• s_banner

I-Osteoporosis丨Uyakuqonda lokhu kungezwani okuvamile?

Wonke umuntu ujwayele "i-osteoporosis", yisifo esivamile esisongela kakhulu impilo yabantu asebekhulile, ngokugula okuphezulu, ukukhubazeka okuphezulu, ukufa okuphezulu, izindleko zezokwelapha eziphezulu kanye nezinga eliphansi lokuphila eliphansi").

Abantu bavame ukucabanga ukuthi i-osteoporosis ingumphumela ongenakuvinjelwa futhi ongenakugwenywa wokuguga komzimba, futhi ukuvimbela nokufundisa kwaso akubalulekile kakhulu kunesifo sikashukela nezifo ze-thyroid.Ngakho-ke, kuningi ukungezwani phakathi kwabantu abavamile, futhi ngisho nodokotela abaningi basemazingeni aphansi banokungavumelani ngalokhu.Ukungaqondi kahle okuncane.

Lapha, yenza isayensi ethandwayo ngezinkinga ezivamile ezihlobene ne-osteoporosis, ukuze usize abafundi.

1
2

Imibono eyiphutha evamile mayelana ne-osteoporosis

I-osteoporosis iwuphawu lokungajwayelekile kwethambo elibonakala ngokuncipha kwesisindo samathambo, ukucekelwa phansi kwe-microarchitecture yezicubu zethambo, ukwanda kokuqina kwamathambo, kanye nokuba sengozini yokuphuka.Inezinga eliphezulu, inkambo yesifo eside, futhi ngokuvamile ihambisana nezinkinga ezifana nokuphuka, okunciphisa kakhulu izinga lempilo yeziguli, futhi kubangele nokukhubazeka nokufa.Ngakho-ke, isibe ngesinye sezifo ezingamahlalakhona ezisongela kakhulu impilo yabantu.Ngakho-ke, ukuvimbela nokwelashwa kwe-osteoporosis kubaluleke kakhulu.Nakuba wonke umuntu enokuqonda okuthile ngokuvimbela nokwelashwa kwe-osteoporosis, kusekhona ukungaqondi kahle.

3

01

Abantu abadala bane-osteoporosis

Ngokuvamile wonke umuntu ucabanga ukuthi asebekhulile kuphela abazothola i-osteoporosis futhi badinga ukuthatha amaphilisi e-calcium, kodwa lokhu akunjalo.I-osteoporosis ihlukaniswe izigaba ezintathu: i-osteoporosis eyinhloko, i-osteoporosis yesibili kanye ne-idiopathic osteoporosis.

Phakathi kwazo, i-primary osteoporosis ihlanganisa ikakhulukazi i-senile osteoporosis kanye ne-postmenopausal osteoporosis.Lolu hlobo lwe-osteoporosis luvame kakhulu kubantu asebekhulile futhi aluhlangene nentsha.

I-osteoporosis yesibili iyingxenye yezici ezihlukahlukene, njengokusetshenziswa isikhathi eside kwe-glucocorticoids, ukuphuza isikhathi eside, i-hyperthyroidism, isifo sikashukela, i-myeloma, isifo sezinso esingamahlalakhona, ukuphumula kombhede isikhathi eside, njll. Ukuxega kungenzeka kubantu bayo yonke iminyaka. , hhayi nje asebekhulile.

I-Idiopathic osteoporosis ihlanganisa i-juvenile osteoporosis, i-osteoporosis yabantu abadala, i-osteoporosis yabantu abadala, ukukhulelwa kanye ne-lactation osteoporosis, futhi lolu hlobo luvame kakhulu entsheni.

02

I-Osteoporosis yisimo sokuguga esingadingi ukwelashwa

Izimpawu eziyinhloko kanye nezimpawu ze-osteoporosis ubuhlungu kuwo wonke umzimba, ukunciphisa ubude, i-hunchback, i-fragility fractures, nokuphefumula okuvinjelwe, phakathi kwalokho ubuhlungu obusemzimbeni buvame kakhulu futhi uphawu olubaluleke kakhulu.Isizathu ngokuyinhloko sibangelwa ukwanda kwamathambo, ukwanda kwamathambo, ukubhujiswa nokunyamalala kwethambo le-trabecular ngesikhathi senqubo yokubuyisela kabusha, kanye nokubhujiswa kwethambo le-subperiosteal cortical, konke okungabangela ubuhlungu be-systemic bone, ubuhlungu obuphansi emuva bubuhlungu kakhulu. evamile, kanti enye ibangela ubuhlungu.Isizathu esiyinhloko ukuphuka.

