Nitin i ruhte chu a chak lo chho zel em? Osteoporosis chungchang hi i zir dawn teh ang!

I tlu a, i kut emaw i ke emaw i tikehsawm tawh em? A nih loh leh, nangmah emaw, i hriat mi emaw chuan i tar chhoh zêl a, i taksa a hring lehzual tih i hre tawh em? Heng thilte chhan hi kan zinga tumahin kan sawi vak loh, mahse mi tam tak nghawngtu hmêlma ngawi renga awm vang pawh a ni mai thei. Vawiin hian chu hmêlma ngawi reng, ruh natna (osteoporosis) chungchang kan sawi dawn a ni.

Osteoporosis hi eng nge ni?

A awlsam zawngin, ruh natna hi i ruh tichak lo thei natna a ni . Hei hian i ruhte chu a nih tur aia a hring a, a density a ti tlahniam bawk. Bang siamna atana brick hmante chu a hnim a, bang chu a chak lo ang mai a ni. Chuvangin hetiang a nih chuan ruh tliak theihna chance a sang zawk hle.

A tlangpuiin kan ruhte hi a chak a, a dense bawk. Kan taksa rihna an thlawp thei a, tlu tenau leh hliam tenau avanga chhiatna chu an la lut thei bawk. Mahse kan tar chhoh zel chuan kan ruhte hian a pianphungah an density thenkhat a hloh a, an remodeled rate pawh a tlahniam thin. Osteoporosis i neih chuan i ruhte chu a pangngai aia a chhe zawk a, a chak lo zawk bawk.

Mi tam tak chuan ruh an tihchhiat hma loh chuan ruh natna (osteoporosis) an nei tih an hre lo. Ruh eng pawh hi a chhe thei a, mahse a nghawng tam ber chu:

• I hip a tliak a.
• Kut ruh a awm.
• Vertebrae a chhe tawh .

Doctor-in ruh natna a hriat hma chuan ruh ruh tliak theihna chu nasa takin i tihtlem thei a ni. Chuvângin, a bîk takin kum 65 chunglam i nih chuan , kum 50 i tlin hnuah ruh tliak i nei tawh a nih chuan, emaw, i chhûngkuaa mi tu emaw chuan ruh natna a nei a nih chuan, i ruh density enfiah tûrin i doctor hnênah sawi rawh.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hei hi i ngaihtuah aiin a tam zawk. America ang ramah hian mi maktaduai 50 chuang zet chu ruh natna (osteoporosis) natnain an khawsa mek a ni. Hetiang dinhmun hi Sri Lanka-ah pawh a pung chho zel a, a bik takin kan kum upa lam kan pun zel avangin.

Kum 50 chunglam zingah ruh natna hi a tam hle a, mithiamte chuan hmeichhia pahnih zinga pakhat leh mipa kum 50 chunglam pali zinga pakhat chuan ruh natna an nei thei niin an sawi. I hriat mi engzat nge he natna hi nei thei tih hi han ngaihtuah teh.

Zirna hrang hrangah chuan kum 50 chunglam, ruh natna la nei lo hmun thuma ṭhena hmun khat vel chu ruh density engemaw chen a tlahniam tih hmuhchhuah a ni. Hetiang dinhmun hi an ti aOsteopenia a awm thin. Osteopenia hi ruh natna lan chhuahna hmasa ber a ni. A dik tak chuan light sen ang mai a ni. A enkawl that loh chuan ruh natna (osteopenia) dinhmun hi ruh natna (osteoporosis)-ah a chang thei a ni.

Osteoporosis natna lan chhuahna chu engte nge ni?

Natna tam tak ang bawkin , ruh natna hian chhinchhiahna langsar tak a nei lo. Chuvangin doctor-te chuan "silent disease" an ti fo thin.

Engmah i hre thei lo va, i hmu thei lo bawk a, chuvangin osteoporosis i vei tih hrilh rawh. Lu na, khawsik, pum na i neih loh chuan i taksaah thil dik lo a awm tih hriattir la.

