Ingaba amathambo akho abuthathaka kwaye aphuka lula? (Osteomalacia) Makhe sithethe ngayo namhlanje!

Ngaba ngamanye amaxesha uziva iintlungu emathanjeni akho? Okanye uziva ngathi amathambo akho aza kuphuka nokuba ushukuma kancinci? Isizathu soku sisenokuba yinto ongayilindelanga. Namhlanje siza kuthetha nge-Osteomalacia, isifo esiqhelekileyo kodwa esingaqhelekanga phakathi kwabantu abadala. Okwenzekayo koku kukuba amathambo ethu ayathamba aze abe buthathaka kancinci kancinci.

Ngoko ke yintoni i-osteomalacia?

Ngamafutshane, i-osteomalacia yimeko apho amathambo akho ethamba, aphelelwe ngamandla, aze aphuke lula. Cinga ngamathambo awayefana nodongwe olomileyo ethamba njengeqhekeza lodongwe olufakwe emanzini.

Isizathu esiphambili soku kukungabikho kwevithamini D. Ivithamini D ibalulekile emzimbeni wethu ukuze ikwazi ukufunxa iiminerali ezibizwa ngokuba yicalcium kunye nephosphorus. Le calcium kunye nephosphorus zezona zinika amathambo ethu amandla kunye nobunzima. Ngoko ke, xa ivithamini D ingekho ngokwaneleyo, amathambo awafumani ezi minerali ngokufanelekileyo. Emva koko awaziqini ngokwaneleyo aze abe buthathaka. Oku kufana nesifo esibizwa ngokuba yi-rickets esenzeka kubantwana abancinci xa ivithamini D ingekho ngokwaneleyo. Ekuqaleni, usenokungaqondi ukuba une-osteomalacia. Kodwa ngokuhamba kwexesha, uqala ukuziva iintlungu emathanjeni akho. Ingakumbi kwinxalenye esezantsi yomzimba, oko kukuthi, kwindawo yesinqe nasemathangeni. Kancinci kancinci, le ntlungu inokusasazeka emzimbeni wonke. Ngamanye amaxesha, nokuba yintshukumo encinci inokubangela iintlungu. Kodwa khumbula, akufuneki uphile nale ntlungu . Ungabona ugqirha ukuze ufumane unobangela kwaye ufumane unyango.

Ziziphi iimpawu ze-osteomalacia?

Uphawu oluphambili lwale meko ziintlungu zamathambo . Le ntlungu idla ngokuvakala ezinqeni zakho, ezinqeni, nasemilenzeni. Ukongeza, ezinye iimpawu zingabandakanya:

• Amathambo aphuka lula kakhulu . Ngamanye amaxesha, nokuba ukuwa okuncinci okanye ukudumba kunokuphula ithambo.
• Intlungu yemisipha, ukuqina, kunye nobuthathaka. Oku kunokubonakala ngakumbi emva kokuba ugqibile ukuzilolonga okanye ukuzilolonga.
• Ubunzima bokuhamba, okanye utshintsho kwindlela ohamba ngayo (ukuhamba) . Ngamanye amaxesha ungaziva ngathi ulahlekelwa yibhalansi yakho xa uhamba.
• Ukuqaqamba kwemisipha okanye ukuqaqamba . Oku kunokwenzeka ngakumbi ezandleni nasezinyaweni.
• Ukurhawuzelela okanye ukurhawuzelela emilenzeni. Oku kubizwa ngokuba yi-paresthesia ngokwezonyango.
• Ukuwa rhoqo kunangaphambili.

Yintoni esona sizathu siphambili soku?

Eyona nto iphambili echaphazela uphuhliso lwe-osteomalacia kukunqongophala kwe-vitamin D. Oku kudla ngokubangelwa kukungafumani ilanga elaneleyo . Kwakhona, ukungafumani i-vitamin D eyaneleyo ekutyeni esikutyayo yimbangela yoku. Khumbula, i-vitamin D ibalulekile ekufunxeni i-calcium nasekugcinweni kwamathambo asempilweni. Kukho ezinye izinto ezichaphazela oku:

• Ezinye iimeko zenkqubo yokugaya ukutya zinokubangela ukuba ukutya kungafunxwa kakuhle (malabsorption) . Umzekelo, ukuba unesifo esinciphisa ukufunxwa emathunjini.
• Ukungasebenzi kakuhle kwezintso .
• Isifo sesibindi.
• Ukusetyenziswa ixesha elide kwamayeza athile okuthintela ukuxhuzula .
• Ezinye zeemeko ezingaqhelekanga kakhulu zemfuza .

Ngubani osengozini enkulu yokufumana i-osteomalacia?

