Ingabe amathambo akho abuthakathaka futhi aphuka kalula? (Osteomalacia) Ake sixoxe ngakho namuhla!

Ingabe ngezinye izikhathi uzizwa ubuhlungu emathanjeni akho? Noma uzizwa sengathi amathambo akho azophuka ngisho nangokunyakaza okuncane? Isizathu salokhu kungaba yinto ongayilindele. Namuhla sizokhuluma nge-Osteomalacia, isifo esivamile kodwa esingavamile kakhulu kubantu abadala. Okwenzekayo kulokhu ukuthi amathambo ethu aba buthakathaka kancane kancane.

Ngakho-ke iyini i-osteomalacia?

Kalula nje, i-osteomalacia yisimo lapho amathambo akho ethamba khona, alahlekelwe amandla awo, futhi abe sengozini yokuphuka. Cabanga ngamathambo ayefana nobumba olomile ethamba njengesigaxa sobumba esicwiliswe emanzini.

Isizathu esiyinhloko salokhu ukuntuleka kwevithamini D. Ivithamini D ibalulekile emizimbeni yethu ukuze imunce amaminerali abizwa ngokuthi i-calcium ne-phosphorus. Le calcium ne-phosphorus yizona ezinika amathambo ethu amandla nokuqina. Ngakho-ke, uma i-vitamin D ingekho eyanele, amathambo awawatholi la maminerali ngendlela efanele. Ngemuva kwalokho awabi makhulu ngokwanele futhi abe buthakathaka. Lokhu kufana kancane nesifo esibizwa ngokuthi ama-rickets esenzeka ezinganeni ezincane uma i-vitamin D ingekho eyanele. Ekuqaleni, ungase ungaqapheli ukuthi une-osteomalacia. Kodwa ngokuhamba kwesikhathi, uqala ukuzwa ubuhlungu emathanjeni akho. Ikakhulukazi engxenyeni engezansi yomzimba, okungukuthi, endaweni yesinqe nasemathangeni. Kancane kancane, lobu buhlungu bungasakazeka emzimbeni wonke. Ngezinye izikhathi, ngisho nokunyakaza okuncane kungabangela ubuhlungu. Kodwa khumbula, akudingeki uphile nalolu buhlungu . Ungabona udokotela ukuze uthole imbangela futhi uthole ukwelashwa.

Ziyini izimpawu ze-osteomalacia?

Uphawu oluyinhloko lwalesi simo ubuhlungu bamathambo . Lobuhlungu buvame ukuzwakala ezinqeni zakho, ezinqeni nasemilenzeni. Ngaphezu kwalokho, ezinye izimpawu zingafaka:

• Amathambo aphuka kalula kakhulu . Ngezinye izikhathi, ngisho nokuwa okuncane noma ukuqhuzuka kungaphula ithambo.
• Ubuhlungu bemisipha, ukuqina, kanye nobuthakathaka. Lokhu kungase kubonakale kakhulu ngemva kokuqeda ukuzivocavoca noma ukuzivocavoca.
• Ubunzima bokuhamba, noma ushintsho endleleni ohamba ngayo (ukuhamba) . Ngezinye izikhathi ungase uzizwe sengathi ulahlekelwa ibhalansi yakho lapho uhamba.
• Ukuqaqamba kwemisipha noma ukuqaqamba . Lokhu kungenzeka ikakhulukazi ezandleni nasezinyaweni.
• Ukuzwa ukuqaqamba noma ukuhlaba ezithweni. Lokhu kubizwa ngokuthi i-paresthesia ngokwezokwelapha.
• Ukuwa kaningi kunangaphambili.

Iyini imbangela eyinhloko yalokhu?

Isici esiyinhloko esithinta ukuthuthukiswa kwe-osteomalacia ukuntuleka kwe-vitamin D. Lokhu kuvame ukubangelwa ukungatholi ukukhanya kwelanga okwanele . Futhi, ukungatholi i-vitamin D eyanele ekudleni esikudlayo kuyimbangela yalokhu. Khumbula, i-vitamin D ibalulekile ekumuncweni kwe-calcium kanye nokugcinwa kwamathambo anempilo. Kunezinye izici ezithinta lokhu:

• Ezinye izimo zesistimu yokugaya ukudla zingabangela ukuthi ukudla kungamuncwa kahle (i-malabsorption) . Isibonelo, uma unesifo esinciphisa ukumuncwa emathunjini.
• Ukwehluleka kwezinso .
• Isifo sesibindi.
• Ukusetshenziswa isikhathi eside kwemithi ethile yokulwa nokuquleka .
• Ezinye izimo zofuzo ezingavamile kakhulu.

Ubani osengozini enkulu yokuthola i-osteomalacia?

