Kodi mumaganiza kuti pamene mukukalamba, miyendo yanu ikuchepa mphamvu ndipo mulibe mphamvu zokwanira zoti mumalize ntchito za tsiku ndi tsiku monga kale? Kodi mumaona kuti kuyenda kumakhala kovuta? Mungayesedwe kunyalanyaza izi ngati gawo lachibadwa la ukalamba. Komabe, izi zitha kukhala zizindikiro za matenda otchedwa "Sarcopenia." Tiyeni tikambirane izi, chifukwa ndi nkhani yofala yomwe nthawi zambiri imanyalanyazidwa.
Kodi Sarcopenia ndi chiyani? Mwachidule…
Mwachidule, Sarcopenia imatanthauza kuchepa pang'onopang'ono kwa minofu, mphamvu, ndi ntchito zomwe zimachitika chifukwa cha ukalamba. Ganizirani za minofu yanu ngati njerwa zomwe zimagwiritsidwa ntchito pomanga nyumba; pakapita nthawi, ngati njerwazo ziyamba kusweka, kapangidwe ka nyumbayo kamafooka. Matendawa amakhudza makamaka okalamba. Si nkhani yachibadwa ya ukalamba. Ikhoza kukhudza kwambiri moyo wanu watsiku ndi tsiku, kuchepetsa moyo wanu wonse, ndipo nthawi zina, imakusiyani mukudalira ena kuti akuthandizeni, zomwe zimafuna chisamaliro cha nthawi yayitali.
Chodetsa nkhawa kwambiri ndichakuti Sarcopenia imawonjezera kufooka kwa thupi, zomwe zimakuika pachiwopsezo chachikulu cha kugwa pafupipafupi ndi kusweka mafupa. Zochitika zotere nthawi zambiri zimapangitsa kuti munthu agonekedwe m'chipatala mwadzidzidzi komanso opaleshoni. Izi zingayambitse mavuto ena, omwe nthawi zina amatha kukhala pachiwopsezo.
Ndikofunikira kudziwa kuti Sarcopenia ingakhudzenso anthu omwe ali ndi BMI yapamwamba - zomwe zikutanthauza kuti ngakhale iwo onenepa kwambiri akhoza kudwala matendawa. Izi zimadziwika kuti "kunenepa kwambiri kwa sarcopenic." Kuphatikiza kulemera kwambiri kwa thupi ndi kuchepa kwa minofu kumabweretsa chiopsezo chachikulu cha zovuta kuposa matenda onsewa okha.
Ndani ali pachiwopsezo chotenga Sarcopenia?
Matendawa amapezeka kwambiri mwa anthu azaka zopitirira 60. Chiwopsezochi chimawonjezeka mukakula. Chimakhudza amuna ndi akazi. Ngakhale kuti kafukufuku wokhudza momwe matendawa amakhudzira mitundu yosiyanasiyana ya anthu sakudziwika, matendawa amapezeka kwambiri kwa anthu omwe ali ndi matenda osatha.
Taganizirani mnansi, mwina mwamuna wachikulire amene anali wakhama kwambiri ali mnyamata. Tsopano, ali ndi zaka 65, anganene kuti, “Ndilibe mphamvu zokwera masitepe monga kale; ngakhale ulendo wopita ku sitolo yakomweko umamveka ngati vuto.” Munthu uyu mwina akudwala Sarcopenia.
Kodi izi ndizofala bwanji?
Kafukufuku wokhudza kufalikira kwa Sarcopenia amasiyana, makamaka chifukwa anthu ambiri sapezeka ndi matendawa kapena salandira chithandizo. Komabe, akuti pakati pa 5% ndi 13% ya anthu azaka 60 ndi kupitirira apo ali ndi vutoli. Pakati pa anthu azaka zopitilira 80, chiwerengerochi chikhoza kukwera kwambiri kufika pakati pa 11% ndi 50%. Izi zimatsimikizira kuti Sarcopenia ndi yofala kwambiri kuposa momwe anthu ambiri amaganizira.
Kodi Sarcopenia imakhudza bwanji thupi lanu?
