Asicabangi kakhulu ngamathambo emizimbeni yethu ekuphileni kwethu kwansuku zonke, akunjalo? Kodwa cabanga ngakho, sibone izimo lapho umuntu osekhulile eshelela futhi ewa ekhaya bese ephuka ingalo noma umlenze. Kodwa ngesikhathi esifanayo, uma umuntu osemusha ewa, angase aphunyuke ngokuklwebheka okuncane. Kungani lo mehluko? Esinye sezizathu zalokhu kungaba yisimo esikhuluma ngaso namuhla esibizwa ngokuthi i-osteopenia. Lesi yisifo esithule esinciphisa kancane kancane amathambo.
Kalula nje, iyini i-osteopenia?
I-Osteopenia ukwehla kobuningi bamathambo akho. Cabanga ngamathambo ethu njengodonga lwezitini olwakhiwe kahle. Ngokuhamba kwesikhathi, ezinye zezitini kulolu donga ziyakhululeka, zenze udonga lube buthaka kancane. Kunjalo-ke ngalesi simo. Inani lamaminerali okufanele abe semathanjeni liyancipha, futhi amandla awo ayancipha.
Lokhu akusona isifo, kodwa kuyisibonakaliso esibaluleke kakhulu sesixwayiso. Kusho ukuthi amathambo akho abuthakathaka kunokuvamile, ngakho-ke kukhona ingozi yokuphuka kwamathambo esikhathini esizayo.
Uyini umehluko phakathi kwe-Osteopenia ne-Osteoporosis?
La magama amabili afana kakhulu, ngakho abantu abaningi bayadideka. Ake siqonde lokhu kanje.
- I-Osteopenia: Lesi yisixwayiso sokuqala. Kufana nokukhanya okuphuzi esibanini somgwaqo. Kuthi, "Qaphela, amathambo akho aya ngokuya eba buthakathaka." Uma senza kahle kulesi sigaba, singavimbela isimo esilandelayo esiyingozi ukuba singenzeki.
- I-Osteoporosis: Lesi yisimo esibucayi kakhulu. Kufana nokukhanya okubomvu esibanini sezimoto. Lapha, amathambo abuthakathaka kakhulu, futhi ngisho nokuwa okuncane, noma mhlawumbe ukukhwehlela okunzima, kungabangela ukuthi ithambo liphuke.
Kalula nje, i-osteopenia iyisinyathelo sokuqala endleleni eya ekuguleni kwamathambo, ngakho-ke kubalulekile ukuthatha isinyathelo ngokushesha nje lapho uqaphela.
Ziyini izimpawu zalesi simo?
Nansi into ebalulekile. I-Osteopenia ayinazo izimpawu. Awuzizwa ubuhlungu noma ukungakhululeki. Ukuthi nje amathambo aya ngokuya eba buthaka ngaphakathi. Yingakho odokotela beyibiza ngokuthi "isifo esithule."
Ngokuvamile, umuntu ufunda ngalesi simo nge-X-ray ngesinye isizathu, noma ngemva kokuwa okuncane kanye nokuphuka kwethambo. Ngakho-ke akunangqondo ukulinda kuze kuvele izimpawu.
Kungani sithola i-osteopenia? Yiziphi izinto ezibangela ingozi?
Empeleni, ukuguga kuyimbangela eyinhloko. Amathambo ethu aqine kakhulu cishe eminyakeni engama-25-30. Ngemva kwalokho, izinga lokwakheka kwamathambo amasha ngokwemvelo likhula ngokushesha kancane kunezinga lokwephulwa kwawo. Lokhu kuhlukile kuwo wonke umuntu. Kodwa kwabanye abantu, le nqubo ingasheshiswa.
Kunezici eziningana ezandisa le ngozi.
| Isici sengozi | Incazelo |
|---|---|
| Ubudala | Abantu abangaphezu kweminyaka engu-50 basengozini enkulu. |
| Ubulili | Abesifazane, ikakhulukazi ngemva kokunqamuka kokuya esikhathini, banamathuba aphindwe kane okuthola lesi sifo kunabesilisa. |
| Ukubhema notshwala | Abantu ababhema futhi baphuza kakhulu nsuku zonke bangaba buthakathaka amathambo abo ngokushesha. |
| Umlando womndeni | Uma othile emndenini wakho ene-osteoporosis, nawe ungase ube sengozini. |
Ingabe izimo ezithile zezokwelapha kanye nemithi kuyakuthinta lokhu?
Yebo, impela. Ezinye izimo zezokwelapha kanye nemithi yesikhathi eside nazo zingabangela ukwehla kwamandla ethambo.
| Izinto ezingathinta | Izibonelo |
|---|---|
| Izimo zezokwelapha | |
| Izinkinga zama-hormone | I-Hyperthyroidism, i-Cushing syndrome |
| Ezinye izifo | Isifo sikashukela, Isifo sezinso esingamahlalakhona (CKD), Isifo samathambo esibizwa nge-Rheumatoid arthritis |
| Ukuntuleka kokudla okunempilo | Ukuntuleka kwe-calcium noma i-vitamin D, ukungondleki kahle, izinkinga zokudla. |
| Izinhlobo zemithi | |
| Izinhlobo zama-steroid | Ukuthatha imithi efana ne-corticosteroids isikhathi eside. |
| Eminye imithi | Ezinye izinhlobo ze-proton pump inhibitors (PPIs) ze-gastritis, imithi yokuquleka, kanye nokwelashwa kwama-hormone omdlavuza. |
Wazi kanjani ukuthi unalesi simo?
