Osteoporosis

Osteoporosis chirwere umo mapfupa anova asina kusimba uye anowanzoita kutyoka (kutsemuka).

Osteoporosis ndiyo yakajairika mhando yechirwere chemapfupa.

Osteoporosis inowedzera njodzi yekutyora pfupa. Inenge hafu yevakadzi vese vanopfuura makore makumi mashanu vachapunzika hudyu, ruoko, kana vertebra (mapfupa emusana) panguva yeupenyu hwavo. Kutsemuka kwepamuviri ndiko kwakanyanya.

Muviri wako unoda zvicherwa calcium uye phosphate kugadzira nekuchengetedza mapfupa ane hutano.

• Munguva yehupenyu hwako, muviri wako unoramba uchidzokororazve pfupa rekare uye nekugadzira pfupa idzva.
• Chero bedzi muviri wako uine chiyero chakanaka chetsva uye chekare pfupa, mapfupa ako anoramba aine hutano uye akasimba.
• Kurasikirwa kwepfupa kunoitika kana pfupa rekare radzoswazve pane pfupa idzva rakagadzirwa.

Dzimwe nguva, kurasikirwa kwepfupa kunoitika pasina chero chikonzero chinozivikanwa. Dzimwe nguva, kurasikirwa kwepfupa uye mapfupa matete anomhanya mumhuri. Muzhinji, vachena, vakadzi vakuru ndivo vanowanzo kuve nekurasikirwa kwemapfupa.

Mapfupa, mapfupa asina kusimba anogona kukonzerwa nechinhu chero chipi chinoita kuti muviri wako uparadze pfupa rakawandisa, kana kuchengetedza muviri wako kubva pakugadzira pfupa idzva rakakwana. Sezvo iwe paunenge uchikwegura, muviri wako unogona kudzoreredza calcium uye phosphate kubva pamapfupa ako pane kuchengeta aya maminera mumapfupa ako. Izvi zvinoita kuti mapfupa ako ashaye simba.

Njodzi huru ndeyekushaya calcium yakakwana yekuvaka matsva emapfupa. Izvo zvakakosha kudya / kunwa zvakakwana zvine calcium yakawanda chikafu. Unodawo vhitamini D, nekuti inobatsira muviri wako kutora calcium. Mapfupa ako anogona kupwanyika uye kazhinji kupunzika kana:

• Kana iwe usingadye chikafu chakaringana ne calcium uye vhitamini D
• Muviri wako hautore calcium yakakwana kubva muchikafu chako, senge mushure mekuvhiyiwa kwepamuviri

Zvimwe zvikonzero zvekurasikirwa kwemapfupa zvinosanganisira:

• Kuderera kweestrogen mune vakadzi panguva yekuguma kuenda kumwedzi uye kuderera kwe testosterone mumarume sezvavanokwegura
• Kuvharirwa pamubhedha nekuda kwekurwara kwenguva refu (kazhinji kunokanganisa mapfupa muvana)
• Kuva nehumwe hutano mamiriro anokonzera kuwedzera kuzvimba mumuviri
• Kutora mimwe mishonga, senge mimwe mishonga yekubvuta, mahormone ekurapa kweprostate kana kenza yemazamu, uye steroid mishonga inotorwa kweinopfuura mwedzi mitatu

Zvimwe zvinhu zvine njodzi zvinosanganisira:

• Kushaikwa kwekuenda kumwedzi kwenguva yakareba
• Nhoroondo yemhuri ye osteoporosis
• Kunwa yakawanda doro
• Kurema kwemuviri
• Kusvuta
• Kuva nedambudziko rekudya, senge anorexia nervosa

Iko hakuna zviratidzo mumatanho ekutanga eosteoporosis. Nguva zhinji, vanhu vanozotsemuka vasati vadzidza kuti vane chirwere.

Kutsemuka kwemapfupa emuzongoza kunogona kukonzera marwadzo chero kupi zvako musana. Izvi zvinonzi compression fractures. Zvinowanzoitika pasina kukuvara. Iyo kurwadziwa kunoitika kamwe kamwe kana zvishoma nezvishoma nekufamba kwenguva.

Panogona kuve nekurasikirwa kwekukwirira (zvakaringana se6 inches kana 15 masentimita) nekufamba kwenguva. Chimiro chakakotama kana chimiro chinonzi hump yekudzikira chinogona kukura.

A DEXA scan ndiyo yakaderera-radiation x-ray inoyera kuenzana kwemaminerari mumapfupa ako. Kazhinji kazhinji, inoyera huwandu mumusana uye muchiuno mapfupa. Anopa hutano hwako anoshandisa bvunzo iyi ku:

• Ongorora kurasikirwa kwepfupa uye osteoporosis.
• Fungidzira njodzi yako yeramangwana mapfupa akatsemuka.
• Ona mashandiro anoita mushonga we osteoporosis. (Iyo DEXA inowanzo dzokororwa makore ese maviri.)