Minofu yanu imapangidwa ndi ulusi wa minofu. Mu Sarcopenia, kuchuluka ndi kukula kwa ulusiwu kumachepa, zomwe zimapangitsa kuti minofu iwonongeke, zomwe zimatchedwa "minofu yofooka".
Pamene tikukalamba, matupi athu amakumana ndi kusintha kwa thupi komwe kumayambitsa Sarcopenia. Mwachitsanzo, mphamvu ya thupi lanu yopanga mapuloteni ofunikira kuti minofu ikule imachepa, zomwe zimapangitsa kuti maselo a minofu achepe.
Kuphatikiza apo, mukamakula, kusinthasintha kwa mahomoni monga testosterone ndi zinthu zomwe zimakula monga Insulin-like Growth Factor-1 (IGF-1) zimakhudza kwambiri minofu yanu, zomwe zimapangitsa kuti Sarcopenia ikule.
Kodi zizindikiro za Sarcopenia ndi ziti?
Chizindikiro chodziwika bwino ndi kufooka kwa minofu. Zizindikiro zina zingaphatikizepo:
- Kutaya mphamvu ndi kutopa.
- Kuvuta kuchita ntchito za tsiku ndi tsiku . Mungapeze kuti ngakhale zinthu zopepuka zimakutopetsa.
- Kuyenda pang'onopang'ono (liwiro loyenda). Simungathenso kuyenda mofanana ndi liwiro lanu lakale.
- Kuvuta kukwera masitepe.
- Kuchepa kwa balance komwe kumabweretsa kugwa pafupipafupi.
- Kuchepa kwa minofu, zomwe zimapangitsa kuti miyendo iwoneke yopyapyala.
Ngati inu kapena wachibale wanu wokalamba mukuona zizindikiro izi, ndikofunikira kufunsa katswiri wa zaumoyo.
Kodi chimayambitsa Sarcopenia ndi chiyani?
Chifukwa chachikulu ndi ukalamba wachibadwa. Ambiri a ife timayamba kutaya minofu pang'onopang'ono tili ndi zaka za m'ma 30 kapena 40. Izi zimafulumira kwambiri pakati pa zaka 65 ndi 80. Ngakhale kuti kuchuluka kwa minofu kumasiyana, n'zotheka kutaya minofu mpaka 8% pa zaka khumi zilizonse. Ngakhale kuti aliyense amataya minofu pakapita nthawi, izi zimachitika mofulumira kwambiri kwa anthu omwe ali ndi Sarcopenia.
Kupatula ukalamba wachilengedwe, ofufuza apeza zinthu zingapo zomwe zimayambitsa Sarcopenia, kuphatikizapo:
- Kusachita masewera olimbitsa thupi, monga moyo wongokhala.
- Kunenepa kwambiri .
- Matenda osatha . Zitsanzo zake ndi Matenda Osatha a M'mapapo Osatha (COPD - Matenda Osatha a M'mapapo Osatha ), matenda a impso , matenda a shuga ( Shuga ), khansa, ndi HIV.
- Matenda a nyamakazi.
- Kukana kwa insulin.
- Kuchepa kwa kuchuluka kwa mahomoni.
- Kusadya bwino kapena kudya mapuloteni okwanira.
- Kuchepa kwa mphamvu yosinthira mapuloteni kukhala mphamvu.
- Kuchepa kwa chiwerengero cha maselo a mitsempha omwe amatumiza zizindikiro kuchokera muubongo kupita ku minofu kuti ayambe kuyenda.
Kodi Sarcopenia imapezedwa bwanji?
Dokotala wanu adzakuyang'anirani ndikufunsani za zizindikiro zanu kuti adziwe ngati Sarcopenia ndi yotheka. Mungafunsidwe kuti mudzaze mafunso a SARC-F, chida chodziyesera nokha chomwe chimagwiritsidwa ntchito pofufuza matendawo:
- S — Mphamvu
- A — Thandizo poyenda
- R — Kudzuka pampando
- C — Kukwera masitepe
- F — Mathithi
Chinthu chilichonse chimawerengedwa kuyambira 0 mpaka 2, ndipo chiwerengero chachikulu ndi 10. Chiwerengero cha 4 kapena kupitirira apo pa sikelo ya SARC-F chikusonyeza kuti kuwunika kwina kwachipatala ndikofunikira.
