Osteoporose ni indwara y'abasaza.Kugeza ubu, Ubushinwa nicyo gihugu gifite umubare munini w'abarwayi ba osteoporose ku isi.Osteoporose nayo ni indwara ikunze kugaragara mu bageze mu za bukuru ndetse n'abasaza.Dukurikije imibare ifatika, umubare w'abarwayi ba osteoporose mu Bushinwa ugera kuri miliyoni 70.Iterambere ry’umuryango w’abasaza mu Bushinwa, osteoporose yarushijeho kuba kimwe mu bibazo by’ubuzima rusange mu Bushinwa.
01. Osteoporose ni iki?
Osteoporose nindwara yamagufa itunganijwe aho ubwinshi bwamagufwa nubwiza bwamagufwa bigabanuka kubera impamvu zitandukanye, microstructure yamagufa irasenyuka, gucika amagufwa kwiyongera, kandi kuvunika bikunda kubaho.Nta bimenyetso bigaragara bigaragara mugihe cyambere cya osteoporose.Hamwe no kwiyongera kwa osteoporose, hazabaho ibimenyetso nko kubabara umugongo, hunchback, no kugabanuka.Kuvunika nikimenyetso gikomeye cyane cya osteoporose.Muri byo, impfu ziterwa no kuvunika ikibuno ku bageze mu za bukuru ni nyinshi cyane.
02. Kwipimisha amagufwa ni ishingiro ryingenzi ryo gusuzuma ostéoporose
Ubucucike bw'amagufwa bivuga ubwinshi bw'amagufwa akubiye mu bunini bw'ubunini (ubwinshi bw'ubunini) cyangwa agace kamwe (ubucucike bw'akarere), kikaba ari ikimenyetso cy'ingenzi cyerekana ubwiza bw'amagufwa, kigaragaza urugero rwa osteoporose, kandi ni naryo shingiro rikomeye ryo guhanura ingaruka ziterwa na kuvunika.Imbaraga ebyiri X-ray absorptiometry (DXA) ni "zahabu" yo gusuzuma amagufwa.Ipima imyunyu ngugu isuzuma ikoresheje imashini isikana, kandi irashobora gupima neza urugero rwo gutakaza amagufwa ku barwayi.ishingiro ryingenzi ryo gusuzuma.
03 Niki T-amanota na Z-amanota yikizamini cyamagufwa?
Ibisubizo byo gupima amagufwa bibarwa mugereranije nububiko busanzwe kugirango ubone agaciro ka T na Z.
T agaciro: Agaciro kagereranijwe kagereranijwe nigiciro cyagereranijwe cyabantu bakuru bahuje igitsina (kubipimo byo gusuzuma ibipimo byabantu bakuru)
Z-amanota: Agaciro ugereranije nagaciro gapimwe kugeza ku kigereranyo cyagereranijwe cyurungano rwumugabo umwe (urebye ibipimo byabana).
Ibipimo byo gusuzuma agaciro T ni:
| amagufwa asanzwe | T-agaciro ≥ - 1 |
| Osteopenia | -2.5 ﹤ T-agaciro ﹤ -1 |
| Osteoporose | T-agaciro ≤ -2.5 |
| osteoporose ikabije | T-agaciro ≤ -2.5hamwe no kuvunika kimwe cyangwa byinshi |
Ibipimo byo gusuzuma Z-amanota ni:
| amagufwa asanzwe | Z-agaciro ≧ -1 |
| byoroheje imbaraga zamagufwa adahagije | -1 ﹥ Z-agaciro≥-1.5 |
| Mu buryo butagereranywa imbaraga zamagufwa | -1.5 ﹥ Z-agaciro≥-2 |
| Imbaraga zamagufwa zidahagije | Z-agaciro <-2 |
04. Basabwe abaturage kwisuzumisha amagufwa
Dukurikije “Amabwiriza yo gusuzuma no kuvura Osteoporose mu Bushinwa” yatanzwe n’ishami ry’amagufwa n’amabuye y’ishami ry’ubuvuzi mu Bushinwa mu 2017, amatsinda akurikira agomba kwipimisha amagufwa hakiri kare:
1. Abagore barengeje imyaka 65 nabagabo barengeje imyaka 70, batitaye kubindi bintu bishobora gutera osteoporose
2. Abagore bari munsi yimyaka 65 nabagabo bari munsi yimyaka 70 bafite kimwe cyangwa byinshi bishobora gutera osteoporose
3. Abakuze bafite amateka yo gucika intege
4. Abakuze bafite imisemburo mike yimibonano mpuzabitsina iterwa nimpamvu zitandukanye
5. Abafite osteoporotic ihinduka muri firime ya X-ray
6. Abahabwa imiti ya osteoporose kandi bagakurikirana ingaruka zo gukiza
7. Abafite amateka yo kwandura amagufwa ya metabolism cyangwa gukoresha ibiyobyabwenge bigira ingaruka kumagufwa
8. Ibisubizo byiza kumunota umwe IOF osteoporose
9. Ibisubizo bya OSTA ≤ -1
Iki kimenyetso ni kinini, kandi mubyukuri abantu barengeje imyaka 40 nabantu bafite ibyago bishobora gupimwa ubwinshi bwamagufwa.
