He aha ke kumu e lilo ai ka iwi?

ʻO ka Osteoporosis, a i ʻole nā ​​iwi nāwaliwali, kahi maʻi ia e wīwī ai nā iwi a ʻoi aku ka haki (haki). Me ka osteoporosis, nalo ka iwi i ka nui. ʻO ka iwi iwi ka nui o nā iwi iwi i helu ʻia i loko o ko ʻoukou mau iwi.

ʻO kahi hōʻailona o ka osteoporosis ʻo ia ka makaʻu no nā haki iwi me nā hana o kēlā me kēia lā a i ʻole nā ​​hāʻule liʻiliʻi a hāʻule paha.

Pono kou kino i nā minelala calcium a me phosphate e hana a mālama i nā iwi olakino.

• I kou ola, hoʻomau kou kino i ka lua hou i ka iwi kahiko a hana i iwi hou. Hoʻololi ʻia kou iwi holoʻokoʻa ma kahi o kēlā me kēia 10 mau makahiki, ʻoiai ke lohi o kēia kaʻina i kou wā ʻelemakule.
• ʻOiai ke koena maikaʻi o kou kino o ka iwi hou a ʻelemakule hoʻi, e noho olakino a ikaika hoʻi kou mau iwi.
• Hana ʻia ka iwi iwi ke hoʻopili hou ʻia ka iwi kahiko ma mua o ka hana ʻia ʻana o ka iwi hou.

I kekahi manawa hāʻule ka iwi me ka ʻole o kekahi kumu i ʻike ʻia. ʻO kekahi nalo ʻana o ka iwi me ka ʻelemakule he mea maʻamau ia no nā mea āpau. I kekahi mau manawa, holo ka nalowale iwi a me nā iwi lahilahi i loko o nā ʻohana a hoʻoilina ka maʻi. Ma ka laulā, keʻokeʻo, wahine ʻelemakule ka nui o ka nalo ʻana o ka iwi. Hoʻonui kēia i ko lākou makaʻu o ka haki iwi.

Hiki ke kumu ʻia nā iwi palupalu e nā mea e hōʻino ai i kou kino i nā iwi he nui, a i ʻole mālama i kou kino mai ka lawa ʻana o ka iwi.

Hiki i nā iwi nāwaliwali ke haki me ka ʻoluʻolu ʻole.

ʻAʻole wale ka mānoanoa o ka iwi o ka iwi ke wānana i ka palupalu o kou mau iwi. Aia kekahi mau kumu ʻike ʻē aʻe e pili ana i ka maikaʻi o ka iwi e like me ka nui o ka nui o ka iwi. ʻO ka hapa nui o nā hoʻāʻo ʻana o ka iwi e ana wale nō i ka nui o ka iwi.

I kou mau makahiki, hiki i kou kino ke hoʻopili hou i ka calcium a me ka phosphate mai kou mau iwi ma kahi o ka mālama ʻana i kēia mau minelala i loko o kou mau iwi. Māmā kēia i kou mau iwi. Ke hōʻea kēia hana i kahi pae, kapa ʻia ʻo osteoporosis.

I nā manawa he nui, e haki ke kanaka i ka iwi ma mua o ka ʻike o ka nalowale iwi. I ka manawa e loaʻa ai ka haki, koʻikoʻi ka pohō o ka iwi.

ʻOi aku ka nui o ka makaʻu o nā wahine ma mua o 50 mau makahiki a me nā kāne ma mua o 70 makahiki no ka osteoporosis ma mua o nā wahine ʻōpio a me nā kāne.

• No nā wahine, ʻo ke kulu o ka estrogen i ka manawa o ka menopause ke kumu nui o ka nalo ʻana o ka iwi.
• No nā kāne, hiki i ke kulu o ka testosterone ke ʻelemakule ke lilo i ka iwi o ka iwi.

Pono kou kino i ka puna a me ka huaola D a lawa ka hoʻoikaika kino e kūkulu a mālama i nā iwi ikaika.

ʻAʻole lawa paha kou kino i ka iwi inā:

• ʻAʻole ʻoe e ʻai i nā meaʻai calcium-kiʻekiʻe
• ʻAʻole lawa kou kino i ka nui o ka calcium mai nā meaʻai āu e ʻai ai
• Lawe kou kino i ka nui o ke kalima ma mua o ka mimi

Hiki i kekahi ʻano maʻamau ke hoʻololi i kou mau iwi.

