Wonke umntu uyayazi "i-osteoporosis", sisifo esiqhelekileyo esisongela kakhulu impilo yabantu abadala, ngokugula okuphezulu, ukukhubazeka okuphezulu, ukufa okuphezulu, iindleko eziphezulu zonyango kunye nomgangatho ophantsi wobomi obuphantsi").
Abantu bahlala becinga ukuba i-osteoporosis sisiphumo esingenakuthintelwa nesingenakuphepheka sokuguga komzimba, kwaye ukuthintela kunye nokufundisa kwayo kubaluleke kakhulu kunesifo seswekile kunye nezifo ze-thyroid.Ngoko ke, kukho ukungaqondani okuninzi phakathi kwabantu abaqhelekileyo, yaye noogqirha abaninzi basengcanjini abavumelani ngalo mba.Ukungaqondi kakuhle.
Apha, yenza isayensi edumileyo kwiingxaki eziqhelekileyo ezinxulumene ne-osteoporosis, ukuze uncede abafundi.
Iingcamango eziphosakeleyo eziqhelekileyo malunga ne-osteoporosis
I-Osteoporosis yi-syndrome ye-metabolism engaqhelekanga yamathambo ebonakaliswa kukuncipha kwamathambo, ukutshatyalaliswa kwe-microarchitecture ye-bone tissue, ukunyuka kwamathambo okubuthathaka, kunye nokuba sengozini yokwaphuka.Ineziganeko eziphezulu, ixesha elide lokugula, kwaye lihlala lihamba kunye neengxaki ezinjengokwaphuka, ezinciphisa kakhulu umgangatho wobomi bezigulane, kwaye zibangele ukukhubazeka nokufa.Ngoko ke, iye yaba sesinye sezifo ezingapheliyo ezibeka engozini impilo yabantu.Ngoko ke, ukuthintela kunye nokunyangwa kwe-osteoporosis kubaluleke kakhulu.Nangona wonke umntu enokuqonda okuthile ngothintelo kunye nonyango lwe-osteoporosis, kusekho ukungaqondi kakuhle.
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Abantu abadala bane-osteoporosis
Ngokuqhelekileyo wonke umntu ucinga ukuba ngabantu abadala kuphela abaya kufumana i-osteoporosis kwaye kufuneka bathathe iipilisi ze-calcium, kodwa oku akunjalo.I-Osteoporosis ihlukaniswe ngamacandelo amathathu: i-osteoporosis yokuqala, i-osteoporosis yesibini kunye ne-idiopathic osteoporosis.
Phakathi kwabo, i-osteoporosis ephambili ibandakanya i-senile osteoporosis kunye ne-postmenopausal osteoporosis.Olu hlobo lwe-osteoporosis luxhaphake kakhulu kubantu abadala kwaye alunanto yakwenza nolutsha.
I-osteoporosis yesibini iyisibini kwizinto ezahlukeneyo, ezifana nokusetyenziswa kwexesha elide le-glucocorticoids, ukusela ixesha elide, i-hyperthyroidism, isifo seswekile, i-myeloma, isifo sesifo esingapheliyo, ukuphumla kwebhedi ixesha elide, njl njl. , kungekuphela nje abantu abalupheleyo.
I-Idiopathic osteoporosis ibandakanya i-juvenile osteoporosis, i-osteoporosis yabantu abadala, i-osteoporosis yabantu abadala, ukukhulelwa kunye ne-lactation osteoporosis, kwaye olu hlobo luxhaphake kakhulu kulutsha.
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I-Osteoporosis yinto yokuguga engadingi unyango
Iimpawu eziphambili kunye neempawu ze-osteoporosis zintlungu kuwo wonke umzimba, ukunciphisa ukuphakama, i-hunchback, i-fragility fractures, kunye nokuphefumula okukhawulelweyo, phakathi kwayo intlungu emzimbeni yinto eqhelekileyo kunye neyona nto ibalulekileyo.Isizathu sibangelwa ubukhulu becala ngenxa yokuguqulwa kwamathambo aphezulu, ukunyuka kwamathambo, ukutshabalalisa kunye nokunyamalala kwethambo le-trabecular ngexesha lenkqubo yokubuyisela kwakhona, kunye nokutshatyalaliswa kwethambo le-cortical subperiosteal, yonke into enokubangela intlungu ye-systemic bone, kunye neentlungu ezisezantsi kakhulu. eqhelekileyo, kwaye enye ibangela intlungu.Esona sizathu siphambili kukuqhekeka.
Amathambo ane-osteoporosis abuthathaka kakhulu, kwaye ezinye iintshukumo ezincinci zihlala zingabonwa, kodwa zinokubangela ukuphuka.Ezi fractures ezincinci zinokuba nemiphumo emibi kwisigulane, zichaphazela kakhulu umgangatho wobomi besigulane, kunye nokunciphisa.ubomi.
