Mawallafi: Janice Evans
Ranar Halitta: 23 Yuli 2021
Sabuntawa: 9 Fabrairu 2025
Anonim
Osteoporosis - causes, symptoms, diagnosis, treatment, pathology
Video: Osteoporosis - causes, symptoms, diagnosis, treatment, pathology

Osteoporosis cuta ce wacce kasusuwa ke saurin lalacewa kuma zasu iya karyewa (karaya).

Osteoporosis shine mafi yawan cututtukan kasusuwa.

Osteoporosis yana ƙara haɗarin karya ƙashi. Kusan rabin mata duka sama da shekaru 50 zasu sami karaya a kumburi, wuyan hannu, ko kashin baya (ƙashin kashin baya) yayin rayuwarsu. Rushewar kashin baya sune na kowa.

Jikinka yana buƙatar ma'adanai alli da phosphate don yin da kiyaye ƙoshin lafiya.

  • Yayin rayuwarka, jikinka yana ci gaba da maimaita tsohuwar ƙashi kuma ƙirƙirar sabon ƙashi.
  • Muddin jikinka yana da kyakkyawan ma'auni na sabo da tsoho, kasusuwa za su kasance cikin ƙoshin lafiya da ƙarfi.
  • Rashin kasusuwa yana faruwa yayin da aka sake dawo da tsohuwar ƙashi fiye da yadda ake ƙirƙirar sabon ƙashi.

Wani lokaci, zubar kashi yana faruwa ba tare da wani sanannen sanadi ba. Wasu lokuta, asarar kashi da kasusuwa na kasusuwa suna gudana cikin dangi. Gabaɗaya, farare, tsofaffin mata sune suka fi saurin samun ƙashin ƙashi.

Bonesasassun ƙasusuwa, masu saurin lalacewa na iya haifar da komai wanda zai sa jikinka ya lalata ƙashi da yawa, ko kuma ya hana jikinka yin sabon ƙashi. Yayin da kuka tsufa, jikinku na iya sake fitar da alli da phosphate daga kashinku maimakon adana waɗannan ma'adanai a ƙashinku. Wannan yana sanya kashinku rauni.


Babban haɗari ba shi da isasshen alli don ƙirƙirar sabon ƙashin ƙashi. Yana da mahimmanci a ci / a sha isasshen abinci mai yawan alli. Hakanan kuna buƙatar bitamin D, saboda yana taimaka wa jikinku karɓar alli. Bonesasusuwa na iya zama masu rauni kuma suna iya yin rauni idan:

  • Idan baku cin isasshen abinci tare da alli da bitamin D ba
  • Jikinka baya shan isasshen alli daga abincinka, kamar bayan tiyatar wucewar ciki

Sauran dalilai na asarar kashi sun hada da:

  • Raguwar sinadarin estrogen ga mata a lokacin da suka gama al'ada da kuma rage testosterone a cikin maza yayin da suka tsufa
  • Kasancewa a kan gado saboda rashin lafiya na dogon lokaci (galibi yana shafar ƙasusuwan yara)
  • Samun wasu sharuɗɗan kiwon lafiya waɗanda ke haifar da ƙara kumburi a cikin jiki
  • Shan wasu magunguna, kamar wasu magunguna masu kamawa, maganin hormone na prostate ko kansar nono, da magungunan steroid da aka sha fiye da watanni 3

Sauran abubuwan haɗarin sun haɗa da:

  • Rashin kasancewar lokacin haila na tsawon lokaci
  • Tarihin iyali na osteoporosis
  • Shan giya mai yawa
  • Weightananan nauyin jiki
  • Shan taba
  • Samun rashin cin abinci, kamar rashin abinci

Babu alamun bayyanar a farkon matakan osteoporosis. Sau dayawa, mutane zasu sami karaya kafin su koya suna da cutar.


Rushewar kasusuwa na kashin baya na iya haifar da ciwo kusan ko'ina a cikin kashin baya. Wadannan ana kiransu karaya. Suna yawan faruwa ba tare da rauni ba. Ciwon yana faruwa farat ɗaya ko sannu a hankali a kan lokaci.

