I taksaah hian a chang chuan natna leh natna i nei thin em? A bik takin i hip, i kekawrte leh i keah te? Hna tenawm tak tak i thawh hnuah pawh i chau em, a nih loh leh kea kal harsa i ti em? Chûng thilte chu hahna pangngai angah i ngai mai thei a, mahse i ruh lama harsatna i neih chhinchhiahna a ni thei. Vawiin hian chutiang dinhmun, ‘Osteomalacia,’ puitlingte vei tlangpui kan sawi dawn a ni.
A awlsam zawngin, osteomalacia chu eng nge ni?
Osteomalacia hi i ruhte a nem leh chak lo tihna a ni. Hei hian an chhe thei zawk a ni. Hun rei tak chhunga uluk taka enkawl tawh thingphel chu a upa a, a chhe vek a, nawr tlemte pawha a chhe vek ang bawkin kan ruhte hian chakna a hloh ta a ni.
Hei hi a chhan ber chu Vitamin D tlakchham vang a ni . Vitamin D hi kan taksain Calcium leh Phosphorous an tih minerals a lakluh theih nan a pawimawh hle. He calcium leh phosphorus hian kan ruh chakna leh khauhna petu a ni. Chuvangin, Vitamin D kan neih tlem chuan kan ruhte hi a chak tawk lo. Hei hi osteomalacia dinhmun bulpui ber a ni.
He natna hi ‘Rickets’ kan ti a, naupang tê tête zingah vitamin D an tlakchham laiin a awm a, Osteomalacia hi he natna puitling chi a ni.
A tirah chuan thil lian tak angin i hre lo mai thei. Mahse hun a kal zel a, i ruhah na a na tan thei a, a bik takin i taksa hnuai lam a na thei bawk. A tâwpah chuan i taksa pum puiin a na thei a ni. Thil tih pangngai tih pawh hi a hrehawm thei hle. Mahse, he hrehawmna hi i nunpui a ngai lo tih hre reng ang che. A chhan hriat tumin doctor i hmu thei a, enkawlna i dawng thei bawk.
Osteomalacia natna lan chhuah dan chu engte nge ni?
Hetiang natna lan chhuahna ber leh langsar ber chu ruh natna a ni. He natna hi hip, pelvis leh ke-ah te hriat a tam ber. Chumi piah lamah chuan symptom dang engemaw zat a awm thei bawk. Eng nge an nih i en ang u.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Ruhte chu a chhe awlsam hle | Ruh a chak loh avangin tlu tenau emaw, accident emaw pawh nise a chhe thei (fracture) thei a ni. |
| Muscle na, a khauh, leh chak lohna | Muscle te hi a na thei a, a tight thei bawk a, a bik takin thil engemaw tih hnuah. |
| Kal harsat | I kal dan pawh a danglam thei a, kal a harsat phah thei a ni. Mi thenkhat chuan waddling gait hmangin an kal tan a, duck ang maiin an kal tan thin. |
| Muscle twitching emaw cramps emaw a awm thei | A bik takin kut leh ke ruhte chu a inher reng ang maiin a lang thei. |
| Paresthesia (pin leh needle hmanga siam) . | I kut leh keah hian hriatna mak tak i nei thei a, chu chu tingling emaw pin leh needle emaw ang chi a ni. |
| Hmuh leh tlak fo thin | Muscle chak lohna avang hian taksa balance a tlahniam a, mi an tlu fo thin. |
Engvangin nge osteomalacia hi a lo awm? Risk factors te chu engte nge ni?
Kan sawi tawh ang khan a chhan ber chu vitamin D tlakchham vang a ni. Hei hi thil tam tak avanga lo awm thei a ni.
1. Ni chhuahna hmun tling lo
Kan vun hi ni ênga kan awm hian a pianphungah vitamin D. Mahse eng emaw chhan vangin hetiang hi a thleng dik lo.
- Ni êng tlem zawk rama cheng: Sri Lanka-ah hian hetiang harsatna hi kan nei tlem hle nachungin, khaw lum hmuna chengte hian ni êng an hmu tlem hle.
- Nitin in chhunga hnathawh: Nitin in chhunga awm, office emaw in lama awm thin i nih chuan ni chhuahna hmun i hmu tlem mai thei.
- Vun khuh vek thei thawmhnaw ha: Sakhaw thil dang emaw avanga vun khuh kim thei thawmhnaw ha te pawhin vitamin D tlakchhamna an nei thei bawk.
- Vun a dum (Darkening of the skin): melanin a tam lutuk chuan vun a ti dum a, chu chuan ni eng atanga vitamin D siam chhuah theihna chu a tlahniam deuh a ni.
2. Ei leh in atanga vitamin D hmuh tlem
- Bawnghnute leh bawnghnute atanga siam thil ei loh tur:Mi thenkhat chuan bawnghnute allergy an nei emaw, an duh lo emaw pawh a ni thei.
- Vegan diet tluantling zawm: Vitamin D tamna ei tur, sangha, sa leh artui ei loh hian a tlakchhamna a thlen thei a ni.
- Digestive system natna: Malabsorption condition, Crohn natna emaw Celiac natna emaw ang chi.
- Weight loss surgery: Gastric bypass surgery ang chi surgery hnuah chuan ei tur lakluh a tlahniam thin.
