Sitiganizira kwambiri za mafupa m'thupi lathu m'miyoyo yathu ya tsiku ndi tsiku, sichoncho? Koma taganizirani izi, taonapo nthawi zina pamene munthu wokalamba amatsetsereka ndi kugwa kunyumba ndikuthyoka mkono kapena mwendo. Koma nthawi yomweyo, ngati wachinyamata wagwa, amatha kutuluka ndi kukanda pang'ono. Chifukwa chiyani kusiyana kumeneku kuli? Chifukwa chimodzi cha izi chingakhale vuto lomwe tikukamba lero lotchedwa osteopenia. Ili ndi matenda osamveka bwino omwe amafooketsa mafupa pang'onopang'ono.
Mwachidule, kodi osteopenia ndi chiyani?
Kufooka kwa mafupa ndi kuchepa kwa kuchuluka kwa mafupa anu. Taganizirani mafupa athu ngati khoma la njerwa lomangidwa bwino. Pakapita nthawi, njerwa zina zomwe zili pakhoma ili zimamasuka, zomwe zimapangitsa kuti khoma likhale lofooka pang'ono. Umu ndi momwe zilili ndi vutoli. Kuchuluka kwa mchere womwe uyenera kukhala m'mafupa kumachepa, ndipo mphamvu zawo zimachepa.
Imeneyi si matenda, koma ndi chizindikiro chofunikira kwambiri chochenjeza. Zimatanthauza kuti mafupa anu ndi ofooka kuposa momwe amakhalira, motero pali chiopsezo cha kusweka mafupa mtsogolo.
Kodi pali kusiyana kotani pakati pa osteopenia ndi osteoporosis?
Mayina awiriwa ndi ofanana kwambiri, kotero anthu ambiri amasokonezeka. Tiyeni timvetse izi motere.
- Kufooka kwa mafupa: Ili ndi chenjezo loyamba. Lili ngati nyali yachikasu pa nyali ya pamsewu. Limati, "Samalani, mafupa anu akufooka." Ngati titachita bwino panthawiyi, tikhoza kupewa ngozi yotsatira.
- Matenda a Osteoporosis: Imeneyi ndi nkhani yaikulu kwambiri. Ili ngati nyali yofiira pa nyali ya magalimoto. Pano, mafupa ndi ofooka kwambiri, ndipo ngakhale kugwa pang'ono, kapena chifuwa chachikulu, kungayambitse kusweka kwa fupa.
Mwachidule, osteopenia ndi sitepe yoyamba yomwe imayambitsa matenda a osteoporosis, choncho ndikofunikira kuchitapo kanthu mwamsanga mukangozindikira.
Kodi zizindikiro za vutoli ndi ziti?
Chofunika apa ndi ichi. Matenda a osteopenia alibe zizindikiro. Simukumva kupweteka kapena kusasangalala. Kungoti mafupa akufooka pang'onopang'ono kuchokera mkati. Ndicho chifukwa chake madokotala amatcha matenda obisika.
Kawirikawiri, munthu amaphunzira za vutoli kudzera mu X-ray pazifukwa zina, kapena akagwa pang'ono ndi kusweka fupa. Choncho palibe chifukwa chodikira kuti zizindikiro ziwonekere.
N’chifukwa chiyani timadwala matenda a osteopenia? Kodi zinthu zomwe zimayambitsa matendawa ndi ziti?
Ndipotu, ukalamba ndiye chifukwa chachikulu. Mafupa athu amakhala olimba kwambiri ali ndi zaka zapakati pa 25-30. Pambuyo pake, liwiro limene mafupa atsopano amapangidwa mwachibadwa limawonjezeka mofulumira pang'ono kuposa liwiro limene amasweka. Izi ndi zosiyana kwa aliyense. Koma kwa anthu ena, njirayi imatha kufulumizitsidwa.
Pali zinthu zingapo zomwe zimawonjezera chiopsezochi.
| Choopsa | Kufotokozera |
|---|---|
| Zaka | Anthu opitirira zaka 50 ali pachiwopsezo chachikulu. |
| Jenda | Azimayi, makamaka akamaliza kusamba, ali ndi mwayi wochuluka wopeza matendawa nthawi zinayi kuposa amuna. |
| Kusuta ndi mowa | Anthu omwe amasuta fodya komanso kumwa mowa kwambiri tsiku lililonse amatha kufooka msanga. |
| Mbiri ya banja | Ngati wina m'banja mwanu ali ndi matenda a osteoporosis, inunso mungakhale pachiwopsezo. |
Kodi matenda ena ndi mankhwala zimakhudza izi?
Inde, ndithudi. Matenda ena ndi mankhwala a nthawi yayitali angayambitsenso kuchepa kwa mphamvu ya mafupa.
| Zinthu zomwe zingakhudze | Zitsanzo |
|---|---|
| Matenda | |
| Mavuto a mahomoni | Hyperthyroidism, matenda a Cushing |
| Matenda ena | Matenda a shuga, Matenda a impso osatha (CKD), nyamakazi ya nyamakazi |
| Kusowa zakudya | Kusowa kwa calcium kapena vitamini D, kusowa zakudya m'thupi, matenda a kudya. |
| Mitundu ya mankhwala | |
| Mitundu ya ma steroid | Kumwa mankhwala monga corticosteroids kwa nthawi yayitali. |
| Mankhwala ena | Mitundu ina ya zoletsa za proton pump (PPIs) za gastritis, mankhwala a khunyu, ndi mankhwala a mahomoni a khansa. |
Kodi mungadziwe bwanji ngati muli ndi vutoli?
