Ese ufite amagufwa adakomeye? Iki gishobora kuba ikimenyetso cy'indwara y'amagufwa akoresha ikoranabuhanga!

Ese hari igihe wumva amagufwa yawe afite intege nke? Wenda no kugwa gato bishobora kuvunika ukuboko cyangwa ukuguru. Cyangwa wumva uburebure bwawe burimo kugabanuka uko ugenda usaza, kandi umubiri wawe ugenda ugonga buhoro buhoro? Impamvu imwe ishoboka inyuma y'ibi bintu ni indwara yitwa indwara y'amagufwa ahinduka, tugiye kuvugaho uyu munsi. Reka tubirebe mu buryo bworoshye.

Iyi ndwara y'amagufwa akoresha metabolike ni iyihe?

Mu magambo make, indwara y’amagufwa mu mikorere y’umubiri ni itsinda ry’indwara zigira ingaruka ku mbaraga z’amagufwa yawe. Zishobora kubaho iyo imyunyu ngugu mu mibiri yacu ihungabanye, haba iyo hari ibintu byinshi cyangwa bike cyane nka kalisiyumu, fosifore, cyangwa vitamine D. Uku kudahuza kw’imyunyu ngugu bibangamira uburemere bw’amagufwa, imikurire, n’ihindagurika ry’amagufwa (inzira ituma igufwa rishya risimburwa n’igufwa rishaje).

Tekereza nawe, amagufwa yacu si ibintu gusa. Agomba guhora avugururwa kandi agakomezwa. Iyo tutabonye intungamubiri zikwiye, cyangwa niba ibintu nk'uturemangingo cyangwa kubura vitamine bigira ingaruka ku mikorere y'uturemangingo mu magufwa yacu, hazavuka ubusumbane bw'imyunyu ngugu maze amagufwa yacu agatangira gucika intege. Izi ndwara z'imikorere y'amagufwa zishobora kuvukanwa cyangwa zikavukanwa.

Ni izihe ngero z'izi ndwara?

Indwara nyinshi zigwa muri iki cyiciro cy’indwara z’amagufwa ziterwa n’imikorere y’umubiri. Reka turebe zimwe muri zo:

• Osteoporose: Iyi ni yo ndwara ikunze kugaragara kandi izwi cyane muri iki cyiciro. Bivugwa ko abantu bagera kuri miliyoni 200 ku isi barwaye iyi ndwara. Muri make, osteoporose ni indwara aho ubucucike bw'amagufwa yacu, ni ukuvuga ingano y'imyunyu ngugu iri mu magufwa (tunavuga ko ari ubucucike bw'amagufwa), bugabanuka buhoro buhoro. Hanyuma amagufwa acika intege kandi ashobora kuvunika byoroshye cyane. Nubwo umuntu yagwa gato, hari amahirwe menshi yo kuvunika ukuboko cyangwa ukuguru.
• Osteopenia: Iyi ni igabanuka ry'ubucucike bw'amagufwa, ariko ntabwo ari ikibazo gikomeye nk'indwara ya osteoporosis, kandi ni indwara idakabije cyane.

Hari ubundi bwoko:

• Indwara ya Cushing: Iyi ni intege nke z'amagufwa ziterwa n'ikibazo cy'imisemburo.
• Hypophosphatesia: Ibi biterwa no kubura kwa enzyme.
• Osteogenesis imperfecta: Iyi ni indwara ikunze kugaragara mu gihe cyo kuvuka. Amagufwa avunika byoroshye cyane.
• Osteomalacia na Rickets: Ibi ni ukugabanya amagufwa. Iyo iki kibazo kibaye ku bantu bakuru, cyitwa osteomalacia, naho iyo kibaye ku bana, cyitwa rickets.
• Indwara ya Paget:Ibi bibaho igihe amagufwa akura mu buryo budasanzwe kandi bwihuse, bigatuma acika intege.

Izi ndwara zikunze kugaragara gute?

Nkuko twabivuze mbere, zimwe mu ndwara z’imitsi y’amagufwa zikunze kugaragara cyane kurusha izindi. Indwara ya osteoporose ni yo ikunze kugaragara cyane muri izi. Urugero, muri Leta Zunze Ubumwe za Amerika, abantu barenga imyaka 50 bagera kuri 12.6% bafite iyi ndwara.

Ariko indwara nka Osteogenesis imperfecta ni gake cyane. Ndetse no muri Leta Zunze Ubumwe za Amerika, iyi ndwara yibasira abantu bake gusa, hagati y’ibihumbi 25 na 50.000. Indwara nka Osteomalacia, Hypophosphatasia, n’indwara ya Paget nazo ntizikunze kugaragara nk’indwara ya osteoporosis.

