Aliyense amadziwa za "osteoporosis", ndi matenda wamba omwe amawopsyeza kwambiri thanzi la okalamba, omwe ali ndi matenda aakulu, olemala kwambiri, amafa kwambiri, ndalama zambiri zachipatala komanso moyo wotsika kwambiri ").
Nthawi zambiri anthu amaganiza kuti matenda a osteoporosis ndi chinthu chosaletseka komanso chosapeŵeka cha ukalamba wa thupi, ndipo kupewa kwake ndi maphunziro ndizochepa kwambiri kuposa matenda a shuga ndi chithokomiro.Chifukwa chake, pali kusamvetsetsana kwambiri pakati pa anthu wamba, ndipo ngakhale madotolo ambiri amatsutsana pankhaniyi.Kusamvetsetsana kochepa.
Apa, pangani sayansi yodziwika bwino pamavuto omwe amabwera chifukwa cha matenda osteoporosis, kuti muthandizire owerenga.
Malingaliro olakwika odziwika bwino okhudzana ndi matenda osteoporosis
Osteoporosis ndi matenda a kagayidwe kachakudya kamene kamadziwika ndi kuchepa kwa fupa, kuwonongeka kwa minyewa yamitsempha yamafupa, kufooka kwa mafupa, komanso kusweka kwa mafupa.Ili ndi zochitika zambiri, matenda aatali, ndipo nthawi zambiri amatsagana ndi zovuta monga fractures, zomwe zimachepetsa kwambiri moyo wa odwala, komanso zimayambitsa kulumala ndi imfa.Chifukwa chake, yakhala imodzi mwamatenda osatha omwe amawopseza kwambiri thanzi la munthu.Choncho, kupewa ndi kuchiza matenda osteoporosis n'kofunika kwambiri.Ngakhale kuti aliyense amadziwa bwino za kupewa ndi kuchiza matenda a osteoporosis, pali kusamvana kwina.
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Anthu okalamba ali ndi matenda osteoporosis
Kawirikawiri aliyense amaganiza kuti okalamba okha ndi omwe angadwale matenda osteoporosis ndipo ayenera kumwa mapiritsi a calcium, koma izi siziri choncho.Osteoporosis amagawidwa m'magulu atatu: primary osteoporosis, secondary osteoporosis ndi idiopathic osteoporosis.
Pakati pawo, matenda osteoporosis oyambilira akuphatikizapo senile osteoporosis ndi postmenopausal osteoporosis.Mtundu uwu wa matenda osteoporosis ndi wofala kwambiri kwa okalamba ndipo alibe kanthu kochita ndi achinyamata.
Secondary osteoporosis ndi yachiwiri pazinthu zosiyanasiyana, monga kugwiritsa ntchito nthawi yaitali kwa glucocorticoids, kumwa kwa nthawi yaitali, hyperthyroidism, shuga, myeloma, matenda a impso, kupuma kwa nthawi yaitali, ndi zina zotero. , osati okalamba okha.
Matenda a Idiopathic Osteoporosis akuphatikizapo achinyamata osteoporosis, achinyamata akuluakulu osteoporosis, akuluakulu osteoporosis, mimba ndi kuyamwitsa mafupa, ndipo mtundu uwu umapezeka kwambiri mwa achinyamata.
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Osteoporosis ndi chodabwitsa cha ukalamba chomwe sichifuna chithandizo
Zizindikiro zazikulu ndi zizindikiro za matenda osteoporosis ndi ululu m'thupi lonse, kufupikitsa kutalika, hunchback, fragility fractures, ndi kupuma kochepa, komwe kupweteka kwa thupi kumakhala kofala kwambiri komanso chizindikiro chofunika kwambiri.Chifukwa chake makamaka chifukwa cha kuchuluka kwa mafupa, kuwonjezeka kwa mafupa, kuwonongeka ndi kutayika kwa fupa la trabecular panthawi ya resorption, ndi kuwonongeka kwa subperiosteal cortical bone, zomwe zingayambitse kupweteka kwa mafupa, ndi kupweteka kwa msana kumakhala kwakukulu kwambiri. zofala, ndi zina kuchititsa ululu.Chifukwa chachikulu ndi fractures.
Mafupa omwe ali ndi matenda osteoporosis ndi osalimba kwambiri, ndipo kusuntha kwina pang'ono sikudziwika, koma kungayambitse fractures.Kuphulika kwazing'ono izi kungakhale ndi zotsatira zoopsa kwa wodwalayo, kukhudza kwambiri moyo wa wodwalayo, ngakhale kufupikitsa.moyo.
