Kodi Amuna Odwala Matenda a Matenda a Khunyu Amafunika Kudziwa Zotani Zokhudza Matenda a Mitsempha?
Odwala Matenda a Matenda a Khunyu Amakhala ndi Vuto Lambiri la Osteoporosis
Kafukufuku apeza kuti chiopsezo chachikulu cha mafupa ndi kupasuka kwa anthu omwe ali ndi nyamakazi. Anthu omwe ali ndi matenda a nyamakazi ali ndi chiopsezo chowonjezeka cha matenda odwala matenda a m'magazi pa zifukwa zambiri:
- Mankhwala a glucocorticoid (corticosteroid) monga prednisone omwe amaperekedwa nthawi zambiri kuti azitha kuchiza matenda a nyamakazi angayambitse mafupa ambiri.
- Kupweteka ndi kutayika kwa mgwirizano wothandizira chifukwa cha matendawa kungayambitse kusagwira ntchito, kuonjezera chiwopsezo cha matenda a m'mimba.
- Kafukufuku amasonyezanso kuti kutupa kwa mafupa a nyamakazi kungathe kuchitika chifukwa cha matendawa. Kutaya mafupa kumatchulidwa kwambiri m'madera omwe amayandikana nawo ming'oma.
Chodetsa nkhaŵa ndi chakuti amayi, gulu lomwe lakhala likuwonjezeka kuopsa kwa matenda a m'mimba, amakhala oposa awiri kapena katatu kusiyana ndi amuna omwe amavutika ndi nyamakazi ya nyamakazi.
Kodi Matenda a Khunyu Amakhala Bwanji?
Matenda a nyamakazi (RA) ndi matenda okhaokha, matenda omwe thupi lawo limasokoneza maselo ndi thanzi wathanzi. Mu nyamakazi ya nyamakazi ziwalo zazing'ono zomwe zimayandikana ndi ziwalo zimayamba kutuluka ndi kumasula michere yomwe imayambitsa khungu komanso fupa. Pazirombo zoopsa, ziwalo zina ndi ziwalo zina zimakhudzidwa.
Anthu omwe ali ndi nyamakazi ya nyamakazi nthawi zambiri amamva ululu, kutupa ndi kuuma kwa ziwalo zawo, makamaka m'manja ndi m'mapazi.
Kuyenda kochepa kwa ziwalo zomwe zingakhudzidwe kungatheke, kuchepetsa kuthekera kwa munthu kuti akwanitse ngakhale ntchito zofunika kwambiri za tsiku ndi tsiku. Pafupifupi kotala limodzi mwa iwo omwe ali ndi nyamakazi ya mafupa amatha kukhala ndi mitsempha yambiri yomwe imakula pansi pa khungu, kawirikawiri pafupi ndi ziwalo. Zizindikiro zina zomwe zimatha kupezeka ndi anthu omwe ali ndi nyamakazi zimakhala:
- kutopa
- kuchepa kwa magazi (kuchuluka kwa maselo a magazi)
- ululu wa m'khosi
- maso owuma
- Mlomo wouma
Malingana ndi NIAMS, akuti pafupifupi anthu 2.1 miliyoni ku United States ali ndi nyamakazi ya nyamakazi. Matendawa amapezeka mumitundu yonse, koma amachititsa amayi awiri kapena atatu kuti akhale amuna. Matenda a nyamakazi amapezeka kwa anthu achikulire, ngakhale kuti matendawa amayamba m'zaka zapakati. Ana ndi achinyamata angasokonezedwe.
Kodi Mwana Wachiberekero Amadzimadzi Amatenda Bwanji?
Matenda a nyamakazi amtundu wa ana (JRA) amapezeka kwa ana khumi ndi zisanu ndi chimodzi kapena khumi. Ana omwe ali ndi nyamakazi yovuta kwambiri ya nyamakazi angakhale odwala glucocorticoid (corticosteroid) mankhwala, omwe amagwiritsidwa ntchito ndi mafupa a ana komanso akuluakulu. Kuchita masewera kungakhale kovuta kwa ana omwe ali ndi matenda a nyamakazi chifukwa amatha kupweteka. Kuphatikizapo ntchito zakuthupi zomwe dokotalayo amamuuza, komanso zakudya zamtundu wa calcium ndi vitamini D ndizofunikira kwambiri kuti ana awa athandizire kupatsa mafupa achidule komanso kuchepetsa kuwonongeka kwa mtsogolo.
Kodi Kudwala Kwambiri Kwambiri N'kutani?
Matenda a osteoporosis ndi omwe mafupa amakhala ochepa kwambiri ndipo amatha kuphwanyidwa.
Mphuno yotuluka m'magazi imatha kupweteka kwambiri ndi kulemala. Ndilo vuto lalikulu la thanzi la anthu okwana 44 miliyoni a ku America, 80% mwa iwo ndi akazi.Osteoporosis Risk Factors
Zowopsa za matenda opatsirana m'mimba ndi awa:
- thinness kapena kakang'ono chimango
- mbiri ya banja la matendawa
- kwa amayi, kukhala amsinopa, kusamba msinkhu, kapena kusasamba (amenorrhea)
- kusowa kwadzidzidzi kwa kusamba
- kugwiritsa ntchito mankhwala ena nthawi yaitali (monga corticosteroids)
- chakudya chochepa cha calcium
- kusagwira ntchito
- Kusuta
- kumwa kwambiri mowa
Osteoporosis ndi matenda osalankhula omwe nthawi zambiri amaletsedwa.