Hei hi a "symptom" ber chu ruh a tliak nghal mai hi a ni . Hei hi a bik takin tlu tlemte atang emaw, a tlangpuiin chhiatna thlen lo accident tenau tak atang pawhin a thleng thei a ni. Ngaihtuah teh, ṭhutphah aṭanga tho chungin tlem tal i tlu a nih pawhin, kawngkhar i tawk a nih pawhin, i kut emaw, i ke emaw i tikehsawm thei a ni.

Osteoporosis hian chhinchhiahna engmah nei lo mah se, i ruhte chakna leh density a hloh tih tilangtu inthlak danglamna engemaw zat i hmu thei. Hengte hi ruh natna (osteoporosis) vaukhânna chhinchhiahnate chu an ni:

• I san zawng inch khat emaw a aia tam emaw i hloh thei. Hei hi zawi zawiin a thleng thei a, chuvangin i hre nghal lo mai thei.
• I dinhmun pangngaia inthlak danglamna (hma lam hawia inbeng, hunching over). Mi thenkhat chuan "slouching" an ti a, chutiang thil chu.
• Thâwk harsa (i spinal cord a compress a, i lung capacity a tlahniam chuan).
• Lower back natna (i lumbar spine-a natna). Hei hi hnungzang natna mai niin ngai suh, a bik takin a chhan dang a awm loh chuan.

I taksaa inthlak danglamna hriat harsa i ti mai thei. I hnaih ber emaw, i chhungte emaw tan chuan heng inthlak danglamna (a bik takin i san zawng emaw, i dinhmun emaw) hriat a awlsam zawk mai thei. Mi thenkhat chuan i upat deuh deuh chuan i "shrink" tih an fiamthu laiin, hei hi a takah chuan bone density test neihpui tura doctor pan a ngai tih chhinchhiahna a ni thei.

Engvangin nge ruh natna hi a lo awm?

Osteoporosis hi i tar chhoh zel chuan a lo awm a, chu chu i ruhte hian ruh thar a siam theihna leh a insiamthat theihna a tlahniam a ni.

Kan ruhte hi kan taksa dang ang bawkin tissue nung an ni. Chutiang chu ni lo mah se, kan dam chhungin an cell leh tissue te chu an siam thar zel a ni. In hlui siamthat ang maiin han ngaihtuah teh. Up until about age 30 , kan taksa hian a pianphungah a hloh aiin ruh a siam tam zawk. Chumi awmzia chu ruh bank a lo thang lian tihna a ni. Mahse kum 35 hnuah chuan ruh chhe zat hian ruh thar siam chakna rate a pel ta zawk a ni. Hei hian ruh a ti tlem zauh zauh a ni. Bank atanga pawisa lak chhuah rang zawk leh i dah zat tihtlem ang mai a ni.

Osteoporosis i neih chuan i ruh chu a tlangpui aia rang zawkin a bo thin. Hmeichhia hian menopause hnuah pawh ruh an hloh chak zawk , a chhan chu hormone estrogen tlahniam hian ruh a nghawng a ni.

Tute nge ruh natna vei theihna sang zawk?

Tu pawhin ruh natna hi an vei thei a, mahse pawl thenkhatah chuan an vei tam zawk. Chung zingah chuan:

• Kum 50 chunglam tu pawh.He risk hi i upat deuh deuh chuan a pung zel.
• Hmeichhia, a bik takin postmenopause. Hemi chungchang hi kan sawi tawh a.
• I chhungkuaa mi tu emaw chuan ruh natna (hereditary) a vei a nih chuan. I nu, i pa, a nih loh leh i unaute pawhin he natna hi an nei a nih chuan nang pawh i hlauhawm thei a ni.
• Mihring pianphungah chuan a hring, "frame te zawk" nei. Hei hi a chhan chu mi cher te hian ruh an nei tlem tlangpui a, chuvangin hloh tlemte pawh hian a nghawng nasa zawk a ni.
• Meizial zu leh zuk leh hmuam hmangtute. Meizial zuk hian ruh a tichhe nasa hle.

