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Osteoporosis丨Unonzwisisa here kusanzwisisana uku kwakajairika?

Munhu wose anoziva nezve "osteoporosis", chirwere chinowanzoitika chinotyisidzira zvakanyanya hutano hwevakwegura, nehurwere hwepamusoro, hurema hwepamusoro, huwandu hwekufa, mari yakawanda yezvokurapa uye yakaderera yehupenyu huri pasi ").

Vanhu vanowanzofunga kuti osteoporosis mhedzisiro isingadzivisiki uye isingadzivisike yekuchembera kwemuviri, uye kudzivirira kwayo uye dzidzo haina kukosha zvakanyanya kupfuura chirwere cheshuga uye thyroid chirwere.Nokudaro, kune kusanzwisisana kwakawanda pakati pevanhuwo zvavo, uye kunyange vanachiremba vakawanda vane kusawirirana pamusoro peizvi.Kusanzwisisana kushoma.

Pano, ita sainzi yakakurumbira pamatambudziko akajairika ane chekuita neosteoporosis, kuitira kubatsira vaverengi.

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Mafungiro asiriwo akajairika nezve osteoporosis

Osteoporosis is syndrome yeabnormal bone metabolism inoratidzwa nekuderera kwebhonzo, kuparadzwa kwebhonzo tishu microarchitecture, kuwedzera fragility yebhonzo, uye kukurumidza kutyoka.Iine chiitiko chepamusoro, chirwere chenguva refu, uye chinowanzoperekedzwa nezvinetso zvakadai sekuputsika, izvo zvinoderedza zvakanyanya hupenyu hwevarwere, uye zvinotokonzera kuremara uye rufu.Naizvozvo, yave imwe yezvirwere zvisingaperi zvinotyisidzira zvakanyanya hutano hwevanhu.Nokudaro, kudzivirira uye kurapwa kweosteoporosis kunonyanya kukosha.Kunyangwe munhu wese aine kumwe kunzwisisa kwekudzivirira uye kurapwa kweosteoporosis, pachine kumwe kusanzwisisana.

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Vanhu vakwegura vane osteoporosis

Kazhinji munhu wose anofunga kuti vakwegura chete ndivo vachawana osteoporosis uye vanoda kutora mahwendefa e calcium, asi izvi hazvisizvo.Osteoporosis yakakamurwa kuva mapoka matatu: primary osteoporosis, secondary osteoporosis uye idiopathic osteoporosis.

Pakati pavo, primary osteoporosis inonyanya kusanganisira senile osteoporosis uye postmenopausal osteoporosis.Rudzi urwu rweosteoporosis runowanzoitika kune vakwegura uye haruna chokuita nevechidiki.

Secondary osteoporosis ndeyechipiri kune zvinhu zvakasiyana-siyana, zvakadai sekushandiswa kwenguva refu kweglucocorticoids, kunwa kwenguva refu, hyperthyroidism, chirwere cheshuga, myeloma, chirwere chetsvo chisingaperi, kuzorora kwenguva refu kwemubhedha, etc. Kusununguka kunogona kuitika kune vanhu vezera rose. , kwete vakwegura chete.

Idiopathic osteoporosis inosanganisira juvenile osteoporosis, vechidiki vakuru osteoporosis, munhu mukuru osteoporosis, pamuviri uye lactation osteoporosis, uye rudzi urwu runowanzoitika kune vechidiki.

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Osteoporosis chiitiko chekukwegura chisingadi kurapwa

Zviratidzo zvikuru uye zviratidzo zveosteoporosis zvinorwadza muviri wose, kupfupika kwekukwirira, hunchback, fragility fractures, uye kufema kusingabvumirwi, pakati payo kurwadziwa kwemuviri kunowanzoonekwa uye chiratidzo chinonyanya kukosha.Chikonzero chinonyanya kukonzerwa nekudzoka kwemapfupa epamusoro, kuwedzera kwebhonzo resorption, kuparadzwa uye kuparara kwefupa retrabecular panguva yekugadzirisa, uye kuparadzwa kwe-subperiosteal cortical bone, iyo yose inogona kukonzera systemic bone kurwadziwa, nekurwadziwa kwepashure kunonyanya kuve kwakanyanya. zvakajairika, uye imwe ichikonzera marwadzo.Chikonzero chikuru ndechekutyoka.

