Kodi Kuchita Zochita Zolimbitsa Thupi ndi Mankhwala Ochepetsa Matenda a Mitsempha Angathandize Bwanji?
Mwinamwake mwapeza mawu akuti sarcopenia pamene mukuphunzira za nyamakazi ya nyamakazi. Kodi ndi sarcopenia yotani, ndipo n'chifukwa chiyani muyenera kuda nkhawa ndi izi? Kodi mungatengepo zotani kuti muthe kulimbana nazo?
Kodi Sarcopenia N'chiyani?
Kawirikawiri, sarcopenia ndi vuto lomwe limayambitsa kuwonongeka koopsa kwa mitsempha ya minofu. Ikhoza kuonedwa ngati mtundu wa minofu yotayika .
Ofufuza kafukufuku anagwiritsa ntchito mawuwa kufotokozera misala yomwe imachitika mukakalamba koma posachedwapa, ena ayamba kugwiritsa ntchito mawu kufotokoza kuwonongeka kwa minofu yomwe ingayambidwe kapena kuipiraipira ndi matenda ena, monga matenda a rheumatoid arthritis . Poyerekeza ndi anthu omwe alibe nyamakazi ya nyamakazi, anthu omwe ali ndi nyamakazi amatha kukhala ndi minofu yovuta yomwe imachitika kale. Izi nthawi zina zimatchedwa rhumatoid sarcopenia.
Kugwiritsa Ntchito Zosasuntha Zachibadwa
Mumagwiritsa ntchito minofu ya chigoba kuti mupange manja, manja, ndi ziwalo zina za thupi lanu mwaufulu. Minofu imeneyi imapangidwa ndi maonekedwe a minofu yaitali. Matendawa ali ndi mapuloteni apadera omwe amatha kukoka minofu kuti azifupikitsa minofu, kapena kuti asangalale kuti minofu ikhale yaitali. Amayankha zizindikiro kuchokera ku neurons (ndipo potsiriza kuchokera mu ubongo) kukulolani kuti musunthire thupi lanu.
Maselo ena m'misamaliro amagwira ntchito kuti akonze zovala zowonongeka ndi minofu, choncho sichitsitsa nthawi.
Kusintha kwa Sarcopenia
Mu sarcopenia, kusintha kwakukulu kumachitika mkati mwa minofu:
- Zina mwa minofuyi imayamba kunyoza.
- Mitundu ina ya minofu imasiya kugwirizana kwa neuroni.
- Minofu ya minofu imachepa kukula kwakenthu.
- Minofu ya minofu imachepetsedwa mu chiwerengero chonse.
- Zina mwa mapuloteni omwe amagwiritsidwa ntchito mumasuntha amayamba kutsika, ndipo machitidwe a kukonzanso ma makina sagwira ntchito kukonzanso.
- Mitundu ina ya minofu ingalowe m'malo ndi mafuta.
Mavuto Ochokera ku Sarcopenia
Chifukwa cha izi zonse, minofu imakhala yaing'ono. N'zosadabwitsa kuti izi zingayambitse mavuto ambiri kuphatikizapo zotsatirazi:
- Kuchepetsa mphamvu ya minofu
- Kulemala kwakukulu
- Kufooka kwowonjezereka
- Umoyo wochepa wa moyo
- Kusasamala kosauka
- Kuwonjezeka kwa ngozi za kugwa kwakukulu (zomwe zingawononge moyo)
Kodi Chimachititsa Sarcopenia N'chiyani?
Sarcopenia imapezeka ngati mbali ya ukalamba, ngakhale anthu omwe alibe nyamakazi ya nyamakazi. Pofika zaka khumi ndi zisanu ndi zitatu za moyo, anthu ambiri ataya makumi asanu ndi limodzi a mthupi lawo. Zinthu zambiri zingathandize pa imfa iyi, kuphatikizapo:
- Amachepetsa mahomoni ena
- Mitundu yambiri ya minofu
- Nambala zochepetsedwa za maselo osakanikirana
- Zakudya zoperewera
- Kuchepetsa zochitika zolimbitsa thupi
- Kuchuluka kwa kutupa kosatha
Kutupa Kumayambitsa Sarcopenia mu Matenda a Matenda a Nyamakazi
Kutupa ndi chinthu chofunika kwambiri cha sarcopenia mwa anthu omwe ali ndi nyamakazi. Pa kutupa, maselo enieni a chitetezo cha thupi amatulutsa zotupa zotchedwa cytokines .
Awa ndi malekyulo omwe amachititsa kuti thupi likhale ndi zotupa. Yankho limeneli ndilochepa chifukwa cha kuchepa kwa minofu yomwe imapezeka kwa akulu akulu.