Uma isikhumba sethu sichayeke elangeni, sikhiqiza i-vitamin D ngokwemvelo. Kodwa-ke, ezimweni ezinjengalezi, isikhumba sakho singase singakwazi ukukhiqiza i-vitamin D eyanele:

• Uma uhlala endaweni enesimo sezulu esibandayo nesinelanga .
• Uma usebenza endlini usuku lonke.
• Uma ugqoka izingubo ezimboza ingxenye enkulu yomzimba wakho.
• Uma unesikhumba esimnyama (isikhumba esimnyama sidinga ukukhanya kwelanga okwengeziwe ukuze sikhiqize i-vitamin D).

Futhi, kungenzeka ukuthi awutholi i-vitamin D eyanele ekudleni okudlayo ngezizathu ezifana nalezi:

• Uma ungadli ubisi noma imikhiqizo yobisi .
• Uma ulandela ukudla okungenazo imifino noma ukudla okungenazo imifino (kodwa lokhu akuyona inkinga uma ukuhlela kahle).
• Uma unesifo esivimbela umzimba wakho ukuthi umunce ukudla ngendlela efanele (i-malabsorption), njengesifo sikaCrohn noma isifo seCeliac.
• Uma usanda kwenziwa ukuhlinzwa kwe-bariatric , isibonelo, ukuhlinzwa kwe-gastric bypass.

Ngaphandle kwalaba bantu, amanye amaqembu asengozini enkulu yokuthola i-osteomalacia:

• Kubantu abanokukhuluphala ngokweqile .
• UbudalaKulabo abaneminyaka engaphezu kwengu-65.
• Kwabesifazane abakhulelwe noma abancelisayo .

Ungayixilonga kanjani i-osteomalacia ngokunembile?

Uma ubona udokotela, uzoqala ngokukuhlola ngokomzimba . Ngemuva kwalokho, uzobuza ngomlando wezokwelapha womndeni wakho kanye nempilo yakho. Uzobuza nangokudla kwakho kanye nemikhuba yakho yokuzivocavoca. Okulandelayo, bazoyala ukuhlolwa kwegazi ukuze kuhlolwe amazinga e-vitamin D, i-calcium, ne-phosphorus egazini lakho . Uma une-osteomalacia, amazinga aphansi e-vitamin D ayisibonakaliso esiyinhloko . Kodwa-ke, amazinga aphansi e-calcium noma e-phosphorus angaba uphawu lwesifo. Ukuze kuqinisekiswe ukuxilongwa, udokotela wakho angahlola namazinga alandelayo:

• I-Creatinine
• Ama-electrolyte
• I-alkaline phosphatase
• I-hormone ye-Parathyroid (i-hormone ye-Parathyroid)

Ezinye izivivinyo ongazihlola zifaka:

• Ukuhlolwa komchamo kwamahora angama-24 ukuhlola inani le-calcium emchameni wakho.
• Ama-X-ray ukuhlola amathambo abuthakathaka noma ukwaphuka.
• Ukuskena kobuningi bamaminerali ethambo ukuze kulinganiswe ubuningi bamathambo akho futhi kuqaphe ukulahleka kwamathambo.
• I -bone biopsy inqubo lapho kuthathwa khona ingxenye encane yethambo bese ihlolwa ukuze kubonakale ukuthi ithambo selithambile ngempela.

Yiziphi izindlela zokwelapha i-osteomalacia?

I-Osteomalacia ivame ukwelashwa nge-vitamin D, i-calcium, kanye/noma izithasiselo ze-phosphorus . Udokotela wakho uzonquma ukuthi udinga malini kulezi zinto. Uma unezinkinga zokungamuncwa kahle noma usanda kwenziwa ukuhlinzwa kwe-bariatric, kungadingeka ukuthi uthathe imithamo ephezulu ye-vitamin D ne-calcium. Nakuba lezi zithasiselo zingasiza nge-osteomalacia yakho, kungathatha izinyanga eziningana ukuthi izimpawu zakho zithuthuke.. Kuye ngobukhulu besimo sakho, kungadingeka ukuthi uphuze i-vitamin D isikhathi eside. Uma uyeka, i-osteomalacia ingabuya. Abantu abanezimo ezifana nesifo sesibindi noma ukwehluleka kwezinso bangadinga ukwelashwa okwengeziwe kanye nokusekelwa. Udokotela wakho uzohlola amazinga akho egazi njalo. Unganikwa nohlobo olukhethekile lwe-vitamin D. Ngaphezu kwalokhu, ungenza okulandelayo ukunciphisa noma ukulungisa izimpawu ze-osteomalacia:

• Ukuchayeka elangeni okwanele .
• Yidla ukudla okuningi okuqukethe i-vitamin D kanye ne-calcium.
• Ukugqoka ama-braces ukuze kuncishiswe noma kuvinjelwe ukukhubazeka kwamathambo.
• Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe ukukhubazeka kwamathambo.

Singakwazi yini ukuvimbela ukuthuthukiswa kwe-osteomalacia?

