I-Osteopenia

Abantu abaningi bayazi ngakho kwamathambo, kodwa bambalwa abawuqondayo umehluko phakathi kwe-osteopenia ne-osteoporosis. I-Osteopenia isebenza njengendawo ephakathi phakathi kwamathambo anempilo kanye nesimo esibi kakhulu se-osteoporosis.

Lesi simo sithinta izigidi zabantu ukuminyana kwabo amaminerali kwehle ngaphansi kwamazinga avamile kodwa abangakafinyeleli endaweni ye-osteoporosis. Ingozi yabesifazane iphakeme ngokuphindwe kane kunabesilisa. Nakuba abantu bevame ukuyixhumanisa nempilo yabesifazane, i-osteopenia iphazamisa izimpilo zamadoda futhi. 

Ukulahlekelwa ukuminyana kwamathambo kuthinta ukuphila cishe kwengxenye eyodwa kwezintathu yabantu abadala abangaphezu kweminyaka yobudala engama-50. Lokhu kwenza kube ukukhathazeka kwezempilo okucindezelayo njengoba abantu beqhubeka nokuguga. 
Lesi sihloko sichaza imvelo ye-osteopenia, izimpawu, izindlela, izici zobungozi, nezinketho zokwelapha. Ukuqonda okucacile kwe-osteopenia vs osteoporosis kungakusiza wazi ukuthi umi kuphi kulesi sikali.

Iyini i-Osteopenia?

Amandla ethambo ayahlukahluka kulo lonke uhla olubanzi. I-Osteopenia yenzeka lapho ukuminyana kwamathambo kwehla ngaphansi kwamazinga avamile kodwa kungakafinyeleli ku-osteoporosis. Lesi simo sisebenza njengesixwayiso sangaphambi kwesikhathi mayelana nokuba buthakathaka kwamathambo. Odokotela bayayixilonga lapho ama-T-score ewela phakathi kuka -1 no -2.5. Ukuminyana kwamathambo okujwayelekile kukhombisa i-T-score ngenhla -1.0.

Izimpawu ze-Osteopenia

I-Osteopenia ibonisa izimpawu ezimbalwa ezicacile, yingakho odokotela beyibiza ngokuthi "isifo esithule". Iziguli zingase zizwe ubuhlungu emathanjeni athile noma ubuthakathaka obujwayelekile. Ukuncipha kobude bomuntu ngokuhamba kwesikhathi kungase kubonise izinkinga zokuminyana kwamathambo.

Izinkinga ze-Osteopenia

Imizimba yethu iqala ukubhidlika ithambo ngokushesha kunokulakha ngemva kweminyaka engama-30. Le nqubo yemvelo iholela ekulahlekeni kwamathambo kancane kancane. Kunezici ezimbalwa ezingaba nomthelela:

• Izinguquko ze-Hormonal ngesikhathi sokuya esikhathini noma eziphansi testosterone
• Ayikho i-calcium eyanele novithamini D
• Ukuzivocavoca okulinganiselwe okuthwala isisindo
• Utshwala obujwayelekile noma ugwayi ukusetshenziswa

Izingozi Zezingozi

Abesifazane basengozini ephindwe kane kunabesilisa. 

• Abantu abangaphezu kuka-50
• Abantu abanamagugu aseCaucasus noma ase-Asia
• Abantu abanamafreyimu amancane 
• Umlando womndeni wezinkinga zamathambo nezimo ezifana nokuphazamiseka kwegilo noma rheumatoid arthritis kwandisa nokuba sengozini.

Izinkinga ze-Osteopenia

Uma ingelashwa, i-osteopenia ingabangela:

• Kwamathambo 
• Yanda ukwa izingozi, ikakhulukazi uma unomgogodla, inqulu, noma isihlakala—ngisho ukuwa okuncane kungabangela umonakalo omkhulu.

Ukuxilongwa kwe-Osteopenia

Odokotela bathembele ekuhlolweni kokuqina kwamathambo njengezinga legolide lokuxilonga i-osteopenia. Ukuhlolwa kwe-X-ray absorptiometry (DXA) yamandla amabili-energy ikala okuqukethwe kwamaminerali amathambo ngama-X-ray eleveli ephansi. Lokhu kuhlolwa akubuhlungu futhi kubheka umgogodla wakho, inqulu futhi kwesinye isikhathi isihlakala. Imiphumela ibonakala njengezikolo zika-T ezikutshela ukuthi umi kuphi ku-spectrum yokuminyana kwamathambo. Udokotela wakho uzoqinisekisa i-osteopenia uma i-T-score yakho iwela phakathi kuka -1 no -2.5. 

Ukwelashwa kwe-Osteopenia

Abantu abaningi abane-osteopenia badinga izinguquko zokuphila esikhundleni semithi:

• Ukuzivocavoca njalo - Amathambo akho aba namandla ngemisebenzi yokuthwala isisindo njengokuhamba, i-yoga, nokuqeqeshwa kwamandla
• Ukudla okufanele - Amathambo akho ahlala enempilo lapho udla ukudla okune-calcium eningi (ubisi, imifino enamaqabunga, amasardine) futhi uthola uvithamini D owanele.
• Izithasiselo - Ungase udinge i-calcium (1,000-1,200mg nsuku zonke) kanye nezithako ze-vitamin D (800-1,000 IU) ngokusekelwe eseluleko sikadokotela wakho.

