Yini ebangela ukulahleka kwamathambo?

I-osteoporosis, noma amathambo abuthakathaka, yisifo esenza ukuthi amathambo aqhekeke futhi abe nethuba lokuphuka (break). Nge-osteoporosis, amathambo alahlekelwa ukuqina. Ubuningi bamathambo inani lezicubu zethambo ezibaliwe ezisemathanjeni akho.

Ukuxilongwa kwe-osteoporosis kusho ukuthi usengozini yokuphuka kwamathambo ngisho nemisebenzi yansuku zonke noma izingozi ezincane noma ukuwa.

Umzimba wakho udinga amaminerali calcium ne-phosphate ukwenza nokugcina amathambo aphilile.

• Ngesikhathi sempilo yakho, umzimba wakho uyaqhubeka nokubuyisa ithambo elidala futhi udale ithambo elisha. Amathambo akho wonke athathelwa indawo njalo eminyakeni eyi-10, yize le nqubo yehla njengoba ukhula.
• Uma nje umzimba wakho unebhalansi enhle yethambo elisha nelidala, amathambo akho ahlala enempilo futhi eqinile.
• Ukulahleka kwamathambo kwenzeka lapho ithambo elidala kakhulu liphinde labuyiselwa kunethambo elisha.

Kwesinye isikhathi ukuphuma kwamathambo kwenzeka ngaphandle kwesizathu esaziwayo. Ukulahleka kwamathambo ngokuguga kuyinto ejwayelekile kuwo wonke umuntu. Kwesinye isikhathi, ukulahleka kwamathambo namathambo amancane kugijima emindenini kanti lesi sifo sizuzwa njengefa. Ngokuvamile, abesifazane abamhlophe, asebekhulile yibo abangahle baphelelwe amathambo. Lokhu kwandisa ingozi yabo yokuphula ithambo.

Amathambo amancane, entekenteke angadalwa yinoma yini eyenza umzimba wakho ubhubhise amathambo amaningi kakhulu, noma uvimbele umzimba wakho ekwenzeni ithambo elanele.

Amathambo abuthakathaka angaphuka kalula, ngisho nangaphandle kokulimala okusobala.

Ubuningi bamathambo akubona ukuphela kwendlela amathambo akho abuthaka ngayo. Kunezinye izinto ezingaziwa ezihlobene nekhwalithi yethambo ezibaluleke njengobuningi bethambo. Ukuhlolwa kwamathambo amaningi kukala ubukhulu bethambo kuphela.

Njengoba ukhula, umzimba wakho ungaphinda usebenzise i-calcium ne-phosphate emathanjeni akho esikhundleni sokugcina lawa amaminerali emathanjeni akho. Lokhu kwenza amathambo akho abe ntekenteke. Lapho le nqubo ifinyelela esigabeni esithile, ibizwa ngokuthi yi-osteoporosis.

Izikhathi eziningi, umuntu uzophuka ithambo ngaphambi kokwazi ukuthi ulahlekelwe ithambo. Ngesikhathi kwenzeka ukuphuka, ukulahleka kwethambo kubi kakhulu.

Abesifazane abangaphezu kweminyaka yobudala engama-50 nabesilisa abaneminyaka engaphezu kwengama-70 ubudala basengozini enkulu yokwelashwa kwamathambo kunabesifazane nabesilisa abasebasha.

• Kwabesifazane, ukwehla kwe-estrogen ngesikhathi sokuya esikhathini kuyimbangela enkulu yokulahleka kwamathambo.
• Kwabesilisa, ukwehla kwe-testosterone njengoba bekhula kungadala ukulahleka kwethambo.

Umzimba wakho udinga i-calcium novithamini D nokuzivocavoca umzimba okwanele ukwakha nokugcina amathambo aqinile.

Umzimba wakho ungeke wenze ithambo elisha elanele uma:

• Awudli ukudla okwanele okune-calcium eningi
• Umzimba wakho awumunci i-calcium eyanele ekudleni okudlayo
• Umzimba wakho ususa i-calcium eningi kunokujwayelekile emchameni

Imikhuba ethile ingathinta amathambo akho.