Natna thenkhat chuan a hlauhawmna a tipung thei bawk.

Hriselna lama harsatna thenkhatah chuan ruh natna (osteoporosis) vei theihna a tipung thei a ni. Entir nan:

• Endocrine disorders: Parathyroid glands, thyroid gland, leh hormone (e.g., thyroid natna, zunthlum) te nghawng thei dinhmun eng pawh.
• Gastrointestinal diseases: Entirnan, Celiac disease leh Inflammatory Bowel Disease (IBD) ang chi condition te hian taksain nutrients a hip lut tha lo thei a ni.
• Ruh tichhe thei autoimmune disorder: rheumatoid arthritis emaw ankylosing spondylitis emaw ang chi.
• Thisen lama harsatna: A nih loh leh thisen tichhe thei cancer, entirnan, multiple myeloma.

Damdawi leh surgery thenkhat pawh hian hlauhawmna a keng tel bawk.

Damdawi thenkhat emaw, operation thenkhat emaw rei tak hman chuan ruh natna hlauhawmna a sang thei a ni:

• Diuretics: 1.1.(Damdawi thisen sang tihhniamtu leh taksa atanga tui tam lutuk paih chhuaktu).
• Corticosteroids: (Inflammatory conditions, asthma leh arthritis te enkawlna atana hman thin damdawi). Hengte hi hun rei tak hman a nih chuan a hlauhawm zawk.
• Epilepsy damdawi thenkhat.
• Rihna tihtlem nan operation (Bariatric surgery) tih a ni.
• Cancer (hnute cancer emaw prostate cancer emaw tan) hormone therapy hmanga enkawlna.
• Anticoagulants (thisen zawrh tur venna damdawi).
• Proton pump inhibitors ( acidity enkawlna atana hman damdawi, gastritis ang chi; hengte hian calcium absorption a nghawng thei).

I ei leh in leh exercise i en a ngai bawk.

I ei leh in leh exercise i tih hian osteoporosis lo awm dan a nghawng bawk. Hengte hi kan thunun theih thilte chu a ni:

• I ei leh in a calcium emaw vitamin D emaw i hmuh tlem lutuk. Calcium hi ruh siamtu ber a ni. Vitamin D hian taksain calcium a hip lut thei a.
• Taksa exercise tling lo. Exercise i tih loh chuan i ruh te chu a chak lo thin.
• Zu in fo (ni khatah vawi hnih aia tam).

## Engtin nge Osteoporosis hi an hriat theih?

Doctor chuan ruh density test hmangin osteoporosis a nei tih a hmuchhuak a . Hei hian i ruh chakna a teh a ni. X-ray hmangin i ruh chhunga calcium leh mineral dang awm zat a teh thin.

Doctor-te chuan he ruh density test hi DEXA scan , DXA scan, emaw, ruh density scan emaw tiin an sawi \hin. Heng zawng zawng hi test inang hming vek a ni.

He test hian low-level X-ray hmangin i ruh density leh mineral awm zat a teh thin. X-ray pangngai nen a inang hle. Outpatient procedure a ni a, damdawi ina awm reng a ngai lo tihna a ni. Test zawhah in lamah i haw thei ang. He test-ah hian needle emaw injection emaw a tel lo . Chuvangin ngaihtuahawm tur a awm lo.

I ruh density enfiah hi osteoporosis hian ruh tliak a thlen hmaa a man theihna tur kawng tha ber a ni.

I chhungkuaa mi tu emaw chuan ruh natna a vei a nih chuan, kum 50 aia tam i nih chuan, ruh tlahniam i nei a nih chuan, i doctor chuan ruh density test neih fo turin a rawt thei che a ni.

## Osteoporosis natna enkawl dan tur engte nge ni?

I doctor chuan i ruh hloh tikhawtlai thei tur leh i ruh tissue awmsa tichak thei tur enkawlna chi hrang hrang a rawn rawt ang che. Osteoporosis enkawlna atana pawimawh ber chu ruh ruh tliak loh hi a ni.

