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Osteoporose 丨 Urumva ibyo kutumvikana bisanzwe?

Abantu bose bamenyereye "osteoporose", ni indwara isanzwe ibangamira cyane ubuzima bw'abasaza, bafite uburwayi bukabije, ubumuga bwinshi, impfu nyinshi, amafaranga menshi yo kwivuza ndetse n'ubuzima buke buri hasi ").

Abantu bakunze gutekereza ko osteoporose ari ingaruka zidasubirwaho kandi byanze bikunze ziterwa no gusaza k'umubiri, kandi kuyirinda no kwigisha ntabwo ari ngombwa cyane kuruta diyabete n'indwara ya tiroyide.Kubwibyo, hariho ukutumvikana kwinshi mubantu basanzwe, ndetse nabaganga benshi bo mumizi-nyakatsi ntibavuga rumwe kuriyi ngingo.Ubwumvikane buke.

Hano, kora siyanse ikunzwe kubibazo bisanzwe bijyanye na osteoporose, kugirango ufashe abasomyi.

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Ibitekerezo bikunze kwibeshya kuri osteoporose

Osteoporose ni syndrome de metabolisme idasanzwe yo mu magufa irangwa no kugabanuka kwinshi kwamagufwa, gusenya mikorobe yubaka amagufwa, kwiyongera kwamagufwa, no kwandura kuvunika.Ifite indwara nyinshi, inzira ndende yindwara, kandi akenshi iherekezwa ningorane nko kuvunika, bigabanya cyane imibereho yabarwayi, ndetse bigatera ubumuga nurupfu.Kubwibyo, yabaye imwe mu ndwara zidakira zibangamira cyane ubuzima bwabantu.Kubwibyo, kwirinda no kuvura osteoporose ni ngombwa cyane.Nubwo buriwese afite imyumvire imwe yo gukumira no kuvura osteoporose, haracyari ukutumvikana.

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Abantu bakuze bafite ostéoporose

Mubisanzwe buriwese atekereza ko abasaza bonyine aribo bazarwara osteoporose kandi bakeneye gufata ibinini bya calcium, ariko sibyo.Osteoporose igabanyijemo ibyiciro bitatu: osteoporose yibanze, osteoporose ya kabiri na osteoporose idasanzwe.

Muri byo, osteoporose y'ibanze ikubiyemo ahanini osteoporose ya senile na osteoporose nyuma yo gucura.Ubu bwoko bwa osteoporose bukunze kugaragara mubasaza kandi ntaho buhuriye nurubyiruko.

Secondary osteoporose ni iyakabiri mubintu bitandukanye, nko gukoresha igihe kirekire glucocorticoide, kunywa inzoga igihe kirekire, hyperthyroidism, diyabete, myeloma, indwara zimpyiko zidakira, kuruhuka igihe kirekire, nibindi. Ubunebwe bushobora kugaragara mubantu bingeri zose. , si abasaza gusa.

Idiopathic osteoporose ikubiyemo osteoporose yumwana, osteoporose yumusore ukuze, osteoporose ikuze, gutwita na osteoporose yonsa, kandi ubu bwoko bukunze kugaragara cyane mu rubyiruko.

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Osteoporose ni ibintu byo gusaza bidasaba kuvurwa

Ibimenyetso nyamukuru nibimenyetso bya osteoporose nububabare umubiri wose, kugabanya uburebure, hunchback, kuvunika gucika intege, hamwe no guhumeka neza, muribwo ububabare bwumubiri aribimenyetso bikunze kugaragara kandi byingenzi.Impamvu ahanini iterwa no guhinduranya amagufwa menshi, kwiyongera kwamagufwa, kwangirika no kubura amagufwa ya trabecular mugihe cya resorption, no gusenya amagufwa ya subperiosteal cortical, byose bishobora gutera ububabare bwamagufwa ya sisitemu, hamwe no kubabara umugongo muke cyane. rusange, ikindi gitera ububabare.Impamvu nyamukuru ni ukuvunika.

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Amagufwa afite ostéoporose aroroshye cyane, kandi kugenda gato ntigaragara, ariko birashobora kuvunika.Ivunika rito rishobora kugira ingaruka zikomeye kumurwayi, bikagira ingaruka zikomeye kumibereho yumurwayi, ndetse no kugabanuka.ubuzima.

