Kan taksaa ruh awmte hi kan nitin nunah kan ngaihtuah vak lo a ni lawm ni? Mahse han ngaihtuah teh, tar pakhat chu in lama a tlu a, a tlu a, a kut emaw, a ke emaw a tihchhiat dan kan hmu tawh. Mahse, chutih rual chuan ṭhalai pakhat a tlu a nih chuan, hliam tenau tak neiin an tlanchhuak thei bawk. Engvangin nge hetiang hi a danglamna? Hei hi a chhan pakhat chu tunlaia kan sawi mek, osteopenia an tih hi a ni thei. Hei hi silent disease a ni a, zawi zawiin ruh a tichak lo.
A awlsam zawngin, osteopenia chu eng nge ni?
Osteopenia chu i ruh density tlahniam a ni. Kan ruhte hi brick bang siam ṭhat angin han ngaihtuah teh. Hun a kal zel a, he bang chhunga brick thenkhat chu a lo chhuak a, chu chuan bang chu a ti chak lo deuh a ni. Chutiang chu he dinhmun hi a ni. Ruh chhunga mineral awm tur zat a tlahniam a, an chakna a tlahniam bawk.
Hei hi natna ni lo mah se, vaukhânna chhinchhiahna pawimawh tak a ni. I ruhte chu a pangngai aia chak lo zawk tihna a ni a, chuvangin nakin lawkah a ruh tliak theihna a awm tihna a ni.
Osteopenia leh Osteoporosis hi eng nge an danglamna?
Heng hming pahnih hi a inang hle a, chuvang chuan mi tam tak chu an buai phah thin. Hetiang hian i hrethiam ang u.
- Osteopenia: Hei hi vaukhânna hmasa ber a ni. Traffic light-a light sen hring ang mai a ni. Chutah chuan, "Fimkhur rawh, i ruhte chu a chak lo chho zel a ni," a ti. Hetih lai hian dik taka kan che chuan a hnua thil hlauhawm lo thleng tur chu kan veng thei a ni.
- Osteoporosis: Hei hi a na ber a ni. Traffic light-a light sen ang mai a ni. Hetah hian ruhte chu a chak lo hle a, tlu tlem emaw, khuh na tak emaw pawh ni se, ruh a tikehsawm thei a ni.
A awlsam zawngin, osteopenia hi osteoporosis kawng zawh hmasak ber a nih avangin i hriat veleh hma lak a pawimawh.
Hetiang natna lan chhuah dan hi engte nge ni?
Hetah hian a pawimawh ber. Osteopenia hian symptom a nei lo. Natna leh lungawi lohna i nei lo. A chhungril atanga ruhte chu zawi zawiin a chak lo chho zel tihna mai a ni. Chuvangin doctor-te chuan "silent disease" an ti a ni.
Vawi tam tak chu mi pakhatin he natna hi chhan dang vangin X-ray hmangin a hre thin a, a nih loh leh a tlak tlem a, ruh a tliak hnuah pawh a hre thin. Chuvangin symptoms lo lang tur nghah chu awmzia a nei lo.
Engvangin nge osteopenia kan neih? Risk factors te chu engte nge ni?
Dik tak chuan tar hi a chhan ber a ni. Kan ruh hi kum 25-30 vel velin a chak ber a ni. Chumi hnuah chuan ruh thar pianphung anga siam chhuah chakna chu a chhe chakna aiin a pung chak zawk deuh a ni. Hei hi mi zawng zawng tan a danglam vek. Mahse mi thenkhat tan chuan he kalphung hi a chak thei hle.
Hetiang hlauhawmna tipungtu hi thil engemaw zat a awm.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Kum | Kum 50 chunglamte chu an hlauhawm zawk. |
| Mipa leh hmeichhe thliarna | Hmeichhia, a bik takin menopause hnuah chuan mipa aiin a let li velin he natna hi an vei tam zawk a ni. |
| Meizial leh zu in | Nitin meizuk leh zu in nasa te hian an ruh a chak lo thuai thei a ni. |
| Chhungkaw chanchin | I chhungkuaa mi tu emaw chuan ruh natna (osteoporosis) a nei a nih chuan i hlauhawm thei bawk. |
Damdawi lam dinhmun leh damdawi thenkhat hian hei hi a nghawng em?
