Kodi mafupa anu akufooka tsiku ndi tsiku? Tiyeni tiphunzire za matenda a osteoporosis!

Kodi munagwapo n’kuthyoka mkono kapena mwendo? Kapena kodi inuyo kapena munthu wina amene mumamudziwa waona kuti mukuchepa thupi kwambiri mukamakalamba? Mwina chifukwa cha zinthuzi ndi mdani wosalankhula amene palibe aliyense wa ife amene amalankhula kwambiri za iye, koma amene amakhudza anthu ambiri. Lero tikambirana za mdani wosalankhulayo, wotchedwa osteoporosis .

Kodi Matenda a Osteoporosis ndi Chiyani?

Mwachidule, matenda a osteoporosis ndi matenda omwe amafooketsa mafupa anu. Izi zimapangitsa mafupa anu kukhala opyapyala kuposa momwe ayenera kukhalira komanso kuchuluka kwawo kuchepe. Zili ngati njerwa zomwe zimagwiritsidwa ntchito pomanga khoma zimakhala zopanda kanthu ndipo khoma limakhala lofooka. Chifukwa chake izi zikachitika, mwayi woti mafupa asweke ndi wokwera kwambiri.

Kawirikawiri, mafupa athu ndi olimba komanso okhuthala. Amatha kunyamula kulemera kwa thupi lathu ndikuyamwa kuwonongeka komwe kumachitika chifukwa cha kugwa pang'ono ndi kuvulala. Koma tikamakalamba, mafupa athu mwachibadwa amataya kukhuthala kwawo ndipo liwiro lomwe amakonzedwanso limachepa. Ngati muli ndi matenda a osteoporosis, mafupa anu amakhala ofooka komanso ofooka kuposa masiku onse.

Anthu ambiri sadziwa kuti ali ndi matenda a osteoporosis mpaka atathyola fupa. Ngakhale kuti fupa lililonse limatha kuthyoka, nthawi zambiri limakhudza:

• Kusweka kwa chiuno chanu.
• Mafupa a dzanja.
• Msana wosweka.

Ngati dokotala atazindikira msanga matenda a osteoporosis, mungachepetse kwambiri chiopsezo chanu cha kusweka kwa mafupa. Chifukwa chake, makamaka ngati muli ndi zaka zoposa 65 , mwasweka mafupa mutakwanitsa zaka 50, kapena ngati wina m'banja mwanu ali ndi matenda a osteoporosis, lankhulani ndi dokotala wanu kuti akuthandizeni kuti mufufuze kuchuluka kwa mafupa anu.

Kodi vutoli ndi lofala bwanji?

Ndipotu, izi n’zofala kwambiri kuposa momwe mungaganizire. M’dziko ngati America, anthu opitilira 50 miliyoni ali ndi matenda a mafupa. Matendawa akuchulukirachulukira ku Sri Lanka, makamaka pamene okalamba athu akuchulukirachulukira.

Matenda a osteoporosis ndi ofala kwambiri pakati pa anthu azaka zopitirira 50. Akatswiri amati mkazi m'modzi mwa akazi awiri ndi mwamuna m'modzi mwa amuna anayi azaka zopitirira 50 akhoza kukhala ndi matenda a osteoporosis. Tangoganizirani kuchuluka kwa anthu omwe mumawadziwa omwe ali ndi vutoli.

Kafukufuku wapeza kuti pafupifupi gawo limodzi mwa magawo atatu a anthu azaka zopitirira 50 omwe alibe matenda a osteoporosis ali ndi kuchepa kwa mafupa. Matendawa amatchedwaOsteopenia. Osteopenia ndi matenda omwe amasonyeza zizindikiro zoyambirira za osteoporosis. Kunena zoona, zimakhala ngati kuwala kofiira. Ngati sichichiritsidwa bwino, vuto la osteopenia likhoza kusanduka osteoporosis.

Kodi zizindikiro za Osteoporosis ndi ziti?

Monga matenda ambiri, matenda a osteoporosis alibe zizindikiro zoonekeratu. Ndicho chifukwa chake madokotala nthawi zina amatcha matenda obisika.

Simungamve kapena kuona chilichonse, choncho auzeni kuti muli ndi matenda a osteoporosis. Ngati mulibe mutu, malungo, kapena kupweteka m'mimba, auzeni kuti pali vuto linalake m'thupi lanu.