Njira yabwino komanso yolondola kwambiri yodziwira izi ndi kugwiritsa ntchito "Bone Density Test", yomwe imadziwikanso kuti DEXA scan.
Iyi ndi njira yosavuta komanso yopanda ululu. Ili ngati kutenga X-ray. Imayesa kuchuluka kwa mafupa anu, makamaka msana wanu ndi chiuno. Zotsatira zake zitha kudziwa dokotala wanu ngati mafupa anu ali bwino, ali ndi osteopenia, kapena osteoporosis.
Madokotala nthawi zambiri amalimbikitsa mayeso awa kwa akazi azaka zopitilira 50 ndi amuna azaka zopitilira 70. Komanso, ngati muli ndi zinthu zoopsa zomwe zatchulidwa kale, dokotala wanu angakulangizeni mayesowa kale.
Kodi matenda a osteopenia amachiritsidwa bwanji?
Nkhani yabwino ndi yakuti si aliyense amene ali ndi matenda a osteopenia amene amafunika mankhwala. Cholinga chathu chachikulu ndikuletsa mafupa kuti asafooke kwambiri ndikuletsa osteoporosis. Izi zimachitika makamaka chifukwa cha kusintha kwa moyo wathu.
1. Kuchita masewera olimbitsa thupi
Kuchita masewera olimbitsa thupi ndiyo njira yabwino kwambiri yolimbikitsira mafupa anu. Kuchita masewera olimbitsa thupi olemera ndikofunikira kwambiri. Izi zikutanthauza kuyenda, kuthamanga, komanso kukwera masitepe. Kuchita masewera olimbitsa thupi monga yoga ndi Tai Chi kungakuthandizeni kukhala bwino. Izi zingathandizenso kupewa kugwa. Funsani dokotala wanu kapena katswiri wa physiotherapy za masewera olimbitsa thupi omwe ali oyenera kwa inu.
2. Zakudya ndi zakudya
Zinthu ziwiri zofunika kwambiri pa mafupa ndi calcium ndi vitamini D.
- Calcium: Mkaka, yogati, tchizi, nsomba zazing'ono (monga ma sprat) zomwe zimadyedwa ndi zipolopolo zawo, ndi ndiwo zamasamba zobiriwira (sipinachi, kale) zili ndi calcium yambiri.
- Vitamini D: Izi zimathandiza thupi lathu kuyamwa calcium. Gwero labwino kwambiri la vitamini D ndi kuwala kwa dzuwa. Ndi bwino kwambiri kukhala padzuwa kwa mphindi 15-20 m'mawa uliwonse.
Ngati simukupeza zokwanira kuchokera muzakudya zanu, dokotala wanu adzasankha ngati muyenera kumwa zowonjezera. Musagwiritse ntchito zowonjezera izi popanda kufunsa dokotala.
3. Kupewa zizolowezi zoipa
- Ngati mukusuta, siyani nthawi yomweyo. Kusuta kumawononga maselo omwe amapanga mafupa.
- Pewani kumwa mowa mopitirira muyeso.
Mafunso oti mufunse dokotala wanu
Ngati mwapeza kuti muli ndi osteopenia, lankhulani ndi dokotala wanu za izi.
- Kodi ndiyenera kuyezetsa kuchuluka kwa mafupa kangati?
- Ndi zinthu zina ziti zomwe ndili nazo zoopsa?
- Ndi mankhwala ati omwe ndi abwino kwa ine?
- Ndi masewera olimbitsa thupi ati omwe ndi abwino pa thanzi la mafupa anga?
- Kodi ndiyenera kumwa mankhwala owonjezera a calcium ndi vitamini D?
Kumbukirani, matenda a osteopenia ndi mwayi wachiwiri pa moyo. Zimatanthauza kuti ndi nthawi yoti musamale kwambiri mafupa anu. Mukazindikira msanga komanso kukhala ndi moyo wathanzi, mutha kupewa matenda a osteoporosis ndikukhala ndi moyo wathanzi ndi mafupa olimba.
Uthenga Wopita Nawo Kunyumba
- Kufooka kwa mafupa ndi kuchepa kwa kuchuluka kwa mafupa. Ndi chizindikiro chochenjeza chomwe chimachitika munthu asanadwale matenda a osteoporosis.
- Popeza palibe zizindikiro, ndikofunikira kuti muyesedwe kuchuluka kwa mafupa potsatira upangiri wa dokotala ngati muli ndi zinthu zomwe zingakuike pachiwopsezo (makamaka akazi azaka zopitilira 50).
- Cholinga chachikulu cha chithandizo si kupereka mankhwala, koma kusintha moyo. Kuchita masewera olimbitsa thupi moyenera, kudya zakudya zambiri zokhala ndi calcium ndi vitamini D, komanso kupewa kusuta fodya/mowa ndizofunikira kwambiri.
- Vutoli lingathe kuthetsedwa. Kuchita zinthu zoyenera kungathandize kupewa kufooka kwa mafupa komanso kuchepetsa chiopsezo cha kusweka kwa mafupa.
- Ngati muli ndi nkhawa iliyonse yokhudza thanzi la mafupa anu, lankhulani momasuka ndi dokotala wanu.
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