ʻO Osteomalacia

Anter

• He aha ka osteomalacia?
• He aha nā kumu o ka osteomalacia?
• He aha nā hōʻailona o ka osteomalacia?
• Pehea e ʻike ʻia ai ka osteomalacia?
• He aha nā ʻano lāʻau no ka osteomalacia?
• He aha nā pilikia kūpono o ka osteomalacia?
• He aha kaʻu e manaʻo ai i ka wā lōʻihi?

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka osteomalacia?

ʻO ka Osteomalacia kahi nāwaliwali o nā iwi. Nā pilikia me ka hoʻokumu iwi ʻana a i ʻole ke kaʻina hana iwi e hana ai i ka osteomalacia.

ʻAʻole like kēia ʻano me ka osteoporosis. ʻO ka Osteoporosis kahi nāwaliwali o ka iwi ola e hana a hana hou ʻia.

He aha nā kumu o ka osteomalacia?

ʻO ka nele o ka wikamina D ke kumu maʻamau o ka osteomalacia. ʻO ka Vitamin D kahi mea waiwai nui e kōkua iā ʻoe e omo i ka calcium i loko o kou ʻōpū.

Kōkua pū ka Vitamin D i ka mālama ʻana i nā pae calcium a me nā phosphate e kōkua pono i kou mau iwi e hana kūpono. Hana ʻia i loko o ka ʻili mai ke kū ʻana i nā kukuna ultraviolet (UV) i ka lā. Hiki ke omo ʻia mai nā meaʻai e like me nā huahana waiū a me nā iʻa.

ʻAʻole hiki i kou kino ke hana i ka calcium e pono ai kou mau iwi e noho ikaika inā ʻoe he haʻahaʻa haʻahaʻa o ka lāʻau D. ʻO ka hemahema o ka huaʻa D ka hopena mai:

• he pilikia me kāu papaʻai
• ka nele o ka puka ʻana o ka lā
• he pilikia me kou ʻōpū

Hiki paha iā ʻoe ke loaʻa i kahi pilikia i ka omo ʻana i ka wikamina D a i ʻole ka haki ʻana i nā meaʻai e hoʻokuʻu iā ia inā ua ʻoki ʻia ʻoe e wehe i nā ʻāpana o kou ʻōpū a i ʻole ka ʻōpū liʻiliʻi.

Hiki i kekahi mau kūlana ke hoʻopilikia i ka lawe ʻana o ka wikamina D:

• Hiki i ka maʻi Celiac ke hōʻino i ka uhi o kou ʻōpū a pale i ka lawe ʻana i nā meaola kī e like me ka lāʻau D.
• Hiki i kekahi ʻano o ka maʻi ʻaʻai ke hoʻopilikia i ka hana ʻana ʻo ka wikamina D.
• Hiki i nā maʻi kīnā a me ke akepaʻa ke hoʻopili i ka metabolism o ka huaora D.

ʻO kahi papaʻai i hoʻopili ʻole ʻia i nā phosphates hiki ke hoʻonā i ka phosphate depletion, a hiki nō hoʻi ke alakaʻi i ka osteomalacia. ʻO nā lāʻau no ka mālama ʻana i ka hopu ʻana - e like me ka phenytoin a me ka phenobarbital - hiki ke hopena i ka osteomalacia.

He aha nā hōʻailona o ka osteomalacia?

Aia kekahi mau ʻōuli o ka osteomalacia.

ʻO ka mea maʻamau ka iwi e haki ka maʻalahi. ʻO kekahi ka nāwaliwali o nā mākala. Hana ʻia kēia ma muli o nā pilikia ma nā wahi e pili ai ka mākala i ka iwi. He paʻakikī paha kahi kanaka me ka osteomalacia e hele wāwae a hoʻomohala paha i kahi ala hele wāwae.

ʻO ka ʻeha iwi, ʻo ia hoʻi ma kou pūhaka, he hōʻailona like ʻole ia.

Hiki i kahi ʻehaʻeha a ʻehaʻeha hoʻi ke pāhola mai kou pūhaka a i kēia mau wahi.

• kua malalo
• pelvis
• wāwae
• iwi ʻaoʻao

Inā he haʻahaʻa haʻahaʻa kāu o ka calcium i loko o kou koko, loaʻa iā ʻoe:

• nā puʻuwai puʻuwai kūlike ʻole
• ʻōlohelohe a puni kou waha
• numbness i kou mau lima a me kou mau wāwae
• spasms i kou mau lima a me kou mau wāwae

Pehea e ʻike ʻia ai ka osteomalacia?

E hana i kāu mea mālama ola i kahi hoʻokolohua koko e hōʻoia i ke ʻano. Inā hōʻike ia i kekahi o kēia, hiki iā ʻoe ke loaʻa ka osteomalacia a i ʻole kahi maʻi iwi ʻē aʻe.