Kuki izi ndwara z'imitsi y'amagufwa zibaho?

Impamvu nyamukuru ni uko amagufwa yacu atabona imyunyu ngugu ihagije. Kubera uku kubura imyunyu ngugu, amagufwa agenda acika intege buhoro buhoro kandi akangirika, ibyo bikaba byatera izo ndwara. Uku kutumvikana kw'imyunyu ngugu gushobora kubaho mu gihe cyo kuvuka, cyangwa bigatera nyuma.

Imibiri yacu ifite uburyo butuma ibintu nka kalisiyumu, vitamine D, na fosifore bigumana ku rugero rukwiye. Ibi byitwa homeostasis y’iminyururu . Ibibazo bitangira iyo ibi byangiritse. Kubera ko amagufwa yacu abikira iyi myunyungugu, akayikoresha mu gukura indi mishya, kandi ikagira imbaraga.

Ni ibihe bintu byongera ibyago?

Hari ibintu bimwe na bimwe byongera ibyago byo kurwara iyi ndwara y’amagufwa mu buryo bw’umubiri. Reka turebe ibyo ari byo:

• Kuba ufite imyaka 65 cyangwa irenga.
• Kunywa itabi.
• Gucura mbere y'igihe bibaho mbere y'imyaka 45.
• Kutagira urumuri ruhagije (kubura vitamine D). Nubwo igihugu cyacu gifite urumuri ruhagije rw'izuba, hari abantu batabona urumuri ruhagije rw'izuba. Ibi bigabanya umusaruro wa vitamine D.
• Kugira umubiri muto (Petite frame).
• Kuba warigeze guhabwa imiti igabanya ubukana bwa kanseri y'ibere cyangwa kanseri ya prostate.
• Kuba umuntu uhabwa indi ngingo.
• Gukoresha imiti igabanya ubukana bw'indwara igihe kirekire.
• Kugira amateka y’umuryango wawe yo kurwara osteoporosis, cyane cyane niba mama wawe cyangwa so wawe yararwaye osteoporosis cyangwa yaravunitse ikibuno, bigushyira mu kaga gakomeye.
• Kutabona imyitozo ngororamubiri ihagije.

Izindi ngorane z'ubuzima zigira uruhare mu iterambere ry'izi ndwara

Abantu bafite ibibazo bimwe na bimwe by'ubuzima nabo bafite amahirwe menshi yo kurwara iyi ndwara y'amagufwa mu buryo bw'umubiri. Muri izo ndwara harimo:

• Hyperparathyroidism: Ikorwa ryinshi ry'imisemburo ya parathyroid.
• Hypophosphatemia: Urugero ruto rwa fosifore mu maraso.
• Kubura Vitamine D.
• Kubura kalisiyumu.
• Indwara y'impyiko.
• Indwara yo kunywa inzoga.
• Kudakoresha imiti ihagije.
• Imirire mibi.

Ni ibihe bimenyetso by'izi ndwara?

Ibimenyetso by'izi ndwara bishobora gutandukana bitewe n'ubwoko bw'indwara. Dore bimwe mu bimenyetso bisanzwe:

• Kugabanuka k'uburebure (kugabanukaho nibura santimetero imwe).
• Gucika intege kw'amagufwa kenshi. Ndetse no kugwa guto cyangwa impanuka nto bishobora gutera kuvunika kw'amagufwa.
• Impinduka mu miterere (guhagarara imbere, guhagarara wunamye).
• Kugorwa no kugenda.
• Kubabara umugongo wo hasi.
• Intege nke z'imitsi.
• Kubabara mu magufwa cyangwa mu kibuno.
• Guhumeka bigoranye. Ibi bibaho iyo ubushobozi bw'ibihaha bugabanuka bitewe no gukanda uruti rw'umugongo.

Ariko hari ikintu kimwe ugomba kwibuka rwose. Indwara ya osteoporose ikunze kuba "indwara idasobanutse." Ibi bivuze ko mu ntangiriro, amagufwa ashobora gucika intege buhoro buhoro imbere nta bubabare cyangwa ibimenyetso bikomeye bitera.

Izi ndwara zipimwa gute?

Niba ufite kimwe muri ibi bimenyetso, cyangwa niba ufite ibintu bishobora gutera ibyago, ni byiza kujya kwa muganga kugira ngo agusuzume. Muganga azagusuzuma, kandi nibiba ngombwa, agutegeke kimwe cyangwa byinshi muri ibi bikurikira:

Gupima amaraso

Ibi bizamini bishobora kugenzura urugero rwa kalisiyumu, fosifore, na vitamine D mu maraso. Urugero, urugero ruto rwa kalisiyumu, vitamine D, cyangwa fosifore rushobora kuba ikimenyetso cy'indwara yitwa osteomalacia. Mu buryo nk'ubwo, urugero ruto rwa alkaline phosphatase n'urugero ruri hejuru rwa vitamine B6 mu maraso bishobora kuba ikimenyetso cya hypophosphatasia.