"Chizindikiro" chachikulu cha izi ndi kuthyoka kwa fupa mwadzidzidzi . Izi zitha kuchitika, makamaka chifukwa cha kugwa pang'ono, kapena ngakhale ngozi yaying'ono yomwe nthawi zambiri siimabweretsa vuto lililonse. Tangoganizani, ngakhale mutapunthwa pang'ono podzuka pampando, kapena ngakhale mutagunda chitseko, mutha kuthyoka mkono kapena mwendo.

Ngakhale kuti matenda a osteoporosis sangayambitse zizindikiro zilizonse, mungaone kusintha kwina komwe kumasonyeza kuti mafupa anu akuchepa mphamvu ndi kulemera. Izi ndi zizindikiro zochenjeza za matenda a osteoporosis:

• Mungachepetse kutalika kwanu ndi inchi imodzi kapena kuposerapo. Izi zitha kuchitika pang'onopang'ono, kotero simungazindikire nthawi yomweyo.
• Kusintha kwa kaimidwe kanu kabwinobwino (kuwerama patsogolo, kuwerama). Anthu ena amati "kugona pansi", china chake chonga icho.
• Kuvuta kupuma (ngati msana wanu wapanikizika ndipo mphamvu ya mapapo anu yachepa).
• Kupweteka kwa msana m'munsi (kupweteka kwa msana wanu). Musaganize kuti uku ndi kupweteka kwa msana kokha, makamaka ngati palibe chifukwa china.

Mungavutike kuona kusintha kwa thupi lanu. Zingakhale zosavuta kwa munthu wapafupi nanu kapena banja lanu kuona kusintha kumeneku (makamaka kutalika kapena kaimidwe ka thupi). Ngakhale anthu ena amaseka kuti "mumachepa" mukamakula, ichi chingakhale chizindikiro chakuti muyenera kupita kwa dokotala kuti akakuyeseni kuchuluka kwa mafupa.

Nchifukwa chiyani matenda a osteoporosis amapezeka?

Matenda a mafupa amayamba pamene mukukalamba, pamene mphamvu ya mafupa anu yopanga atsopano ndikudzikonza okha imachepa.

Mafupa athu ndi minofu yamoyo, monga matupi athu ena onse. Ngakhale sizingawonekere choncho, nthawi zonse amasintha maselo ndi minofu yawo m'miyoyo yathu yonse. Taganizirani izi ngati kukonzanso nyumba yakale. Mpaka zaka pafupifupi 30 , matupi athu mwachibadwa amapanga mafupa ambiri kuposa omwe amataya. Izi zikutanthauza kuti banki ya mafupa ikukula. Koma pambuyo pa zaka 35, kuchuluka kwa mafupa kumapitirira kuchuluka kwa mapangidwe atsopano a mafupa. Izi zimachepetsa pang'onopang'ono kuchuluka kwa mafupa. Zili ngati kutulutsa ndalama kubanki mwachangu ndikuchepetsa ndalama zomwe mumayika.

Ngati muli ndi matenda a osteoporosis, mafupa anu amachepa mofulumira kuposa masiku onse. Azimayi amataya mafupa mwachangu kwambiri akamaliza kusamba , chifukwa kuchepa kwa mahomoni a estrogen kumakhudza mafupa.

Ndani ali pachiwopsezo chachikulu cha matenda a osteoporosis?

Aliyense akhoza kudwala matenda a osteoporosis, koma magulu ena ali ndi mwayi waukulu wodwala matendawa. Izi zikuphatikizapo:

• Aliyense wazaka zoposa 50. Chiwopsezochi chimawonjezeka pamene mukukula.
• Azimayi, makamaka akamaliza kusamba. Takambirana kale za izi.
• Ngati wina m'banja mwanu ali ndi matenda a osteoporosis (cholowa). Ngati amayi anu, abambo anu, kapena abale anu anali ndi vutoli, inunso mungakhale pachiwopsezo.
• Anthu omwe ndi oonda mwachibadwa, okhala ndi "mafelemu ang'onoang'ono." Izi zili choncho chifukwa anthu owonda nthawi zambiri amakhala ndi mafupa ochepa, kotero ngakhale kutayika pang'ono kumawakhudza kwambiri.
• Anthu omwe amasuta ndi kugwiritsa ntchito fodya. Kusuta fodya kumawononga mafupa kwambiri.

Matenda ena angawonjezere chiopsezo.

