Osteopenia amatanthauza kuperewera kwa fupa kwa mafupa. Osteopenia kawirikawiri imakhala yowonongeka kwa matenda a osteoporosis , omwe amakhala osowa mafupa osweka omwe angachititse kupasuka. Nthawi zina zamankhwala zimasokonezeka ndipo ndizofunika kudziwa kusiyana kwake ndi momwe zimakhudzira nyamakazi.
Kusiyana kwakukulu pakati pa osteopenia ndi matenda a kutupa mafupa ndikuti osteopenia sichikudziwika kuti ndi matenda pamene matenda a kutupa mitsempha ndi.
M'malo mwake, osteopenia imaonedwa kuti ndi chizindikiro cha chiopsezo cha ma fractures.
Osteopenia Imafotokozedwa
Osteopenia amachititsa kuti mapangidwe atsopano a mafupa asafike pamlingo umene ukhoza kuthetsa mafupa onse. Kugwiritsika kwa mafupa kosavuta kwathandiza kuti izi zikhale zosavuta kuziyeza. Asanayambe kupima kupima kwa deta, radiologists amagwiritsira ntchito mawu akuti osteopenia kufotokoza mafupa omwe amawoneka ngati osasintha kuposa ozolowereka pa x-ray, ndipo mawu akuti mafupa a mitsempha amatanthauzira kuchitika kwa kutuluka kwa ubongo.
Minofu yamchere ya densitometry, kapena kupindika kwa mafupa, yasintha malingaliro awo. Malinga ndi bungwe la World Health Organisation, matenda a kutupa mitsempha amatanthauzidwa ngati zilembo T za -2.5 kapena pansi ndi osteopenia amatchulidwa ngati zilembo T zopitirira -2.5 koma zochepa kuposa -1.0. Mipikisano pamwambapa -1 ndi yachibadwa. Maphunziro a T ali ndi kupuma kwanu poyerekeza ndi zomwe zimayembekezeka kuti mukhale ndi thanzi labwino kwambiri. Pogwiritsa ntchito izi, 33.6 miliyoni a ku America ali ndi osteopenia.
Chofunika cha chiŵerengerochi ndi chofanana ndi amene ali ndi matenda oopsa kwambiri kapena omwe ali ndi cholesterol m'malire. M'mawu ena, kuzindikiritsa gulu lomwe liri pangozi yoti likhale ndi matenda.
Zowonjezera Zowopsa Zowonjezera
Osteopenia ndi chinthu chimodzi chowopsya chophwanya. Zowonjezera zina ndizo:
- kale kupasuka
- zaka (ngozi ya kupasuka imakula ndi zaka)
- kusuta (kufooketsa mafupa)
- kumwa mowa mwauchidakwa oposa 2 patsiku (kumawonjezera ngozi ya kupasuka kwa chiuno )
- kulemera kwa thupi (kumawonjezera ngozi ya kupasuka kwa chiuno)
- mtundu ndi abambo (azisamba amayi ali ndi chiopsezo chachiwiri kapena zitatu poyerekeza ndi amuna kapena akazi akuda ndi a ku Spain)
- kukhala ndi kholo lomwe laphulika mchiuno
- moyo wokhala pansi
- kuchepa kwa calcium ndi vitamini D
- Mavuto omwe amachititsa kuti anthu asagwe monga masewera osavala, nsapato zosafunika, mankhwala omwe amachititsa kusintha, kugwiritsa ntchito mankhwala osokoneza bongo, kapena mbiri ya kugwa
- kumwa mankhwala ena, kuphatikizapo corticosteroids kungapangitse glucocorticoid-inachititsa kudwala matenda a m'mimba
- kukhala ndi matenda ena, monga nyamakazi ya nyamakazi kapena matenda ena a rheumatic angayambitse matenda odwala matenda a m'mimba
Kuchepa kwa chimbudzi kumachitika pamene matenda aakulu, kusowa kwa mankhwala, kapena mankhwala amachititsa osteoporosis. Ngati palibe chifukwa chachiwiri chomwe chingadziwike, vutoli limatchulidwa kuti "primary osteoporosis".