Ezi mpawu kunye neempawu zisixelela ukuba i-osteoporosis idinga unyango, ukufunyanwa kwangoko, amayeza ngexesha kunye nokutshintsha kwendlela yokuphila ukukhusela ukwenzeka kweentlungu zomzimba, iifractures kunye nezinye iziphumo.
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I-calcium yegazi eqhelekileyo, akukho mfuneko ye-calcium supplementation nokuba kukho i-osteoporosis
Ngokweklinikhi, izigulane ezininzi ziya kuhoya amanqanaba e-calcium egazi, kwaye azidingi i-calcium supplementation xa zicinga ukuba igazi labo le-calcium liqhelekileyo.Enyanisweni, i-calcium eqhelekileyo yegazi ayithethi i-calcium eqhelekileyo emathanjeni.
Xa umzimba unqongophele kwi-calcium ngenxa yokungangeni ngokwaneleyo okanye ukulahlekelwa ngokugqithisileyo kwe-calcium, i-calcium ephuma kwindawo enkulu yokugcina i-calcium kwithambo le-iliac ikhutshelwa egazini ngee-osteoclasts ezilawulwa yihomoni ukuze ziphinde zifunxe ithambo ukuze kugcinwe i-calcium yegazi.Kuluhlu oluqhelekileyo, i-calcium ilahlekile kwithambo ngeli xesha.Xa ukutya kwe-calcium kunyuswa, izitolo ze-calcium ziphinda zakhiwe ngokutsha yi-osteoblasts i-bone ithambo, kwaye le bhalansi iyaphazamiseka, ekhokelela kwi-osteoporosis.
Kufuneka kugxininiswe ukuba nangona ukuphuka okukhulu kwenzeka kwi-osteoporosis yokuqala, inqanaba le-calcium yegazi liseyinto eqhelekileyo, ngoko ke ukuxhaswa kwe-calcium akunakumiselwa nje ngokusekelwe kwinqanaba le-calcium yegazi.
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Iipilisi zeCalcium kwi-osteoporosis
Kwinkqubo yeklinikhi, izigulane ezininzi zikholelwa ukuba i-calcium supplementation inokuthintela i-osteoporosis.Enyanisweni, ukulahleka kwethambo le-calcium yinto enye kuphela ye-osteoporosis.Ezinye izinto ezifana ne-hormone yesini ephantsi, ukutshaya, ukusela ngokugqithiseleyo, ikhofi eninzi kunye neziphuzo ze-carbonated, umsebenzi womzimba Ukusilela, i-calcium kunye ne-vitamin D ukusilela ekutyeni (ukukhanya okuphantsi okanye ukutya okuphantsi) kunokukhokelela kwi-osteoporosis.
Ngoko ke, i-calcium supplementation yodwa ayikwazi ukuthintela ukuvela kwe-osteoporosis, kwaye ukuphuculwa kwendlela yokuphila kufuneka kwenziwe ukunciphisa ezinye izinto ezinobungozi.
Okwesibini, emva kokuba i-calcium ifakwe emzimbeni womntu, idinga uncedo lwe-vitamin D ukuba ihanjiswe kwaye ifunxe.Ukuba izigulana ezine-osteoporosis zongeza nje iipilisi ze-calcium, isixa esinokufunxwa sincinane kakhulu kwaye asikwazi ukuhlawula ngokupheleleyo i-calcium elahlekileyo ngumzimba.
Kwinkqubo yeklinikhi, amalungiselelo e-vitamin D kufuneka afakwe kwi-calcium supplementation kwizigulane ezine-osteoporosis.
Ukusela umhluzi wamathambo kunokuthintela i-osteoporosis
Iimvavanyo zibonise ukuba emva kokupheka kwi-cooker yoxinzelelo lweeyure ze-2, i-fat in the bone marrow iye yavela, kodwa i-calcium kwisobho isencinci kakhulu.Ukuba ufuna ukusebenzisa umhluzi wethambo ukongeza i-calcium, unokuqwalasela ukongeza isiqingatha sesitya seviniga kwisuphu kwaye uncwine kancinci iyure okanye ezimbini, kuba iviniga inokunceda ngokufanelekileyo ukunyibilika kwecalcium yamathambo.
Enyanisweni, ukutya okulungileyo kakhulu kwe-calcium supplementation lubisi.Umyinge we-calcium kwi-100 g yobisi yi-104 mg.Ukutya okufanelekileyo kwe-calcium yemihla ngemihla kubantu abadala yi-800-1000 mg.Ngoko ke, ukusela i-500 ml yobisi yonke imihla kunokuxhaswa.isiqingatha somthamo we-calcium.Ukongeza, i-yogurt, iimveliso zesoya, ukutya kwaselwandle, njl.