Za a iya samun asarar tsayi (kamar inci 6 ko santimita 15) a kan lokaci. Matsayi mai durƙusa ko yanayin da ake kira hump na dowager na iya ci gaba.

Aikin DEXA shine x-ray mai ƙarancin haske wanda ke auna yawan ma'adanai a ƙashinku. Mafi sau da yawa, yana auna nauyi a cikin kashin baya da kashin baya. Mai kula da lafiyar ku yayi amfani da wannan gwajin don:

  • Binciko asarar kashi da osteoporosis.
  • Yi la'akari da haɗarinku don ɓarkewar kashin gaba.
  • Duba yadda maganin osteoporosis ke aiki. (Ana yawan maimaita DEXA kowane shekara 2.)

Kyakkyawan kashin baya ko x-ray na hanji na iya nuna karaya ko durkushewar kashin baya. Koyaya, sauƙaƙan x-ray na sauran ƙasusuwa basu da cikakke sosai a cikin tsinkaya ko wataƙila kuna da cutar osteoporosis. Wani sabon x-ray na kashin baya mai raɗaɗi da ake kira ƙididdigar ɓarkewar kashin baya (VFA) yanzu ana yin sa ne tare da DEXA don ƙarin gane ɓarkewar da ba ta da wata alama.


Kuna iya buƙatar gwajin jini da fitsari idan mai ba da sabis ɗinku yana tunanin dalilin sanyin ƙashinku shine yanayin lafiya, maimakon saurin ɓata kashi da ke faruwa tare da tsufa.

Sakamakon binciken DEXA yana kwatanta ƙimar ma'adinan ƙashinku tare da saurayi ƙuruciya wanda ba shi da ƙashin ƙashi da kuma mutanenku masu shekaru da jinsi. Wannan yana nufin cewa a shekaru 80, kusan kashi ɗaya bisa uku na mata masu fama da ƙashin ƙashi na yau da kullun zasu sami osteoporosis, gwargwadon sakamakon binciken su na DEXA.

Jiyya don osteoporosis na iya ƙunsar:

  • Yin canje-canje na rayuwa, kamar canza tsarin abincinku da motsa jiki
  • Shan kayan alli da bitamin D
  • Yin amfani da magunguna

Ana amfani da magunguna don ƙarfafa ƙasusuwa lokacin da:

  • Osteoporosis an gano shi ta hanyar nazarin yawaitar kashi, ko kuna da karaya, kuma haɗarin rauninku yana da yawa.
  • Kuna da karayar kashi, kuma gwajin karfin kashi yana nuna cewa kuna da kasusuwa na bakin ciki, amma ba osteoporosis ba.

Magungunan da ake amfani dasu don magance cutar sanyin kashi sun hada da:

  • Bisphosphonates - manyan magungunan da ake amfani dasu don hanawa da magance cutar sanyin ƙashi a cikin mata masu alaura bayan haihuwa. Ana iya ba su ta baki ko ta hanyar IV.
  • Denusomab - yana rage raunin kashi kuma yana kara karfin kashi. An ba da shi ta hanyar allura a ƙarƙashin fata.
  • Teriparatide ko abaloparatide - nau'ikan halittar mutum wanda akeyi dashi wanda jikinka yakeyi wanda yake kara karfin kashi.
  • Romosozumab - wata sabuwar magani ce mai saurin rage kashin jikin mutum.
    Masu gyaran iskar estrogen.
    Calcitonin - wani nau'in halittar mutum ne wanda jikinka yakeyi wanda yake kara karfin kashi. An yi amfani dashi musamman don magance raunin kwatsam daga raunin kashin baya

Tsawon lokacin da mace take buƙatar shan waɗannan magunguna ya dogara da matakin haɗarinta. Shawarwarin sun hada da:

  • Riskananan haɗarin haɗari - shekaru 5 na maganin baka ko shekaru 3 na maganin IV
  • Babban haɗarin ɓarkewa - shekaru 10 na maganin baka ko shekaru 6 na maganin IV

Motsa jiki yana taka muhimmiyar rawa wajen kiyaye ƙashin kashi a cikin tsofaffi. Wasu daga cikin darussan da aka bada shawarar rage damarku ta karaya sun hada da:

  • Motsa jiki masu daukar nauyi, kamar tafiya, tsere, wasan tennis, ko rawa na akalla minti 30, sau uku a mako.
  • Nauyin kaya masu nauyi, injunan nauyi, masu shimfida makada
  • Ayyukan motsa jiki, kamar tai chi da yoga
  • Injin hawa

Guji kowane motsa jiki wanda ke nuna haɗarin faɗuwa. Hakanan, kada kuyi atisaye mai tasiri wanda zai iya haifar da karaya a cikin tsofaffi.

