Ingabe ngezinye izikhathi uzizwa ubuhlungu emzimbeni wakho? Ikakhulukazi ezinqeni zakho, emathangeni, nasemilenzeni? Ingabe uzizwa ukhathele ngisho nangemva kokwenza imisebenzi emincane, noma ukuthola kunzima ukuhamba? Nakuba ungase ucabange ukuthi lezi zinto ziwukukhathala okuvamile, zingaba uphawu lwenkinga ngamathambo akho. Namuhla sikhuluma ngesimo esinjalo, 'i-Osteomalacia,' esivame ukuhlasela abantu abadala.
Kalula nje, iyini i-osteomalacia?
I-Osteomalacia yisimo lapho amathambo akho eba buthakathaka futhi athambile. Lokhu kwenza kube lula ukuthi aphuke. Njengoba nje ukhuni olugcinwe kahle isikhathi eside luguga futhi luqhekeke futhi luqhekeke ngisho noma lucindezelwe kancane, amathambo ethu alahlekelwa amandla awo.
Isizathu esiyinhloko salokhu ukuntuleka kweVithamini D. IVithamini D ibalulekile emizimbeni yethu ukuze imunce amaminerali abizwa ngokuthi iCalcium nePhosphorous. Le calcium ne-phosphorus yizona ezinika amathambo ethu amandla nokuqina. Ngakho-ke, uma singenayo iVithamini D eyanele, amathambo ethu awabi namandla ngokwanele. Lesi yisisekelo sesimo se-osteomalacia.
Lesi simo sibizwa ngokuthi 'ama-rickets', okwenzeka ezinganeni ezincane uma zintula i-vitamin D. I-Osteomalacia uhlobo lwabantu abadala lwalesi simo.
Ekuqaleni, ungase ungakuboni njengento enkulu. Kodwa ngokuhamba kwesikhathi, ungase uqale ukuzwa ubuhlungu emathanjeni akho, ikakhulukazi emzimbeni wakho ongezansi. Ekugcineni, wonke umzimba wakho ungase uzwe ubuhlungu. Ngisho nokwenza imisebenzi evamile kungaba buhlungu. Kodwa khumbula, akudingeki uphile nalolu buhlungu. Ungabona udokotela wakho ukuze uthole imbangela bese uthola ukwelashwa.
Ziyini izimpawu ze-osteomalacia?
Uphawu oluyinhloko noluvame kakhulu lwalesi simo ubuhlungu bamathambo. Lobuhlungu buvame ukuzwakala ezinqeni, ethangeni nasemilenzeni. Ngaphandle kwalokho, kungase kube nezinye izimpawu eziningana. Ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo |
|---|---|
| Amathambo aphuka kalula | Ngenxa yokuthi amathambo abuthakathaka, angaphuka (aphuke) ngisho noma ewile noma esengozini encane. |
| Ubuhlungu bemisipha, ukuqina, kanye nobuthakathaka | Imisipha ingase izwakale ibuhlungu futhi iqinile, ikakhulukazi ngemva kokwenza imisebenzi ethile. |
| Ubunzima bokuhamba | Indlela ohamba ngayo ingashintsha, okwenza kube nzima ukuhamba. Abanye abantu baqala ukuhamba behamba kancane, njengedada. |
| Ukuqhaqhazela kwemisipha noma ukuqaqamba | Imisipha, ikakhulukazi ezingalweni nasemilenzeni, ingase izwakale sengathi inyakaza njalo. |
| I-Paresthesia (izikhonkwane nezinaliti) | Ungase uzizwe umuzwa ongajwayelekile ezandleni nasezinyaweni zakho, njengokuqaqamba noma izinzipho nezinaliti. |
| Ukudonsa nokuwa njalo | Ngenxa yobuthakathaka bemisipha, ibhalansi yomzimba iyancipha futhi abantu bavame ukuwa njalo. |
Kungani i-osteomalacia ikhula? Yiziphi izici eziyingozi?
Njengoba sixoxile ngaphambili, imbangela eyinhloko ukuntuleka kwevithamini D. Lokhu kungabangelwa yizinto eziningi.
