Mena kei te whawhai koe ki te mate pukupuku ū, e mōhio ana mātou ki te uaua o te haerenga. Nā te whanaketanga o te rongoā hou, he tino whai hua ngā maimoatanga mō te mate pukupuku ū. Koia te take e piki haere ana te maha o ngā wāhine e ora ana i te mate pukupuku. Engari i roto i tēnei pakanga, tera pea ka tūpono koe ki tētahi atu raruraru hauora kāore pea koe e mōhio. Arā, ka ngoikore ngā wheua, ka angiangi, ka ngawari te whati. Ka karangatia tēnei e mātou i roto i te rongoā ko 'Osteoporosis'. Nā te mea he maha ngā wā ka puta mai kāore he tohu, ka karangatia hoki e ētahi ko te "mate puku". Nō reira, he mea tino nui kia ako koe i a koe anō mō tēnei.
He aha te hononga i waenga i te mate pukupuku o te ū me te angiangi o te wheua?
He kupu ngāwari noa iho, he hononga kaha kei waenganui i te mate pukupuku ū me te osteoporosis. He maha ngā āhuatanga e pā ana ki tēnei.
Whakaarohia tēnei: Ko te mate pukupuku o te ū te mea tino kitea i roto i ngā wāhine neke atu i te 60 tau te pakeke. Ka piki ake hoki te mōrearea o te ngaronga o te wheua i tēnei tau. Ina koa i muri i te menopause, ina heke te taumata o te estrogen o te tinana. Ko te estrogen he homoni e āwhina ana ki te pupuri i te kaha o ō tātou wheua. Nō reira, ina heke tēnei homoni, ka tīmata hoki te heke haere o te kaha o ō tātou wheua.
Hei tāpiritanga, ko te mate pukupuku tonu te take o te mumura i roto i te tinana. Ka piki ake te tere o te pakaru o ngā pūtau wheua tawhito, ā, ka whakaroa i te tere o te hanganga o ngā pūtau wheua hou. Ko tētahi atu take tēnei e ngoikore ai ngā wheua.
Kua whakaatuhia e ngā rangahau tata ki te 80% o te hunga e ora ana i te mate pukupuku ū i muri i te paheketanga ka mōrearea ki te ngaronga o te papatipu wheua.
Me pēhea te ngoikore o ngā wheua e ngā maimoatanga matepukupuku?
Ehara i te mea ko te mate pukupuku anake te take o te ngaronga o te wheua. Ka pā tika atu hoki ētahi o ngā maimoatanga mōna ki tēnei. Ina koa, mā te rongoā homoni me te rongoā matū ka heke te matotoru o te wheua. I te tīmatanga, ka puta he mate e kiia nei ko te osteopenia, ā, i muri mai ka whanake hei osteoporosis.
Ko te mea nui, ko te ngaronga o te wheua i puta mai i te maimoatanga mate pukupuku ka taea te puta tata ki te whitu ngā wā tere atu i te mea e puta noa ana i te koroheketanga.
Tata ki te rua hautoru o ngā mate pukupuku o te ū he pai te homoni e puta mai ana i te kaiwhakawhiwhi. Ko te tikanga o tēnei, ka whakaohokia ngā pūtau mate pukupuku kia tipu mā roto i ngā homoni pēnei i te estrogen. Nō reira, ka mahi ngā maimoatanga mō tēnei āhuatanga mā te whakaiti i ngā taumata o te estrogen i roto i te tinana, mā te aukati rānei i te homoni. Ahakoa he mea nui tēnei hei whakahaere i te mate pukupuku, heoi anō, ka tangohia hoki te estrogen e hiahiatia ana e ō tātou wheua.
Me titiro tātou ki te ripanga i raro nei kia kite ai ko ēhea ngā maimoatanga matua mō te mate pukupuku ka pā ki ngā wheua.
| Momo maimoatanga | Te pānga ki ngā wheua |
|---|---|
| Tamoxifen | Ka ārai tēnei rongoā i te mahi a te homoni estrogen ki ngā pūtau matepukupuku. Ahakoa ka paku whakanui ake i te mōrearea o te angiangi wheua i roto i ngā wāhine i mua i te paheketanga, ka whakaitihia te mōrearea i roto i ngā wāhine i muri i te paheketanga. |
| Ngā Ārai Aromatase (AI) | Ka whakaitihia e ēnei rongoā (hei tauira, Anastrozole, Letrozole) te hanga estrogen e te tinana, ka nui ake ai te mōrearea o te angiangi o te wheua. |
| Te Pehi i te Ovarian | Ka mutu te whakaputa a ngā ovaries i te estrogen. Ka taea tēnei te mahi mō te wā poto mā te whakamahi i ngā rongoā pēnei i a Goserelin (Zoladex) mā te tango i ngā ovaries mō ake tonu atu rānei. Ka piki ake te mōrearea o te ngaronga o te wheua. |
| Te rongoā matū | Ahakoa ka patua e ēnei rongoā kaha ngā pūtau matepukupuku, ka taea hoki e rātou te kino i ngā ovaries me te whakararu i te menopause i te wā taitamariki, ka piki ake te mōrearea o te angiangi o te wheua. |
Ētahi atu āhuatanga e whakanui ana i te mōrearea
I a koe e rongoatia ana ki te mate pukupuku ū, tera pea ka nui ake tō tupono ki te angiangi wheua mena ka pāngia koe e ēnei āhuatanga:
- Neke atu i te 65 tau te pakeke.
