Osteoporosis chirwere chevakuru.Parizvino, China ndiyo nyika ine nhamba huru yevarwere veosteoporosis pasi rose.Osteoporosis zvakare chirwere chinowanzoitika pakati pepakati-kati uye vanhu vakuru.Zvinoenderana nedata rakakodzera, huwandu hwevarwere veosteoporosis muChina vangangoita mamirioni makumi manomwe.Nekufambira mberi kwenharaunda yeChina yekuchembera, osteoporosis yawedzera kuve imwe yematambudziko akakosha ehutano hweveruzhinji muChina.
01. Chii chinonzi Osteoporosis?
Osteoporosis is a systemic bone disease umo kusimba kwemapfupa uye bhonzo kuderera nekuda kwezvikonzero zvakasiyana-siyana, bone microstructure inoparadzwa, fragility yemapfupa inowedzera, uye kuputsika kunowanzoitika.Iko hakuna zviratidzo zvakajeka mukutanga kwekutanga osteoporosis.Nekuwedzera kweosteoporosis, pachava nezviratidzo zvakadai sekurwadziwa kwemusana, hunchback, uye kupfupika.Kutyoka ndicho chiratidzo chakakomba cheosteoporosis.Pakati pavo, mwero wekufa kwekutyoka kwehudyu kune vakwegura yakanyanya kukwirira.
02. Bone density kuongororwa ndiyo hwaro hwakakosha hwekuongororwa kweosteoporosis
Bone mineral density inoreva bhonzo rinowanikwa muyuniti vhoriyamu (volume density) kana unit area (area density), inova chiratidzo chakakosha chehutano hwemapfupa, inoratidza chiyero cheosteoporosis, uye zvakare hwaro hwakakosha hwekufanotaura njodzi ye kutyoka.Dual-energy X-ray absorptiometry (DXA) ndiyo "yegoridhe chiyero" yekuongororwa kwehutano hwemapfupa.Inoyera maminerari emapfupa emuongorori kuburikidza nekuongorora kwemuchina, uye inogona kunyatsoyera dhigirii rekurasikirwa kwemapfupa muvarwere.hwaro hwakakosha hwekuongororwa.
03 Chii chinonzi T-score uye Z-score yebhonzo density test?
Mhedzisiro yekuongorora kwefupa rekuongorora inoverengerwa nekuenzanisa neyakajairwa dhatabhesi kuti uwane yakaenzana T uye Z kukosha.
T kukosha: Hukoshi hunoenderana nehuyero hwakayerwa neavhareji kukosha kwevakuru vemunhurume mumwe chete (yeyero yekutonga kuyerwa kwevakuru)
Z-score: Hukoshi hunoenderana nehukoshi hwakayerwa kusvika paavhareji kukosha kwevezera remunhurume mumwe chete (muyero wekuyera wezviyero zvevana).
Nzira dzekuongorora dzeT kukosha ndeidzi:
| normal bone mass | T-kukosha ≥ - 1 |
| Osteopenia | -2.5﹤T-kukosha﹤-1 |
| Osteoporosis | T-kukosha ≤ -2.5 |
| osteoporosis yakaoma | T-kukosha ≤ -2.5nekutyoka kumwe chete kana kupfuura |
Z-score diagnostic maitiro ndeaya:
| normal bone mass | Z-kukosha≧-1 |
| zvinyoro zvisina kukwana simba remapfupa | -1﹥Z-kukosha≥-1.5 |
| Kusimba kwebhonzo kuri pakati nepakati | -1.5﹥Z-kukosha≥-2 |
| Zvakanyanya kusakwana simba remapfupa | Z-kukosha<-2 |
04. Yakakurudzirwa huwandu hwemapfupa ekuongorora density
Zvinoenderana ne "Nhungamiro yeKuongorora uye Kurapwa kweOsteoporosis muChina" yakapihwa neBone and Mineral Diseases Branch yeChinese Medical Association muna 2017, mapoka anotevera anofanirwa kuongororwa kusimba kwemapfupa nekukurumidza:
1. Vakadzi vanopfuura makore makumi matanhatu neshanu nevarume vanopfuura makore makumi manomwe, zvisinei nengozi yeimwe osteoporosis.
2. Vakadzi vari pasi pemakore makumi matanhatu nemashanu nevarume vari pasi pemakore makumi manomwe vane imwe kana kupfuura zvinogona kukonzera osteoporosis.
3. Vakuru vane nhoroondo yekuputsika kwe fragility
4. Vakuru vane uwandu hwemahomoni epabonde akaderera anokonzerwa nezvikonzero zvakasiyana-siyana
5. Avo vane osteoporotic shanduko mu X-ray film
6. Avo vanogamuchira osteoporosis kurapwa uye vanocherechedza kurapa maitiro
7. Avo vane nhoroondo yekukanganisa bone metabolism zvirwere kana kushandisa zvinodhaka zvinokanganisa bone metabolism
8. Mhinduro dzakanaka kuminiti imwe chete yeIOF osteoporosis test
9. OSTA mhedzisiro ≤ -1
Chiratidzo ichi chakakura, uye vanhu vanopfuura makore makumi mana uye vanhu vane njodzi vanogona kuongororwa kusimba kwemapfupa.