1. Ukungatholi ilanga elanele
Uma isikhumba sethu sichayeke elangeni, singakhiqiza ngokwemvelo i-vitamin D. Kodwa ngezizathu ezithile, lokhu akwenzeki kahle.
- Ukuhlala ezweni elingenalanga eliningi: Nakuba sinenkinga encane yale nkinga eSri Lanka, labo abahlala ezindaweni ezibandayo abatholi ilanga elanele.
- Ukusebenza endlini usuku lonke: Uma ungumuntu ohlala endlini usuku lonke, ehhovisi noma ekhaya, ungase ungatholi ilanga elanele.
- Ukugqoka izingubo ezimboza isikhumba ngokuphelele: Abantu abagqoka izingubo ezimboza isikhumba ngokuphelele ngenxa yezizathu zenkolo noma ezinye bangaba nokuntuleka kwevithamini D.
- Ubumnyama besikhumba: Uma kune-melanin eningi kakhulu, umbala obangela ukuba isikhumba sibe mnyama, ikhono lokukhiqiza i-vitamin D ngokukhanya kwelanga liyancipha kancane.
2. Ukungatholi i-vitamin D eyanele ekudleni
- Ukugwema ubisi nemikhiqizo yobisi:Abanye abantu bangase babe nokungezwani nobisi noma bangaluthandi.
- Ukulandela ukudla okungenazo izithako zokudla ze-vegan ngokuphelele: Ukungadli ukudla okunothe nge-vitamin D, njengenhlanzi, inyama, namaqanda, kungaholela ekuntuleni.
- Izifo zesistimu yokugaya ukudla: Izimo zokungamuncwa kokudla, njengesifo sikaCrohn noma isifo seCeliac.
- Ukuhlinzwa kokwehlisa isisindo: Ngemva kokuhlinzwa njengokuhlinzwa kwesisu, ukumuncwa kokudla kuyancipha.
3. Ezinye izinto eziyingozi
- Izimo zezinso noma zesibindi.
- Eminye imithi esetshenziselwa izifo ezifana nesifo sokuwa (imithi yokulwa nokuquleka).
- Ukuba neminyaka engaphezu kwengu-65 ubudala.
- Ukuba ngumama okhulelwe noma oncelisayo.
- Ukukhuluphala ngokweqile.
Udokotela usithola kanjani lesi sifo ngokunembile?
Uma uya kudokotela onezimpawu ozishilo ngenhla, uzoqala ngokukubuza ngomlando wakho wezokwelapha, umlando wezokwelapha womndeni, ukudla kwakho, kanye nemisebenzi yakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba.
Kudingeka kwenziwe izivivinyo eziningana ukuqinisekisa lesi sifo.
| Ukuhlolwa | Ubhekeni? |
|---|---|
| Ukuhlolwa Kwegazi | Amazinga e-Vitamin D, i-calcium, kanye ne-phosphorus ayahlolwa. I-Osteomalacia ibangelwa kakhulu amazinga aphansi e-vitamin D. Ngaphezu kwalokho, izinto ezifana ne-creatinine, i-alkaline phosphatase, kanye ne-parathyroid hormone nazo ziyahlolwa. |
| Ama-X-ray | Izinto ezinjengobuthakathaka bamathambo kanye nokuqhekeka okuncane zingabhekwa. |
| Ukuskena Kobuningi Be-Bone Mineral | Zilinganisa ukuthi amathambo akho aqine kangakanani. |
| Ukuhlolwa Kwamathambo | Lokhu akuyona into eyenziwa njalo. Uma kukhona okusolakalayo ngalesi sifo, kuthathwa ingxenye encane yethambo bese kuhlolwa ukuqinisekisa ukuthi ithambo selithambile yini. |
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okuyinhloko kwalokhu ukunikeza izithasiselo eziqukethe i-vitamin D, i-calcium, ne-phosphorus. Kodwa akukuhle ukuzithatha ngendlela ozizwa ngayo. Udokotela wakho uzobheka imiphumela yokuhlolwa kwegazi lakho bese encoma isilinganiso esiqondile osidingayo. Kubaluleke kakhulu ukuthatha leso silinganiso njengoba sinjalo.
