I ruhte chu a chak lo va, awlsam takin a chhe thei em? (Osteomalacia) Vawiin hian sawi ila!

A chang chuan i ruh ah natna i nei thin em? A nih loh leh i ruhte chu i chetna tlemte pawhin a chhe vek dawn niin i hria em? A chhan chu i beisei loh thil a ni mai thei. Vawiin hian Osteomalacia chungchang kan sawi dawn a, chu chu puitling zingah chuan natna tlanglawn tak, mahse a awm vak lo. Hemiah hian thil thleng chu kan ruhte chu zawi zawiin a nem a, a chak lo bawk.

Chuti a nih chuan osteomalacia chu eng nge ni?

A awlsam zawngin, osteomalacia hi i ruhte a nem a, a chakna a hloh a, a chhe awlsam zawk tihna a ni. Tûn hmaa leilung hring ang maia ruhte chu tuiah hnim hnim hring hring ang maia nêm a lo nih lai kha han ngaihtuah teh.

Hei hi a chhan ber chu vitamin D tlakchham vang a ni . Kan taksain minerals calcium leh phosphorus an tihte a lakluh theih nan Vitamin D hi a pawimawh hle. He calcium leh phosphorus hian kan ruh chakna leh khauhna petu a ni. Chuvangin, vitamin D a tlem chuan ruhte hian heng minerals te hi a dawng tha lo hle. Tichuan an thik tawk lo va, an chak lo ta a ni. Hei hi naupang tê tête vitamin D a awm loh huna rickets an tih natna nên a inang deuh a, a tirah chuan osteomalacia i vei tih i hre lo mai thei. Mahse hun a kal zel a, i ruh ah natna i nei tan thin. A bik takin taksa hnuai lam, chu chu hip area leh thighs-ah a ni. Zawi zawiin he natna hi taksa pum puiah a darh thei a ni. A châng chuan, chetna tê tê pawh hian natna a thlen thei a ni. Mahse, he hrehawmna hi i nunpui a ngai lo tih hre reng ang che . A chhan hriat tumin doctor i pan thei a, enkawlna i dawng thei bawk.

Osteomalacia natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuahna ber chu ruh natna a ni . He natna hi i hip, i hnute leh i keah a awm tam ber. Chu bâkah, a lan chhuah dân dangte chu:

• Ruh chu a chhe awlsam hle . A châng chuan, tlu tê tê emaw, bump emaw pawhin ruh a tikehsawm thei a ni.
• Muscle na, a khauh, leh chak lohna. Hei hi workout emaw exercise i tih zawh hnuah a langsar zawk mai thei.
• Kal harsa, emaw, i kal dan (gait) inthlak danglam emaw . A châng chuan i kal laiin i balance hloh ang maiin i inhria thei bawk.
• Muscle spasms emaw cramps emaw a awm thei . Hengte hi a bik takin kut leh keah a thleng thei a ni.
• Ke ruh chhunga tingling emaw prickling emaw hriatna . Hei hi damdawi lam chuan paresthesia an ti a.
• Tun hma aiin tlu tam zawk .

Hei hi eng nge a chhan ber?

Osteomalacia lo awm chhan ber chu vitamin D tlakchham vang a ni . Hei hi ni êng tling lo vang a ni fo . Tin, kan ei leh in atanga vitamin D kan hmuh tlem hi a chhan a ni. Calcium hip lut tur leh ruh hrisel vawn that nan vitamin D hi a pawimawh hle tih hre reng ang che. Hei hi nghawng nei thil dang a awm bawk:

• Digestive system condition thenkhatah chuan ei tur a insiam tha lo (malabsorption) . Entirnan, intestine-a absorption tihtlem thei natna i neih chuan.
• Kidney tha lo a awm .
• Liver natna.
• Hun rei tak chhunga antiseizure damdawi thenkhat hman .
• Genetic condition hmuh tur awm lo tak tak thenkhat .

Tute nge osteomalacia vei theihna chance sang zawk?