Matenda ena angayambitse kufooka kwa mafupa. Mwachitsanzo:

• Matenda a Endocrine: Matenda aliwonse omwe amakhudza ma parathyroid glands, chithokomiro, ndi mahomoni (monga matenda a chithokomiro, matenda a shuga).
• Matenda a m'mimba: Mwachitsanzo, matenda monga matenda a Celiac ndi matenda a kutupa m'matumbo (IBD) angayambitse thupi kusayamwa bwino michere.
• Matenda a autoimmune omwe amakhudza mafupa: monga rheumatoid arthritis kapena ankylosing spondylitis.
• Matenda a magazi: Kapena khansa yomwe imakhudza magazi, mwachitsanzo, multiple myeloma.

Mankhwala ndi maopaleshoni ena ali ndi zoopsa.

Chiwopsezo cha matenda a mafupa chikhoza kuwonjezeka ndi kugwiritsa ntchito mankhwala enaake kwa nthawi yayitali kapena opaleshoni zina:

• Mankhwala ochepetsa mphamvu ya madzi m'thupi:(Mankhwala ochepetsa kuthamanga kwa magazi ndi kuchotsa madzi ochulukirapo m'thupi).
• Corticosteroids: (Mankhwala omwe amagwiritsidwa ntchito pochiza matenda otupa monga mphumu ndi nyamakazi). Mankhwalawa ndi owopsa kwambiri akagwiritsidwa ntchito kwa nthawi yayitali.
• Mankhwala ena a khunyu.
• Opaleshoni yochepetsa thupi (opaleshoni ya Bariatric).
• Chithandizo cha mahomoni cha khansa (khansa ya m'mawere kapena khansa ya prostate).
• Mankhwala oletsa magazi kuundana (mankhwala omwe amaletsa magazi kuundana).
• Mankhwala oletsa kupopera kwa proton ( mankhwala omwe amagwiritsidwa ntchito pochiza acidity, monga gastritis; awa amatha kukhudza kuyamwa kwa calcium m'thupi).

Muyeneranso kuyang'ana zakudya zanu ndi masewera olimbitsa thupi.

Zakudya zanu ndi zizolowezi zanu zolimbitsa thupi zimakhudzanso kukula kwa matenda a osteoporosis. Izi ndi zinthu zomwe tingathe kuzilamulira:

• Kusadya calcium kapena vitamini D wokwanira. Calcium ndiye chinthu chachikulu chomwe chimapanga mafupa. Vitamini D imathandiza thupi kuyamwa calcium.
• Kusachita masewera olimbitsa thupi mokwanira. Mukapanda kuchita masewera olimbitsa thupi, mafupa anu amafooka.
• Kumwa mowa nthawi zonse (kuposa kawiri patsiku).

## Kodi matenda a osteoporosis amapezedwa bwanji?

Dokotala amazindikira matenda a osteoporosis pochita mayeso a kuchuluka kwa mafupa . Izi zimayesa mphamvu ya mafupa anu. Zimagwiritsa ntchito X-ray kuti ziyeze kuchuluka kwa calcium ndi mchere wina m'mafupa anu.

Madokotala nthawi zina amatcha mayeso a kukhuthala kwa mafupa awa kuti DEXA scan , DXA scan, kapena bone density scan. Awa onse ndi mayina a mayeso omwewo.

Kuyesa kumeneku kumagwiritsa ntchito ma X-ray otsika kuti muyese kuchuluka kwa mafupa anu ndi kuchuluka kwa mchere m'mafupa anu. Kuli ngati X-ray yanthawi zonse. Ndi njira yochizira matenda akunja, zomwe zikutanthauza kuti simuyenera kukhala m'chipatala. Mutha kupita kunyumba mukamaliza mayeso. Palibe singano kapena jakisoni wokhudzana ndi mayesowa. Chifukwa chake palibe chodetsa nkhawa.

Kuyang'ana kuchuluka kwa mafupa anu ndiyo njira yabwino kwambiri yodziwira matenda a osteoporosis musanasweke mafupa.

Ngati wina m'banja mwanu ali ndi matenda a osteoporosis, ngati muli ndi zaka zoposa 50, kapena ngati muli ndi osteopenia, dokotala wanu angakulangizeni kuti muyezedwe mafupa nthawi zonse.

## Kodi mankhwala a Osteoporosis ndi ati?

Dokotala wanu angakulangizeni njira zosiyanasiyana zochizira mafupa zomwe zingathandize kuchepetsa kutayika kwa mafupa anu ndikulimbitsa minofu ya mafupa omwe alipo kale. Chofunika kwambiri pochiza matenda a osteoporosis ndikupewa kusweka kwa mafupa.