• haʻahaʻa pae o ka wikamina D
• haʻahaʻa pae o ka kalipuna
• nā pae haʻahaʻa o ka phosphore

E hoʻāʻo paha kāu kauka olakino iā ʻoe no nā isoenzymes alkaline phosphatase. Hōʻike nā pae kiʻekiʻe i ka osteomalacia.

Hiki i kahi hōʻoia koko hou ke nānā i kāu mau pae o ka hormone parathyroid. Hōʻike nā kiʻekiʻe kiʻekiʻe o kēia hōmona i ka lawa ʻole o ka wikamina D a me nā pilikia ʻē aʻe.

Hiki i nā kukuna X a me nā hoʻokolohua kiʻi ʻē aʻe ke hōʻike i nā māwae liʻiliʻi i kou mau iwi. Kapa ʻia kēia mau māwae i nā wahi hoʻololi o Looser. Hiki i nā haki ke hoʻomaka i kēia mau wahi a me nā ʻeha liʻiliʻi.

Pono paha kāu kauka e hana i kahi biopsy iwi e kuhikuhi i ka osteomalacia. E hoʻokomo lākou i kahi nila ma o kou ʻili a me kou mākala a i loko o kou iwi e kiʻi i kahi laʻana liʻiliʻi. E kau lākou i ka hāpana ma kahi pāheʻe a nānā iā ia ma lalo o kahi microscope.

ʻO ka maʻamau, lawa ka X-ray a me nā hoʻokolohua koko e hana i kahi hōʻailona, ​​a ʻaʻole pono kahi biopsy iwi.

He aha nā ʻano lāʻau no ka osteomalacia?

Inā ʻike koke kāu kauka olakino i ka osteomalacia, pono paha ʻoe e lawe i nā mea kōkua waha o ka huaora D, calcium, a i ʻole phosphate.

Kūʻai no ka wikamina D a me nā mea hoʻopili kalima ma ka pūnaewele.

ʻO kēia paha ka lālani mua o ka mālama inā loaʻa iā ʻoe nā pilikia omo ma muli o ka hōʻeha ʻana o ka ʻōpū a i ʻole ke ʻoki ʻana, a inā he papaʻai liʻiliʻi kāu i nā meaʻai nui.

I nā hihia maʻamau, hiki iā ʻoe ke lawe i ka wikamina D ma ke ʻano he injection i loko o kou ʻili a i ʻole i ke aniani i loko o kou lima.

Pono paha ʻoe e hoʻolōʻihi i kahi manawa ma waho o ka lā i hiki i kou kino ke hana i ka wikamina D i kou ʻili.

Pono paha ʻoe i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā ʻano kumu ʻē aʻe e hoʻopili i ka huaola D metabolism. Pono ʻoe i ka lāʻau no ka cirrhosis a me ka hōʻino ʻana o ka hakuʻala e hōʻemi ai i ka osteomalacia.

ʻO nā kamaliʻi me nā hihia koʻikoʻi o ka osteomalacia a i ʻole nā ​​rickets paha e pono ke komo i nā kūpeʻe a i ʻole ke ʻoki ʻana e hoʻoponopono i ka hōʻino iwi.

He aha nā pilikia kūpono o ka osteomalacia?

Inā ʻaʻole ʻoe e mālama i ke kumu o kāu osteomalacia, aia nā pilikia. Hiki i nā mākua ke haki i nā iwi me ka maʻalahi e like me ka iwi ʻaoʻao, ka wāwae, a me nā iwi o ka iwi kuamoʻo.

Eia kekahi, i nā keiki, kū pinepine ka osteomalacia a me nā rickets, kahi e alakaʻi ai i ke kūlou ʻana o nā wāwae a i ʻole ka nalo ʻana o ka niho.

Hiki i nā ʻōuli ke hoʻi inā ʻaʻole lawa ka wikamina D i loaʻa. E hoʻi pū lākou inā hōʻoki ʻoe i ka lawe ʻana i nā mea hoʻopihapiha a i ʻole inā ʻaʻole ʻoe e kamaʻilio i nā kūlana ma lalo e like me ka holo pono ʻole ʻana o ka hakuʻala.

E kamaʻilio me kāu mea mālama ola e hana i kahi hoʻolālā mālama e pili ana i kāu pono olakino.

He aha kaʻu e manaʻo ai i ka wā lōʻihi?

Inā haʻalele ʻole ʻia, hiki i ka osteomalacia ke alakaʻi i nā iwi haʻihaʻi a me ka deformity koʻikoʻi.

Loaʻa nā koho lapaʻau like ʻole e kōkua i ka mālama ʻana i nā kūlana.

ʻIke paha ʻoe i nā hoʻomaikaʻi i loko o kekahi mau pule inā ʻoe e hoʻonui i kāu lawe ʻana i ka wikamina D, calcium, a me ka phosphorus.

ʻO ka hōʻola piha ʻana o nā iwi ma kahi o 6 mau mahina.