• Ka inu lama. Hiki i ka nui o ka waiʻona ke hoʻopōʻino i kou mau iwi. Hiki iā ia ke hoʻokau iā ʻoe i ka hāʻule a haki i kahi iwi.
• Puhipaka. ʻO nā kāne a me nā wahine puhipaka nā iwi nāwaliwali. ʻO nā wahine puhipaka ma hope o ka menopause he ʻoi aku ka kiʻekiʻe o ka haʻi.

ʻO nā wahine ʻōpio ʻaʻohe o lākou manawa menstrual no ka manawa lōʻihi a ʻoi aku ka nui o ka make o ka iwi a me ka osteoporosis.

Pili ke kaumaha o ke kino haʻahaʻa i ka liʻiliʻi o ka iwi a me nā iwi nāwaliwali.

Hoʻopili ka hoʻoikaika i nā iwi iwi kiʻekiʻe a me nā iwi ikaika.

Hiki i nā kūlana olakino lōʻihi lōʻihi (mau) ke mālama i ka poʻe i hoʻopaʻa ʻia i kahi moena a noho paha.

• Mālama kēia i nā mākala a me nā iwi i loko o ko lākou hiʻupuʻu a me nā spine mai ka hoʻohana ʻia ʻana a i ʻole ke kau ʻana i kekahi kaumaha.
• ʻO ka hiki ʻole ke hele a hoʻomaʻamaʻa paha ke alakaʻi i ka nalo ʻana o ka iwi a me nā haki.

ʻO nā kūlana olakino ʻē aʻe e alakaʻi aku ai i ka nalo ʻana o ka iwi.

• Rheumatoid arthritis
• ʻO ka maʻi maʻi wā lōʻihi (mau)
• ʻO ke kino kelepaʻi overactive
• ʻO ka maʻi diabetes, ʻo ka maʻi maʻamau ʻo 1 pinepine
• Ke kuʻi ʻōhua

I kekahi manawa, hiki i nā lāʻau lapaʻau e mālama i kekahi ʻano olakino ke hana i ka osteoporosis. ʻO kekahi o kēia mau mea:

• Nā hōʻailona e pale ana i ka Hormone no ka maʻi ʻaʻai prostate a i ʻole ke kanesa maʻi maʻi
• Hoʻohana ʻia kekahi mau lāʻau e mālama ai i ka hopu ʻana a i ʻole ka epilepsy
• ʻO nā lāʻau Glucocorticoid (steroid), inā lawe ʻia lākou e ka waha i kēlā me kēia lā no ʻoi aku o 3 mau mahina, a i ʻole lawe ʻia i mau manawa i ka makahiki

ʻO nā lāʻau a me nā ʻano e hōʻemi maikaʻi ʻole ʻia ai ka puna a me ka huaola D hiki ke alakaʻi i nā iwi nāwaliwali. ʻO kekahi o kēia mau mea:

• Gastric bypass (kaumaha-pohō ʻoki kino)
• ʻO Cystic fibrosis
• Nā kūlana ʻē aʻe e pale ai i ka ʻōpū liʻiliʻi mai ka lawe maikaʻi ʻana i nā meaola

ʻO ka poʻe me nā maʻi ʻai, e like me anorexia a i ʻole bulimia, ʻoi aku ka nui o ka makaʻu no ka osteoporosis.

E kamaʻilio me kāu kauka olakino e pili ana i kāu makaʻu no ka nalo ʻana o ka iwi a me ka osteoporosis. E ʻike pehea e loaʻa ai ka nui o ka calcium a me ka wikamina D, he aha ka hoʻoikaika kino a i ʻole nā ​​ʻano nohona kūpono e pono ai nāu, a he aha nā lāʻau e pono ai ʻoe e ʻai.

Osteoporosis - kumu; Kūʻai iwi haʻahaʻa - kumu

• Pōmaikaʻi ka Wikamina D
• Kumu Kalipona

De Paula FJA, DM ʻEleʻele, Rosen CJ. Osteoporosis: nā kumu a me nā ʻano lapaʻau. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 30.

Eastell R, Rosen CJ, Black DM, Cheung AM, Murad MH, Shoback D. ʻO ka mālama ʻana i ka osteoporosis ma nā wahine postmenopausal: kahi Endocrine Society * Papa Kuhikuhi Hoʻolālā Clinical. ʻO J Clin Endocrinol Metab. 2019; 104 (5): 1595-1622. PMID: 30907953 pubmed.ncbi.nlm.nih.gov/30907953/.

ʻO Weber TJ. Osteoporosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 230.

• Density iwi
• Osteoporosis