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Mapfupa ane osteoporosis akanyanya kusimba, uye kumwe kufamba kudiki hakuwanzo kunzwisiswa, asi kunogona kukonzera kuputsika.Izvi zviduku zviduku zvinogona kuva nemigumisiro yakakomba kumurwere, zvichikanganisa zvikuru hupenyu hwemurwere, uye kunyange kupfupisa.hupenyu.

Izvi zviratidzo uye zviratidzo zvinotiudza kuti osteoporosis inoda kurapwa, kuonekwa kwekutanga, mishonga yakakodzera nguva uye kuchinja mararamiro ekudzivirira kuitika kwekurwadziwa kwemuviri, kuputsika uye mamwe migumisiro.

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Normal ropa calcium, hapana chikonzero che calcium supplementation kunyange kana pane osteoporosis

Mukiriniki, varwere vazhinji vanozoteerera kune yavo yeropa mazinga e calcium, uye havadi calcium supplementation kana vachifunga kuti ropa ravo calcium yakajairika.Muchokwadi, yakajairika calcium yeropa hairevi yakajairika calcium mumapfupa.

Kana muviri uchinge washomeka mucalcium nekuda kwekusadya kwakakwana kana kurasikirwa kwakanyanya kwecalcium, iyo calcium kubva muhombe calcium reserve iri muiliac bone inoburitswa muropa kuburikidza nehomoni-inodzorwa osteoclasts kuti idzore pfupa kuchengetedza ropa calcium.Mukati meyakajairika, calcium inorasika kubva mupfupa panguva ino.Kana kudya kwekarusiyamu kuchiwedzerwa, zvitoro zvecalcium zvinovakwazve neosteoblasts inogadzirazve pfupa, uye chiyero ichi chinokanganiswa, zvichiita kuti osteoporosis.

Inofanira kusimbiswa kuti kunyange kana kuputsika kwakanyanya kunoitika muprimary osteoporosis, ropa re calcium level richiri rakajairika, saka calcium supplementation haigoni kungogadziriswa zvichienderana neropa re calcium level.

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Mahwendefa eCalcium ye osteoporosis

Mumakiriniki maitiro, varwere vazhinji vanotenda kuti calcium supplementation inogona kudzivirira osteoporosis.Muchokwadi, kurasikirwa kwemapfupa ecalcium chinhu chimwe chete cheosteoporosis.Zvimwe zvinhu zvakadai semahomoni epabonde akaderera, kusvuta, kunwa zvakanyanya, kofi yakawandisa uye zvinwiwa zvecarbonated, basa remuviri Kushaya, calcium uye vitamin D kushayikwa muzvokudya (kuderera kwechiedza kana kuderera) zvose zvinogona kutungamirira kune osteoporosis.

Nokudaro, calcium supplementation chete haigoni kudzivirira kuitika kwe osteoporosis, uye kuvandudzwa kwemararamiro kunofanira kuitwa kuderedza zvimwe zvinokonzera ngozi.

Chechipiri, mushure mekunge calcium yapinzwa mumuviri wemunhu, inoda rubatsiro rwevhitamini D kuti itakurwe uye kubatwa.Kana varwere vane osteoporosis vachingowedzera mahwendefa ecalcium, huwandu hunogona kutorwa hudiki uye hahukwanisi kubhadhara zvakakwana calcium yakarasika nemuviri.

Mumakiriniki maitiro, kugadzirira kwevhitamini D kunofanirwa kuwedzerwa kune calcium supplementation kune varwere vane osteoporosis.

Kunwa muto webhonzo kunogona kudzivirira osteoporosis

Ongororo dzakaratidza kuti mushure mekubika muvhavha yekumanikidza kwemaawa maviri, mafuta ari mumapfupa emapfupa akabuda, asi calcium mumuto ichiri duku zvikuru.Kana iwe uchida kushandisa muto webhonzo kuwedzera calcium, unogona kufunga kuwedzera hafu yendiro yevhiniga kumuto uye kunyura zvishoma nezvishoma kweawa kana maviri, nokuti vhiniga inogona kunyatsobatsira bone calcium kuparara.

Muchokwadi, chikafu chakanakisa che calcium supplementation mukaka.Avhareji yecalcium yemukati pa100 g yemukaka ndeye 104 mg.Izvo zvakakodzera zuva rega rega calcium kudya kwevanhu vakuru ndeye 800-1000 mg.Nokudaro, kunwa 500 ml yemukaka zuva rega rega kunogona kuwedzerwa.hafu yehuwandu hwe calcium.Mukuwedzera, yogurt, zvigadzirwa zve soya, zvekudya zvegungwa, nezvimwewo zvinewo calcium yakawanda, saka unogona kusarudza kuzvidya nenzira yakaenzana.