Ni e, a dik tak zet. Damdawi lam harsatna thenkhat leh hun rei tak damdawi ei hian ruh chakna a ti tlahniam thei bawk.
| Thil nghawng thei thilte | Entirnan |
|---|---|
| Damdawi lam dinhmun | |
| Hormone lama harsatna a awm | Hyperthyroidism, Cushing natna a ni |
| Natna dang | Zunthlum, Kal natna rei tak (CKD), Rheumatoid arthritis |
| Ei leh in lama tlakchhamna | Calcium emaw vitamin D tlakchhamna, ei leh in lama harsatna, ei leh in lama harsatna nei. |
| Damdawi chi hrang hrang | |
| Steroid chi hrang hrang | Damdawi corticosteroid ang chi ei rei. |
| Damdawi dang | Gastritis tan proton pump inhibitor (PPI) chi thenkhat, seizure damdawi, cancer tan hormone hmanga enkawlna te. |
Engtin nge he natna hi i nei tih chiang taka i hriat theih ang?
Chu chu hriat theihna kawng tha ber leh dik ber chu "Bone Density Test" tih hi a ni a, hei hi DEXA scan tia hriat bawk a ni.
Hei hi test awlsam tak, hrehawm lo tak a ni. X-ray lak ang mai a ni. I ruh density a teh a, a bik takin i ruh leh i hip te a teh thin. Results hian i doctor hnenah i ruh a hrisel em, osteopenia a nei em, osteoporosis a nei em tih chiang takin a hrilh thei a ni.
Doctor-te chuan hmeichhia kum 50 chunglam leh mipa kum 70 chunglam tan he test hi an rawt tlangpui a, tin, a hmaa kan sawi tawh ang risk factors i neih chuan i doctor chuan he test hi a rawt hmasa thei bawk.
Engtin nge osteopenia hi enkawl a nih?
Thu lawmawm tak chu osteopenia vei zawng zawng hian damdawi an mamawh vek lo. Kan tum ber chu ruh chak lo zual zel tur tihtawp leh ruh natna (osteoporosis) ven hi a ni. Hei hi kan nunphung inthlak danglam vang a ni ber.
1. Exercise tih tur a ni
Exercise hi ruh tihchakna tha ber a ni. A bik takin weight-bearing exercise hi a pawimawh hle. Chu chu kea kal, jogging, leh stairs chhoh tihna a ni. Yoga leh Tai Chi ang chi exercise te hian i balance a ti sang thei hle. Hei hian tlu lo turin a pui thei bawk. I doctor emaw physiotherapist emaw hnenah i tana tha tur exercise chungchang zawt rawh.
2. Ei leh in leh ei leh in
Ruh tana thil pawimawh pahnih chu calcium leh vitamin D te hi an ni.
- Calcium: Bawnghnute, yogurt, cheese, sangha te tak te (sprat ang chi) te chu a hnah nena ei te, leh thlai hring (spinach, kale) te hian calcium a pai tam hle.
- Vitamin D: Hei hian kan taksain calcium a hip lut thei a. Vitamin D awmna tha ber chu ni eng a ni. Zing tin minute 15-20 chhung ni ênga awm hi a tha hle.
I ei leh in atanga hengte hi i hmuh tlem chuan i doctor chuan supplement i ei a ngai em tih a rel ang. Doctor rawn hmasa lovin heng supplement te hi hmang ngai suh.
3. Thil tih \ha lo laka inthiarfihlim
- Meizial i zuk chuan chawlhsan nghal rawh. Meizial zu hian ruh siamtu cell te a tichhe thin.
- Zu in tam lutuk hi pumpelh tur a ni.
I doctor zawh tur zawhna
Osteopenia i vei tih i hriat chuan heng thilte hi i doctor nen inbia ang che.
- Engzat nge bone density test ka neih ang?
- Risk factor dang eng nge ka neih?
- Eng enkawlna nge ka tan a tha ber?
- Eng exercise nge ka ruh hriselna atan a tha?
- Calcium leh vitamin D supplement ka ei a ngai em?
Osteopenia hi nunah second chance ang mai a ni tih hre reng ang che. I ruhte hi extra care a hun tawh tihna a ni. Hriat hmasak leh nun hrisel tak i neih chuan ruh natna (osteoporosis) i veng thei a, ruh chak tak nen nun hrisel tak i hmang thei bawk.
Take-Home Thuchah a ni
- Osteopenia hi ruh density tlahniam a ni. Osteoporosis hmaa vaukhânna chhinchhiahna a ni.
- Symptoms a awm loh avangin risk factors (a bik takin hmeichhia kum 50 chunglam) i neih chuan medical advice anga bone density test neih a pawimawh hle.
- Enkawlna tum ber chu damdawi pek hi a ni lo va, nunphung thlak danglam hi a ni. Exercise mumal, calcium leh vitamin D tamna ei leh in, meizuk/zu in loh hi a pawimawh hle.
- Hetiang dinhmun hi control theih a ni. Thil dik tak tih hian ruh chak lohna a veng thei a, ruh tliak theihna a ti tlem thei bawk.
- I ruh hriselna chungchangah harsatna i neih chuan i doctor nen zalen takin inbiakna nei rawh.
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