Ni ênga kan awm hian kan vun hian a pianphungah vitamin D a siam chhuak a, mahse, hetiang thil thlengah hian i vun hian vitamin D a siam tling thei lo mai thei:

• Khaw lum leh ni chhuahna hmuna i awm chuan .
• Nilengin in chhungah hna i thawk a nih chuan.
• I taksa tam zawk khuh thei thawmhnaw i ha a nih chuan.
• Skin pigmentation dum zawk i neih chuan (vun dum zawk hian vitamin D siam chhuah nan ni chhuahna tam zawk a mamawh).

Tin, i ei leh in atang hian vitamin D i hmu tlem hle bawk a, hei hi chhan hrang hrang vang a ni:

• Bawnghnute leh bawnghnute atanga siam engmah i ei loh chuan .
• Vegetarian emaw vegan emaw ei leh in i zawm vek chuan (mahse hei hi i ruahman fel chuan harsatna a ni lo).
• I taksain ei tur a hip tha thei lo (malabsorption), Crohn natna emaw Celiac natna emaw i neih chuan.
• Tun hnaia bariatric surgery i neih tawh chuan , entirnan, gastric bypass surgery.

Heng mite bakah hian pawl dang pawhin osteomalacia an vei theihna a sang zawk a ni:

• Mi thau lutuk te tan .
• KumKum 65 chunglam tan chuan.
• Nu naupai emaw nau hnute pe lai emaw tan .

Engtin nge osteomalacia hi dik taka i hriat theih ang?

Doctor i hmuh chuan taksa enfiahna a nei hmasa ang . Tichuan, i chhungkaw damdawi lam chanchin leh nangmah ngei pawhin i hriselna a zawt ang. I ei leh in leh exercise tih dan te pawh a zawt ang. A dawtah chuan, i thisenah vitamin D, calcium, leh phosphorus awm zat enfiah turin thisen test an ti ang . Osteomalacia i neih chuan vitamin D level hniam hi a chhinchhiahna ber a ni . Mahse, calcium emaw phosphorus level hniam pawh hi natna chhinchhiahna a ni thei bawk. Diagnosis confirm nan i doctor chuan hetiang level te hi a enfiah thei bawk ang:

• Creatinine a ni
• Electrolyte a awm a
• Alkaline phosphatase hmanga siam a ni
• Parathyroid hormone `(Parathyroid hormone)` tih a ni

Test dang i tih theihte chu:

• Darkar 24 chhung zun test a, i zun a calcium awm zat enfiah thin.
• X-ray hmangin ruh chak lo emaw, ruh tliak emaw a awm leh awm loh enfiah thin .
• I ruh density tehna tur leh ruh hloh leh hloh loh enfiahna tur bone mineral density scan .
• Bone biopsy chu ruh te tak te lak a, ruh chu a nem tak tak em tih enfiah a ni.

Osteomalacia natna hi eng enkawlna nge ni?

Osteomalacia hi vitamin D, calcium, leh/ emaw phosphorus supplement hmanga enkawl a ni tlangpui . Heng zinga engzat nge i mamawh tih chu i doctor-in a rel ang. Malabsorption issue i neih emaw, tun hnaia bariatric surgery i neih emaw chuan vitamin D leh calcium dose sang zawk i ei a ngai mai thei. Heng supplement te hian i osteomalacia a tidam thei a, mahse i natna lan chhuah dan tur chu thla engemaw zat a la ngai thei.. I natna nasat dan azirin vitamin D hi rei tak i ei a ngai mai thei. I chawlhsan chuan osteomalacia a lo awm leh thei. Liver disease emaw kidney failure ang chi natna nei te chuan enkawlna leh puihna dang an mamawh thei a ni. I doctor chuan i thisen level a enfiah fo ang. Vitamin D chi khat bik pek i ni thei bawk a, heng bakah hian osteomalacia symptoms tihtlem emaw siamthat emaw nan a hnuaia mite hi i ti thei bawk.

• Ni chhuahna tur tling .
• Vitamin D leh calcium awmna ei tur tam zawk ei thin ang che .
• Ruh chhiatna tihziaawmna emaw, venna emaw atana braces vuah .
• A nasat lutuk chuan ruh chhiatna siamthat nan operation neih a ngai mai thei.

Osteomalacia lo awm tur hi kan veng thei ang em?

Ni e, hei hi a tam zawkah chuan kan veng thei a ni. Kan tih tur pawimawh tak pahnih a awm a, chungte chu:

• Taksa tan ni êng tling tak hmuh .
• Kan ei leh in atanga vitamin D leh calcium tling tawk kan hmuh .