Ndi mayeso ati oyezetsa matenda omwe amagwiritsidwa ntchito pa Sarcopenia?
Palibe njira imodzi yodziwira Sarcopenia. Dokotala wanu angakupatseni njira zosiyanasiyana zowunikira kuti atsimikizire vutoli ndikuwona kuopsa kwake.
Kuyesa mphamvu ya minofu:
- Kuyesa kugwira ndi dzanja: Mphamvu yanu yogwira ndi chizindikiro chodalirika cha mphamvu ya minofu yanu yonse m'thupi lanu.
- Kuyesa kuima pampando: Izi zimayesa mphamvu ya minofu ya miyendo yanu, makamaka ntchafu. Timaona kangati komwe mungathe kuyimirira kuchokera pampando ndikukhalanso pansi pakatha masekondi 30 osagwiritsa ntchito manja anu kuti akuthandizeni.
- Kuyesa liwiro loyenda: Timayesa nthawi yomwe imatenga kuti muyende mamita 4 (pafupifupi mapazi 13) pa liwiro lanu lachizolowezi.
- Batire Yogwira Ntchito Mwachangu (SPPB): Izi zikuphatikizapo ntchito zitatu zokhazikika: mayeso a mpando, mayeso a momwe mulili mutaimirira, ndi mayeso a liwiro loyenda.
- Mayeso Oyenera Kuchitika ndi Kupita (TUG): Timayesa nthawi yomwe imatenga kuti muyime pampando, kuyenda mamita atatu (pafupifupi mapazi 10), kutembenuka, kubwerera mmbuyo, ndikukhalanso pansi.
Mayeso ojambulira kuti muyese minofu:
- Kuyeza kwa X-ray yamphamvu ziwiri (DEXA kapena DXA): Izi zimagwiritsa ntchito kuwala kwa X-ray yamphamvu zochepa kuti muyeze molondola minofu yanu, mafuta, ndi kuchuluka kwa mafupa.
- Kusanthula kwa Bioelectrical impedance (BIA): Kuyesaku ndikotsika mtengo komanso kosavuta kuposa DEXA scan. Kumawerengera mafuta m'thupi lanu poyerekeza ndi kulemera kwanu kochepa.
Kodi Sarcopenia imachiritsidwa bwanji?
Sarcopenia imathetsedwa makamaka kudzera mu kusintha kwa moyo . Kusintha kumeneku kungathandize kuwongolera vutoli, ndipo nthawi zambiri, kumachepetsa pang'ono kutayika kwa minofu.
- Kuchita masewera olimbitsa thupi: Dokotala wanu mwina angakulangizeni kuchita masewera olimbitsa thupi pogwiritsa ntchito mphamvu zolimbitsa thupi . Masewero olimbitsa thupi awa apangidwa kuti akulimbikitseni mphamvu zanu ndikuchepetsa kutayika kwa minofu, monga kunyamula zolemera pang'ono kapena kuphunzitsa bandeji yolimbitsa thupi.
- Zakudya Zopatsa Thanzi: Kuphatikiza pa kuchita masewera olimbitsa thupi nthawi zonse, kudya zakudya zopatsa thanzi n'kofunika kwambiri kuti muchepetse mphamvu ya Sarcopenia. Ndikofunikira kwambiri kuonetsetsa kuti mukupeza mapuloteni okwanira kudzera mu chakudya chanu kapena zowonjezera zakudya.
Kodi pali mankhwala a Sarcopenia?
Ofufuza akufufuza ngati zowonjezera mahomoni zingathandize kuwonjezera minofu. Komabe, pakadali pano, palibe mankhwala ovomerezeka ndi FDA (Food and Drug Administration) makamaka ochizira Sarcopenia.
Kodi Sarcopenia ingapewedwe?
Popeza vutoli ndi gawo la ukalamba wachilengedwe, silingathe kupewedwa kotheratu. Komabe, mutha kuchitapo kanthu kuti muchepetse kukula kwake kwambiri:
- Zakudya zabwino: Khalani ndi zakudya zabwino zokhala ndi mapuloteni abwino kwambiri . Yesetsani kuwonjezera magalamu 20 mpaka 35 a mapuloteni pa chakudya chilichonse.