Komabe, ngati sichidziwika, zingatheke kwa zaka zambiri popanda zizindikilo mpaka kupasuka kwachitika.
Njira Zothandizira Oseoporosis Strategies
Njira zothandizira kupewa matenda ndi matenda a matenda odwala matendawa zimakhala zosiyana kwambiri ndi njira za omwe alibe matendawa.
Zakudya zabwino
Zakudya zokhudzana ndi calcium ndi vitamini D ndizofunika kuti mafupa akhale abwino. Mafuta abwino a calcium ndi awa:
- Zakudya za mkaka zochepa
- masamba a masamba obiriwira
- zakudya za calcium zotsitsimutsa ndi zakumwa
Calcium zowonjezera zingathandizenso kutsimikizira kuti calcium ikufunika tsiku ndi tsiku.
Vitamini D
Vitamini D imathandiza kwambiri pakamwa kashiamu ndi kufooka kwa fupa. Amapangidwa khungu pakadutsa dzuwa. Ngakhale kuti anthu ambiri amatha kupeza vitamini D wokwanira mwachibadwa, anthu okalamba nthawi zambiri sasowa vitamini chifukwa, mbali imodzi, amakhala ndi nthawi yochepa. Anthu oterewa angafunike mavitamini D kuti aziwathandiza kudya tsiku ndi tsiku.
Kuchita masewera olimbitsa thupi
Monga minofu, fupa ndi minofu yamoyo yomwe imayankha kuchita masewero olimbitsa thupi. Zochita masewera olimbitsa mafupa anu ndizochita masewera olimbitsa thupi zomwe zimakulimbikitsani kugwira ntchito motsutsana ndi mphamvu yokoka. Zitsanzo zina ndi izi:
- kuyenda
- kukwera masitepe
- kuvina
Kuphunzitsa kungakhale kovuta kwa anthu omwe ali ndi matenda a nyamakazi ndipo ayenera kukhala oyenera ndi kupuma pamene matendawa akugwira ntchito.
Kuchita masewera olimbitsa thupi nthawi zonse monga kuyenda kumathandiza kuchepetsa kuperewera kwa mafupa ndipo, poonjezera kusinthasintha ndi kusinthasintha, kungachepetse mwayi wogwa ndi kuphwanya fupa. Kuchita masewero olimbitsa thupi n'kofunikanso kuti musunge maulendo ogwirizana.
- Kuchita masewera olimbitsa thupi: Chofunika Kwambiri Kuchiza Mankhwala a Arthritis
- Momwe Mungaphunzitsire Pamene Muli ndi Matenda a Matenda a Matenda
Moyo Wathanzi
Kusuta ndikoipa kwa mafupa komanso mtima ndi mapapo. Azimayi amene amasuta amayamba kusamba nthawi yayitali, akuyambitsa matendawa. Komanso, osuta fodya akhoza kutenga kashiamu yochepa pa zakudya zawo. Mowa ungasokonezenso thanzi la mafupa. Anthu omwe amamwa mowa kwambiri amatha kutaya mafupa komanso amathyoka, chifukwa chosowa zakudya komanso kuopsa kwa kugwa.
Mayesero a Kutayirira kwa Matenda
Mayesero apadera omwe amadziwika ngati mafupa amchere (BMD) amayesa kuchuluka kwa mafupa m'malo osiyanasiyana a thupi. Mayeserowa angathe kuona kuti matendawa amatha kupwetekedwa ndipo kulosera kuti munthu akhoza kutaya mtsogolo. Odwala nyamakazi, makamaka omwe amalandira chithandizo cha corticosteroid (glucocorticoid) kwa miyezi iwiri kapena kuposerapo, ayenera kuyankhula ndi madotolo awo ngati angakhale ovomerezeka kuti ayambe kupimidwa.
Mankhwala Oseoporosis
Monga nyamakazi ya nyamakazi, palibe mankhwala ochizira matenda. Komabe, pali mankhwala omwe amapezeka kuti athe kupewa ndi kuchiza matenda opatsirana. Mankhwala ambili ndi mankhwala osokoneza bongo amavomerezedwa ndi Food and Drug Administration (FDA) pofuna kupewa ndi / kapena chithandizo cha matenda odwala matenda odwala matenda a mitsempha m'mimba mwa amayi omwe ali ndi vutoli.
- Fosamax (alendronate)
- Actonel (risedronate)
- Boniva (ibandronate)
- Didronel (etidronate)
- Evista (raloxifene)
- Miacalcin (calcitonin)
- Forteo (teriparatide)
- estrogen / mankhwala otchedwa hormone
Alendronate imavomerezedwa kuti igwiritsidwe ntchito mwa amuna. Matenda a nyamakazi a corticosteroid (glucocortiocoid) mankhwala monga prednisone, alendronate (mankhwala) ndi njira zowonongeka (pofuna kupewa ndi kuchiza) zimavomerezedwa ku matenda a glucocorticoid-aduced osteoporosis.
Chitsime:
Zimene Anthu Odwala Matenda a Mafupa Amafunika Kudziwa Ponena za Matenda a Mitsempha. NIH. April 2005.