugejja ennyo.
• Endwadde ezitawona . Okugeza, obulwadde bw’amawuggwe obutawona (COPD), .Obulwadde bw’ekibumba , sukaali , kookolo n’okukwatibwa akawuka ka siriimu.
• Obulwadde bw’endwadde z’enkizi.
• Okuziyiza insulini.
• Okukendeera kw’obusimu.
• Endya embi oba obutafuna puloteyina emala.
• Okukendeera kw’obusobozi bw’okukyusa puloteyina okufuuka amaanyi.
• Okukendeera kw’omuwendo gw’obutoffaali bw’obusimu obuweereza obubaka okuva ku bwongo okutuuka ku binywa okutambula.

Sarcopenia ezuulibwa etya?

Omusawo ayinza okukukebera n’akubuuza ku bubonero bwo okulaba oba olina obulwadde bwa sarcopenia. Era bayinza okukusaba okujjuzaamu ekibuuzo ekiyitibwa SARC-F . Kino kibuuzo kya kwewandiisa ku bubonero bwo. Ekibiina kya SARC-F kiri nti:

• S — Amaanyi
• A — Obuyambi mu kutambula (Olina obuyambi mu kutambula?)
• R — Okusituka okuva mu ntebe (Kizibu okusituka okuva mu ntebe?)
• C — Okulinnya amadaala (Kizibu okulinnya amadaala?)
• F — Okugwa (Okugwa kubaawo?) .

Buli emu ku nsonga zino eweebwa obubonero wakati wa 0 ne 2. Obubonero obusinga obunene buba 10. Singa obubonero bwa SARC-F buba 4 oba okusingawo, kyetaagisa okwongera okugezesebwa.

Biki ebikeberebwa ebikozesebwa okuzuula obulwadde bwa sarcopenia?

Tewali kukebera kumu kuzuula kino. Omusawo ayinza okulagira okukeberebwa okuwerako okuyamba okuzuula embeera eno n’okuzuula obuzibu bwayo.

Ebigezo ebipima amaanyi g’ebinywa:

• Okugezesa okukwata mu ngalo: Amaanyi g’omukono okukwata ekintu mu ngeri ennywevu gasobola okuwa endowooza ku maanyi g’ebinywa ebirala mu mubiri.
• Chair stand test: Kino kipima amaanyi g’ebinywa mu magulu naddala mu bisambi. Kipima emirundi gy’osobola okuyimirira okuva mu ntebe n’oddamu okutuula wansi nga tokozesezza mikono gyo mu sikonda 30.
• Okugezesa sipiidi y’okutambula: Kino kipima ebbanga ly’otwala okutambula mmita 4 (fuuti nga 13) ku sipiidi yo eya bulijjo ey’okutambula.
• Short Physical Performance Battery (SPPB): Kino kirimu emirimu esatu egy’obudde: okugezesa okusituka entebe, okugezesa bbalansi y’okuyimirira, n’okugezesa sipiidi y’okutambula.
• Timed-up and go test (TUG): Obudde obutwala okusituka okuva mu ntebe, okutambula mita 3 (fuuti nga 10) okuva ku ntebe, okutambula mita 3 okudda ku ntebe, n’okuddamu okutuula wansi bupimibwa.

Ebigezo by’okukuba ebifaananyi ebipima obuzito bw’ebinywa:

• Okupima okunyiga kwa X-ray okw’amasoboza abiri (DEXA oba DXA - Okupima okunyiga kwa X-ray okw’amasoboza abiri):Kino kikozesa X-ray ezitaliimu maanyi matono okupima ebinywa byo, amasavu go n’amagumba go.
• Bioelectrical impedance analysis (BIA): Okugezesebwa kuno kwa bbeeyi ntono era kwangu okukola okusinga DEXA. Kipima amasavu g’omubiri gwo okusinziira ku buzito bw’omubiri gwo omugonvu.

Obulwadde bwa sarcopenia bujjanjabwa butya?

Sarcopenia etera okujjanjabibwa nga bakola enkyukakyuka mu bulamu . Enkyukakyuka zino zisobola okuyamba okuddukanya n’okutuuka n’okuzzaawo embeera eno okutuuka ku ddaala eritali limu.

• Okukola emirimu gy’omubiri: Omusawo ayinza okukuwa amagezi okutendekebwa mu maanyi nga osinziira ku buziyiza okugenda mu maaso . Dduyiro ow’ekika kino asobola okukuyamba okuzimba amaanyi n’okuddamu okufiirwa ebinywa. Kilowoozeeko ng’okusitula obuzito.
• Endya ennungi: Ng’oggyeeko dduyiro buli kiseera , okulya emmere ennungi nakyo kiyinza okuyamba okukendeeza ku buzibu bw’obulwadde bwa sarcopenia. Kikulu nnyo naddala okufuna puloteyina emala, ka kibeere okuva mu mmere oba mu bikozesebwa mu kugatta .