Zizindikiro ndi zizindikirozi zimatiuza kuti matenda osteoporosis amafunikira chithandizo, kuzindikira msanga, mankhwala panthawi yake komanso kusintha kwa moyo kuti apewe kuchitika kwa ululu wa thupi, kusweka ndi zotsatira zina.
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Kashiamu wamagazi wamba, palibe chifukwa chowonjezera calcium ngakhale pali mafupa
Zachipatala, odwala ambiri amatchera khutu ku milingo ya calcium m'magazi awo, ndipo safuna calcium supplementation akamaganiza kuti magazi awo ndi abwinobwino.M'malo mwake, kashiamu wamagazi wamba sizitanthauza kuti kashiamu wamba m'mafupa.
Thupi likasoŵa kashiamu chifukwa chosadya mokwanira kapena kutaya kashiamu mopitirira muyeso, kashiamu yochokera m’nkhokwe yaikulu ya kashiamu mu fupa la iliac imatulutsidwa m’mwazi kudzera m’mafupa otchedwa osteoclasts olamulidwa ndi mahomoni kuti alowenso fupa kuti asunge kashiamu m’magazi.Munthawi yanthawi zonse, kashiamu amatayika kuchokera ku fupa panthawiyi.Pamene kudya kwa kashiamu kumawonjezeka, nkhokwe za calcium zimamangidwanso ndi osteoblasts kupanganso fupa, ndipo izi zimasokonekera, zomwe zimayambitsa matenda osteoporosis.
Tiyenera kugogomezera kuti ngakhale kuthyoka koopsa kunachitika mu primary osteoporosis, mlingo wa calcium m'magazi umakhala wabwinobwino, kotero kuti calcium supplementation sichingadziwike potengera mlingo wa calcium m'magazi.
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Mapiritsi a calcium a osteoporosis
Muzochita zachipatala, odwala ambiri amakhulupirira kuti calcium supplementation ingalepheretse kufooka kwa mafupa.Ndipotu, kutayika kwa mafupa a calcium ndi mbali imodzi yokha ya osteoporosis.Zinthu zina monga mahomoni ogonana otsika, kusuta fodya, kumwa mowa mopitirira muyeso, khofi wochuluka ndi zakumwa za carbonated, kuchita masewera olimbitsa thupi Zofooka, calcium ndi vitamini D zoperewera mu zakudya (zochepa kapena zochepa) zimatha kuyambitsa matenda osteoporosis.
Choncho, calcium supplementation yokha sikungalepheretse kudwala matenda osteoporosis, ndipo kusintha kwa moyo kuyenera kupangidwa kuti kuchepetsa zinthu zina zoopsa.
Chachiwiri, calcium ikalowetsedwa m'thupi la munthu, imafunika thandizo la vitamini D kuti itengedwe ndikuyamwa.Ngati odwala matenda osteoporosis amangowonjezera mapiritsi a kashiamu, kuchuluka kwake komwe kumatha kuyamwa kumakhala kochepa kwambiri ndipo sikungathe kulipira mokwanira kashiamu yomwe thupi limataya.
Pochita zachipatala, kukonzekera kwa vitamini D kuyenera kuwonjezeredwa ku calcium supplementation kwa odwala osteoporosis.
Kumwa fupa la msuzi kungalepheretse kudwala matenda osteoporosis
Mayesero asonyeza kuti mutatha kuphika mu chophika chokakamiza kwa maola a 2, mafuta a m'mafupa atuluka, koma calcium mu supu ikadali yochepa kwambiri.Ngati mukufuna kugwiritsa ntchito fupa la msuzi kuti muwonjezere kashiamu, mungaganizire kuwonjezera theka la mbale ya viniga ku supu ndikuyimirira pang'onopang'ono kwa ola limodzi kapena awiri, chifukwa vinyo wosasa angathandize kuti calcium ya mafupa isungunuke.
Ndipotu, chakudya chabwino kwambiri cha calcium supplementation ndi mkaka.Kashiamu wapakati pa 100 g wa mkaka ndi 104 mg.Mlingo woyenera wa calcium tsiku lililonse kwa akulu ndi 800-1000 mg.Chifukwa chake, kumwa 500 ml ya mkaka tsiku lililonse kumatha kuwonjezeredwa.theka la kuchuluka kwa calcium.Kuphatikiza apo, yogurt, zinthu za soya, nsomba zam'madzi, ndi zina zambiri zimakhalanso ndi calcium yambiri, kotero mutha kusankha kudya moyenera.