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Kupfupisa, kuwedzera kune calcium supplementation uye vhitamini D kuwedzera, mimwe mishonga inodzivisa osteoclast inoda kuwedzerwa kuvarwere vane osteoporosis yakaoma.Panyaya yekuchengetedzwa kwehupenyu, varwere vanofanira kurairwa kuti vawane zuva rakawanda, vave nekudya kwakakwana, uye kurovedza muviri zvakakodzera, uye kudzivirira kuitika kwe osteoporosis kuburikidza nekugadzirisa kwavo.

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Osteoporosis pasina zviratidzo

Mune maonero evanhu vakawanda, chero bedzi pasina marwadzo ekudzokera shure, uye ropa re calcium test haisi pasi, hapana osteoporosis.Maonero aya haasi pachena.

Chokutanga pane zvose, mukutanga kweosteoporosis, varwere vanowanzova vasina zviratidzo kana zviratidzo zvishoma, saka zvakaoma kuonekwa.Kana vachinge vanzwa kurwadziwa kwakadzika shure kana kuputsika, vanoenda kunoongororwa uye kurapwa, uye chirwere chacho kazhinji hachisi mukutanga.

Chechipiri, hypocalcemia haigone kushandiswa sechikonzero chekuongororwa kweosteoporosis, nokuti kana kurasikirwa kweurinary calcium kunokonzera kuderera kweropa calcium, "hypocalcemia" inokurudzira kubudiswa kweparathyroid hormone (PTH), iyo inogona kuwedzera osteoclasts masero anounganidza calcium yemapfupa muropa, kuitira kuti calcium yeropa igare yakagadzikana.Muchokwadi, vanhu vane osteoporosis vanowanzove neropa rakaderera calcium mazinga.

Nokudaro, kuongororwa kweosteoporosis hakugoni kubva pakuvapo kana kusavapo kwezviratidzo uye kana calcium yeropa yakaderera."Bone density test" ndiyo chiyero chegoridhe chekuongorora osteoporosis.Kune mapoka ane ngozi ye osteoporosis (akadai se premeno pausal vakadzi, varume vanopfuura makore makumi mashanu, nezvimwewo), pasinei nokuti vane zviratidzo kana kuti kwete, vanofanira kuenda kuchipatara nguva dzose kunoongororwa mapfupa emamineral density kuti vasimbise kuongororwa, pachinzvimbo chekumirira kusvika vazviwana vaine marwadzo emusana kana kutyoka.Enda kunorapwa.

Vezera repakati nepakati uye vanhu vakuru vanofanirwa kutanga vachinja hutano hwavo kubva ku "chirwere chekurapa" modhi kuenda ku "hutano hwekuzvirapa" modhi.Shandisa bone densitometry scan kuita bone density test kudzivirira mapfupa emapfupa uye osteoporosis.Kune vechidiki, maekisesaizi akakwana anogona kuwana mabhonzo akawanda akawanda uye anogona kudzivirira zvakanyanya kurasikirwa nemapfupa mukukwegura.Kunyange zvazvo kurovedza muviri kune vakwegura hakuwedzere kuwedzera kwepfupa, kunogona kuderedza kurasikirwa kwepfupa munzvimbo dzakamanikidzwa.

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Bone density monitoring inodiwa kuti unzwisise hutano hwemapfupa.Nokuti calcium inoisa mumapfupa kwenguva yakareba, zvinokurudzirwa kutarisa kusimba kwemapfupa kamwe chete pagore.Kana uine osteoporosis iri pachena uye uri kutora kurapa kwezvinodhaka, kuti uongorore kushanda kwemushonga, unogona kutarisa kamwe chete mwedzi mitanhatu.Inokurudzirwa kuchengetedza hupfumi hwemapfupa ehupoti zvakanaka, kuitira kuti inogona kuenzaniswa pakuongorora kunotevera kuti unzwisise kuchinja kwehutano hwemapfupa.Inokurudzirwa kushandisaPinYuan ultrasound bone densitometeror maviri simba X-ray absorptiometry bone densitometrykutarisa kuwanda kwemapfupa.


Nguva yekutumira: Sep-28-2022