Uma unenkinga yokumunca ukudla, noma uke wahlinzwa ukunciphisa isisindo, kungadingeka ukuthi uthathe umthamo ophezulu kunowomuntu ojwayelekile.
Ngemva kokuqala lezi zithako zokudla, kungathatha izinyanga eziningana ukuthi izimpawu ziphele. Kungathatha izinyanga eziyisithupha ukuthi amathambo aqine futhi. Ngakho-ke, bekezela futhi uthathe ukwelashwa. Kuye ngesimo, kungadingeka ukuthi uphuze i-vitamin D isikhathi eside. Uma uyeka ukuthatha lesi sidakamizwa, lesi sifo singase sibuye.
Ezinye izindlela zokwelapha:
- Thola ukuchayeka elangeni okwanele: Buza udokotela wakho bese uhlala elangeni isikhathi esifanele ngesikhathi esifanele wena.
- Ukudla ukudla okucebile ngevithamini D kanye ne-calcium.
- Ama-braces: Uma kukhona ukukhubazeka kwamathambo, lokhu kungasetshenziswa ukunciphisa nokuvimbela.
- Ukuhlinzwa: Ezimweni ezimbi kakhulu, kungase kudingeke ukuhlinzwa ukuze kulungiswe ukukhubazeka kwamathambo.
Yini esingayenza ukuze sigweme lesi simo?
Yebo, isikhathi esiningi singasivimbela lesi simo. Kunezinto ezimbili ezibalulekile okudingeka sizenze.
1. Ukuthola ilanga elanele.
2. Ukuthola i-vitamin D ne-calcium eyanele ekudleni.
Ngokuvamile, umuntu onesikhumba esikhanyayo kufanele abe selangeni imizuzu eyi-10-15 kabili noma kathathu ngesonto. Abantu abanesikhumba esimnyama kufanele bahlale elangeni isikhathi eside. Lokhu akufanele kube ukukhanya kwelanga okuvela emafasiteleni, kodwa ukukhanya kwelanga okushaya isikhumba ngqo . Kodwa ungahlali elangeni amahora amaningi ngaphandle kwezibuko zelanga noma i-sunscreen. Lokho kwandisa ingozi yomdlavuza wesikhumba. Kungcono ukubuza udokotela wakho ukuthi kufanele uhlale isikhathi esingakanani elangeni.
Ukudla okucebile ngevithamini D:
- Izinhlanzi ezinamafutha njenge-salmon, i-tuna, i-mackerel, kanye ne-sardine
- Inyama ebomvu
- Isibindi senyama yenkomo
- Iqanda eliphuzi
- Amakhowe
- Amafutha esibindi se-cod
- Ukudla okune-vitamin D eyengeziwe (okuqinisiwe) njengobisi, i-yogurt, noshizi
Uma udokotela wakho ecabanga ukuthi awutholi i-vitamin D eyanele elangeni nasekudleni, uzoncoma isithasiselo.
Umlayezo Wokuya Nawe Ekhaya
- I-Osteomalacia yisimo lapho amathambo abantu abadala eba buthakathaka futhi athambile, ikakhulukazi ngenxa yokuntuleka kwevithamini D.
- Uphawu oluyinhloko ubuhlungu emathanjeni, ikakhulukazi ezinqeni nasemilenzeni. Ubuthakathaka bemisipha kanye nokuphuka kwamathambo kalula nakho kuyizimpawu.
- Izindlela ezinhle kakhulu zokuvimbela lokhu ukuthola ilanga elanele nokudla ukudla okunothe ngevithamini D.
- Uma unezinye zalezi zimpawu, ungazinaki futhi ubone udokotela ngokushesha .
- Lesi sifo singelapheka ngokuphelele ngokuthatha i-vitamin D kanye ne-calcium supplements ngaphansi kweseluleko sikadokotela esifanele. Ngakho ungesabi.
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