Mwachidule, kuwonjezera pa calcium supplementation ndi vitamini D wowonjezera, mankhwala ena omwe amalepheretsa mafupa osteoclast ayenera kuwonjezeredwa kwa odwala osteoporosis aakulu.Pankhani ya chisamaliro chamoyo, odwala ayenera kulangizidwa kuti azikhala padzuwa kwambiri, azidya zakudya zopatsa thanzi, komanso kuchita masewera olimbitsa thupi moyenera, komanso kupewa kudwala matenda osteoporosis kudzera muzowongolera zawo.
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Osteoporosis popanda zizindikiro
Malinga ndi malingaliro a anthu ambiri, malinga ngati palibe ululu wochepa wammbuyo, ndipo kuyesa kwa magazi kwa calcium sikotsika, palibe mafupa osteoporosis.Maganizo amenewa mwachionekere ndi olakwika.
Choyamba, kumayambiriro kwa matenda osteoporosis, odwala nthawi zambiri alibe zizindikiro kapena zizindikiro zochepa kwambiri, choncho zimakhala zovuta kuzizindikira.Akangomva kupweteka kwa msana kapena kuthyoka, amapita kukayezetsa ndi kuchiza, ndipo matendawa nthawi zambiri sakhala oyambirira.
Kachiwiri, hypocalcemia singagwiritsidwe ntchito ngati maziko a matenda osteoporosis, chifukwa pamene kutaya kwamikodzo kashiamu kumabweretsa kuchepa kwa kashiamu m'magazi, "hypocalcemia" imapangitsa kutulutsa kwa hormone ya parathyroid (PTH), yomwe imatha kukulitsa mafupa. maselo amayendetsa mafupa a calcium m'magazi, kuti kashiamu ya magazi ikhale yokhazikika.Ndipotu, anthu omwe ali ndi matenda osteoporosis amakonda kukhala ndi calcium yochepa m'magazi.
Choncho, matenda a osteoporosis sangakhale okhudzana ndi kukhalapo kapena kusakhalapo kwa zizindikiro komanso ngati kashiamu m'magazi achepa."Bone density test" ndiye muyeso wagolide wozindikira matenda osteoporosis.Kwa magulu omwe ali pachiwopsezo chachikulu cha matenda a mafupa (monga premeno pausal akazi, amuna opitilira zaka 50, ndi zina zambiri), mosasamala kanthu kuti ali ndi zizindikiro kapena ayi, ayenera kupita kuchipatala pafupipafupi kuti akafufuze kachulukidwe ka mafupa a mafupa kuti atsimikizire kuti ali ndi matendawa, m'malo modikirira mpaka atapeza kuti ali ndi ululu wochepa wa msana kapena zothyoka.Pitani mukalandire chithandizo.
Anthu azaka zapakati ndi okalamba ayenera choyamba kusintha maganizo awo a thanzi kuchokera ku "chitsanzo cha matenda" kupita ku "chitsanzo chodzichiritsa".Gwiritsani ntchito fupa la densitometry scan kuti muyese kachulukidwe ka mafupa kuti muteteze mafupa ndi mafupa.Kwa achinyamata, kuchita masewera olimbitsa thupi mokwanira kungathandize kuti mafupa azikhala olemera kwambiri ndipo angapeweretu kuwonda kwambiri akamakalamba.Ngakhale kuti kuchita masewera olimbitsa thupi kwa okalamba sikuwonjezera mphamvu ya mafupa, kumatha kuchepetsa kuchepa kwa mafupa m'madera opanikizika.
Kuwunika kachulukidwe ka mafupa ndikofunikira kuti mumvetsetse thanzi la mafupa.Chifukwa calcium madipoziti m'mafupa kwa nthawi yaitali, tikulimbikitsidwa kuti tione kachulukidwe mafupa kamodzi pachaka.Ngati muli ndi matenda osteoporosis odziwika bwino ndipo mukumwa mankhwala osokoneza bongo, kuti muwone mphamvu ya mankhwalawa, mukhoza kuyang'ana kamodzi pa miyezi isanu ndi umodzi.Ndikoyenera kusunga lipoti la kachulukidwe ka fupa moyenera, kuti lifanane ndi kafukufuku wotsatira kuti mumvetse kusintha kwa mafupa a mafupa.Ndi bwino ntchitoPinYuan ultrasound bone densitometeror mphamvu ziwiri X-ray absorptiometry bone densitometrykuti muwone kuchuluka kwa mafupa.
Nthawi yotumiza: Sep-28-2022