Bi waɗannan jagororin don samun isasshen alli da bitamin D:

  • Manya underan ƙasa da shekaru 50 yakamata su sami miliyon 1,000 na alli da 400 zuwa 800 International Units (IU) na bitamin D a rana.
  • Mata masu shekaru 51 zuwa 70 ya kamata su sami 1,200 MG na alli da 400 zuwa 800 IU na bitamin D a rana.
  • Ya kamata maza masu shekaru 51 zuwa 70 su sami miliyon 1,000 na alli da kuma 400 zuwa 800 IU na bitamin D a rana.
  • Manya sama da shekaru 70 ya kamata su sami 1,200 MG na alli da 800 IU na bitamin D a rana.
  • Mai ba ku sabis na iya ba da shawarar ƙarin alli.
  • Bi abincin da ke ba da adadin ƙwayoyin calcium da bitamin D. Yi amfani da kari don cike ƙarancin kawai idan abincinku ba shi da adadin da aka ba da shawarar.
  • Mai ba da sabis ɗinku na iya bayar da shawarar mafi yawan ƙwayoyin bitamin D idan kuna da abubuwan haɗari ga osteoporosis ko ƙananan matakin wannan bitamin.

(Lura: Wasu kungiyoyin masana basu da tabbacin fa'idodi da amincin wannan adadin na bitamin D da calcium sun fi karfin kasadarsu. Tabbatar da tattaunawa da mai ba ku ko kari ne mai kyau a gare ku.)

Dakatar da halaye marasa kyau:

  • Dakatar da shan taba, idan kana shan taba.
  • Iyakance yawan shan giya. Yawan shan giya na iya lalata kashin ka. Wannan yana sanya ka cikin haɗarin faɗuwa da karyewar kashi.

Yana da mahimmanci don hana faduwa daga tsofaffi. Wadannan shawarwari na iya taimakawa:

  • Kar ka sha magungunan da ke sa ka bacci da rashin kwanciyar hankali. Idan dole ne ku dauke su, ku kula sosai lokacin da kuke sama da motsi. Misali, rike katako ko katako mai ƙarfi don kaucewa faɗuwa.
  • Cire haɗarurrukan gida, kamar su darduma masu jifa, don rage haɗarin faɗuwa.
  • Barin fitilu a cikin dare don ku iya gani da kyau yayin zagaya gidan ku.
  • Shigar da amfani da sandunan ɗaukar aminci a cikin gidan wanka.
  • Shigar da shimfidar fuska a cikin baho da shawa.
  • Tabbatar cewa hangen nesa ya yi kyau. Ka sa idanunka su duba sau daya ko sau biyu a shekara daga likitan ido.
  • Sanya takalmi wanda ya dace sosai kuma yana da ƙananan dunduniya. Wannan ya hada da silifa. Slippers da ba su da dunduniya na iya sa ku yi tafiya da faɗuwa.
  • Kada ku yi tafiya a waje ku kadai a cikin ranakun sanyi.

Yin aikin tiyata don magance tsananin, nakasa ciwo daga raunin kashin baya saboda osteoporosis sun haɗa da:

  • Kyphoplasty (an sanya wani abu a cikin ƙashin kashin bayanku don dawo da tsayin kashin baya)
  • Hadin jijiyoyin jiki (kasusuwa na kashin bayanku suna hade ne saboda kada suyi gaba da juna)

Magunguna don magance osteoporosis na iya taimakawa hana ɓarkewar gaba. Ba za a iya yin kashin kashin baya wanda ya riga ya faɗi da ƙarfi ba.

Osteoporosis na iya sa mutum ya zama nakasa daga kasusuwa masu rauni. Karkuwar Hip na daya daga cikin manyan dalilan da suka sa mutane suka shiga gidajen tsofaffi.