Mu nyamakazi ya nyamakazi, yankho la kutukusira uku lakula. Maselo apachimunthu amatulutsa zambiri zotupa zotchedwa cytokines monga interleukin 6 (IL-6) ndi chifuwa necrosis factor-α (TNF-α). Pamapeto pake, ma cytokines amachititsa kuti zizindikiro za nyamakazi zikhale ngati kupwetekedwa ndi kutupa. (Ichi ndi chifukwa chake mankhwala ena ogwiritsira ntchito mankhwala a nyamakazi, monga TNF-inhibitors , apangidwa kuti athandizidwe kuti asunge ma cytokine awa.)
Maginito otenthawa amakhala ndi zotsatira zina, kuphatikizapo kuwonongeka kwa minofu. Ichi ndi chifukwa chake anthu omwe ali ndi nyamakazi amatha kukhala ndi sarcopenia oyambirira komanso sarcopenia. Pakati pa odwala matenda a nyamakazi, anthu omwe ali ndi mapiritsi otentha kwambiri a cytokines amakhala ndi chiopsezo chachikulu chokhala ndi sarcopenia komanso kuchepa mphamvu.
Zina Zomwe Zimayambitsa Sarcopenia mu Chifuwa cha Matenda a Nyamakazi
Ululu wokha ndi chinthu china chachikulu chomwe chikuwonjezera chiopsezo cha sarcopenia mwa anthu omwe ali ndi nyamakazi. Ngati muli ndi ululu wosagwidwa ndi kuuma kwa nyamakazi yanu, mungapewe kuchita masewera olimbitsa thupi. Pakapita nthawi izi zingayambitse mtundu wa atrophy wamtundu wotchedwa atrophy . Mwachidule, izi zimachepetsa kukula kwa minofu yomwe imapezeka pamene minofu sichiteteze nthawi zonse.
Anthu omwe ali ndi nyamakazi yogwiritsira ntchito nyamakazi angagwiritsenso ntchito mapuloteni ambiri ndi makilogalamu kuposa zachibadwa chifukwa cha matenda awo. Popeza mapuloteni amafunikira kuti thupi likhale lokonzekera, izi zikhoza kuvulaza nthenda ya nthenda ya sarcopenia.
Kuzindikira kwa chifuwa chachikulu cha Sarcopenia
Funsani dokotala ngati muli ndi nkhaŵa zokhudzana ndi kuchepetsa mphamvu ya minofu chifukwa cha nyamakazi ya nyamakazi. Dokotala wanu akhoza kugwiritsa ntchito mayesero osiyanasiyana kuti awone ngati mungakhale ndi sarcopenia. Izi ziphatikizapo zotsatirazi:
- Kuyeza kwa BIA (kusanthula mwambo wamagazi)
- DEXA mayeso (awiri-mphamvu X-ray absorptiometry)
- Mayesero kuti ayese mphamvu ya minofu ndi ntchito yonse ya thupi
BIA ndi yesero losavomerezeka lomwe limagwira ntchito potumiza mlingo wamtundu wotsika kwambiri kupyolera mu thupi. Mitundu yosiyanasiyana ya minofu imachepetsa kutuluka kwa madigiri osiyanasiyana. Malingana ndi kukana kwayikira kwa magetsi awa, wothandizira akhoza kulingalira mtengo wotchedwa "mafuta opanda misa" (FFM) omwe angagwiritsidwe ntchito kuyesa minofu yaikulu.
Chinthu chinanso ndi mayeso a DEXA (omwe amagwiritsidwa ntchito poyesa matenda a osteoporosis). Ichi ndi chiyeso china chopweteka chomwe chimagwiritsa ntchito X-ray ndi mphamvu yochepa kwambiri ya ma radiation. Pankhaniyi, ikhoza kugwiritsidwa ntchito kuwerengera mtengo wotchedwa thupi lopanda thupi (LBM), chiyeso china cha minofu.
Dokotala wanu angakufunseni kuchita ntchito zosiyanasiyana, monga kuyenda mofulumira kapena kufalitsa chipangizo chogwiritsira ntchito.
Dziwani kuti anthu omwe ali ndi nthendayi sarcopenia sataya thupi lonse. Mu rhumatini ya sarcopenia, mbali imodzi ya mapuloteni oyenda minofu ingasinthidwe ndi mafuta. Chifukwa cha ichi, kulemera sikungasinthe kwambiri, ngakhale munthu ataya utsi wambiri. Ndicho chifukwa chake mndandanda wa thupi (BMI) siyeso yabwino ya rhumatini ya sarcopenia. Mayesowa sangaone ngati misa ikubwera kuchokera ku minofu kapena mafuta. Anthu ena omwe ali ndi matendawa amatha kuchepetsa BMI, koma mwa anthu ena BMI ikhoza kukhala yachilendo kapena yowonjezereka.