Imirasire ya X

Imirasire ya X ikoreshwa mu gusuzuma imikurire n'ivunika ry'amagufwa, ibyo bikaba bishobora kuba ibimenyetso by'indwara nka osteoporosis.

Ikizamini cy'ubucucike bw'iminyururu y'amagufwa (BMD)

Ibi kandi byitwa DEXA scan cyangwa DXA scan . Bipima imbaraga z'amagufwa yawe ahantu nko ku kuboko kwawe, ku kibuno, no mu mugongo. Bikoresha imirasire mike, bityo nta mpungenge ufite. Muri rusange, nk'uburyo bwo kwirinda, ni byiza ko iki kizamini cya BMD gikorwa ku myaka 65 ku bagore no ku myaka 70 ku bagabo. Ariko, niba ufite ibyago byinshi byo gutakaza amagufwa no kuvunika, muganga wawe ashobora kukugira inama yo gukora iki kizamini hakiri kare.

Ese hari uburyo bwo kuvura ibi?

Yego, hari uburyo bwo kuvura izi ndwara z’imitsi y’amagufwa.Uburyo bwiza bwo kuvura buterwa n'impamvu nyamukuru y'iyi ndwara. Hariho uburyo butandukanye bwo kuvura:

• Vitamine n'inyongeramusaruro: Ibi bitangwa, cyane cyane iyo hari ikibazo cyo kubura kalisiyumu na vitamine D.
• Imiti itera anabolic: Iyi ni imiti yubaka amagufwa mashya kandi ikayakomeza.
• Bisphosphonates: Iyi ni imiti igabanya gutakaza amagufwa.
• Inshinge za Denosumab.
• Uburyo bwo kuvura imisemburo: Hari aho imisemburo nka testosterone, calcitonin, na estrogen ikoreshwa.
• Ubuvuzi bw'umubiri: Ibi birimo imyitozo ngororamubiri n'ubundi buryo bwo kuvura kugira ngo imitsi ikomeze, yongere kuringaniza imikorere, kandi yorohereze kugenda.
• Imyitozo ngororamubiri yo kwiruka: Ibintu nko kugenda n'amaguru, kwiruka, n'ibindi.
• Kubagwa: Ibi bikunze gukorwa gake cyane, cyane cyane iyo habayeho ikintu kigoye, nko kuvunika.

Ese hari ingaruka mbi zikomoka ku buvuzi?

Imiti imwe ishobora gutera ingaruka mbi. Ariko, biterwa n'ubwoko bw'umuti ukoreshwa. Zimwe mu ngaruka mbi zisanzwe zirimo:

• Ibimenyetso bisa n'ibicurane.
• Umutwe.
• Kuribwa mu gituza.
• Ingaruka ku mikorere y'impyiko.
• Kubabara imitsi.
• Uruhu rutukura, rwumye, uburyaryate.
• Ububabare bw'amagufwa bwiyongera (mu ntangiriro).

Uru rutonde ntirwuzuye. Niba ubonye ikintu kidasanzwe cyangwa ufite ibimenyetso bishya mu gihe uri kuvurwa, ugomba kubibwira muganga wawe.

Ni ryari nshobora kwitega gukira nyuma yo kuvurwa?

Abantu benshi batangira kumva imbaraga zabo zigenda ziyongera nyuma gato yo gutangira kuvurwa. Ariko, bifata igihe kugira ngo amagufwa yiyongere kandi amagufwa mashya kandi mazima akore. Muganga wawe azagusobanurira igihe bizatwara n'icyo witeze, bitewe n'uko umeze.

Bigenda bite iyo ngize ubwoko bw'indwara y'amagufwa?

Niba usanzwe urwaye indwara y’amagufwa nka osteoporosis cyangwa osteomalacia, muganga wawe azaguha gahunda y’ubuvuzi ikubereye. Ibi bishobora kuba birimo imiti, inyongeramusaruro, ubuvuzi bw’umubiri, ndetse na gake cyane, no kubagwa. Bishobora gufata igihe kugira ngo wumve umeze neza nyuma yo gutangira kuvurwa. Ariko iyo uvuwe neza, amagufwa yawe azatangira gukomera uko igihe kigenda gihita.

Ni iki giteganyijwe kuri ibi bihe?

Iyo habayeho kuvurwa neza, muri rusange amahirwe yo kurwara izi ndwara z’amagufwa aba meza.Iyo bivuwe ku gihe, bishobora gufasha kongera kubaka amagufwa yawe no kugenzura gutakaza amagufwa. Ibi bishobora kugabanya ibyago byo kuvunika no kunoza ubuzima bwawe.