Uzodinga imithi kuphela uma une-osteopenia ethuthukisiwe noma ezinye izici eziyingozi.

Kufanele Ngimbone Nini Udokotela

• Abesifazane abangaphezu kweminyaka engama-65 nabesilisa abangaphezu kweminyaka engama-70 kufanele bathole ukuhlolwa kokuqina kwamathambo. 
• Ungase udinge ukuhlolwa kusenesikhathi uma unokuphuka kobuthakathaka, ukuncipha kobude okuphawulekayo, noma ukukhumuzeka kwamathambo emndenini wakho. 
• Kufanele ubone udokotela wakho ngokushesha uma uphuka ithambo kusukela ekuwa okuncane. 
• Ngemva kokuxilongwa kwakho, amathambo scan njalo eminyakeni engu-2-5 izosiza ukulandelela impilo yakho yamathambo.

Isiphetho

Impilo yethambo isebenza njenge-spectrum. I-Osteopenia iphawula indawo ephakathi phakathi kwamathambo anempilo kanye ne-osteoporosis. Lesi simo esithule sibonisa izimpawu ezimbalwa ezisobala, nokho sithinta izigidi - ikakhulukazi abesifazane abangaphezu kweminyaka engama-50.

Ukuhlolwa kokuqina kwamathambo kungakusiza ukuthi uhlale ngaphambi kokuphuka okungenzeka. Awudingi ukulinda kuze kufike amakhefu. Ukuqaphela kusenesikhathi kukuvumela ukuthi uthathe izinyathelo zokwakha amathambo aqinile.

Izindaba ezinhle? Izinguquko ezilula zendlela yokuphila zingasiza ukuphatha i-osteopenia. Amathambo akho aba namandla uma wenza izivivinyo zokuthwala isisindo. Uhlaka lwamathambo akho ludinga ukudla okunothe nge-calcium novithamini D ukuze luhlale luqinile futhi lugcine ukwakheka kwalo.

Amathambo akho adinga ukunakwa ngaphambi kokuba kuqale izinkinga - ayakweseka empilweni. Hlela ukuhlolwa njalo nodokotela wakho, kungakhathaliseki ukuthi une-osteopenia noma ufuna nje ukuvikela impilo yakho yamathambo. Izinyathelo ozithathayo namuhla zikusiza ukuthi ume kahle kusasa.

Imibuzo Evame Ukubuzwa

1. Ingabe i-osteopenia yisimo esibucayi?

Umzimba wakho uthumela izixwayiso nge-osteopenia. Lesi simo asisibi njenge-osteoporosis, kodwa singabangela izinkinga ezinkulu njengokuphuka kwamathambo. Lokhu kuba nokwenzeka kakhulu uma unezinye izici zobungozi. 

2. Uyini umehluko phakathi kwe-osteopenia kanye ne-osteoporosis?

Ukuhlola ukuminyana kwamathambo kubonisa umehluko. I-Osteopenia imelela isigaba sokuqala sokulahlekelwa amathambo esikhonjiswe i-T-score esukela ku- -1 kuya ku -2.5. I-T-score engaphansi kuka -2.5 ibonisa ukukhumuzeka kwamathambo okubonisa ukuwohloka kwamathambo okuthuthuke kakhulu. Ungacabanga nge-osteopenia njengesixwayiso sokuqala somzimba wakho ngaphambi kokuba ukukhumuzeka kwamathambo kuqale.

3. I-osteopenia ivame ukuneminyaka emingaki?

Abantu abaningi baba ne-osteopenia ngemva kweminyaka engu-50. Amandla akho ayisisekelo ethambo anquma ukuthi ingaqala nini. Ucwaningo lukhombisa ukuthi bonke ngaphandle koyedwa walaba besifazane abangemva kokuya esikhathini bane-osteopenia. 

4. Yikuphi ukudla okungcono kakhulu kwe-osteopenia?

Ukudla okungcono kakhulu okucebile nge-calcium kufaka:

• Imikhiqizo yobisi (iyogathi, ushizi, ubisi)
• Imifino enamaqabunga (isipinashi, i-broccoli)
• Inhlanzi (i-salmon, i-sardine)

Lezi zisebenza kahle kakhulu uma zihlanganiswe novithamini D ovela emaqandeni nezinhlanzi ezinamafutha. 

5. Yiziphi izinto okufanele zigwenywe nge-osteopenia?

Umgogodla wakho ophansi udinga ukuvikelwa ekujikeni noma ekuzilolongeni. Imisebenzi enobungozi obukhulu njengokushushuluza noma ukugibela amahhashi idinga ukuqapha okwengeziwe. Imidlalo yokuxhumana nayo ingakhuphula amathuba akho okuphuka.

6. Ingabe i-osteopenia iyabuyiseleka emuva?

Ukwelashwa okufanele kungathuthukisa i-T-score yakho futhi kwenze amathambo akho aqine. Inhlanganisela yokuzivocavoca okufanele, ukudla okunomsoco, futhi ngezinye izikhathi izithasiselo zingasiza ukubuyisela emuva isimo ngisho nangemva kokuxilongwa.

CARE Medical Team