Ibi bimenyetso nibimenyetso bitubwira ko osteoporose ikeneye kuvurwa, gutahura hakiri kare, imiti mugihe ndetse nimpinduka zubuzima kugirango wirinde ko habaho ububabare bwumubiri, kuvunika nizindi ngaruka.

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Kalisiyumu isanzwe yamaraso, ntagikenewe kongerwamo calcium nubwo haba osteoporose

Mubuvuzi, abarwayi benshi bazitondera urugero rwamaraso ya calcium, kandi ntibakenera inyongera ya calcium mugihe batekereza ko calcium yamaraso yabo ari ibisanzwe.Mubyukuri, calcium yamaraso isanzwe ntabwo isobanura calcium isanzwe mumagufwa.

Iyo umubiri ubuze calcium kubera gufata bidahagije cyangwa gutakaza calcium nyinshi, calcium ivuye mububiko bwa calcium nini mu magufa ya iliac irekurwa mumaraso binyuze muri osteoclasts igengwa na hormone kugirango igabanye amagufwa kugirango ikomeze calcium yamaraso.Mubisanzwe, calcium yatakaye mumagufa muriki gihe.Iyo ibiryo bya calcium byiyongereye, ububiko bwa calcium bwongeye kubakwa na osteoblasts yongeye gukora amagufwa, kandi ubwo buringanire burahungabana, biganisha kuri osteoporose.

Twakagombye gushimangira ko niyo kuvunika gukabije bibaye muri osteoporose yibanze, urugero rwa calcium yamaraso iracyari ibisanzwe, kubwibyo kalisiyumu ntishobora kugenwa gusa ukurikije urugero rwa calcium yamaraso.

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Ibinini bya calcium ya osteoporose

Mubikorwa byubuvuzi, abarwayi benshi bemeza ko inyongera ya calcium ishobora kwirinda ostéoporose.Mubyukuri, gutakaza calcium yamagufwa nikintu kimwe gusa cya osteoporose.Ibindi bintu nka hormone nkeya yimibonano mpuzabitsina, kunywa itabi, kunywa cyane, ikawa ikabije n’ibinyobwa bya karubone, imyitozo ngororamubiri Ibura, calcium na vitamine D ibura mu mirire (urumuri ruto cyangwa gufata bike) byose bishobora gutera osteoporose.

Kubwibyo rero, inyongera ya calcium yonyine ntishobora gukumira ko habaho ostéoporose, kandi hagomba gukorwa uburyo bwo kubaho kugirango hagabanuke izindi mpamvu.

Icya kabiri, nyuma ya calcium yinjiye mumubiri wumuntu, ikenera ubufasha bwa vitamine D kugirango itwarwe kandi yinjizwe.Niba abarwayi barwaye osteoporose bongera gusa ibinini bya calcium, umubare ushobora kwinjizwa ni muto cyane kandi ntushobora kwishyura byimazeyo calcium yatakaje umubiri.

Mubikorwa byubuvuzi, vitamine D itegura igomba kongerwamo inyongera ya calcium kubarwayi barwaye osteoporose.

Kunywa umufa w'amagufa birashobora kwirinda osteoporose

Ubushakashatsi bwerekanye ko nyuma yo guteka mumashanyarazi yamasaha 2, ibinure mumitsi yamagufa byagaragaye, ariko calcium mumasupu iracyari nto cyane.Niba ushaka gukoresha umufa wamagufa kugirango wongere calcium, urashobora gutekereza kongeramo igice cyikibindi cya vinegere kumasupu hanyuma ugahita gahoro gahoro kumasaha cyangwa abiri, kuko vinegere ishobora gufasha calcium yamagufa gushonga.

Mubyukuri, ibiryo byiza byongera calcium ni amata.Ikigereranyo cya calcium kuri 100 g y'amata ni 104 mg.Ibiryo bya calcium ya buri munsi kubantu bakuru ni 800-1000 mg.Kubwibyo, kunywa amata 500 buri munsi birashobora kongerwaho.kimwe cya kabiri cya calcium.Mubyongeyeho, yogurt, ibikomoka kuri soya, ibiryo byo mu nyanja, nibindi nabyo birimo calcium nyinshi, kuburyo ushobora guhitamo kubirya muburyo bwiza.