Indlela engcono kakhulu nenembile yokuthola ulwazi ukusebenzisa i-"Bone Density Test", eyaziwa nangokuthi i-DEXA scan.
Lokhu ukuhlolwa okulula kakhulu, okungenabuhlungu. Kufana nokuthatha i-X-ray. Kukala ubuningi bamathambo akho, ikakhulukazi umgogodla wakho kanye nezinqe. Imiphumela ingatshela udokotela wakho ukuthi amathambo akho aphilile yini, i-osteopenia, noma i-osteoporosis.
Odokotela ngokuvamile batusa lokhu kuhlolwa kwabesifazane abangaphezu kweminyaka engu-50 kanye nabesilisa abangaphezu kweminyaka engu-70. Futhi, uma unezici eziyingozi okukhulunywe ngazo ekuqaleni, udokotela wakho angase akuncome lokhu kuhlolwa kusenesikhathi.
Iphathwa kanjani i-osteopenia?
Izindaba ezinhle ukuthi akuwona wonke umuntu one-osteopenia odinga imithi. Umgomo wethu oyinhloko ukuvimba amathambo ukuthi angabe esaba buthaka kakhulu nokuvimbela i-osteoporosis. Lokhu kungenxa kakhulu yezinguquko endleleni yethu yokuphila.
1. Ukuzivocavoca
Ukuzivocavoca kuyindlela engcono kakhulu yokuqinisa amathambo akho. Ukuzivocavoca okuthwala isisindo kubaluleke kakhulu. Lokho kusho ukuhamba, ukugijima, kanye nokukhwela izitebhisi. Ukuzivocavoca okufana ne-yoga kanye ne-Tai Chi kungasiza ekuthuthukiseni ibhalansi yakho. Lokhu kungasiza futhi ekuvimbeleni ukuwa. Buza udokotela wakho noma isazi se-physiotherapist mayelana nokuzivocavoca okufanele wena.
2. Ukudla kanye nokudla okunempilo
Izinto ezimbili ezibalulekile emathanjeni yi -calcium kanye ne-vitamin D.
- I-calcium: Ubisi, i-yogurt, ushizi, izinhlanzi ezincane (njengezinhlayiya) ezidliwa namagobolondo azo, kanye nemifino eluhlaza (isipinashi, i-kale) kucebile nge-calcium.
- I-Vitamin D: Lokhu kusiza imizimba yethu ukuthi imunce i-calcium. Umthombo omuhle kakhulu we-vitamin D ukukhanya kwelanga. Kuhle kakhulu ukuchayeka elangeni imizuzu eyi-15-20 njalo ekuseni.
Uma ungakutholi okwanele kwalokhu ekudleni kwakho, udokotela wakho uzonquma ukuthi udinga yini ukuthatha izithasiselo. Ungalokothi usebenzise lezi zithasiselo ngaphandle kokubonisana nodokotela.
3. Ukugwema imikhuba emibi
- Uma ubhema, yeka ngokushesha. Ukubhema kulimaza amangqamuzana akha amathambo.
- Gwema ukuphuza utshwala ngokweqile.
Imibuzo okufanele uyibuze udokotela wakho
Uma uthola ukuthi une-osteopenia, khuluma nodokotela wakho ngalezi zinto.
- Kufanele ngihlolwe kangaki ukuqina kwamathambo?
- Yiziphi ezinye izinto eziyingozi enginazo?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Yimiphi imithambo emihle empilweni yamathambo ami?
- Ingabe ngidinga ukuthatha izithasiselo ze-calcium ne-vitamin D?
Khumbula, i-osteopenia ifana nethuba lesibili empilweni. Kusho ukuthi sekuyisikhathi sokunakekela amathambo akho kakhulu. Ngokutholakala kusenesikhathi kanye nendlela yokuphila enempilo, ungavimbela i-osteoporosis futhi uphile impilo enempilo ngamathambo aqinile.
Umlayezo Wokuya Nawe Ekhaya
- I-Osteopenia ukwehla kobuningi bamathambo. Kuyisixwayiso esibonisa ngaphambi kwe-osteoporosis.
- Njengoba kungekho zimpawu, kubalulekile ukuthi kwenziwe ukuhlolwa kokuqina kwamathambo ngeseluleko sikadokotela uma unezici eziyingozi (ikakhulukazi abesifazane abangaphezu kweminyaka engu-50).
- Umgomo oyinhloko wokwelashwa akukhona ukunikeza imithi, kodwa ukushintsha indlela yokuphila. Ukuzivocavoca okufanele, ukudla okucebile nge-calcium ne-vitamin D, kanye nokugwema ukubhema/utshwala kubaluleke kakhulu.
- Lesi simo singalawulwa. Ukuthatha izinyathelo ezifanele kungavimbela ubuthakathaka bamathambo futhi kunciphise ingozi yokuqhekeka.
- Uma unenkinga ngempilo yamathambo akho, khuluma nodokotela wakho ngokukhululekile.
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