I awmna hmun leh kum khat chhunga hun hman dan azirin ni êng atang ringawt pawh hian vitamin D i hmu tling thei mai thei. A tlangpuiin vun dum nei chu kar khatah ni hnih atanga ni thum chhung minute 10 atanga 15 chhung ni chhuahnaah a awm tur a ni. Vun dum zawk nei te chuan ni chhuahnaah rei vak lo an awm a ngai mai thei. Mahse hei hi direct sunlight a ni tur a ni . Window atanga ni êng lo lut emaw, thawmhnaw chunga ni êng lo tla emaw pawhin vitamin D a siam tling thei lo va, mahse, sunscreen tel lo chuan ni chhuahnaah rei tak awm chu a ṭha lo A chhan chu ni chhuahna tam lutuk hian vun cancer vei theihna a tipung a ni . Chuvang chuan doctor hnenah eng chen nge ni chhuahnaah i awm tur tih zawt la a tha ber. Chaw ei atang chauhvin vitamin D i mamawh zawng zawng i hmu vek dawn lo. Mahse, a pui thei a ni. Chaw thenkhat chu a pianphungah vitamin D a awm a, entirnan:

• Nga hriak nei: tuna, salmon, sardines, mackerel ang chi.
• Rainbow trout sangha a ni.
• Sa sen a ni.
• Bawnghnute liver.
• Mushroom a ni.
• Egg yolks a ni.
• Cod liver hriak a ni.

Chaw dang thenkhatah chuan vitamin D hi artificial-in an dah tel bawk (fortified foods). I doctor nen eng source nge i tan a tha ber tih sawipui rawh. Mahse, ei tur hrang hrangte hian an thatna leh that lohna an nei a, chuvangin chu chu i ngaihtuah a ngai a ni. Ni êng leh ei leh in atanga vitamin D i hmuh tlem i la rin loh chuan i doctor chuan supplement ei turin a rawt mai thei.

Osteomalacia vei tan chuan dam lehna tur chu eng nge ni?

He natna hi man hmaa enkawl a nih chuan (supplement hmanga enkawl ang chi) , mi tam zawk chu kar tlemte chhungin an dam tan ang. Mahse, i ruhte chu a dam leh a, a chak leh theih nan thla ruk vel a ngai thei .

Engtin nge ka ruhte ka enkawl ang?

Kan tar chhoh zel chuan kan ruh enkawl hi a pawimawh zual sauh sauh a. I ruh hrisel taka awm theihna tura i tih theih ṭhenkhat chu hetiang hi a ni:

• Vitamin D leh calcium awmna ei tur tha tawk ei thin ang che .
• Ni êng tling tak hmu rawh .
• I taksa rihna hrisel tak , i duh angin vawng reng ang che.
• Taksa tihchak dan pangngaiah inhmang rawh .
• Meizial zuk suh .
• Zu i in chuan a tlem berah tihtlem la .

Engtikah nge Doctor ka hmuh ang?

Ruh na i neih chuan, emaw, a hmaa kan sawi tawh osteomalacia symptoms i neih chuan doctor pan nghal rawh . He natna hian a nghawng che em tih hriat tumin i thisen level a enfiah thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor i tlawh hunah heng zawhnate hi zawh hi a \angkai thei ang:

• Dietary supplement chauh hian osteomalacia a tidam thei em?
• Eng enkawlna dang nge i rawt?
• Ka dam hma chuan eng thiltih nge ka pumpelh ang?
• Eng exercise chi nge he natna hi enkawl emaw, venna emaw atan a pui thei?
• Nakin lawkah he natna hian min nghawng loh nan eng nge ka tih belh theih ang?

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

I taksa hnuai lam, a bik takin i ruh natna i neih pawhin osteomalacia a ni thei. Hei hi a chhan ber chu vitamin D tlakchham vang a ni a, chuvangin ni tam taka inhnim leh vitamin D awmna ei tur ei a pawimawh hle a, a natna lanchhuahna a la awm reng chuan Doctor pan ngei ngei tur a ni. I ruh natna hi vitamin D tlakchham vang a ni em tih a hre thei a, ruh hrisel nei mi i nih theih nan a pui thei bawk.