Yebo, singakuvimbela lokhu kakhulu. Kunezinto ezimbili ezibalulekile okudingeka sizenze:

• Ukuthola ukukhanya kwelanga okwanele komzimba .
• Ukuthola i-vitamin D ne-calcium eyanele ekudleni esikudlayo .

Kuye ngokuthi uhlalaphi nesikhathi sonyaka, ungase ukwazi ukuthola i-vitamin D eyanele ngokukhanya kwelanga kuphela. Ngokuvamile, umuntu onesikhumba esikhanyayo kufanele abe selangeni imizuzu eyi-10 kuya kweyi-15 izinsuku ezimbili kuya kwezintathu ngesonto. Abantu abanesikhumba esimnyama kungadingeka bahlale elangeni isikhathi eside. Kodwa lokhu kufanele kube ukukhanya kwelanga okuqondile . Ukukhanya kwelanga okuphuma ngamafasitela noma ukukhanya kwelanga okuwela ezingutsheni akukwazi ukukhiqiza i-vitamin D eyanele. Kodwa-ke, akukuhle ukuhlala elangeni isikhathi eside kakhulu ngaphandle kokugcoba ilanga . Ngoba ukuchayeka kakhulu elangeni kwandisa ingozi yomdlavuza wesikhumba . Ngakho-ke, kungcono ukubuza udokotela wakho ukuthi kufanele uhlale isikhathi esingakanani elangeni. Ngeke uthole yonke i-vitamin D oyidingayo ekudleni kuphela. Kodwa kungasiza. Kukhona ukudla okuqukethe i-vitamin D ngokwemvelo. Isibonelo:

• Izinhlanzi ezinamafutha: njenge-tuna, i-salmon, ama-sardine, i-mackerel.
• Inhlanzi ye-trout enothingo.
• Inyama ebomvu.
• Isibindi senyama yenkomo.
• Amakhowe.
• Amaqanda aqanda.
• Amafutha esibindi se-cod.

Okunye ukudla kune-vitamin D eyengeziwe ngokwenziwa (ukudla okuqinisiwe). Khuluma nodokotela wakho mayelana nokuthi yimiphi imithombo engcono kakhulu kuwe. Kodwa-ke, ukudla okuhlukene kunezinzuzo nezinkinga zako, ngakho-ke udinga ukucabangela lokho. Uma ungacabangi ukuthi uthola i-vitamin D eyanele elangeni nasekudleni, udokotela wakho angase akuncome ukuthi uthathe isithasiselo.

Iyini inhloso yokululama komuntu one-osteomalacia?

Uma lesi sifo sitholakala kusenesikhathi futhi selashwa kahle (njengokusebenzisa izithasiselo) , abantu abaningi bazoqala ukululama phakathi namasonto ambalwa. Kodwa-ke, kungathatha izinyanga eziyisithupha ukuthi amathambo akho alulame futhi aqine futhi .

Ngingawanakekela kanjani amathambo ami?

Njengoba sikhula, kuba kubaluleke nakakhulu ukunakekela amathambo ethu. Nazi ezinye izinto ongazenza ukuze usize ukugcina amathambo akho ephilile:

• Yidla ukudla okwanele okuqukethe i-vitamin D kanye ne-calcium.
• Thola ukukhanya kwelanga okwanele .
• Gcina isisindo somzimba esinempilo esikufanele.
• Yenza umsebenzi womzimba ojwayelekile .
• Ungabhemi .
• Uma uphuza utshwala , bunciphisele enanini elithile .

Kufanele ngimbone nini udokotela?

Uma unezinhlungu zamathambo, noma yiziphi izimpawu ze-osteomalacia esixoxe ngazo ekuqaleni, bonana nodokotela ngokushesha . Angahlola amazinga egazi lakho ukuze anqume ukuthi lesi simo sikuthinte yini.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Kungaba usizo ukubuza le mibuzo uma uvakashela udokotela wakho:

• Ingabe izithasiselo zokudla zodwa zanele ukwelapha i-osteomalacia?
• Yikuphi okunye ukwelashwa okuncomayo?
• Yimiphi imisebenzi okufanele ngiyigweme ngize ngilulame?
• Yiziphi izinhlobo zokuzivocavoca ezingasiza ekwelapheni noma ekuvimbeleni lesi simo?
• Yini enye engingayenza ukuvimbela lesi simo ukuthi singangithinti esikhathini esizayo?

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma uzwa ubuhlungu emzimbeni wakho ongezansi, ikakhulukazi emathanjeni akho, kungaba yi-osteomalacia. Imbangela eyinhloko yalokhu ukuntuleka kwevithamini D. Ngakho-ke, kubaluleke kakhulu ukuthola ilanga elanele nokudla ukudla okuqukethe ivithamini D. Uma izimpawu ziqhubeka, qiniseka ukuthi ubona udokotela. Anganquma ukuthi ubuhlungu bethambo lakho bubangelwa ukuntuleka kwevithamini D futhi akusize ube umuntu onamathambo aphilile.