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Muri make, usibye kuzuza calcium no kongera vitamine D, imiti imwe n'imwe ibuza osteoclasts igomba kongerwa ku barwayi bafite ostéoporose ikabije.Ku bijyanye no kwita ku buzima, abarwayi bagomba kugirwa inama yo kubona izuba ryinshi, kurya indyo yuzuye, no gukora siporo uko bikwiye, no kwirinda ko indwara ya osteoporose ibaho binyuze mu miterere yabo bwite.

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Osteoporose nta bimenyetso

Mubitekerezo byabantu benshi, mugihe cyose nta bubabare buke bwumugongo, kandi ikizamini cya calcium yamaraso ntikiri hasi, nta osteoporose iba.Iki gitekerezo kiragaragara ko atari kibi.

Mbere ya byose, mugihe cyambere cya osteoporose, abarwayi akenshi nta bimenyetso cyangwa ibimenyetso byoroheje cyane, kubwibyo biragoye kubimenya.Iyo bamaze kumva ububabare bwo mu mugongo cyangwa kuvunika, bajya kwisuzumisha no kuvurwa, kandi indwara akenshi ntabwo iba ikiri kare.

Icya kabiri, hypocalcemia ntishobora gukoreshwa nk'ishingiro ryo gusuzuma osteoporose, kubera ko iyo gutakaza calcium yinkari bitera kugabanuka kwa calcium yamaraso, "hypocalcemia" itera ururenda rwa hormone parathiyide (PTH), ishobora kuzamura osteoclasts Igikorwa cya selile ikangura calcium yamagufa mumaraso, kugirango calcium yamaraso ibungabunge bisanzwe.Mubyukuri, abantu barwaye osteoporose bakunda kugira calcium nkeya mumaraso.

Kubwibyo, gusuzuma indwara ya osteoporose ntishobora gushingira ku kuba hari ibimenyetso cyangwa ibimenyetso byerekana niba calcium yamaraso yagabanutse."Ikizamini cy'amagufwa" ni igipimo cya zahabu cyo gusuzuma ostéoporose.Ku matsinda afite ibyago byinshi bya osteoporose (nk'abagore bahagaritse premeno, abagabo barengeje imyaka 50, nibindi), nubwo baba bafite ibimenyetso cyangwa badafite, bagomba kujya mubitaro buri gihe kwisuzumisha amagufwa yubucucike bwamagufwa kugirango bemeze ko basuzumye, aho gutegereza kugeza igihe basanze bafite ububabare buke bwumugongo cyangwa kuvunika.Genda kwivuza.

Abantu bageze mu za bukuru n'abageze mu zabukuru bagomba kubanza guhindura imyumvire yubuzima bwabo bava muburyo bwa "kuvura indwara" bahinduka "ubuzima bwiza bwo kwikiza".Koresha igufwa rya densitometrie scan kugirango ukore igeragezwa ryamagufwa kugirango wirinde amagufwa na osteoporose.Ku rubyiruko, imyitozo ihagije irashobora kubona amagufwa menshi kandi irashobora kwirinda neza gutakaza amagufwa menshi mubusaza.Nubwo imyitozo ku bageze mu zabukuru itongera ubwinshi bw'amagufwa, irashobora kugabanya umuvuduko w'amagufwa ahantu hahangayitse.

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Kugenzura ubwinshi bwamagufwa birakenewe kugirango wumve ubuzima bwamagufwa.Kuberako calcium ibika mumagufa igihe kirekire, birasabwa kugenzura ubwinshi bwamagufwa rimwe mumwaka.Niba ufite ostéoporose igaragara kandi urimo gufata imiti, kugirango umenye imikorere yibiyobyabwenge, urashobora kubisuzuma rimwe mumezi atandatu.Birasabwa kubika raporo yubucucike bwamagufwa neza, kugirango igereranwe nisuzuma ritaha kugirango wumve impinduka zubucucike bwamagufwa.Birasabwa gukoreshaPinYuan ultrasound amagufwa densitometeroor imbaraga ebyiri X-ray absorptiometry amagufwa densitometriekugenzura ubwinshi bw'amagufwa.


Igihe cyo kohereza: Nzeri-28-2022