Matenda a osteoporosis ndi omwe amachititsa kuti mafupa asokoneze thupi, zomwe zingachititse kuti pang'onopang'ono mafupa kapena mafupa asokonezeke. Kwa zifukwa zingapo, matenda otupa mimba amapezeka kwa anthu omwe ali ndi multiple sclerosis (MS).
Mbali yonyenga yokhudzana ndi matenda odwala matendawa ndikuti ndi chete, kutanthauza kuti munthu alibe zizindikiro za mafupa. Mwachitsanzo, palibe mabala kapena ululu wa bony, omwe amawoneka mu matenda ena amphongo ndi mafupa monga mafupa a mitsempha.
Ndipotu, matendawa amayamba munthu atayesedwa poyesedwa- DEXA scan -kapena pambuyo pake.
Anthu omwe ali ndi matenda otupa mitsempha amakhala otetezeka kwambiri kuphulika kwa mchiuno kapena chiuno, chomwe chimakhalapo kawirikawiri atagwa-zotsatira zofala zowonongeka kwa anthu omwe ali ndi MS. Komanso, ngati mafupa amathyoka, amatha kuchiritsa bwino-makamaka ngati munthu akudwala matenda odwala matenda a m'mimba. Izi zimakhala zachilendo kwa mitsempha ya msana chifukwa samakhala owawa nthawi zonse. Ndipo matenda ochiritsidwa bwino omwe amachiritsidwa amatha kupititsa patsogolo mavuto omwe amapezeka ndi MS-osakhululukidwa konse.
N'chifukwa Chiyani Ndimatha Kuthetsa Matenda a Mitsempha Yambiri Ngati Ndili ndi MS?
MS yokhayo amakhulupirira kuti imathandizira kuwonjezeka kwa chiopsezo cha kudwala matenda otupa mitsempha. N'zosadabwitsa kuti ngakhale atsikana omwe ali pachiyambi cha MS-omwe ali ndi zizindikiro zochepa komanso amayenda bwino. Asayansi sadziwa kuti ndichifukwa chiyani izi zili choncho, koma pali zifukwa zingapo zomwe akusewera.
Chinthu chinanso chimene chimawopsa ndi kukhala ndi vitamini D , omwe akatswiri amadziwa amachulukitsa chiopsezo cha munthu kuti akhale ndi MS. Mofananamo, timadziwa kuti vitamini D ndi ofunika kuti thupi likhale lamphamvu, ndipo thupi lochepa likhoza kuchititsa osteoporosis.
Pali zifukwa zambiri zomwe munthu angakhale ndi vitamini D omwe alibe.
Zingakhale chifukwa cholephera kupeza kuwala kokwanira kwa dzuwa-popeza khungu limapangitsa vitamini D pakapita kuwala kwa dzuwa. Kapena zikhoza kukhala chifukwa cha matenda, monga matenda a leliac , kumene mavitamini D monga vitamini D salowetsedwa bwino m'thupi.
Nkhani yabwino ndi yakuti ngati dokotala akupeza kuti muli ndi mavitamini ochepa otsika, kutenga choonjezera chingakulepheretseni kudwala matenda odwala matenda a mitsempha kapena kupititsa patsogolo mphamvu ndi thanzi la mafupa anu ngati mwapezeka kale ndi matenda otupa thupi.
Mankhwala omwe amachititsa kuti MS abwererenso komanso zizindikiro zimathandizanso kuti fupa lisafooke; Chinthu chimodzi cholakwira ndi steroid Solu-Medrol . Mankhwala oteteza selective-serotonin reuptake inhibitors (SSRIs) omwe amagwiritsidwa ntchito pochiza matenda a MS-amachititsanso kuti mafupa azifooka komanso azifooka.
Kodi Pali Zomwe Zilibe Zachilengedwe Zowonjezera Zowonjezera Mavuto Othetsera Mitsempha?
Pali zinthu zambiri zomwe sizili zokhudzana ndi matendawa zomwe zimakupangitsani mwayi wodwala matenda odwala matenda a mitsempha, kuphatikizapo:
- zaka zoposa
- kusamba kwa mimba
- Kusuta
- kukhala woonda kwambiri
- kumwa mowa mopitirira muyeso
- moyo wokhalapo
- mbiri ya banja ya matenda otupa mafupa
Kodi Ndingatani Kuti Ndizipewa Kufooka Kwambiri?
Osteoporosis ndi yotetezeka. Ngati mwapezeka kale, musataye mtima. Mukhoza kupititsa patsogolo mphamvu ya mafupa anu ndi kupewa kutaya mtsogolo.
Njira imodzi ndi kudzera mu zolimbitsa thupi. Malinga ndi National Osteoporosis Foundation, kuchita masewera olimbitsa thupi tsiku ndi tsiku 30 sikungowonongetsa kuperewera kwa mafupa koma kungathandizenso kuchepetsa kugwa.