Mankhwala odziwika bwino a osteoporosis ndi awa:

• Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi nthawi zonse kumalimbitsa mafupa anu (ndi minofu yonse yomwe imawalumikiza, monga minofu, minyewa, ndi mitsempha). Dokotala wanu angakulangizeni kuchita masewera olimbitsa thupi olemera kuti mulimbikitse minofu yanu ndikulimbitsa bwino thupi lanu. Masewera olimbitsa thupi oletsa mphamvu yokoka, monga kuyenda, yoga, Pilates, ndi Tai Chi, angakuthandizeni kulimbitsa mphamvu zanu komanso kulimbitsa thupi popanda kupsinjika kwambiri mafupa anu. Mungafunike kugwira ntchito ndi katswiri wa masewera olimbitsa thupi kuti mupeze masewera olimbitsa thupi ndi mayendedwe omwe angakuthandizireni.
• Mavitamini ndi michere yowonjezera: Mungafunike mankhwala owonjezera a calcium kapena vitamini D omwe amaperekedwa ndi dokotala kapena omwe amaperekedwa ndi dokotala. Dokotala wanu adzakuuzani mtundu wa mankhwala omwe mukufuna, kangati komwe muyenera kumwa, komanso mlingo womwe mukufuna. Ndikofunikira kupeza vitamini D kuchokera muzakudya zokhala ndi calcium yambiri, monga mkaka, tchizi, yogati, ndiwo zamasamba zobiriwira, ndi nsomba zazing'ono, komanso kuchokera ku dzuwa.
• Mankhwala a Osteoporosis: Dokotala wanu adzakuuzani mankhwala omwe ndi abwino kwa inu ndi thupi lanu. Mankhwala ena odziwika bwino ndi monga mankhwala a mahomoni, monga estrogen kapena testosterone replacement therapy, ndi mankhwala otchedwa bisphosphonates . Anthu omwe ali ndi vuto lalikulu la osteoporosis kapena omwe ali pachiwopsezo chachikulu cha kusweka kwa mafupa angafunike mankhwala monga parathyroid hormone (PTH) analogs, denosumab, ndi romosozumab . Mankhwalawa nthawi zambiri amaperekedwa ngati jakisoni.

## Kodi mungayembekezere chiyani ngati muli ndi matenda a osteoporosis?

Ngati muli ndi matenda a osteoporosis, muyenera kuyembekezera kuti vutoli lidzathetsedwa kwa nthawi yayitali, nthawi zambiri moyo wanu wonse. Izi zikutanthauza kuti silidzatha usiku wonse. Muyenera kupita kwa dokotala nthawi zonse ndikuyesedwa kuchuluka kwa mafupa. Dokotala wanu adzayang'anira kuchuluka kwa mafupa anu ndikusintha chithandizo chanu ngati pakufunika kutero. Chifukwa chake ndikofunikira kwambiri kutsatira malangizo a dokotala wanu mosamala.

## Kodi mungachepetse bwanji chiopsezo cha matenda a osteoporosis?

Kuchita masewera olimbitsa thupi ndikuonetsetsa kuti mwapeza calcium ndi vitamini D okwanira muzakudya zanu nthawi zambiri ndi zinthu zofunika kwambiri zomwe mungachite kuti mupewe matenda a osteoporosis. Dokotala wanu angakuthandizeni kupeza njira zabwino kwambiri zochizira matenda anu komanso thanzi la mafupa anu.

Kumbukirani zinthu izi kuti mudziteteze ku ngozi:

Tsatirani malangizo awa otetezera kuti muchepetse chiopsezo chothyoka fupa pangozi:

• Nthawi zonse valani lamba wachitetezo mukamakwera galimoto.
• Valani zida zodzitetezera zoyenera pazochitika zonse ndi masewera.
• Sungani nyumba yanu ndi kuntchito kwanu kuti musakhale ndi zinthu zosafunikira zomwe zingakugwetseni kapena kupunthwitsani ena. Samalani kwambiri mawaya, zoseweretsa, ndi zinthu zina pansi.
• Nthawi zonse gwiritsani ntchito zida zoyenera kuti mufikire zinthu kuchokera pamwamba. Musakwere pa mipando, matebulo, kapena makauntala.
• Muyenera kutsatira ndondomeko ya zakudya zabwino komanso masewera olimbitsa thupi.
• Ngati mukuvutika kuyenda kapena muli pachiwopsezo chachikulu chogwa, gwiritsani ntchito ndodo kapena choyendera. Palibe manyazi kugwiritsa ntchito izi, ndi chitetezo chanu.