05 Icyitonderwa cyo gusuzuma amagufwa yuzuye:
DXA ifite ibyiza byimirasire mike, umutekano kandi byihuse, no gupima neza.Imirasire yacyo ni mike.Ku barwayi bakoze radiyo ya gastrointestinal mu cyumweru gishize, isuzuma ryubwinshi bwamagufwa rigomba gukorwa iminsi myinshi (iminsi irenze 7 nibyiza);ku barwayi bakoze ibizamini bya miti ya kirimbuzi, nibyiza ko ubanza kwisuzumisha amagufwa mbere cyangwa ejobundi Byiza;mugihe umurwayi adashobora kubeshya supine cyangwa kurenza uburemere bwameza yisuzumabumenyi, ubwinshi bwamagufwa yumutwe ntibushobora gupimwa, ariko ubunini bwamagufwa yintoki burashobora gupimwa.
06Ni gute wakwirinda no kuvura osteoporose?
Niba warabonye ko ufite osteopenia cyangwa osteoporose, ugomba gufata ingamba zo kuyivura.Ingamba zo gukumira no kuvura ahanini zirimo guhindura imibereho, inyongera zubuzima bwamagufwa, hamwe nubuvuzi.
Guhindura imibereho: gushimangira imirire, indyo yuzuye;izuba rihagije;imyitozo isanzwe;kureka itabi, kugabanya inzoga;irinde kunywa ikawa ikabije;irinde kunywa cyane ibinyobwa bya karubone;
Amagufa yubuzima bwamagufa: menyesha calcium ya buri munsi ya 1000mg, abagore barengeje imyaka 50, abagabo barengeje imyaka 70, bakeneye kongera calcium kugeza 1200mg;vitamine D ihagije irashobora kongera calcium yo mu mara kwinjiza, gutera imbaraga amagufwa, kugumana imbaraga zimitsi, Kunoza uburimbane no kugabanya ibyago byo kugwa.
07. Kwirinda osteoporose, wibande kubikorwa
Kuri osteoporose, kwirinda hakiri kare no gutabara neza birashobora gukumira gusaza no kuramba kuramba kurwego runaka.Gupima amagufwa bifite akamaro kanini mugutahura hakiri kare osteopenia na osteoporose.Birasabwa ko inshuti zikiri nto n’imyaka yo hagati yitondera ubwinshi bwamagufwa yabo, kumva ubwinshi bwamagufwa yabo, no kwirinda osteoporose, guhera gupima uburemere bwamagufwa.
No.1kwirinda mbere yo kwirinda ostéoporose
Kwirinda kwambere osteoporose bigomba gutangira mubwana no mubyangavu.Witondere kurya ibiryo bikungahaye kuri calcium, komeza gukora siporo, kubona izuba ryinshi, ntunywe itabi cyangwa ngo unywe cyane, kandi unywe ikawa nke, icyayi gikomeye n'ibinyobwa bya karubone, kugirango ugabanye ibyago byo kurwara osteoporose bishoboka.Kuzamura amagufwa yawe agaciro kurwego rwo hejuru kandi ubike amagufwa ahagije mubuzima bwawe bw'ejo hazaza.
No.2Kwirinda icyiciro cya kabiri cya osteoporose
Kwirinda icyiciro cya kabiri cya osteoporose bivuga abagore bageze mu kigero cyo hagati, cyane cyane abagore batangiye gucura, aho umuvuduko wo gutakaza amagufwa wihuta.Birasabwa kugira igenzura ryamagufwa buri myaka 1-2 kugirango wumve impinduka zubucucike bwamagufwa.Muri icyo gihe, kuzuza neza calcium na vitamine D, kubahiriza ingeso nziza zo kubaho, nko gukora imyitozo ngororamubiri isanzwe, imirire yuzuye yuzuye, kutanywa itabi, no kunywa inzoga nke birashobora kwirinda neza osteoporose.
No.3Kwirinda icyiciro cya gatatu cya osteoporose
Kwirinda icyiciro cya gatatu cya osteoporose mubisanzwe ni ugusanga amagufwa make cyangwa asanzwe arwaye osteoporose nyuma yubusaza.Muri iki gihe, dukwiye gukomeza gukora siporo neza, kwirinda kugwa, no kwirinda kuvunika.Muri icyo gihe, dukwiye gukomeza kongerera imbaraga calcium na vitamine D, Gushimangira imiti irashobora gukumira neza gutakaza amagufwa no kugabanya ibyago byo kuvunika, ndetse no guhindura ubwinshi bwamagufwa.
Ntabwo bitinda gutangira kwibanda kubuzima bwamagufwa.
Pinyuan Ultrasound Amagufa Densitometero na DXA Amagufa Denstometrie Kurinda Amagufwa yawe.
Igihe cyo kohereza: Werurwe-17-2023