Chifuwa cha Cachexia
Mawu ena ofanana omwe mungamve ndi chifuwa chachikulu cha rheumatoid cachexia. Cachexia imatanthauza vuto la kulemera kwakukulu, mafuta, ndi kutayika kwa minofu zomwe zimachitika chifukwa cha matenda aakulu, monga khansa. Mwakutanthauzira, anthu ambiri omwe ali ndi kachilombo ka magazi amakhalanso ndi chifuwa chachikulu cha sarcopenia. Koma sikuti aliyense amene ali ndi kachilombo ka sarcopenia ali ndi kachilombo kake.
Komabe, ngakhale ochita kafukufuku samagwiritsa ntchito mawuwa nthawi zonse. Mutuwu ukhoza kusokoneza madokotala ndi odwala, chifukwa mabungwe azachipatala sanakhazikitse zovuta kuti athe kupeza anthu omwe ali ndi kachilombo ka sarcopenia ndi chifuwa chachikulu. Chifukwa cha ichi, tilibe chiwerengero chabwino cha kufala kwa mikhalidwe iyi. Tikudziwa kuti odwala ambiri omwe ali ndi matenda a nyamakazi amakhala ndi zofooka zochepa.
Kupewa ndi Kuteteza Chifuwa Chofewa Sarcopenia
Ochita kafukufuku sanakhazikitse ndondomeko zomveka bwino zothandizira mankhwala a sarcopenia. Komabe, akatswiri amadziwa njira ziwiri zothandizira ndi kupewa:
- Konzekerani kuchiza matenda a nyamakazi yokha.
- Tsatirani dongosolo loyenerera ndi lokhazikika la zolimbitsa thupi.
Kuonetsetsa kuti nyamakazi yanu ikulamuliridwa ndi imodzi mwa zinthu zabwino kwambiri zomwe mungachite kuti muteteze ndi kuchiza matenda a chifuwa chachikulu cha sarcopenia. Mankhwala monga TNF-blockers ndi IL-6 inhibitor mankhwala angathandize kuchepa kutupa komwe kumayambitsa nthenda ya sarcopenia.
Pakalipano, palibe kafukufuku wambiri wokhudzana ndi chithandizo cha mankhwalawa omwe angathenso kutulutsa sarcopenia nthawi yaitali. Komabe, umboni wachiwiri umasonyeza kuti mankhwalawa akhoza kukhala opindulitsa.
Tilibe deta zambiri poyerekeza ndi zowonongeka za mankhwala osokoneza bongo (DMARDS) omwe amachititsa matenda pochiza sarcopenia. Zikudziwika kuti mankhwala a nthawi yaitali ndi corticosteroids angapangitse sarcopenia kuipira. Patapita nthawi, ofufuza adzaphunzira zambiri za mankhwala omwe angakhale abwino kwa odwala omwe ali ndi sarcopenia.
Chithandizo cha Kuchiza
Kuchita masewera olimbitsa thupi ndi chinthu china chofunika kwambiri poyang'anira matenda a rheumatoid sarcopenia. Umboni umasonyeza kuti kukaniza maphunziro makamaka kungathandize ndi zotsatirazi:
- Kukula mphamvu kwa minofu
- Kuchuluka kwa machitidwe a matenda
- Kuchepetsa kupweteka kwa matenda
Zolemera, kukakamiza magulu, kapena thupi lolemera thupi lingagwiritsidwe ntchito kupanga minofu kugwira ntchito mwakhama kwa kanthaŵi kochepa. Maphunziro oterewa angathandize kuchepetsa kupwetekedwa kwa mitsempha kumatenda a sarcopenia.
Umboni umasonyezanso kuti kuchita masewera olimbitsa thupi (monga kusambira) kungateteze. Funsani dokotala wanu kuti apange dongosolo lochita masewera olimbitsa thupi. Mungapeze kuti ndizothandiza kugwira ntchito ndi wophunzitsi wanu kwa nthawi ndithu.
Kukhala ndi pulogalamu yochita masewera olimbitsa thupi kungapereke phindu lina kwa anthu omwe ali ndi nyamakazi. Matendawa akuwoneka kuti amachititsa ngozi ya mtima, komabe pulogalamu yochita masewera olimbitsa thupi nthawi zonse ingathandize kuchepetsa chiopsezo cha matenda a mtima komanso mavuto ena. Kudya chakudya chamoyo chokhala ndi thanzi chomwe chili ndi mapuloteni okwanira ndi ma calories kungathandizenso kuteteza chifuwa chachikulu cha sarcopenia.
Mawu Ochokera
Kuchita ndi chifuwa chachikulu cha sarcopenia kungakhale chokhumudwitsa. Koma kudziŵa kuti muli pachiopsezo chotaya minofu kungakupatseni zowonjezera. Kuti muchepetse zotsatira za sarcopenia, sungani matenda anu moyenera ndi mankhwala ndikutsatira ndondomeko yochita masewera olimbitsa thupi.
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