Iyo yakapfava musana kana hudyu x-ray inogona kuratidza kutsemuka kana kudonha kwemapfupa emusana. Zvisinei, nyore x-ray yemamwe mapfupa haana kunyatsojeka mukufanotaura kana iwe ungangove uine osteoporosis. Iyo nyowani yakaderera-radiation musana x-ray inonzi vertebral kuputsika kuongorora (VFA) iko zvino kwowanzoitwa neDEXA kuti zvirinani kuona kutsemuka kusina zviratidzo.

Iwe ungangoda kuongororwa kweropa uye weti kana wako mupi achifunga kuti chinokonzeresa yako osteoporosis chirwere, panzvimbo pekunonoka kwemapfupa kurasikirwa kunoitika nekukwegura.

DEXA scan mhedzisiro inofananidza yako bone mineral density pamwe neese wechidiki mukuru asina kurasikirwa kwepfupa uye nevanhu vezera rako uye bonde. Izvi zvinoreva kuti pazera remakore makumi masere, chinenge chikamu chimwe muzvitatu chevakadzi vane zvakajairika zvine chekuita nezera kurasikirwa mapfupa vangave ne osteoporosis, zvichibva pamhedzisiro yeDEXA

Kurapa kweosteoporosis kunogona kusanganisira:

• Kuita mararamire shanduko, senge kushandura chikafu chako uye maitiro ekurovedza muviri
• Kutora calcium uye vhitamini D zvinowedzera
• Kushandisa mishonga

Mishonga inoshandiswa kusimbisa mapfupa kana:

• Osteoporosis yakaonekwa nehupamhi hwekupfupisa kudzidza, kunyangwe uine kutyoka, uye njodzi yako yekutyoka yakakwira.
• Wakave nekutyorwa kwepfupa, uye kuyerwa kwefupa kunoratidza kuti une mapfupa matete, asi kwete osteoporosis.

Mishonga inoshandiswa kurapa osteoporosis inosanganisira:

• Bisphosphonates - mishonga mikuru inoshandiswa kudzivirira uye kurapa osteoporosis mumadzimai epasopaopausal. Vanogona kupihwa nemuromo kana neIV.
• Denusomab - inoderedza kurasikirwa kwepfupa uye inowedzera kuwedzera kwefupa. Yakapihwa jekiseni pasi peganda.
• Teriparatide kana abaloparatide - mafomu akagadzirwa nevanhu ehormone muviri wako unoita izvo zvinowedzera kuwedzera kwefupa.
• Romosozumab - mushonga nyowani wekunyanyisa kuonda kwemapfupa.
  Estrogen receptor modulators.
  Calcitonin - chimiro chakagadzirwa nevanhu chehomoni muviri wako unoita icho chinowedzera kuwanda kwemapfupa. Inoshandiswa kunyanya kurapa kurwadziwa kamwe kamwe kubva pakatyoka musana

Iyo yakareba nguva mukadzi yaanoda kutora iyi mishonga zvinoenderana nezinga rake renjodzi. Zvinokurudzira zvinosanganisira:

• Dambudziko rekutsemuka kwakadzika - makore mashanu emushonga wemuromo kana makore matatu eIV kurapwa
• Yakanyanya kutsemuka njodzi - makore gumi emuromo mushonga kana makore matanhatu eIV kurapwa

Kurovedza muviri kunoita basa rakakosha mukuchengetedza huwandu hwemapfupa kune vakura. Zvimwe zvezviitwa zvinokurudzirwa kudzikisira mukana wako wekutsemuka zvinosanganisira:

• Kurera-kutakura kurovedza muviri, sekufamba, kumhanya, kutamba tenisi, kana kutamba kwemaminetsi makumi matatu, katatu pasvondo.
• Zviyereso zvemahara, michina yekurema, tambanudza mabhandi
• Balance kurovedza muviri, senge tai chi uye yoga
• Ngarava michina

Dzivisa chero kurovedza muviri kunopa njodzi yekudonha. Zvakare, usaite yakanyanya-kukanganisa kurovedza muviri iyo inogona kukonzera kutsemuka kune vakuru vakuru.