Osteoporosis enkawlna atana hman tlanglawn berte chu:

• Exercise: Exercise neih fo hian i ruh (leh a inzawmkhawmna tissue zawng zawng, taksa ruh, ruh, leh ligament te) a tichak a ni. I doctor chuan i taksa ruh tichak tur leh i balance tihchangtlun nan weight-bearing exercise neih a rawt thei ang. Anti-gravity exercise, kea kal, yoga, Pilates, leh Tai Chi te hian i ruh chungah stress nasa lutuk siam lovin i chakna leh balance a tichak thei a ni. I tana tha tur exercise leh movement zawng turin physical therapist nen thawhhona i neih a ngai mai thei.
• Vitamin leh mineral supplement: Over-the-counter emaw prescription emaw calcium emaw vitamin D supplement emaw i mamawh mai thei. I doctor chuan eng type nge i mamawh, engzat nge i ei tur tih leh eng dose nge i mamawh tih a hrilh ang che. Vitamin D hi calcium tamna ei tur, bawnghnute, cheese, yogurt, thlai hring, leh sangha te te atanga lak a pawimawh a, chubakah ni chhuahna atanga lak a pawimawh bawk.
• Osteoporosis damdawi: I doctor chuan eng damdawi nge i tan leh i taksa tana tha ber tih a hrilh ang che. Damdawi hman tlanglawn ṭhenkhat chu hormone therapies, estrogen emaw testosterone replacement therapy emaw, leh bisphosphonates tih damdawi te hi a ni. Osteoporosis na tak nei emaw, ruh tliak hlauhawmna sang tak nei emaw chuan parathyroid hormone (PTH) analogs, denosumab, leh romosozumab te ang damdawi an mamawh thei a ni. Heng damdawi te hi injection angin pek a ni tlangpui.

## Osteoporosis i neih chuan eng nge beisei tur?

Osteoporosis i neih chuan hun rei tak chhung, a tlangpuiin i dam chhung zawng i enkawl theih beisei tur a ni. Hei hian zan khat thil thuah a dam leh dawn lo tihna a ni. Doctor i hmuh fo a ngai ang a, ruh density test pawh i neih a ngai bawk ang. I doctor chuan i ruh density a enfiah ang a, a tul angin i enkawlna chu a siamrem ang. Chuvangin doctor thupek zawm fimkhur a pawimawh hle.

## Engtin nge ruh natna hlauhawmna tihziaawm theih ang?

Exercise tih leh i ei leh inah calcium leh vitamin D i neih tlem theih nan ruh natna laka invenna atana thil pawimawh ber a ni tlangpui. I doctor chuan nangmah leh i ruh hriselna atana enkawlna tha ber ber zawng turin a pui thei che a ni.

Accident laka inven nan heng thilte hi hre reng ang che:

Accident-a ruh tliak hlauhawmna tihziaawmna turin heng himna tips te hi zawm rawh:

• Lirthei a chuang dawnin seatbelt vuah fo ang che.
• Thiltih leh infiamna tinrengah safety gear \ha tak ha rawh.
• I in leh hnathawhna hmun chu nangmah emaw, mi dangte emaw tithinur thei thil ṭûl lote chu awm lovin dah rawh. A bik takin, lei chunga wire, infiamna leh thil dangte chu ngaihtuah rawh.
• Chunglam atanga thil thleng tur chuan hmanraw dik tak hmang fo ang che. Chair, dawhkan leh counter-ah chuan lawn ngai suh.
• Ei leh in hrisel leh exercise plan i zawm tur a ni.
• Kal harsatna i neih emaw, tlu hlauhawmna i neih emaw chuan tiang emaw, kea kalna emaw hmang ang che. Hengte hman hi zahthlak a awm lo, i himna tur a ni.

## Engtin nge ka in enkawl ang?

Ei leh in hrisel leh exercise plan zawm hian i ruh (leh a pum pui) hriselna vawng reng turin a pui ang che. Checkup pangngai nei turin kal rawh. I ruh tichhe thei harsatna emaw, symptom emaw eng pawh chu a hma thei ang bera man turin an pui thei che a ni.

