Chii chinokonzeresa kurasikirwa nefupa?

Osteoporosis, kana mapfupa asina kusimba, chirwere chinokonzeresa kuti mapfupa apwanye uye anogona kutsemuka (kutyoka). Ne osteoporosis, mapfupa anorasikirwa nehuremu. Kuwanda kwepfupa ihwo huwandu hweyakaenzana mapfupa emapfupa ari mumapfupa ako.

Kuongororwa kweosteoporosis kunoreva kuti uri panjodzi yekutyoka kwemapfupa kunyangwe nezviitiko zvezuva nezuva kana tsaona diki kana kudonha.

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. Mafupa ako ese anotsiviwa pamusoro pemakore gumi ega ega, asi izvi zvinononoka paunenge uchikura.
• 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 chikonzero chinozivikanwa. Kumwe kurasikirwa kwepfupa nekukwegura kwakajairika kune wese munhu. Dzimwe nguva, kurasikirwa kwepfupa uye mapfupa matete anomhanya mumhuri uye chirwere ichi chinogarwa nhaka. Muzhinji, vachena, vakadzi vakuru ndivo vanowanzo kuve nekurasikirwa kwemapfupa. Izvi zvinowedzera njodzi yavo yekutyora pfupa.

Mapfupa, mapfupa asina kusimba anogona kukonzerwa nechinhu chero chipi chinoita kuti muviri wako uparadze pfupa rakawandisa, kana kuchengetedza muviri wako kubva pakuita rakakwana bhonzo.

Mapfupa asina simba anogona kutyoka zviri nyore, kunyangwe pasina kukuvara kuri pachena.

Bone mineral density haisiriyo yega fungidziro yekuti mapfupa ako akasimba sei. Kune zvimwe zvinhu zvisingazivikanwe zvine chekuita nehunhu hwemapfupa izvo zvakakosha sekuwanda kwepfupa. Mazhinji mapfupa ehurema bvunzo anongoyera huwandu hwepfupa.

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. Kana izvi zvasvika padanho, inonzi osteoporosis.

Kazhinji, munhu anotyoka pfupa vasati vaziva kuti vane kurasikirwa kwepfupa. Panguva iyo kuputsika kunoitika, kurasikirwa kwepfupa kwakakomba.

Vakadzi vanopfuura makore makumi mashanu uye varume vanopfuura makore makumi manomwe vane njodzi yakanyanya ye osteoporosis kupfuura vakadzi vadiki nevarume.

• Kune vakadzi, kudonha muestrogen panguva yekuenda kumwedzi ndicho chikonzero chikuru chekurasikirwa kwemapfupa.
• Kune varume, kudonha mu testosterone sezvavanokwegura kunogona kukonzera kurasikirwa kwepfupa.

Muviri wako unoda calcium nevhitamin D uye kurovedza muviri kwakaringana kuvaka nekuchengetedza mapfupa akasimba.

Muviri wako unogona kusakwanisa kuita pfupa idzva rakaringana kana:

• Iwe haudye yakakwana-yakakwana calcium chikafu
• Muviri wako hautore calcium yakakwana kubva muzvikafu zvaunodya
• Muviri wako unobvisa calcium yakawanda kupfuura zvakajairika mumuti

Dzimwe tsika dzinogona kukanganisa mapfupa ako.

• Kunwa doro. Doro rakawandisa rinogona kukuvadza mabhonzo ako. Izvo zvinogona zvakare kukuisa iwe panjodzi yekudonha uye kutyora pfupa.
• Kusvuta. Varume nevakadzi vanosvuta vane mapfupa asina kusimba. Vakadzi vanosvuta mushure mekuguma kuenda kumwedzi vane mukana wakatowanda wekutsemuka.

Vakadzi vadiki vasina kuenda kumwedzi kwenguva yakareba vane mukana wakakura wekurasikirwa nemabhonzo uye osteoporosis.

Kurema kwemuviri kwakabatana nepfupa shoma uye mapfupa asina kusimba.

Kuita maekisesaizi kwakabatana neakakwira mapfupa uye akasimba mapfupa.

Yakawanda yenguva refu (isingagumi) mamiriro ekurapa anogona kuchengetedza vanhu kuvharirwa pamubhedha kana cheya.

• Izvi zvinoita kuti tsandanyama nemapfupa muhudyu nemumapini zvisashandiswe kana kutakura chero huremu.
• Kusakwanisa kufamba kana kurovedza muviri kunogona kutungamira kukundwa kwepfupa uye kutsemuka.

Zvimwe zvehutano izvo zvinogona zvakare kutungamira kukundwa kwemapfupa ndeizvi:

• Rheumatoid arthritis
• Yenguva refu (isingaperi) chirwere cheitsvo
• Yakawandisa parathyroid gland
• Chirwere cheshuga, chinowanzo kutaipa 1 chirwere cheshuga
• Kuisa muviri

Dzimwe nguva, mishonga inorapa mamwe marapirwo anogona kukonzera osteoporosis. Mimwe yacho ndeiyi:

• Hormone-inodzivirira marapirwo ekenza yeprostate kana kenza yemazamu
• Mimwe mishonga inoshandiswa kurapa pfari kana pfari
• Glucocorticoid (steroid) mishonga, kana ikatorwa nemuromo mazuva ese kweanopfuura mwedzi mitatu, kana kutorwa kakawanda pagore

Chero kurapwa kana mamiriro anokonzeresa calcium kana vhitamini D kuti isanyatso nyudzwa zvinogona zvakare kutungamira kune asina simba mapfupa. Mimwe yacho ndeiyi:

• Gastric kudarika (kurema-kurasikirwa kuvhiya)
• Cystic fibrosis
• Mimwe mamiriro ezvinhu anodzivirira ura hudiki kubva mukunwa zvinovaka muviri

Vanhu vane dambudziko rekudya, senge anorexia kana bulimia, vari zvakare panjodzi yepamusoro ye osteoporosis.

Taura nemupi wako wezvehutano nezve njodzi yako yekurasikirwa nefupa uye osteoporosis. Tsvaga kuti ungawana sei huwandu hwakaringana hwecalcium uye vhitamini D, ndeapi maekisesaizi kana shanduko yemararamiro akakukodzera, uye ndeapi mishonga yaungade kutora.

Osteoporosis - zvinokonzera; Kuderera kwepfupa - zvikonzero

• Vitamin D inobatsira
• Calcium sosi

De Paula FJA, Nhema DM, Rosen CJ. Osteoporosis: yakakosha uye yekiriniki maficha. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits.

Eastell R, Rosen CJ, Black DM, Cheung AM, Murad MH, Shoback D. Pharmacological manejimendi yemaosteoporosis mune postmenopausal vakadzi: Endocrine Society * Clinical Practice Guideline. J Clin Endocrinol Metab. 2019; 104 (5): 1595-1622. PMID: 30907953 pubmed.ncbi.nlm.nih.gov/30907953/.

Weber TJ. Osteoporosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 230.

• Kuwedzera kweBone
• Osteoporosis