3. Risk factor dangte
- Kidney emaw liver emaw dinhmun.
- Damdawi thenkhat natna enkawlna atana hman thin, epilepsy (antiseizure damdawi) te.
- Kum 65 chunglam a nih vang a ni.
- Nu naupai emaw, nau hnute pe lai emaw nih.
- Thau lutuk.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
A chunga i sawi tak symptoms nei doctor i pan chuan i medical history, chhungkaw medical history, i ei leh in leh i thiltih te a zawt hmasa ang che. Tichuan taksa enfiahna a nei ang.
Natna finfiah nan hian test eng emaw zat neih a ngai a ni.
| Fiahna | Eng nge i en? |
|---|---|
| Thisen Test neih a ni | Vitamin D, calcium, leh phosphorus level te enfiah thin a ni. Osteomalacia hi vitamin D level hniam vang a ni ber . Tin, thil chi hrang hrang, creatinine, alkaline phosphatase, leh parathyroid hormone te pawh enfiah a ni bawk. |
| X-ray hmanga tih a ni | Ruh chak lohna leh ruh tê tê te ang chi thilte chu zawn theih a ni. |
| Ruh Mineral Density Scan hmanga thil tih a ni | I ruhte chu engtiang chiahin nge a dense tih an teh thin. |
| Bone Biopsy tih a ni | Hei hi tih dan pangngaia tih a ni lo. Natna rinhlelhna a awm chuan ruh te tak te lak a, ruh a nem tawh em tih finfiah a ni. |
Hei hi eng enkawlna nge ni?
Hei hi enkawlna ber chu vitamin D, calcium, leh phosphorus awmna supplement pek hi a ni. Mahse hengte hi i duh ang anga lak chu a tha lo. I doctor chuan i thisen test result a en ang a, i mamawh zat dik tak chu a rawn rawt ang che. Chu dosage chu a nihna ang taka ei a pawimawh hle.
Chaw ei kawngah harsatna i neih chuan, emaw, i taksa rihna tihtlem tura operation i neih tawh chuan, mi pangngai aia dose sang zawk i ei a ngai mai thei.
Heng supplement te hi i tan hnuah hian a natna lan chhuah dan a reh theih nan thla engemaw zat a ngai thei. Ruh a chak leh theih nan thla ruk vel a la ngai thei. Chuvangin, dawhthei la, enkawl rawh. A dinhmun a zirin vitamin D hi rei tak ei a ngai mai thei. Supplement i ei tawh loh chuan natna hi a lo let leh thei a ni.
Enkawlna dang: 1.1.
- Ni chhuahna tur tam tak nei rawh: I doctor zawt la, i tana hun remchang takah hun remchang takah ni chhuahnaah awm rawh.
- Vitamin D leh calcium tamna ei tur ei.
- Braces: Ruh deformities a awm chuan hengte hi tihziaawmna leh venna atan hman theih a ni.
- Surgery: A nasat lutuk chuan ruh chhiatna siamthat nan operation neih a ngai mai thei.
Hetiang dinhmun pumpelh nan eng nge kan tih theih ang?
Ni e, a tam zawkah chuan he dinhmun hi kan veng thei a ni. Kan tih tur pawimawh tak pahnih a awm a.
1. Ni chhuahna hmun tling tak neih.
2. Ei leh in atanga vitamin D leh calcium tam tawk hmuh.
A tlangpuiin vun dum nei chu kar khatah vawi hnih emaw vawi thum emaw minute 10-15 chhung ni chhuahnaah a awm tur a ni. Vun dum zawk nei te chu ni chhuahnaah rei vak lo an awm tur a ni. Hei hi window atanga ni êng lo chhuak a ni tur a ni lo va, ni êng vun a rawn deng nghal tur a ni . Mahse, sunglass emaw, sunscreen emaw tel lovin darkar tam tak ni chhuahnaah awm suh. Chu chuan vun cancer vei theihna a tipung a ni. Doctor hnenah eng chen nge ni chhuahnaah i awm tur tih zawt la a tha ber.
Vitamin D tamna ei tur:
- Nga hriak nei, salmon, tuna, mackerel, leh sardines te
- Sa sen a ni
- Bawnghnute liver
- Egg yolk a ni
- Mushroom a ni
- Cod liver hriak a ni
- Vitamin D telh (fortified) awmna ei tur, bawnghnute, yogurt, leh cheese te
I doctor chuan ni êng leh ei leh in atanga vitamin D i dawng tlem hle nia a hriat chuan supplement a rawn rawt ang che.
Take-Home Thuchah a ni
- Osteomalacia hi puitling ruh a nem leh chak lo a, a chhan ber chu vitamin D tlakchham vang a ni.
- A lan chhuah dan ber chu ruh natna a ni a, a bik takin hip leh ke ruh natna a ni. Muscle chak lohna leh ruh tliak awlsam te pawh hi symptom a ni.
- Chumi laka inven dan tha ber chu ni zung tam tawk leh vitamin D tamna ei tur ei hi a ni.
- Heng symptoms te hi i neih chuan ngaihthah suh la , doctor pan nghal rawh .
- He natna hi damdawi lam thurawn dik tak hnuaia vitamin D leh calcium supplement ei hian a dam kim thei a ni. Chuvangin hlau suh.











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