- Te momi hikareti.
- Te nui rawa o te inu i ia rā.
- He whati whati ōna i mua.
- Te whakamahinga roa o ngā rongoā steroids.
- Te taumaha tinana i raro iho i te 57 kirokaramu (125 pauna).
Mena ka pā tētahi, ētahi rānei o ēnei ki a koe, me kōrero koe ki tō tākuta mō ō mōrearea whaiaro. Kāore he take e mataku ai, engari he mea nui kia mōhio wawe koe ki tēnei.
Me pēhea te tirotiro i te hauora o te wheua?
Ka taea e tō tākuta te aroturuki i te hauora o tō wheua i mua, i te wā e rongoatia ana, me muri hoki i te mate pukupuku. Ko te whakamātautau matua e whakamahia ana mō tēnei ko te matawai DEXA .
He whakamātautau māmā noa iho tēnei, kāore he mamae. He rite ki tētahi hihi-X motuhake. Ka ine i te mātotorutanga o te wheua o tō tuaiwi me tō hope. He mea pai kia mahia tēnei matawai i mua i te tīmatanga o te maimoatanga, ā, kia waiho hei inenga tūāpapa. Kātahi ka taea e koe te whakarite i muri mai kia kite ai mēnā kua heke te mātotorutanga o tō wheua.
Ko te hua o tēnei whakamātautau ka tukuna hei kaute-T. Mena he -2.5, he iti iho rānei tēnei uara, ka kiia he osteoporosis, ā, me rongoā pea.
He aha ngā maimoatanga e hoatu ana hei whakapakari i ngā wheua?
Mena he iti te kiato o ō wheua, he mōrearea rānei koe ki te whati wheua, ka tohua pea e tō tākuta he rongoā whakapakari wheua. Ka whakamahia e rātou he taputapu pēnei i te taputapu FRAX hei tatau i tō mōrearea.
| Momo rongoā | Ngā mahi me ngā tauira |
|---|---|
| Ngā Bisphosphonates | Ka ārai ēnei i te ngaronga o te wheua, ā, ka whakaiti i te tūponotanga o ngā whati. Ka hoatu hei pire, hei werohanga rānei mā te uaua. Hei tauira: Alendronate, Ibandronate, Zoledronic acid. |
| Denosumab (Denosumab - Prolia) | He huarahi kē tēnei mā te hunga kāore e taea te whakamahi i ngā bisphosphonates. Ka hoatu hei werohanga i ia ono marama. Ka whakaitihia hoki te pakaru o te kiko wheua. |
| Raloxifene (Raloxifene - Evista) | He rite tana mahi ki te homoni estrogen ki ngā wheua, e whakapakari ana i a rātou. E whakamahia ana hei ārai me te rongoā i te osteoporosis. |
Ngā mea ka taea e koe te mahi hei tiaki i ō wheua
Haunga ngā rongoā, mā te whakarerekē i tō momo noho ka āwhina i te pupuri i te kaha o ō wheua.
- Kai i ngā kai whai kiko i te konupūmā me te huaora D. He mea nui ēnei matūkai e rua mō ngā wheua. Me 1000-1200 mirikaramu o te konupūmā me te 800-1000 waeine ao (IU) o te huaora D ia rā. He nui ēnei i roto i te miraka me ngā hua miraka, te miraka kawa, te tiihi, ngā huawhenua kakariki pouri (pīnihi, kāreti), me ngā ika iti (pērā i te sardine). Ki te kore e nui te kai e whiwhi ana koe, whakaarohia te tango i tētahi tāpiringa i raro i te tohutohu a te taote .
- Mahia ngā mahi whakakorikori tinana hei amo i ngā taumaha. Ko ngā mahi pēnei i te hikoi, te piki arawhata, me te tākaro tēnehi ka pēhi i ō wheua, ka whakapakari hoki i a rātou. He pai hoki te hiki taumaha me te whakamahi i ngā whitiki ātete.
- Kati rawa te kai hikareti me te waipiro. Ka ngoikore ngā wheua i ēnei e rua. Mā te kai hikareti, ka whakaitihia te kaha o te tinana ki te mimiti i te konupūmā mai i te kai.
I a koe e rongoatia ana mō te mate pukupuku, me kōrero tonu ki tō tākuta mō te hauora o tō wheua. Kaua e wehi ki te pātai mō ō āwangawanga, pātai rānei.
Karere Tangohia ki te Kāinga
- Ka taea e te mate pukupuku o te ū me ētahi o āna maimoatanga (ina koa ko te rongoā homoni) te ngoikore i ō wheua, me te whakanui ake i te mōrearea o te osteoporosis.
- Nā te mea he "mate puku" tēnei, he mea nui kia mōhio wawe ki tēnei, kaua e tatari kia puta mai ngā tohu.
- Kōrero ki tō tākuta, ā, whakaarohia te whiwhi i tētahi matawai DEXA mēnā e tika ana.
- Ka taea e koe te tiaki i ō wheua mā te kai i ngā kai e nui ana te konupūmā me te huaora D, te whakakorikori tinana e mau ana i te taumaha, me te karo i te momi hikareti/waipiro.
- Kōrero noa ki tō tākuta mō ngā mea katoa e pā ana ki tō hauora, inā koa ngā āwangawanga katoa e pā ana ki te hauora o te wheua.
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