Xa sikhanyiswe lilanga, ulusu lwethu luvelisa i-vitamin D ngokwendalo. Nangona kunjalo, kwiimeko ezinje, ulusu lwakho lusenokungakwazi ukuvelisa i-vitamin D eyaneleyo:

• Ukuba uhlala kwindawo enemozulu ebandayo nenelanga .
• Ukuba usebenza ngaphakathi endlini imini yonke.
• Ukuba unxiba impahla egubungela uninzi lomzimba wakho.
• Ukuba unombala wesikhumba omdaka (ulusu olumnyama lufuna ukukhanya kwelanga ngakumbi ukuze luvelise i-vitamin D).

Kwakhona, usenokungafumani i-vitamin D eyaneleyo ekutyeni okutyayo ngezizathu ezifana nezi:

• Ukuba awutyi naluphi na ubisi okanye iimveliso zobisi .
• Ukuba ulandela ukutya okungenazo imifuno okanye ukutya okungenazo imifuno kuphela (kodwa oku akuyongxaki ukuba uceba kakuhle).
• Ukuba unemeko ethintela umzimba wakho ekufunxeni ukutya ngendlela efanelekileyo (i-malabsorption), njengesifo sikaCrohn okanye isifo seCeliac.
• Ukuba usandul’ ukwenza utyando lwe-bariatric , umzekelo, utyando lwe-gastric bypass.

Ngaphandle kwaba bantu, amanye amaqela asengozini enkulu yokuba ne-osteomalacia:

• Kwabo batyebe kakhulu .
• UbudalaKwabo bangaphezulu kweminyaka engama-65.
• Kwabomama abakhulelweyo okanye abancancisayo .

Ungayixilonga njani ngokuchanekileyo i-osteomalacia?

Xa ubona ugqirha, uya kuqala enze uvavanyo lomzimba . Emva koko, uya kubuza ngembali yezonyango yosapho lwakho kunye nempilo yakho. Uya kubuza nangokutya kwakho kunye nemikhwa yakho yokuzilolonga. Emva koko, baya kuyalela uvavanyo lwegazi ukujonga amanqanaba e-vitamin D, i-calcium, kunye ne-phosphorus egazini lakho . Ukuba une-osteomalacia, amanqanaba aphantsi e-vitamin D luphawu oluphambili . Nangona kunjalo, amanqanaba aphantsi e-calcium okanye e-phosphorus nawo angaba luphawu lwesi sifo. Ukuqinisekisa ukuxilongwa, ugqirha wakho unokujonga amanqanaba:

• I-Creatinine
• Ii-electrolyte
• I-alkaline phosphatase
• Ihomoni ye-Parathyroid `(ihomoni ye-Parathyroid)`

Ezinye iimvavanyo onokuzenza ziquka:

• Uvavanyo lomchamo oluthatha iiyure ezingama-24 ukujonga ubungakanani bekhalsiyam kumchamo wakho.
• Ii-X-reyi ukujonga amathambo abuthathaka okanye ukwaphuka.
• Iskeni yobuninzi beminerali yethambo luvavanyo olulinganisa ubuninzi bamathambo akho kwaye lujonga ukulahleka kwamathambo.
• I -bone biopsy yinkqubo apho kuthathwa iqhekeza elincinci lethambo lize lihlolwe ukuze kubonwe ukuba ithambo lithambe ngokwenene na.

Ziziphi iindlela zonyango lwe-osteomalacia?

I-Osteomalacia idla ngokuphathwa nge-vitamin D, i-calcium, kunye/okanye izongezo ze-phosphorus . Ugqirha wakho uya kugqiba ukuba ufuna ezi zingaphi kwezi zinto. Ukuba uneengxaki zokungafunxwa kakuhle okanye usandul' ukwenza utyando lwe-bariatric, kunokufuneka uthathe iidosi eziphezulu ze-vitamin D kunye ne-calcium. Nangona ezi zongezo zinokunceda kwi-osteomalacia yakho, kungathatha iinyanga ezininzi ukuba iimpawu zakho ziphucuke.. Ngokuxhomekeke kubunzima bemeko yakho, kunokufuneka uthathe i-vitamin D ixesha elide. Ukuba uyeka, i-osteomalacia inokubuya. Abantu abaneengxaki ezifana nesifo sesibindi okanye ukungasebenzi kakuhle kwezintso banokufuna unyango olongezelelweyo kunye nenkxaso. Ugqirha wakho uza kujonga amanqanaba egazi lakho rhoqo. Usenokunikwa uhlobo olukhethekileyo lwe-vitamin D. Ukongeza kwezi, ungenza oku kulandelayo ukunciphisa okanye ukulungisa iimpawu ze-osteomalacia:

• Ukukhanya elangeni okwaneleyo .
• Yitya ukutya okuninzi okunevithamini D kunye necalcium.
• Ukunxiba ii-braces ukunciphisa okanye ukuthintela ukukhubazeka kwamathambo.
• Kwiimeko ezinzima kakhulu, kunokufuneka utyando ukuze kulungiswe ukukhubazeka kwamathambo.

Ngaba singakuthintela ukuphuhliswa kwe-osteomalacia?