4

Amathambo ane-osteoporosis antekenteke kakhulu, futhi ukunyakaza okuncane akuvamile ukubonwa, kodwa kungabangela ukuphuka.Lokhu kuphuka okuncane kungaba nemiphumela emibi kakhulu esigulini, kuthinte kakhulu izinga lempilo yesiguli, ngisho nokufinyeza.ukuphila.

Lezi zimpawu nezimpawu zisitshela ukuthi i-osteoporosis idinga ukwelashwa, ukutholwa kusenesikhathi, imithi efika ngesikhathi kanye noshintsho lwendlela yokuphila ukuze kuvinjelwe ukwenzeka kobuhlungu bomzimba, ukuphuka kanye neminye imiphumela.

03

I-calcium yegazi evamile, asikho isidingo sokwengezwa kwe-calcium ngisho noma kune-osteoporosis

Ngokomtholampilo, iziguli eziningi zizonaka amazinga azo e-calcium egazini, futhi azidingi i-calcium supplementation lapho zicabanga ukuthi i-calcium yegazi yazo ijwayelekile.Eqinisweni, i-calcium evamile yegazi ayisho i-calcium evamile emathanjeni.

Uma umzimba untula i-calcium ngenxa yokungadli ngokwanele noma ukulahlekelwa i-calcium ngokweqile, i-calcium evela endaweni enkulu yokugcina i-calcium ethanjeni le-iliac ikhishelwa egazini ngama-osteoclast alawulwa yi-hormone ukuze iphinde imunce ithambo ukuze ligcine i-calcium egazini.Phakathi kwebanga elivamile, i-calcium iyalahleka ethanjeni ngalesi sikhathi.Lapho ukudla kwe-calcium kunyuswa, izitolo ze-calcium zakhiwa kabusha ama-osteoblasts aphinde akhe amathambo, futhi lokhu kulinganisela kuyaphazamiseka, okuholela ekwakhiweni kwamathambo.

Kufanele kugcizelelwe ukuthi ngisho noma ukuphuka okukhulu kwenzeka ku-primary osteoporosis, izinga le-calcium egazini lisejwayelekile, ngakho ukufakwa kwe-calcium akunakumane kunqunywe ngokusekelwe ezingeni le-calcium egazini.

5

04

Amaphilisi e-calcium e-osteoporosis

Emisebenzini yomtholampilo, iziguli eziningi zikholelwa ukuthi i-calcium supplementation ingavimbela i-osteoporosis.Eqinisweni, ukulahlekelwa i-calcium yamathambo kuyisici esisodwa kuphela se-osteoporosis.Ezinye izici ezifana nama-hormone ocansi aphansi, ukubhema, ukuphuza ngokweqile, ikhofi ngokweqile neziphuzo ezine-carbonated, umsebenzi womzimba Ukushoda, ukushoda kwe-calcium ne-vitamin D ekudleni (ukukhanya okuncane noma ukudla okuncane) konke kungaholela ekwakhiweni kwamathambo.

Ngakho-ke, i-calcium supplementation iyodwa ayikwazi ukuvimbela ukuvela kwe-osteoporosis, futhi ukuthuthukiswa kwendlela yokuphila kufanele kwenziwe ukuze kuncishiswe ezinye izici eziyingozi.

Okwesibili, ngemva kokuba i-calcium ingenile emzimbeni womuntu, idinga usizo lukavithamini D ukuze ihanjiswe futhi imunce.Uma iziguli ezine-osteoporosis zimane zengezelele amaphilisi e-calcium, inani elingamuncwa lincane kakhulu futhi alikwazi ukunxephezela ngokugcwele i-calcium elahlekile umzimba.

Emisebenzini yomtholampilo, amalungiselelo e-vitamin D kufanele engezwe ekufakweni kwe-calcium ezigulini ezine-osteoporosis.

Ukuphuza umhluzi wamathambo kungavimbela i-osteoporosis

Ukuhlola kuye kwabonisa ukuthi ngemva kokupheka kumshini wokucindezela amahora angu-2, amafutha omnkantsha avele avela, kodwa i-calcium esobho isencane kakhulu.Uma ufuna ukusebenzisa umhluzi wamathambo ukuze wengeze i-calcium, ungacabangela ukwengeza uhhafu wesitsha sikaviniga esobhoni bese ubilisa kancane ihora noma amabili, ngoba uviniga ungasiza ngempumelelo i-calcium yamathambo ukuba incibilike.

Eqinisweni, ukudla okungcono kakhulu kwe-calcium supplementation ubisi.Isilinganiso se-calcium ku-100 g yobisi singama-104 mg.I-calcium eyanele nsuku zonke kubantu abadala yi-800-1000 mg.Ngakho-ke, ukuphuza u-500 ml wobisi nsuku zonke kunganezelwa.ingxenye yenani le-calcium.Ngaphezu kwalokho, i-yogurt, imikhiqizo ye-soy, izilwane zasolwandle, njll nazo ziqukethe i-calcium eningi, ngakho-ke ungakhetha ukuyidla ngendlela elinganiselayo.