Kum 65 chunglam i nih chuan, emaw, i chhungkuaa mi tu emaw chuan ruh natna (osteoporosis) a nei a nih chuan, i doctor nen bone density test chungchang sawipui rawh. Hemi chungchang zawh hi hlau lo la, zak suh.

## Engtikah nge Doctor ka hmuh ang?

I taksaa inthlak danglamna i hmuh chuan ruh natna (osteoporosis) vaukhânna chhinchhiahna (thil sang lo, chak lohna ang chi) ni thei tur i hmuh chuan doctor pan rawh. Tin, i natna lan chhuahna dang i neih apiang chu i doctor hnenah hrilh bawk ang che, a bik takin ruh na emaw, i taksa tihchet harsatna emaw i neih chuan.

## Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Ruh tliak i neih nia i hriat chuan, emaw, a hnuaia symptoms te hi i neih chuan emergency room (ER)-ah kal nghal rawh:

• Natna nasa tak a nei.
• I taksa peng pakhat i che thei lo a nih chuan.
• Taksa peng pakhat chu a danglamin a lang emaw, a awmna hmun atanga a danglam tawh emaw (a ben, a inzar pharh ang maia) a nih chuan.
• I vun a inzawm khawm a, i ruh a lang thei a nih chuan.
• Vung.
• Heng symptom dangte nen hian hliam thar a lo lang bawk.

## Doctor hnenah eng zawhna nge zawh tur?

Doctor i pan dawnin heng zawhnate hi zawh theihnghilh suh ang che:

• Osteoporosis ka vei theihna tur risk chu eng nge ni?
• Engzat nge bone density test ka neih a ngai dawn?
• Eng ang enkawlna nge ka mamawh? An side effects te chu engte nge ni?
• Ka ruh tichak turin exercise tha tak tak ka tih theihte chu engte nge ni?
• Physics therapy ka mamawh dawn em ni?
• Ka ei leh in lamah eng inthlak danglamna nge ka neih?

## Osteoporosis natna nen hian eng chen nge i dam theih ang?

Osteoporosis hi nunna atana hlauhawm natna a ni lo va, i dam rei zawng (eng chen nge i dam dawn tih) a tidanglam lo tihna a ni. Mahse, ruh tliak theihna a tipung thung. Tin, ruh tliak na tak emaw, ruh tliak avanga harsatna i neih theihna a tipung bawk. Zirna thenkhatah chuan kum 65 chunglam puitling hip fracture hi an che thei lo va, damdawi ina enkawl tam zawk an ni a, thih hma pawh an awm thei tih an hmuchhuak.

Tlu emaw, ke ruh tliak emaw laka invenna tur i ngaihtuah a nih chuan i doctor nen inbia ang che. Hriselna leh hrisel taka awm turin an pui thei che a ni.

## Chuti a nih chuan, he thil atang hian eng nge kan hriat reng tur pawimawh ber?

Osteoporosis hi i ruhte chu a nih tur aia a ti sei a, a chak lo zawk a ni. Hei hian a hlauhawm thei hle a, a chhan chu ruh tikehsawmna a siam tam zawk vang a ni. Mi tam tak chuan ruh an tihchhiat hma loh chuan ruh natna (osteoporosis) an nei tih pawh an hre lo.

Fracture venna tha ber chu osteoporosis hian a tihnat hmain i man hi a ni.

Chuvangin, regular checkup nei turin kal rawh. I doctor hnenah engtikah nge bone density test i neih tur tih leh eng chen nge i ruh hriselna i enfiah tur tih zawt rawh. Nun hrisel nei tur chuan ruh hrisel hi a pawimawh hle tih hre reng ang che! Naupan lai atanga i ruh enkawl hi i upat deuh deuh chuan a hlu hle.

` Ruh natna, ruh hriselna, ruh tliak, ruh density, calcium, vitamin D, exercise, menopause, Dexa scan