Kusintha kwa moyo kumatha kuchepetsa kupuma kwa mafupa ndi kuchepetsa chiopsezo cha ziphuphu. Zosintha zamoyo zomwe zingathandize kuteteza fractures monga:
- kukhala ndi kulemera kwabwino
- Kuchita masewero olimbitsa thupi, kuphatikizapo zochita zolimbitsa thupi (kuyendayenda, kuthamanga, kuyenda, tennis ndi zitsanzo za kuwonetsa thupi pamene kusambira silopweteka)
- onetsetsani kuti muli ndi vitamini D okwanira ndi calcium mu zakudya zanu kapena kutenga zakudya zowonjezera zakudya
- Musasute
Kukhala ndi mayeso afupipafupi a minofu kungathandize kuchepetsa kupuma kwa mafupa ndi kuchepetsa chiopsezo cha kuphulika mwa kuyang'ana minofu ya mafupa. Gulu la US Preventive Services (USPSTF) linapeza umboni wabwino wosonyeza kuti maselo a phulusa amatha kudziwiratu molondola chiopsezo cha fractures m'nthaŵi yaifupi ndikupanga malingaliro ameneŵa poyang'ana matenda odwala matenda otupa mafupa.
Chithandizo
Mankhwala amagwiritsidwa ntchito pochiza matenda odwala matenda a m'mimba koma madokotala (rheumatologists, gynecologists, madokotala odwala, komanso akatswiri odziwa ntchito zapamwamba) omwe amachiza odwala omwe amasonyeza zizindikiro za mafupa oyambirira samagwirizana nthawi zonse.
Kodi odwala opaleshoni ya osteopenia ayenera kuchiritsidwa ndi mankhwala kuti asamapitirire kudwala matenda odwala matendawa?
Nyuzipepala ya National Osteoporosis Foundation, American Association of Clinical Endocrinologists, ndi North American Menopause Society imalangiza kuti odwala omwe ali ndi matenda odwala matenda a mitsempha kapena kupweteka ayenera kuchitidwa koma pali kusagwirizana kwa zomwe zilimbikitsidwa kwa anthu osteopenia. Kodi kuchiza osteopenia kuli kofunika kapena kotsika mtengo?
Akatswiri ambiri amakhulupirira kuti kumwa mankhwala a osteopenia sikungagwiritse ntchito ndalama. Ndizifukwa zina zoopsa, monga corticosteroid ntchito kapena kukhala ndi nyamakazi ya nyamakazi, kuchiza osteopenia kumakhala kofunika kwambiri.
Ndikofunika kukumbukira kuti ma scores okhawo sangathe kufotokoza kuti odwala omwe ali ndi matenda osteopenia adzakhala otani komanso omwe odwala sangathe. Kuwonekeratu pazifukwa zonsezi ndi njira yabwino yothetsera ngati mankhwala ali ndi matenda a mitsempha. Odwala omwe ali ndi zizindikiro za mafupa oyambirira ayenera kuganizira za kusintha kwa moyo wawo ndikukambirana za ubwino ndi zoopsa za mankhwala odwala matenda a mitsempha ndi dokotala wawo.
> Zotsatira:
> Cummings MD, Steven R. Mkazi Wazaka 55 Ndi Osteopenia. The Journal of the American Medical Association .
> MD Khosla, Sundeep. et al. Osteopenia. The New England Journal of Medicine . May 31, 2007.
> Payne, January W. Kodi Kutaya kwa Matenda Oyambirira Kumatanthauza Kuti Muyenera Kugwiritsa Ntchito Mankhwala Osokoneza Bongo? US News ndi World Report . January 30, 2008.
> Torpy MD, Janet M. Osteopenia ndi Kuteteza Fractures. The Journal of the American Medical Association .