6

Ngamafuphi, ngaphezu kwe-calcium supplementation novithamini D, ezinye izidakamizwa ezivimbela i-osteoclast zidinga ukunezelwa ezigulini ezinesifo samathambo esinzima.Mayelana nokunakekelwa kwempilo, iziguli kufanele zelulekwe ukuba zithole ukukhanya kwelanga okwengeziwe, zidle ukudla okunomsoco, futhi zizivocavoce ngendlela efanele, futhi zigweme ukuvela kwe-osteoporosis ngokuzilungisa.

7

06

I-osteoporosis ngaphandle kwezimpawu

Ngokombono wabantu abaningi, uma nje kungekho ubuhlungu obuphansi emuva, futhi ukuhlolwa kwe-calcium yegazi akuphansi, akukho i-osteoporosis.Lo mbono ngokusobala awulungile.

Okokuqala, ekuqaleni kwe-osteoporosis, iziguli zivame ukungabi nazimpawu noma izimpawu ezithambile kakhulu, ngakho-ke kunzima ukutholakala.Uma bezwa ubuhlungu obuphansi emuva noma ukuphuka, baya ekuxilongweni nasekulashweni, futhi lesi sifo ngokuvamile singekho esigabeni sokuqala.

Okwesibili, i-hypocalcemia ayikwazi ukusetshenziswa njengesisekelo sokuxilongwa kwe-osteoporosis, ngoba lapho ukulahlekelwa kwe-calcium yomchamo kuholela ekwehleni kwe-calcium egazini, "i-hypocalcemia" ivuselela ukukhishwa kwehomoni ye-parathyroid (PTH), engathuthukisa ama-osteoclasts amaseli ahlanganisa i-calcium yamathambo egazini, ukuze i-calcium yegazi igcinwe ijwayelekile.Eqinisweni, abantu abane-osteoporosis bavame ukuba namazinga aphansi e-calcium egazini.

Ngakho-ke, ukuxilongwa kwe-osteoporosis akukwazi ukusekelwe ekubeni khona noma ukungabi khona kwezimpawu nokuthi i-calcium yegazi iyancipha yini."Ukuhlolwa kokuqina kwamathambo" kuyindinganiso yegolide yokuxilonga i-osteoporosis.Emaqenjini asengozini enkulu ye-osteoporosis (njengabesifazane be-premeno pausal, amadoda angaphezu kweminyaka engu-50 ubudala, njll.), kungakhathaliseki ukuthi banezimpawu noma cha, kufanele baye esibhedlela njalo ukuze bahlolwe ukuminyana kwamaminerali ukuze kuqinisekiswe ukuxilongwa, esikhundleni sokulinda baze bazithole benezinhlungu eziphansi emuva noma bephuka.Hamba uyokwelashwa.

Abantu abaneminyaka ephakathi kanye nasebekhulile kumele baqale baguqule umqondo wabo wezempilo ukusuka kumodeli "yokwelashwa kwezifo" baye kumodeli "yokuziphilisa okunempilo".Sebenzisa i-bone densitometry scan ukuze wenze ukuhlola ukuminyana kwamathambo ukuvimbela ubunzima bamathambo kanye ne-osteoporosis.Kubantu abasha, ukuvivinya umzimba okwanele kungathola inani eliphakeme lamathambo futhi kungagwema ngokuphumelelayo ukulahlekelwa ngokweqile kwamathambo lapho usukhulile.Nakuba ukuvivinya umzimba kubantu asebekhulile kungakhulisi ukuminyana kwamathambo, kunganciphisa ukulahlekelwa kwamathambo ezindaweni ezicindezelekile.

8

Ukuqapha ukuminyana kwamathambo kuyadingeka ukuze uqonde impilo yamathambo.Ngenxa yokuthi i-calcium igcina emathanjeni isikhathi eside, kunconywa ukuthi uhlole ukuminyana kwamathambo kanye ngonyaka.Uma une-osteoporosis esobala futhi uthatha ukwelashwa kwezidakamizwa, ukuze uhlole ukusebenza komuthi, ungawuhlola kanye njalo ezinyangeni eziyisithupha.Kunconywa ukuthi ugcine umbiko we-bone density ngendlela efanele, ukuze uqhathaniswe ekuhlolweni okulandelayo ukuze uqonde izinguquko ekujuleni kwamathambo.Kunconywa ukusebenzisaI-PinYuan ultrasound bone densitometeror amandla amabili we-X-ray absorptiometry bone densitometryukuhlola ukuminyana kwamathambo.


Isikhathi sokuthumela: Sep-28-2022