Ni gute wagabanya ibyago byo kurwara izi ndwara?

Kubera ko indwara zimwe na zimwe mu magufwa zigira ingaruka ku miterere y’umubiri, zishobora kutazigera zikumirwa buri gihe. Ariko hari ibintu dushobora gukora kugira ngo tugabanye ibyago byo kurwara:

• Jya gupimwa indwara nka osteoporosis buri gihe.
• Niba unywa itabi, rekera aho.
• Niba unywa inzoga, gabanya.
• Gukora imyitozo ngororamubiri buri gihe.
• Kurya indyo ikungahaye kuri kalisiyumu na vitamine D (amata, foromaje, yawurute, imboga rwatsi, amafi mato).
• Baza muganga wawe ibyerekeye intungamubiri zishobora gufasha amagufwa yawe gukomeza kugira ubuzima bwiza.

Ni gute nakwitaho mfite ubwo bwoko bw'indwara?

Uretse kwipimisha indwara no guhindura imibereho, ni ngombwa kwitondera kugwa, kuko byongera ibyago byo kuvunika amagufwa. Ushobora gukora ibintu nk'ibi:

• Menya uburyo bwo kwirinda kugwa.
• Menya ibyago bishobora guterwa no kugwa mu rugo rwawe kandi ukore impinduka zikenewe (urugero, gushyira amatapi ahantu hanyerera, gushyiramo utubati two gufata mu bwiherero).
• Ganira na muganga wawe kugira ngo arebe ibyago byawe byo kugwa, kandi nibiba ngombwa, ubone ibikoresho bigufasha kugenda.

Ese izi ndwara z’imitsi y’amagufwa ziteye akaga?

Iyo bitagaragaye kandi bigavurwa vuba, indwara nyinshi z’amagufwa zishobora kuba zikomeye. Zimwe zishobora no gushyira ubuzima mu kaga. Urugero, indwara ya osteoporosis yongera ibyago byo kuvunika amagufwa. Indwara nka Cushing's syndrome zishobora kwica iyo zitavuwe.

Rero, indwara z’amagufwa ziterwa n’imikorere y’umubiri ni itsinda ry’indwara zigira ingaruka ku bugari bw’amagufwa, ihindagurika ry’amagufwa, n’imikurire y’amagufwa. Zimwe muri zo zikunze kugaragara kurusha izindi, ariko zose zigira ingaruka ku buzima bw’amagufwa yawe. Ariko ibuka ko iyo usuzumye neza kandi ukavurwa, ushobora kubaho ubuzima burangwa n’ibyishimo. Niba ufite ikibazo cyangwa impungenge kuri ibi bimenyetso, gahunda yawe yo kuvura, cyangwa uko ubona ibintu, ntutindiganye kuvugana na muganga wawe. Arashobora kugufasha.

None se, ni ibihe bintu tugomba kwibuka muri ibi byose?

Sawa, rero ndizera ko ubu usobanukiwe neza indwara z’amagufwa ziterwa n’imikorere y’umubiri twavuze uyu munsi. Muri make:

• Wite ku buzima bw'amagufwa yawe. Amagufwa akomeye ni ingenzi kugira ngo ubeho neza.
• Indwara z'amagufwa ziterwa n'imikorere y'umubiri ni indwara zituma amagufwa acika intege kandi zikagabanya imbaraga zawo.
• Ihindagurika ry’imyunyu ngugu (cyane cyane kalisiyumu, vitamine D, fosifore) ni yo mpamvu nyamukuru itera ibi.
• Ibintu nk'imyaka, imibereho, n'amateka y'umuryango bishobora kongera ibyago.
• Hari indwara zimwe na zimwe, nka osteoporosis, zishobora kutagaragaza ibimenyetso mu ntangiriro, bityo ni byiza kwipimisha niba ufite ibintu bishobora gutuma umuntu arwara.
• Hariho uburyo bwo gusuzuma no kuvura izi ndwara. Niba rero ufite ibimenyetso, ntutinde gushaka inama kwa muganga.
• Iyo habayeho ubuvuzi bukwiye no guhindura imibereho, ibi bibazo bishobora kwitabwaho neza no kubaho ubuzima bwiza.

Wite ku magufwa yawe! Kuko amagufwa meza ni yo mbaraga ziguha umudendezo n'ibyishimo byo kubaho ubuzima bw'umudendezo n'ibyishimo.

Indwara y'amagufwa akoresha metabolisme, osteoporosis, intege nke z'amagufwa, kalisiyumu, Vitamine D, ubucucike bw'amagufwa, kuvunika