• Ukuphuza utshwala. Ukuphuza kakhulu utshwala kungalimaza amathambo akho. Kungakubeka engcupheni yokuwa futhi wephuke ithambo.
• Ukubhema. Abesilisa nabesifazane ababhemayo banamathambo abuthakathaka. Abesifazane ababhemayo ngemuva kokunqamuka kokuya esikhathini banethuba eliphakeme nakakhulu lokuhlukana.

Abesifazane abasebasha abangenaso isikhathi sokuya esikhathini isikhathi eside futhi banengozi enkulu yokulahleka kwamathambo kanye ne-osteoporosis.

Isisindo somzimba esiphansi sixhunyaniswa namathambo amancane namathambo abuthakathaka.

Ukuvivinya umzimba kuxhunyaniswe nesisindo samathambo aphakeme namathambo aqinile.

Izimo eziningi zezokwelapha zesikhathi eside (ezingapheli) zingenza abantu bavalelwe embhedeni noma esihlalweni.

• Lokhu kugcina imisipha namathambo ezinqeni nasezinhlokweni ukuthi kungasetshenziswa noma kube nesisindo.
• Ukungakwazi ukuhamba noma ukuzivocavoca umzimba kungaholela ekulahlekelweni ngamathambo nokuqhekeka.

Ezinye izimo zezokwelapha ezingaholela nasekulahlekelweni kwethambo yilezi:

• Isifo samathambo
• Isifo sezinso sesikhathi eside (esingapheli)
• Indlala ye-parathyroid eyeqile
• Isifo sikashukela, ngokuvamile sithayipha isifo sikashukela esingu-1
• Ukufakelwa komzimba

Kwesinye isikhathi, imithi elapha izimo ezithile zezokwelapha ingadala i-osteoporosis. Ezinye zazo yilezi:

• Imithi yokwelashwa evimba iHormone yomdlavuza wendlala noma yomdlavuza webele
• Eminye imithi esetshenziselwa ukwelapha ukuquleka noma isithuthwane
• Imithi ye-Glucocorticoid (steroid), uma iphuzwa ngomlomo nsuku zonke izinyanga ezingaphezu kwezingu-3, ​​noma iphuzwa kaningana ngonyaka

Noma yikuphi ukwelashwa noma isimo esidala ukuthi i-calcium noma i-vitamin D ingangeni kahle kungaholela nasemathanjeni abuthakathaka. Ezinye zazo yilezi:

• Ukudlula esiswini (ukuhlinzwa kwesisindo)
• ICystic fibrosis
• Ezinye izimo ezivimbela amathumbu amancane ukuthi angamunci kahle izakhamzimba

Abantu abanezinkinga zokudla, njenge-anorexia noma i-bulimia, nabo basengozini enkulu yokwelashwa kwamathambo.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ngengozi yakho yokulahleka kwamathambo kanye ne-osteoporosis. Thola ukuthi ungayithola kanjani inani elifanele le-calcium novithamini D, ukuthi yikuphi ukuzivocavoca noma izinguquko zokuphila okufanele wena, nokuthi imiphi imithi ongayidinga ukuyithatha.

I-osteoporosis - izimbangela; Ubuningi bamathambo aphansi - izimbangela

• Umhlomulo ka-Vitamin D
• Umthombo we-calcium

UDe Paula FJA, uMnyama Omnyama, uRosen CJ. I-osteoporosis: izici eziyisisekelo nezomtholampilo. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 30.

U-Eastell R, uRosen CJ, uBlack DM, uCheung AM, uMurad MH, uShoback D. Ukuphathwa kwemithi yokwelashwa kwamathambo kwabesifazane abangemva kokuya esikhathini: i-Endocrine Society * Umhlahlandlela Wokuzijwayeza Komtholampilo. UJ Clin Endocrinol Metab. 2019; 104 (5): 1595-1622. I-PMID: 30907953 pubmed.ncbi.nlm.nih.gov/30907953/.

I-Weber TJ. I-osteoporosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 230.

• Ukuminyana Kwethambo
• I-osteoporosis