Tabbatar kun sami isasshen alli da bitamin D don ginawa da kiyaye ƙashin lafiya. Biye da lafiya, daidaitaccen abinci zai iya taimaka maka samun waɗannan da sauran muhimman abubuwan gina jiki.

Sauran nasihu don rigakafin:

  • Kar a sha giya mai yawa.
  • Kar a sha taba.
  • Motsa jiki a kai a kai.

Magunguna na iya magance cutar sanyin kashi da kuma hana karaya. Mai ba da sabis ɗinku na iya gaya muku idan akwai wanda ya dace da ku.

Kasusuwa na bakin ciki; Boneananan ƙananan ƙashi; Ciwon ƙashi na rayuwa; Hip karaya - osteoporosis; Matsawa karaya - osteoporosis; Warƙwarar wuyan hannu - osteoporosis

  • Hip fracture - fitarwa
  • Hana faduwa
  • Matsawa karaya
  • Densityaƙƙarwar ƙimar ƙashi
  • Osteoporosis
  • Osteoporosis
  • Hip karaya
  • Tushen Vitamin D
  • Amfanin alli
  • Tushen alli
  • Motsa jiki mai gina jiki
  • Canje-canje a cikin kashin baya tare da shekaru

Adler RA, El-Hajj Fuleihan G, Bauer DC, et al. Gudanar da cututtukan osteoporosis a cikin marasa lafiya kan maganin bisphosphonate na dogon lokaci: rahoto game da kungiyar kungiyar theungiyar Amurka ta Binciken Kashi da Ma'adanai. J Kashi Ma'adinai Res. 2016; 31 (10): 1910. PMID: 27759931 www.ncbi.nlm.nih.gov/pubmed/27759931.

Baƙin DM, Rosen CJ. Yin aikin asibiti: postmenopausal osteoporosis. N Engl J Med. 2016; 374 (3): 254-262. PMID: 26789873 www.ncbi.nlm.nih.gov/pubmed/26789873.

Compston JE, McClung MR, Leslie WD. Osteoporosis. Lancet. 2019; 393 (10169): 364-376. PMID: 30696576 www.ncbi.nlm.nih.gov/pubmed/30696576.

Cosman F, de Beur SJ, LeBoff MS, et al; Gidauniyar Osteoporosis ta Kasa. Jagoran likita don rigakafi da magani na osteoporosis. Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

De Paula FJA, Black DM, Rosen CJ. Osteoporosis: asali da asibiti. A cikin: Melmed S, Auchus RJ, Goldfine AB, Loenig RJ, et al, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 30.

Eastell R, Rosen CJ, Black DM, et al. Gudanar da magani na osteoporosis a cikin matan postmenopausal: Endungiyar Endocrine * jagorar aikin likita. J Clin Endocrinol Metab. 2019; 104 (5): 1595-1622. PMID: 30907593 www.ncbi.nlm.nih.gov/pubmed/30907953.

Kemmler W, Bebenek M, Kohl M, von Stengel S. Motsa jiki da karaya a cikin matan da suka wuce aure. Sakamakon karshe na Erlangen Fitness da Nazarin Rigakafin Osteoporosis (EFOPS). Osteoporos Int. 2015; 26 (10): 2491-2499. PMID: 25963237 www.ncbi.nlm.nih.gov/pubmed/25963237.

Moyer VA; Tasungiyar Servicesungiyar Ayyukan rigakafin Amurka. Vitamin D da ƙarin alli don hana ɓarkewa a cikin manya: Bayanin shawarar Tasungiyar Preungiyar Rigakafin Amurka. Ann Intern Med. 2013; 158 (9): 691-696. PMID: 23440163 www.ncbi.nlm.nih.gov/pubmed/23440163.

Qaseem A, Forciea MA, McLean RM, et al. Jiyya na ƙananan ƙashi ko osteoporosis don hana ɓarkewa a cikin maza da mata: sabunta tsarin jagora daga Kwalejin likitocin Amurka. Ann Intern Med. 2017; 166 (11): 818-839. PMID: 28492856 www.ncbi.nlm.nih.gov/pubmed/28492856.

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