Ewe, singakuthintela oku kakhulu. Zimbini izinto eziphambili ekufuneka sizenze:

• Ukufumana ilanga elaneleyo lomzimba .
• Ukufumana i-vitamin D kunye ne-calcium eyaneleyo ekutyeni esikutyayo.

Ngokuxhomekeke kwindawo ohlala kuyo nexesha lonyaka, unokufumana i-vitamin D eyaneleyo kwilanga lodwa. Ngokuqhelekileyo, umntu onolusu olukhanyayo kufuneka abe selangeni imizuzu eli-10 ukuya kweli-15 iintsuku ezimbini ukuya kwezintathu ngeveki. Abantu abanolusu olumnyama banokufuna ukuhlala elangeni ixesha elide. Kodwa oku kufuneka kube kukukhanya kwelanga ngqo . Akukho kukhanya kwelanga okuphuma ngeefestile okanye ukukhanya kwelanga okuwela kwiimpahla okunokuvelisa i-vitamin D eyaneleyo. Nangona kunjalo, akulunganga ukuhlala elangeni ixesha elide ngaphandle kwe-sunscreen . Kuba ukuvezwa lilanga kakhulu kwandisa umngcipheko womhlaza wolusu . Ke ngoko, kungcono ukubuza ugqirha wakho ukuba kufuneka uhlale ixesha elingakanani elangeni. Awuyi kufumana yonke i-vitamin D oyifunayo ekutyeni kuphela. Kodwa inokunceda. Kukho ukutya okune-vitamin D ngokwendalo. Umzekelo:

• Iintlanzi ezinamafutha: njenge-tuna, i-salmon, ii-sardines, i-mackerel.
• Intlanzi ye-trout enomthi we-rainbow.
• Inyama ebomvu.
• Isibindi senyama yenkomo.
• Iikhowa.
• Iingqayi zamaqanda.
• Ioyile yesibindi seCod.

Ezinye ukutya zinevithamini D ezongeziweyo ngokwenziwa (ukutya okuqinisiweyo). Thetha nogqirha wakho malunga nokuba zeziphi iindawo ezikulungeleyo. Nangona kunjalo, ukutya okwahlukileyo kuneengenelo kunye neengxaki zako, ngoko ke kufuneka uqwalasele loo nto. Ukuba awucingi ukuba ufumana ivithamini D eyaneleyo elangeni nasekutyeni, ugqirha wakho unokucebisa ukuba uthathe isongezelelo.

Iyintoni imbono yokuchacha kumntu one-osteomalacia?

Ukuba esi sifo sifunyenwe kwangethuba kwaye sinyangwa ngokufanelekileyo (njengokusebenzisa izongezo) , uninzi lwabantu luya kuqala ukuchacha kwiiveki ezimbalwa. Nangona kunjalo, kungathatha ukuya kwiinyanga ezintandathu ukuba amathambo akho aphile aze aqine kwakhona .

Ndingawanyamekela njani amathambo am?

Njengoko sikhula, kubaluleke ngakumbi ukunyamekela amathambo ethu. Nazi ezinye izinto onokuzenza ukunceda amathambo akho ahlale esempilweni:

• Yitya ukutya okwaneleyo okunevithamini D kunye necalcium.
• Fumana ilanga elaneleyo .
• Gcina ubunzima bomzimba obusempilweni obufanela wena.
• Yenza umthambo rhoqo .
• Musa ukutshaya .
• Ukuba usela utywala , yinciphise ibe ngumlinganiselo othile .

Ndifanele ndimbone nini ugqirha?

Ukuba uneentlungu zamathambo, okanye naziphi na iimpawu ze-osteomalacia esizixubushileyo ngaphambili, bona ugqirha ngokukhawuleza . Angajonga amanqanaba egazi lakho ukuze abone ukuba le meko ikuchaphazele na.

Ndingayibuza yiphi imibuzo ugqirha?

Kunganceda ukubuza le mibuzo xa undwendwela ugqirha wakho:

• Ngaba izongezo zokutya zodwa zanele ukunyanga i-osteomalacia?
• Zeziphi ezinye iindlela zonyango ozicebisayo?
• Zeziphi izinto ekufuneka ndiziphephe de ndibe ndiphilile?
• Zeziphi iintlobo zokuzilolonga ezinokunceda ukunyanga okanye ukuthintela le meko?
• Yintoni enye endinokuyenza ukuthintela le meko ukuba ingandichaphazeli kwixesha elizayo?

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba uziva iintlungu emzimbeni wakho ongezantsi, ingakumbi emathanjeni akho, isenokuba yi-osteomalacia. Eyona nto ibangela oku kukungabikho kwevithamini D. Ngoko ke, kubaluleke kakhulu ukuba ube nelanga elaneleyo kwaye utye ukutya okunevithamini D. Ukuba iimpawu ziyaqhubeka, qiniseka ukuba ubona ugqirha. Yena unokufumanisa ukuba iintlungu zakho emathanjeni zibangelwa kukunqongophala kwevithamini D aze akuncede ube ngumntu onamathambo aphilileyo.