- Kuchita Maseŵero Olimbitsa Thupi: Khalani ndi moyo wochita zinthu zomwe zimaphatikizapo kuchita masewera olimbitsa thupi nthawi zonse.
- Kuyezetsa dokotala nthawi zonse: Pitani kwa dokotala nthawi zonse . Ngati muwona kusintha kulikonse pa thanzi lanu, dziwitsani dokotala wanu nthawi yomweyo.
Kodi chimachitika ndi chiyani ndikakhala ndi Sarcopenia?
Chiyembekezo cha Sarcopenia chimadalira kwambiri zaka zanu, chifukwa matendawa amatha kuipiraipira pakapita nthawi. Amakhudzidwanso ndi thanzi lanu lonse komanso moyo wanu.
Vutoli lingakhudze kwambiri moyo wanu. Komabe, nthawi zambiri mutha kusintha zotsatira zake mwa kusintha moyo wanu mwadongosolo. Mosiyana ndi zimenezi, ngati kusintha kumeneku sikutsatiridwa, matendawa angapitirize kufooketsa minofu yanu. Pakapita nthawi, izi zingayambitse kutaya ufulu wodziyimira pawokha komanso kufunikira chisamaliro cha nthawi zonse.
Kodi Sarcopenia imaonedwa ngati matenda?
Mu 2016, Centers for Disease Control and Prevention (CDC) inapereka code ya ICD-10 pa vutoli, yomwe inaika Sarcopenia m'gulu la matenda osiyana. Iyi inali sitepe yofunika kwambiri, chifukwa inathandiza madokotala kulemba mwalamulo ndikupereka lipoti la vutoli. Kugawa kumeneku kwathandiza kuti matenda azitha kudziwika bwino komanso kuti anthu alandire chithandizo, komanso kuthandiza ofufuza kusonkhanitsa deta yofunika kwambiri kuti asiyanitse Sarcopenia ndi matenda ena okhudzana ndi minofu.
Kodi kusiyana pakati pa Sarcopenia ndi kufooka kwa minofu ndi kotani?
Sarcopenia kwenikweni ndi mtundu wa kufooka kwa minofu , koma imakhudza makamaka okalamba. Kufooka kwa minofu kumatanthauza kutayika kwa minofu yonse. Ngakhale kuti zonsezi zimakhudza kuchepetsa minofu, njira zomwe zimayambitsa zimasiyana. Sarcopenia imadziwika ndi kuchepa kwa kukula ndi kuchuluka kwa ulusi wa minofu. Mu kufooka kwa minofu yonse, kukula kwa ulusi kumachepa, koma kuchuluka kwa ulusi nthawi zambiri kumakhalabe komweko.
Aliyense amavutika ndi kuchepa kwa minofu akamakalamba. Komabe, mu Sarcopenia, kutayika kumeneku kumachitika mofulumira kwambiri. Nkhani yabwino ndi yakuti pali njira zothandiza zochizira vutoli ndikuchepetsa zotsatira zake.
Uthenga womaliza wochokera ku Nirogi Lanka wopita kunyumba
Ngati mukuvutika ndi kufooka kwa minofu, kumva kutopa, kapena zizindikiro zina za Sarcopenia, chonde funsani dokotala wanu. Angakupatseni matenda olondola ndikupanga dongosolo la chithandizo lothandizira kuti likuthandizeni kuthana ndi kutayika kwa minofu ndikukweza moyo wanu.
Kumbukirani, ngakhale sitingathe kuletsa ukalamba, titha kuchepetsa kwambiri mavuto a matenda monga Sarcopenia mwa kukhala ndi moyo wathanzi , womwe umaphatikizapo kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi nthawi zonse. Samalirani thupi lanu, ndipo yang'anirani thanzi la okalamba omwe mumawakonda.
Sarcopenia, Kufooka kwa minofu, Ukalamba, Kutaya minofu, Kuchita Masewera Olimbitsa Thupi, Mapuloteni