05 Zvokungwarira pakuongorora bhonzo density:
DXA ine zvakanakira yeradiation yakaderera, yakachengeteka uye nekukurumidza, uye kuyerwa kwakaringana.Mwaranzi yemwaranzi yayo yakadzikira.Kune varwere vane gastrointestinal radiography mukati mevhiki yapfuura, kuongororwa kwemapfupa emapfupa kunofanira kuitwa mazuva akawanda (kupfuura mazuva manomwe ari nani);kune varwere vakamboongororwa mishonga yenyukireya, zviri nani kuve nekuongorora kwemapfupa ekutanga kana zuva rinotevera Zvirinani;apo murwere asingakwanisi kurara akarara kana kudarika uremu hwetafura yekuongorora, kuputika kwepfupa ye trunk hakugoni kuongororwa, asi kuputika kwepfupa kwepamberi kunogona kuyerwa.
06Nzira yekudzivirira nekurapa osteoporosis?
Kana iwe wakaona kuti une osteopenia kana osteoporosis, unofanira kushingaira kutora matanho ekurapa.Matanho ekudzivirira uye ekurapa anonyanya kusanganisira kugadzirisa mararamiro, hutano hwemapfupa ekuwedzera, uye kurapwa kwezvinodhaka.
Rongedza mararamiro: kusimbisa kudya, kudya kwakakwana;zuva rakakwana;kurovedza muviri nguva dzose;kurega kusvuta, kuderedza doro;dzivisa kunwa kofi zvakanyanya;dzivisa kunwa zvakanyanya kwezvinwiwa zvecarbonated;
Bone health supplement: iva nechokwadi chekudya kwe calcium yezuva nezuva ye1000mg, vakadzi vanopfuura makore makumi mashanu, varume vanopfuura makore makumi manomwe, vanoda kuwedzera calcium kudya kusvika 1200mg;vhitamini D yakakwana inogona kuwedzera intestinal calcium absorption, kukurudzira simba remapfupa, kuchengetedza simba remhasuru, Kuvandudza kuenzanisa uye kuderedza ngozi yekudonha.
07. Kudzivirira osteoporosis, tarisa pane chiito
Kune osteoporosis, kudzivirira kwekutanga uye kupindira kunoshanda kunogona kudzivirira kuchembera uye kuwedzera hupenyu kune imwe nhanho.Bone density kuyerwa kwakakosha zvikuru mukuonekwa kwekutanga kweosteopenia uye osteoporosis.Zvinokurudzirwa kune vechidiki nevezera repakati shamwari kuti vateerere kusimba kwemapfupa avo, vanzwisise mamiriro avo emapfupa, uye kudzivirira osteoporosis, kutanga kubva pakuyera kusimba kwemapfupa.
Nha.1kutanga kudzivirira osteoporosis
Kudzivirirwa kwekutanga kweosteoporosis kunofanirwa kutanga muhudiki uye mukuyaruka.Chenjerera kudya zvokudya zvakawanda zvine calcium, ramba uchiita maekisesaizi, kuwana zuva rakawanda, usasvuta kana kunwa zvakanyanyisa, uye kunwa kofi shoma, tii yakasimba uye zvinwiwa zvecarbonated, kuitira kuti uderedze njodzi yeosteoporosis sezvinobvira.Simudza pfupa rako repamusoro kukosha kusvika padanho repamusoro uye chengetedza rakakwana bhonzo rehupenyu hwako hweramangwana.
Nha.2Secondary kudzivirira osteoporosis
Kudzivirirwa kwechipiri kweosteoporosis kunoreva vakadzi vepakati-kati, kunyanya vakadzi vekupedzisira, panguva iyo chiyero chekurasikirwa kwepfupa chinowedzera.Zvinokurudzirwa kuva nehutachiona hwemapfupa ekuongorora makore ose 1-2 kuti unzwisise kuchinja kwehutano hwemapfupa.Panguva imwe cheteyo, kuwedzera kwakafanira kwecalcium nevhitamini D, kuomerera kutsika dzakanaka dzokurarama, dzakadai sokurovedza muviri nguva dzose, kudya kunovaka muviri, kusasvuta, uye kunwa doro shoma kunogona kudzivirira nenzira inobudirira osteoporosis.
Nha.3Kudzivirirwa kwepamusoro kwe osteoporosis
Kudzivirirwa kwepamusoro kweosteoporosis kazhinji kuwana kuderera kwepfupa density kana kutotambura neosteoporosis mushure mekukwegura.Panguva ino, tinofanira kuramba tichiita maekisesaizi zvakanaka, kudzivirira kudonha, uye kudzivirira kuputsika.Panguva imwecheteyo, isu tinofanira kuramba tichishingaira kuwedzera calcium uye vhitamini D , Kusimbisa kurapa kwezvinodhaka kunogona kudzivirira zvinobudirira kurasikirwa kwemapfupa uye kuderedza njodzi yekutyoka, uye kunyange kudzosera kusimba kwemapfupa.
Hazvina kumbononoka kutanga kutarisa hutano hwemapfupa.
Pinyuan Ultrasound Bone Densitometer uye DXA Bone Denstometry Dzivirira Utano Hwako Bone.
Nguva yekutumira: Mar-17-2023