Zochitika zovuta zowonjezera zowonjezera monga kukwera masitepe sizingakhale zopindulitsa kwa ena ndi MS, ndipo izi nzabwino. Palinso machitidwe abwino kwambiri olemera kwambiri monga kuyenda kwa mphamvu, kuvina, kunyamula zolemera, kapena kugwiritsa ntchito magulu otsala pa chikuku. Ngati mulibe zolemera kapena gulu lokaniza, khalani ndi luso komanso mugwiritse ntchito zakudya zamzitini kapena tayi.
Ngati muli ochepa muyeso, ndizo zabwino.
Yesetsani kuyesetsa kwambiri tsiku lonse kuti muthe mafupa anu. Ngati simungathe kuima nokha, khalani ndi mawonekedwe okuthandizani. Tai chi ndi wheelchair yoga zingathandizenso kusintha mphamvu ya minofu, kuyeza, ndi kusinthasintha, zomwe zingateteze kugwa ndi kupuma kwa mafupa.
Ngati mukuganiza za pulogalamu yochita masewero olimbitsa thupi, ndi bwino kupempha dokotala wanu kuti apite kuchipatala. Wodwala wathanzi angakuthandizeni kupanga pulogalamu yochita masewera olimbitsa thupi lanu. Chofunika kwambiri, ndi wothandizira wanu, pangani pulogalamu yomwe mumakondwera nayo-mungadabwe ndi momwe mumasangalalira ndi kulimbikitsidwa mutatha kugwira ntchito.
Kuphatikiza pa kuchita masewera olimbitsa thupi, zingakhale zothandiza kufunsa dokotala wanu kuti atumizidwe katswiri wa zakufa-munthu amene angakuthandizeni kupanga zakudya zokoma, zowonjezera zakudya zomwe zimathandiza mafupa anu ndi thanzi lathunthu. Kudya zipatso zambiri, ndiwo zamasamba, zowonda mapuloteni, calcium, ndi mafuta osatetezedwa ndizofunika kuti thupi lanu likhale lolimba komanso lolimba.
Ngati katswiri wamaphunziro odzaza mafuko ndi okwera mtengo kwambiri, National Osteoporosis Foundation imapereka maphikidwe olemera a calcium omwe mungayesere nokha. Kusangalala mu khitchini kungakhalenso zododometsa zabwino kuchokera ku zizindikiro zanu za MS.
Pomalizira, madokotala ena amalimbikitsa odwala omwe ali ndi MS kuti adziwe matenda odwala matenda odwala matenda odwala matenda odwala matendawa. Lankhulani ndi dokotala wanu kuti muwone ngati izi ziri zoyenera kwa inu.
Kuyesa mlingo wanu wa vitamini D ndikulingalira bwino. Ngati msinkhu wanu uli wotsika, dokotala wanu angakulimbikitseni ma tebulo a vitamini D popeza kupeza vitamini D okwanira kuchokera ku zakudya zanu kungakhale kovuta. Koma kumbukirani kuti musatenge zakudya zina zopatsa thanzi popanda chitsogozo cha dokotala wanu poyamba-akhoza kuthandizana ndi mankhwala ena ena kapena osakhala bwino kwa inu pogwiritsa ntchito mbiri yanu yaumoyo.
Mfundo Yofunika Kwambiri
Kusweka kwa mafupa-makamaka omwe amalepheretsa kudziimira ndi kusuntha-pamwamba pa moyo ndi MS sikungokhala bwino. Kotero monga momwe mwachitapo kanthu mwakhama pophunzira za MS wanu ndi kulamulira zinthu zomwe mungathe, chititsani mafupa anu kukhala ndi thanzi labwino kudzera muzochita zowonongeka ndi zakudya zopatsa thanzi kuti kuchepetsa matenda odwala matenda odwala matendawa kapena zoopsa zina.
Zotsatira:
Dobson R, Ramagopalan S, Giovannoni G. (2012). Thanzi la Matenda ndi Multi Sclerosis. Multiple Sclerosis . Nov; 18 (11): 1522-8.
Kampman MT, Eriksen EF, Holmøy T. (2011). Multiple Sclerosis, Chifukwa cha Kusamalidwa Kwambiri kwa Sekondi? Kodi Umboni Ndi Chiyani? Acta Neurologica Scandinavica Supplementum , (191): 44-9.
National Osteoporosis Foundation. Thupi labwinobwino .
National Osteoporosis Foundation. Mafunso Ofunsidwa Kawirikawiri .
The North American Menopause Society. (2014). Mmene Mungayambira Kusamba: Buku la Clinician, 5th. Mayfield Heights, OH: North American Menopause Society.