Ukushwankathela, ukongeza kwi-calcium supplementation kunye ne-vitamin D supplementation, amanye amachiza athintela i-osteoclasts kufuneka afakwe kwizigulane ezine-osteoporosis enzima.Ngokubhekiselele kukhathalelo lobomi, izigulane kufuneka zicetyiswe ukuba zithole ukukhanya kwelanga ngakumbi, zibe nokutya okunokulinganisela, kwaye zisebenzise ngokufanelekileyo, kwaye zithintele ukwenzeka kwe-osteoporosis nge-conditioning yabo.
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I-Osteoporosis ngaphandle kweempawu
Ngokombono wabantu abaninzi, ngokude nje kungekho ntlungu ephantsi, kwaye uvavanyo lwe-calcium yegazi alukho phantsi, akukho ntlungu ye-osteoporosis.Le mbono iphosakele ngokucacileyo.
Okokuqala, kwinqanaba lokuqala le-osteoporosis, izigulana zihlala zingenazo iimpawu okanye iimpawu ezincinci kakhulu, ngoko kunzima ukubhaqwa.Xa beziva iintlungu ezisezantsi okanye ukuphuka, baya kuxilongo kunye nonyango, kwaye isifo sisoloko singekho kwinqanaba lokuqala.
Okwesibini, i-hypocalcemia ayinakusetyenziswa njengesiseko sokuxilongwa kwe-osteoporosis, kuba xa ukulahleka kwe-calcium ye-urinary kukhokelela ekunciphiseni kwe-calcium yegazi, "i-hypocalcemia" ivuselela ukukhutshwa kwehomoni ye-parathyroid (PTH), enokuphucula i-osteoclasts. iiseli ziqokelela i-calcium yethambo egazini, ukuze i-calcium yegazi igcinwe iqhelekile.Enyanisweni, abantu abane-osteoporosis bavame ukuba namanqanaba aphantsi e-calcium yegazi.
Ngoko ke, ukuxilongwa kwe-osteoporosis akunakusekelwe kubukho okanye ukungabikho kweempawu kunye nokuba i-calcium yegazi iyancipha."Uvavanyo loxinaniso lwethambo" ngumgangatho wegolide wokuxilonga i-osteoporosis.Kumaqela anobungozi obuphezulu be-osteoporosis (njengabafazi be-premeno pausal, amadoda angaphezu kweminyaka engama-50 ubudala, njl.), kungakhathaliseki ukuba baneempawu okanye abanazo, kufuneka baye esibhedlele rhoqo kwiimviwo ze-bone mineral density ukuqinisekisa ukuxilongwa, endaweni yokulinda de bazifumane benentlungu esezantsi okanye ukwaphuka.Hamba uye kunyango.
Abantu abadala abaphakathi kunye nabantu abadala kufuneka baqale batshintshe ingqondo yabo yezempilo ukusuka kwimodeli "yonyango lwezifo" ukuya kwimodeli "yokuziphilisa".Sebenzisa i-bone densitometry scan ukwenza uvavanyo lokuxinana kwamathambo ukuthintela ubunzima bamathambo kunye ne-osteoporosis.Kubantu abancinci, umthambo owaneleyo unokufumana ukugcinwa kwamathambo aphezulu kwaye unokuphepha ngokufanelekileyo ukulahleka kwamathambo ngokugqithisileyo ebudaleni.Nangona ukuzivocavoca kubantu abadala akunyusi ukuxinana kwamathambo, kunokunciphisa ukulahleka kwethambo kwiindawo ezixinzelelekileyo.
Ukujongwa koxinaniso lwamathambo kuyimfuneko ukuqonda impilo yamathambo.Ngenxa yokuba i-calcium ibeka emathanjeni ixesha elide, kuyacetyiswa ukuba uhlolisise ukuxinana kwamathambo kanye ngonyaka.Ukuba une-osteoporosis ebonakalayo kwaye uthatha unyango lwechiza, ukuvavanya ukusebenza kwechiza, unokulijonga kanye kwiinyanga ezintandathu.Kunconywa ukuba ugcine ingxelo yokuxinana kwamathambo ngokufanelekileyo, ukwenzela ukuba ifaniswe noviwo olulandelayo ukuqonda utshintsho kwithambo.Kucetyiswa ukusebenzisaPinYuan ultrasound ithambo densitometeror amandla amabini X-reyi absorptiometry ithambo densitometryukujonga ukuxinana kwamathambo.
Ixesha lokuposa: Sep-28-2022