## Kodi ndimadzisamalira bwanji?

Kutsatira zakudya zabwino komanso dongosolo lochita masewera olimbitsa thupi kudzakuthandizani kukhala ndi thanzi labwino la mafupa anu (ndi thanzi lonse). Pitani kukayezetsa nthawi zonse. Angakuthandizeni kuzindikira mavuto kapena zizindikiro zilizonse zomwe zingakhudze mafupa anu msanga.

Ngati muli ndi zaka zoposa 65, kapena ngati wina m'banja mwanu ali ndi matenda a osteoporosis, lankhulani ndi dokotala wanu za kuyezetsa mafupa. Musachite mantha kapena manyazi kufunsa za izi.

## Ndiyenera kupita kwa dokotala liti?

Kaonaneni ndi dokotala ngati muwona kusintha kulikonse m'thupi lanu komwe kungakhale zizindikiro zochenjeza za osteoporosis (monga kuchepa kwa kutalika, kufooka). Uzaninso dokotala wanu za zizindikiro zina zilizonse zomwe mukukumana nazo, makamaka ngati mukuvutika ndi kupweteka kwa mafupa kapena kusuntha thupi lanu.

## Kodi muyenera kupita ku Chipatala cha Zadzidzidzi (ETU) liti?

Ngati mukuganiza kuti fupa lanu lasweka, kapena ngati muli ndi zizindikiro zotsatirazi, pitani kuchipatala mwamsanga:

• Ululu waukulu.
• Ngati simungathe kusuntha gawo la thupi lanu.
• Ngati gawo la thupi likuwoneka lachilendo kapena lasintha kuchokera pomwe linali kale (monga ngati lapindika, lotambasulidwa).
• Ngati khungu lanu latambasuka ndipo fupa lanu likuoneka.
• Kutupa.
• Pamodzi ndi zizindikiro zina izi, mabala atsopano amaonekera.

## Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• Kodi chiopsezo changa chotenga matenda a osteoporosis ndi chotani?
• Kodi ndiyenera kuyezetsa kuchuluka kwa mafupa kangati?
• Kodi ndi mankhwala amtundu wanji omwe ndikufunika? Kodi zotsatira zake ndi zotani?
• Kodi ndi masewera olimbitsa thupi ati abwino omwe ndingachite kuti ndilimbitse mafupa anga?
• Kodi ndifunika chithandizo cha thupi?
• Ndi kusintha kotani komwe ndiyenera kusintha pa zakudya zanga?

## Kodi mungakhale ndi moyo wautali bwanji ndi matenda a osteoporosis?

Matenda a osteoporosis si matenda oopsa, zomwe zikutanthauza kuti sasintha nthawi yomwe mudzakhala ndi moyo (nthawi yomwe mudzakhala ndi moyo). Komabe, amawonjezera chiopsezo chanu cha kusweka kwa mafupa. Amawonjezeranso chiopsezo chanu cha kusweka kwakukulu kapena mavuto chifukwa cha kusweka kwa mafupa. Kafukufuku wina wapeza kuti kusweka kwa chiuno mwa akuluakulu azaka zopitilira 65 kumayenderana ndi kuchepa kwa kuyenda, kugonekedwa kuchipatala pafupipafupi, komanso mwina kufa msanga.

Ngati mukuda nkhawa kuti mungadziteteze ku kugwa kapena kusweka kwa mafupa, lankhulani ndi dokotala wanu. Angakuthandizeni kukhala otetezeka komanso athanzi.

## Ndiye, ndi chinthu chofunika kwambiri chiti chomwe tiyenera kukumbukira kuchokera apa?

Matenda a osteoporosis ndi matenda omwe amachititsa mafupa anu kukhala ofooka komanso ofooka kuposa momwe ayenera kukhalira. Izi zitha kukhala zoopsa chifukwa zimapangitsa kuti musweke fupa mosavuta. Anthu ambiri sadziwa ngakhale kuti ali ndi matenda a osteoporosis mpaka atasweka fupa.

Njira yabwino yopewera kusweka kwa mafupa ndikutenga matenda a osteoporosis asanayambe kukupwetekani.

Choncho, pitani kukayezetsa mafupa nthawi zonse. Funsani dokotala wanu nthawi yomwe muyenera kuyezetsa mafupa anu komanso kangati kuti muwone thanzi la mafupa anu. Kumbukirani kuti mafupa athanzi ndi ofunikira kuti mukhale ndi moyo wathanzi! Kusamalira mafupa anu kuyambira muli aang'ono n'kopindulitsa mukakula.

Matenda a mafupa, thanzi la mafupa, kusweka kwa mafupa, kuchuluka kwa mafupa, calcium, vitamini D, kuchita masewera olimbitsa thupi, kusamba, Dexa scan