Eddagala ki eriwonya obulwadde bwa sarcopenia?

Abanoonyereza bakyanoonyereza oba eddagala eriweweeza ku busimu lisobola okwongera ku binywa. Wabula mu kiseera kino tewali ddagala likkirizibwa FDA okujjanjaba obulwadde bwa sarcopenia.

Obulwadde bwa sarcopenia busobola okuziyizibwa?

Kino kitundu ku nkola y’okukaddiwa mu butonde, n’olwekyo tekiyinza kuziyizibwa ddala. Kyokka waliwo ebintu bye tuyinza okukola okukendeeza ku kukula kw’obulwadde buno. Bino bye bino:

• Emmere ennungi gy’olonda: Kuuma emmere ennungi omuli emmere erimu ebirungo ebizimba omubiri eby’omutindo ogwa waggulu . Genderera okufuna gram 20 ku 35 eza puloteyina buli mmere.
• Dduyiro: Kuuma obulamu obw’okukola emirimu gy’omubiri, nga mw’otwalidde n’okukola dduyiro ng’okutendekebwa mu kuziyiza .
• Okwekebeza omusawo buli kiseera: Laba omusawo buli kiseera . Mubuulire oba waliwo enkyukakyuka yonna mu bulamu bwo.

Kiki ekibaawo singa mba n’obulwadde bwa sarcopenia?

Endowooza y’obulwadde bwa sarcopenia esinziira nnyo ku myaka gyo. Embeera eno eyinza okweyongera okusajjuka ng’ogenda okaddiwa. Ng’oggyeeko ekyo, era kyawukana okusinziira ku bulamu bwo n’engeri gy’obeera. Obulwadde buno busobola okukosa ennyo omutindo gw’obulamu bwo. Oyinza okuzzaawo ebiva mu mbeera eno ng’okola enkyukakyuka mu bulamu bwo.Wabula singa tokola nkyukakyuka eziragiddwa, obulwadde buno bujja kweyongera okunafuya ebinywa byo. Ekiseera bwe kigenda kiyitawo, oyinza okwetaaga okulabirira ekiseera kyonna okusobola okukola mu bulamu bwo.

Obulwadde bwa sarcopenia bulwadde?

Mu 2016, ekitongole ekivunaanyizibwa ku kulwanyisa endwadde ekya Centers for Disease Control and Prevention (CDC) kyawa embeera eno enkola ya International Classification of Diseases (ICD-10), nga erangirira nti sarcopenia bulwadde obw’enjawulo. Kino kyagifuula embeera eyinza okuloopebwa abasawo. Kino kyavaako okwongera okutegeera n’okujjanjaba embeera eno. Okuwandiika kuno kwasobozesa abanoonyereza okugyawula ku ndwadde ezifaanagana nga sarcopenia n’okutandika okukung’aanya ebikwata ku mbeera eno ey’omuwendo.

Njawulo ki eriwo wakati wa Sarcopenia ne Muscle Atrophy?

Sarcopenia kika kya kukendeera kw’ebinywa. Okusingira ddala kikwata abantu abakadde. Muscle atrophy kwe kufiirwa ebitundu by’ebinywa. Wadde ng’embeera zombi zigabana engeri ez’awamu ez’okufiirwa ebinywa, enkola ezisibukamu za njawulo. Sarcopenia ebaawo ng’obunene n’enkula y’ebinywa bikendedde. Mu kukendeera kw’ebinywa, obunene bw’ebiwuzi bukendeera, naye omuwendo gw’ebiwuzi gusigala gwe gumu.

Buli muntu afiirwa ebinywa ebimu ng’akaddiwa. Naye mu sarcopenia, okufiirwa kuno kw’ebinywa kubaawo mangu nnyo. Amawulire amalungi gali nti waliwo engeri y’okujjanjaba embeera eno n’okuzzaawo ebivaamu.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Bw’oba ​​olina obunafu bw’ebinywa, okulemererwa oba obubonero obulala bwonna obw’obulwadde bwa sarcopenia, kakasa nti olaba omusawo wo. Asobola okuzuula embeera eno n’akola enteekateeka y’obujjanjabi ekusaanira. Kino kiyinza okukuyamba okuddukanya okufiirwa ebinywa n’okulongoosa embeera yo. Jjukira nti wadde ng’okukaddiwa tekuyinza kuyimirizibwa, tusobola okukendeeza ennyo ku biva mu mbeera nga sarcopenia nga tubeera mu bulamu obulungi , ekitegeeza okulya obulungi n’okukola dduyiro buli kiseera . Kale, faayo ku mubiri gwo. Labirira abakadde b’oyagala. Sarcopenia, obunafu bw’ebinywa, okukaddiwa, okufiirwa ebinywa, dduyiro, puloteyina