Tevera aya marongero ekuwana yakakwana calcium uye vhitamini D:

• Vakuru vari pasi pemakore makumi mashanu vanofanirwa kuva ne1,000 mg yecalcium uye mazana mana kusvika mazana masere eUniversity Units (IU) yevhitamini D pazuva.
• Vakadzi vane makore makumi mashanu nerimwe kusvika makumi manomwe vanofanirwa kuve ne1,200 mg yecalcium uye 400 kusvika 800 IU yevhitamini D pazuva.
• Varume vane makore 51 kusvika 70 vanofanirwa kuve ne1,000 mg yecalcium uye 400 kusvika 800 IU yevhitamini D pazuva.
• Vakuru vanopfuura makore makumi manomwe vanofanirwa kuve ne1,200 mg yecalcium uye 800 IU yevhitamini D pazuva.
• Mupiki wako anogona kukurudzira calcium supplement.
• Tevera chikafu chinopa huwandu hwakaringana hwecalcium uye vhitamini D. Shandisa zvinowedzeredza kuti uwane pekushomeka chete kana chikafu chako chisina huwandu hunokurudzirwa.
• Wako mupi anogona kukurudzira mwero wakakwira wevitamini D kana iwe uine njodzi mitezo yeosteoporosis kana yakaderera mwero weiyo vhitamini.

(Cherekedza: Mamwe mapoka enyanzvi haana chokwadi kuti mabhenefiti uye kuchengetedzeka kweaya huwandu hwevhitamini D uye calcium inodarika njodzi dzawo. Iva nechokwadi chekukurukura nemupi wako kana zvinowedzeredza sarudzo yakanaka kwauri.)

Rega tsika dzisina kunaka.

• Regedza kusvuta, kana iwe uchisvuta.
• Deredza kunwa kwako doro. Doro rakawandisa rinogona kukuvadza mabhonzo ako. Izvi zvinokuisa panjodzi yekudonha uye kutyoka bhonzo.

Izvo zvakakosha kudzivirira kudonha nevanhu vakuru. Aya mazano anogona kubatsira:

• Usatore mishonga inoita kuti ukotsirike uye usagadzike. Kana iwe uchifanira kuvatora, chenjera zvakanyanya paunenge uchisimuka uye uchifamba-famba. Semuenzaniso, batisisa pamatafura kana fenicha yakasimba kuti usadonhe.
• Bvisa njodzi dzemumba, senge kukanda rugs, kudzikisa njodzi yekudonha.
• Siya mwenje pahusiku kuitira kuti ugone kuona zvirinani kana uchifamba-famba mumba mako.
• Isa uye shandisa machengetedzo ekubata mabhawa mune yekugezera.
• Isa antislip flooring mumabhati uye mashawa.
• Ita shuwa kuti chiratidzo chako chakanaka. Ita kuti maziso ako aongororwe kamwe kana kaviri pagore nachiremba wemaziso.
• Pfeka shangu dzinokwana zvakanaka uye dzine zvitsitsinho zvishoma. Izvi zvinosanganisira slippers. Slippers asina zvitsitsinho zvinogona kukonzera kuti iwe ugumburwe uye udonhe.
• Usafambe panze uri wega pamazuva echando.

Kuvhiya kurapa kwakakomba, kunoremadza kurwadziwa kubva kumusana kwepasipasi nekuda kweosteoporosis kunosanganisira:

• Kyphoplasty (chinhu chinoiswa mupfupa remuzongoza wako kudzoreredza kukwirira kweiyo vertebrae)
• Spinal fusion (mapfupa emusana wako akabatanidzwa pamwechete kuti asafambe achipesana)

Mishonga yekurapa osteoporosis inogona kubatsira kudzivirira kutsemuka mune ramangwana. Mabhonzo emusana akatodonha haagone kuitwa akasimba.

Osteoporosis inogona kukonzera kuti munhu aremare kubva pamapfupa asina kusimba. Hip kutsemuka ndechimwe chezvikonzero zvikuru zvinoita kuti vanhu vabvumidzwe kumisha inochengetwa vakwegura.

Ive neshuwa iwe unowana yakakwana calcium uye vhitamini D kuvaka uye kuchengetedza hutano mapfupa. Kuteedzera kudya kune hutano, kwakaringana kunogona kukubatsira iwe kuwana izvi uye nezvimwe zvakakosha zvinovaka muviri.

Mamwe matipi ekudzivirira:

• Usamwe yakawanda doro.
• Usapute.
• Gara uchiekisesaiza.

Mishonga inogona kurapa osteoporosis uye kudzivirira kutsemuka. Wako mupi anogona kukuudza kana paine chakanakira iwe.

Mapfupa matete; Kuderera kwepfupa; Metabolic chirwere chepfupa; Kuputsika kwehudyu - osteoporosis; Kudzvinyirira kutsemuka - osteoporosis; Kutsemuka kwechiuno - osteoporosis

• Kuputsika kwehudyu - kubuda
• Kudzivirira kudonha

• Kukanganiswa kuputsika
• Bone kuwanda scan
• Osteoporosis
• Osteoporosis
• Kuputsika kwehudyu
• Vitamini D sosi
• Calcium inobatsira
• Calcium sosi
• Basa rekuvaka-bone
• Shanduko musana nezera

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